| Investigation number | AO-2025-013 |
|---|---|
| Safety issue description |
NSW Rural Fire Service (RFS) helicopters operated by Coulson Aviation Australia were routinely configured with external cameras and some had an elongated flight step. During bucketing operations, this impeded the pilot's view and pilots reported adopting a steeper approach into a dip site, which increased the helicopter’s susceptibility to settling with power or vortex ring state (VRS). |
| Issue number | AO-2025-013-SI-03 |
| Issue owner | Coulson Aviation Australia and NSW Rural Fire Service |
| Transport function | Aviation: General aviation |
| Issue status | Closed – Adequately addressed |
| Date issue released | 06/10/2026 |
| Issue status justification |
Both Coulson Aviation Australia and NSW Rural Fire Service have taken significant steps to both complete fleet standardisation with the shortening of the flight step, and with the investigation of possible alternatives to camera placement on the aircraft. |
| Issue finalisation date | 09/09/2026 |
| Action type | Proactive action |
|---|---|
| Action number | AO-2025-013-PSA-04 |
| Organisation | NSW Rural Fire Service |
| Action description |
Since the occurrence, NSW Rural Fire Service (RFS) has undertaken several actions aimed at improving fleet standardisation and further reducing potential operational risks. These actions include:
In addition, NSW RFS and Coulson Aviation Australia are investigating options for alternative FLIR camera mounting arrangements to determine whether visibility outcomes can be improved while maintaining operational capability requirements. This work remains subject to engineering assessment, certification requirements and operational evaluation. NSW RFS and Coulson Aviation Australia also plan to undertake a broader risk assessment examining the relative risks and benefits associated with fixed FLIR installations across the Bell 412 fleet. This work will consider visibility impacts during bucketing operations alongside the important operational benefits provided by FLIR capability across intelligence, surveillance, reconnaissance, winching, search and rescue, emergency response and night operations. In addition, Coulson Aviation Australia and the NSW RFS initiated a fortnightly safety meeting aimed at creating greater communication, coordination and accountability over safety between the 2 organisations. |
| Action status | Closed |
| Action type | Proactive action |
|---|---|
| Action number | AO-2025-013-PSA-05 |
| Organisation | Coulson Aviation Australia |
| Action description |
As part of Coulson Aviation Australia’s Bell 412 standardisation program, 4 of the 6 aircraft have had their skid tubes modified to the shorter configuration. The remaining 2 aircraft are scheduled to receive the same modification during their next planned deep‑level maintenance input, completing fleetwide standardisation. In addition, NSW RFS and Coulson Aviation Australia are investigating options for alternative FLIR camera mounting arrangements to determine whether visibility outcomes can be improved while maintaining operational capability requirements. This work remains subject to engineering assessment, certification requirements and operational evaluation. NSW RFS and Coulson Aviation Australia also intend to undertake a broader risk assessment examining the relative risks and benefits associated with fixed FLIR installations across the Bell 412 fleet. This work will consider visibility impacts during bucketing operations alongside the important operational benefits provided by FLIR capability across intelligence, surveillance, reconnaissance, winching, search and rescue, emergency response and night operations. In addition, Coulson Aviation Australia and the NSW RFS initiated a fortnightly safety meeting aimed at creating greater communication, coordination and accountability over safety between the 2 organisations. |
| ATSB response |
NSW RFS and Coulson Aviation Australia’s safety actions address the effect of the flight step, and will assess the options available for the FLIR camera. More importantly, the safety actions address the broader issue of helicopter configuration by implementing mechanisms to continually assess and monitor related risks. Continued monitoring of operations will be important to ensure that the revised flight step remains effective and that no further issues arise from the concurrent use of the bucket and camera. |
| Action status | Closed |