Bell 47 accident near Agua Dulce, California, March 2, 2016
On March 2, 2016 at about 5:30 pm local time, a 1948 Bell 47 (helicopter), registered N568TB, was substantially damaged in an accident during enroute (cruise) near Agua Dulce, California. It was a personal flight under general aviation rules (Part 91). 1 person had minor injuries. The weather was visual conditions (good weather).
The NTSB's probable cause their words, unchanged
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.
Source: NTSB aviation accident database, copy made October 5, 2026. Docket and reports at the NTSB.
What the record shows
- Date
- March 2, 2016 · about 5:30 pm local time
- Place
- Agua Dulce, California · map
- Type
- Accident
- Injuries
- 1 person had minor injuries.
- Weather
- visual conditions (good weather)
- Aircraft
- Bell 47 G2, built 1948 · all 47s on the register
- Registration
- N568TB · registry record · serial 85
- Damage
- Substantial damage
- Flight
- Personal flight · general aviation rules (Part 91)
The NTSB's narrative final · quoted from the NTSB record
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 complete narrative as the NTSB published it. The NTSB's docket holds the report as a PDF and any photographs, statements and other documents from the investigation.
The factual record from the NTSB's investigation tables, in plain English
What happened, in order
- Miscellaneous/other during enroute (cruise) defining event
- Attempted remediation/recovery during enroute (cruise)
- Loss of control in flight during enroute (cruise)
- Settling with power/vortex ring state during maneuvering (low-alt flying)
- Collision with terrain or object (not controlled flight into terrain) during maneuvering (low-alt flying)
- Off-field or emergency landing during maneuvering (low-alt flying)
The NTSB's findings
- cause Personnel issues › Task performance › Use of equip/info › Aircraft control › Pilot
- cause Personnel issues › Task performance › Use of equip/info › Use of equip/system › Pilot
- 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
Pilot
- Certificate: private
- Ratings: single-engine land; rotorcraft: helicopter
- Flight time: 709 hours in all; 137 in this make and model; 7 in the last 90 days; 1 in the last 30 days; 585 as pilot in command
- Last flight review: November 24, 2015
- Medical certificate: Class 3 (with waivers/limitations)
- Seat: left
- Injury: minor injuries
The aircraft
- Airframe total time: 5,818 hours
- Last inspection: type not recorded, November 21, 2015
- Maximum gross weight: 2,450 lb
- Seats: 3
- Landing gear: fixed
- Engine: Lycoming VO435A1F (piston); 4,604 hours total
The flight
- Departed from: WJF Lancaster CA at 5:00 pm
- Destination: L70 Agua Dulce CA
- Flight plan: none
Weather at the time
- Light: daylight
- Wind: from 290° at 13 knots
- Visibility: 10 statute miles
- Sky: clear
- Temperature: 75°F (24°C), dew point 18°F (-8°C)
- Altimeter: 30.10 inHg
- Observation at 5:56 pm from KWJF, 11 miles away
Injuries
| Fatal | Serious | Minor | None | |
|---|---|---|---|---|
| Flight crew | 1 |
Documents from the investigation the NTSB's docket: the evidence folder behind the report
The docket, the folder of records gathered during an investigation (maintenance records, photographs, witness statements, examinations), has not been read from the NTSB for this case yet; the list appears here once it has. Open the docket at the NTSB.
Everything on this page comes from the NTSB's public records. The narrative, probable cause and findings are the NTSB's own words; the coded tables behind the report are written out in plain English, with pilots' ages, home towns and medical details left out. The documents and photographs are the NTSB's docket, shown as the NTSB released them. This site's own text never names anyone involved. A preliminary report can change; the final report usually follows one to two years later, and the page is refreshed when it does.
