WPR10CA283

NTSB accident investigation · Bell 47G-4A · Shaw Island, WA · June 8, 2010

Accident · No injuriesData collectionFinal report
Date
June 8, 2010, 14:27 local (21:27 UTC)
Place
Shaw Island, WA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N7069JBell 47G-4A
Defining event
Enroute-climb to cruise: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report October 21, 2010
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20100608034879A
Case key
76277

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

On this page

Probable cause

The passenger's inadvertent movement of the mixture control during climb, resulting in a loss of engine power.

Findings · 1

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Action: incorrect action selectionPersonnel issues › Action/decision · PassengerBell 47G-4A: 1 caseAll aircraft: 397 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot reported that he and his wife, a helicopter pilot-rated passenger, departed to the north. The passenger stated that she noticed that the carburetor temperature gauge needle was in the yellow arc and asked the pilot if he would like her to add carburetor heat. The pilot said yes, and watched as she reached for the lever. The pilot did not see her move the lever because her hand was blocking his view. He looked away to monitor the helicopter, which was then climbing to clear the treetops. The pilot stated that about a minute later, as the helicopter reached the shoreline, the engine sputtered and quit. The pilot noticed that the mixture control had been pulled out about halfway, to idle cut-off. He lowered the collective and entered an autorotation, landing the float equipped helicopter on the water. The helicopter then nosed over upside-down and sustained substantial damage to the tail boom and cabin. The pilot reported that there were no mechanical failures or malfunctions with the airframe or engine prior to the accident. The mixture and carburetor heat controls are next to each other on the pedestal.

Factual narrative

The pilot reported that he and his wife, a helicopter pilot-rated passenger, departed to the north. The passenger stated that she noticed that the carburetor temperature gauge needle was in the yellow arc and asked the pilot if he would like her to add carburetor heat. The pilot said yes, and watched as she reached for the lever. The pilot did not see her move the lever because her hand was blocking his view. He looked away to monitor the helicopter, which was then climbing to clear the treetops. The pilot stated that about a minute later, as the helicopter reached the shoreline, the engine sputtered and quit. The pilot noticed that the mixture control had been pulled out about halfway, to idle cut-off. He lowered the collective and entered an autorotation, landing the float equipped helicopter on the water. The helicopter then nosed over upside-down and sustained substantial damage to the tail boom and cabin. The pilot reported that there were no mechanical failures or malfunctions with the airframe or engine prior to the accident. The mixture and carburetor heat controls are next to each other on the pedestal.

Aircraft

Registration
N7069J
Reported as
Bell 47G-4A
Category
Helicopter
Serial number
7737
Airframe hours
8,806
Engine
Lycoming VO-540-B1B3, 310 horsepower, turbo shaft
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Brantigan John W
Registered owner
Brantigan John W
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 1, 2009 · 7 hours before
Departed
Fowler Field, WA
Destination
Fowler Field, WA
Airport
Fowler Field

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
65
Injuries
None
Certificates
Flight instructor, Private, Commercial, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
May 27, 2010
Seat
Left
Flight hours
4,460 total · 125 in this make and model · 4,100 as pilot in command · 40 in the last 90 days · 15 in the last 30 days
Role
Co-pilot
Age
55
Injuries
None
Certificate
Private
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
May 27, 2010
Seat
Right
Flight hours
1,670 total · 115 in this make and model · 200 as pilot in command · 40 in the last 90 days · 15 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
360° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
66 °F, dew point 48 °F
Altimeter
29.95 inHg
Observed at
KFHR, 6 nm away

Docket · 1

The files NTSB released with the investigation on July 14, 2010, on NTSB’s docket system: statements, records, photos and specialists’ reports. 844 KB in all.

FAA reports on this event · 1

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

Other investigations on N7069J · 1

Matched to the same aircraft by N-number and date.