| Type of Event | Accident |
| Event Date | 11/3/2012 |
| Event Day of the Week | Saturday |
| Time of Event | 1420 |
| Event Time Zone | Pacific Daylight Time |
| Event City | Van Nuys |
| Event State | CALIFORNIA |
| Event Country | -- |
| Zipcode of the event site | 91406 |
| Event Date Year | 2012 |
| Event Date Month | 11 |
| MidAir Collision Indicator | No |
| On Ground Collision occurred ? | Yes |
| Event Location Latitude | 341221N |
| Event Location Longitude | 1182914W |
| Event Location Airport | Van Nuys Airport |
| Event Location Nearest Airport ID | VNY |
| Indicates whether the acc/inc occurred off or on an airport | On Airport |
| Distance from airport in statute miles | 1 |
| Degrees magnetic from airport | -- |
| Airport Elevation | 802 |
| Weather Briefing Completeness | -- |
| Investigator's weather source | Weather Observation Facility |
| Time of the weather observation | 1351 Pacific Daylight Time |
| Direction of event from weather observation facility (degrees) | -- |
| Weather Observation Facility ID | VNY |
| Elevation of weather observation facility | 802 |
| Distance of event from weather observation facility (units?) | 1 |
| Time Zone of the weather observation | PDT |
| 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) | 27 |
| Dew Point at event time (in degress fahrenheit) | 4 |
| 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) | 30 |
| Density Altitude (feet) | -- |
| Intensity of Precipitation | -- |
| METAR weather report | KVNY 032051Z 00000KT 10SM CLR 27/04 A3000 RMK AO2 |
| 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 | 4 |
| Injury Total Serious | -- |
| Injury Total All | -- |
| Investigating Agency | NTSB |
| NTSB Docket Number (internal use) | 30914 |
| NTSB Notification Source | FAA ROC |
| NTSB Notification Date | -- |
| NTSB Notification Time | -- |
| Fiche Number and/or location -used to find docket information | -- |
| Date of most recent change to record | Jan 9 2013 12:16PM |
| User who most recently changed record | stam |
| Basic weather conditions | Visual Meteorological Cond |
| FAA District Office | -- |
Aircraft Involved |
||
|---|---|---|
Aircraft #1 |
Aircraft #2 |
|
| Aircraft Registration Number | N4417S | N545ER |
| NTSB Number | WPR13CA031A | WPR13CA031B |
| Missing Aircraft Indicator | -- | -- |
| Federal Aviation Reg. Part | Part 91: General Aviation | Part 91: General Aviation |
| Type of Flight Plan filed | Unknown | IFR |
| Flight plan Was Activated? | -- | -- |
| Damage | Minor | Substantial |
| Aircraft Fire | None | None |
| Aircraft Explosion | None | None |
| Aircraft Manufacturer's Full Name | BEECH | CESSNA |
| Aircraft Model | D17S | 172S |
| Aircraft Series Identifier | -- | -- |
| Aircraft Serial Number | 6918 | 172S10529 |
| Certified Max Gross Weight | 4250 | 2550 |
| Aircraft Category | Airplane | Airplane |
| Aircraft Registration Class | -- | -- |
| Aircraft is a homebuilt? | No | No |
| Flight Crew Seats | -- | -- |
| Cabin Crew Seats | -- | -- |
| Passenger Seats | -- | -- |
| Total number of seats on the aircraft | 4 | 4 |
| Number of Engines | 1 | 1 |
| Fixed gear or retractable gear | Retractable | Retractable |
| Aircraft, Type of Last Inspection | Annual | Continuous Airworthiness |
| Date of Last Inspection | Aug 10 2012 12:00AM | Oct 29 2012 12:00AM |
| Airframe hours since last inspection | -- | 26 |
| Airframe Hours | -- | 4143 |
| ELT Installed | Yes | Yes |
| ELT Activated | No | No |
| ELT Aided Location of Event Site | No | No |
| ELT Type | Unknown | Unknown |
| Aircraft Owner Name | Seymour Robin | AVN AIR LLC |
| Aircraft Owner Street Address | -- | -- |
| Aircraft Owner City | WOODLAND HILLS | DANBURY |
| Aircraft Owner State | CA | CT |
| Aircraft Owner Country | USA | USA |
| Aircraft Owner Zipcode | 91367-1012 | 06810-6268 |
| Operator is an individual? | No | No |
| Operator Name | Seymour Robin | Embry-Riddle Aeronautical University |
| Operator Same as Owner? | Yes | No |
| Operator Is Doing Business As | -- | -- |
| Operator Address Same as Owner? | Yes | No |
| Operator Street Address | -- | -- |
| Operator City | WOODLAND HILLS | Prescott |
| Operator State | CA | AZ |
| Operator Country | USA | USA |
| Operator Zip code | 91367-1012 | 86301 |
| 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 | Instructional |
| Second Pilot on Board | No | Yes |
| Departure Point Same as Event | Yes | Yes |
| Departure Airport Code | VNY | VNY |
| Departure City | Van Nuys | Van Nuys |
| Departure State | CA | CA |
| Departure Country | USA | USA |
| Departure Time | -- | -- |
| Departure Time Zone | PDT | PDT |
| Destination Same as Local Flt | dest & departure same, accident can occur anywhere | -- |
| Destination Airport Code | VNY | PRC |
| Destination City | Van Nuys | Prescott |
| Destination State | CA | AZ |
| Destination Country | USA | USA |
| Specific Phase of Flight | -- | -- |
| Report sent to ICAO? | -- | -- |
| Evacuation occurred | -- | -- |
| Date of most recent change to record | Jan 9 2013 12:19PM | Jan 9 2013 12:19PM |
| User who most recently changed record | stam | stam |
| Since inspection or accident | -- | Last Inspection |
| Event Location Runway Number and Location | 16R | 16R |
| Runway Length | 8001 | 8001 |
| Runway Width | 150 | 150 |
| Sight Seeing flight | No | No |
| Air Medical Flight | No | No |
| Medical Flight | -- | -- |