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-   -   US HEMS Accident (https://www.pprune.org/rotorheads/617792-us-hems-accident.html)

Arcal76 4th Feb 2019 21:57

Absolutely, SASless !
Our job is to fly a patient from A to B and in this case, it looks like it was a transfer between hospital.
She could have wait one hour and they all will be OK today.
We are doing a job, maybe a special job, but it requires to respect some limits.
There is no hero there, the US has to get out of this stupid thinking.
We are no here to kill everybody on board to save one.
Anybody flying at night knows how difficult it is in reality in those conditions, pushing weather without the proper equipment to help you and having clear limits is just playing "Russian roulette".
Nobody learn, nobody !
It is like a repeat during the last 20 years, same thing again and again.
I believe the US refuse to adopt strict night minimum and still push pilots to fly when they shouldn't be like in the 80's.
And I won't even talk about the FAA..
One hour away from dead or alive !

tottigol 5th Feb 2019 22:47


Originally Posted by Arcal76 (Post 10380459)
Absolutely, SASless !
Our job is to fly a patient from A to B and in this case, it looks like it was a transfer between hospital.
She could have wait one hour and they all will be OK today.
We are doing a job, maybe a special job, but it requires to respect some limits.
There is no hero there, the US has to get out of this stupid thinking.
We are no here to kill everybody on board to save one.
Anybody flying at night knows how difficult it is in reality in those conditions, pushing weather without the proper equipment to help you and having clear limits is just playing "Russian roulette".
Nobody learn, nobody !
It is like a repeat during the last 20 years, same thing again and again.
I believe the US refuse to adopt strict night minimum and still push pilots to fly when they shouldn't be like in the 80's.
And I won't even talk about the FAA..
One hour away from dead or alive !

ARCAL, I would have never thought I could actually get to agree with you on something.
Atta'boy!

[email protected] 6th Feb 2019 06:21

Brutal

Could the reason she accepted the flight was because of her lack of experience? I am not talking about her flying hours or instructional....but many guys and girls think that flying a helicopter around the sunny grand canyon, or sight seeing trips in Florida is the same as a job at night up north in foul weather conditions? (or even in the day for that matter)?
Lots of pilots are of the assumption that just because they have their licence and lots of hours they can fly anywhere and do anything? Maybe management should ask the questions in an interview to find out what "real" experience they have ,or think twice when reading one's Resume' before hiring?
I thoroughly agree with your analysis and her judgment was probably skewed further by the fact she used to be a a rescue swimmer involved in real life-saving and may have approached her new job on HEMS with the same attitude.
If this was her first 'proper' job rather than sightseeing and basic instruction and she started in the HEMS business working for what seems like a 'cowboy' operator with a poor attitude to safety and weather limits - the holes in the cheese were lining up against her.

Nescafe 6th Feb 2019 07:40


I thoroughly agree with your analysis and her judgment was probably skewed further by the fact she used to be a a rescue swimmer involved in real life-saving and may have approached her new job on HEMS with the same attitude.
If this was her first 'proper' job rather than sightseeing and basic instruction and she started in the HEMS business working for what seems like a 'cowboy' operator with a poor attitude to safety and weather limits - the holes in the cheese were lining up against her.
Not exactly definitive.

[email protected] 6th Feb 2019 11:13


Not exactly definitive.
sorry, must have missed the terms and conditions section where it said posts have to be definitive.............

She was a rescue swimmer and in the article her mother implies it was her first job after the sightseeing and instructional jobs and the general comments about the outfit she was working for do strongly suggest they have a poor attitude to safety and weather limits.

So sorry I can't get an affidavit for you........

SASless 6th Feb 2019 11:54

Keep it simple guys.....one does not have to be inside cloud or fog to encounter the need to control the helicopter by reference to the Instruments.....and it happens very quickly at night over unlit terrain.

Coming from an instructional and tour background....just how much Single Pilot Instrument flight in Actual Instrument flying conditions did this pilot have? How much real IMC flight had she had recently?

We have to remember the US EMS Industry and the US FAA are quite happy if you are "legally" current....no matter that you cannot possibly be proficient and happen to be flying an a helicopter with no stabilization or autopilot at night over dark terrain.....under VFR.

That is a pretty tall order for any Pilot no matter how experienced and well trained.

To be fair....we do. not know if CFIT is the primary cause of this tragedy....but the circumstances sure lend itself to that being the case.

I once flew for a Single Pilot IFR Program where every six months we got an hour or so of Hood Time....immediately followed by an Instrument Check Ride. Upon passing that ride...we were Current and Proficient by Company and FAA Rules.

We were encouraged to do Approaches upon returning to the airfield where we fueled at the end of the EMS flight....but we all know doing Instrument Approaches in the clear blue without restricting your view of the outside is of not much use in maintaining the real skills that need turning up.

Mind you that was in a Sperry equipped Bell 412 that would do a pretty good job of flying itself while you got occupied with the rest of the tasks.

[email protected] 6th Feb 2019 13:24


Coming from an instructional and tour background....just how much Single Pilot Instrument flight in Actual Instrument flying conditions did this pilot have? How much real IMC flight had she had recently?
and how much night flying time?

SASless 6th Feb 2019 16:33

Did the Pilot have NVG's?

tottigol 6th Feb 2019 18:39


Originally Posted by SASless (Post 10381880)
Keep it simple guys.....one does not have to be inside cloud or fog to encounter the need to control the helicopter by reference to the Instruments.....and it happens very quickly at night over unlit terrain.

Coming from an instructional and tour background....just how much Single Pilot Instrument flight in Actual Instrument flying conditions did this pilot have? How much real IMC flight had she had recently?

We have to remember the US EMS Industry and the US FAA are quite happy if you are "legally" current....no matter that you cannot possibly be proficient and happen to be flying an a helicopter with no stabilization or autopilot at night over dark terrain.....under VFR.

That is a pretty tall order for any Pilot no matter how experienced and well trained.

To be fair....we do. not know if CFIT is the primary cause of this tragedy....but the circumstances sure lend itself to that being the case.

I once flew for a Single Pilot IFR Program where every six months we got an hour or so of Hood Time....immediately followed by an Instrument Check Ride. Upon passing that ride...we were Current and Proficient by Company and FAA Rules.

We were encouraged to do Approaches upon returning to the airfield where we fueled at the end of the EMS flight....but we all know doing Instrument Approaches in the clear blue without restricting your view of the outside is of not much use in maintaining the real skills that need turning up.

Mind you that was in a Sperry equipped Bell 412 that would do a pretty good job of flying itself while you got occupied with the rest of the tasks.

Amen to that, and actually more actual than you may remember SAS, enough so to acually be proficient, at least by the time I got there.
And night time was a good 30% of total.
You are however correct on the whole post.

BigMike 6th Feb 2019 19:59

What is the percentage of EMS operators using NVG in the US currently?

LRP 6th Feb 2019 22:26


Originally Posted by BigMike (Post 10382296)
What is the percentage of EMS operators using NVG in the US currently?

Probably 100%

SASless 7th Feb 2019 00:23

Probably.....is not an accurate response.

Either she did.....or did not.

Which was it?

Arcal76 7th Feb 2019 01:16

If she had NVG's, she probably wouldn't crash because one the big advantage is, you see the weather
So, if there is a shower, you see it, you see the size, the intensity. It is easy in this case to go around and avoid it.
If you don't have them, well you only know when you are in and it is to late.
Now, if you try to scud in low weather with NVG's with snow showers, it is the perfect tool to get disoriented.

Shawn Coyle 7th Feb 2019 01:35

No . such thing as VFR at Night
 
Except over a built up area.
Did she have an IFR rating?

chopjock 7th Feb 2019 08:50


Originally Posted by SASless (Post 10382104)
Did the Pilot have NVG's?

Or more importantly perhaps, was there an AP?

LRP 7th Feb 2019 14:58


Originally Posted by SASless (Post 10382455)
Probably.....is not an accurate response.

Either she did.....or did not.

Which was it?

I am not on the accident board, I can't give you an absolute answer. The question was the percentage of HEMS are using NVG's. I don't know of any that are not, that's the best I can do. Whether this girl had them mounted and down would require forensics at the accident site.

SASless 7th Feb 2019 15:03

Shawn.....under the FAA Rules....Part 135 Ops require surface light reference.....but then we also know that Rule is ignored nightly by far too many Operators.

What the rules are for NVG's and surface light reference....I am not knowing.

In some parts of the United States it can be along way between farm houses, ranch houses, and automobiles at night.....then throw in steep hills and mountains....a bit of haze....and there is lots of DARK.


MightyGem 7th Feb 2019 21:13


If she had NVG's, she probably wouldn't crash because one the big advantage is, you see the weather
So, if there is a shower, you see it, you see the size, the intensity. It is easy in this case to go around and avoid it.

Looking at the map....the crash site is in the middle of a very dark area
Only if there is some ambient light. NVGs take in ambient light and magnify it. An overcast night, no moon, no streetlights/houselights to reflect off the clouds equals no light, so nothing too magnify, so you can see nothing.

Arcal76 7th Feb 2019 21:59

"Only if there is some ambient light. NVGs take in ambient light and magnify it. An overcast night, no moon, no streetlights/houselights to reflect off the clouds equals no light, so nothing too magnify, so you can see nothing"


What is that ???
We see well at night every night. The intensity and clarity are different if it is cover or clear sky, but we still see all around us with NVG's.
There is no problem to fly with cover sky, it is just not so bright.

Hedski 7th Feb 2019 22:52

One of the points raised re hours and actual experience strikes a chord. It seems common in US EMS that you need lots of hours (ca. 2000) but nobody cares to examine what quality of hours. So as in this scenario the pilot had very repetitive types of
day VFR experience, likely much of it on piston singles. But because the total number was big enough then it’s all ok. Yet I see on another form of social media military medevac experienced twin engine IFR pilots with 1000 hours of such unable to get a job. Especially in EMS where 2000 seems
to be required. So a box was ticked but actual experience totally inappropriate for the role etc. Again FAA not doing their job. Where’s the oversight....?

Not the company’s first rodeo either with 407: https://www.swoknews.com/local/air-scare

SASless 7th Feb 2019 23:26

Gem,

I would politely differ with you.

I have flown on pitch dark overcast nights in the middle of southern pine forests doing confined area operations with no lights of any kind.....and had no problem.

Yes....some celestial light...stars...Moon....make it a whole lot better but even on the worst night for NVG's...it beat hell out of a good night with no NVG's!

Flying at night in snow without NVG's....without any real lighting...the snow was invisible....then click on the Landing Light and what an impressive sight that becomes!


Arcal76 8th Feb 2019 01:13

I agree with you SASless,

If you fly manually at night in snow showers and turn the landing light ON, the result is more than disturbing and is the best way to loose everything. If you are coupled, just turn the light off and continue as long as it is a brief shower.
I will be very, very surprised if those machine had any sort of autopilot / flight director.
And I also agree than your experience can be vastly different from what the job requires, even if you have the 2000 hrs required, but in any case, you have to start somewhere on a new job.
Nobody had night time until you start flying at night, I mean real night flying, not around a town.
Nobody has HEMS time until you start flying HEMS.
It is important in this case to get all information's, advises, experiences from other crew to reduce any possibility to get caught in a stupid way because you were not aware of those problems.
In aviation, you don't know what you don't know.
We still have this mentality of keeping information's for ourselves just because we hire a pilot with 2000 / 3000 hrs.
Well, every time you change job, you will have to discover something...something you did not know.....and sometimes, you will be very surprised....
Was she aware of those situations?

DOUBLE BOGEY 8th Feb 2019 05:54

Err, I am correct in believing there is no confirmed cause yet for this accident? Whilst it may carry the DNA of another CFIT at night it could also be something mechanical.

SASless 8th Feb 2019 10:29

DB....welcome to the party....bit late old fella....that point has been made several times already.




JimEli 8th Feb 2019 12:39


Originally Posted by SASless (Post 10383161)
Shawn.....under the FAA Rules....Part 135 Ops require surface light reference.....but then we also know that Rule is ignored nightly by far too many Operators.
What the rules are for NVG's and surface light reference....I am not knowing.

NVGs are used as an aid to night flight during visual meteorological conditions (VMC), and operators are not to use NVGs during inadvertent instrument meteorological conditions (IIMC). This means that operators must comply with visual flight rules (VFR) weather minimums during a flight. For air carrier operations, these weather minimums are prescribed in the air carrier’s OpSpecs. The use of NVGs will not change or modify any of the existing regulations.

8900.1 VOLUME 4 AIRCRAFT EQUIPMENT AND OPERATIONAL AUTHORIZATION, CHAPTER 7 ROTORCRAFT AUTHORIZATIONS AND LIMITATIONS, Section 4 Safety Assurance System: Night Vision Imaging Systems

evil7 8th Feb 2019 14:21

Just for me to understand - in the US you take tour pilots used to nice bright sunshine tours, put them on a SE „HEMS“ Helicopter and let them fly in sh...ty weather, at night because you can stick a NVG on them and then all is good? Well, congratulations to that bright idea!

[email protected] 8th Feb 2019 14:54

Anyone know what the company's published VFR limits are?

MightyGem 8th Feb 2019 20:25


What is that ???
Just saying that on an overcast night, no moon, no cultural lighting, out in the desert, we couldn't see the ground if we went above 100 feet.

Arcal76 9th Feb 2019 00:49

I agree Gem.
Desert or lake with cover sky are different because you do not see any texture, looks like a uniform surface and it becomes hard to know how high you are.
But it was not the case there, hills , trees..... a lot of texture in this case to get reference.

SLFMS 10th Feb 2019 04:30


Originally Posted by Arcal76 (Post 10382475)
If she had NVG's, she probably wouldn't crash because one the big advantage is, you see the weather
So, if there is a shower, you see it, you see the size, the intensity. It is easy in this case to go around and avoid it.
If you don't have them, well you only know when you are in and it is to late.
Now, if you try to scud in low weather with NVG's with snow showers, it is the perfect tool to get disoriented.


Arcal76 I have to respectfully disagree at least in part with your comment about seeing the weather while using NVG's. Most of the time seeing the weather is the case but not always. In my part of the world when you have an overcast sky with multiple squalls of bad weather moving through on some nights it is very easy to fly into rain or cloud without seeing either. My operation is IFR so if at safe height it is really not an issue and those conditions certainly are not conducive for VFR, my point though is if a crew is pushing it VFR in marginal weather even with goggles they may not see rain or cloud until in it, even then it is possible an inexperienced crew are not aware they are in fact IMC. NVG's while awesome also have there limitations and are not a silver bullet especially if mixed with bad crew decision making.


I do not have any NVG experience in snow or sleet so perhaps the squall lines are more obvious in those conditions?

Shawn Coyle 10th Feb 2019 14:23

How doi you know it's VFR with no lights
 
Seems impossible to know what the vis is without lights on the ground at night when t's overcast...

Jack Carson 10th Feb 2019 16:14

Autopilot Vs NVGs
 
I apologize if this issue has been previously addressed. My experiences include flying single engine B-206L and AS-350 machines at night, unaided, in the deserts surrounding Globe, AZ and operating more advanced machines at night with NVGs and autopilots in the Carolinas. The believe that decision to mandate the use NVGs over the basic autopilots was flawed. Standardized training that would require the engagement of an autopilot for all but departure and arrival phases of flight and would reduce workload allowing for better overall management of the flight. Encountering a significant change in weather, in route, could be handled by simply allowing the autopilot to reverse course. I believe that there is also a place for NVGs. A night emergency requiring an immediate landing in a remote would be just such an instance where NVGs would be invaluable. Given a choice, I would select an autopilot over NVGs.


SASless 10th Feb 2019 16:24

The Rule!



§ 135.207 VFR: Helicopter surface reference requirements.No person may operate a helicopter under VFR unless that person has visual surface reference or, at night, visual surface light reference, sufficient to safely control the helicopter.
Notice the emphasis upon "Person" and "That Person" in the Regulation.

So...while you are out risking life and limb of yourself and the Med Crew....you reach an area that has no surface lighting within sight....and it is an overcast night....and there are no headlights, tail lights or hunters out spot lighting deer for you see.......what do you do?


[email protected] 10th Feb 2019 20:29

MG - same in the Falklands but being able to discern the ground from the sky is possible even on the darkest nights (except maybe over the sea) and combined with the good use of the rad alt and some flight planning is at least enough to stop you spanking in. Even seeing the ground suddenly appear in the last 100 ft would be enough to take avoiding action.

Jack - agreed, autopilot first, then NVG.

Devil 49 11th Feb 2019 14:05


Originally Posted by SASless (Post 10386078)
The Rule!

Notice the emphasis upon "Person" and "That Person" in the Regulation.

So...while you are out risking life and limb of yourself and the Med Crew....you reach an area that has no surface lighting within sight....and it is an overcast night....and there are no headlights, tail lights or hunters out spot lighting deer for you see.......what do you do?



You divert to a route that allows keeping the required surface reference. I routinely planned to follow routes that maximized the possibility of surface lighting and avoided areas where it was more likely to be difficult. If the plan is in place from takeoff, considerable diversions, say a 20 mile diversion mid-leg on a 100 mile route requires a mere 4 minute penalty (117 kn cruise) making 0:51 into 0:55. I've spent more time waiting for the hospital to get the pad cleared, not to mention performing high recons on a remote lz while the ground people get stuff organized.

Or you abort- just like ceilings and vis, that light is a required minimum. "If you wouldn't go for a box of rocks...' was the cliche used in company orientation.

NVGs make maintaining that single light contact much, much easier in that the smallest light is visible and from much farther away. I have flown nights in which I NVGs showed lights on the ground that were not visible with the naked eye, recent 'controlled burns' of managed forests with remaining embers spring to mind. I believe I could also see personal electronics, watch and cell phone faces from miles away as well with NVGs, there were certainly more lights visible aided than unaided.

Descending to maintain visual reference in adverse weather is a trap. It is an especially dangerous practice for VFR nights. One needs other parameters in the decision before you even consider 'down'. How low will you allow yourself to descend? How quickly do you want to descend? Wanting down quickly is a very, very bad sign. Are there likely to be surface references after the descent? Are you 100% certain that the issue is temporary? Are you slowing from maximum cruise to deal with vis? Another big, BIG indicator that it's really time to quit.

JimEli 11th Feb 2019 15:06

§ 135.207 VFR: Helicopter surface reference requirements. No person may operate a helicopter under VFR unless that person has visual surface reference or, at night, visual surface light reference, sufficient to safely control the helicopter.

“sufficient” meaning being what is necessary or desirable, or that which is required for meeting a need.

Is it possible, that NO “visual surface light reference” is sufficient (required to meet the need) to “safely control the helicopter”? Think in terms of a high illumination, starry, cloudless night in a highly defined but remote environment devoid of surface lights. Just asking.

SASless 12th Feb 2019 04:13


visual surface light reference
is the immediate issue.

[email protected] 12th Feb 2019 05:52

And one or two lights really doesn't provide the spatial information required - anyone who has been disorientated by trying to use a single point light reference will know that.

nomorehelosforme 13th Feb 2019 13:18

NTSB Preliminary Report Released
 
https://www.10tv.com/article/ntsb-sh...southeast-ohio

The National Transportation Safety Board has released its preliminary report on the Survival Flight medical helicopter crash in southeast Ohio last month.

The flight was traveling from Mount Carmel Grove City hospital to Holzer Meigs hospital in Pomeroy for a patient transfer back to Columbus on January 29


LRP 13th Feb 2019 15:55

https://app.ntsb.gov/pdfgenerator/Re...relim&IType=FA


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