Type of Event | Accident |
Event Date | 6/23/2004 |
Event Day of the Week | Wednesday |
Time of Event | 900 |
Event Time Zone | Pacific Daylight Time |
Event City | Medford |
Event State | OREGON |
Event Country | -- |
Zipcode of the event site | 97530 |
Event Date Year | 2004 |
Event Date Month | 6 |
MidAir Collision Indicator | -- |
On Ground Collision occurred ? | -- |
Event Location Latitude | 421329N |
Event Location Longitude | 1225800W |
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 | 853 Pacific Daylight Time |
Direction of event from weather observation facility (degrees) | 10 |
Weather Observation Facility ID | MFR |
Elevation of weather observation facility | 1335 |
Distance of event from weather observation facility (units?) | 10 |
Time Zone of the weather observation | PDT |
Lighting Conditions | Day |
Lowest Ceiling Height | 1900 |
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) | 16 |
Dew Point at event time (in degress fahrenheit) | 12 |
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) | 29.99 |
Density Altitude (feet) | -- |
Intensity of Precipitation | -- |
METAR weather report | -- |
Event Highest Injury | Serious |
On Ground, Fatal Injuries | -- |
On Ground, Minor Injuries | -- |
On Ground, Serious Injuries | -- |
Injury Total Fatal | -- |
Injury Total Minor | -- |
Injury Total None | -- |
Injury Total Serious | 1 |
Injury Total All | 1 |
Investigating Agency | NTSB |
NTSB Docket Number (internal use) | 16624 |
NTSB Notification Source | FAA Regional Operations Center |
NTSB Notification Date | Jun 23 2004 12:00AM |
NTSB Notification Time | 1020 |
Fiche Number and/or location -used to find docket information | DMS |
Date of most recent change to record | Oct 28 2004 10:11AM |
User who most recently changed record | NTSB\MONR |
Basic weather conditions | Visual Meteorological Cond |
FAA District Office | Portland, Oregon |
Aircraft Involved |
|
---|---|
Aircraft #1 |
|
Aircraft Registration Number | N73909 |
NTSB Number | SEA04LA114 |
Missing Aircraft Indicator | -- |
Federal Aviation Reg. Part | Part 137: Agricultural |
Type of Flight Plan filed | None |
Flight plan Was Activated? | No |
Damage | Substantial |
Aircraft Fire | Ground |
Aircraft Explosion | None |
Aircraft Manufacturer's Full Name | Bell |
Aircraft Model | 47G-3B-1 |
Aircraft Series Identifier | -- |
Aircraft Serial Number | 2797 |
Certified Max Gross Weight | 2950 |
Aircraft Category | Helicopter |
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 | 3 |
Number of Engines | 1 |
Fixed gear or retractable gear | Fixed |
Aircraft, Type of Last Inspection | 100 Hour |
Date of Last Inspection | Feb 5 2004 12:00AM |
Airframe hours since last inspection | 69 |
Airframe Hours | 6575 |
ELT Installed | No |
ELT Activated | No |
ELT Aided Location of Event Site | No |
ELT Type | -- |
Aircraft Owner Name | DSM Inc. |
Aircraft Owner Street Address | 660 Avenue C |
Aircraft Owner City | White City |
Aircraft Owner State | OR |
Aircraft Owner Country | USA |
Aircraft Owner Zipcode | 97503 |
Operator is an individual? | No |
Operator Name | Pacific Air Research |
Operator Same as Owner? | No |
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 | -- |
Other Operator of large aircraft? | -- |
Certified for Part 133 or 137 Operation | Agriculture |
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) | Aerial Application |
Second Pilot on Board | No |
Departure Point Same as Event | Yes |
Departure Airport Code | -- |
Departure City | Medford |
Departure State | OR |
Departure Country | USA |
Departure Time | -- |
Departure Time Zone | PDT |
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 | Aug 24 2004 6:48PM |
User who most recently changed record | STAM |
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 | -- |