ERA15CA107

NTSB accident investigation · Piper PA-28-161 · Alexander City, AL · January 19, 2015

Accident · Minor injuriesData collectionFinal report
Date
January 18, 2015, 18:30 local (Jan 19, 2015, 00:30 UTC)
Place
Alexander City, AL
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Standing
Aircraft
N104SAPiper PA-28-161
Defining event
Standing-engine(s) start-up: Loss of control on ground
Weather
Visual (VMC) · Night/dark
Status
Completed · report July 8, 2015
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA / FSDO
FAA report
20150118000769A
Case key
90620

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 pilot's failure to properly secure the airplane before hand-propping the engine for startup.

Findings · 5

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.

Electrical power system: battery/chargerAircraft › Aircraft systems · Incorrect service/maintenancePiper PA-28-161: 1 caseAll aircraft: 37 cases
Action: lack of actionPersonnel issues › Action/decision · PilotPiper PA-28-161: 8 casesAll aircraft: 792 casesProbable cause
Parking/securing: tie-down/mooringAircraft › Aircraft handling/service · Incorrect use/operationPiper PA-28-161: 1 caseAll aircraft: 33 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotPiper PA-28-161: 40 casesAll aircraft: 9,295 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

On the day of the accident, the pilot had to get the airplane jumpstarted as the battery was low on energy. Later during his flight home, he landed at an airport to refuel. After refueling, he attempted to start the engine. The battery however, was too weak to start the engine. The pilot then checked the parking brake was engaged and got out to look for his portable jump starter pack in the storage compartment. It was not however onboard. He then proceeded to look for someone to assist in starting. Not finding anyone, he went back to the airplane and set the mixture to full rich, opened the throttle about 10 percent, primed the engine about 8 to 10 times, turned the magneto switch to "BOTH", checked the parking brake, and attempted to hand-prop the engine twice without success. He then checked these items again and once again attempted to hand-prop the engine. The engine still failed to start. He assumed the engine was flooded. Therefore, he set the mixture to idle cutoff, turned off the magnetos, and checked the parking brake once again. He then got out of the aircraft and prior to touching the propeller, visually looked in the cabin to check that the key for the magneto switch wasn't in the "BOTH" position. He then hand-propped it. A puff of smoke came out of the exhaust, and the engine suddenly accelerated to maximum rpm. He immediately moved from in front of the propeller. He then thought "the brakes are on, don't worry", then noticed that the airplane was moving and picking up speed. At this point, he was in front of the right wing. He then attempted to grab hold of the door, hop on wing and get into the airplane. He could not however get a grip on door as the slipstream from the propeller pushed it shut. He was then dragged and run over by the airplane. The airplane then made contact with a ditch and was substantially damaged. The pilot advised that he had been having problems with the battery holding a charge, and that he should have replaced it. He also advised that apparently one magneto was still on; he should have used chocks, and should not have attempted to hand-prop it by himself.

Factual narrative

On the day of the accident, the pilot had to get the airplane jumpstarted as the battery was low on energy. Later during his flight home, he landed at an airport to refuel. After refueling, he attempted to start the engine. The battery however, was too weak to start the engine. The pilot then checked the parking brake was engaged and got out to look for his portable jump starter pack in the storage compartment. It was not however onboard. He then proceeded to look for someone to assist in starting. Not finding anyone, he went back to the airplane and set the mixture to full rich, opened the throttle about 10 percent, primed the engine about 8 to 10 times, turned the magneto switch to "BOTH", checked the parking brake, and attempted to hand-prop the engine twice without success. He then checked these items again and once again attempted to hand-prop the engine. The engine still failed to start. He assumed the engine was flooded. Therefore, he set the mixture to idle cutoff, turned off the magnetos, and checked the parking brake once again. He then got out of the aircraft and prior to touching the propeller, visually looked in the cabin to check that the key for the magneto switch wasn't in the "BOTH" position. He then hand-propped it. A puff of smoke came out of the exhaust, and the engine suddenly accelerated to maximum rpm. He immediately moved from in front of the propeller. He then thought "the brakes are on, don't worry", then noticed that the airplane was moving and picking up speed. At this point, he was in front of the right wing. He then attempted to grab hold of the door, hop on wing and get into the airplane. He could not however get a grip on door as the slipstream from the propeller pushed it shut. He was then dragged and run over by the airplane. The airplane then made contact with a ditch and was substantially damaged. The pilot advised that he had been having problems with the battery holding a charge, and that he should have replaced it. He also advised that apparently one magneto was still on; he should have used chocks, and should not have attempted to hand-prop it by himself.

Aircraft

Registration
N104SA
Reported as
Piper PA-28-161
Category
Airplane
Serial number
28-8016165
Built
1979
Airframe hours
5,137.2
Engine
Lycoming 0-320-D3G, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 1, 2014 · 135 hours before
Departed
ALX · Alexander City, AL
Destination
71J · Ozark, AL
Airport
ALX · Thomas C. Russell Field
Equipment
Stall warning system

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
38
Injuries
Minor
Certificates
Commercial, Flight instructor, Private
Airplane ratings
Single-engine land
Instrument ratings
Helicopter
Medical
Class 2
Last flight review
May 2, 2014
Seat
Left
Restraint
None
Flight hours
1,043 total · 283 in this make and model · 330 as pilot in command

Weather

Conditions
Visual (VMC) · Night/dark
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
45 °F, dew point 25 °F
Altimeter
30.14 inHg
Observed at
KALX

Docket · 11

The files NTSB released with the investigation on June 29, 2015, on NTSB’s docket system: statements, records, photos and specialists’ reports. 17.8 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.