Aircraft Accident/Incident Report

Jeffrey, Wyoming 82310
Tuesady, December 9, 2014 9:00 MST

NTSB Narrative Summary Released at Completion of Accident

NTSB Probable Cause Narrative

Event Information

Type of Event Accident
Event Date 12/9/2014
Event Day of the Week Tuesday
Time of Event 900
Event Time Zone Mountain Standard Time
Event City Jeffrey
Event State WYOMING
Event Country --
Zipcode of the event site 82310
Event Date Year 2014
Event Date Month 12
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 423156N
Event Location Longitude 1075605W
Event Location Airport --
Event Location Nearest Airport ID --
Indicates whether the acc/inc occurred off or on an airport --
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness --
Investigator's weather source --
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 --
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 --
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) --
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Minor
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor 3
Injury Total None --
Injury Total Serious --
Injury Total All 3
Investigating Agency NTSB
NTSB Docket Number (internal use) --
NTSB Notification Source FAA Regional Operations Center
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Dec 9 2014 8:10PM
User who most recently changed record litt
Basic weather conditions --
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N4881K
NTSB Number WPR15CA057
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? No
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name CESSNA
Aircraft Model P210 - N
Aircraft Series Identifier --
Aircraft Serial Number P21000354
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 Retractable
Aircraft, Type of Last Inspection --
Date of Last Inspection --
Airframe hours since last inspection --
Airframe Hours --
ELT Installed Unknown
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name Allen J Head
Aircraft Owner Street Address --
Aircraft Owner City Montrose
Aircraft Owner State CO
Aircraft Owner Country USA
Aircraft Owner Zipcode 81403
Operator is an individual? No
Operator Name Allen J Head
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address --
Operator City Montrose
Operator State CO
Operator Country USA
Operator Zip code 81403
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 --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Business
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code --
Departure City Montrose
Departure State CO
Departure Country USA
Departure Time 800
Departure Time Zone MST
Destination Same as Local Flt crash at destination city
Destination Airport Code --
Destination City Jeffrey
Destination State WY
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Dec 9 2014 8:23PM
User who most recently changed record litt
Since inspection or accident --
Event Location Runway Number and Location --
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --