- Date
- March 20, 2019, 15:00 local (19:00 UTC)
- Place
- Savannah, GA
- Injuries
- 1 uninjured
- Damage
- Substantial damage
- Phase of flight
- Standing
- Aircraft
- N2667QPiper PA28
- Defining event
- Standing-engine(s) start-up: Fire/smoke (non-impact)
- Weather
- Visual (VMC) · Day
- Status
- Completed · report November 6, 2019
- Report
- Approved by Office Director
- NTSB office
- General Aviation Accidents
- Parties
- FAA
- FAA report
- 20190320001699A
- Case key
- 99165
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 conduct the engine starting procedures in accordance with the Pilot’s Operating Handbook, which resulted in an engine fire.
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.
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 reported that, during the landing roll, wind pushed the airplane to the right and that he overcompensated with left rudder. The airplane veered left, abruptly rotated about 180°, and then stopped on the runway at a taxiway intersection. The tower controller asked the pilot if he could restart the engine or if he needed a tow. The pilot attempted to restart the engine four to five times. While attempting a "hot start," he saw black smoke coming from the lower left engine cowling. He leaned forward and saw flames in the same location. The pilot searched for a fire extinguisher to no avail. He egressed the airplane without further incident. The pilot added that, during the multiple restarts, he engaged the starter for 5 to 8 seconds and estimated that the time between attempts was about 5 seconds. He attempted a hot start for the first couple of attempts. After he observed the engine fire, he attempted a flooded start. The airplane sustained substantial damage to the fuselage. The pilot reported that there were no preaccident mechanical failures or malfunctions with the airplane that would have precluded normal operation. The director of maintenance reported that the fire extinguisher was located in the seat pocket behind the copilot's seat. The airport's automated weather observation station reported that, about 7 minutes before the accident, the wind was from 360° at 10 knots, gusting to 17 knots. The pilot landed the airplane on runway 10. The Pilot's Operating Handbook, Section 3.7, "Engine Fire During Start," stated the following: Engine fires during start are usually the result of overpriming. Section 4.13, "Starting Engine," stated the following: Starter manufacturers recommend that cranking periods be limited to thirty sections with a two minute rest between cranking periods. Longer cranking periods will shorten the life of the starter.
Factual narrative
The pilot reported that, during the landing roll, the wind pushed the airplane to the right and he overcompensated with left rudder. The airplane veered to the left, abruptly rotated about 180°, and the engine and airplane stopped on the runway at a taxiway intersection. The tower controller asked if the pilot could restart the engine or if he needed a tow. The pilot attempted to restart the engine 4 to 5 times. While attempting a "hot start", he observed black smoke from the lower left engine cowling. He leaned forward and saw flames in the same location. The pilot searched for a fire extinguisher, to no avail. He egressed the airplane without further incident. The pilot added that, during the multiple restarts, he engaged the starter for 5 to 8 seconds and estimated that the time between attempts was about 5 seconds. He attempted a hot start for the first couple of attempts, then after he observed the engine fire, he attempted a flooded start. The airplane sustained substantial damage to the fuselage. The pilot reported that there were no preaccident mechanical failures or malfunctions with the airplane that would have precluded normal operation. The director of maintenance reported that the fire extinguisher was located in the seat pocket behind the copilot's seat. The automated weather observation station located on the airport reported that, about 7 minutes before the accident, the wind was from 360° at 10 knots, gusting to 17 knots. The pilot landed the airplane on runway 10. The pilot's operating handbook contained section 3.7 titled, "Engine Fire During Start", which stated: Engine fires during start are usually the result of overpriming. It continued in section 4.13 titled, "Starting Engine", which stated: Starter manufacturers recommend that cranking periods be limited to thirty sections with a two minute rest between cranking periods. Longer cranking periods will shorten the life of the starter.
Aircraft
- Registration
- N2667Q
- Reported as
- Piper PA28 (140)
- Category
- Airplane
- Serial number
- 28-7725203
- Built
- 1977
- Airframe hours
- 4,867.8
- Engine
- Lycoming O-320-E3D, 160 horsepower, reciprocating
- Damage
- Substantial damage
- Fire
- On-Ground
- Flight
- Personal · Part 91
- Operator
- Bw Aviation Llc
- Registered owner
- Bw Aviation Llc
- Airworthiness certificate
- Standard, Normal
- Last inspection
- 100 hour · February 8, 2019
- Departed
- DYB · Summerville, SC
- Destination
- SAV · Savannah, GA
- Airport
- SAV · Savannah/Hilton Head Intl, runway 10, 9,351 × 150 ft, concrete
- Equipment
- Electronic flight bag or handheld device, 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
- 59
- Injuries
- None
- Certificate
- Private
- Airplane ratings
- Single-engine land
- Medical
- Class 3, Without waivers/limitations
- Last flight review
- March 20, 2019
- Seat
- Left
- Restraint
- 3-point
- Flight hours
- 81 total · 81 in this make and model · 15 as pilot in command · 35 in the last 90 days · 17 in the last 30 days
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- 360° at 10 knots, gusting 17
- Visibility
- 10 statute miles
- Temperature
- 66 °F, dew point 43 °F
- Altimeter
- 30.10 inHg
Docket · 6
The files NTSB released with the investigation on May 2, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.2 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.