CEN21LA295

NTSB accident investigation · Flight Design Ctls · Ray, MI · June 28, 2021

Accident · Serious injuriesClass 4 · LimitedFinal report
Date
June 28, 2021, 19:30 local (23:30 UTC)
Place
Ray, MI
Injuries
1 serious, 1 uninjured
Damage
Minor damage
Phase of flight
Other
Aircraft
N920SSFlight Design Ctls
Defining event
Other: AC/prop/rotor contact w person
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 4 - Basic report with no Prelim publish
NTSB office
Central Region
Parties
FAA FSDO
FAA report
20210628011059I
Case key
103380

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

The flight instructor’s improper decision to direct the student pilot to exit the airplane with the engine running, which resulted in serious injury when the student walked into the propeller arc.

Findings · 1

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.

Info processing/decision: decision making/judgmentPersonnel issues › Action/decision · Instructor/check pilotFlight Design CTLS: 4 casesAll aircraft: 3,098 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 flight instructor was conducting the 16-year-old student pilot’s first instructional flight. After completing several takeoffs and landings, they “taxied around the airport multiple times,” during which they experienced “light to sometimes moderate” rain. At the conclusion of the lesson, the rain became heavy enough that visibility was reduced, and the instructor decided to taxi the airplane into its open hangar to avoid getting wet. As they approached the hangar, the instructor noted a set of wheel chocks on the ground, and with the engine still running, he instructed the student to exit the airplane, walk around the propeller arc, and move the chocks so that he, “could taxi the airplane nose-first into the hangar…then turn it around once inside and shut down.” He stated that he repeated the instructions to ensure that the student understood. The student subsequently exited the airplane and walked forward into the spinning propeller, resulting in serious injury. The instructor reported that there were no preaccident mechanical malfunctions or failures of the airplane that would have precluded normal operation.

Aircraft

Registration
N920SS
Reported as
Flight Design Ctls
Category
Airplane
Serial number
F-10-02-05
Built
2010
Airframe hours
2,315
Engine
Rotax 912ULS, 100 horsepower, reciprocating
Damage
Minor damage
Flight
Instructional · Part 91
Registered owner
Dodger Aircraft LLC
Airworthiness certificate
Special, Special light-sport (Special)
Last inspection
Condition · March 2, 2021 · 45.5 hours before
Destination
Same as departure
Airport
57D · Ray Community
Equipment
Auto-pilot, Airframe parachute, ADS-B, Stall warning system, Handheld GPS

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
37
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 2, Unknown
Last flight review
April 14, 2021
Seat
Right
Restraint
3-point
Flight hours
571 total · 4.2 in this make and model · 46.6 as pilot in command · 1,080.9 in the last 90 days · 27 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
5,000 ft broken
Temperature
79 °F, dew point 79 °F
Altimeter
30.11 inHg
Observed at
KMTC, 8 nm away
METAR
METAR KMTC 282256Z 00000KT 10SM -SHRA SCT040 BKN050 BKN250 26/26 A3011 RMK AO2A LTG DSNT NW SHRAB24 CB 12NW MOV NE SLP197 P0011 T02600260 $=

Docket · 3

The files NTSB released with the investigation on February 9, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 10.8 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.