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Accidents · NTSB CEN19FA009 · Final report

Robinson R22 accident near Fulton, Missouri, October 17, 2018

On October 17, 2018 at about 7:21 pm local time, a 2005 Robinson R22 (helicopter), registered N923SH, was destroyed in an accident during maneuvering near Fulton, Missouri. It was an instructional flight under general aviation rules (Part 91). 1 person was killed. The weather was visual conditions (good weather).

The NTSB's probable cause their words, unchanged

A total loss of engine power due to carburetor icing, the pilot's delayed application of carburetor heat, and the pilot's delay in entering an autorotation following the loss of engine power, which resulted in a main rotor stall due to low rotor rpm and an uncontrolled descent into terrain.

Source: NTSB aviation accident database, copy made October 5, 2026. Docket and reports at the NTSB.

What the record shows

Date
October 17, 2018 · about 7:21 pm local time
Place
Fulton, Missouri · map
Type
Accident
Injuries
1 person was killed.
Weather
visual conditions (good weather)
Aircraft
Robinson R22 BETA, built 2005 · all R22s on the register
Registration
N923SH · no longer on the register · serial 3864
Damage
Destroyed
Flight
Instructional flight · general aviation rules (Part 91)

The NTSB's narrative final · quoted from the NTSB record

The pilot was conducting a solo cross-country flight in the helicopter as part of his instruction to obtain his rotorcraft rating. The intent of the flight was to fly solo cross-country to perform touch and go landings at another airport. About 36 minutes after departing on the flight, the helicopter impacted terrain. One witness reported that he saw the helicopter flying and heard the engine stop. He stated that the helicopter began to lose altitude and began to spin in a downward spiral. Another witness reported that he observed the helicopter flying toward him with its nose pointed downward about 45°. He stated that the blades were turning slowly and that the helicopter was making a circular motion along its axis, but not a spiral, as it flew toward the ground. The helicopter impacted terrain in a nose-low, left-skid-down attitude. Examination of the airframe and engine did not reveal any mechanical pre-impact anomalies. The main rotor blade damage was consistent with low rotor rpm at the time of impact, and the low rotor rpm caution light filament was stretched, consistent with the light being illuminated at the time of impact. Examination of the rotating engine components did not reveal any evidence consistent with rotation at the time of impact. The carburetor heat control in the cockpit was found unlocked and found in the "on" position. According to a carburetor icing probability chart, the atmospheric conditions about the time of the accident were conducive to moderate icing at cruise power settings and serious icing at descent power settings. Thus, it is likely that the helicopter experienced a loss of engine power due to carburetor ice accumulation. Although the carburetor heat was found in the on position, it is likely that the pilot applied the carburetor heat to address the loss of engine power but it was too late and at too low an altitude to restore engine power. Following the loss of engine power, the main rotor rpm would have rapidly begun to deteriorate unless the pilot immediately reduced collective and entered an autorotation. Given the signatures of low rotor rpm present at the site, it is likely that the pilot failed to initiate the autorotation in a timely manner, which allowed the main rotor rpm to deteriorate to the extent that the main rotor stalled and the pilot would be unable to recover.

The complete narrative as the NTSB published it. The NTSB's docket holds the report as a PDF and any photographs, statements and other documents from the investigation.

The factual record from the NTSB's investigation tables, in plain English

What happened, in order

  1. Loss of control in flight during maneuvering
  2. Fuel related during maneuvering defining event
  3. Loss of engine power (total) during maneuvering

The NTSB's findings

  • cause Personnel issues › Action/decision › Action › Delayed action › Pilot
  • Environmental issues › Conditions/weather/phenomena › Temp/humidity/pressure › Conducive to carburetor icing › Effect on operation
  • Environmental issues › Conditions/weather/phenomena › Temp/humidity/pressure › Conducive to carburetor icing › Response/compensation
  • Aircraft › Aircraft oper/perf/capability › Performance/control parameters › Prop/rotor parameters › Not attained/maintained

Pilot

  • Certificate: commercial pilot
  • Ratings: multi-engine land; single-engine land; instrument: airplane
  • Flight time: 638 hours in all; 77 in this make and model; 36 in the last 90 days; 9 in the last 30 days
  • Last flight review: October 16, 2017
  • Medical certificate: Class 3 (without waivers/limitations)
  • Seat: rgt
  • Injury: fatal

The aircraft

  • Airframe total time: 6,455.8 hours
  • Last inspection: annual inspection, October 8, 2018
  • Maximum gross weight: 1,369 lb
  • Seats: 2
  • Landing gear: fixed
  • Engine: Lycoming O-360-J2A (piston); 6,456 hours total
  • Operator: Helisat LLC

The flight

  • Departed from: None Moscow Mills MO at 6:45 pm
  • Destination: COU Columbia MO
  • Flight plan: none

Weather at the time

  • Light: daylight
  • Wind: from 330° at 14 knots
  • Visibility: 10 statute miles
  • Sky: clear
  • Temperature: 64°F (18°C), dew point 36°F (2°C)
  • Altimeter: 30.42 inHg
  • Observation at 6:54 pm from COU, 14 miles away

Injuries

FatalSeriousMinorNone
Flight crew1

Documents from the investigation the NTSB's docket: the evidence folder behind the report

9 documents, released by the NTSB on October 9, 2020. View them here, or download them; the NTSB redacts some personal details before release, and this site shows the NTSB's own titles rather than its file names.

The same docket at the NTSB · documents without a copy here are fetched from the NTSB when you open them.

Everything on this page comes from the NTSB's public records. The narrative, probable cause and findings are the NTSB's own words; the coded tables behind the report are written out in plain English, with pilots' ages, home towns and medical details left out. The documents and photographs are the NTSB's docket, shown as the NTSB released them. This site's own text never names anyone involved. A preliminary report can change; the final report usually follows one to two years later, and the page is refreshed when it does.