Narrative:

I was returning from a patient pickup to my home base hospital in ZZZ, when an small aircraft came out of my 11 O'clock position at my altitude on a collision course. As soon as I saw the aircraft, I banked my aircraft hard left and dove. I estimate we missed by 200'. The small aircraft seemed not to see me until we had passed, then I noticed he went into a slight left bank. No damage to my aircraft or crew members occurred. The small aircraft approached me in a blind spot in my window due to center post and wipers of the wind screen. Visibility was 3-6 mi with haze and fog mixed with light rain. I was too low to be on approach control due to cloud layer, I was flight following with my hospital dispatcher. Since both aircraft were closing upon each other at 150 mph+, that only allowed each of us 1 min to locate and identify the possible danger and take corrective action. Situation occurred due to related factors stated above and although I was constantly scanning for aircraft while performing my cockpit checks and navigation checks, more physical movement to different head positions while scanning may help prevent such an occurrence in the future.

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Original NASA ASRS Text

Title: NMAC IN MVFR CONDITIONS.

Narrative: I WAS RETURNING FROM A PATIENT PICKUP TO MY HOME BASE HOSPITAL IN ZZZ, WHEN AN SMA CAME OUT OF MY 11 O'CLOCK POSITION AT MY ALT ON A COLLISION COURSE. AS SOON AS I SAW THE ACFT, I BANKED MY ACFT HARD LEFT AND DOVE. I ESTIMATE WE MISSED BY 200'. THE SMA SEEMED NOT TO SEE ME UNTIL WE HAD PASSED, THEN I NOTICED HE WENT INTO A SLIGHT LEFT BANK. NO DAMAGE TO MY ACFT OR CREW MEMBERS OCCURRED. THE SMA APCHED ME IN A BLIND SPOT IN MY WINDOW DUE TO CENTER POST AND WIPERS OF THE WIND SCREEN. VISIBILITY WAS 3-6 MI WITH HAZE AND FOG MIXED WITH LIGHT RAIN. I WAS TOO LOW TO BE ON APCH CTL DUE TO CLOUD LAYER, I WAS FLT FOLLOWING WITH MY HOSPITAL DISPATCHER. SINCE BOTH ACFT WERE CLOSING UPON EACH OTHER AT 150 MPH+, THAT ONLY ALLOWED EACH OF US 1 MIN TO LOCATE AND IDENTIFY THE POSSIBLE DANGER AND TAKE CORRECTIVE ACTION. SITUATION OCCURRED DUE TO RELATED FACTORS STATED ABOVE AND ALTHOUGH I WAS CONSTANTLY SCANNING FOR ACFT WHILE PERFORMING MY COCKPIT CHECKS AND NAVIGATION CHECKS, MORE PHYSICAL MOVEMENT TO DIFFERENT HEAD POSITIONS WHILE SCANNING MAY HELP PREVENT SUCH AN OCCURRENCE IN THE FUTURE.

Data retrieved from NASA's ASRS site as of August 2007 and automatically converted to unabbreviated mixed upper/lowercase text. This report is for informational purposes with no guarantee of accuracy. See NASA's ASRS site for official report.