Type of Event | Accident |
Event Date | 7/27/2012 |
Event Day of the Week | Friday |
Time of Event | 1350 |
Event Time Zone | Central Daylight Time |
Event City | Valentine |
Event State | NEBRASKA |
Event Country | -- |
Zipcode of the event site | 69201 |
Event Date Year | 2012 |
Event Date Month | 7 |
MidAir Collision Indicator | Yes |
On Ground Collision occurred ? | -- |
Event Location Latitude | 425124N |
Event Location Longitude | 1003256W |
Event Location Airport | Miller Field Airport |
Event Location Nearest Airport ID | KVTN |
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 | 2595 |
Weather Briefing Completeness | -- |
Investigator's weather source | Weather Observation Facility |
Time of the weather observation | 1352 Central Daylight Time |
Direction of event from weather observation facility (degrees) | -- |
Weather Observation Facility ID | KVTN |
Elevation of weather observation facility | 2595 |
Distance of event from weather observation facility (units?) | -- |
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) | 31 |
Dew Point at event time (in degress fahrenheit) | 10 |
Wind Direction (degrees magnetic) | 80 |
Variable Wind Indicator | Wind direction could be determined |
Wind Speed (knots) | 7 |
Wind Velocity Indicator | -- |
Wind Gust Indicator | Not Gusting |
Wind Gust (knots) | -- |
Altimeter Setting at event time (in. Hg) | 30.09 |
Density Altitude (feet) | -- |
Intensity of Precipitation | -- |
METAR weather report | KVTN 271852Z AUTO 08007KT 10SM CLR 31/10 A3009 |
Event Highest Injury | Fatal |
On Ground, Fatal Injuries | -- |
On Ground, Minor Injuries | -- |
On Ground, Serious Injuries | -- |
Injury Total Fatal | 1 |
Injury Total Minor | 1 |
Injury Total None | -- |
Injury Total Serious | -- |
Injury Total All | 2 |
Investigating Agency | NTSB |
NTSB Docket Number (internal use) | 30769 |
NTSB Notification Source | Lincoln, NE, FAA Flight Standa |
NTSB Notification Date | -- |
NTSB Notification Time | -- |
Fiche Number and/or location -used to find docket information | -- |
Date of most recent change to record | Dec 3 2012 9:08AM |
User who most recently changed record | bowl |
Basic weather conditions | Visual Meteorological Cond |
FAA District Office | -- |
Aircraft Involved |
||
---|---|---|
Aircraft #1 |
Aircraft #2 |
|
Aircraft Registration Number | N122JA | N766HS |
NTSB Number | CEN12LA488A | CEN12LA488B |
Missing Aircraft Indicator | -- | -- |
Federal Aviation Reg. Part | Part 91: General Aviation | Part 91: General Aviation |
Type of Flight Plan filed | None | None |
Flight plan Was Activated? | -- | -- |
Damage | Substantial | Substantial |
Aircraft Fire | None | None |
Aircraft Explosion | None | None |
Aircraft Manufacturer's Full Name | Joseph C. Andrews, Jr. | Harold H. Smith |
Aircraft Model | Vans | Vans |
Aircraft Series Identifier | RV-4 | -- |
Aircraft Serial Number | 2113 | 20509 |
Certified Max Gross Weight | 1600 | 1750 |
Aircraft Category | Airplane | Airplane |
Aircraft Registration Class | -- | -- |
Aircraft is a homebuilt? | Yes | No |
Flight Crew Seats | 2 | 2 |
Cabin Crew Seats | -- | -- |
Passenger Seats | -- | -- |
Total number of seats on the aircraft | 2 | 2 |
Number of Engines | 1 | 1 |
Fixed gear or retractable gear | Fixed | Fixed |
Aircraft, Type of Last Inspection | Conditional | Conditional |
Date of Last Inspection | May 1 2012 12:00AM | Apr 1 2012 12:00AM |
Airframe hours since last inspection | -- | -- |
Airframe Hours | 1013 | 1030 |
ELT Installed | Yes | Yes |
ELT Activated | No | No |
ELT Aided Location of Event Site | Unknown | Unknown |
ELT Type | -- | Unknown |
Aircraft Owner Name | Joseph C. Andrews, Jr. | Harold H. Smith |
Aircraft Owner Street Address | 4322 Crystal Lane Ct. | 5707 N. Ruby St. |
Aircraft Owner City | Puyallup | Tacoma |
Aircraft Owner State | WA | WA |
Aircraft Owner Country | USA | USA |
Aircraft Owner Zipcode | 98372-5293 | 98407-3019 |
Operator is an individual? | No | No |
Operator Name | Joseph C. Andrews, Jr. | Harold H. Smith |
Operator Same as Owner? | Yes | Yes |
Operator Is Doing Business As | -- | -- |
Operator Address Same as Owner? | Yes | Yes |
Operator Street Address | -- | -- |
Operator City | Puyallup | Tacoma |
Operator State | WA | WA |
Operator Country | USA | USA |
Operator Zip code | 98372-5293 | 98407-3019 |
Operator Code | -- | -- |
Owner has at least one certificate | None | None |
Other Operator of large aircraft? | No | 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) | Personal | Personal |
Second Pilot on Board | No | No |
Departure Point Same as Event | No | No |
Departure Airport Code | KMJQ | KMJQ |
Departure City | Jackson | Jackson |
Departure State | MN | MN |
Departure Country | USA | USA |
Departure Time | 1000 | 1000 |
Departure Time Zone | CDT | CDT |
Destination Same as Local Flt | crash at destination city | crash at destination city |
Destination Airport Code | KVTN | KVTN |
Destination City | Valentine | Valentine |
Destination State | NE | NE |
Destination Country | USA | USA |
Specific Phase of Flight | -- | -- |
Report sent to ICAO? | -- | -- |
Evacuation occurred | -- | -- |
Date of most recent change to record | Oct 4 2012 2:40PM | Oct 4 2012 2:39PM |
User who most recently changed record | scoa | scoa |
Since inspection or accident | Last Inspection | Time of Accident |
Event Location Runway Number and Location | 14 | 14 |
Runway Length | 4704 | 4704 |
Runway Width | 75 | 75 |
Sight Seeing flight | No | No |
Air Medical Flight | No | No |
Medical Flight | -- | -- |