S92, manoeuvring, near Black Rock Western Ireland, 2017

S92, manoeuvring, near Black Rock Western Ireland, 2017

Summary

On 14 March 2017, control of a Sikorsky S92A positioning in very poor visibility at 200 feet over the sea in accordance with an obstacle-marked FMS ground track in order to refuel at a coastally-located helipad was lost after it collided with late-sighted terrain ahead before crashing into the sea killing all on board. The Investigation attributed the accident to the lack of crew terrain awareness but found a context of inadequate safety management at the operator, the comprehensively ineffective regulatory oversight of the operation and confusion as to responsibility for State oversight of its contract with the operator.

Description

On 14 March 2017, a Dublin-based Sikorsky S92A (EI-ICR) being operated by CHC Ireland on behalf of the Irish Coast Guard was positioning in night IMC to assist an offshore casualty recovery operation already under way off the west coast of Ireland by providing “top cover”. The Captain was aware that en-route refuelling would be necessary and decided after takeoff that uplift at a coastal helipad at Blacksod would be appropriate. Whilst attempting to navigate to this location at low level in very poor forward visibility, a late sighting of terrain co-located with the first FMS waypoint of the intended approach was followed by unsuccessful avoiding action and a collision which led to a loss of control and the helicopter impacting the sea surface with fatal injuries sustained by all four occupants.

Investigation

A comprehensive Investigation was carried out by the Irish AAIU. The ULB signal from the submerged MPFR, which had equivalent data retention capability to an FDR and a 2 hour CVR led to its location the day after the accident and it was subsequently found by an ROV still attached to its original mountings in the forward left hand avionics rack. It was recovered by divers ten days after the accident and its data were successfully downloaded.

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