MIA98LA119

NTSB accident investigation · Piper PA-28-181 · Charlotte, NC · April 3, 1998

Accident · Serious injuriesLimited investigationFinal report
Date
April 3, 1998, 10:15 local (15:15 UTC)
Place
Charlotte, NC
Injuries
1 serious, 1 uninjured; on the ground: 1 serious
Damage
Substantial damage
Phase of flight
Standing
Aircraft
N4594FPiper PA-28-181
Weather
Visual (VMC) · Day
Status
Completed · report December 8, 1998
Report
Approved by Office Director
FAA report
19980403005519A
Case key
38486

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 NTSB’s determination of the probable cause, and any contributing factors.

the pilot's failure to follow proper starting procedures.

Analysis

After a preflight, pilot 'A' got into the left seat and pilot 'B' into the right seat and attempted to start the engine, but could not sustain a start. Both pilots exited the airplane and agreed to remove the cowling to determine the problem. Both pilots determined it was not a mechanical problem and pilot 'B' volunteered to get into the airplane and attempt to start the engine. According to pilot 'B''s statement, he told pilot 'A' to 'stay clear of the prop.' He sat in the pilot's seat, looked out and saw pilot 'A' standing to the right of the aircraft, clear of the prop. Pilot 'B' said he 'shouted clear' from the open window on the pilot's side, turned the ignition and the engine 'fired immediately.' He then looked to the right after the engine engaged, saw blood on the wing, and the plane began to race. He said, '...I applied maximum pressure on the toe brakes, but could not stop the plane from moving forward into an open hangar directly in front of the plane. The prop hit a car parked in the hangar and I noticed the right wing bend...fuel start to leak from the tank...the throttle was advanced. I closed the throttle and mixture and the engine finally choked out.' Pilot 'B' then went to the other pilot, rendered aid and called for medical help.

Factual narrative

On April 3, 1998, about 1015 eastern standard time, a Piper PA-28-181, N4594F, registered to The 181 Corporation, operating as a Title 14 CFR Part 91 personal flight, impacted with a vehicle and hangar during engine start near Charlotte, North Carolina. Visual meteorological conditions prevailed, and no flight plan was filed. The airplane was substantially damaged. The private-rated pilot in the airplane was not injured. Another private-rated pilot outside the airplane was seriously injured when he was struck by the propeller. The flight was originating at the time.

The pilots were planning to fly to Chapel Hill, North Carolina. They untied the airplane and pulled it out of the shadeport to the tarmac between the hangars, and completed a preflight on the airplane. Pilot "A" got into the left seat and pilot "B" into the right seat. They secured the doors, fastened their seat belts, and attempted to start the engine, but could not sustain a start. Pilot "A" suggested to pilot "B" that he "back rotate the prop" a few times. Pilot "B" rotated the propeller counterclockwise once, and told pilot "A" to try and start the engine. As the engine was turning over, pilot "B" noted smoke coming from the engine and told the other pilot to abort the start. Pilot "A" then exited the airplane and both pilots agreed to remove the cowling in an attempt to determine the origin of the smoke. Both pilots determined it was not a mechanical problem and pilot "B" volunteered to get into the airplane and attempt to start the engine.

According to pilot "B" 's statement, he told pilot "A" to "stay clear of the prop." He sat in the pilot's seat and looked out and saw pilot "A," "...standing to the right of the aircraft clear of the prop." Pilot "B" said he "shouted clear" from the open window on the pilot's side, turned the ignition, and the engine "fired immediately." He then looked to the right after the engine engaged, "saw blood on the wing, and the plane began to race." He said, "...I applied maximum pressure on the toe brakes, but could not stop the plane from moving forward into an open hangar directly in front of the plane. The prop hit a car parked in the hangar and I noticed the right wing bend...fuel start to leak from the tank...the throttle was advanced. I closed the throttle and mixture and the engine finally choked out." Pilot "B" then went to the other pilot, rendered aid and called for medical help.

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 - not followedPilot in commandCause
Parking brakes - not setPilot in commandCause
Object - other person

Aircraft

Registration
N4594F
Reported as
Piper PA-28-181
Category
Airplane
Serial number
28-7750048
Airframe hours
6,562
Engine
Lycoming O-360-A4M, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
The 181 Corporation
Airworthiness certificate
Standard, Normal
Last inspection
Annual · December 11, 1997 · 61 hours before
Destination
IGY · Chapel Hill, NC
Airport
CLT · Charlotte Douglas

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
57
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
1,074 total · 874 in this make and model · 858 as pilot in command · 32 in the last 90 days · 15 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
140° at 3 knots
Visibility
10 statute miles
Lowest ceiling
2,000 ft overcast
Temperature
64 °F, dew point 37 °F
Altimeter
29.00 inHg
Observed at
CLT

FAA reports on this event · 1

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