The FAA and NTSB are on the scene to investigate what caused this tragic accident. Emergency Medical Service (EMS) flight accidents continue to be a real issue for federal investigators. Between December 2007, and February 2010, 41 people have been killed in EMS air ambulance crashes. Back in February 2010, the NTSB had proposed to the FAA several safety recommendations to improve safety within EMS flights.    

The NTSB is concerned that these types of accidents will continue to occur if a concerted effort is not made to improve the safety of emergency medical flights. The NTSB would like to see stricter commuter aircraft regulations, implementation of a flight risk evaluation program for EMS operators, establishment of formalized dispatch and flight-following procedures including up-to-date weather regulations, and installation of terrain awareness and warning systems on aircraft used for EMS operations.  

In May 2009, another O'Hara Flying Service aircraft was involved in an accident when their twin-engine Cessna 421B, N60HG, was substantially damaged during a forced landing following the loss of engine power shortly after takeoff, near Alpine, Texas. The commercial pilot, sole occupant, was operating under a non EMS flight received minor injuries during the forced landing.