Iliamna Airport
Aircraft Accident/Incident Report

Iliamna, Alaska 99606
Saturday, October 29, 2011 20:09 AKD

NTSB Narrative Summary Released at Completion of Accident

The helicopter pilot was under contract to support an aerial seismic survey project in a remote part of western Alaska. The survey crew had completed their survey, and the pilot, who was the only occupant, was relocating the helicopter to the operator's base in south central Alaska; however, poor weather conditions delayed his departure until mid-afternoon on the fourth day. The pilot made two fuel stops while en route, and both fuel vendors noted that the pilot seemed rushed and that he mentioned that he was trying to get to his destination before dark. The operator reported the helicopter overdue when the helicopter failed to arrive and they were unable to make contact with the pilot. Searchers discovered the fragmented wreckage about 7 miles southwest of the destination airport, in an area of marshy, tundra-covered terrain. Dark night visual meteorological conditions prevailed at the destination airport before the accident, and transient snow showers and reduced visibility were reported in the area just after the accident. Examination of the helicopter and engine revealed no preaccident mechanical anomalies that would have precluded normal operation. The debris path and extensive fuselage fragmentation were consistent with the helicopter impacting terrain at high speed. The pilot's autopsy revealed several heart abnormalities, including an enlarged heart, a 90-percent occlusion of the left anterior descending coronary artery, a 99-percent occlusion of the right coronary artery, and an aortic valve that was severely calcified and stenotic. Such findings would have put the pilot at high risk of a sudden cardiac event, including acute myocardial infarction, syncope, or arrhythmia, any of which would have impaired or incapacitated him. Further, the weather and the pilot's rush to reach his destination by nightfall after a 4-day delay may have contributed to the pilot's stress level, increasing the risk that his severe but undiagnosed heart disease would cause an acute medical event during the flight. Given the lack of mechanical deficiencies that would have precluded normal operation of the helicopter, and the pilot's severe coronary artery disease and aortic stenosis, it is likely that the pilot's medical conditions caused sudden impairment or incapacitation, which resulted in the loss of control of the helicopter. Although it is possible that the pilot did not recognize that he was flying the helicopter in a shallow descent into terrain, the overwhelming evidence of heart disease compounded by stress makes it more likely that the pilot was impaired or incapacitated.

NTSB Probable Cause Narrative

The pilot's loss of control due to sudden medical impairment or incapacitation.

Event Information

Type of Event Accident
Event Date 10/29/2011
Event Day of the Week Saturday
Time of Event 2009
Event Time Zone --
Event City Iliamna
Event State ALASKA
Event Country --
Zipcode of the event site 99606
Event Date Year 2011
Event Date Month 10
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 594037N
Event Location Longitude 1550612W
Event Location Airport ILIAMNA
Event Location Nearest Airport ID ILI
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 7
Degrees magnetic from airport 230
Airport Elevation 192
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 2020 Atlantic Daylight Time
Direction of event from weather observation facility (degrees) 6
Weather Observation Facility ID PAIL
Elevation of weather observation facility 192
Distance of event from weather observation facility (units?) 60
Time Zone of the weather observation ADT
Lighting Conditions Night/Dark
Lowest Ceiling Height 2000
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Unknown
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 2
Air Temperature at event time (in degrees celsius) 1
Dew Point at event time (in degress fahrenheit) -3
Wind Direction (degrees magnetic) 300
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 9
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.31
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal 1
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 32326
NTSB Notification Source ANC FAA ROC
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Feb 6 2014 3:44PM
User who most recently changed record stam
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N165EH
NTSB Number ANC12FA006
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed Company VFR
Flight plan Was Activated? Yes
Damage Destroyed
Aircraft Fire Ground
Aircraft Explosion None
Aircraft Manufacturer's Full Name EUROCOPTER
Aircraft Model AS 350 B2
Aircraft Series Identifier --
Aircraft Serial Number 2185
Certified Max Gross Weight 4961
Aircraft Category Helicopter
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 6
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection AAIP
Date of Last Inspection Oct 26 2011 12:00AM
Airframe hours since last inspection 35
Airframe Hours 9124
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type C126
Aircraft Owner Name ERA HELICOPTERS LLC
Aircraft Owner Street Address PO BOX 6550
Aircraft Owner City LAKE CHARLES
Aircraft Owner State LA
Aircraft Owner Country USA
Aircraft Owner Zipcode 70606-6550
Operator is an individual? No
Operator Name ERA HELICOPTERS LLC
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address PO BOX 6550
Operator City LAKE CHARLES
Operator State LA
Operator Country USA
Operator Zip code 70606-6550
Operator Code --
Owner has at least one certificate Yes - certificate holder
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation --
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) --
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code PABE
Departure City Bethel
Departure State AK
Departure Country USA
Departure Time 1755
Departure Time Zone ADT
Destination Same as Local Flt crash at destination city
Destination Airport Code ILI
Destination City Iliamna
Destination State AK
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Feb 6 2014 3:52PM
User who most recently changed record stam
Since inspection or accident Time of Accident
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --