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
- Fire/smoke (post-impact) during post (impact)
- Explosion (post-impact) during post (impact)
- Loss of visual reference during initial climb
- Attempted remediation/recovery during initial climb
- Loss of control in flight during initial climb
- Collision with terrain or object (not controlled flight into terrain) during uncontrolled descent
- 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
| Fatal | Serious | Minor | None | |
|---|---|---|---|---|
| Flight crew | 1 | |||
| Passengers | 1 |
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.
| # | Document | What 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 |
Other NTSB records under N494SH the same tail number, which may have belonged to a different aircraft at the time
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.
