Aviation safety investigations & reports

Bell Helicopter Co 212, VH-NSA

Investigation number:
200402038
Status: Completed
Investigation completed

Summary

The Australian Transport Safety Bureau (ATSB) did not conduct an on-scene investigation of this accident. The accident was investigated by the Civil Aviation Division (CAD) of the Ministry of Transport and Communication Timor Leste (East Timor) which also compiled and released the final report.

On 2 June 2004, at 0725 Coordinated Universal Time, a Bell Helicopter Company 212, registered VH-NSA, was being flown from Dili to the Same village helicopter landing site (HLS), East Timor, to conduct a medical evacuation of a patient from Same to the Dili hospital. The helicopter was being flown by two pilots. Also on board were a helicopter crewman, a doctor and a nurse. The helicopter was reported to have suddenly lost height while manoeuvring in heavy rain during the approach to land at Same. Despite efforts by the pilots to regain airspeed and arrest the descent, the helicopter impacted trees located about 0.5 NM from the Same HLS. The helicopter subsequently impacted the ground and came to rest on its left side. The nurse and the helicopter crewman received serious injuries. The pilot in command, copilot and the doctor received minor injuries.

In accordance with its obligations under Annex 13 to the Convention on International Civil Aviation, the CAD initiated an investigation into the circumstances surrounding the accident.

The CAD requested that the ATSB assist their investigation by providing technical advice and investigation management support. In accordance with Annex 13 paragraph 5.18, the ATSB appointed an Accredited Representative to assist the CAD to obtain details of the pilots' qualifications, operational and technical data and records from Australia. The ATSB also assisted by conducting some interviews by telephone.

The final investigation report titled Aircraft Accident Report Bell 212/UN079/VH-NSA is available from:

Civil Aviation Division of Timor Leste
Ministry of Transport and Communication Timor Leste
Dili East Timor

General details
Date: 02 June 2004   Investigation status: Completed  
Time: 0725 hours UTC   Investigation phase:  
Location   (show map): 1 km NW Same, Aero. East Timor   Investigation type: External Investigation  
State: International   Occurrence type: Miscellaneous - Other  
Release date: 10 October 2005   Occurrence class: Operational  
Report status: Final   Occurrence category: Accident  
  Highest injury level: Serious  

Aircraft details

Aircraft details
Aircraft manufacturer Bell Helicopter Co  
Aircraft model 212  
Aircraft registration VH-NSA  
Serial number 30550  
Type of operation Aerial Work  
Sector Helicopter  
Damage to aircraft Destroyed  
Departure point Dili, East Timor  
Departure time 0620 UTC  
Destination Same HLS, East Timor  
 
Injuries
  Crew Passenger Ground Total
Serious: 1 1 0 2
Minor: 2 1 0 3
Total: 3 2 0 5
Last update 13 May 2014