Aviation safety investigations & reports

Wirestrike - Langkoop, Victoria, 20 April 2009, VH-EZT, Robinson Helicopter R44 Raven II

Investigation number:
AO-2009-017
Status: Completed
Investigation completed

Summary

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On 20 April 2009, a Robinson Helicopter Company R44 (Raven II) helicopter, registered VH-EZT (EZT), was conducting aerial spraying operations near Langkoop, Victoria. Spraying commenced at 0800 Central Standard Time with a load of 300 L of foliar fertiliser. There were two helicopters spraying the pine paddocks that morning and the operating crews were to break for lunch at about 1300 at a pre-arranged meeting place. Just prior to lunch, the pilot of EZT was tasked with a number of unplanned spray runs and a cleanup run to complete the morning's spraying. When the helicopter did not arrive at the pre-arranged meeting place, the pilot of the second helicopter commenced searching and located the wreckage of EZT in a paddock, near a powerline. The pilot of EZT was fatally injured.

Helicopter EZT contacted a powerline that intersected the northern half of the final spray paddock before colliding with the ground. An examination of the wreckage of the helicopter did not find any mechanical abnormalities that might have contributed to the accident.

Recorded data from the helicopter's satellite navigation system showed that after completing the planned spray runs, the pilot did not conduct a reconnaissance of the unfamiliar area to the south of the plantation to identify any hazards. A reconnaissance flight may have alerted the pilot to the presence of the previously-identified powerline.

The investigation found that an additional hazard identification check prior to the conduct of a cleanup run was not routinely practiced by the pilots, or monitored by the operator. In response to that safety issue, the operator has advised that they will enhance the wire avoidance procedures in their operations manual and mandate that an additional hazard identification check shall be completed prior to any cleanup run.

In addition, the investigation determined that there were no fluid quantity markings on the helicopter's spray tank, and that the spray system included unapproved modifications that increased the risk of overweight operations.

Download Final Report
[Download  PDF: 4.82MB]
 
 
Alternate: [Download  DOC: 3.87MB]
 

Safety Issues

Go to AO-2009-017-SI-01 - Go to AO-2009-017-SI-02 -

Hazard identification procedures

The Aerial Agricultural Association of Australia suggestion that an additional hazard identification check be carried out prior to a cleanup run was not routinely practiced by the pilots, or monitored by the operator.
Safety issue details
Issue number: AO-2009-017-SI-01
Status: Adequately addressed

Potential to overload helicopter

The removal of fluid quantity markings from, and unapproved modifications to the helicopter’s spray tank by the operator increased the risk of overweight operations

Safety issue details
Issue number: AO-2009-017-SI-02
Status: Partially addressed
General details
Date: 20 April 2009   Investigation status: Completed  
Time: 1400 EST   Investigation level: Complex - click for an explanation of investigation levels  
Location   (show map): Edenhope (ALA) 210 deg M 27 Km    
State: Victoria   Occurrence type: Wirestrike  
Release date: 13 December 2010   Occurrence class: Operational  
Report status: Final   Occurrence category: Accident  
  Highest injury level: Fatal  

Aircraft details

Aircraft details
Aircraft manufacturer Robinson Helicopter Co  
Aircraft model R44  
Aircraft registration VH-EZT  
Serial number 11443  
Type of operation Aerial Work  
Sector Helicopter  
Damage to aircraft Serious  
Departure point 27 km SW Edenhope, Vic  
Destination 27 km SW Edenhope, Vic  
Last update 14 November 2018