Type of Event | Accident |
Event Date | 3/28/2004 |
Event Day of the Week | Sunday |
Time of Event | 1115 |
Event Time Zone | Central Standard Time |
Event City | Lowndesboro |
Event State | ALABAMA |
Event Country | -- |
Zipcode of the event site | 36752 |
Event Date Year | 2004 |
Event Date Month | 3 |
MidAir Collision Indicator | No |
On Ground Collision occurred ? | No |
Event Location Latitude | 321651N |
Event Location Longitude | 0863607W |
Event Location Airport | -- |
Event Location Nearest Airport ID | -- |
Indicates whether the acc/inc occurred off or on an airport | -- |
Distance from airport in statute miles | -- |
Degrees magnetic from airport | -- |
Airport Elevation | -- |
Weather Briefing Completeness | Not pertinent |
Investigator's weather source | Weather Observation Facility |
Time of the weather observation | 1153 Central Standard Time |
Direction of event from weather observation facility (degrees) | 340 |
Weather Observation Facility ID | MGM |
Elevation of weather observation facility | 221 |
Distance of event from weather observation facility (units?) | 25 |
Time Zone of the weather observation | CST |
Lighting Conditions | Day |
Lowest Ceiling Height | 6000 |
Lowest Non-Ceiling Height | -- |
Sky/Lowest/Cloud Conditions | Clear |
Sky Condition for Lowest Ceiling | Broken |
Visibility Runway Visual Range (Feet) | -- |
Visibility Runway Visual Value (Statute Miles) | -- |
Visibility (Statute Miles) | 10 |
Air Temperature at event time (in degrees celsius) | 26 |
Dew Point at event time (in degress fahrenheit) | 11 |
Wind Direction (degrees magnetic) | 230 |
Variable Wind Indicator | Wind direction could be determined |
Wind Speed (knots) | 7 |
Wind Velocity Indicator | -- |
Wind Gust Indicator | Unknown |
Wind Gust (knots) | -- |
Altimeter Setting at event time (in. Hg) | 30.19 |
Density Altitude (feet) | 1317 |
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 | 1 |
Injury Total None | -- |
Injury Total Serious | -- |
Injury Total All | 1 |
Investigating Agency | NTSB |
NTSB Docket Number (internal use) | 15817 |
NTSB Notification Source | FAA |
NTSB Notification Date | Mar 28 2004 12:00AM |
NTSB Notification Time | 1330 |
Fiche Number and/or location -used to find docket information | DMS |
Date of most recent change to record | Jul 29 2004 7:30AM |
User who most recently changed record | NTSB\MONR |
Basic weather conditions | Visual Meteorological Cond |
FAA District Office | Birmingham FSDO |
Aircraft Involved |
|
---|---|
Aircraft #1 |
|
Aircraft Registration Number | N910MB |
NTSB Number | ATL04CA083 |
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 | Dantzer Lawrence L |
Aircraft Model | Rans S-12 |
Aircraft Series Identifier | -- |
Aircraft Serial Number | 1090024 |
Certified Max Gross Weight | -- |
Aircraft Category | Airplane |
Aircraft Registration Class | U.S. Registered/U.S. Soil |
Aircraft is a homebuilt? | Yes |
Flight Crew Seats | -- |
Cabin Crew Seats | -- |
Passenger Seats | -- |
Total number of seats on the aircraft | 2 |
Number of Engines | 1 |
Fixed gear or retractable gear | Fixed |
Aircraft, Type of Last Inspection | -- |
Date of Last Inspection | -- |
Airframe hours since last inspection | -- |
Airframe Hours | -- |
ELT Installed | No |
ELT Activated | No |
ELT Aided Location of Event Site | No |
ELT Type | -- |
Aircraft Owner Name | Dennis G. Lewis |
Aircraft Owner Street Address | 2359 Newport Landing Road |
Aircraft Owner City | Lowndesboro |
Aircraft Owner State | AL |
Aircraft Owner Country | USA |
Aircraft Owner Zipcode | 36752 |
Operator is an individual? | No |
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 | PVT |
Departure City | Lowndesboro |
Departure State | AL |
Departure Country | USA |
Departure Time | 1100 |
Departure Time Zone | CST |
Destination Same as Local Flt | dest & departure same, accident can occur anywhere |
Destination Airport Code | -- |
Destination City | -- |
Destination State | -- |
Destination Country | -- |
Specific Phase of Flight | Maneuvering |
Report sent to ICAO? | No |
Evacuation occurred | No |
Date of most recent change to record | Feb 8 2006 10:51AM |
User who most recently changed record | NTSB\HAMG |
Since inspection or accident | -- |
Event Location Runway Number and Location | -- |
Runway Length | -- |
Runway Width | -- |
Sight Seeing flight | No |
Air Medical Flight | No |
Medical Flight | -- |