| Safety issue description |
Due to multiple factors, the design of the rear left sliding door (emergency exit) on the EC120B helicopter was not simple and obvious to use unless the occupant was provided with specific instructions about how to operate the exit. In particular:
|
|---|---|
| Issue number | AO-2018-026-SI-03 |
| Issue owner | Airbus Helicopters |
| Transport function | Aviation: Air transport |
| Issue status | Closed – Partially addressed |
| Date issue released | 16/06/2021 |
| Issue status justification |
The ATSB acknowledges that, in this case, a complete change in door design is not a practical solution and that the introduction of enhanced placarding for the EC120B rear left sliding door via an alert service bulletin (ASB), coupled with a thorough pre-flight briefing, will reduce the risk of this safety issue. Issue finalisation date: 20 June 2022 |
| Action type | Safety recommendation |
|---|---|
| Action number | AO-2018-026-SR-073 |
| Organisation | Airbus Helicopters |
| Action date | 16/06/2021 |
| Action description |
The Australian Transport Safety Bureau recommends that Airbus Helicopters takes safety action to address the safety issue associated with the design of the rear left sliding door on the EC120B helicopter to ensure that, as best as possible, the door is simple and obvious to use and/or passengers are provided with sufficient instructions so that it is simple and obvious to use. |
| Action status | Closed |
| Date received | 28/09/2021 |
|---|---|
| Organisation | Airbus Helicopters |
| Response status | Monitor |
| Response text |
Please be informed that Safety recommendation AO-2018- 026-SR-073 has been taken into consideration and this topic is presently under analysis within our continued Airworthiness process. As a first step of this analysis Airbus Helicopters has decided to initiate a Human Factor Analysis to assess the different aspect of the door opening including the marking but also the door operation itself. This analysis is in progress with the purpose to observe the behavior of each participant involved in this Human Factor analysis when the order is given to evacuate the helicopter. We will inform you of our conclusion of this analysis as soon as available. |
| ATSB response |
The ATSB will monitor the progress of Airbus Helicopters' analysis and review and assess the safety issue on completion. |
| ATSB response date | 05/10/2021 |
| Date received | 31/03/2022 |
|---|---|
| Organisation | Airbus Helicopters |
| Response status | Closed |
| Response text |
Please be informed that the here above Safety recommendation AO-2018- 026-SR-073 has been taken into consideration and this topic has been analysed within our continued Airworthiness process. As a first step of this analysis Airbus Helicopters has initiated a Human Factor Analysis to assess the different aspect of the door opening including the marking but also the door operation itself. Two groups of population have been observed, without experience or background on helicopters: 10 participants received a pre-flight briefing and 10 participants do not receive any information. All participants did not know the reason and objective of this observation. The goal was to observe the behavior when the order was given to evacuate the helicopter. Some parameters were measured: - That the majority of the population manage to open the door in less than 8 seconds (in a moderate level of stress situation). |
| ATSB response |
The ATSB acknowledges the analysis work conducted by Airbus Helicopters to further examine this safety issue. The ATSB also acknowledges that the introduction of enhanced placarding for the EC120B rear left sliding door will reduce the risk of this safety issue. Therefore the safety recommendation is closed. |
| ATSB response date | 20/06/2022 |