GAA19CA284
2019-05-24 · Riverside, California, United States · None · 1 aircraft · Status: Completed
Airport RAL
Aircraft involved
Probable cause & findings
The student pilot's failure to maintain yaw control and the engine's rpm during transition to a hover, which resulted in hard landing.
Factual narrative
The student helicopter pilot reported that she had been working on her private helicopter pilot certificate over an extended period of time. The student reported that the helicopter's throttle governor had been operational during previous solo flights, but it had failed months prior to the accident flight. She confirmed that she had flown the helicopter several times without the use of the governor, under the supervision of the instructor. The day of the accident, she had flown three takeoffs and landings in the pattern with the flight instructor. After the third landing, the instructor exited the helicopter and authorized the student to perform her third solo flight. The student reported that after accomplishing the before takeoff checks, the throttle was increased, and as she increased the collective pitch, she felt an "abnormal vibration," but she decided to continue with the flight. She increased the collective and applied left pedal, and the helicopter ascended, but the nose yawed rapidly to the left. The student noted that the engine RPM increased, and she lowered the collective. The left skid contacted the ground hard, followed by the right skid, and the student decreased power, shut down the engine and exited the helicopter. The helicopter sustained substantial damage to the aft skid tube cross-member. The student pilot reported that several mechanical malfunctions existed with the helicopter during previous flights. Examination of the helicopter and the operator's maintenance logbooks revealed that there were maintenance squawks that were incorrectly annotated, however, there were no mechanical malfunctions or failures that were observed during the examination that would have prevented normal helicopter operation. The operator has implemented a policy to document and clear all future maintenance squawks associated with helicopters in their fleet. The day of the accident, the student pilot had flown three takeoffs and landings in the pattern with the instructor. After the third landing, the instructor exited the helicopter and authorized the student to perform her third flight solo. The student accomplished the before takeoff checks and increased the throttle, and as she increased the collective pitch, she felt an "abnormal vibration," but she decided to continue with the flight. She increased the collective and applied left pedal, and the helicopter ascended, but the nose yawed rapidly left. The student noted that the engine rpm had increased, and she lowered the collective. The left skid contacted the ground hard, followed by the right skid, and the student then decreased power, shut down the engine, and exited the helicopter. The helicopter sustained substantial damage to the aft skid tube cross-member. The student reported that several mechanical malfunctions existed with the helicopter during previous flights. Although examination of the helicopter and the operator's maintenance logbooks revealed that there were maintenance deficiencies that were incorrectly annotated, postaccident examination revealed no evidence of any preaccident mechanical malfunctions or failures with the helicopter that would have precluded normal operation. After the accident, the operator implemented a policy to document and clear all future maintenance discrepancies associated with helicopters in their fleet. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
FAA avdata. C = Cause, F = Factor.
- C Personnel issues-Task performance-Use of equip/info-Aircraft control-Student/instructed pilot - C
- C Aircraft-Aircraft oper/perf/capability-Performance/control parameters-Powerplant parameters-Not attained/maintained - C
- C Aircraft-Aircraft oper/perf/capability-Performance/control parameters-Yaw control-Not attained/maintained - C
- — Organizational issues-Management-Policy/procedure-Adequacy of policy/proc-Operator
Verbatim from NTSB's published report. Source file
NTSB_2019_GAA19CA284.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
Matched on aircraft type or causal vocabulary (maintenance). All research papers
- 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
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- 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.
- Semantic Scholar 2024 · Article (Defence Science Journal) Modelling of Human Factors in Aviation Maintenance Using HFACS ME Human Factors Analysis and Classification System Maintenance Extension and Bayesian Network
Aircraft maintenance is a complex task involving a skilled human workforce, spare parts, and various other resources. Human factors are an inherent element of the human workforce.
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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 (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…