FLIGHT FINDINGSAVIATION OCCURRENCE MAP
Back to map

CEN23FA125 · Robinson Helicopter Company R44 II

6 Mar 2023 · Port O'Connor, TX, United States

Robinson Helicopter Company R44 II · Accident: loss of visual reference during takeoff

From Port O'Connor, TX to Pearland Regional Airport (LVJ)

Report a problem

Event

NTSB case
CEN23FA125
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
0
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 Helicopter Company 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
N494SH
Operator
Unknown
Onboard fatalities
Unknown
Route
From Port O'Connor, TXTo Pearland Regional Airport (LVJ), Pearland, TX
Aircraft age
About 18 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
Takeoff
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
Loss of visual reference
DamageDestroyed: beyond practical repair. Substantial: damage that affects the structure, performance or handling and normally needs major repair. Minor: less than that. Glossary
Destroyed

Cause areas

  • Aircraft › Aircraft oper/perf/capability
  • Environmental issues › Conditions/weather/phenomena
  • Personnel issues › Action/decision
  • Personnel issues › Experience/knowledge
  • Personnel issues › Psychological
  • Personnel issues › Task performance

Approximate · Coordinates as recorded by the NTSB; no uncertainty radius is established.

NTSB narrative

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.

Probable cause

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.

Verbatim NTSB analysis and probable cause from the NTSB dataset

Sources

NTSB record CEN23FA125
Event ID
20230307106842
Case number
CEN23FA125
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: local date, investigation status, cause areas. Values present in the bulk record are kept.
  • The date is the local date; the NTSB stores the UTC date 2023-03-07.
  • API snapshot SHA-256: de857bfdfb998c1c9471921ac8d323252559ecc86698c3e8a188370c5eded15a; retrieved 2026-09-15T07:57:23.375Z.