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Atlas / NTSB / GAA16CA143

NTSB CAROL · Event

Event GAA16CA143

2016-03-02 Agua Dulce, California, United States Minor 1 aircraft Status: Completed

Registry · N568TB

FAA Aircraft Registry record.

Make / Model

BELL 47G

TCDS

H-1 · SCOTT'S-BELL 47 INC

Seats / Engines

3 seats · 1 engine

ADS-B equipped

Yes — Mode-S A7464D

Registrant of record

WHITE THOMAS J

Source: FAA Aircraft Registry (releasable master file).

Aircraft involved

Probable cause & findings

The pilot's failure to set the appropriate collective friction prior to releasing the collective in flight, which resulted in decreased main rotor pitch, settling with power, and an impact with terrain.

Factual narrative

The helicopter pilot reported that while flying about 300 feet above a ridge with an elevation of 4,900 feet at 10 miles per hour (8.68 knots), he could not hear very well in his headset and needed to adjust the volume. He reported that he removed his left hand from the collective and used it to hold the cyclic so he could use his right hand to adjust the volume on his headset. During this process, he reported that he forgot to increase the friction on the collective prior to removing his left hand. He further reported that the collective "dropped which decreased main rotor pitch causing the engine to overspeed." The pilot reported that the helicopter started to spin to the right; he grabbed the collective, reduced throttle, and then increased the collective pitch. He reported that the helicopter "experienced settling with power," and spun around 8 to 10 times. He further reported that the helicopter landed hard at the top of a ridge and rolled onto its right side. The helicopter sustained substantial damage to the fuselage, main rotor system, tailboom, and tail rotor system. The pilot verified that there were no preimpact mechanical failures or malfunctions with the airframe or engine that would have precluded normal operation. As a safety recommendation, the pilot stated he "should have increased the collective friction prior to removing his left hand from the collective stick." He also stated that "the problem was made worse because the helicopter was only 300 feet above ground level at 10 miles per hour [8.68 knots]." The Federal Aviation Administration (FAA) has published FAA-H-8083-21 Helicopter Flying Handbook (2012). This handbook discusses the function of the collective and states in part; An adjustable friction control helps prevent inadvertent collective pitch movement. This handbook also discusses recovery from a settling with power condition and states in part; When recovering from a settling with power condition, the pilot tends first to try to stop the descent by increasing collective pitch. However, this only results in increasing the stalled area of the rotor, thereby increasing the rate of descent. Since inboard portions of the blades are stalled, cyclic control may be limited. Recovery is accomplished by increasing airspeed, and/or partially lowering collective pitch. In many helicopters, lateral cyclic combined with lateral tail rotor thrust will produce the quickest exit from the hazard assuming that there are no barriers in that direction. In a fully developed vortex ring state, the only recovery may be to enter autorotation to break the vortex ring state. The pilot reported that he utilized a 4-point restraint system installed in the helicopter and sustained minor injuries. He also reported that "I credit the shoulder harness restraint with keeping my injuries from being far worse." The helicopter pilot reported that while flying about 300 feet above a ridge with an elevation of 4,900 feet at 10 miles per hour (8.68 knots), he could not hear very well in his headset and needed to adjust the volume. He reported that he removed his left hand from the collective and used it to hold the cyclic so he could use his right hand to adjust the volume on his headset. During this process, he reported that he forgot to increase the friction on the collective prior to removing his left hand. He further reported that the collective "dropped which decreased main rotor pitch causing the engine to overspeed." The pilot reported that the helicopter started to spin to the right; he grabbed the collective, reduced throttle, and then increased the collective pitch. He reported that the helicopter "experienced settling with power," and spun around 8 to 10 times. He further reported that the helicopter landed hard at the top of a ridge and rolled onto its right side. The helicopter sustained substantial damage to the fuselage, main rotor system, tailboom, and tail rotor system. The pilot verified that there were no preimpact mechanical failures or malfunctions with the airframe or engine that would have precluded normal operation. As a safety recommendation, the pilot stated he "should have increased the collective friction prior to removing his left hand from the collective stick." He also stated that "the problem was made worse because the helicopter was only 300 feet above ground level at 10 miles per hour [8.68 knots]." The Federal Aviation Administration (FAA) has published FAA-H-8083-21 Helicopter Flying Handbook (2012). This handbook discusses the function of the collective and states in part: "An adjustable friction control helps prevent inadvertent collective pitch movement." This handbook also discusses recovery from a settling with power condition and states in part: "When recovering from a settling with power condition, the pilot tends first to try to stop the descent by increasing collective pitch. However, this only results in increasing the stalled area of the rotor, thereby increasing the rate of descent. Since inboard portions of the blades are stalled, cyclic control may be limited. Recovery is accomplished by increasing airspeed, and/or partially lowering collective pitch. In many helicopters, lateral cyclic combined with lateral tail rotor thrust will produce the quickest exit from the hazard assuming that there are no barriers in that direction. In a fully developed vortex ring state, the only recovery may be to enter autorotation to break the vortex ring state." The pilot reported that he utilized a 4-point restraint system installed in the helicopter and sustained minor injuries. He also reported that "I credit the shoulder harness restraint with keeping my injuries from being far worse." 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).

  • C Personnel issues-Task performance-Use of equip/info-Aircraft control-Pilot - C
  • C Personnel issues-Task performance-Use of equip/info-Use of equip/system-Pilot - C
  • Aircraft-Aircraft oper/perf/capability-Performance/control parameters-Prop/rotor parameters-Not attained/maintained
  • Aircraft-Aircraft oper/perf/capability-Performance/control parameters-Powerplant parameters-Not attained/maintained
  • Aircraft-Aircraft oper/perf/capability-Performance/control parameters-Descent rate-Not attained/maintained

Verbatim from NTSB's published report. Source file NTSB_2016_GAA16CA143.txt. Findings + structured fields enriched from FAA avall.mdb. Full investigation docket on data.ntsb.gov ↗.

Related research

What the literature says.

Academic papers and agency reports matching this event's aircraft type or causal vocabulary (stall). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.

Browse the full corpus — academia portal ↗