GAA17CA017

NTSB accident investigation · Piper PA 17 · Keene Valley, NY · October 6, 2016

Accident · No injuriesData collectionFinal report
Date
October 6, 2016, 16:40 local (20:40 UTC)
Place
Keene Valley, NY
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Standing
Aircraft
N4584HPiper PA 17
Defining event
Standing-engine(s) start-up: Ground collision
Weather
Visual (VMC) · Day
Status
Completed · report December 15, 2016
Report
Approved by Office Director
NTSB office
General Aviation Accidents
Parties
FAA
FAA report
20161006019899A
Case key
94190

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 use the proper hand propping procedures, resulting in a runaway airplane and an impact with trees.

Findings · 4

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.

Use of equip/info: use of policy/procedurePersonnel issues › Task performance · PilotPiper PA-17: 1 caseAll aircraft: 191 casesProbable cause
Landing gear system: brakeAircraft › Aircraft systems · Not installed/availablePiper PA-17: 1 caseAll aircraft: 297 cases
Object/animal/substance: tree(s)Environmental issues › Physical environment · Effect on equipmentPiper PA-17: 1 caseAll aircraft: 933 cases

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.

Ground collisionStanding-engine(s) start-upPiper PA-17: 1 caseAll aircraft: 618 casesDefining event

Analysis

The pilot reported that he attempted to hand prop the unoccupied and unchocked airplane, but was unsuccessful. He returned to the cockpit to prime the engine, but then decided to instruct his passenger on how to enter and exit the cockpit, which she then practiced multiple times before exiting the airplane to watch the start procedures again. The pilot further reported that he attempted to hand prop the airplane a second time and the engine started and accelerated to a high revolution per minute (RPM) setting. The pilot was unable to restrain the airplane by holding the right wing lift strut and the airplane made a right circle, entered a wooded area, and impacted trees. The airplane sustained substantial damage to the wings and fuselage. The pilot later reported that the airplane was not equipped with a parking brake. The pilot reported that there were no preimpact mechanical failures or malfunctions with the airframe or engine that would have precluded normal operation. Federal Aviation Administration's Airplane Flying Handbook, FAA-H-8083-3A, contains a section titled "Hand Propping" which states: An engine should not be hand propped unless two people, both familiar with the airplane and hand propping techniques, are available to perform the procedure. The person pulling the propeller blades through directs all activity and is in charge of the procedure. The other person, thoroughly familiar with the controls, must be seated in the airplane with the brakes set. As an additional precaution, chocks may be placed in front of the main wheels. If this is not feasible, the airplane's tail may be securely tied. Never allow a person unfamiliar with the controls to occupy the pilot's seat when hand propping. The procedure should never be attempted alone.

Factual narrative

The pilot reported that he attempted to hand prop the unoccupied and unchocked airplane, but was unsuccessful. He returned to the cockpit to prime the engine, but then decided to instruct his passenger on how to enter and exit the cockpit, which she then practiced multiple times before exiting the airplane to watch the start procedures again. The pilot further reported that he attempted to hand prop the airplane a second time and the engine started and accelerated to a high revolution per minute (RPM) setting. The pilot was unable to restrain the airplane by holding the right wing lift strut and the airplane made a right circle, entered a wooded area, and impacted trees. The airplane sustained substantial damage to the wings and fuselage. The pilot later reported that the airplane was not equipped with a parking brake. The pilot reported that there were no preimpact mechanical failures or malfunctions with the airframe or engine that would have precluded normal operation. Federal Aviation Administration's Airplane Flying Handbook, FAA-H-8083-3A, contains a section titled "Hand Propping" which states: An engine should not be hand propped unless two people, both familiar with the airplane and hand propping techniques, are available to perform the procedure. The person pulling the propeller blades through directs all activity and is in charge of the procedure. The other person, thoroughly familiar with the controls, must be seated in the airplane with the brakes set. As an additional precaution, chocks may be placed in front of the main wheels. If this is not feasible, the airplane's tail may be securely tied. Never allow a person unfamiliar with the controls to occupy the pilot's seat when hand propping. The procedure should never be attempted alone.

Aircraft

Registration
N4584H
Reported as
Piper PA 17 (NO SERIES)
Category
Airplane
Serial number
17-9
Built
1948
Airframe hours
2,195.2
Engine
Cont Motor A-65-8, 65 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 1, 2016
Departed
NY1 · Ghent, NY
Destination
1I1 · Keene Valley, NY
Airport
1I1 · Marcy Field
Equipment
None

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
70
Injuries
None
Certificates
Airline transport, Flight engineer
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
October 3, 2016
Seat
None
Restraint
None
Flight hours
8,964.5 total · 5.3 in this make and model · 5,094.1 as pilot in command · 5.3 in the last 90 days · 5.3 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Temperature
36 °F, dew point 34 °F
Altimeter
30.27 inHg
Observed at
KSLK, 21 nm away

Docket · 2

The files NTSB released with the investigation on November 28, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.1 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.

Other investigations on N4584H · 1

Matched to the same aircraft by N-number and date.