Type of Event | Accident |
Event Date | 3/29/2004 |
Event Day of the Week | Monday |
Time of Event | 1300 |
Event Time Zone | Pacific Standard Time |
Event City | Burlington |
Event State | WASHINGTON |
Event Country | -- |
Zipcode of the event site | 98233 |
Event Date Year | 2004 |
Event Date Month | 3 |
MidAir Collision Indicator | No |
On Ground Collision occurred ? | No |
Event Location Latitude | 482809N |
Event Location Longitude | 1222514W |
Event Location Airport | Skagit Regional |
Event Location Nearest Airport ID | BVS |
Indicates whether the acc/inc occurred off or on an airport | On Airport |
Distance from airport in statute miles | 0 |
Degrees magnetic from airport | -- |
Airport Elevation | 144 |
Weather Briefing Completeness | Not pertinent |
Investigator's weather source | Weather Observation Facility |
Time of the weather observation | 1255 Pacific Standard Time |
Direction of event from weather observation facility (degrees) | 220 |
Weather Observation Facility ID | NUW |
Elevation of weather observation facility | 47 |
Distance of event from weather observation facility (units?) | 12 |
Time Zone of the weather observation | PST |
Lighting Conditions | Day |
Lowest Ceiling Height | 14000 |
Lowest Non-Ceiling Height | -- |
Sky/Lowest/Cloud Conditions | -- |
Sky Condition for Lowest Ceiling | Broken |
Visibility Runway Visual Range (Feet) | -- |
Visibility Runway Visual Value (Statute Miles) | -- |
Visibility (Statute Miles) | 7 |
Air Temperature at event time (in degrees celsius) | 23 |
Dew Point at event time (in degress fahrenheit) | 4 |
Wind Direction (degrees magnetic) | 110 |
Variable Wind Indicator | Wind direction could be determined |
Wind Speed (knots) | 10 |
Wind Velocity Indicator | -- |
Wind Gust Indicator | Not Gusting |
Wind Gust (knots) | -- |
Altimeter Setting at event time (in. Hg) | 29.79 |
Density Altitude (feet) | -- |
Intensity of Precipitation | -- |
METAR weather report | -- |
Event Highest Injury | None |
On Ground, Fatal Injuries | -- |
On Ground, Minor Injuries | -- |
On Ground, Serious Injuries | -- |
Injury Total Fatal | -- |
Injury Total Minor | -- |
Injury Total None | 2 |
Injury Total Serious | -- |
Injury Total All | -- |
Investigating Agency | NTSB |
NTSB Docket Number (internal use) | 16428 |
NTSB Notification Source | FAA SEA FSDO |
NTSB Notification Date | Apr 7 2004 12:00AM |
NTSB Notification Time | 1355 |
Fiche Number and/or location -used to find docket information | DMS |
Date of most recent change to record | Sep 29 2004 1:02PM |
User who most recently changed record | NTSB\MONR |
Basic weather conditions | Visual Meteorological Cond |
FAA District Office | Renton FSDO |
Aircraft Involved |
|
---|---|
Aircraft #1 |
|
Aircraft Registration Number | N65ZA |
NTSB Number | SEA04LA066 |
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 | PZL Warzawa-Okecie |
Aircraft Model | PZL-104 Wilga 35A |
Aircraft Series Identifier | -- |
Aircraft Serial Number | 18830758 |
Certified Max Gross Weight | 2866 |
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 | Conditional |
Date of Last Inspection | -- |
Airframe hours since last inspection | 10 |
Airframe Hours | 2700 |
ELT Installed | Yes |
ELT Activated | Unknown |
ELT Aided Location of Event Site | No |
ELT Type | -- |
Aircraft Owner Name | Jacobson, Timothy S. |
Aircraft Owner Street Address | -- |
Aircraft Owner City | Gig Harbor |
Aircraft Owner State | WA |
Aircraft Owner Country | USA |
Aircraft Owner Zipcode | 98329 |
Operator is an individual? | No |
Operator Name | Martynovych, James A. |
Operator Same as Owner? | No |
Operator Is Doing Business As | -- |
Operator Address Same as Owner? | No |
Operator Street Address | -- |
Operator City | Coupeville |
Operator State | WA |
Operator Country | USA |
Operator Zip code | 98239 |
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 | BVS |
Departure City | Burlington |
Departure State | WA |
Departure Country | USA |
Departure Time | 1200 |
Departure Time Zone | PST |
Destination Same as Local Flt | dest & departure same, accident can occur anywhere |
Destination Airport Code | BVS |
Destination City | -- |
Destination State | -- |
Destination Country | -- |
Specific Phase of Flight | Go-around (VFR) |
Report sent to ICAO? | No |
Evacuation occurred | No |
Date of most recent change to record | Aug 4 2004 6:23PM |
User who most recently changed record | STAM |
Since inspection or accident | -- |
Event Location Runway Number and Location | 10 |
Runway Length | 5478 |
Runway Width | 100 |
Sight Seeing flight | No |
Air Medical Flight | No |
Medical Flight | -- |