CEN09LA107

NTSB accident investigation · Cessna 150F · Palenstine, TX · December 28, 2008

Accident · Serious injuriesLimited investigationFinal report
Date
December 28, 2008, 16:07 local (22:07 UTC)
Place
Palenstine, TX
Injuries
2 serious
Damage
Substantial damage
Phase of flight
Standing
Aircraft
N8212FCessna 150F
Defining event
Standing-engine(s) not oper: Miscellaneous/other
Weather
Visual (VMC) · Day
Status
Completed · report May 12, 2009
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Administration
FAA report
20081228853669A
Case key
73150

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

The failure of the pilot to ensure security of the cockpit switches before rotating the propeller.

Findings · 3

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

AircraftAircraft › Aircraft systems · Incorrect use/operationCessna 150F: 1 caseAll aircraft: 63 casesProbable cause
Use of equip/infoPersonnel issues › Task performance · PilotCessna 150F: 1 caseAll aircraft: 111 casesProbable cause
Engine (reciprocating)Aircraft › Aircraft power plant · Unintentional use/operationCessna 150F: 2 casesAll aircraft: 497 cases

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The private pilot and a 6-year old passenger boarded the airplane for a local flight. After a failed attempt to start the engine, the pilot recalled securing the master switch and the magnetos prior to exiting the cockpit to rotate the propeller by hand. While turning the propeller to "limber" the oil, the airplane's engine inadvertently started. As the airplane moved forward, an unknown part of the airplane contacted the pilot causing serious injuries. The airplane, with the passenger still on-board, traversed the airport before colliding with trees. The passenger was seriously injured and the airplane was substantially damaged. A responding fire fighter reported turning off the magneto and fuel switches during the initial response.

Factual narrative

On December 28, 2008, at 1607 central standard time, a Cessna 150F was substantially damaged upon impact with trees near Palestine, Texas. The private pilot and passenger both received serious injuries. The airplane was owned and operated by the pilot. The airplane was on the ramp area of Palestine Municipal Airport (PSN), Palestine, Texas. Visual meteorological condition prevailed and no flight plan was filed for the Title 14 Code of Federal Regulations Part 91 personal flight. The local flight was originating at the time of the accident. The pilot provided a statement to the responding Federal Aviation Administration inspector as well as a completed Form 6120 to the Investigator in charge. The pilot stated that he planned on giving his 6-year old granddaughter a flight in the airplane. After the second failed attempt to start the engine, the pilot recalled turning off the ignition and master switches. With the passenger still buckled in the passenger seat, the pilot began manually turning the propeller in an effort to "limber the oil." After the third propeller rotation, the airplane's engine started. The pilot was injured as the airplane moved forward. The airplane continued to gain speed as it transversed the airport before impacting trees. The passenger was injured in the crash. The airplane sustained damage to the wing spars, fuselage and empennage. In an interview with the responding FAA inspector, a fire fighter reported turning off the key switch (magneto switch) and the fuel shutoff during the initial response.

Aircraft

Registration
N8212F
Reported as
Cessna 150F
Category
Airplane
Serial number
15064312
Airframe hours
3,164
Engine
Cont Motor O-200 SERIES, 100 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Fielden Virgil A
Registered owner
Fielden Virgil A
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 1, 2008 · 38 hours before
Airport
PSN · Palestine Municipal Airport

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
71
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Flight hours
226 total · 226 in this make and model · 187 as pilot in command · 38 in the last 90 days · 8 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
170° at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
54 °F, dew point 27 °F
Altimeter
30.27 inHg
Observed at
JSO, 25 nm away

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.