| Type of Event | Accident |
| Event Date | 7/7/2013 |
| Event Day of the Week | Sunday |
| Time of Event | 1050 |
| Event Time Zone | Central Daylight Time |
| Event City | Sandwich |
| Event State | ILLINOIS |
| Event Country | -- |
| Zipcode of the event site | 60548 |
| Event Date Year | 2013 |
| Event Date Month | 7 |
| MidAir Collision Indicator | No |
| On Ground Collision occurred ? | No |
| Event Location Latitude | 413818N |
| Event Location Longitude | 0883840W |
| Event Location Airport | -- |
| Event Location Nearest Airport ID | -- |
| 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 | Weather Observation Facility |
| Time of the weather observation | 1052 Central Daylight Time |
| Direction of event from weather observation facility (degrees) | 43 |
| Weather Observation Facility ID | KARR |
| Elevation of weather observation facility | 712 |
| Distance of event from weather observation facility (units?) | 11 |
| 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) | 27 |
| Dew Point at event time (in degress fahrenheit) | 19 |
| Wind Direction (degrees magnetic) | 210 |
| Variable Wind Indicator | Wind direction could be determined |
| Wind Speed (knots) | 10 |
| Wind Velocity Indicator | -- |
| Wind Gust Indicator | Not Gusting |
| Wind Gust (knots) | -- |
| Altimeter Setting at event time (in. Hg) | 30.02 |
| Density Altitude (feet) | -- |
| Intensity of Precipitation | -- |
| METAR weather report | METAR KARR 071552Z 21010KT 10SM CLR 27/19 A3002 RM |
| Event Highest Injury | Minor |
| On Ground, Fatal Injuries | -- |
| On Ground, Minor Injuries | -- |
| On Ground, Serious Injuries | -- |
| Injury Total Fatal | -- |
| Injury Total Minor | 2 |
| Injury Total None | -- |
| Injury Total Serious | -- |
| Injury Total All | 2 |
| Investigating Agency | NTSB |
| NTSB Docket Number (internal use) | 31946 |
| NTSB Notification Source | Central Region Duty Officer, L |
| NTSB Notification Date | -- |
| NTSB Notification Time | -- |
| Fiche Number and/or location -used to find docket information | -- |
| Date of most recent change to record | Aug 5 2013 4:24PM |
| User who most recently changed record | bowl |
| Basic weather conditions | Visual Meteorological Cond |
| FAA District Office | -- |
Aircraft Involved |
|
|---|---|
Aircraft #1 |
|
| Aircraft Registration Number | N549LS |
| NTSB Number | CEN13LA398 |
| Missing Aircraft Indicator | -- |
| Federal Aviation Reg. Part | Part 91: General Aviation |
| Type of Flight Plan filed | VFR |
| Flight plan Was Activated? | Yes |
| Damage | Substantial |
| Aircraft Fire | None |
| Aircraft Explosion | None |
| Aircraft Manufacturer's Full Name | Flight Design GmbH |
| Aircraft Model | CTLS |
| Aircraft Series Identifier | -- |
| Aircraft Serial Number | 07-11-19 |
| Certified Max Gross Weight | 1320 |
| 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 | 2 |
| Number of Engines | 1 |
| Fixed gear or retractable gear | Fixed |
| Aircraft, Type of Last Inspection | Annual |
| Date of Last Inspection | Jan 9 2013 12:00AM |
| Airframe hours since last inspection | -- |
| Airframe Hours | 553 |
| ELT Installed | Yes |
| ELT Activated | No |
| ELT Aided Location of Event Site | No |
| ELT Type | C91-A |
| Aircraft Owner Name | Daniel E. Mayworm |
| Aircraft Owner Street Address | -- |
| Aircraft Owner City | Mundelein |
| Aircraft Owner State | IL |
| Aircraft Owner Country | USA |
| Aircraft Owner Zipcode | 60060-6012 |
| Operator is an individual? | No |
| Operator Name | Daniel E. Mayworm |
| Operator Same as Owner? | Yes |
| Operator Is Doing Business As | -- |
| Operator Address Same as Owner? | Yes |
| Operator Street Address | -- |
| Operator City | Mundelein |
| Operator State | IL |
| Operator Country | USA |
| Operator Zip code | 60060-6012 |
| 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) | Personal |
| Second Pilot on Board | No |
| Departure Point Same as Event | No |
| Departure Airport Code | 1H0 |
| Departure City | St. Louis |
| Departure State | MO |
| Departure Country | USA |
| Departure Time | 912 |
| Departure Time Zone | CDT |
| Destination Same as Local Flt | -- |
| Destination Airport Code | UGN |
| Destination City | Waukegan |
| Destination State | IL |
| Destination Country | USA |
| Specific Phase of Flight | -- |
| Report sent to ICAO? | -- |
| Evacuation occurred | -- |
| Date of most recent change to record | Jul 11 2013 12:39PM |
| User who most recently changed record | foxt |
| Since inspection or accident | Last Inspection |
| Event Location Runway Number and Location | N/A |
| Runway Length | -- |
| Runway Width | -- |
| Sight Seeing flight | No |
| Air Medical Flight | No |
| Medical Flight | -- |