USAF crash report (copy)

REPORT OF AIRCRAFT ACCIDENT
Use this form in accordance with AF Reg. 52-14 and AF Manual62-5 “Aircraft Accident
Investigators Handbook.” Fill in all spaces applicable. If additional space is needed, use
additional sheet(s) and identify by proper section letter and subsection number.
{99999} Section A – GENERAL INFORMATION {2999-2}
1. Place of Accident, State, County, nearest town – Distance and direction to accident [Unknown]
2. Nearest Airport suitable for landing this plane – Distance and direction to accident [Unknown]
3. Elevation above S. L. at accident scene [Unknown]
4. Date of accident [23 Nov 53]
5. Hour and time zone [Unknown]
6. [ ] Day [ X ] Night [ ] Dawn [ ] Dusk
7. List Numbers of All Other Aircraft Involved [None]
8. [ X ] Incident to Flight [ ] Not Incident to Flight
9. Classification of Accident [ X ] Major [ ] Minor
10. Clearance [ ] IFR [ ] VFR [ ] Local [ X ] Other
If Other: [Kinross AFB on an Active Air Defense Mission]
11. This was a: [ ] CAP Flight [ ] Air Reserve Flight [ ] ANG Flight [ X ] Other
12. [ ] Fire Occurred Before Accident [ ] Fire Occurred After Accident [ ] Fire Did Not Occur
[Unknown]
13. Airfield of Last Takeoff [Kinross AFB]
14. Duration of Flight Since Last Takeoff [Unknown]
15. Mission of Flight (Use Form ?Symbol) [0]
16. Activity Aircraft was Engaged in Just Prior to Accident [Unknown]
Section B - AIRCRAFT
1. Aircraft Number [51-5853-A]
2. Type, Model, Series and Block No. [F-89C]
3. Organization Reporting Aircraft on AF 110? Report
Major Command [ADC] {ADC}
Subcommand [EADF] {EAD}
AF Wing [4706th AIR DEF WING] {DEF}
Group Number and Type [520 AD GP] {ADF}
Squadron [433FIS] {FI}
Base [TRUAX AFB WISCONSIN] {6330}
Section C – OPERATOR (Person at controls at time of accident)
1. Last Name (Jr., II., etc) First Name Middle Name [MONCLA FELIX EGGENE JR.]
Grade [1st Lt]
Component [USAFR]
Serial No. [A01858910]
Nationality and Race [U.S. Cau]
Year of Birth [1926]
2. Assigned Base [TRUAX AFB WISC]
Major Command [ADC]
Subcommand [EADF]
AF Wing [4706th AD WG]
Group Number and Type [520 AD GP]
Squadron or Unit [433 FIS]
3. Attached Base For? Flying [TRUAX AFB WISC] {6330}
Major Command [ADC] {ADC}
Subcommand [EADF] {EAD}
AF Wing [4706th AD WG] {DEF}