Investigation number
AO-2017-041
Occurrence date
Location
27 km N Silver Plains (ALA)
State
Queensland
Report release date
Report status
Final
Investigation level
Short
Investigation type
Occurrence Investigation
Investigation status
Completed
Aviation occurrence type
Forced/precautionary landing
Occurrence category
Accident
Highest injury level
None

What happened

At about 1500 Eastern Standard Time (EST) on 6 April 2017, a Robinson Helicopter R44 II, registered VH‑MQE (MQE), departed from Melanie Camp landing area, Queensland. The pilot and three passengers were on board the scenic charter flight.

After about half an hour into the scenic flight, the pilot commenced a large orbit around a lake that was located about 15 km NE of Melanie Camp. They turned downwind at about 550 ft above ground level (AGL), with an airspeed of about 65 knots and the main rotor RPM was about 101 per cent. About 15 seconds later, the main rotor low RPM horn sounded through the pilot’s headset. The pilot observed the main rotor low RPM warning light illuminate and a rapid decrease in main rotor speed. The pilot advanced the engine throttle and lowered the collective[1] but found that this made little difference with no increase in main rotor speed even though full engine power was applied. Shortly afterwards, the pilot initiated an autorotation[2] and prepared to land on a beach.

As the helicopter approached the landing spot, the pilot arrested the helicopter’s rate of descent and the skids contacted the sand in a run-on landing.[3] After touchdown, the helicopter continued to travel forward about 3 m before the left skid dug into soft sand, which resulted in a dynamic roll over.[4] The helicopter came to rest on the left side (Figure 1). The pilot unfastened their seat belt and noted that the engine was not operating. They turned the fuel selector to off, moved the engine throttle to idle cut off, and turned off the engine magneto switches and the electrical master switch. The pilot and three passengers exited the helicopter through the right forward and aft exits.

About 40 minutes later, a company helicopter that had also been flying in the area located them. There were no injuries, and the helicopter was substantially damaged (Figure 1).

Figure 1: VH-MQE accident site

Figure 1: VH-MQE accident site

Source: Pilot

Pilot comment

The pilot provided the following comments:

  • They had flown in this area previously. On the day of the accident, they had flown MQE to Coen Airport to pick up the passengers and flown back to Melanie Camp landing area without any issues.
  • They were using a noise-cancelling headset (active noise reduction), which cancelled out any ambient noise. The pilot noted that if they did not have this type of headset they may have been able to hear if there were any unusual engine noises.
  • At an altitude of about 550 ft they felt that there was insufficient height to position the helicopter into wind for landing. From that height, it was not possible to estimate the slope or the nature of the landing surface. After the landing, the pilot determined that the sand was very soft with a slight downslope towards the direction of the landing.
  • At about 10 minutes prior to the main rotor low RPM warning, the clutch light had illuminated. The light extinguished in about 4 seconds, which was within the normal operating limits for the clutch light. The pilot indicated that there had been no other issues with the clutch mechanism during the day.
  • The helicopter had sufficient fuel for the flight and was within the weight and balance limits.
  • They had not experienced such a dramatic decrease in main rotor RPM before, despite conducting practice autorotations.

Operator comment

The operator reported that subsequent to the accident, the helicopter sustained substantial damage due to ocean tide (Figure 2). The operator was not able to provide any information in relation to any mechanical defects that may have contributed to the accident.

Figure 2: Subsequent damage due to the ocean tides

Figure 2: Subsequent damage due to the ocean tides

Source: Operator

Previous accident

Another ATSB investigation (AO-2012-096 - Ditching involving Robinson R44, 83 km N of Horn Island Airport, Queensland) documented the accident pilot using a noise-cancelling headset on the flight. The accident pilot believed that the headset may have dampened any abnormal engine sounds. Consequently, they only became aware of the engine problems when the engine governor failed.

Safety analysis

Due to the nature of the subsequent damage to the helicopter after the accident the integrity of the helicopter systems prior to the accident were not determined. Consequently, the reason for the loss of main rotor speed was not determined.

The pilot indicated that if a noise-cancelling headset was not used then they would have been able to hear the ambient noises and detect any changes in the ‘normal’ sounds of the helicopter.

Findings

These findings should not be read as apportioning blame or liability to any particular organisation or individual.

  • At about 550 ft, after the main rotor low RPM warning system activated, the pilot initiated an autorotation and the helicopter rolled onto the left side after landing. The reason for the main rotor low RPM warning was not determined.
  • The pilot was using a noise-cancelling headset that may have masked any abnormal sounds from the helicopter prior to the low rotor RPM warning.

Safety message

The noise-cancelling headset worn by the pilot may have masked changes in the ‘normal’ sounds of the helicopter. The Civil Aviation Safety Authority (CASA) Airworthiness Article 1-43 Noise Isolating Headsets highlights that noise attenuating and noise-cancelling headsets can in some circumstances reduce the effectiveness of aural cues, such as abnormal noises, which might give some warning of unusual operations.

Purpose of safety investigations

The objective of a safety investigation is to enhance transport safety. This is done through:

  • identifying safety issues and facilitating safety action to address those issues
  • providing information about occurrences and their associated safety factors to facilitate learning within the transport industry.

It is not a function of the ATSB to apportion blame or provide a means for determining liability. At the same time, an investigation report must include factual material of sufficient weight to support the analysis and findings. At all times the ATSB endeavours to balance the use of material that could imply adverse comment with the need to properly explain what happened, and why, in a fair and unbiased manner. The ATSB does not investigate for the purpose of taking administrative, regulatory or criminal action.

Terminology

An explanation of terminology used in ATSB investigation reports is available here. This includes terms such as occurrence, contributing factor, other factor that increased risk, and safety issue.

Publishing information 

Released in accordance with section 25 of the Transport Safety Investigation Act 2003

Published by: Australian Transport Safety Bureau

© Commonwealth of Australia 2017

Ownership of intellectual property rights in this publication

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With the exception of the Coat of Arms, ATSB logo, and photos and graphics in which a third party holds copyright, this publication is licensed under a Creative Commons Attribution 3.0 Australia licence.

Creative Commons Attribution 3.0 Australia Licence is a standard form licence agreement that allows you to copy, distribute, transmit and adapt this publication provided that you attribute the work.

The ATSB’s preference is that you attribute this publication (and any material sourced from it) using the following wording: Source: Australian Transport Safety Bureau

Copyright in material obtained from other agencies, private individuals or organisations, belongs to those agencies, individuals or organisations. Where you wish to use their material, you will need to contact them directly.

__________

  1. Collective is the primary helicopter flight control that simultaneously affects the pitch of all blades of the lifting rotor. Collective input is the main control for vertical velocity.
  2. Autorotation is a condition of descending flight where, following engine failure or deliberate disengagement, the rotor blades are driven solely by aerodynamic forces resulting from rate of descent airflow through the rotor. The rate of descent is determined mainly by airspeed.
  3. A run-on landing refers to where the helicopter still has forward speed.
  4. Dynamic rollover is when the helicopter starts to pivot laterally around its skid or wheel.

 

Aviation Short Investigations Bulletin - Issue 62

Aircraft Details
Manufacturer
Robinson Helicopter Co
Model
R44 II
Registration
VH-MQE
Serial number
13338
Operation type
Charter
Sector
Helicopter
Departure point
Silver Plains Station, Qld
Destination
Silver Plains Station, Qld
Damage
Substantial