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ANC16LA022 · Airbus AS350 B2

5 May 2016 · Juneau, AK, United States

ERA Helicopters Airbus AS350 B2 · Accident: loss of visual reference on approach

From Juneau, AK to Juneau, AK

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Event

NTSB case
ANC16LA022
Event typeAccident: someone killed or seriously injured, or the aircraft substantially damaged (NTSB definition). Incident: an occurrence that affected or could have affected safety, short of that. Glossary
Accident
InvestigationHow far the investigation had got when the record was published: preliminary, ongoing, final or completed. Unknown where the source does not say. Glossary
Completed
API-reported fatalities
0 · all aircraft and ground
Ground fatalities
Unknown
OperationWhat kind of flying it was, grouped by the rules it flew under: airline (US Part 121), air taxi and commuter (Part 135), general aviation (Part 91 and similar), military or government. Glossary
General aviation
WeatherVisual meteorological conditions (VMC): good enough to fly by looking outside. Instrument conditions (IMC): cloud or low visibility, flying by instruments. Glossary
Visual Meteorological Cond

Airbus AS350 B2

Aircraft type
Airbus AS350
Category
Helicopter
RegistrationThe aircraft's tail number, such as N12345 or G-ABCD. Registrations are reissued, so the same one years apart can be a different aircraft. Glossary
N194EH
Onboard fatalities
Unknown
Route
From Juneau, AKTo Juneau, AK
Aircraft age
About 24 years (built 1992)
Flight rulesThe regulations the flight operated under: in the US, Part 91 (general aviation), Part 121 (airlines), Part 135 (air taxi and commuter) and others; for flights abroad, the NTSB's coarser commercial or non-commercial code. Glossary
Part 91: General Aviation
Phase of flightThe stage of the flight when things started to go wrong: standing, taxi, takeoff, initial climb, en route, maneuvering, approach or landing. Glossary
Approach
Defining eventThe single coded event the NTSB judges best describes what happened (records from 2008 on). Older records name the first occurrence in the sequence instead. Glossary
Loss of visual reference
DamageDestroyed: beyond practical repair. Substantial: damage that affects the structure, performance or handling and normally needs major repair. Minor: less than that. Glossary
Substantial

Cause areas

  • Aircraft › Aircraft oper/perf/capability
  • Environmental issues › Conditions/weather/phenomena
  • Personnel issues › Action/decision
  • Personnel issues › Psychological

Approximate · Coordinates as recorded by the NTSB; no uncertainty radius is established.

NTSB narrative

The instrument-rated commercial pilot was making a visual flight rules internal-cargo company flight in the helicopter. He reported that flat light conditions were present as he made a visual approach for landing at a remote dog camp situated on a glacier. During the approach, the helicopter impacted terrain, coming to rest about 3/4 mile from the dog camp. The pilot reported that there were no preimpact mechanical anomalies with the helicopter and characterized the accident as controlled flight into terrain. It is likely that the pilot failed to maintain terrain clearance due to his inability to distinguish distances and closure rates because of the flat light optical illusion.

The single cargo strap securing a plastic box containing a metal heater to the rear cabin floor remained intact during the accident sequence; however, the plastic box shifted forward due to the momentum of the helicopter impacting terrain, which allowed the metal heater to escape from the lidded box. It is likely that the metal heater struck the pilot and/or the pilot's seat in the accident sequence, contributing to the serious injuries sustained by the pilot. The single cargo strap used to secure the plastic box was installed such that it provided lateral restraint of the box but no forward restraint of the box. If the box had been restrained to prevent forward movement, it is likely that the metal heater would not have escaped from the box. Review of the helicopter's rotorcraft flight manual (RFM) revealed that it provided only a total weight limit for the rear cabin floor and did not provide any guidance about how to properly secure internal cargo in the cabin. Further, although the manufacturer indicated in a systems manual that cargo could be secured to the cabin floor using 11 mooring points embedded into the floor and provided a force limit for each mooring point, the systems manual provided no guidance regarding how the cargo should be attached to the mooring points; for example, no information was provided about the type and number of restraints to be used or how they should be configured. Airbus, the manufacturer of the helicopter, stated that it was the responsibility of the operator "to define an adapted cargo, freight, or baggage securement that is in respect to the limitations permissible force on the floor stowing mooring rings."

The Federal Aviation Administration (FAA) stated that operators do not have certification approval to install cargo in the cabin unless it is mentioned in the RFM or RFM supplement and that, if an FAA-approved cargo configuration has been published for a specific aircraft, the RFM for that aircraft is where information on how and where to install cargo will be found. However, the FAA also stated that it "is not aware of any documentation that would prohibit Part 27 rotorcraft from carrying cargo in the cabin, even if a certification does not exist for that helicopter."

Probable cause

The pilot's failure to maintain terrain clearance while on approach to land in flat light conditions. Contributing to the severity of the pilot's injuries was the inadequately restrained internal cargo, which shifted forward during the impact and struck the pilot and/or the pilot's seat.

Verbatim NTSB analysis and probable cause from the NTSB dataset

Sources

NTSB record ANC16LA022
Event ID
20160505X02315
Case number
ANC16LA022
Dataset
full-current
Source SHA-256
5cf380f0061817c0331a6b2d8cc7e0ee3a79bea469a1001dc5c10e56f35f5ab3
Source notes (4)
  • Unreviewed is an editorial label, not an investigation status. API-sourced is not report-checked or human-reviewed. Explicit event totals are used without summing aircraft injury tables; onboard allocation is withheld. Unknown values remain unknown. The operation category is mapped from the NTSB-reported FAR part and has not been reviewed.
  • Filled from the NTSB case API where the bulk record had no value: investigation status. Values present in the bulk record are kept.
  • The date is the local date, which is the same as the UTC date the NTSB stores.
  • API snapshot SHA-256: ad6a330b901605323125bec1cb59a9e26cf482687ed7bb8ce67ee215d11e91dd; retrieved 2026-09-16T03:20:58.955Z.