NTSB CAROL · Event
Event WPR19LA221
Aircraft involved
Probable cause & findings
The pilot’s failure to initiate the takeoff roll with inadequate rotor speed, and his failure to follow the published takeoff procedures, which resulted in a loss of control and impact with the ground.
Factual narrative
On August 14, 2019, about 1800 Pacific daylight time, an experimental AutoGyro Cavalon gyroplane, N477AG, was substantially damaged when it was involved in an accident near Shelton, Washington. The pilot received minor injuries. The gyroplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to the pilot, he was conducting stop-and-go takeoffs and landings from runway 23. He reported that he had done three or four takeoffs and landings before the accident and the gyroplane had been lifting off the runway at about 52 miles per hour (mph). On the accident takeoff attempt, the pilot reported that, before the takeoff roll, the rotor indicated 190 rpm, which was 10 rpm less than recommended by the manufacturer. During the takeoff roll, he observed the speed of the gyroplane was almost 60 mph. He said that he pulled the control stick back and the gyrocopter pitched up and yawed to the right and came immediately down. He heard a loud bang, and the gyroplane impacted the runway. Examination of the accident site revealed that the gyroplane impacted the runway slightly left of centerline, rolled onto its left side, and slid about 170 ft to the left edge of the runway. Numerous rotor blade and propeller contact marks were present along the path, consistent with rotation of both components. All major components remained attached to the gyroplane. Examination of the empennage revealed damage to the top side of the left vertical stabilizer consistent with rotor impact. A visual inspection of the fuselage and engine revealed no pre-impact mechanical failures or malfunctions that would have precluded normal operation. A review of the pilot’s logbook revealed that he had accrued about 73 total hours of flight experience in the accident gyroplane. The last flight documented in the logbook was dated August 14, 2019, the day of the accident. The previous flight occurred on August 10, 2019. The FAA Rotorcraft Flying Handbook, FAA-H-8083-21, states in part: Using coordinated throttle and flight control inputs, balance the gyroplane on the main gear without the nose wheel or tail wheel in contact with the surface. At this point, smoothly increase power to full thrust and hold the nose at takeoff attitude with cyclic pressure. The gyroplane will lift off at or near the minimum power required speed for the aircraft. And On a gyroplane with a semi-rigid, teeter-head rotor system, blade flap may develop if too much airflow passes through the rotor system while it is operating at low r.p.m. This is most often the result of taxiing too fast for a given rotor speed. The Cavalon Owner’s Manual, Section 4.8, Take-off Procedures, states in part: Carefully increase throttle (~ 20 R-RPM/sec) to 200 R-RPM – max. 220 R-RPM. This section also contains a warning that states in part: Take Care! Slow rotors can stall and flap, causing expensive aircraft damage. If in doubt, abort the take-off run and restart. The Cavalon Owner’s Manual, Section 4.9, Takeoff Run, states in part: Maintain attitude until speed increases and gyroplane lifts off (at about 50 mph, depending on loading and rotor). The pilot of the gyroplane was practicing takeoffs and landings. On the accident takeoff attempt, the pilot initiated the takeoff roll with a rotor rpm less than that recommended by the manufacturer. When he saw that the speed of the gyroplane was higher than normal and the gyroplane still had not lifted off the runway, he applied aft control stick to initiate the takeoff, contrary to the published takeoff procedures in the owner’s manual. The gyroplane then immediately lifted off the runway and rolled to the left. The rotor contacted the left vertical stabilizer and the runway. An examination of the wreckage revealed no preaccident mechanical malfunctions or failures with the gyroplane that would have precluded normal operation. It is likely that the pilot’s decision to initiate the takeoff with low rotor rpm and his failure to follow the published takeoff procedure resulted in a loss of control. 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 Aircraft-Aircraft oper/perf/capability-Performance/control parameters-Configuration-Incorrect use/operation
- — Aircraft-Aircraft propeller/rotor-Main rotor system-Main rotor blade system-Incorrect use/operation
Verbatim from NTSB's published report. Source file
NTSB_2019_WPR19LA221.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 (icing, stall, loss of control). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.
- NTSB Aircraft Accident Reports 2022 · Accident report
Loss of Control on Takeoff in Icing Conditions — Citation 560XL
Cessna Citation 560XL fatal takeoff icing accident, March 2018. Investigation of a Citation 560XL loss-of-control takeoff accident in icing conditions.
- arXiv 2023 · arXiv preprint
Variation of Critical Crystallization Pressure for the Formation of Square Ice in Graphene Nanocapillaries
Two-dimensional square ice in graphene nanocapillaries at room temperature is a fascinating phenomenon and has been confirmed experimentally.
- arXiv 2022 · arXiv preprint
Enhanced Prediction of Three-dimensional Finite Iced Wing Separated Flow Near Stall
Icing on three-dimensional wings causes severe flow separation near stall. Standard improved delayed detached eddy simulation (IDDES) is unable to correctly predict the separating reattaching flow due…
- NASA NTRS 2019 · Conference Paper
Simulation Modeling Requirements for Loss-of-Control Accident Prevention of Turboprop Transport Aircraft
In-flight loss of control remains the leading contributor to aviation accident fatalities, with stall upsets being the leading causal factor. The February 12, 2009.
- NASA NTRS 2019 · Contractor Report (CR)
An Evaluation of an Analytical Simulation of an Airplane with Tailplane Icing by Comparison to Flight Data
This report presents the assessment of an analytical tool developed as part of the NASA/FAA Tailplane Icing Program. The analytical tool is a specialized simulation program called TAILSM4 which was de…
- NASA NTRS 2019 · Technical Publication (TP)
NASA/FAA Tailplane Icing Program: Flight Test Report
This report presents results from research flights that explored the characteristics of an ice-contaminated tailplane using various simulated ice shapes attached to the leading edge of the horizontal …
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