| Type of Event | Accident |
| Event Date | 4/29/2011 |
| Event Day of the Week | Friday |
| Time of Event | 1413 |
| Event Time Zone | Central Daylight Time |
| Event City | Pulaski |
| Event State | WISCONSIN |
| Event Country | -- |
| Zipcode of the event site | 54162 |
| Event Date Year | 2011 |
| Event Date Month | 4 |
| MidAir Collision Indicator | No |
| On Ground Collision occurred ? | No |
| Event Location Latitude | 443828N |
| Event Location Longitude | 0881255W |
| Event Location Airport | Carter |
| Event Location Nearest Airport ID | 92C |
| 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 | 785 |
| Weather Briefing Completeness | -- |
| Investigator's weather source | Weather Observation Facility |
| Time of the weather observation | 1353 Central Daylight Time |
| Direction of event from weather observation facility (degrees) | 180 |
| Weather Observation Facility ID | GRB |
| Elevation of weather observation facility | 695 |
| Distance of event from weather observation facility (units?) | 10 |
| Time Zone of the weather observation | CDT |
| 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) | 16 |
| Dew Point at event time (in degress fahrenheit) | -1 |
| Wind Direction (degrees magnetic) | -- |
| Variable Wind Indicator | -- |
| Wind Speed (knots) | -- |
| Wind Velocity Indicator | Calm |
| Wind Gust Indicator | -- |
| Wind Gust (knots) | -- |
| Altimeter Setting at event time (in. Hg) | 29.98 |
| Density Altitude (feet) | -- |
| Intensity of Precipitation | -- |
| METAR weather report | METAR KGRB 291853Z 00000KT 10SM CLR 16/M01 A2998 |
| Event Highest Injury | Fatal |
| On Ground, Fatal Injuries | -- |
| On Ground, Minor Injuries | -- |
| On Ground, Serious Injuries | -- |
| Injury Total Fatal | 1 |
| Injury Total Minor | -- |
| Injury Total None | -- |
| Injury Total Serious | -- |
| Injury Total All | 1 |
| Investigating Agency | NTSB |
| NTSB Docket Number (internal use) | 29551 |
| NTSB Notification Source | FAA-AGL ROC |
| NTSB Notification Date | -- |
| NTSB Notification Time | -- |
| Fiche Number and/or location -used to find docket information | -- |
| Date of most recent change to record | Feb 24 2012 12:45AM |
| User who most recently changed record | snyg |
| Basic weather conditions | Visual Meteorological Cond |
| FAA District Office | -- |
Aircraft Involved |
|
|---|---|
Aircraft #1 |
|
| Aircraft Registration Number | N701MJ |
| NTSB Number | CEN11FA310 |
| Missing Aircraft Indicator | -- |
| Federal Aviation Reg. Part | Part 91: General Aviation |
| Type of Flight Plan filed | None |
| Flight plan Was Activated? | -- |
| Damage | Substantial |
| Aircraft Fire | None |
| Aircraft Explosion | None |
| Aircraft Manufacturer's Full Name | Jurmu |
| Aircraft Model | STOL CH701 |
| Aircraft Series Identifier | -- |
| Aircraft Serial Number | 7-4321 |
| Certified Max Gross Weight | 960 |
| 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 | 2 |
| Number of Engines | 1 |
| Fixed gear or retractable gear | Fixed |
| Aircraft, Type of Last Inspection | Conditional |
| Date of Last Inspection | Sep 25 2010 12:00AM |
| Airframe hours since last inspection | 1 |
| Airframe Hours | 11 |
| ELT Installed | Yes |
| ELT Activated | Unknown |
| ELT Aided Location of Event Site | No |
| ELT Type | -- |
| Aircraft Owner Name | Jurmu Michael |
| Aircraft Owner Street Address | -- |
| Aircraft Owner City | Suamico |
| Aircraft Owner State | WI |
| Aircraft Owner Country | USA |
| Aircraft Owner Zipcode | 54173-0346 |
| Operator is an individual? | Yes |
| Operator Name | Jurmu Michael |
| Operator Same as Owner? | Yes |
| Operator Is Doing Business As | -- |
| Operator Address Same as Owner? | Yes |
| Operator Street Address | -- |
| Operator City | Suamico |
| Operator State | WI |
| Operator Country | USA |
| Operator Zip code | 54173-0346 |
| Operator Code | -- |
| Owner has at least one certificate | None |
| Other Operator of large aircraft? | No |
| 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) | Flight Test |
| Second Pilot on Board | No |
| Departure Point Same as Event | Yes |
| Departure Airport Code | 92C |
| Departure City | Pulaski |
| Departure State | WI |
| Departure Country | USA |
| Departure Time | 1412 |
| Departure Time Zone | CDT |
| Destination Same as Local Flt | dest & departure same, accident can occur anywhere |
| Destination Airport Code | 92C |
| Destination City | Pulaski |
| Destination State | WI |
| Destination Country | USA |
| Specific Phase of Flight | -- |
| Report sent to ICAO? | -- |
| Evacuation occurred | -- |
| Date of most recent change to record | Dec 19 2011 2:48PM |
| User who most recently changed record | sort |
| Since inspection or accident | Time of Accident |
| Event Location Runway Number and Location | 30 |
| Runway Length | 2555 |
| Runway Width | 30 |
| Sight Seeing flight | No |
| Air Medical Flight | No |
| Medical Flight | -- |