7/27/2009

News Chopper Crash Final report released

The final Report for the mid air collision between KTVK Channel 3 and KNXV Channel 15 news has been released. It can be found here. Both Pilots are listed as being at fault. Which is what I expected.

The report is very detailed but tends to repeat itself.

Here are the summary findings:
"1. The pilots of the channel 3 and 15 helicopters were properly certificated and qualified in accordance with applicable Federal regulations.
2. Both helicopters were properly certified, equipped, and maintained in accordance with Federal regulations.
3. The recovered components showed no evidence of any preimpact structural, engine, or system failures.
4. Weather was not a factor in this accident, and sun glare would not have interfered with the pilots ability to detect and track other helicopters over the pursuit scene.
5. The channel 15 pilots color vision deficiency was not a factor in this accident.
6. The channel 3 and 15 helicopters collided because one or both pilots lost awareness of the other helicopters position.
7. The lack of available information regarding the helicopters movements and positions precluded investigators from determining precisely the events that transpired before and at the time of the collision.
8. The channel 3 and 15 pilots reporting and visual tracking duties immediately before the collision likely precluded them from recognizing the proximity of their helicopters at that time.
9. This accident demonstrates the limitations of the see-and-avoid concept for reliably ensuring separation of aircraft during high-density traffic operations, especially when the pilot is conducting other nonflying duties as part of the operation.
10. A high-visibility paint scheme on the helicopters? main rotor blades or high-visibility anticollision lights could have facilitated the detection of the impending collision risk.
11. A traffic advisory system would enhance an electronic news gathering (ENG) pilot's capability to detect other aircraft operating in the same area by providing aural annunciations and visual displays of the traffic, and a system designed specifically for helicopters could help eliminate the nuisance warnings that ENG pilots can receive when other aircraft are operating near the systems alerting envelope.
12. Annual meetings with local electronic news gathering (ENG) helicopter and local Federal Aviation Administration personnel would help improve the safety of ENG operations by facilitating a proactive exchange of information among the participants.
13. Best practice guidelines would provide electronic news gathering pilots with practical knowledge to apply during these operations.
14. Recorder systems that captured cockpit audio, images, and parametric data would have significantly aided investigators in determining the circumstances that led to this accident."

And Probable Cause:
"The National Transportation Safety Board determines that the probable cause of this accident was both pilots ‟failure to see and avoid the other helicopter. Contributing to this failure was the pilots‟ responsibility to perform reporting and visual tracking duties to support their station's electronic news gathering (ENG) operation. Contributing to the accident was the lack of formal procedures for Phoenix-area ENG pilots to follow regarding the conduct of these operations."

Near the end of the document is transcriptions from the cockpit voice recorders starting at page 47.

A re-creation of the crash can be seen in the 2 videos below (not official).

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