Aircraft Accident/Incident Report

Juneau, Alaska 99801
Friday, September 10, 1999 12:04 AKD

NTSB Narrative Summary Released at Completion of Accident

The certificated commercial helicopter pilot, with five passengers aboard, was attempting to return to the Juneau International Airport after completion of an ice field sightseeing tour flight. During a gradual descent, over a large, featureless, and snow-covered ice field, a localized snow shower momentarily reduced his forward visibility. The pilot reported he slowed the helicopter to about 70 knots and attempted to use a mountain range on the left side of the helicopter for visual reference. He said: 'The visibility got to a point where I was unable to discern any topographic features, only a dark shape on the horizon.' He added that 'flat light conditions' contributed to his inability to recognize any topographical features on the ice surface. The helicopter continued to descend, struck the snow-covered ice field, slid about 150 feet, and nosed over. The pilot reported that there were no preaccident mechanical anomalies with the helicopter. The helicopter was not equipped with a radar altimeter, and the pilot did not hold an instrument rating. The pilot received no emergency instrument training from the company, nor did the company require him to demonstrate the ability to maneuver the helicopter solely by reference to the installed flight instruments. FAA Order 8400.10 requires Principal Operations Inspectors, and approved company check airmen, to have pilots demonstrate their ability to control a helicopter solely by reference to flight instruments during 14 CFR 135.293 competency checks for VFR-only helicopter operations. The operator's FAA-approved training manual did not require training or competency checks of the pilot's ability to maneuver the helicopter solely by reference to flight instruments.

NTSB Probable Cause Narrative

The pilot's continued flight into instrument meteorological conditions (IMC), and inadequate altitude/clearance. Factors associated with the accident were flat light and whiteout conditions, snow, and snow-covered terrain. An additional factor was the FAA's inadequate certification/approval of the operator's training manual, which did not require the operator to provide instrument training or instrument flight proficiency checks to its pilots.

Event Information

Type of Event Accident
Event Date 9/10/1999
Event Day of the Week Friday
Time of Event 1204
Event Time Zone --
Event City JUNEAU
Event State ALASKA
Event Country --
Zipcode of the event site 99801
Event Date Year 1999
Event Date Month 9
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport
Event Location Nearest Airport ID
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness Full
Investigator's weather source Weather Observation Facility
Time of the weather observation 1155 Atlantic Daylight Time
Direction of event from weather observation facility (degrees) 180
Weather Observation Facility ID PAJ
Elevation of weather observation facility 19
Distance of event from weather observation facility (units?) 16
Time Zone of the weather observation ADT
Lighting Conditions Day
Lowest Ceiling Height 6500
Lowest Non-Ceiling Height 1400
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 12
Dew Point at event time (in degress fahrenheit) 9
Wind Direction (degrees magnetic) 90
Variable Wind Indicator Unknown
Wind Speed (knots) 9
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 30
Density Altitude (feet) --
Intensity of Precipitation Unknown
METAR weather report --
Event Highest Injury Serious
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal --
Injury Total Minor 5
Injury Total None --
Injury Total Serious 1
Injury Total All 6
Investigating Agency NTSB
NTSB Docket Number (internal use) 1468
NTSB Notification Source --
NTSB Notification Date Sep 10 1999 12:00AM
NTSB Notification Time 1650
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 12 2000 11:54AM
User who most recently changed record dbo
Basic weather conditions Instrument Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N6007S
NTSB Number ANC99FA139
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed Company VFR
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Eurocopter
Aircraft Model AS-350B-2
Aircraft Series Identifier AS-350B-2
Aircraft Serial Number 2433
Certified Max Gross Weight 4961
Aircraft Category Helicopter
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 7
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Aug 17 1999 12:00AM
Airframe hours since last inspection 82
Airframe Hours 752
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name TEMSCO HELICOPTERS, INC.
Aircraft Owner Street Address P.O. BOX 5057
Aircraft Owner City KETCHIKAN
Aircraft Owner State AK
Aircraft Owner Country
Aircraft Owner Zipcode 99901
Operator is an individual? --
Operator Name
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address
Operator City
Operator State
Operator Country
Operator Zip code
Operator Code HXSA
Owner has at least one certificate Yes - certificate holder
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation External Load
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not Non-scheduled
Indicates Domestic or International Flight Domestic
Operator carrying Pax/Cargo/Mail Passenger Only
Type of Flying (Per_Bus / Primary) Unknown
Second Pilot on Board No
Departure Point Same as Event Yes
Departure Airport Code JNU
Departure City
Departure State AK
Departure Country
Departure Time 1104
Departure Time Zone ADT
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code
Destination City
Destination State
Destination Country
Specific Phase of Flight Descent
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:35AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 0
Runway Length --
Runway Width --
Sight Seeing flight Yes
Air Medical Flight No
Medical Flight --