Type of Event | Accident |
Event Date | 6/12/2004 |
Event Day of the Week | Saturday |
Time of Event | 1400 |
Event Time Zone | Pacific Daylight Time |
Event City | La Porte |
Event State | CALIFORNIA |
Event Country | -- |
Zipcode of the event site | 95981 |
Event Date Year | 2004 |
Event Date Month | 6 |
MidAir Collision Indicator | No |
On Ground Collision occurred ? | No |
Event Location Latitude | 394729N |
Event Location Longitude | 1204813W |
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 | Unknown |
Investigator's weather source | Weather Observation Facility |
Time of the weather observation | 1148 Pacific Daylight Time |
Direction of event from weather observation facility (degrees) | 270 |
Weather Observation Facility ID | CIC |
Elevation of weather observation facility | 238 |
Distance of event from weather observation facility (units?) | 43 |
Time Zone of the weather observation | PDT |
Lighting Conditions | Day |
Lowest Ceiling Height | -- |
Lowest Non-Ceiling Height | 20000 |
Sky/Lowest/Cloud Conditions | Few |
Sky Condition for Lowest Ceiling | None |
Visibility Runway Visual Range (Feet) | -- |
Visibility Runway Visual Value (Statute Miles) | -- |
Visibility (Statute Miles) | 40 |
Air Temperature at event time (in degrees celsius) | -- |
Dew Point at event time (in degress fahrenheit) | -- |
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) | 29.96 |
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 | -- |
Injury Total None | -- |
Injury Total Serious | -- |
Injury Total All | 1 |
Investigating Agency | NTSB |
NTSB Docket Number (internal use) | 18293 |
NTSB Notification Source | FAA |
NTSB Notification Date | Jun 12 2004 12:00AM |
NTSB Notification Time | -- |
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 | WP-RNO-FSDO |
Aircraft Involved |
|
---|---|
Aircraft #1 |
|
Aircraft Registration Number | N81471 |
NTSB Number | LAX04LA239 |
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 | Champion |
Aircraft Model | 7AC |
Aircraft Series Identifier | -- |
Aircraft Serial Number | 7AC-89 |
Certified Max Gross Weight | 1220 |
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 | 2 |
Number of Engines | 1 |
Fixed gear or retractable gear | Fixed |
Aircraft, Type of Last Inspection | Annual |
Date of Last Inspection | Sep 9 2003 12:00AM |
Airframe hours since last inspection | 138.7 |
Airframe Hours | 7706 |
ELT Installed | Yes |
ELT Activated | Yes |
ELT Aided Location of Event Site | Yes |
ELT Type | -- |
Aircraft Owner Name | Donald L. Connell |
Aircraft Owner Street Address | On File |
Aircraft Owner City | Des Moines |
Aircraft Owner State | WA |
Aircraft Owner Country | USA |
Aircraft Owner Zipcode | 98198 |
Operator is an individual? | No |
Operator Name | Keith Kemble |
Operator Same as Owner? | No |
Operator Is Doing Business As | -- |
Operator Address Same as Owner? | No |
Operator Street Address | On File |
Operator City | Covington |
Operator State | WA |
Operator Country | USA |
Operator Zip code | 98042 |
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 | No |
Departure Airport Code | 210 |
Departure City | Quincy |
Departure State | CA |
Departure Country | USA |
Departure Time | 1300 |
Departure Time Zone | PDT |
Destination Same as Local Flt | -- |
Destination Airport Code | SVE |
Destination City | Susanville |
Destination State | CA |
Destination Country | USA |
Specific Phase of Flight | Maneuvering |
Report sent to ICAO? | No |
Evacuation occurred | No |
Date of most recent change to record | Jul 11 2005 5:21PM |
User who most recently changed record | COOS |
Since inspection or accident | Time of Accident |
Event Location Runway Number and Location | NA |
Runway Length | -- |
Runway Width | -- |
Sight Seeing flight | No |
Air Medical Flight | No |
Medical Flight | -- |