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AAIB issues report on near controlled flight into terrain

AAIB Press Release | June 18, 2021

Estimated reading time 3 minutes, 10 seconds.

On an approach to a private landing site in conditions of reduced visibility shortly before night, on Oct. 14, 2019, the pilots of a Sikorsky S-92A (G-LAWX) became uncertain of their position and the helicopter descended to within 28 ft of rising terrain close to a house.

During the subsequent emergency climb at low indicated airspeed, engine torque increased to 131% and the pitch attitude of the helicopter was unstable. The helicopter made another approach to the landing site and landed without damage or injury to the occupants.

View of the approach to the LS from the east. (This image does not show the conditions of reduced light and visibility present at the time of the serious incident.) AAIB Photo

An investigation by the U.K.’s Air Accident Investigation Branch (AAIB) identified the following factors:

  • Standard operating procedures for altitude alert setting, stabilized approach criteria and crew communication were either absent or not effective,
  • A strong desire as a customer-facing director not to inconvenience the client, which was potentially in tension with his obligation as the commander to ensure a safe flight,
  • Uncertainty about the Rules of the Air when landing, and
  • Attitudes, behavioral traps and biases likely to have contributed to the occurrence.
G-LAWX FDR data for first approach. AAIB Graphic NOTE – the manufacturer stated that the FDR indicated airspeed data is not considered accurate below 30 kt.

The circumstances of this serious incident indicate the need for greater awareness of the hazards of operating in degraded visual conditions and highlight the potential safety benefits of Point-in-Space approaches at landing sites.

The AAIB has made eight Safety Recommendations in these areas.

Read the report.

This press release was prepared and distributed by Air Accident Investigation Branch.

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