LAX07CA214

NTSB accident investigation · Aeronca 7AC · Clarksburg, CA · July 8, 2007

Accident · Serious injuriesData collectionFinal report
Date
July 8, 2007, 14:30 local (21:30 UTC)
Place
Clarksburg, CA
Injuries
1 serious
Damage
Minor damage
Phase of flight
Standing
Aircraft
N2869EAeronca 7AC
Weather
Visual (VMC) · Day
Status
Completed · report October 31, 2007
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20070708012889A
Case key
66192

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 inadequate hand-prop starting procedure and failure to secure the airplane.

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.

Propeller/rotor contact to personStanding - starting engine(s)
Starting procedure - improperPilot in commandCause

Analysis

The airplane abruptly moved forward and contacted the pilot while he was attempting to start the engine by hand propping. The pilot attempted to start the engine by rotating the propeller by hand. The engine started abruptly and the airplane lurched forward. The propeller contacted the left side of the pilot's body, severing his left arm. The pilot said he had accidentally positioned the throttle control in the full open (on) position and he had not secured the airplane prior to the start-up attempt. The pilot reported no mechanical malfunctions or failures with the airframe or engine.

Factual narrative

The airplane abruptly moved forward and contacted the pilot while he was attempting to start the engine by hand. During a telephone interview with a National Transportation Safety Board investigator, the pilot stated that he had flown to the airport earlier in the day. He intended to depart back to his home-airport and attempted to start the engine by rotating the propeller by hand, as he had done many times previously. The engine started abruptly and the airplane lurched forward. The propeller contacted the left side of the pilot's body, severing his left arm.

The pilot further stated that he had accidentally positioned the throttle control in the full open (on) position, which resulted in the sudden movement; he had not secured the airplane prior to the start-up attempt. He reported no mechanical malfunctions or failures with the airframe or engine. The pilot had over 1,500 hours in the accident airplane.

Federal Aviation Administration publication, Preventing Accidents During Aircraft Ground Operations (FAA-P-8740-20), presents suggestions to aid in increasing the safety factor while hand starting airplanes. The publication states the following:

"No one should attempt to start an aircraft engine without a qualified person at the cockpit controls. The person turning the propeller should be properly trained in the technique of hand cranking. If you have in mind to try hand propping by yourself - DON'T. If you must hand prop - get qualified help to position the engine controls and switches during the starting procedure. If hand propping can be avoided - DO."

"Unsupervised 'hand propping' of an airplane should not be attempted by inexperienced persons. Regardless of the experience level, it should never be attempted by anyone without adhering to adequate safety measures. Uninformed or inexperienced persons or non-pilot passengers should never handle the throttle, brakes, or switches during starting procedures. The airplane should be securely chocked or tied down, and great care should be exercised in setting the throttle. It may be well to turn the fuel selector valve to the 'off' position after properly priming the engine and prior to actually attempting the hand start. After it starts, the engine will usually run long enough with the fuel 'off' to permit walking around the propeller and turning the fuel selector to the 'on' position."

Aircraft

Registration
N2869E
Reported as
Aeronca 7AC
Category
Airplane
Serial number
7AC-6452
Engine
Continental C65, reciprocating
Damage
Minor damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Departed
CN13 · Clarksburg, CA
Destination
0Q9 · Sonoma, CA
Airport
CN13 · Clarksburg

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
79
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3
Flight hours
1,613 total · 1,530 in this make and model · 20 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
None

FAA reports on this event · 1

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