Type of Event | Accident |
Event Date | 12/1/2004 |
Event Day of the Week | Wednesday |
Time of Event | 1200 |
Event Time Zone | Central Standard Time |
Event City | Lee's Summit |
Event State | MISSOURI |
Event Country | -- |
Zipcode of the event site | 64064 |
Event Date Year | 2004 |
Event Date Month | 12 |
MidAir Collision Indicator | No |
On Ground Collision occurred ? | No |
Event Location Latitude | 385735N |
Event Location Longitude | 0942218W |
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) | 315 |
Weather Observation Facility ID | LXT |
Elevation of weather observation facility | 997 |
Distance of event from weather observation facility (units?) | 2 |
Time Zone of the weather observation | CST |
Lighting Conditions | Day |
Lowest Ceiling Height | -- |
Lowest Non-Ceiling Height | -- |
Sky/Lowest/Cloud Conditions | Clear |
Sky Condition for Lowest Ceiling | None |
Visibility Runway Visual Range (Feet) | -- |
Visibility Runway Visual Value (Statute Miles) | -- |
Visibility (Statute Miles) | 10 |
Air Temperature at event time (in degrees celsius) | 2 |
Dew Point at event time (in degress fahrenheit) | -4 |
Wind Direction (degrees magnetic) | 220 |
Variable Wind Indicator | Wind direction could be determined |
Wind Speed (knots) | 6 |
Wind Velocity Indicator | -- |
Wind Gust Indicator | Unknown |
Wind Gust (knots) | -- |
Altimeter Setting at event time (in. Hg) | 30.18 |
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 | 1 |
Injury Total Serious | -- |
Injury Total All | -- |
Investigating Agency | -- |
NTSB Docket Number (internal use) | 17277 |
NTSB Notification Source | FAA |
NTSB Notification Date | -- |
NTSB Notification Time | -- |
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 | -- |
Aircraft Involved |
|
---|---|
Aircraft #1 |
|
Aircraft Registration Number | N3575X |
NTSB Number | CHI05CA039 |
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 | -- |
Aircraft Manufacturer's Full Name | Piper |
Aircraft Model | PA-28-181 |
Aircraft Series Identifier | -- |
Aircraft Serial Number | 28-8090199 |
Certified Max Gross Weight | -- |
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 | -- |
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 | Unknown |
ELT Activated | Unknown |
ELT Aided Location of Event Site | Unknown |
ELT Type | -- |
Aircraft Owner Name | Wing Flying Club Inc. |
Aircraft Owner Street Address | -- |
Aircraft Owner City | -- |
Aircraft Owner State | -- |
Aircraft Owner Country | -- |
Aircraft Owner Zipcode | -- |
Operator is an individual? | No |
Operator Name | -- |
Operator Same as Owner? | Yes |
Operator Is Doing Business As | -- |
Operator Address Same as Owner? | No |
Operator Street Address | -- |
Operator City | Lee's Summit |
Operator State | MO |
Operator Country | USA |
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 | -- |
Departure Point Same as Event | No |
Departure Airport Code | LXT |
Departure City | Lee's Summit |
Departure State | MO |
Departure Country | USA |
Departure Time | -- |
Departure Time Zone | -- |
Destination Same as Local Flt | dest & departure same, accident can occur anywhere |
Destination Airport Code | LXT |
Destination City | -- |
Destination State | -- |
Destination Country | -- |
Specific Phase of Flight | -- |
Report sent to ICAO? | -- |
Evacuation occurred | -- |
Date of most recent change to record | -- |
User who most recently changed record | -- |
Since inspection or accident | -- |
Event Location Runway Number and Location | -- |
Runway Length | -- |
Runway Width | -- |
Sight Seeing flight | No |
Air Medical Flight | No |
Medical Flight | -- |