atsb final report released 16 may 2013 - Ambulance Service of NSW

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Australian Transport Safety Bureau24 Hours 1800 020 616Web www.atsb.gov.auTwitter @ATSBinfoEmail atsbinfo@atsb.gov.auInvestigationATSB Transport Safety ReportAviationl Occurrence InvestigationHelicopter winching accident involving an Agusta WestlandAW139 helicopter, VH-SYZ, 16 km WSW of WollongongAirport, New South Wales, on 24 December 2011AO-2011-166Final – 16 May 2013
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Helicopter winching accidentInsert
Page 4 and 5:
Published by: Australian Transport
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CONTENTSSAFETY SUMMARY ............
Page 8 and 9:
DOCUMENT RETRIEVAL INFORMATIONRepor
Page 10 and 11:
TERMINOLOGY USED IN THIS REPORTOccu
Page 12 and 13: front right seat; an air crewman (A
Page 14 and 15: patient and himself directly undern
Page 16 and 17: paramedics, so the pilot elected to
Page 18 and 19: eported that he did not advise the
Page 20 and 21: advised the ACM to communicate usin
Page 22 and 23: The pilot contacted the ASNSW Medic
Page 24 and 25: and lighting systems. The ACM’s t
Page 26 and 27: 15° cable angle limit. This limit
Page 28 and 29: Figure 13: Winch-mounted lighting (
Page 30 and 31: communications were controlled by t
Page 32 and 33: The ATSB did not examine the accide
Page 34 and 35: Figure 17: Duty paramedic’s ropes
Page 36 and 37: The section of severed cable that h
Page 38 and 39: was night vision goggle (NVG)-capab
Page 40 and 41: ASNSW management and individual ARC
Page 42 and 43: winch training at increased height
Page 44 and 45: tag line was connected to the stret
Page 47 and 48: ANALYSISIntroductionThe ATSB identi
Page 49 and 50: It was also considered unlikely tha
Page 51 and 52: CommunicationDuring the course of t
Page 53: manual, increased the risk that ARC
Page 56 and 57: Other key findings• There was no
Page 58 and 59: Role of the special casualty access
Page 60 and 61: Risk assessmentAction taken by the
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atsb final report released 16 may 2013 - Ambulance Service of NSW

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