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Accidents · NTSB ANC13GA036 · Final report

Eurocopter AS350 accident near Talkeetna, Alaska, March 31, 2013

On March 31, 2013 at about 7:20 am local time, a Eurocopter AS350 (helicopter), registered N911AA, was destroyed in an accident during maneuvering (low-alt flying) near Talkeetna, Alaska. It was a public-use flight (state) under public-use (government) rules. 3 people were killed. The weather was instrument conditions (cloud, fog or low visibility).

The NTSB's probable cause their words, unchanged

The pilot's decision to continue flight under visual flight rules into deteriorating weather conditions, which resulted in the pilot's spatial disorientation and loss of control. Also causal was the Alaska Department of Public Safety's punitive culture and inadequate safety management, which prevented the organization from identifying and correcting latent deficiencies in risk management and pilot training. Contributing to the accident was the pilot's exceptionally high motivation to complete search and rescue missions, which increased his risk tolerance and adversely affected his decision-making.

Source: NTSB aviation accident database, copy made November 2, 2026. Docket and reports at the NTSB.

What the record shows

Date
March 31, 2013 · about 7:20 am local time · cases in 2013
Place
Talkeetna, Alaska · map
Type
Accident
Injuries
3 people were killed.
Weather
instrument conditions (cloud, fog or low visibility)
Aircraft
Eurocopter AS350 · all AS350s on the register
Registration
N911AA · registry record · serial 3611
Damage
Destroyed
Flight
Public-use flight (state) · public-use (government) rules

The NTSB's narrative final · quoted from the NTSB record

The Safety Board's full report is available at http://www.ntsb.gov/investigations/AccidentReports/Pages/aviation.aspx. The Aircraft Accident Report number is NTSB/AAR-14/03. On March 30, 2013, at 2320 Alaska daylight time, a Eurocopter AS350 B3 helicopter, N911AA, impacted terrain while maneuvering during a search and rescue (SAR) 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. The helicopter was registered to and operated by the Alaska Department of Public Safety (DPS) as a public aircraft operations flight under 14 Code of Federal Regulations Part 91. Instrument meteorological conditions (IMC) prevailed in the area at the time of the accident. The flight originated at 2313 from a frozen pond near the snowmobiler's rescue location and was destined for an off-airport location about 16 mi south.

The complete narrative as the NTSB published it. The NTSB's docket holds the report as a PDF and any photographs, statements and other documents from the investigation.

The factual record from the NTSB's investigation tables, in plain English

What happened, in order

  1. Loss of control in flight during maneuvering (low-alt flying) defining event
  2. Collision with terrain or object (not controlled flight into terrain) during maneuvering (low-alt flying)

The NTSB's findings

  • cause Personnel issues › Action/decision › Info processing/decision › Decision making/judgment › Pilot
  • Environmental issues › Conditions/weather/phenomena › Ceiling/visibility/precip › Obscuration › Effect on operation
  • cause Personnel issues › Psychological › Perception/orientation/illusion › Spatial disorientation › Pilot
  • cause Personnel issues › Task performance › Use of equip/info › Aircraft control › Pilot
  • cause Aircraft › Aircraft oper/perf/capability › Performance/control parameters › (general) › Not attained/maintained
  • cause Organizational issues › Management › Culture › Safety › Other government
  • cause Organizational issues › Support/oversight/monitoring › Oversight › Oversight of operation › Other government
  • factor Personnel issues › Psychological › Personality/attitude › Motivation/respond to pressure › Pilot
  • Organizational issues › Support/oversight/monitoring › Training › (general) › Operator
  • Organizational issues › Support/oversight/monitoring › Safety programs › (general) › Operator
  • Organizational issues › Management › Resources › Adequacy of documents/info › FAA/Regulator
  • Personnel issues › Experience/knowledge › Experience/qualifications › Total experience › Flt operations/dispatcher

Pilot

  • Certificate: airline transport pilot, flight instructor, commercial pilot
  • Ratings: multi-engine land; single-engine land; single-engine sea; instructor: helicopter; instrument: airplane; instrument: helicopter; rotorcraft: helicopter
  • Flight time: 10,693 hours in all; 3,350 in this make and model
  • Last flight review: March 18, 2013
  • Medical certificate: Class 2 (with waivers/limitations)
  • Seat: rgt
  • Injury: fatal

The aircraft

  • Airframe total time: 2,518 hours
  • Last inspection: continuous airworthiness programme, March 17, 2013
  • Landing gear: fixed
  • Engine: Arriel 2B (turboshaft); 0 hours total
  • Fire on the ground
  • Operator: State of Alaska

The flight

  • Departed from: Talkeetna AK at 2:13 am
  • Destination: Talkeetna AK
  • Flight plan: none

Weather at the time

  • Light: night
  • Visibility: 7 statute miles
  • Sky: overcast at 2,400 ft
  • Temperature: 34°F (1°C), dew point 34°F (1°C)
  • Observation at 2:14 am from PATK

Injuries

FatalSeriousMinorNone
Flight crew1
Passengers2

Documents from the investigation the NTSB's docket: the evidence folder behind the report

117 documents, released by the NTSB on February 3, 2014. View them here, or download them; the NTSB redacts some personal details before release, and this site shows the NTSB's own titles rather than its file names.

#DocumentWhat it is
1 Pilot/operator Aircraft Accident Report, NTSB Form 6120.1 PDF, 10 pages View Download
2 Meteorology 5 - Factual Report of Group Chairman PDF, 39 pages View Download
3 Meteorology 5 - Attachment 1 PDF, 2 pages View Download
4 Non-volatile Memory Devices - Specialist's Factual Report PDF, 10 pages View Download
5 Operations 2 - Factual Report of Group Chairman with 8 Embedded Images) PDF, 53 pages View Download
6 Operations 2 - Attachment 1 - List of Persons Interviewed PDF, 3 pages View Download
7 Operations 2 - Attachment 2 - Timeline of Events PDF, 1 page View Download
8 Operations 2 - Attachment 3 - Snowmobiler's Cell Phone Records PDF, 1 page View Download
9 Operations 2 - Attachment 4 - Pilot's Notepad Excerpt PDF, 1 page View Download
10 Operations 2 - Attachment 5 - Pilot's Sar Reports Oct 2012 to Mar 2013 PDF, 56 pages View Download
11 Airworthiness Factual Report of Group Chairman PDF, 15 pages View Download
12 Operations 2 - Attachment 6 - Pilot's Resume PDF, 2 pages View Download
13 Operations 2 - Attachment 7 - Pilot's Military Records PDF, 7 pages View Download
14 Operations 2 - Attachment 8 - Excerpts from Pilot's Performance Evaluations PDF, 7 pages View Download
15 Operations 2 - Attachment 9 - Excerpts from Pilot's Messages of Appreciation PDF, 6 pages View Download
16 Operations 2 - Attachment 10 - Excerpts from Pilot's Commendations PDF, 5 pages View Download
17 Operations 2 - Attachment 11 - Pilot's Training and Check Flights 2001-2013 PDF, 33 pages View Download
18 Operations 2 - Attachment 12 - Quote for NVG Training PDF, 3 pages View Download
19 Operations 2 - Attachment 13 - Excerpts from Pilot's Logbooks PDF, 42 pages View Download
20 Operations 2 - Attachment 14 - Pilot's Flight Time with Dps PDF, 6 pages View Download
21 Operations 2 - Attachment 15A - Helicopter Log Sheets Oct 2012 to Mar 2013 PDF, 26 pages View Download
22 Operations 2 - Attachment 15B - Pilot's NVG Currency Form Dated March 15, 2013 PDF, 1 page View Download
23 Operations 2 - Attachment 16 - Dps Memorandum on 2006 Accident PDF, 4 pages View Download
24 Operations 2 - Attachment 17 - Dps Memorandum of Warning to Pilot Following 2006 Accident PDF, 1 page View Download
25 Onboard Image Recorder 12 - Factual Report of Group Chairman PDF, 11 pages View Download
26 Operations 2 - Attachment 18 - Dps Report on 2009 Over Speed Incident PDF, 10 pages View Download
27 Operations 2 - Attachment 19 - Excerpt from Turbomeca Report on 2009 Over Speed Incident PDF, 1 page View Download
28 Operations 2 - Attachment 20 - Eurocopter Information on Gov Failure Procedures PDF, 36 pages View Download
29 Operations 2 - Attachment 21 - Pilot's Statement About 2011 Over Torque Incident PDF, 1 page View Download
30 Operations 2 - Attachment 22 - Dps Memorandum Addressing 2011 Over Torque Incident PDF, 2 pages View Download
31 Operations 2 - Attachment 23 - Pilot's Time Sheet for March 16-31, 2013 PDF, 1 page View Download
32 Operations 2 - Attachment 24 - Pilot's Pay for Calendar Year 2012 PDF, 1 page View Download
33 Operations 2 - Attachment 25 - Dps Memorandums Concerning Pilot Discussions with Lead Mechanic PDF, 2 pages View Download
34 Operations 2 - Attachment 26 - Form 337 Showing Installation of Attitude Indicator PDF, 4 pages View Download
35 Operations 2 - Attachment 27 - Email from L3 and Excerpts from Attitude Indicator Installation and Operation Manual PDF, 10 pages View Download
36 Operations 2 - Attachment 28 - TSO-C4C Bank and Pitch Instruments PDF, 9 pages View Download
37 Operations 2 - Attachment 29 - Turn and Bank Indicator Discrepancy Documentation from 2004 PDF, 1 page View Download
38 Operations 2 - Attachment 30 - Weight and Balance Documents and Calculation PDF, 7 pages View Download
39 Operations 2 - Attachment 31 - NVG Inspection Record Dated March 22, 2013 PDF, 1 page View Download
40 Operations 2 - Attachment 32 - Pilot's Toxicology Report PDF, 1 page View Download
41 Operations 2 - Attachment 33 - Excerpts from FY2014 Governor's Budget Document Related to Aircraft Section PDF, 4 pages View Download
42 Operations 2 - Attachment 34 - Aircraft Section Training Budget Fy 2010 to 2013 PDF, 8 pages View Download
43 Operations 2 - Attachment 35 - Excerpts from Dps Aircraft Operating Manual PDF, 31 pages View Download
44 Operations 2 - Attachment 36 - Email Regarding Pilot's NVG Minimums PDF, 1 page View Download
45 Operations 2 - Attachment 37 - Medallion Foundation Program Information PDF, 10 pages View Download
46 Operations 2 - Attachment 38 - Dps Aircraft Section Safety Policy Statement PDF, 2 pages View Download
47 Operations 2 - Attachment 39 - State of Alaska Dps Accidents 2000-2013 PDF, 1 page View Download
48 Operations 2 - Attachment 40 - Alaska Dps Flight Hours for Fiscal Years 2000-2013 PDF, 14 pages View Download
49 Operations 2 - Attachment 41 - Excerpts from FY2014 Governor's Budget Document Related to Sar PDF, 4 pages View Download
50 Operations 2 - Attachment 42 - FAA Operations Specification A021 PDF, 4 pages View Download
51 Operations 2 - Interview 1 - Record of Interview of Pilot's Wife PDF, 7 pages View Download
52 Operations 2 - Interview 2 - Transcript of First Interview of Aircraft Section Commander PDF, 48 pages View Download
53 Operations 2 - Interview 3 - Transcript of Interview of Former Ast Sar Coordinator PDF, 70 pages View Download
54 Operations 2 - Interview 4 - Transcript of Interview of Lead Mechanic PDF, 77 pages View Download
55 Operations 2 - Interview 5 - Transcript of Interview of Shop Foreman PDF, 54 pages View Download
56 Operations 2 - Interview 6 - Transcript of Interview of Former Aircraft Section Pilot PDF, 80 pages View Download
57 Operations 2 - Interview 7 - Transcript of Interview of Former Aircraft Section Supervisor 2004-2005 PDF, 66 pages View Download
58 Operations 2 - Interview 8 - Transcript of Second Interview of Aircraft Section Commander PDF, 68 pages View Download
59 Operations 2 - Interview 9 - Transcript of Interview of Ast Trooper Pilot PDF, 61 pages View Download
60 Operations 2 - Interview 10 - Transcript of Interview of Former HELO-1 Relief Pilot PDF, 100 pages View Download
61 Operations 2 - Interview 11 - Transcript of Interview of Commissioner of Dps PDF, 60 pages View Download
62 Operations 2 - Interview 12 - Transcript of Interview of Director of Awt PDF, 71 pages View Download
63 Operations 2 - Interview 13 - Transcript of Interview of On-duty Sar Coordinator PDF, 70 pages View Download
64 Operations 2 - Interview 14 - Transcript of Interview of Amrg Observer PDF, 99 pages View Download
65 Operations 2 - Interview 15 - Transcript of Interview of Deputy Director of Awt PDF, 62 pages View Download
66 Operations 2 - Interview 16 - Transcript of Interview of Nps Chief Ranger South District Denali National Park PDF, 77 pages View Download
67 Operations 2 - Interview 17 - Transcript of Interview of HELO-1 Relief Pilot PDF, 82 pages View Download
68 Operations 2 - Interview 18 - Transcript of Interview of Matcom Technology Support Specialist PDF, 40 pages View Download
69 Operations 2 - Interview 19 - Record of Interview of Line Technician Gorham PDF, 1 page View Download
70 Operations 2 - Interview 20 - Record of Interview of Line Technician Curtiss PDF, 2 pages View Download
71 Operations 2 - Interview 21 - Transcript of Interview of Civilian Check Pilot PDF, 54 pages View Download
72 Operations 2 - Interview 22 - Transcript of Interview of Ast Sar Coordinator PDF, 72 pages View Download
73 Operations 2 - Interview 23 - Transcript of Interview of FAA Maintenance Inspector PDF, 34 pages View Download
74 Operations 2 - Interview 24 - Transcript of Interview of Ltcol at Air Force Rcc PDF, 53 pages View Download
75 Operations 2 - Interview 25 - Transcript of Interview of Former Aircraft Section Supervisor 2005-2006 PDF, 50 pages View Download
76 Operations 2 - Interview 26 - Transcript of Interview of Recently Retired Aircraft Section Supervisor PDF, 78 pages View Download
77 Operations 2 - Interview 26 Addendum - Comment on Transcript by Interviewee PDF, 1 page View Download
78 Operations 2 - Interview 27 - Record of Interview of Chief of Talkeetna Fire Department PDF, 1 page View Download
79 Operations 2 - Interview 28 - Record of Interview of Emt with Talkeetna Fire Department PDF, 2 pages View Download
80 Operations 2 - Interview 29 - Record of Interview of Talkeetna Area Resident Asked to Assist in Rescue PDF, 2 pages View Download
81 Operations 2 - Interview 30 - Transcript of Interview of Retired Aircraft Section Mechanic PDF, 42 pages View Download
82 Operations 2 - Interview 31 - Transcript of Interview of Former Aircraft Section Mechanic 2004-2007 PDF, 31 pages View Download
83 Operations 2 - Interview 32 - Transcript of Interview of Eurocopter Technical Representative for Alaska PDF, 37 pages View Download
84 Operations 2 - Interview 33 - Record of Interview of Trooper's Wife PDF, 1 page View Download
85 Operations 2 - Interviews 34 & 35 - Medallion Foundation Personnel PDF, 52 pages View Download
86 Statement of Party Representatives to NTSB Investigation - Alaska State Troopers (Oleck) PDF, 1 page View Download
87 Statement of Party Representatives to NTSB Investigation - Alaska State Troopers (Cockrell) PDF, 1 page View Download
88 Survival Factors 6 - Factual Report of Group Chairman PDF, 8 pages View Download
89 Survival Factors 6 - Attachment 1 - Matcom Dispatch Shift Schedule PDF, 2 pages View Download
90 Survival Factors 6 - Attachment 2 - Matcom Console Positions PDF, 4 pages View Download
91 Survival Factors 6 - Attachment 3 - Operations Manual PDF, 4 pages View Download
92 Survival Factors 6 - Attachment 4 - Timeline of Events PDF, 7 pages View Download
93 Survival Factors 6 - Attachment 5 - Map of Coordinates PDF, 2 pages View Download
94 Survival Factors 6 - Attachment 6 - Dispatch Interviews PDF, 13 pages View Download
95 Survival Factors 6 - Attachment 7 - Cad Incident Report Log PDF, 9 pages View Download
96 Retention / Release of Wreckage Form - GPS PDF, 1 page View Download
97 Retention / Release of Wreckage Form - Phone PDF, 1 page View Download
98 Retention / Release of Wreckage Form - Logbooks PDF, 1 page View Download
99 Onboard Electronic Recording Device - Attachment 1 Data data file Download
100 Onboard Electronic Recording Device 17 - Specialist's Factual Report of Investigation PDF, 12 pages View Download
101 ADDENDUM-1 Onboard Electronic Recording Device 17 - Specialist's Factual Report of Investigation PDF, 2 pages View Download
102 Operations Hp Factual - Addendum 1 PDF, 2 pages View Download
103 Operations - Attachment 15A Addendum - Additional Helicopter Records PDF, 8 pages View Download
104 Addendum 2 - Onboard Electronic Recording Device PDF, 3 pages View Download
105 Video Pitch Roll - Addendum 2 data file Download
106 Accident Flight Lip Light Position PDF, 1 page View Download
107 Survival Factors Factual - Errata PDF, 1 page View Download
108 Aircraft Performance Memo PDF, 21 pages View Download
109 General Counsel Letter to Ast PDF, 17 pages View Download
110 General Counsel to Ast Email Correspondence PDF, 2 pages View Download
111 Pilot's Notes on Maintenance Issues PDF, 25 pages View Download
112 Alaska Dps Current Aircraft Section Organization Chart PDF, 1 page View Download
113 Alaska Dps 2013 Organizational Charts PDF, 2 pages View Download
114 Ast Submission PDF, 4 pages View Download
115 Airbus Submission Response PDF, 1 page View Download
116 Rcc Summary and Timeline PDF, 2 pages View Download
117 Photo 1 - Aerial View of Accident Site PDF, 1 page View Download

The same docket at the NTSB · documents without a copy here are fetched from the NTSB when you open them.

Other NTSB records under N911AA the same tail number, which may have belonged to a different aircraft at the time

2006-04-21ANC06TA047 · accident near Nikiski, AK · substantial damage · no injuries
1983-07-20MKC83FA161 · accident near Chesterfield, MO · destroyed · fatal

Connections how this case links to the rest of the register

Aircraft
Place
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The whole map of how records connect · these connections as data: /graph/accident/ANC13GA036.json.

The bigger picture in Aviation Analytics: accidents over time since 1982, by model, by phase of flight and conditions, by place and on the map.

Everything on this page comes from the NTSB's public records. The narrative, probable cause and findings are the NTSB's own words; the coded tables behind the report are written out in plain English, with pilots' ages, home towns and medical details left out. The documents and photographs are the NTSB's docket, shown as the NTSB released them. This site's own text does not name anyone involved, its policy at this time. A preliminary report can change; the final report usually follows one to two years later, and the page is refreshed when it does.