AIFN0011-2023 Accident Preliminary Report Aerogulf-Bell-212
AIFN0011-2023 Accident Preliminary Report Aerogulf-Bell-212
AIFN0011-2023 Accident Preliminary Report Aerogulf-Bell-212
Accident
- Preliminary Report -
AAIS Case No: AIFN/0011/2023
Occurrence Brief
Occurrence Reference: AIFN/0011/2023
Occurrence Classification: Accident
Name of the Operator: Aerogulf Services Co (L.L.C)
Manufacturer: Bell Textron Inc.
Aircraft Model: B212
Engines: Twin-Engines PT6T-3B Pratt & Whitney Canada
Nationality: The United Arab Emirates
Registration Marks: A6-ALD
Manufacturer Serial Number: 30809
Year of Manufacture: 1976
Time Since New (flight hours): 27,850.70
Cycles Since New: 31,591
Type of Flight: Non-revenue training flight
State of Occurrence: The United Arab Emirates
Place of Occurrence: ARAS Rig, Umm Al Quwain
Date and Time: 7 September 2023, 16:06 UTC
Total Crewmembers: Two pilots
Total Passengers: None
Injuries to Passengers and Crew: Two pilots (fatal)
Other Injuries: None
Nature of Damage: Destroyed
Investigation Objective
This Investigation is being conducted pursuant to the United Arab Emirates (UAE)
Federal Act No. 20 of 1991, promulgating the Civil Aviation Law, Chapter VII- Aircraft
Accidents, Article 48. It is in compliance with the Air Accident and Incident Investigation
Regulation (AAIR), Chapter 3, and in conformity with Annex 13 to the Convention on
International Civil Aviation.
The sole objective of this Investigation is to prevent aircraft accidents and incidents.
It is not the purpose of this activity to apportion blame or liability.
The information contained in this Preliminary Report is derived from the data
collected during the ongoing investigation of the Accident. Later interim statements, if any, or
Investigation Process
The Air Accident Investigation Sector (AAIS) of the United Arab Emirates was notified
about the Accident at 1654 UTC. The Occurrence was notified by Safety Manager, Aerogulf
Services, to the AAIS Duty Investigator (DI) hotline number +971506414667.
The occurrence was classified as ‘Accident’ and the AAIS assigned an Accident
Investigation File Number AIFN/0011/2023 for the case.
The AAIS formed the Investigation team led by the investigator-in-charge (IIC) and
members from the AAIS for different investigation areas. The National Transportation Safety
Board (NTSB) of the United States, being the State of the Manufacture and Design, and the
Transportation Safety Board of Canada, being the State of Manufacture of the engines, were
notified of the Accident and both States assigned accredited representatives assisted by
advisers from Bell Textron Inc. and Pratt & Whitney. In addition, the Operator assigned an
adviser to the IIC. The AAIS is leading the Investigation and will issue a Final Report.
This Preliminary Report is publicly available at:
http://www.gcaa.gov.ae/en/epublication/pages/investigationReport.aspx
Notes:
1.
Whenever the following words are mentioned in this Report with first Capital letter,
they shall mean the following:
− (Accident) - this investigated Accident
− (Helicopter) - the helicopter involved in this Accident
− (Investigation) - the investigation into the circumstances of this Accident
− (Pilot in Command) - the commander of this Accident flight
− (Report) - this Preliminary Report
− (Second in Command) - the copilot of this Accident flight.
2.
Unless otherwise mentioned, all times in this Report are UTC time. Local time in the
United Arab Emirates is UTC plus 4 hours.
3.
Photos and figures used in this Report are taken from different sources and are
adjusted from the original for the sole purpose to improve the clarity of the Report.
Modifications to images used in this Report are limited to cropping, magnification, file
compression, or enhancement of color, brightness, contrast, or addition of text boxes,
arrows or lines.
List of Tables
Table 1. Flight crew data ....................................................................................................... 2
Table 2. Helicopter data ........................................................................................................ 3
Table 3. Engine data ............................................................................................................. 4
Table 4. Terminal aerodrome forecast (TAF) ......................................................................... 4
Table 5. ARAS rig weather report .......................................................................................... 5
Table 6. Helicopter navigation aids ........................................................................................ 5
Accident flight
and location
landing
ARAS rig
Second
circuit
landing
Third circuit
landing
During his second call at 1538, the PM informed the radio operator that they were 10
minutes away from landing, and he asked for the latest weather information. The radio
operator passed on the weather conditions, reporting a variable windspeed ranging from 7 to
9 knots coming from the 60 degrees, visibility between 7 to 8 knots, and 1002 millibar air
pressure.
At 1546, the PM contacted the radio operator once more, informing him that they
were two minutes away from landing. In reply, the radio operator confirmed the information by
stating "green deck", which refers to the ARAS rig helideck designated for landing helicopters.
Both flight crewmembers possessed a valid air transport pilot license for helicopters
(ATPL-H) issued by the General Civil Aviation Authority of the United Arab Emirates (GCAA).
Additionally, their instrument rating (IR) was also valid.
Based on TAF, the weather report indicates that at the time of departure from OMDW,
the prevailing wind was forecasted to be 17 knots, blowing from 320 degrees. Visibility was
3,000 meters, and there was no significant weather forecasted. An hour later, between 1200
and 1400 UTC, visibility was forecasted to improve to 7,000 meters, and there was no
significant weather forecasted. For the following two-hour period (1500 to 1700 UTC), the TAF
predicted a shift in wind direction of 60 degrees, at 7 knots speed. The weather information
after 1700 UTC was not relevant to the Accident.
1.7.2 ARAS rig weather report (Umm Al Quwain)
The weather information of Umm Al Quwain-3, on 7 September 2023, at 1800 LT
(1400 UTC), is illustrated in table 5.
Table 5. ARAS rig weather report
Wind 8-10 knots/32 degrees variable
Visibility 5-6 nautical miles
Temperature 32°C
QNH 1001 hPa
The weather information received from the Umm Al Quwain-3 radio station, which
was transmitted at 1800 local time, showed that the wind speed varied between 8 and 10
knots, blowing from 032 degrees. The visibility was measured to be between 5 and 6 nautical
miles, and the temperature was 32°C. The barometric pressure was 1001 hectopascals (hPa).
The SAR rescue team reached the site in about 45 minutes after they were notified.
The team swiftly initiated operation within the designated area. About 1 hour 20 minutes after
the initial notification, a SAR helicopter arrived at the site. Equipped with powerful high beam
focus lights fitted on it, the SAR helicopter conducted an intensive survey of the anticipated
site. At the same time, the SAR rescue boat gathered all floating debris, which encompassed
a small part of the Helicopter.
The following day after the Accident, the search operation resumed, but no traces of
the wreckage were found. On the day after that (9 September), the SAR team discovered a
significant amount of wreckage pieces that were scattered across two separate locations,
approximately 100 meters apart. (Figure 2)
Later, the SAR team managed to successfully recover additional parts of the
wreckage, including the cockpit, the main transmission gear, and various structural pieces
(figure 3). The search efforts are still underway, and a detailed analysis of the relevant parts’
examinations will be included in the Final Report.
1.14 Fire
As per the statement of the ARAS rig HLO, he witnessed a small fire after witnessing
the Helicopter oscilliating and diving towards the sea. He stated that the flame disappeared
within seconds. However, there was no traces of fire idenfied on the wreckage pieces
recovered so far.
“It is a company policy that every pilot who may be required to fly offshore at
night, completes an initial night competency check appropriate to their role. This
requirement exceeds the Civil Aviation Regulations-Air Operations (CAR-AIR
OPS) competency requirements. A night check is administered by a designated
Training Captain.
A separate night check is required for each helicopter type flown offshore at
night. After the initial night check, flight crew will keep their night recency using
a FFS or the real aircraft completing 3 night take off, each followed by a traffic
pattern and a subsequent landings every 90 days. This 3 takeoff and Landing
are also covering the 90 days recurrency requirements.”
“The night offshore training should cover the items listed in the table below as
applicable to the type of operation, and type of helicopter. For offshore pilots
the night check must include at least 3 approaches and landings on an offshore
platform. Where possible at least one approach and landing should be made to
both a fixed structure and a movable rig or ship.”
The syllabus outlines the following topics based on the phase of the flight and the
associated item:
− Preflight: Night weather considerations and flight planning
− Circuit: Basic night circuit, let-down to circuit height, use of flight management
system (FMS)/GPS, and use of flight director
− Approach and Landing: Knowledge of night approach profile, crew brief,
approach path and speed, landing, overshoot/go-around, and PM duties on
final approach.
− Takeoff: Take-off brief, cockpit checks/setup, take-off procedure, transition to
circuit, departure en-route
− General: Airmanship/decision-making, crew resource management, PM duties,
use of aircraft equipment, ATC liaison, and R/T operations and content.
1.18.3 The flight purpose
As per the OFP, the nature of the flight was a non-revenue training flight. As per the
statement of the Operator’s Safety Manager, the flight objective was to renew the Copilot’s
recency on night operations in accordance with OM-D.