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Accidents · NTSB CEN23FA142 · Final report

Robinson Helicopter Company R44 II accident near Port Allen, Louisiana, March 26, 2023

On March 26, 2023 at about 7:38 am local time, a 2009 Robinson Helicopter Company R44 II, registered N441PD, was destroyed in an accident during maneuvering (low-alt flying) near Port Allen, Louisiana. It was an aerial observation flight under general aviation rules (Part 91). 2 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 the visual flight rules flight into deteriorating weather conditions, which resulted in spatial disorientation and the loss of aircraft control.

Source: NTSB aviation accident database, copy made October 5, 2026. Docket and reports at the NTSB.

What the record shows

Date
March 26, 2023 · about 7:38 am local time
Place
Port Allen, Louisiana · map
Type
Accident
Injuries
2 people were killed.
Weather
instrument conditions (cloud, fog or low visibility)
Aircraft
Robinson Helicopter Company R44 II, built 2009
Registration
N441PD · registry record · serial 12494
Damage
Destroyed
Flight
Aerial observation flight · general aviation rules (Part 91)

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

With cloud ceilings at or below 1,000 ft above ground level (agl), the police department helicopter departed about 0226 to provide aerial support to law enforcement ground units that were conducting a high-speed pursuit of a vehicle. The helicopter flight crew (pilot and tactical flight officer) advised dispatch and ground units via radio that they were assisting and requested updates to the vehicle movement and location. ADS-B data showed the helicopter departed the airport to the south, turned west, then overflew a highway to the west of the departure airport. Unable to maintain safe pursuit of the vehicle, dispatch terminated the pursuit to all responding units, including the helicopter, via radio at 0235. There were no further communications received from the helicopter. About that time, the data showed the helicopter executed a shallow left deviation to the south of the highway. Following the deviation, the helicopter turned left, and the turn rate increased. A series of turns and altitude changes followed. The ADS-B data ended at 0238 at an altitude of about 1,450 agl. There were no witnesses to the accident. The pilot did not obtain a weather briefing or complete a department-required flight risk assessment before the flight. Although the accident was not survivable, police department personnel were unaware the helicopter had not returned to the base. Later that day, a family member reported that the tactical flight officer had not returned home, and his cellular phone was sending a signal from a remote area. The local sheriff’s department searched the area and located the helicopter at 1114. Postaccident examination of the airframe and engine revealed no evidence of any preimpact mechanical malfunctions or failures that would have precluded normal operation. Debris location at the accident site and wreckage signatures are consistent with main rotor blade contact to the cockpit/cabin structure near the end of the flight. There was a stationary weather front in the vicinity of the accident site and that, combined with relatively moist surface air and low-level inversion, helped to create an environment conducive to the formation of low clouds and fog. Weather imagery showed a low cloud cover over the accident site at the accident time. The pilot did not hold an instrument rating. In addition, he had not received simulator training on strategies and techniques for recognizing, avoiding, and escaping inadvertent encounters with instrument meteorological conditions (IMC). Research indicates that inadvertent IMC training can improve pilot control and increase the likelihood of surviving such encounters. Such training might have recalibrated the pilot’s risk tolerance for situations involving continued visual flight rules (VFR) flight in IFR conditions, motivated him to avoid them, and helped him to maintain control of the helicopter in the event of an inadvertent encounter with IMC. Based on available flight data and weather information, it is likely that the pilot continued the vehicle pursuit into deteriorating weather conditions. After termination of the pursuit, the helicopter’s erratic maneuvers are consistent with the pilot experiencing spatial disorientation, a loss of control in flight, and inability to recover the helicopter. Ethanol was detected at a low level in cavity blood, a specimen type in which n-propanol was also detected. Ethanol was not detected in vitreous fluid, which is generally the specimen type best protected against postmortem ethanol formation. These results indicate that some or all of the small amount of detected ethanol may have been from postmortem production, and that ethanol effects did not likely contribute to the accident.

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. VFR encounter with IMC during maneuvering (low-alt flying) defining event
  2. Loss of visual reference during maneuvering (low-alt flying)
  3. Loss of control in flight during maneuvering (low-alt flying)
  4. Aircraft structural failure during maneuvering (low-alt flying)
  5. Collision with terrain or object (not controlled flight into terrain) during maneuvering (low-alt flying)

The NTSB's findings

  • Personnel issues › Action/decision › Info processing/decision › Decision making/judgment › Pilot
  • Environmental issues › Conditions/weather/phenomena › Ceiling/visibility/precip › Low visibility › Effect on operation
  • Personnel issues › Task performance › Use of equip/info › Aircraft control › Pilot
  • Personnel issues › Psychological › Perception/orientation/illusion › Spatial disorientation › Pilot
  • Aircraft › Aircraft oper/perf/capability › Performance/control parameters › (general) › Not attained/maintained

Pilot

  • Certificate: private
  • Ratings: rotorcraft: helicopter
  • Flight time: 1,253.3 hours in all; 1,125.6 in this make and model
  • Last flight review: August 11, 2021
  • Medical certificate: Class 2 (without waivers/limitations)
  • Seat: rgt
  • Injury: fatal

Other crew

  • Certificate: commercial pilot, remote
  • Ratings: rotorcraft: helicopter
  • Flight time: 1,776.1 hours in all; 1,748 as pilot in command
  • Last flight review: April 27, 2021
  • Medical certificate: Class 2 (without waivers/limitations)
  • Seat: left
  • Injury: fatal

The aircraft

  • Airframe total time: 6,565.2 hours
  • Last inspection: annual inspection, January 2, 2023; 79.1 hours since
  • Maximum gross weight: 2,500 lb
  • Seats: 3
  • Landing gear: fixed
  • Engine: Lycoming IO-540-AE1A5 (piston); 79 hours total
  • Operator: Baton Rouge Police Department

The flight

  • Departed from: BTR Baton Rouge LA at 7:26 am
  • A second pilot was aboard

Weather at the time

  • Light: night
  • Wind: from 180° at 8 knots
  • Visibility: 10 statute miles
  • Sky: overcast at 900 ft
  • Temperature: 75°F (24°C), dew point 72°F (22°C)
  • Altimeter: 29.86 inHg
  • Observation at 2:37 am from KBTR, 9 miles away

Weather report (METAR): KBTR 260737Z AUTO 18008KT 10SM OVC009 24/22 A2986 RMK AO2 CIG 009V013 T02390217

Injuries

FatalSeriousMinorNone
Flight crew2

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

19 documents, released by the NTSB on January 29, 2025. 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 Weather Factual Report PDF, 21 pages · our copy View Download
2 Weather Attachment 1 GIF file · our copy Download
3 Weather Attachment 2 PDF, 7 pages · our copy View Download
4 Electronic Devices - Specialist's Factual Report PDF, 6 pages · our copy View Download
5 Pilot/operator Aircraft Accident Report, NTSB Form 6120.1 PDF, 9 pages · our copy View Download
6 Flight Track Overview PDF, 4 pages · our copy View Download
7 ADS-B Data data file · our copy Download
8 Brpd Wreckage Site Documentation PDF, 3 pages · our copy View Download
9 Brpd Dispatch Log PDF, 10 pages · our copy View Download
10 Aircraft Examination Summary PDF, 21 pages · our copy View Download
11 Excerpts of Aircraft Records PDF, 3 pages View Download
12 Record of Conversation - Brpd Air Support Unit Lt. PDF, 3 pages · our copy View Download
13 Brpd Flight Risk Matrix Form PDF, 1 page · our copy View Download
14 Brpd Air Support Unit Sops PDF, 36 pages · our copy View Download
15 Toxicological Report - Pilot PDF, 1 page · our copy View Download
16 Statement of Party Representatives to NTSB Investigation - Robinson Helicopter PDF, 1 page · our copy View Download
17 Statement of Party Representatives to NTSB Investigation - Lycoming Engines PDF, 1 page · our copy View Download
18 Release of Aircraft Wreckage, NTSB Form 6120.15 PDF, 2 pages · our copy View Download
19 Medical Factual Memorandum for Record PDF, 3 pages · our copy View Download

The same docket at the NTSB.

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 never names anyone involved. A preliminary report can change; the final report usually follows one to two years later, and the page is refreshed when it does.