NVIS Autorotation Training Hard Landing: Changed Albedo (Tampa Police Bell 407 N512TP)
On 21 June 2021 at 21:45 local time, Bell 407 N512TP of the Tampa Police Department (TPD) was damaged in a hard landing at the Tampa Executive Airport, Florida during autorotation landing training using a Night Vision Imaging System (NVIS). The pilot and instructor were uninjured.
Tampa Police Dept Bell 407 N512TP After Hard Landing During NVIS Autorotation Training (Credit: Tampa PD via NTSB)
The Accident Flight
The US National Transportation Safety Board (NTSB) safety investigation report, published on 19 October 2021, explains that the police pilot had 2721 hours of experience, 1472 on type and the contracted instructor had 2047 hours, 112 on type. Their experience operating with Night Vision Googles (NVGs) is not recorded by the NTSB however. A number of exercises had already been successfully conducted that evening in the Garmin 500H equipped helicopter. For this exercise:
The pilot determined where on the runway he was going to land and entered the autorotation at an approximate airspeed of 60 knots. When the helicopter was about 90 to 100 ft above the ground, and the engine rpm was at 99-100%, he entered the flare. At the bottom of the flare, the pilot “bumped” up the collective to arrest the rate of descent and levelled out at what he thought was about 7-10 ft above the runway. At that point, the pilot said it felt like the bottom of the helicopter started to fall out from underneath him.
Pulling collective had no effect on arresting the sink rate.
The low rotor rpm horn sounded right before the helicopter landed hard on the runway. The impact was sufficient to flex the main rotor blades and sever the tail boom.
The Safety Investigation
The training provider reported that the police pilot had “conducted hundreds of NVG power-off landings to this exact location”. However, since the last one the runway had been repaved. Meanwhile the instructor had not done training at that site but knew it had been used successfully by colleagues for many years when training the TPD. The training provider noted that:
The newly paved runway is a deep, dark black color. Due to this fact, its Albedo is near zero. The previous runway color was light gray with mid to high Albedo.
They explain:
Albedo is a non-dimensional, unitless quantity that indicates how well a surface reflects solar energy. Albedo commonly refers to the “whiteness” of a surface, with zero meaning black and 1 meaning white. A value of zero means the surface is a “perfect absorber” that absorbs all incoming energy.
They comment that the new surface would therefore be “like a black hole”. EASA explain in GM1 SPA.NVIS.140:
Contrast is one of the more important influences on the ability to correctly interpret the NVG image, particularly in areas where there are few cultural features. Any terrain that contains varying albedos (e.g., forests, cultivated fields, etc.) will likely increase the level of contrast in a NVG image, thus enhancing detail. The more detail in the image, the more visual information aircrews have for manoeuvring and navigating. Low contrast terrain (e.g., flat featureless desert, snow-covered fields, water, etc.) contains few albedo variations, thus the NVG image will contain fewer levels of contrast and less detail.
The training provider concluded:
Although the profile was correctly flown by the flight crew, the crew encountered a near zero Albedo of the runway surface in the final, most critical aspect of the maneuver which is during the power-off landing phase. This caused an optical illusion of false height and speed relative to the ground. Once a contrasting element was visual (1000’ touchdown zone) which is white in color (extremely high Albedo), the crew immediately realized their situation and reacted appropriately by leveling the helicopter and adding all the collective remaining to slow their rate of descent. Any attempt to go-around or adding throttle may have worsened the situation.
While the instructor’s statement does mention checking the RADALT, the pilot’s statement doesn’t explicitly. The EASA GM referenced earlier, for example states: “NVIS lighting system and a radio altimeter must be installed and operational” and the associated AMC requires that “crew coordination procedures, including…use of the radio altimeter on an NVIS flight” be defined on the Operational Manual.
The NTSB accepted this conclusion and adopted the following probable cause uncharacteristically promptly, just four months after the accident:
The pilot’s improper landing flare while making a power off practice autorotative landing. Contributing was the decreased visual cues provided by the recently paved runway during the night landing conducted with the aid of night vision goggles.
Disappointingly the NTSB probable cause statement however misrepresents the human as ‘the cause’ and the human factor merely ‘a contributor’.
Safety Resources
The European Safety Promotion Network Rotorcraft (ESPN-R) has a helicopter safety discussion group on LinkedIn. You may also find these Aerossurance articles of interest:
- A HEMS Helicopter Had a Lucky Escape During a NVIS Approach to its Home Base
- BK117B2 Air Ambulance Flameout: Fuel Transfer Pumps OFF, Caution Lights Invisible in NVG Modified Cockpit
- Dim, Negative Transfer Double Flameout
- AAIB Report on Glasgow Police EC135T2+ Clutha Helicopter Accident
- HEMS Black Hole Accident: “Organisational, Regulatory and Oversight Deficiencies”
- Taiwan NASC UH-60M Night Medevac Helicopter Take Off Accident
- Vortex Ring State: Virginia State Police Bell 407 Fatal Accident
- Norwegian HEMS Landing Wirestrike
- Bell 407 Rolls-Royce 250-C47B Uncontained Engine Failure after Bearing Failure
- RLC B407 Reverses into Sister Ship at GOM Heliport
- SAR Questions Feature in PNG AIC B427 Accident Investigation
- Training Weaknesses Feature in Fatal MD600N Accident
- HEMS S-76C Night Approach LOC-I Incident
- Helicopter Destroyed in Hover Taxi Accident
- Pilatus PC-12 Collided with Pick-Up Truck During Dusk Take Off
- Air Ambulance Helicopter Downed by Fencing FOD
- Ambulance / Air Ambulance Collision
- Inappropriate Autorotation Training: Police AS350
- Stabilised Hover Prevents Loss of Control Accidents Say FAA
- Hazardous Hangar Hovertaxy
- HEMS EC135T1 CFIT During Mountain Take Off in Poor Visibility
- Ambulance / Air Ambulance Collision
- Beware Last Minute Changes in Plan
- Air Methods AS350B3 Night CFIT in Snow
- A Short Flight to Disaster: A109 Mountain CFIT in Marginal Weather
- US Fatal Night HEMS Accident: Self-Induced Pressure & Inadequate Oversight
- HEMS A109S Night Loss of Control Inflight (N91NM)
- Air Ambulance A109S Spatial Disorientation in Night IMC (N11NM)
- Italian Alps AW139 Mountain Rescue Hoisting Blade Strike
- UPDATE 15 January 2022: Air Ambulance Helicopter Struck Ground During Go-Around after NVIS Inadvertent IMC Entry
- UPDATE 22 January 2022: Pedestrian Seriously Injured by Air Ambulance Landing at Melbourne Hospital
- UPDATE 27 July 2023: B407 Damaged During Autorotation Training
- UPDATE 20 July 2024: Night CHC HEMS BK117 Loss of Control
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