Collision with terrain

Collision with terrain involving an Aerospatiale AS.350BA, VH-JRD, Gelantipy, Victoria, on 21 March 1997

Summary

FACTUAL INFORMATION

The AS350 helicopter was engaged in a controlled burn of a logging coupe. A drip torch was slung underneath the helicopter. It dripped ignited napalm gel on command to initiate burning on the ground. The drip torch weighed 250 kg when fully loaded with napalm.

The pilot advised that while at 50 kts and 200 ft over cleared ground, the helicopter suffered a hydraulic failure. It banked violently to the right and the hydraulic warning light began to flash but the loud warning horn never activated. He turned the hydraulics off using the switch on the collective lever and regained level flight. The helicopter then banked to the right but not as severely. He tried to electrically release the drip torch from the cargo hook but it failed to detach. He then tried the mechanical release but the load still failed to detach. At the request of the pilot, the crewman on board also tried to mechanically release the drip-torch, but still the load would not release. For four minutes, the pilot flew the helicopter back to the airstrip under control, hydraulics off, with the hope of releasing the sling load and performing a run-on landing. He flew one circuit without being able to release the sling load. Then at about 40 kts and 200 ft AGL, the helicopter banked sharply left, pitched nose down, yawed left and entered a left spiral from which the pilot could not recover before ground contact. A crewman watching from the ground said that the helicopter banked smartly to the left and nosed down almost vertical to the ground with the drip torch swinging wildly underneath. Finally the helicopter landed on top of the drip torch. The main rotor and the tail rotor blades impacted the ground but the helicopter did not roll over.

After the accident it was discovered that the main rotors had struck the tail boom and the tail rotor drive shaft was severed. It has not been determined whether the drive shaft was severed in flight during an unusual manoeuvre or when the helicopter landed on top of the drip torch.

The load-ring attaching the drip torch cable to the cargo hook was oval in shape. The client provided the load-ring as part of the drip torch equipment. The ring had been manufactured to suit a slightly different type of cargo hook which may also be fitted to an AS350. Prior to being used operationally, inflight trials had been conducted with the load-ring to ensure it was not prone to dynamic roll out from the hook. The ring was in good condition and had been in service successfully for a considerable time. After the accident it was discovered that it was possible for the load ring to lodge itself partially around the cargo hook housing under negative "G" conditions. Once lodged around the housing, the rim of the only weld on the ring could snag on the housing. In this condition, neither the electrical nor the mechanical release system could detach the snagged load-ring.

The cable between the load-ring and the drip torch was not long enough to enable the pilot to land beside the drip torch with its cable still attached to the cargo hook. The existing cable length had proven to be successful during normal operations; its length minimised the potential pendulum effect of the load. If the helicopter pilot had been able to hover safely, hydraulics on, and rest the load on the ground, a crewman could have stood under the helicopter, de-snagged the load ring from the housing, and manually released the load.

With various combinations of helicopter cargo hooks and sling gear equipment, problems in not being able to release a slung load, or inadvertent load release, have been rare. Dimensions for the primary attachment ring to the cargo hook are contained in the AS350 flight manual supplement for the cargo hook. The load ring in use in this accident was larger than the dimensions described in the supplement.

Subsequent inspection of the hydraulic pump, its drive belt, the hydraulic servos, accumulators, and flight controls, found no significant fault with the mechanical aspects of the hydraulic system. No hydraulic fluid leaks were found. No fault was found with the hydraulic solenoid and switches. However several wires were found to be broken, mostly as a result of the damage sustained during the landing. The wire which controlled the hydraulic warning horn was found to be corroded and broken; this broken wire de-activated the warning horn. A wire to the hydraulic on/off solenoid was found to be broken but it could not be determined whether or not this wire was broken before the accident.

The company chief pilot had previously checked out the pilot and found him to be competent coping with hydraulic emergencies; this included successful hovering of the AS350 with hydraulics off. Weather was not a contributing factor in the accident. The helicopter was within its centre of gravity and weight limits.

ANALYSIS

The load ring was larger than allowed by the flight manual supplement. The way that the load-ring caught on the cargo hook housing was most unusual. Momentary negative "G" must have occurred in flight to have lifted the load ring high enough to snag.

Despite a thorough examination of relevant components no definite cause of the hydraulic failure has been ascertained. The problems encountered in flight by the pilot might have resulted from a wiring problem causing an uncommanded intermittent on/off situation with the hydraulics. The pilot may have experienced heavy, non servo assisted controls suddenly followed by servo assisted light control forces. This could partially account for the unusual inflight attitudes experienced by the pilot. The drip torch swinging wildly underneath the helicopter probably exacerbated the pilot's ability to control the helicopter.

SAFETY ACTION

The operator advised that load rings have since been replaced to prevent snagging. The operator has adopted a system of colour-coding load rings and cargo hooks to ensure that wrong size rings are not used on the variety of cargo hooks fitted to different helicopters owned by the company.

The provider of the drip torch has removed the oval load-rings from service and is working closely with the helicopter operator to ensure that sling equipment is compatible with the cargo hook fitted to helicopters used in controlled burning.

Occurrence summary

Investigation number 199700878
Occurrence date 21/03/1997
Location Gelantipy
State Victoria
Report release date 10/09/1997
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Collision with terrain
Occurrence class Accident

Aircraft details

Manufacturer Aerospatiale Industries
Model AS.350BA
Registration VH-JRD
Sector Helicopter
Operation type Aerial Work
Departure point Gelantipy Airstrip Vic
Destination Gelantipy Airstrip Vic
Damage Substantial

Collision with terrain involving a Piper PA-38-112, VH-IAD, Bankstown Aerodrome, New South Wales, on 8 March 1997

Summary

The student was approaching first solo standard, having completed some four hours of incident free circuits prior to a dual session of take-offs and landings. During the first take-off from runway 11C, just prior to rotation speed, the student applied full back stick and 'froze' on the controls. The instructor was unable to regain control before the Tomahawk lifted off and stalled at a height of about 30 ft. The aircraft struck the runway under full power, incurring substantial damage. Both the student and instructor were uninjured

Occurrence summary

Investigation number 199700862
Occurrence date 08/03/1997
Location Bankstown Aerodrome
State New South Wales
Report release date 20/03/1997
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Collision with terrain
Occurrence class Accident

Aircraft details

Manufacturer Piper Aircraft Corp
Model PA-38-112
Registration VH-IAD
Sector Piston
Operation type Flying Training
Departure point Bankstown NSW
Destination Bankstown NSW
Damage Substantial

Collision with terrain involving a Cessna T188C/A2, VH-MQR, 10 km west of Moree Aerodrome, New South Wales, on 15 March 1997

Summary

The pilot was carrying out spraying operations and had already spread two hopper loads of spray medium onto a cotton crop. Weather conditions were fine with clear skies and light winds from the north-north-east. The hopper was again filled, and two swathe runs were completed. The pilot reported that on the third swathe run, he left the pull-up manoeuvre to clear trees too late, and the aircraft's propeller collided with branches.

The aircraft initially gained about 100 ft following the collision, however, it then commenced to lose height. The pilot quickly realised that the impact had caused damage resulting in a loss of power and/or thrust. In an attempt to improve the aircraft's climb performance, he selected the dump valve to the fully open position and jettisoned the remaining hopper contents. This action failed to arrest the sink rate of the aircraft and it subsequently stalled into trees and collided with the ground. Whilst the pilot escaped with minor bruising, the aircraft was consumed by fire.

Occurrence summary

Investigation number 199700834
Occurrence date 15/03/1997
Location 10 km west of Moree Aerodrome
State New South Wales
Report release date 21/05/1997
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Collision with terrain
Occurrence class Accident
Highest injury level Minor

Aircraft details

Manufacturer Cessna Aircraft Company
Model T188C/A2
Registration VH-MQR
Sector Piston
Operation type Aerial Work
Departure point Beela NSW
Destination Beela NSW
Damage Destroyed

Collision with terrain involving a Kavanagh Balloons E-260, VH-ADC, 3 km north-east of Mareeba, Queensland, on 11 March 1997

Summary

The pilot reported that he had obtained a weather briefing from the Bureau of Meteorology at Cairns, prior to the flight. This information including early morning observations from Mareeba Airport. After selecting a launch site to the south-east of Mareeba, Winds in the area were again assessed using a weather balloon. The departure and flight were uneventful until north-east of Mareeba, when the pilot became aware that the surface wind was a southerly, gusting between 10 and 15 kts.

During the approach to land, at about 90 ft above ground level, the balloon was effected by a wind rotor near some trees. The rotor distorted the canopy and caused it to lose heat. As a result a high descent rate developed. The pilot estimated that about 50 ft of height was lost before he was able to arrest the descent using the burner. During the latter part of the descent, the basket and lower flying wires struck the branches of a tree, causing damage to lower panels of the canopy. A fast landing then ensued. After landing, the canopy was further damage when it became entangled in a barbed wire fence.

The pilot reported that a rain shower was experienced some minutes after the landing. He believed that the unusual localised wind during this accident was due to the approaching rain.

Occurrence summary

Investigation number 199700785
Occurrence date 11/03/1997
Location 3 km north-east of Mareeba
State Queensland
Report release date 27/05/1997
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Collision with terrain
Occurrence class Accident
Highest injury level Minor

Aircraft details

Manufacturer Kavanagh Balloons
Model E-260
Registration VH-ADC
Sector Balloon
Operation type Charter
Departure point Mareeba QLD
Destination Mareeba QLD
Damage Substantial

Collision with terrain involving a Cessna 182P, VH-DMA, Thornton, Victoria, on 23 February 1997

Summary

On the evening before the accident, the pilot made a precautionary landing in a paddock due to problems with the aircraft's communication and navigation equipment and the approaching onset of last light.  On the morning of the accident, he paced the paddock and determined it was approximately 395 metres (1,296 ft) long and level.  The elevation was about 800 ft, the temperature 20 degrees, aircraft weight was about 2,200 lb and there was no wind. The pilot said that the grass was about 30 cm long and there was no slope.  He got the property owner to run over the proposed take-off path in his four-wheel drive to flatten the grass.

In the prevailing conditions, the take-off "P chart" for the aircraft indicated that a field length of 1,000 ft was required for take-off to 50 ft.  The manufacturer's performance data indicated 950 ft was required for take-off to 50 ft at an aircraft weight of 2,400 lb. The "P chart" distances are factored whereas the manufacturer's data is not.

The pilot said that he did an engine runup and then commenced the take-off using the recommended short field take-off technique. The aircraft did not accelerate as expected and did not become airborne in the available field length. It ran through the fence at the end of the paddock and came to a stop in the next paddock, substantially damaged.

A pilot/aircraft engineer who later assessed the aircraft for recovery purposes reported that the grass was about 60 cm long. The pilot later advised that when he applied full power for take-off, the manifold pressure gauge was indicating 26 inches and tachometer was indicating 2,600 RPM.

Occurrence summary

Investigation number 199700528
Occurrence date 23/02/1997
Location Thornton
State Victoria
Report release date 25/02/1997
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Collision with terrain
Occurrence class Accident

Aircraft details

Manufacturer Cessna Aircraft Company
Model 182P
Registration VH-DMA
Sector Piston
Operation type Private
Destination Tumut NSW
Damage Substantial

Collision with terrain involving a Kawasaki Heavy Industries 47G3B-KH4, VH-KIO, 19 km west of Katherine River (ALA), Northern Territory, on 14 January 1997

Summary

The pilot was conducting a survey flight for the Park and Wildlife Commission during which time his passengers would inspect fire plots.

He located an area near to one fire plot which he considered suitable for a landing. It was a small oval shaped clearing in a valley 420ft above mean sea level, approximately 30ft x 50ft in size, surrounded by trees 30 to 50ft in height, with smaller trees scattered in the clearing. The pilot reported that he was not conscious of any wind and made a steep approach to the south east over the lower trees.

Before landing he hovered the helicopter to check the clearance of his tail rotor with the small trees and then commenced to set it down in the long grass. He noticed that the area had a substantial sideways slope, so he brought the helicopter back into the hover to find a more suitable landing area in the clearing.

Being unable to find a level area he decided to take-off and look for another clearing. After completing the pre-take-off checks in the hover, and ascertaining the available engine power, he made a vertical ascent, facing into the south east, and climbed to approximately 40ft above ground level, being about 10ft above the treetops in this direction.

As he initiated forward flight the helicopter began to sink and loose main rotor RPM, which he was unable to regain in the time available by lowering the collective control to reduce the main rotor blade pitch angle. He turned the helicopter through 90 degrees to the right, which would have reduced the tail rotor blade pitch angle, but it kept on descending without any rotor RPM increase. He then turned left and tried to find enough room through the trees to afford a recovery, but the main rotor struck a tree about 20ft above ground level and the helicopter rolled to the right before impacting the ground. The pilot and his two passengers evacuated with minor injuries.

The helicopter was 73kg below its maximum take-off weight at departure, and within its longitudinal and lateral balance limits. The temperature was about 28 degrees Celsius and a very high humidity, with the density altitude approximately 2,000ft. In these conditions the helicopter’s performance would have been reduced, but it still had sufficient engine power at take-off to effect a vertical climb, which would have reached its limit when the helicopter was hovering out of ground effect at the top of the climb.

As he changed from the hover to forward flight, the pilot probably increased collective pitch slightly to overcome a loss of height as the cyclic control was moved forward.  This would have started the rotor RPM decay as no more engine power was available to maintain it. There was insufficient height above the treetops for the helicopter to settle and allow time for the rotor RPM to recover when the collective control was reduced, or to obtain airspeed by diving to provide translational lift.

The pilot reported a nil wind condition, but thought he may have experienced a slight tailwind during the climb. In either condition, with the engine power available, he would have had difficulty hovering out of ground effect, then initiating forward flight without some form of translational lift being available, such as a headwind or by diving.

Occurrence summary

Investigation number 199700104
Occurrence date 14/01/1997
Location 19 km west of Katherine River (ALA)
State Northern Territory
Report release date 20/01/1997
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Collision with terrain
Occurrence class Accident

Aircraft details

Manufacturer Kawasaki Heavy Industries
Model 47G3B-KH4
Registration VH-KIO
Sector Helicopter
Operation type Aerial Work
Departure point Katherine River Gorge NT
Destination Katherine River Gorge NT
Damage Substantial

Collision with terrain involving a Hughes Helicopters 269C, VH-UFX, Fitzroy Crossing Lodge, 3 km east of Fitzroy Crossing Aerodrome, Western Australia, on 2 January 1997

Summary

The pilot had planned to conduct a series of tourist flights from the helipad at the rear of the Lodge. A 20 m diameter pad had recently been cleared for the operation. The pad was covered with short grass however, it was surrounded by grass up to 0.5 m high. A shrub-like weed was also woven into the tall grass. Only one passenger was carried on the first of the tourist flights and the helicopter performed as expected. On the second tourist flight, this time with two passengers on board, the pilot flew the helicopter to a 1 m hover and then departed towards the east. As it moved through translational-lift the helicopter descended and the right skid entered the 0.5 m-high grass around the helipad. The grass retarded the helicopter, and the leading edge of the skid made contact with the ground. The helicopter started to roll to the right. The pilot attempted to stop the roll by reducing power. When this was unsuccessful, he increased power to the maximum and attempted to fly out of the roll. This was also unsuccessful, and the helicopter ended up rolling onto its right side.

The helicopter was loaded to just under its maximum weight. The pilot misjudged the amount of excess power that would be available under the prevailing conditions, and he was unable to keep the helicopter clear of the grass during the departure. The scrub-like weed provided sufficient retardation for the right skid to dig into the ground starting a roll to the right. The pilot's description indicates the helicopter had probably entered a condition known as dynamic rollover (Aviation Safety Digest No. 95, 1975, pg. 25) before he started recovery action. As a result, his actions did not work.

Occurrence summary

Investigation number 199700024
Occurrence date 02/01/1997
Location Fitzroy Crossing Lodge, 3 km east of Fitzroy Crossing Aerodrome
State Western Australia
Report release date 22/01/1997
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Collision with terrain
Occurrence class Accident
Highest injury level Serious

Aircraft details

Manufacturer Hughes Helicopters
Model 269C
Registration VH-UFX
Sector Helicopter
Operation type Charter
Departure point Fitzroy Crossing WA
Destination Fitzroy Crossing WA
Damage Substantial

Collision with terrain involving a Bell 47G-3B1, VH-HGM, 15 km south of Griffith, New South Wales, on 26 August 1996

Summary

The pilot was conducting a swath run parallel to a power line, when the tip of one of the main rotor blade made contact with a power pole. The helicopter was subsequently landed without further incident. This occurrence had not been reported.

Occurrence summary

Investigation number 199604342
Occurrence date 26/08/1996
Location 15 km south of Griffith
State New South Wales
Report release date 12/09/1997
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Collision with terrain
Occurrence class Accident

Aircraft details

Manufacturer Bell Helicopter Co
Model 47G-3B1
Registration VH-HGM
Sector Helicopter
Operation type Aerial Work
Departure point Griffith NSW
Destination Griffith NSW
Damage Substantial

Collision with terrain involving a Robinson R22 Beta, VH-HSZ, Ellington Stn, 19 km east of Hughenden, Queensland, on 16 December 1996

Summary

The pilot reported that he was conducting mustering operations with a second person on board. While operating at about 50 ft above ground level and at 15 kts indicated airspeed the pilot realized that the helicopter was moving downwind. He immediately increased power, however the main rotor over-pitched, causing the helicopter to land heavily. The wind was from the south-east at 5 kts.

Occurrence summary

Investigation number 199604144
Occurrence date 16/12/1996
Location Ellington Stn, 19 km east of Hughenden
State Queensland
Report release date 09/05/1997
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Collision with terrain
Occurrence class Accident

Aircraft details

Manufacturer Robinson Helicopter Co
Model R22 Beta
Registration VH-HSZ
Sector Helicopter
Operation type Aerial Work
Departure point Ellington Stn QLD
Destination Ellington Stn QLD
Damage Substantial

Collision with terrain involving an Air Tractor AT-502, VH-CJZ, 'Iffley' via Collarenabri, New South Wales, on 10 December 1996

Summary

The Air Tractor 502 was conducting spraying operations late at night in fine conditions, with scattered cloud, no moon, and a barely discernible horizon.  After levelling at approximately 200 ft from a pull up and procedure turn, the pilot reported that his attention was drawn to another aircraft which was spraying a nearby property.  Whilst the pilot was watching the other aircraft the Air Tractor struck the ground at an estimated airspeed of 95 knots.

Wreckage distribution and pilot evidence indicated that, following the initial impact, the aircraft became airborne for a further 200 metres, with no engine or electrical power, before again striking the ground and sliding to a stop. The pilot, who had been wearing a full harness, escaped without injury.  The aircraft was destroyed.

Occurrence summary

Investigation number 199604036
Occurrence date 10/12/1996
Location 'Iffley' via Collarenabri
State New South Wales
Report release date 29/01/1997
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Collision with terrain
Occurrence class Accident

Aircraft details

Manufacturer Air Tractor Inc
Model AT-502
Registration VH-CJZ
Sector Turboprop
Operation type Aerial Work
Departure point Collarenebri NSW
Destination Collarenebri NSW
Damage Destroyed