Coronial
NTother

Inquest into the death of Roger Nowland helicopter crash

Deceased

Roger Nowland

Demographics

65y, male

Date of death

2023-06-27

Finding date

2024-11-08

Cause of death

Multiple blunt force injuries from helicopter crash

AI-generated summary

A 65-year-old experienced helicopter pilot crashed during mustering operations near Limbunya Station, NT, resulting in fatal blunt force injuries. The ATSB investigation could not definitively determine the cause, identifying engine power reduction and loss of control but unable to establish whether this resulted from mechanical failure or pilot action. Contributing factors may have included pilot fatigue (14 consecutive duty days with 47 hours flying in the preceding week), possible incapacitation, or human error. The aircraft's maintenance release lacked proper documentation of flight hours and maintenance completion, creating regulatory non-compliance and increased risk of undetected maintenance issues. Industry-wide practices of under-reporting flight hours to avoid maintenance costs were identified as systemic in NT helicopter operations, potentially masking aircraft serviceability problems.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.

Specialties

aviation medicine

Error types

systemprocedural

Contributing factors

  • Engine power reduction with unknown cause
  • Loss of control
  • Possible pilot fatigue from 14 consecutive duty days
  • Possible pilot incapacitation
  • Possible human error
  • Inadequate maintenance documentation
  • Inadequate recorded flight hours
  • Systemic under-reporting of flight hours in NT helicopter industry
  • Maintenance release no longer in force

Coroner's recommendations

  1. That CASA engage more effectively with helicopter mustering operations in the Northern Territory to ensure observance of regulatory requirements and improve safety culture, specifically concerning the accurate recording of flight hours and compliance with scheduled maintenance requirements.
  2. That the AHIA consider what further and better steps it can take to promote a safety culture in Northern Territory helicopter operations and implement any identified improvements.
Full text

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