CEN14CA383

NTSB accident investigation · Piper PA 28-140 · St. Louis, MO · July 18, 2014

Accident · Minor injuriesData collectionFinal report
Date
July 18, 2014, 18:25 local (23:25 UTC)
Place
St. Louis, MO
Injuries
1 minor, 1 uninjured
Damage
Substantial damage
Phase of flight
Standing
Aircraft
N9789WPiper PA 28-140
Defining event
Standing-engine(s) start-up: Loss of control on ground
Weather
Visual (VMC) · Day
Status
Completed · report September 2, 2014
Report
Approved by Office Director
NTSB office
Central Region
Case key
89712

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 pilot's decision to operate an airplane with a known deficiency and to not properly secure the airplane before hand-starting the engine.

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.

Parking/securing: tie-down/mooringAircraft › Aircraft handling/service · Incorrect use/operationPiper PA-28-140: 1 caseAll aircraft: 33 casesProbable cause
Object/animal/substance: aircraftEnvironmental issues › Physical environment · Contributed to outcomePiper PA-28-140: 2 casesAll aircraft: 116 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 airplane's engine starter was inoperative so the pilot decided to hand-start the engine with the propeller to get it started. He had his wife, who was not a pilot, sit in the airplane and hold the toe-brakes with her feet. The parking brake was not set. When the engine started, the airplane began to roll forward, and the pilot's wife was unable to stop it from moving. The wife stated she was scared of the propeller striking her husband so she turned the airplane away from him. The airplane traveled off the pavement, through a ditch, across a soybean field, and collided with a parked airplane resulting in substantial damage to the left wing. The parked airplane was also damaged. The pilot said the starter was the only mechanical problem with the airplane prior to the accident. He said it was a poor decision to hand-start the engine with an inoperative starter and he should have secured the airplane until it could be inspected by a mechanic.

Factual narrative

The airplane's engine starter was inoperative so the pilot decided to hand-start the engine with the propeller to get it started. He had his wife, who was not a pilot, sit in the airplane and hold the toe-brakes with her feet. The parking brake was not set. When the engine started, the airplane began to roll forward, and the pilot's wife was unable to stop it from moving. The wife stated she was scared of the propeller striking her husband so she turned the airplane away from him. The airplane traveled off the pavement, through a ditch, across a soybean field, and collided with a parked airplane resulting in substantial damage to the left wing. The parked airplane was also damaged. The pilot said the starter was the only mechanical problem with the airplane prior to the accident. He said it was a poor decision to hand-start the engine with an inoperative starter and he should have secured the airplane until it could be inspected by a mechanic.

Aircraft

Registration
N9789W
Reported as
Piper PA 28-140 (140)
Category
Airplane
Serial number
28-23281
Built
1967
Engine
Lycoming 0-320 SERIES, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Peter K L'Esperance
Registered owner
Peter K L'Esperance
Airworthiness certificate
Standard, Normal
Departed
1H0 · St. Louis, MO
Destination
1H0 · St. Louis, MO
Airport
1H0 · Creve Couer

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
30
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Seat
None
Flight hours
141 total · 100 in this make and model · 118 as pilot in command · 7 in the last 90 days · 1 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day

Docket · 3

The files NTSB released with the investigation on August 21, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 637 KB in all.