Aircraft Accident/Incident Report

Medical Lake, Washington 99022
Thursday, October 13, 2005 17:00 PDT

NTSB Narrative Summary Released at Completion of Accident

The unregistered aircraft lost power while maneuvering in VFR conditions. The reason for the loss of power was not determined.

NTSB Probable Cause Narrative

The loss of engine power while maneuvering for undetermined reasons.

Event Information

Type of Event Accident
Event Date 10/13/2005
Event Day of the Week Thursday
Time of Event 1700
Event Time Zone Pacific Daylight Time
Event City Medical Lake
Event State WASHINGTON
Event Country --
Zipcode of the event site 99022
Event Date Year 2005
Event Date Month 10
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 472612N
Event Location Longitude 1174650W
Event Location Airport --
Event Location Nearest Airport ID NONE
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 --
Investigator's weather source Unknown
Time of the weather observation
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID --
Elevation of weather observation facility --
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation --
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions --
Sky Condition for Lowest Ceiling --
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) --
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 --
Wind Gust Indicator Unknown
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) --
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 1
Injury Total Serious 1
Injury Total All 1
Investigating Agency --
NTSB Docket Number (internal use) 19291
NTSB Notification Source SFF FSDO
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 28 2006 12:35PM
User who most recently changed record NTSB\JOHB
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number None
NTSB Number SEA06CA013
Missing Aircraft Indicator --
Federal Aviation Reg. Part Unknown
Type of Flight Plan filed None
Flight plan Was Activated? --
Damage Substantial
Aircraft Fire None
Aircraft Explosion --
Aircraft Manufacturer's Full Name North Wing
Aircraft Model Apache ST Trike
Aircraft Series Identifier --
Aircraft Serial Number 42122
Certified Max Gross Weight --
Aircraft Category Airplane
Aircraft Registration Class --
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 --
ELT Activated --
ELT Aided Location of Event Site --
ELT Type --
Aircraft Owner Name Martin Fitzgerald
Aircraft Owner Street Address --
Aircraft Owner City Medical Lake
Aircraft Owner State WA
Aircraft Owner Country USA
Aircraft Owner Zipcode 90033
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 Non-scheduled
Indicates Domestic or International Flight Domestic
Operator carrying Pax/Cargo/Mail Passenger Only
Type of Flying (Per_Bus / Primary) --
Second Pilot on Board --
Departure Point Same as Event Yes
Departure Airport Code --
Departure City Medical Lake
Departure State WA
Departure Country USA
Departure Time --
Departure Time Zone --
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 --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Nov 9 2005 4:00PM
User who most recently changed record STAM
Since inspection or accident --
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --