Unintended Collective Movement Causes Roll in Enstrom F28

Casualties unknown • Haines, AK, US

An Enstrom F28 helicopter experienced an uncommanded roll to the left after the pilot released the collective friction lock, causing the collective to spring to the full up position.

What happened

Following engine start, the pilot attempted to release the collective friction lock on an Enstrom F28. The pilot used both hands to perform this action. Upon releasing the lock, the collective unexpectedly moved to the full up position, causing the aircraft to roll to the left about its longitudinal axis.

The pilot had been relying on an undocumented modification, consisting of a collective hold-down chain, to keep the collective secure. The pilot reported receiving no guidance regarding the proper use of this specific hold-down device.

The investigation

Investigators determined that according to the aircraft manufacturer, there are no approved collective hold-down devices for this model other than the installed friction lock. While the Enstrom F28 'before takeoff' checklist instructs pilots to keep their hand on the collective and maintain a down position when the lock is disengaged, the presence of the undocumented chain modification influenced the pilot's actions during the release of the friction lock.

Probable cause

The use of an undocumented collective hold-down chain modification which led the pilot to rely on the device rather than maintaining manual control of the collective during the disengagement of the friction lock.

Frequently asked questions

What happened in the 1988-07-13 Enstrom F-28F accident near Haines, AK?

An Enstrom F28 helicopter experienced an uncommanded roll to the left after the pilot released the collective friction lock, causing the collective to spring to the full up position.

What aircraft was involved and where did it happen?

The accident on 1988-07-13 involved a Enstrom F-28F, registration N8620C, operated by L.a.b. Flying Service, at Haines, AK.

What was the probable cause of the accident?

The use of an undocumented collective hold-down chain modification which led the pilot to rely on the device rather than maintaining manual control of the collective during the disengagement of the friction lock.

Investigation report by the U.S. National Transportation Safety Board (NTSB) historical archive. Original record: https://carol.ntsb.gov/event/20001213X26391. This page is a structured re-presentation; facts and quotes are in the National Transportation Safety Board (NTSB), United States.

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