WPR19FA148 · Robinson R44 II
Robinson R44 II · Accident: VFR encounter with IMC en route
From Ballard, UT to U42 · West Jordan, UT
Event
- NTSB case
- WPR19FA148
- Event typeAccident: someone killed or seriously injured, or the aircraft substantially damaged (NTSB definition). Incident: an occurrence that affected or could have affected safety, short of that. Glossary
- Accident
- InvestigationHow far the investigation had got when the record was published: preliminary, ongoing, final or completed. Unknown where the source does not say. Glossary
- Completed
- API-reported fatalities
- 2 · all aircraft and ground
- Ground fatalities
- Unknown
- OperationWhat kind of flying it was, grouped by the rules it flew under: airline (US Part 121), air taxi and commuter (Part 135), general aviation (Part 91 and similar), military or government. Glossary
- General aviation
- WeatherVisual meteorological conditions (VMC): good enough to fly by looking outside. Instrument conditions (IMC): cloud or low visibility, flying by instruments. Glossary
- Instrument Meteorological Cond
Robinson R44 II
- Aircraft type
- Robinson R44
- Category
- Helicopter
- RegistrationThe aircraft's tail number, such as N12345 or G-ABCD. Registrations are reissued, so the same one years apart can be a different aircraft. Glossary
- N744TW
- Operator
- Unknown
- Onboard fatalities
- Unknown
- Route
- From Ballard, UTTo U42 · West Jordan, UT
- Aircraft age
- About 14 years (built 2005)
- Flight rulesThe regulations the flight operated under: in the US, Part 91 (general aviation), Part 121 (airlines), Part 135 (air taxi and commuter) and others; for flights abroad, the NTSB's coarser commercial or non-commercial code. Glossary
- Part 91: General Aviation
- Phase of flightThe stage of the flight when things started to go wrong: standing, taxi, takeoff, initial climb, en route, maneuvering, approach or landing. Glossary
- En route · cruise
- Defining eventThe single coded event the NTSB judges best describes what happened (records from 2008 on). Older records name the first occurrence in the sequence instead. Glossary
- VFR encounter with IMC
- DamageDestroyed: beyond practical repair. Substantial: damage that affects the structure, performance or handling and normally needs major repair. Minor: less than that. Glossary
- Substantial
Cause areas
- Aircraft › Aircraft oper/perf/capability
- Personnel issues › Action/decision
- Personnel issues › Physical
- Personnel issues › Psychological
- Personnel issues › Task performance
Approximate · Coordinates from the NTSB case API, which marks them as estimated or does not say; no uncertainty radius is established.
NTSB narrative
The noninstrument-rated pilot and passenger departed in the helicopter on a visual flight rules (VFR) cross-country flight. A family member reported that it was raining at the time of the helicopter’s departure, and about an hour later, she received a video from the passenger depicting the helicopter flying above a cloud layer with no discernable horizon and some of the clouds extending above the helicopter’s altitude. Review of weather and flight track information revealed that the helicopter climbed to an altitude of about 13,000 ft mean sea level (msl); remaining about that altitude for over 25 minutes. About 3 minutes before the accident, the helicopter entered a descent that continued to an altitude of about 9,200 ft msl, during which the helicopter completed more than two 360° descending turns of decreasing radius. The last recorded location of the helicopter was about 1,650 ft from the accident site. The wreckage was highly fragmented, consistent with a high-speed impact. Examination of the airframe and engine revealed no evidence of any preaccident mechanical failures or malfunctions. The helicopter was approved by the manufacturer for day and night VFR flight, and was not approved for instrument flight. The helicopter was not equipped with a supplemental oxygen system, nor was any supplemental oxygen equipment found in the wreckage. AIRMET Sierra for mountain obscuration and moderate icing between the freezing level 18,000 ft was valid for the accident site at the accident time. There was no record of the pilot receiving any preflight weather information from an access-controlled source. The helicopter was likely operating in visual meteorological conditions above the clouds until its initial descent from about 13,000 ft, at which point the helicopter likely entered and remained in instrument meteorological conditions for the rest of the flight. Although the altitude and duration of the flight did not meet regulatory requirements for supplemental oxygen use, it is likely that the pilot may have been experiencing some early effects of hypoxia, including euphoria, which may have exacerbated the effects from his use of multiple drugs. Toxicology testing revealed a blood level of amphetamine (around 300 ng/ml) and the presence of phenylpropanolamine, indicating that the pilot was most likely using a street preparation of the drug. Testing also identified phenylpropanolamine and oxycodone in blood and urine, and oxazepam in urine. Euphoria and over-confidence associated with the pilot’s amphetamine use would have likely been exacerbated by the early effects of hypoxia due to his decision to operate the helicopter at high altitude. The pilot’s decision to operate the helicopter in reduced visibility conditions with no training in flight by reference to instruments in a helicopter that was not certified for instrument flight was conducive to the development of spatial disorientation. The helicopter’s turning descent before impact and the wreckage distribution that indicated a high-speed impact were both consistent with the known effects of spatial disorientation. Based on the available information, the pilot entered instrument meteorological conditions and shortly after, began experiencing spatial disorientation, which resulted in a loss of control and impact with terrain. It is likely that the psychoactive effects from the pilot’s use of amphetamine contributed to his preflight decision making, and the additional effects of early hypoxia contributed to his continued flight into adverse weather conditions.
Probable cause
The noninstrument-rated pilot’s continued visual flight rules flight into instrument meteorological conditions, which resulted in spatial disorientation and subsequent loss of control. Contributing to the accident was hypoxia due to the high altitude at which the pilot chose to conduct the flight combined with the impairing effects of amphetamine use.
Verbatim NTSB analysis and probable cause from the NTSB dataset
Sources
NTSB record WPR19FA148
- Event ID
- 20190517X23729
- Case number
- WPR19FA148
- Dataset
- full-current
- Source SHA-256
- 5cf380f0061817c0331a6b2d8cc7e0ee3a79bea469a1001dc5c10e56f35f5ab3
Source notes (4)
- Unreviewed is an editorial label, not an investigation status. API-sourced is not report-checked or human-reviewed. Explicit event totals are used without summing aircraft injury tables; onboard allocation is withheld. Unknown values remain unknown. The operation category is mapped from the NTSB-reported FAR part and has not been reviewed.
- Filled from the NTSB case API where the bulk record had no value: investigation status, coordinates, cause areas. Values present in the bulk record are kept.
- The date is the local date, which is the same as the UTC date the NTSB stores.
- API snapshot SHA-256: 194ffd5949555856da24f1af7a79e085a583ae44aa5e9c76f59cb126bc3be114; retrieved 2026-09-15T06:58:12.695Z.