LAX94LA235

NTSB accident investigation · Bell 47D-1 · Chino, CA · June 2, 1994

Accident · No injuriesLimited investigationFinal report
Date
June 2, 1994, 12:46 local (19:46 UTC)
Place
Chino, CA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N14412Bell 47D-1
Weather
Visual (VMC) · Day
Status
Completed · report November 14, 1994
Report
Approved by Office Director
FAA report
19940602013379A
Case key
28756

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

loss of aircraft control due to the pilot's failure to correctly configure the hydraulic system prior to takeoff.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of control - in flightHover
Hydraulic system - not engagedCause
Aircraft preflight - inaccuratePilot in commandCause
Aircraft control - not maintainedPilot in commandCause
Roll overHover

Analysis

The pilot reported that she lifted into a hover in preparation for takeoff and the helicopter began a pilot inducted oscillation due to heavy cyclic control forces. The pilot stated that she overcompensated on the controls and the helicopter rolled over. The pilot reported that during the run-up procedure she disengaged the hydraulic system to check the rotor tip path plane and forgot to reengage the system prior to lifting into a hover. The pilot said there was no mechanical malfunction or failure of any system.

Factual narrative

On June 2, 1994, at 1246 Pacific daylight time, a Bell 47D-1 helicopter, N14412, rolled over during hover at the Chino, California, airport. The aircraft was in a hover in preparation for takeoff from a helipad on the airport. The helicopter was owned and operated by Mike Zemlock Helicopters of Chino and was rented by the pilot for a local area personal flight. Visual meteorological conditions prevailed at the time and no flight plan was filed for the operation. The aircraft incurred substantial damage. The certificated private pilot, the sole occupant, was not injured. The flight was originating at the time of the occurrence.

In a telephone interview, the pilot reported that she lifted into a hover in preparation for takeoff and the helicopter began a pilot inducted oscillation due to heavy cyclic control forces. The pilot stated that she overcompensated on the controls and the helicopter rolled over. The pilot reported that during the run-up procedure she disengaged the hydraulic system to check the rotor tip path plane and forgot to reengage the system prior to lifting into a hover. The pilot said there was no mechanical malfunction or failure of any system.

Aircraft

Registration
N14412
Reported as
Bell 47D-1
Category
Helicopter
Serial number
996
Airframe hours
7,661
Engine
Franklin 6V4-200-C32, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Zemlock, Mike, doing business as Zemlock Helicopter Service
Registered owner
Zemlock, Mike
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · May 6, 1994 · 61 hours before
Airport
CNO · Chino

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
47
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
1,619 total · 216 in this make and model · 1,428 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
240° at 5 knots
Visibility
6 statute miles
Temperature
81 °F
Altimeter
29.00 inHg
Observed at
CNO

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.