----------------------------------------------------------------------------------------------------------------------------
FILE DATE LOCATION AIRCRAFT DATA INJURIES FLIGHT PILOT DATA
F S M/N PURPOSE
----------------------------------------------------------------------------------------------------------------------------
3-2430 76/8/12 NR.GILA BEND,AZ. GRUMMAN G-164A CR- 0 0 1 COMMERCIAL COMMERCIAL, AGE 44, 14500
TIME - 0530 N4529 PX- 0 0 0 AERIAL APPLICATION TOTAL HOURS, 5000 IN
DAMAGE-DESTROYED OT- 0 0 0 TYPE, NOT INSTRUMENT
RATED.
DEPARTURE POINT INTENDED DESTINATION
BUCKEYE,AZ GILA BEND,AZ.
TYPE OF ACCIDENT PHASE OF OPERATION
ENGINE FAILURE OR MALFUNCTION IN FLIGHT: EN ROUTE TO TREAT CROP
GEAR COLLAPSED LANDING: LEVEL OFF/TOUCHDOWN
PROBABLE CAUSE(S)
POWERPLANT - ENGINE STRUCTURE: CYLINDER ASSEMBLY
MISCELLANEOUS ACTS,CONDITIONS - MATERIAL FAILURE
FACTOR(S)
TERRAIN - ROUGH/UNEVEN
MISCELLANEOUS ACTS,CONDITIONS - OVERLOAD FAILURE
COMPLETE POWER LOSS - COMPLETE ENGINE FAILURE/FLAMEOUT-1 ENGINE
EMERGENCY CIRCUMSTANCES - FORCED LANDING OFF AIRPORT ON LAND
SPECIAL DATA
TOTAL HOURS IN CROP CONTROL - 9999 KIND OF OPERATION - SPRAYING CROPS
KIND OF CROP - COTTON TYPE OF CHEMICAL USED - LIQUID CHEMICAL-TOXIC
PILOT' S SEAT BELT -UNKNOWN/NOT REPORTED GLOVES - NOT USED
GOGGLES - NOT USED CRASH HELMET - AVAILABLE USED
COCKPIT CRASHPAD - INSTALLED CRASH BAR - INSTALLED
TANK/HOPPER-LOCATION - FORWARD OF PILOT TERRAIN-TYPE -LEVEL,FLAT
ELEVATION-AREA BEING TREATED-FEET - 1000 SWATH RUN-HOW FLOWN - CROSSWIND
REMARKS- FORCED LNDG ON UNSUITABLE TERRAIN,GILA RIVER DRY RIVER BED.NR 1 CYL CRACKED.
