| Type of Event | Accident |
| Event Date | 8/30/2003 |
| Event Day of the Week | Saturday |
| Time of Event | 1418 |
| Event Time Zone | Eastern Daylight Time |
| Event City | Harrisville |
| Event State | MICHIGAN |
| Event Country | -- |
| Zipcode of the event site | 48740 |
| Event Date Year | 2003 |
| Event Date Month | 8 |
| MidAir Collision Indicator | No |
| On Ground Collision occurred ? | No |
| Event Location Latitude | 444015N |
| Event Location Longitude | 0831815W |
| Event Location Airport | Harrisville Airport |
| Event Location Nearest Airport ID | 5Y0 |
| Indicates whether the acc/inc occurred off or on an airport | Off Airport/Airstrip |
| Distance from airport in statute miles | 1 |
| Degrees magnetic from airport | -- |
| Airport Elevation | 675 |
| Weather Briefing Completeness | Unknown |
| Investigator's weather source | Weather Observation Facility |
| Time of the weather observation | 1415 Eastern Daylight Time |
| Direction of event from weather observation facility (degrees) | 196 |
| Weather Observation Facility ID | OSC |
| Elevation of weather observation facility | 634 |
| Distance of event from weather observation facility (units?) | 14 |
| Time Zone of the weather observation | EDT |
| Lighting Conditions | Day |
| Lowest Ceiling Height | -- |
| Lowest Non-Ceiling Height | -- |
| Sky/Lowest/Cloud Conditions | Clear |
| Sky Condition for Lowest Ceiling | None |
| Visibility Runway Visual Range (Feet) | -- |
| Visibility Runway Visual Value (Statute Miles) | -- |
| Visibility (Statute Miles) | 10 |
| Air Temperature at event time (in degrees celsius) | 20 |
| Dew Point at event time (in degress fahrenheit) | 9 |
| Wind Direction (degrees magnetic) | 110 |
| Variable Wind Indicator | Wind direction could be determined |
| Wind Speed (knots) | 7 |
| Wind Velocity Indicator | -- |
| Wind Gust Indicator | Not Gusting |
| Wind Gust (knots) | -- |
| Altimeter Setting at event time (in. Hg) | 30.28 |
| Density Altitude (feet) | 989 |
| Intensity of Precipitation | -- |
| METAR weather report | -- |
| Event Highest Injury | Minor |
| On Ground, Fatal Injuries | -- |
| On Ground, Minor Injuries | -- |
| On Ground, Serious Injuries | -- |
| Injury Total Fatal | -- |
| Injury Total Minor | 3 |
| Injury Total None | -- |
| Injury Total Serious | -- |
| Injury Total All | 3 |
| Investigating Agency | NTSB |
| NTSB Docket Number (internal use) | 14871 |
| NTSB Notification Source | FAA |
| NTSB Notification Date | Aug 30 2003 12:00AM |
| NTSB Notification Time | 1538 |
| Fiche Number and/or location -used to find docket information | DMS |
| Date of most recent change to record | Mar 2 2004 8:07AM |
| User who most recently changed record | NTSB\MONR |
| Basic weather conditions | Visual Meteorological Cond |
| FAA District Office | Federal Aviation Administration, Grand Rapids FSDO |
Aircraft Involved |
|
|---|---|
Aircraft #1 |
|
| Aircraft Registration Number | N9574U |
| NTSB Number | CHI03LA298 |
| Missing Aircraft Indicator | -- |
| Federal Aviation Reg. Part | Part 91: General Aviation |
| Type of Flight Plan filed | None |
| Flight plan Was Activated? | No |
| Damage | Substantial |
| Aircraft Fire | None |
| Aircraft Explosion | None |
| Aircraft Manufacturer's Full Name | Grumman American |
| Aircraft Model | AA-5A |
| Aircraft Series Identifier | -- |
| Aircraft Serial Number | AA5-0074 |
| Certified Max Gross Weight | 2200 |
| Aircraft Category | Airplane |
| Aircraft Registration Class | U.S. Registered/U.S. Soil |
| Aircraft is a homebuilt? | No |
| Flight Crew Seats | -- |
| Cabin Crew Seats | -- |
| Passenger Seats | -- |
| Total number of seats on the aircraft | 4 |
| Number of Engines | 1 |
| Fixed gear or retractable gear | Fixed |
| Aircraft, Type of Last Inspection | Annual |
| Date of Last Inspection | Mar 22 2003 12:00AM |
| Airframe hours since last inspection | 47 |
| Airframe Hours | 2717 |
| ELT Installed | Yes |
| ELT Activated | Yes |
| ELT Aided Location of Event Site | No |
| ELT Type | -- |
| Aircraft Owner Name | Valerian F. Ulinski |
| Aircraft Owner Street Address | 961 Crestmoor Drive |
| Aircraft Owner City | Oxford |
| Aircraft Owner State | MI |
| Aircraft Owner Country | USA |
| Aircraft Owner Zipcode | 48371 |
| Operator is an individual? | Yes |
| Operator Name | -- |
| Operator Same as Owner? | Yes |
| Operator Is Doing Business As | -- |
| Operator Address Same as Owner? | Yes |
| Operator Street Address | -- |
| Operator City | -- |
| Operator State | -- |
| Operator Country | -- |
| Operator Zip code | -- |
| Operator Code | -- |
| Owner has at least one certificate | None |
| Other Operator of large aircraft? | -- |
| Certified for Part 133 or 137 Operation | -- |
| Operator Certificate Number | -- |
| Indicates whether an air carrier operation was scheduled or not | -- |
| Indicates Domestic or International Flight | -- |
| Operator carrying Pax/Cargo/Mail | -- |
| Type of Flying (Per_Bus / Primary) | Personal |
| Second Pilot on Board | No |
| Departure Point Same as Event | Yes |
| Departure Airport Code | 5Y0 |
| Departure City | Harrisville |
| Departure State | MI |
| Departure Country | USA |
| Departure Time | 1418 |
| Departure Time Zone | EDT |
| Destination Same as Local Flt | -- |
| Destination Airport Code | 57D |
| Destination City | Ray |
| Destination State | MI |
| Destination Country | USA |
| Specific Phase of Flight | Emergency landing after takeoff |
| Report sent to ICAO? | No |
| Evacuation occurred | No |
| Date of most recent change to record | Dec 31 2003 3:17PM |
| User who most recently changed record | SULP |
| Since inspection or accident | Time of Accident |
| Event Location Runway Number and Location | 21 |
| Runway Length | 2200 |
| Runway Width | 60 |
| Sight Seeing flight | No |
| Air Medical Flight | No |
| Medical Flight | -- |