题名: |
Crash After Encounter with Instrument Meteorological Conditions After Departure from Remote Landing Site, Alaska Department of Public Safety, Eurocopter AS350 B3, N911AA, Talkeetna, Alaska, March 30, 2013 |
摘要: |
This report discusses the March 30, 2013, accident involving a Eurocopter AS350 B3 helicopter, N911AA, operated by the Alaska Department of Public Safety, which impacted terrain while maneuvering during a search and rescue flight near Talkeetna, Alaska. The airline transport pilot, an Alaska state trooper serving as a flight observer for the pilot, and a stranded snowmobiler who had requested rescue were killed, and the helicopter was destroyed by impact and postcrash fire. Safety issues include inadequate pilot decision-making and risk management; lack of organizational policies and procedures to ensure proper risk management; inadequate pilot training, particularly for night vision goggle use and inadvertent instrument meteorological condition encounters; inadequate dispatch and flight following; lack of a tactical flight officer program; punitive safety culture; lack of management support for safety programs; and attitude indicator limitations. Safety recommendations are addressed to the Federal Aviation Administration, the state of Alaska, 44 additional states, the Commonwealth of Puerto Rico, and the District of Columbia. |