San Bernardino International Airport
Aircraft Accident/Incident Report

Redlands, California 92374
Monday, December 15, 2003 9:58 PST

NTSB Narrative Summary Released at Completion of Accident

The helicopter crashed vertically in a city street during an autorotation following a loss of engine power. The pilot was on his second logged flight since obtaining his rotorcraft rating and was on a solo cross-country flight when witnesses reported hearing the engine miss-fire and then quit. The witnesses saw the helicopter's main rotor blades coning up and then stop rotation completely. The helicopter fell straight down to a city street below. The magneto switch was found in the off position with no sign of impact damage to the switch or key. An evaluation of the crash dynamics, the force vectors involved, and the structural deformation of the helicopter could not explain the magneto switch position. Witnesses to the accident said the magneto switch was not turned off by anyone after the accident. Examination of the engine and helicopter systems found no anomalies that would have prevented their normal operation. The engine roughness heard by the witnesses coupled with the magneto switch position may indicate that the pilot was attempting to diagnose an engine roughness by selectively turning off one magneto at a time and in the process, he may have inadvertently selected the both off position. The pilot was in the right seat and manipulation of the magneto switch would have required him to take his hand off the collective, which could have resulted in a delay in reacting to the loss of engine power. Toxicology reports on the pilot showed that chlorpheniramine was detected in blood at a level several times higher than the level expected with a typical maximum single over-the-counter dose of the medication. Chlorpheniramine is an over-the-counter sedating antihistamine commonly used for cold and allergy symptoms and is present in many over-the-counter multisymptom preparations. In typical doses, the medication has measurable adverse effects on performance of complex cognitive and motor tasks. It is likely that the pilot's performance and judgment were impaired by chlorpheniramine. The Federal Aviation Administration instructs Aviation Medical Examiners that, "any airman who is undergoing continuous treatment with... sedating antihistaminic...drugs... must be deferred certification..."

NTSB Probable Cause Narrative

a loss of engine power due to the pilot inadvertently turning off the magnetos and his failure to initiate an autorotation and to maintain main rotor rpm. A factor in the accident was the pilot's use of an over-the-counter medication that impaired his judgment and/or performance.

Event Information

Type of Event Accident
Event Date 12/15/2003
Event Day of the Week Monday
Time of Event 958
Event Time Zone Pacific Standard Time
Event City Redlands
Event State CALIFORNIA
Event Country --
Zipcode of the event site 92374
Event Date Year 2003
Event Date Month 12
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 340413N
Event Location Longitude 1171358W
Event Location Airport SAN BERNARDINO INTERNATIONAL
Event Location Nearest Airport ID SBD
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 1.5
Degrees magnetic from airport 172
Airport Elevation --
Weather Briefing Completeness Not pertinent
Investigator's weather source Weather Observation Facility
Time of the weather observation 956 Pacific Standard Time
Direction of event from weather observation facility (degrees) 180
Weather Observation Facility ID RIV
Elevation of weather observation facility 1535
Distance of event from weather observation facility (units?) 6
Time Zone of the weather observation PST
Lighting Conditions Day
Lowest Ceiling Height 22000
Lowest Non-Ceiling Height 15000
Sky/Lowest/Cloud Conditions Few
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 50
Air Temperature at event time (in degrees celsius) 14
Dew Point at event time (in degress fahrenheit) 1
Wind Direction (degrees magnetic) 60
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 4
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.26
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal 1
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 17976
NTSB Notification Source FAA
NTSB Notification Date Dec 15 2003 12:00AM
NTSB Notification Time 1010
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Jul 7 2005 10:33AM
User who most recently changed record NTSB\JOHB
Basic weather conditions Visual Meteorological Cond
FAA District Office WP FSDO Riverside

Aircraft Involved

Aircraft #1

Aircraft Registration Number N1225D
NTSB Number LAX04FA067
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? No
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Robinson
Aircraft Model R22 Beta
Aircraft Series Identifier --
Aircraft Serial Number 3295
Certified Max Gross Weight 1370
Aircraft Category Helicopter
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 2
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Nov 26 2003 12:00AM
Airframe hours since last inspection 41.5
Airframe Hours 765
ELT Installed Unknown
ELT Activated Unknown
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name DOXA Aviation Corp.
Aircraft Owner Street Address 1365 Crafton Ave, Apt 2108
Aircraft Owner City Mentone
Aircraft Owner State CA
Aircraft Owner Country USA
Aircraft Owner Zipcode 92359
Operator is an individual? No
Operator Name Supersonic Aviation Inc.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 2885 E. U Street
Operator City San Bernardino
Operator State CA
Operator Country USA
Operator Zip code 92408
Operator Code --
Owner has at least one certificate None
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation --
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Personal
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code SBD
Departure City San Bernardino
Departure State CA
Departure Country USA
Departure Time 940
Departure Time Zone PST
Destination Same as Local Flt --
Destination Airport Code F70
Destination City Murrieta
Destination State CA
Destination Country USA
Specific Phase of Flight Cruise
Report sent to ICAO? No
Evacuation occurred No
Date of most recent change to record Apr 21 2005 5:58PM
User who most recently changed record COOS
Since inspection or accident Time of Accident
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --