# NTSB CHI05CA022: Piper PA-28-181, N2245M, Morris, IL, November 6, 2004 - Type: NTSB accident investigation - Classification: Accident · Minor injuries · Data collection · Final report - Date: November 6, 2004, 10:00 local (16:00 UTC) - Place: Morris, IL - Coordinates: 41.425556, -88.418609 - Nearby events: https://openairdocs.org/map.md?lat=41.4256&lon=-88.4186&mi=10 - Phase of flight: [Standing](https://openairdocs.org/ntsb-phases/150) (OpenAirDocs' grouping) - Highest injury: Minor injuries - Injuries: 1 minor - Status: Completed, report January 24, 2005 - Report: Approved by Office Director - Parties: West Chicago, IL - NTSB case key (mKey): 60523 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=CHI05CA022 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/60523/pdf - Page: https://openairdocs.org/ntsb/CHI05CA022 ## Probable cause The pilot's inadequate preflight planning in that he failed to assure that the airplane was properly secured prior to hand propping the engine. Factors associated with the accident were the broken tie down rope and the other airplanes which were contacted. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Loss of control - on ground/water, standing - starting engine(s) - airport facilities,ramp facilities - failure,total (contributing factor) - parking brakes - not used, pilot in command (cause) - wheel chocks - not used, pilot in command (cause) - preflight planning/preparation - inadequate, pilot in command (cause) - On ground/water collision with object, standing - starting engine(s) - object - aircraft parked/standing (contributing factor) ## Analysis The airplane collided with three airplanes that were parked on the ramp. The pilot reported he inadvertently left the master switch on after landing. He reported the battery was dead when he went to start the airplane so he decided to hand prop the engine. The pilot stated he tied the tail down using a ramp tie town rope and set the throttle forward about one-quarter of an inch. He stated he started the airplane and was walking around the wing to enter the airplane when the tie down rope broke. The airplane started moving and as he tried to grab the door handle the horizontal stabilator struck him, knocking him to the ground. The airplane continued to the west where it contacted the left wing of a Diamond DA40. The airplane continued westbound across the ramp where its left wing contacted a light pole turning the airplane around 180 degrees. The airplane then traveled east, back across the ramp, where it contacted the tail of a Cessna 150E. The airplane came to rest after contacting the nose and left wing of a Grumman AA-1B. Post accident inspection of the accident site revealed the tail tie down rope broke with one end still attached to the tie down ring on the airplane, and the other end attached to the pavement tie down ring. The pilot stated he did not set the airplane's brakes nor did he place chocks under the wheels prior to hand propping the engine. The airport manager stated the airport does not supply tie down ropes. ## Factual narrative On November 6, 2004, at 1000 central standard time, a Piper PA-28-181, N2245M, collided with three airplanes that were parked on the ramp at the Morris-Washburn Airport (C09), Morris, Illinois. The pilot who was outside of the airplane at the time received minor injuries. N2245M was substantially damaged. The 14 CFR Part 91 personal flight was operating in visual meteorological conditions without a flight plan. The flight was originating at the time of the accident. The pilot reported that he inadvertently left the master switch on after landing at C09. He reported the battery was dead when he went to start the airplane so he decided to hand prop the engine. The pilot stated he tied the tail down using a ramp tie town rope and set the throttle forward about one-quarter of an inch. He stated he started the airplane and was walking around the wing to enter the airplane when the tie down rope broke. The airplane started moving and as he tried to grab the door handle the horizontal stabilator struck him, knocking him to the ground. N2245M continued to the west where it contacted the left wing of a Diamond DA40, N222GF. N2245M continued westbound across the ramp where its left wing contacted a light pole, turning the airplane around 180 degrees. N2245M then traveled east, back across the ramp, where it contacted the tail of a Cessna 150E, N4039U. N2245M came to rest after contacting the nose and left wing of a Grumman AA-1B, N1409R. Post accident inspection of the accident site revealed the tail tie down rope broke with one end still attached to the tie down ring on N2245M, and the other end attached to the pavement tie down ring. The pilot stated he did not set the airplanes brakes nor did he place chocks under the wheels prior to hand propping the engine. The airport manager stated the airport does not supply tie down ropes. ## Aircraft - Registration: [N2245M](https://openairdocs.org/deregistered/N2245M-2009-02-03), registration cancelled 2009-02-03, S/N 28-7890236, built 1977 (OpenAirDocs) - Reported make and model: Piper PA-28-181 - Registry model: [Piper PA-28-181](https://openairdocs.org/model/piper-pa-28-181) (registry code 7102807) (OpenAirDocs) - Registry engine: [Lycoming O&VO-360 series](https://openairdocs.org/engine/lycoming-o-vo-360-series) (registry code 41514, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: 2878902306 - Engines: Lycoming O-360 reciprocating - Damage: Substantial damage - Flight: Personal, Part 91 - Operator: Dennis K. Richardson - Registered owner: Naperville Flying Club - Airworthiness certificate: Standard, Normal - Departed: Morris, IL - Destination: C09, Morris, IL ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 58; injuries: minor; commercial, flight instructor; airplane ratings: single-engine land; instrument ratings: airplane; medical: class 3, valid medical--w/ waivers/lim; flight hours: 1,700 total, 300 in this make and model, 1,700 as pilot in command, 60 in the last 90 days, 16 in the last 30 days, 1 in the last 24 hours ## Weather - Conditions: Visual (VMC), Day - Wind: 260° at 8 knots - Visibility: 10 statute miles - Lowest ceiling: none - Temperature: 48 °F, dew point 41 °F - Altimeter: 29.81 inHg - Observed at: JOT ## FAA reports on this event (1) The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs). - [Accident 20041106029969A](https://openairdocs.org/incident/20041106029969A), Nov 6, 2004: Piper PA28181, Morris, IL, Substantial damage. (-23) Pilot discovered dead battery when trying to start aircraft. He then tied down the tail, set the throttle to 1/4, and hand-propped the aircraft. It… ## Other investigations on N2245M (1) From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. - [NTSB CHI08CA126](https://openairdocs.org/ntsb/CHI08CA126), May 8, 2008: Piper PA-28-181 (N2245M), Naperville, IL, substantial damage. Probable cause: The pilot's failure to execute a go-around. Contributing to the accident was the pilot's excessive airspeed during touchdown, which resulted in the runway overrun. From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.