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WPR15LA193 · Bell 47G 5

20 Jun 2015 · Salinas, CA, United States

Gomes Farm Air Service Bell 47G 5 · Accident: loss of control in flight while maneuvering

From Salinas, CA to Salinas, CA

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Event

NTSB case
WPR15LA193
Event typeAccident: someone killed or seriously injured, or the aircraft substantially damaged (NTSB definition). Incident: an occurrence that affected or could have affected safety, short of that. Glossary
Accident
InvestigationHow far the investigation had got when the record was published: preliminary, ongoing, final or completed. Unknown where the source does not say. Glossary
Completed
API-reported fatalities
1 · all aircraft and ground
Ground fatalities
Unknown
OperationWhat kind of flying it was, grouped by the rules it flew under: airline (US Part 121), air taxi and commuter (Part 135), general aviation (Part 91 and similar), military or government. Glossary
General aviation
WeatherVisual meteorological conditions (VMC): good enough to fly by looking outside. Instrument conditions (IMC): cloud or low visibility, flying by instruments. Glossary
Instrument Meteorological Cond

Bell 47G 5

Aircraft type
Bell 47
Category
Helicopter
RegistrationThe aircraft's tail number, such as N12345 or G-ABCD. Registrations are reissued, so the same one years apart can be a different aircraft. Glossary
N4427F
Onboard fatalities
Unknown
Route
From Salinas, CATo Salinas, CA
Aircraft age
About 45 years (built 1970)
Flight rulesThe regulations the flight operated under: in the US, Part 91 (general aviation), Part 121 (airlines), Part 135 (air taxi and commuter) and others; for flights abroad, the NTSB's coarser commercial or non-commercial code. Glossary
Part 137: Agricultural
Phase of flightThe stage of the flight when things started to go wrong: standing, taxi, takeoff, initial climb, en route, maneuvering, approach or landing. Glossary
Maneuvering · low-altitude flying
Defining eventThe single coded event the NTSB judges best describes what happened (records from 2008 on). Older records name the first occurrence in the sequence instead. Glossary
Loss of control in flight
DamageDestroyed: beyond practical repair. Substantial: damage that affects the structure, performance or handling and normally needs major repair. Minor: less than that. Glossary
Substantial

Cause areas

  • Environmental issues › Conditions/weather/phenomena
  • Personnel issues › Action/decision
  • Personnel issues › Experience/knowledge
  • Personnel issues › Psychological
  • Personnel issues › Task performance

Approximate · Coordinates as recorded by the NTSB; no uncertainty radius is established.

NTSB narrative

The non-instrument-rated pilot was conducting aerial application flights in the helicopter and had completed several work orders at various locations before the accident flight. Two coworkers refilled the fertilizer tank on the helicopter and saw it depart from the loading area. About the time that the helicopter was expected to return, a thick fog came in, and the visibility dropped to about 15 to 20 ft. When the helicopter did not return, one of the coworkers searched for the helicopter and found the accident site. Examination of the wreckage did not reveal evidence of any pre-impact mechanical failures. It is likely that the pilot lost visual contact with the ground due to the fog and subsequently experienced spatial disorientation and lost control of the helicopter. This pilot had a similar accident in the helicopter about 5 years earlier, which suggests that he had a habit of taking risks with the weather.

Toxicology testing of the pilot was positive for hydrocodone, dihydrocodeine, acetaminophen, and hydromorphone. The hydrocodone level in the pilot's peripheral blood was 0.718 ug/ml, which was more than 10 times the usual upper therapeutic limit of 0.05 ug/ml. Hydrocodone and its metabolites do not undergo significant postmortem redistribution. Therefore, the measured levels of hydrocodone most likely represent the pilot's antemortem levels. If the pilot had been a novice user, this level would likely have been toxic and caused severe symptoms. However, with regular opioid use, brain physiology changes, leading to tolerance for both the desired analgesic effects and the sedative effects. As a result, incremental dosing increases are required to achieve the same effects, and long-term, chronic users may need the drug to feel and act "normally." The levels present in the pilot indicate that he was chronically taking high doses of hydrocodone. It is likely that the pilot was impaired by opioids at the time of the accident.

In the high workload situation of piloting a helicopter in low altitude flight, even a small degree of impairment from the pilot's use of a high-dose of opioid would have contributed to the likelihood of an accident.

Probable cause

The non-instrument-rated pilot's visual flight rules flight into instrument meteorological conditions, which resulted in his spatial disorientation and loss of helicopter control. Contributing to the accident was the pilot's impairment by high-dose opioid use.

Verbatim NTSB analysis and probable cause from the NTSB dataset

Sources

NTSB record WPR15LA193
Event ID
20150620X32952
Case number
WPR15LA193
Dataset
full-current
Source SHA-256
5cf380f0061817c0331a6b2d8cc7e0ee3a79bea469a1001dc5c10e56f35f5ab3
Source notes (4)
  • Unreviewed is an editorial label, not an investigation status. API-sourced is not report-checked or human-reviewed. Explicit event totals are used without summing aircraft injury tables; onboard allocation is withheld. Unknown values remain unknown. The operation category is mapped from the NTSB-reported FAR part and has not been reviewed.
  • Filled from the NTSB case API where the bulk record had no value: investigation status. Values present in the bulk record are kept.
  • The date is the local date, which is the same as the UTC date the NTSB stores.
  • API snapshot SHA-256: 25861f8486aa0fb18c8f8e0cf260ab518e97fd676df7cd14cc9778bb7fc89470; retrieved 2026-09-14T19:30:28.903Z.