| Type of Event | Accident |
| Event Date | 5/21/2005 |
| Event Day of the Week | Saturday |
| Time of Event | 1400 |
| Event Time Zone | Eastern Daylight Time |
| Event City | Lake Wales |
| Event State | FLORIDA |
| Event Country | -- |
| Zipcode of the event site | 33859 |
| Event Date Year | 2005 |
| Event Date Month | 5 |
| MidAir Collision Indicator | No |
| On Ground Collision occurred ? | No |
| Event Location Latitude | 275308N |
| Event Location Longitude | 0813603W |
| Event Location Airport | Chalet Suzanne Air Strip |
| Event Location Nearest Airport ID | X25 |
| Indicates whether the acc/inc occurred off or on an airport | On Airport |
| Distance from airport in statute miles | -- |
| Degrees magnetic from airport | -- |
| Airport Elevation | 130 |
| Weather Briefing Completeness | -- |
| Investigator's weather source | Weather Observation Facility |
| Time of the weather observation | 1753 Eastern Daylight Time |
| Direction of event from weather observation facility (degrees) | 290 |
| Weather Observation Facility ID | KLAL |
| Elevation of weather observation facility | 122 |
| Distance of event from weather observation facility (units?) | 21 |
| Time Zone of the weather observation | EDT |
| Lighting Conditions | Day |
| Lowest Ceiling Height | -- |
| Lowest Non-Ceiling Height | 4000 |
| Sky/Lowest/Cloud Conditions | Scattered |
| Sky Condition for Lowest Ceiling | None |
| Visibility Runway Visual Range (Feet) | -- |
| Visibility Runway Visual Value (Statute Miles) | -- |
| Visibility (Statute Miles) | 12 |
| Air Temperature at event time (in degrees celsius) | 30 |
| Dew Point at event time (in degress fahrenheit) | 13 |
| Wind Direction (degrees magnetic) | 260 |
| Variable Wind Indicator | Wind direction could be determined |
| Wind Speed (knots) | 8 |
| Wind Velocity Indicator | -- |
| Wind Gust Indicator | Not Gusting |
| Wind Gust (knots) | -- |
| Altimeter Setting at event time (in. Hg) | 29.81 |
| Density Altitude (feet) | -- |
| Intensity of Precipitation | -- |
| METAR weather report | -- |
| Event Highest Injury | Minor |
| On Ground, Fatal Injuries | -- |
| On Ground, Minor Injuries | -- |
| On Ground, Serious Injuries | -- |
| Injury Total Fatal | -- |
| Injury Total Minor | 1 |
| Injury Total None | -- |
| Injury Total Serious | -- |
| Injury Total All | 1 |
| Investigating Agency | NTSB |
| NTSB Docket Number (internal use) | 18329 |
| NTSB Notification Source | Pilot/Owner |
| NTSB Notification Date | May 23 2005 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 | Orlando |
Aircraft Involved |
|
|---|---|
Aircraft #1 |
|
| Aircraft Registration Number | N5WD |
| NTSB Number | MIA05LA106 |
| Missing Aircraft Indicator | -- |
| Federal Aviation Reg. Part | Part 91: General Aviation |
| Type of Flight Plan filed | None |
| Flight plan Was Activated? | -- |
| Damage | Destroyed |
| Aircraft Fire | Ground |
| Aircraft Explosion | None |
| Aircraft Manufacturer's Full Name | Pitts |
| Aircraft Model | S1S |
| Aircraft Series Identifier | -- |
| Aircraft Serial Number | 105D |
| Certified Max Gross Weight | 1450 |
| Aircraft Category | Airplane |
| Aircraft Registration Class | -- |
| Aircraft is a homebuilt? | Yes |
| Flight Crew Seats | -- |
| Cabin Crew Seats | -- |
| Passenger Seats | -- |
| Total number of seats on the aircraft | 1 |
| Number of Engines | 1 |
| Fixed gear or retractable gear | Fixed |
| Aircraft, Type of Last Inspection | Annual |
| Date of Last Inspection | Jan 1 2005 12:00AM |
| Airframe hours since last inspection | 64 |
| Airframe Hours | 59 |
| ELT Installed | No |
| ELT Activated | No |
| ELT Aided Location of Event Site | No |
| ELT Type | -- |
| Aircraft Owner Name | Eric C. Hinshaw |
| Aircraft Owner Street Address | 1443 S. Lake Roy Dr. |
| Aircraft Owner City | Winter Haven |
| Aircraft Owner State | FL |
| Aircraft Owner Country | USA |
| Aircraft Owner Zipcode | 33884 |
| Operator is an individual? | No |
| Operator Name | -- |
| Operator Same as Owner? | Yes |
| 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 | 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 | Yes |
| Departure Airport Code | X25 |
| Departure City | Lake Wales |
| Departure State | FL |
| Departure Country | USA |
| Departure Time | 1315 |
| Departure Time Zone | EDT |
| Destination Same as Local Flt | dest & departure same, accident can occur anywhere |
| Destination Airport Code | X25 |
| Destination City | -- |
| Destination State | -- |
| Destination Country | -- |
| Specific Phase of Flight | Standing |
| Report sent to ICAO? | -- |
| Evacuation occurred | -- |
| Date of most recent change to record | May 9 2008 10:30AM |
| User who most recently changed record | JOHB |
| Since inspection or accident | Last Inspection |
| Event Location Runway Number and Location | 18 |
| Runway Length | 2313 |
| Runway Width | 50 |
| Sight Seeing flight | No |
| Air Medical Flight | No |
| Medical Flight | -- |