NTSB CAROL · Event
Event CEN25LA093
Aircraft involved
Probable cause & findings
Improperly torqued intake manifold bolts that allowed unmetered air to enter the engine, resulting in an overly lean fuel-air mixture, eventual failure of the No. 3 cylinder intake valve, and a total loss of engine power.
Factual narrative
On February 7, 2025, about 1640 central standard time, a Robinson R22 helicopter, N7191B, was substantially damaged when it was involved in an accident near Spearman, Texas. The pilot was not injured, and the passenger sustained minor injuries. The helicopter was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that they departed near Pampa, Texas, about 1020 for an all-day wildlife management hunting expedition and to inspect fences. While inspecting a fence, the pilot heard a loud bang coming from the engine and the helicopter began to shake. The shaking stopped and then started again, and the engine lost total power. The pilot was unable to find a suitable forced landing site due to uneven terrain, and the helicopter impacted cedar trees and then rolled several times down a hill. The helicopter sustained substantial damage to the fuselage, tail boom, and main rotor gearbox. A postaccident inspection of the engine revealed that the No. 3 cylinder intake valve head was burned and chipped specifically on the combustion face, margin, and seat face. Additionally, the bolts that secured the intake manifold system to the engine block were loose. A review of maintenance records revealed that all four engine cylinders were removed for overhaul and reinstalled in June 2024 due to low compression. According to the pilot, who was the owner of the helicopter, in January 2025, about 360 hours after the engine cylinders were overhauled, the No. 1 cylinder was replaced due to the intake valve head being burned. According to the engine manufacturer, when engine cylinders are removed and/or reinstalled, the bolts that secure the intake manifold system to the engine block need to be removed to manipulate the cylinders. The pilot reported that, while performing an aerial inspection of a fence, he heard a loud bang come from the engine and the helicopter began to shake and lose altitude. The shaking stopped momentarily but then started again and the engine lost total power. The pilot performed a forced landing, during which the helicopter impacted cedar trees and then rolled several times down a hill. The helicopter sustained substantial damage to the fuselage, tail boom, and main rotor gearbox. A postaccident inspection of the engine revealed that the No. 3 cylinder intake valve head was burned and chipped specifically on the combustion face, margin, and seat face. Additionally, the bolts that secured the intake manifold system to the engine block were loose. A review of maintenance records revealed that all four engine cylinders were removed for overhaul and reinstalled about 8 months before the accident due to low compression. According to the pilot, who was also the owner of the helicopter, about one month before the accident (about 360 hours after the cylinders were overhauled), the No. 1 cylinder was replaced due to the intake valve head being burned. According the engine manufacturer, when engine cylinders are removed and/or reinstalled, the bolts that secure the intake manifold system to the engine block need to be removed to manipulate the cylinders. It is likely that when the cylinders were removed 8 months before the accident for overhaul and reinstallation, the bolts that secured the intake manifold system to the engine block were not properly torqued when the cylinders were reinstalled. The loose intake manifold system likely allowed unmetered air into the engine, resulting in an overly lean fuel/air mixture, which resulted in damage to both the No. 1 and No. 3 cylinder intake valves. The damage to the valves would likely result in poor combustion and a decrease in engine performance. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
Hierarchical cause / factor breakdown from the FAA bulk avdata database. Each finding tagged C (Cause) or F (Factor).
- — Aircraft-Aircraft power plant-Engine (reciprocating)-Recip eng cyl section-Failure
- — Environmental issues-Physical environment-Object/animal/substance-Tree(s)-Contributed to outcome
- — Environmental issues-Physical environment-Terrain-Sloped/uneven terrain-Contributed to outcome
- — Aircraft-Aircraft power plant-Engine (reciprocating)-Recip eng cyl section-Incorrect service/maintenance
- — Personnel issues-Task performance-Maintenance-Repair-Maintenance personnel
Verbatim from NTSB's published report. Source file
NTSB_2025_CEN25LA093.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
What the literature says.
Academic papers and agency reports matching this event's aircraft type or causal vocabulary (stall, maintenance). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.
- Embry-Riddle Scholarly Commons 2023 · Conference paper
The Value of Strong Partnerships to Build a Successful Aviation Maintenance Career Pathway Program for Transitioning Military Service Members
The aerospace industry is competing with other industries for a qualified workforce, and many of those competing industries are investing heavily in creating workforce development pipelines.
- Embry-Riddle Scholarly Commons 2026 · Journal article (IJAAA)
From Reactive to Predictive: A hybrid Trust-Mediated Adoption Framework for Data-Driven Maintenance in Distributed-Authority Aviation Environments
Modern aviation maintenance operates within increasingly data-intensive technological environments, yet the operational integration of predictive maintenance into routine decision-making remains incon…
- NASA NTRS 2026 · Conference Paper
Computational Analysis of Steady State Aerodynamics of Transonic Truss-Braced Wing Configuration in Deep Stall
This study presents a computational investigation of steady state aerodynamics of the Subsonic Ultra-Green Aircraft Research (SUGAR) Transonic Truss-Braced Wing (TTBW) configuration over a wide range …
- Semantic Scholar 2025 · Article (Applied Sciences)
Decision-Making Framework for Aviation Safety in Predictive Maintenance Strategies
The implementation of predictive maintenance (PM) in aviation presents unique challenges due to strict safety requirements, complex operational environments, and regulatory constraints.
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER)
Low-Resource Automatic Speech Recognition Domain Adaptation – A Case-Study in Aviation Maintenance
With timeliness and efficiency being critical in the aviation maintenance industry, the need has been growing for smart technological solutions that optimize and streamline the different underlying ta…
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER)
A New Trajectory in UAV Safety: Leveraging Reinforcement Learning for Distance Maintenance Under Wind Variations
In the field of aviation, safety is a critical cornerstone, and the operation of Unmanned Aerial Vehicle (UAV) systems is deeply connected with this principle.
Browse the full corpus — academia portal ↗