Type of Event | Accident |
Event Date | 5/16/2004 |
Event Day of the Week | Sunday |
Time of Event | 2040 |
Event Time Zone | Pacific Daylight Time |
Event City | Tenino |
Event State | WASHINGTON |
Event Country | -- |
Zipcode of the event site | 98589 |
Event Date Year | 2004 |
Event Date Month | 5 |
MidAir Collision Indicator | Yes |
On Ground Collision occurred ? | No |
Event Location Latitude | 464740N |
Event Location Longitude | 1224638W |
Event Location Airport | -- |
Event Location Nearest Airport ID | -- |
Indicates whether the acc/inc occurred off or on an airport | Off Airport/Airstrip |
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 | 2054 Pacific Daylight Time |
Direction of event from weather observation facility (degrees) | 318 |
Weather Observation Facility ID | OLM |
Elevation of weather observation facility | 213 |
Distance of event from weather observation facility (units?) | 14 |
Time Zone of the weather observation | PDT |
Lighting Conditions | Day |
Lowest Ceiling Height | 7150 |
Lowest Non-Ceiling Height | -- |
Sky/Lowest/Cloud Conditions | -- |
Sky Condition for Lowest Ceiling | Overcast |
Visibility Runway Visual Range (Feet) | -- |
Visibility Runway Visual Value (Statute Miles) | -- |
Visibility (Statute Miles) | 10 |
Air Temperature at event time (in degrees celsius) | 15 |
Dew Point at event time (in degress fahrenheit) | 9 |
Wind Direction (degrees magnetic) | -- |
Variable Wind Indicator | -- |
Wind Speed (knots) | -- |
Wind Velocity Indicator | Calm |
Wind Gust Indicator | Not Gusting |
Wind Gust (knots) | -- |
Altimeter Setting at event time (in. Hg) | 30 |
Density Altitude (feet) | -- |
Intensity of Precipitation | -- |
METAR weather report | -- |
Event Highest Injury | Fatal |
On Ground, Fatal Injuries | -- |
On Ground, Minor Injuries | -- |
On Ground, Serious Injuries | -- |
Injury Total Fatal | 1 |
Injury Total Minor | 1 |
Injury Total None | -- |
Injury Total Serious | -- |
Injury Total All | 2 |
Investigating Agency | NTSB |
NTSB Docket Number (internal use) | 18346 |
NTSB Notification Source | FAA Regional Operations Center |
NTSB Notification Date | May 16 2004 12:00AM |
NTSB Notification Time | 2050 |
Fiche Number and/or location -used to find docket information | DMS |
Date of most recent change to record | Sep 13 2005 12:54PM |
User who most recently changed record | NTSB\JOHB |
Basic weather conditions | Visual Meteorological Cond |
FAA District Office | Seattle, Washington |
Aircraft Involved |
||
---|---|---|
Aircraft #1 |
Aircraft #2 |
|
Aircraft Registration Number | N3510D | N3329S |
NTSB Number | SEA04FA083A | SEA04FA083B |
Missing Aircraft Indicator | -- | -- |
Federal Aviation Reg. Part | Part 91: General Aviation | Part 91: General Aviation |
Type of Flight Plan filed | None | None |
Flight plan Was Activated? | No | No |
Damage | Destroyed | Destroyed |
Aircraft Fire | None | None |
Aircraft Explosion | None | None |
Aircraft Manufacturer's Full Name | Cessna | Cessna |
Aircraft Model | 170B | 210J |
Aircraft Series Identifier | -- | -- |
Aircraft Serial Number | 27053 | 21059129 |
Certified Max Gross Weight | 2200 | 3400 |
Aircraft Category | Airplane | Airplane |
Aircraft Registration Class | U.S. Registered/U.S. Soil | U.S. Registered/U.S. Soil |
Aircraft is a homebuilt? | No | No |
Flight Crew Seats | -- | -- |
Cabin Crew Seats | -- | -- |
Passenger Seats | -- | -- |
Total number of seats on the aircraft | 4 | 6 |
Number of Engines | 1 | 1 |
Fixed gear or retractable gear | Fixed | Retractable |
Aircraft, Type of Last Inspection | Annual | Annual |
Date of Last Inspection | May 22 2003 12:00AM | Mar 4 2002 12:00AM |
Airframe hours since last inspection | 33.7 | -- |
Airframe Hours | 2318.9 | -- |
ELT Installed | Yes | Yes |
ELT Activated | No | No |
ELT Aided Location of Event Site | No | No |
ELT Type | -- | -- |
Aircraft Owner Name | Sale Reported | Barbara A. Eichman |
Aircraft Owner Street Address | -- | -- |
Aircraft Owner City | Vashon | Arvada |
Aircraft Owner State | WA | CO |
Aircraft Owner Country | USA | USA |
Aircraft Owner Zipcode | 98070 | 80004 |
Operator is an individual? | No | No |
Operator Name | Ghyrn E. Loveness | Scott C. Devlin |
Operator Same as Owner? | No | No |
Operator Is Doing Business As | -- | -- |
Operator Address Same as Owner? | No | No |
Operator Street Address | -- | -- |
Operator City | Vashon | Camas |
Operator State | WA | WA |
Operator Country | USA | USA |
Operator Zip code | 98070 | 98607 |
Operator Code | -- | -- |
Owner has at least one certificate | None | 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 | Positioning |
Second Pilot on Board | No | No |
Departure Point Same as Event | No | No |
Departure Airport Code | RBG | 1W1 |
Departure City | Roseburg | Camas |
Departure State | OR | WA |
Departure Country | USA | USA |
Departure Time | 1820 | 1930 |
Departure Time Zone | PDT | PDT |
Destination Same as Local Flt | -- | -- |
Destination Airport Code | WA69 | PAE |
Destination City | Vashon | Everett |
Destination State | WA | WA |
Destination Country | USA | USA |
Specific Phase of Flight | Cruise | Cruise |
Report sent to ICAO? | No | No |
Evacuation occurred | No | No |
Date of most recent change to record | Jun 29 2005 4:53PM | Jun 29 2005 4:53PM |
User who most recently changed record | STAM | STAM |
Since inspection or accident | Time of Accident | -- |
Event Location Runway Number and Location | NA | NA |
Runway Length | -- | -- |
Runway Width | -- | -- |
Sight Seeing flight | No | No |
Air Medical Flight | No | No |
Medical Flight | -- | -- |