ERA12CA323

NTSB accident investigation · Beech A36 · Paducah, KY · May 8, 2012

Accident · No injuriesData collectionFinal report
Date
May 8, 2012, 10:00 local (15:00 UTC)
Place
Paducah, KY
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Standing
Aircraft
N1819LBeech A36
Defining event
Standing-engine(s) start-up: Miscellaneous/other
Weather
Visual (VMC) · Day
Status
Completed · report September 13, 2012
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20120508009131A
Case key
83583

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 failure to properly secure the airplane before turning the propeller by hand.

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.

Action: lack of actionPersonnel issues › Action/decision · PilotBeech A36: 8 casesAll aircraft: 792 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 stated that the airplane's starter had been malfunctioning for about 1 month. On the day of the accident, he unsuccessfully attempted to start the engine from inside the airplane, then exited the airplane, and turned the propeller "slowly." The pilot’s intent in turning the propeller was not to start the engine. However, the engine started unexpectedly, and the airplane traveled across the ramp and impacted a parked airplane, resulting in substantial damage.

Factual narrative

The pilot stated that the airplane's starter had been malfunctioning for approximately one month. On the day of the accident, he unsuccessfully attempted to start the engine from inside the airplane, then exited the airplane and turned the propeller "slowly," but stated he did not intend to hand-prop the engine. He stated that the engine then started unexpectedly, traveled across the ramp, and impacted a parked airplane, resulting in substantial damage.

Aircraft

Registration
N1819L
Reported as
Beech A36
Category
Airplane
Serial number
E-838
Airframe hours
4,955
Engine
Cont Motor IO550 SERIES, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Carl Marquess
Registered owner
Momar LLC
Airworthiness certificate
Standard, Normal; Standard, Utility
Last inspection
Annual · January 20, 2012
Departed
PAH · Paducah, KY
Destination
PAH · Paducah, KY
Airport
PAH · Barkley Regional 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
58
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
November 8, 2010
Flight hours
1,924 total · 1,690 in this make and model · 1,819 as pilot in command · 32 in the last 90 days · 4 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
330° at 6 knots
Visibility
10 statute miles
Lowest ceiling
7,000 ft overcast
Temperature
70 °F, dew point 57 °F
Altimeter
29.95 inHg
Observed at
PAH

Docket · 3

The files NTSB released with the investigation on July 10, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.7 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.