Type of Event | Accident |
Event Date | 5/31/2004 |
Event Day of the Week | Monday |
Time of Event | 930 |
Event Time Zone | Eastern Daylight Time |
Event City | St. Marys |
Event State | GEORGIA |
Event Country | -- |
Zipcode of the event site | 31558 |
Event Date Year | 2004 |
Event Date Month | 5 |
MidAir Collision Indicator | No |
On Ground Collision occurred ? | No |
Event Location Latitude | 305302N |
Event Location Longitude | 0812403W |
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 | 956 Eastern Daylight Time |
Direction of event from weather observation facility (degrees) | 200 |
Weather Observation Facility ID | KJAX |
Elevation of weather observation facility | 30 |
Distance of event from weather observation facility (units?) | 18 |
Time Zone of the weather observation | EDT |
Lighting Conditions | Day |
Lowest Ceiling Height | 25000 |
Lowest Non-Ceiling Height | 2500 |
Sky/Lowest/Cloud Conditions | Few |
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) | 29 |
Dew Point at event time (in degress fahrenheit) | 24 |
Wind Direction (degrees magnetic) | 250 |
Variable Wind Indicator | Wind direction could be determined |
Wind Speed (knots) | 11 |
Wind Velocity Indicator | -- |
Wind Gust Indicator | Gusting |
Wind Gust (knots) | 0 |
Altimeter Setting at event time (in. Hg) | 29.95 |
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) | 17260 |
NTSB Notification Source | FAA |
NTSB Notification Date | May 31 2004 12:00AM |
NTSB Notification Time | 41 |
Fiche Number and/or location -used to find docket information | DMS |
Date of most recent change to record | Feb 24 2005 9:13AM |
User who most recently changed record | NTSB\JOHB |
Basic weather conditions | Visual Meteorological Cond |
FAA District Office | Atlanta FSDO |
Aircraft Involved |
|
---|---|
Aircraft #1 |
|
Aircraft Registration Number | N8149Q |
NTSB Number | ATL04LA124 |
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 | Piper |
Aircraft Model | PA-28-161 |
Aircraft Series Identifier | -- |
Aircraft Serial Number | 28-8016253 |
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 | 100 Hour |
Date of Last Inspection | May 6 2004 12:00AM |
Airframe hours since last inspection | 52.9 |
Airframe Hours | 18058.4 |
ELT Installed | Yes |
ELT Activated | No |
ELT Aided Location of Event Site | No |
ELT Type | -- |
Aircraft Owner Name | Ormond Beach Aviation, INC |
Aircraft Owner Street Address | 770 Airport Rd, Suite 7 |
Aircraft Owner City | Ormond Beach |
Aircraft Owner State | FL |
Aircraft Owner Country | USA |
Aircraft Owner Zipcode | 32174 |
Operator is an individual? | No |
Operator Name | Ormond Beach Aviation, INC |
Operator Same as Owner? | Yes |
Operator Is Doing Business As | -- |
Operator Address Same as Owner? | Yes |
Operator Street Address | 770 Airport Road |
Operator City | Ormond Beach |
Operator State | FL |
Operator Country | USA |
Operator Zip code | 32174 |
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 | 09J |
Departure City | Jekyll Island |
Departure State | GA |
Departure Country | USA |
Departure Time | 915 |
Departure Time Zone | EDT |
Destination Same as Local Flt | -- |
Destination Airport Code | OMN |
Destination City | Ormond Beach |
Destination State | FL |
Destination Country | USA |
Specific Phase of Flight | Emergency landing |
Report sent to ICAO? | No |
Evacuation occurred | No |
Date of most recent change to record | -- |
User who most recently changed record | -- |
Since inspection or accident | Last Inspection |
Event Location Runway Number and Location | NA |
Runway Length | -- |
Runway Width | -- |
Sight Seeing flight | No |
Air Medical Flight | No |
Medical Flight | -- |