CEN19LA223

NTSB accident investigation · Cessna 177 · Elkhart, IN · July 14, 2019

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
July 14, 2019, 11:00 local (15:00 UTC)
Place
Elkhart, IN
Injuries
2 minor, 3 uninjured
Damage
Substantial damage
Phase of flight
Standing
Aircraft
N29516Cessna 177
Defining event
Standing: Loss of control on ground
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA
FAA report
20190714011629A
Case key
99833

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

On this page

Probable cause

An inadvertent engine start of the airplane and subsequent takeoff without the pilot on-board for reasons that could not be determined based on available evidence.

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.

Engine startingAircraft › Aircraft power plant · Unintentional use/operationCessna 177: 1 caseAll aircraft: 7 casesProbable cause
Not determinedNot determined › Not determined · Unknown/Not determinedCessna 177: 4 casesAll aircraft: 2,247 casesProbable cause

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 pilot preflighted the airplane for a flight with two passengers. The passengers sat in the airplane with their seatbelts secured when the pilot lowered the propeller blade by manually “smacking it down” in a clockwise direction. The engine started, and the airplane began to move forward under its own power. The pilot attempted to board the airplane while it was rolling but was unable to. The airplane traveled across a ramp area, through a grassy area, over a taxiway, and up a slight grade where it became airborne momentarily before it came to rest in a field. The airplane sustained substantial damage. Postaccident examination of the airplane found the mixture and throttle in the full-forward position and the ignition key removed from the ignition. The key’s position before the accident could not be confirmed. When the pilot rotated the propeller an inadvertent engine start occurred. The reason for the inadvertent start could not be determined based on available evidence.

Factual narrative

On July 14, 2019, about 1100 central daylight time, a Cessna 177 airplane, N29516, was substantially damaged when it was involved in an accident near Elkhart, Indiana. The pilot and two passengers were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to the pilot, he placed two passengers into the airplane (a child was in the rear right seat and an adult in the front right seat) and had them secure their seatbelts. He then began a preflight, which he completed while the passengers waited in the airplane. While standing in front of the airplane’s nose and checking the tension on the propeller belt, the pilot lowered the propeller blade by “smacking it down” in a clockwise direction. The engine started, and the airplane began to move forward under its own power; the pilot jumped out of the way. The airplane proceeded toward the grass between the ramp and the taxiway, then continued over the taxiway and over the grass between the taxiway and the runway, and up over the runway where it became airborne. The airplane came back down on the other side of the runway and stopped in an adjacent wheat field. The airplane received substantial damage to the forward fuselage structure. According to the adult passenger, the pilot was standing in the front of the airplane and spun the propeller “a little” and “all of a sudden, the airplane came roaring to life.” The pilot jumped and tried to run around to get in the airplane but was unable. She tried to reach the brake pedals with her feet to stop the airplane, but she could not reach the pedals. The pilot stated the key was in the ignition but not turned to “START,” and he could not recall the configuration of the mixture and throttle during his preflight walkaround. According to an FAA inspector, the mixture and throttle were in the full forward position during the on-scene examination. The ignition key had been removed from the ignition after the accident and was sitting on the right seat, so the position of the switch at the time of the accident could not be verified. The inspector did not remove the engine cowling or examine any components within the engine compartment.

Aircraft

Registration
N29516
Reported as
Cessna 177 (Undesignat)
Category
Airplane
Serial number
17700938
Built
1968
Engine
Lycoming O-320 SERIES, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Airport
EKM · Elkhart Muni
Equipment
Handheld GPS, Electronic flight bag or handheld device

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
52
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Sport pilot, Without waivers/limitations
Last flight review
July 1, 2019
Seat
None
Restraint
None
Flight hours
2,200 total · 2,200 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
70° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
81 °F, dew point 63 °F
Altimeter
30.15 inHg
Observed at
KSBN, 15 nm away
METAR
KSBN 141454Z 07007KT 10SM CLR 27/17 A3015 RMK AO2 SLP203 T02670172 51002

Docket · 5

The files NTSB released with the investigation on December 13, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.3 MB in all.

FAA reports on this event · 1

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