FORM APPROVED FOR USE THROUGH 7/ BY OMB NO DateotAccidmt Loccrl~ ('""l"i1"4fs""o CDT k.ty8l

Transcription

1 Nearest Citylplrca, state, zq, cod. 6 mi. south of Marengo, IL FORM APPROVED FOR USE THROUGH 7/396 BY OMB NO DateotAccidmt Loccrl~ - 9YYP AtkcmntgY, krtm ('""l"i"4fs""o CDT k.ty8l Wind Rose (Krause) RLA.0 Direction:E-W a width: 300' 5.0 condillon: Good 2.0 Length: Suhce: Grass CUtyOrBprU 3,200 a. Allison C20 RegbterulAk#rROmnr Rose Packing Company 65 S. Barrington Road S. Barrinqton, IL ' 5 'W. Mundhank Road ' t S. Barrington, If, bo00

2 *.* N/A Purpem 0 Flyrt Andm of opemion -FIOM-u* I.& FAR9 (only) 4.0 FAR FARIS Lo FAR FAR FAR35.0 FAR FAR FAR Aerial Observation 2.0 Business 7.0 Other work Use 3.0 Educalional 8.0 Publicuse a0 9.0 Ferry 5.0 AerialAqplication 0.0 Positioning Puat Ink" Pilot "e Pikt CufMata No. William R. Rose Authority FAR2 FAR 33.0 Domestic 6.0 Rotorcraft 2.0 Flag External Load 3.0 Supplemental N/A FAR25 FAR LargeAircraft 4.0 OnDemand 5.0 Commuter FAR Foreign FAR 2,25,27,29,35 Revenue Opemths.0 scheduled 2.0 NonScheduled 3.0 Domestk 4.0 International N/A 5.0 Passenger 6.0 Cargo 7. specify Addmu 5 w. MunananK Ha. NatlImallty S, Barrinqton, IL -- buulu iamer ican.0 " 3.aaClass2 (- 2.0 class 4.P cless3 7/7/99 Glasses Date Of Birth (MIWY) WlVm 02/20/27 Parson At ConM At Time of Accbnt a PibtlnControl 4.0 "Pilot la Yes 2.0 Second Pilot 5.0 No One 2.0 No 3.0 Both Pilots Seat Belt Avaikrbk InStructor I I MMakeaModel Last90Days ast3odays

3 \, Type Ratings& ' nt Endorsements Date Of Biennial Flight Revkw BFR Aircraft or Equivalent (M/D/Y) Medical certificate.0 None 2.Q Class. Make 2. Model Date Of Lut Medicri Limitations of Birth (YIWY) waivers Degree of injury Soat Belt Avrllabk.0 None 3.0 Center.0 Yes 2.0 M i 4.0 Front 2.0 No I seat Belt Shoulder Hamess Used AvaihMe.0 Pilot Logbook 4.0 Company.0 Yes.0 Yes 2.0 OperamEstimate 5.0 Specify 2.0 No 2.0 No 3.0 FAARecords I I. mismake ~~pbns Instrument ughw Flight Time AIIAfC &Model ShgbEngho Night Actual Simulated Rotorcraft Glider -Air Total Time. // I I I I I I \ I I, tgiiaht ~tinerarv infannation I I I I I I Last Departure Point Tim 0 Departure Destination Flight Pian Fikd.AirportID IL 6! i.nm 600.AirportID Krause la None 2.atymce Barrinaton 2. Cityplace Ma : enqo 2.0 VFR 3. state IL 2. Time zone CDT 3.State IJ, 3.0 IFR if Weather Was invoiwd, State If Weather Brkfhg Was Obtained or if Weather Reports Were Checked And How It was AccompiwHd C.A.V.U. * Fuel On Board At t Takeoff Gallons.0 80/87 or 2.0 OOLowLead :R ;ZY Pounds Automotive other services, If Any, Prior M Departure 7.specify \ Weather information At The Accident Site Sourceofweatherintonnrtkn Ugh condition (PiioUQmmtor, Weather Observation) 3.0 Dusk Visibiilty Temp CF) Pilot/Operator a Ezht 4.0 Bright Night 5.0 Dark Night lo Miles 8 5O I I I Pogo 3

4 ~ I J =ng 65 (OF) Hlnd Information.Direction w!.velocity Kts. Gusts Kts m clear 4.0 OVercast-Feet AGL 2.0 Scattered Feet AGL sd PartieiObscurati~n "m 3.0 Broken Feet AGL 6.0 obscured I ResMction To Visibility None Irrbuknce (Multiple Entry) "one 2.0 Light 3.0 Moderate 4.0 severe 5.0 Extreme 6.0 Clean Air 7.0 In Clouds DamageTo Aircraft And Other Property tegrue Of Aircraft Damage -0 None 2.0 Minor 3# Substantial 4.0 Destroyed 3.0 n-m 4.Q OnG"4 bescription Of Damage To Aircraft And Other Property llpe Reciprwkn Intensity Of Precipitstion None.0 Light 3.0 Heavy 2.0 Moderate 4.spedfY Tail boom broken. Landing skids splayed. s No 2.0 Ms List The Name Of The Part, Manufacturer, Part No., Serial No. And Describe The Failure onpart Total Time At Ovehaul tegirtrrrtion Mark Aircraft Manufacturer AhcraftTypeA4ocbl Degree Of Aircraft Damage.Q Destroyed 3.0 Minor 2.0 Substantial 4.0 None Ieglstered Aircraft Owner Address 'ilot Name Address Pilot Certificate No. bthod Of Exit (State Approximate Number Of Persons Using Each Of me Following. Main Door x 2. Auxiliary Door 3. Emergency Exit Begin auto rotation from higher altitude I

5 3.0 commercial 5.0 Flightlnstructor 4.0 Airline Transport 6.0 Flight Engineer Foreign 4.Q AirlineTrans 8.Specib / \ '."

6 e Nature Of The Accident Describe The rhent. Atfach Extra Sheets If Needed. State Point Of Departure, Tim Of Departure, Intended Destination And Services Obtained. The flight originated at IL 68 RLA, Barrington, IL, Friday, August 4, 2000, at approximately 600 local time. I flew to Wind Rose (Krause) RLA, located just SW of Routes 23 and 90 in Marengo, IL. At this location is a 2900' x 300' grass airstrip. I am the owner of both RLA's. I flew to Marengo to practice auto rotations from flight in preparation for recurrent training, scheduled with an instructor the next day. I began the first auto rotation at 500' AGL and recovered at approximately 50' with an engine recovery. The second auto rotation was the same as the first. The third auto rotation was begun at 500' AGL keeping the two needles close together with a forward airspeed of 60 mph. The auto rotation proceeded normally $ntil flareout and recovery of the flareout at SO', at which time the needles split aod I descended at a rapid rate to the ground. The helicopter came to rest in a flat position with the landing skids splayed but level and Uprightc Weather conditions were good: Wind 0; Temperature 85 F;.Ceiling unlimited; Visibility 0 miles. This is the first time in 47 years of flying I have hurt myself - or anyone else - or done anything but minor damage to an aircraft. I I I I Pprr