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North Memorial Air Care - Non-injury incident



Date: 7/3013  

Program: North Memorial Air Care

Type: Agusta 109

Weather: Clear. Not a factor

Team: Pilot, Nurse, Paramedic. No injuries reported. No patient. 

Description: 
	During a daytime approach to a scene landing our aircraft came very
	close to wires that were strung across the highway near the LZ. The
	attachment poles, which typically serve as visual cues that wires are
	present, were hidden from view from the air and the ground perspective
	in trees on one side of the road and by trees and a billboard that the
	wire was powering on the other.  A standard reconnaissance of the LZ
	was conducted by the crew prior to preparing to land. No obstacles
	were noticed.  Good radio contact was present with the first
	responders on the ground who had declared the area secured and ready. 
	The first responder who served as LZ coordinator was a law enforcement
	officer. He first visualized the  wire when it moved as the aircraft
	was landing.  He notified the pilot of this when they landed. He
	stated that the aircraft "...did not contact the wires, but the
	downwash shook the wire and caused the wire to come down."  The crew
	reported they thought they had felt a "little bump" on their final
	approach but did not encounter control issues.  The aircraft was shut
	down after landing in the designated LZ and an inspection was
	conducted by the pilot in command.  There were no indications of any
	contact or damage. An additional inspection was conducted by the
	aircraft mechanic and company safety officer. They also found no
	evidence of wire contact or damage to the aircraft.

Additional Info: 
	A subsequent root cause analysis of the incident was conduted with a
	multidisciplinary team. Four points of learning were identified:
	 
	1. LZ Officers must be trained to position themselves in the relative
	center of the LZ so they have good line of sight in all directions.
	
	2. Flight Crews and LZ Officers should be trained to have a greater
	awareness for objects in the area such as billboards that may have an
	electrical source feeding them.
	
	3. In training first responders to secure LZ's , an emphasis will be
	put on increasing awareness that glide slopes extend well beyond the
	typical safety diameter of an LZ and need to be clear of any
	obstructions as well. 
	
	4. Additional transport resources should be summoned before inspecting
	the aircraft to prevent any potential delays in transportation.  
	

Source: Patrick Coyne, Program Director

=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
The CONCERN network shares verified information to alert medical transport
programs when an accident / incident has occurred. Please share the above
information with your program staff. If you have further questions, please
contact the CONCERN Coordinator, David Kearns at 800 525 3712 or email:
coordinator@concern-network.org.

Copyright 2007 ASTNA