IAD99LA047

NTSB accident investigation · Nanchang CJ-6A · Ocean City, MD · May 30, 1999

Accident · Serious injuriesLimited investigationFinal report
Date
May 30, 1999, 12:50 local (16:50 UTC)
Place
Ocean City, MD
Injuries
1 serious, 1 uninjured
Damage
No damage
Phase of flight
Standing
Aircraft
N4MFNanchang CJ-6A
Weather
Visual (VMC) · Day
Status
Completed · report November 2, 2000
Report
Approved by Office Director
FAA report
19990530044729A
Case key
46432

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

Was the pilot leaving the magneto switch in the on position while hand rotating the propeller.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Miscellaneous/otherStanding
Ignition system,ignition switch - engagedCause
Procedures/directives - improperPilot in commandCause
Propeller/rotor contact to personStanding

Analysis

The pilot completed the 'before starting engines' checklist prior to departure. The flight was delayed, and the pilot became concerned about oil collecting in the lower cylinders of the radial engine, and the potential for internal damage during engine start due to hydraulic lock. He elected to clear the oil from the cylinders by hand-propping the engine. The pilot left the cockpit, and rotated the propeller by hand. The engine started instantly and threw the pilot to the ground with serious injuries. According to the pilot, examination of the cockpit after the accident revealed the magneto switch was still in the 'on' position.

Factual narrative

On May 30, 1999, about 1250 eastern daylight time, the certificated airline transport pilot/owner was seriously injured when the engine inadvertently started while hand rotating the propeller of his Nanchang CJ-6A, N4M, at the Ocean City Municipal Airport, Ocean City, Maryland. A passenger in the airplane was not injured and the airplane was not damaged. Visual meteorological conditions prevailed and no flight plan was filed. The pilot was preparing the engine for start with the intention of flight to be conducted under 14 CFR Part 91.

In a written statement, the pilot said:

"I had flown a local sortie out of Ocean City Airport earlier that morning. My intention was to fly a second sortie in a two-ship formation with another FAST qualified formation pilot flying his YAK-52. I had to wait approximately 35 minutes for fuel after the first sortie. We conducted a formal briefing for the formation flight and my back-seater from the earlier flight and I strapped into my airplane. I accomplished the "before starting engine" checklist and then looked over my shoulder to see if the other aircraft was ready to go."

At this point the pilot aborted the engine start procedure. The pilot was concerned that oil was accumulating in the lower cylinders, and the potential of internal engine damage due to hydraulic lock during start of the radial engine. He then exited the airplane.

The pilot further stated:

"...as a precaution, I decided to pull the prop through to assure myself that I did not have a hydraulic lock situation. As I pulled the prop through from the 3 o'clock position to approximately the 6 or 7 o'clock position the engine fired and began running, catching me off guard and throwing me to the ground. When I aborted the start and shut down the electrical systems, I had overlooked one switch, the magneto. The magneto switch was in the "both on" position and therefore the mags were hot. All the elements were there for a successful engine start: fuel, air, and spark."

The pilot reported there were no mechanical deficiencies with the airplane. He also reported a total of 11,500 flight hours which 350 flight hours were in make and model.

The pilot acknowledged that all switch positions should be double checked to make sure the magnetos are not on prior to touching the propeller.

Aircraft

Registration
N4MF
Reported as
Nanchang CJ-6A
Category
Airplane
Serial number
2951203
Airframe hours
2,330
Engine
China HUISAI-6 JIA, 285 horsepower, reciprocating
Damage
No damage
Flight
Personal · Part 91
Registered owner
Michael J. Filucci
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Annual · August 18, 1998 · 177 hours before
Departed
OXB
Airport
OXB · Ocean City Municipal

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
50
Certificates
Flight engineer, Commercial, Airline transport, Private
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Flight hours
11,500 total · 350 in this make and model · 8,000 as pilot in command · 275 in the last 90 days · 92 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
300° at 5 knots
Visibility
8 statute miles
Lowest ceiling
20,000 ft broken
Temperature
88 °F, dew point 66 °F
Altimeter
30.00 inHg
Observed at
SBY, 18 nm away

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.