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Accidents · NTSB CEN23FA125 · Final report

Robinson Helicopter Company R44 accident near Port O'Connor, Texas, March 7, 2023

On March 7, 2023 at about 3:57 am local time, a 2005 Robinson Helicopter Company R44, registered N494SH, was destroyed in an accident during takeoff near Port O'Connor, Texas. It was a personal flight under general aviation rules (Part 91). 2 people were killed. The weather was instrument conditions (cloud, fog or low visibility).

The NTSB's probable cause their words, unchanged

The pilot’s initiation of the visual flight into instrument meteorological conditions, which resulted in spatial disorientation and a subsequent loss of helicopter control. Contributing to the accident was the pilot’s flicker vertigo during the flight.

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

What the record shows

Date
March 7, 2023 · about 3:57 am local time
Place
Port O'Connor, Texas · map
Type
Accident
Injuries
2 people were killed.
Weather
instrument conditions (cloud, fog or low visibility)
Aircraft
Robinson Helicopter Company R44 II, built 2005
Registration
N494SH · registry record · serial 10878
Damage
Destroyed
Flight
Personal flight · general aviation rules (Part 91)

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

The helicopter impacted terrain shortly after the non-instrument-rated pilot took off from his residence for the night flight. A neighbor observed the helicopter’s red anti-collision (strobe) light operating as it departed. The neighbor reported that it was extremely foggy and she could “barely see” her boat dock, which was about 75 ft away. There were no known witnesses to the accident. The helicopter impacted the terrain and a postimpact fire ensued. Recorded data from on board the helicopter showed that it departed from a road next to the pilot’s residence and traveled toward a swamp area that contained little to no ground reference lighting. ADS-B data for the accident flight showed a fight path starting from an area near the pilot’s residence. The helicopter traveled to the east, passed over a lake, and then performed a turn to the north. The helicopter climbed and then descended toward the south. The ADS-B data terminated over an open field next to a home. The direct distance from where the helicopter departed from to the accident site was about 0.25 miles. While a postimpact fire consumed most of the wreckage, an examination revealed no preimpact mechanical malfunctions or failures with the airframe or the engine. The helicopter was found to be equipped for instrument flight; however, the helicopter was not certified for instrument flight rules. A search revealed that the pilot did not receive an official weather briefing before initiating the flight. The pilot’s toxicological testing detected ethanol at a very low level in cavity blood. Ethanol was not detected in vitreous fluid or urine. These results indicate that some or all of the detected ethanol may have been from postmortem production. It is unlikely that ethanol contributed to the accident. The toxicological evidence also indicates that the pilot had used cetirizine. Whether the pilot was experiencing some sedating effects of this medication at the time of the accident is uncertain. Based upon the pilot’s initiation of flight at night in instrument meteorological conditions (IMC), it is unlikely that the pilot’s use of cetirizine contributed to the accident. The autopsy’s cardiac findings are non-specific and unlikely of significance to the accident. The pilot had the anti-collision (strobe) light activated during the flight. Usage of an anti-collision (strobe) light during flight through clouds can cause flicker vertigo and subsequent spatial disorientation. In addition to spatial disorientation, the pilot likely also experienced flicker vertigo before the impact with terrain. It is likely the non-instrument-rated pilot’s decision to initiate flight in night IMC resulted in spatial disorientation, a loss of control during the initial climb, and a subsequent impact with terrain.

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. Fire/smoke (post-impact) during post (impact)
  2. Explosion (post-impact) during post (impact)
  3. Loss of visual reference during initial climb
  4. Attempted remediation/recovery during initial climb
  5. Loss of control in flight during initial climb
  6. Collision with terrain or object (not controlled flight into terrain) during uncontrolled descent
  7. Loss of visual reference during takeoff defining event

The NTSB's findings

  • Personnel issues › Action/decision › Info processing/decision › Decision making/judgment › Pilot
  • Personnel issues › Psychological › Perception/orientation/illusion › Spatial disorientation › Pilot
  • Environmental issues › Conditions/weather/phenomena › Ceiling/visibility/precip › Below VFR minima › Effect on operation
  • Environmental issues › Conditions/weather/phenomena › Ceiling/visibility/precip › Fog › Effect on operation
  • Personnel issues › Task performance › Use of equip/info › Aircraft control › Pilot
  • Personnel issues › Experience/knowledge › Training › Type/qual of instruct/training › Pilot
  • Aircraft › Aircraft oper/perf/capability › Performance/control parameters › Altitude › Not attained/maintained
  • Personnel issues › Experience/knowledge › Experience/qualifications › Total instrument experience › Pilot

Pilot

  • Certificate: private
  • Ratings: rotorcraft: helicopter
  • Flight time: 912 hours in all
  • Last flight review: February 1, 2021
  • Medical certificate: BasicMed (without waivers/limitations)
  • Seat: rgt
  • Injury: fatal

The aircraft

  • Airframe total time: 2,762.5 hours
  • Last inspection: annual inspection, February 17, 2023; 4.2 hours since
  • Maximum gross weight: 2,500 lb
  • Seats: 4
  • Landing gear: fixed
  • Engine: Lycoming Engines IO-540-AE1A5 (piston); 5,164 hours total
  • Fire on the ground

The flight

  • Departed from: Port O'Connor TX at 3:56 am
  • Destination: LVJ Pearland TX
  • Flight plan: none

Weather at the time

  • Light: night
  • Wind: from 160° at 6 knots
  • Visibility: 5 statute miles
  • Sky: broken clouds at 500 ft
  • Temperature: 73°F (23°C), dew point 70°F (21°C)
  • Altimeter: 29.99 inHg
  • Observation at 9:55 pm from KPKV, 18 miles away

Weather report (METAR): KPKV 070355Z AUTO 16006KT 5SM BR BKN005 23/21 A2999 RMK AO2 T02270214

Injuries

FatalSeriousMinorNone
Flight crew1
Passengers1

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

27 documents, released by the NTSB on April 2, 2025. 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.

#DocumentWhat it is
1 Accident Photographs PDF, 16 pages · our copy View Download
2 Purpose of Flight Email PDF, 1 page · our copy View Download
3 Video Footage - #1 (.Mov File) MOV file · our copy Download
4 Video Footage - #2 (.Mov File) MOV file · our copy Download
5 Video Footage - #3 (.Move File) MOV file · our copy Download
6 ADS-B Data First Flight (Microsoft Excel - .Xlsx File) spreadsheet · our copy Download
7 ADS-B Data First Flight (Google Earth - .Kmz File) map file · our copy Download
8 ADS-B Data Second Flight (Google Earth - .Kmz File) map file · our copy Download
9 ADS-B Data Second Flight (Microsoft Excel - .Xlsx File) spreadsheet · our copy Download
10 ADS-B Exchange Data Accident Flight (Google Earth - .Kmz File) map file · our copy Download
11 Various Witness Statements PDF, 4 pages · our copy View Download
12 Most Recent Fuel Receipt PDF, 1 page · our copy View Download
13 NTSB Airframe and Engine Examination Report PDF, 11 pages · our copy View Download
14 Recent Airframe and Engine Maintenance Records PDF, 15 pages · our copy View Download
15 Meteorology Factual Report PDF, 21 pages · our copy View Download
16 Global Positioning System Device - Specialist's Factual Report PDF, 6 pages · our copy View Download
17 Attachment 1 to Global Positioning System Device - Specialist's Factual Report data file · our copy Download
18 Pilot Historical Flight Training Record PDF, 1 page · our copy View Download
19 N494SH Insurance Renewal Information PDF, 2 pages · our copy View Download
20 Robinson Helicopter Company - Pilot Safety Course Attendance Information PDF, 8 pages · our copy View Download
21 Robinson Helicopter Company - R-44II Lighting System Information PDF, 1 page · our copy View Download
22 Robinson Helicopter Company - Safety Notice SN-26 PDF, 1 page · our copy View Download
23 Toxicology Report - Pilot PDF, 2 pages · our copy View Download
24 Medical Factual Memorandum of Record PDF, 4 pages · our copy View Download
25 Release of Aircraft Wreckage, NTSB Form 6120.15 PDF, 2 pages · our copy View Download
26 Evidence Control Form PDF, 1 page · our copy View Download
27 NTSB Party Member Forms PDF, 2 pages · our copy View Download

The same docket at the NTSB.

Other NTSB records under N494SH the same tail number, which may have belonged to a different aircraft at the time

2014-02-14CEN14CA142 · accident near Bonham, TX · substantial damage · no injuries

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.