NTSB CAROL · Event
Event LAX95LA162
Registry · N301SH
FAA Aircraft Registry record.
Make / Model
ROBINSON HELICOPTER R22
Year of manufacture
2021
TCDS
H10WE · ROBINSON HELICOPTER CO
Engine
LYCOMING O-360-J2A (145 hp)
Seats / Engines
2 seats · 1 engine
Last airworthiness date
20210430
ADS-B equipped
Yes — Mode-S A324A1
Registrant of record
SPITZER HELICOPTER LLC
Source: FAA Aircraft Registry (releasable master file).
Aircraft involved
Probable cause & findings
THE PILOT'S POOR JUDGMENT IN PERFORMING A ROLL AT AN ALTITUDE INSUFFICIENT TO ASSURE A SAFE COMPLETION.
Factual narrative
HISTORY OF FLIGHT
On April 15, 1995, at 1040 hours Pacific daylight time, a Brown (et al) amateur built Pitts S-1E, N301SH, collided with a tree and crashed about 10 miles north of Auburn, California. The pilot was conducting a visual flight rules personal flight to Auburn Municipal Airport, Auburn, California. The airplane, registered to and operated by the pilot, was destroyed by the impact forces and resulting postimpact fire. The certificated commercial pilot, the sole occupant, sustained fatal injuries. Visual meteorological conditions prevailed. The airplane departed Oroville Municipal Airport at 1025 hours. A Federal Aviation Administration (FAA) airworthiness inspector from the Sacramento Flight Standards District Office conducted the on-scene investigation. He said that the airplane departed Oroville Municipal Airport with another experimental airplane. When both airplanes approached the accident site, the second airplane was flying at a "normal" altitude; the accident airplane was flying at treetop level. The inspector said a witness, located about 1/2 mile north of the accident site, said he observed the airplane at treetop level "corkscrewing through the air" before it struck the tree. Several witnesses told Nevada County Sheriff's deputies that they observed the accident airplane executing a roll maneuver. During the maneuver, the airplane pitched down and collided with the terrain. One witness said he heard the accident airplane engine power increase before it entered the roll maneuver. National Transportation Safety Board investigators interviewed the pilot of the second airplane (hereafter called the second pilot) at Auburn Airport, on May 5, 1995. The pilot said that he and the accident pilot flew their airplanes to Oroville Municipal Airport for breakfast. They departed Auburn Airport at 0900 hours. After departing Oroville Municipal Airport, they flew as a flight of two; the accident airplane pilot was flying to the right and below the second pilot's airplane. Both pilots maintained communications on the common traffic advisory frequency (CTAF). When the flight approached the accident site, the accident pilot lost sight of the accident airplane. The second pilot called the accident pilot on CTAF to determine his location. The accident pilot assured the second pilot that he was below him and had him in sight. When the second pilot approached Auburn Airport he called the accident pilot, but received no reply. The second pilot decided to "turn around" and return to the flight's last flight path. After reversing his course, the second pilot saw smoke coming from the area that he last saw the accident airplane. When he arrived over the area, the second pilot saw the accident airplane wreckage and returned to Auburn Airport.
PERSONNEL INFORMATION
Safety Board investigators did not recover the pilot's flight hours logbook. The flight hours reflected on page 3 of this report were obtained from the pilot's last medical application form. Investigators were unable to determine if the pilot satisfied the biennial flight review requirements of 14 CFR Part 61.56. The FAA records show that the FAA previously cited the pilot for violation of 14 CFR Part 91.119C (Minimum safe altitudes) and 14 CFR Part 91.13A (Careless or reckless operation). The citing inspector told Safety Board investigators that the violation resulted from a public complaint. The pilot departed the Auburn Airport in a Mooney 20C and, at 100 feet above ground level (agl), he flew over a building near the airport.
AIRCRAFT INFORMATION
Safety Board investigators did not recover the airplane maintenance records and were unable to determine when the airplane received its last annual inspection.
WRECKAGE AND IMPACT
The on-scene examination revealed the airplane right wing struck a 100-foot tall pine tree. The airplane came to rest, right-side-up, about 1/8 mile beyond the tree facing in a northwesterly direction. The entire airplane was incinerated by the postimpact fire.
MEDICAL AND PATHOLOGICAL INFORMATION
The Nevada County Sheriff's/Coroner's Office conducted the post mortem examination on the pilot. The pathologist did not note any findings that would have affected the pilot's ability to fly an airplane. The FAA, Civil Aeromedical Institute, Oklahoma City, Oklahoma, performed toxicological examinations on the pilot. The examinations were negative for alcohol or drugs.
FIRE
The California Department of Forestry (CDF) conducted the fire suppression activities. The Nevada County Sheriff's Office records show that CDF personnel arrived at the accident site at 1055 hours. The records do not show that CDF personnel experienced any difficulties during their fire suppression activities.
WRECKAGE AND IMPACT INFORMATION
The Safety Board did not assume custody of the wreckage. GROUND WITNESSES OBSERVED TWO AIRPLANES FLYING IN A LOOSE FORMATION. THE ACCIDENT AIRPLANE WAS BELOW THE FIRST AIRPLANE AND WAS FLYING AT TREETOP LEVEL 'CORKSCREWING THROUGH THE AIR.' IT THEN ENTERED INTO A ROLL MANEUVER AND THE RIGHT WING STRUCK A TREE. POSTACCIDENT EXAMINATION DID NOT DISCLOSE ANY EVIDENCE OF PREIMPACT MALFUNCTIONS OR FAILURES. THE PILOT HAD BEEN CITED PREVIOUSLY BY THE FAA FOR VIOLATING MINIMUM SAFE ALTITUDES, AND CARELESS OR RECKLESS OPERATION. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12
Verbatim from NTSB's published report. Source file
NTSB_1995_LAX95LA162.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 (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 2026 · Journal article (IJAAA)
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- Semantic Scholar 2025 · Article (Applied Sciences)
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- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER)
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- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER)
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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.
- Embry-Riddle Scholarly Commons 2024 · Journal article (IJAAA)
Just Culture in Aviation: A Metaphorical Study on Aircraft Maintenance Students
Just Culture, a sub-dimension of safety culture, has been a prominent and debated topic in aviation safety in recent years.
- Embry-Riddle Scholarly Commons 2024 · Journal article (IJAAA)
Performance PRISM: A Comprehensive Framework For Performance Measurement In Aircraft Maintenance
Aircraft maintenance is governed by rigorous safety requirements and high operational complexity, demanding robust performance measurement frameworks to ensure optimal maintenance practices.
Browse the full corpus — academia portal ↗