NYC04CA002

NTSB accident investigation · Lake LA250 · Laconia, NH · October 6, 2003

Accident · No injuriesData collectionFinal report
Date
October 6, 2003, 11:45 local (15:45 UTC)
Place
Laconia, NH
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Standing
Aircraft
N64SFLake LA250
Weather
Visual (VMC) · Day
Status
Completed · report February 5, 2004
Report
Approved by Office Director
Parties
FAA
FAA report
20031006024359A
Case key
58097

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 improper starting procedure. A factor in the accident was the pilot's lack of recent experience in make and model 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.

Loss of control - on ground/waterStanding - starting engine(s)
Lack of recent experience in type of aircraftPilot in commandFactor
Starting procedure - improperPilot in commandCause
On ground/water collision with objectStanding - starting engine(s)
Object - aircraft parked/standing

Analysis

As the pilot attempted to start the engine, it became flooded. The pilot placed the throttle control lever in the "full forward" position, the propeller control lever to the "full forward" position, and the mixture control lever to the "idle cutoff" position. The engine started on the second attempt, and as the pilot pushed the mixture control lever to the "rich" position, the engine went immediately to full power. The pilot attempted to pull the throttle control lever back; however, he pulled the propeller control lever instead. The airplane began to roll forward, and pilot applied full braking. The pilot was unsuccessful in stopping the airplane, and it struck three parked airplanes before the engine stopped. Examination of the airplane revealed the throttle control lever was in the "full forward" position, the propeller control lever in the "full aft" position, and the mixture control lever in the "idle cutoff" position. No anomalies were noted with the throttle linkage or the braking system. According to the airplane's flight manual, the flooded start procedure included, "Clear by operating starter for 5 seconds with mixture at idle cutoff, throttle open, then use normal starting procedure. The normal starting procedure required that the throttle be "OPEN 1/8 TRAVEL." The pilot reported about 150 hours of experience in make and model airplane, none of which were in the preceding 90 days.

Factual narrative

On October 6, 2003, at 1145 eastern daylight time, a Lake LA250, N64SF, was substantially damaged after colliding with three parked airplanes, while starting the engine at the Laconia Municipal Airport (LCI), Laconia, New Hampshire. The certificated airline transport pilot and passenger were not injured. Visual meteorological conditions prevailed, and an instrument flight rules flight plan was filed for the ferry flight, which was destined for the Norfolk International Airport (ORF), Norfolk, Virginia. The flight was conducted under 14 CFR Part 91.

According to the pilot, prior to the flight he conducted a pre-flight inspection on the airplane, and spent about an hour with a mechanic on the airplane's procedures, which included starting the airplane. The airplane was started, ground run for several minutes, and shut down without incident.

As the pilot was starting the engine for the flight, it became flooded. The pilot then placed the throttle control lever in the "full forward" position, the propeller control lever to the "full forward" position, and the mixture control lever to the "idle cutoff" position. The engine started on the second attempt, and as the pilot pushed the mixture control lever to the "rich" position, the engine went immediately to full power. The pilot attempted to pull the throttle control lever back; however, he pulled the propeller control lever instead. The airplane began to roll forward, and pilot applied full braking. The pilot was unsuccessful in stopping the airplane, and it struck three parked airplanes before the engine stopped. When the pilot secured the airplane after the accident, he placed the mixture control lever to the "idle cutoff" position.

A Federal Aviation Administration (FAA) inspector examined the airplane after the accident. He observed the throttle control lever in the "full forward" position, the propeller control lever in the "full aft" position, and the mixture control lever in the "idle cutoff" position. No anomalies were noted with the throttle linkage or the braking system.

According to the airplane's flight manual, the flooded start procedure included, "Clear by operating starter for 5 seconds with mixture at idle cutoff, throttle open, then use normal starting procedure. The normal starting procedure required that the throttle be "OPEN 1/8 TRAVEL."

The pilot reported about 150 hours of experience in make and model airplane, none of which were in the preceding 90 days.

Aircraft

Registration
N64SF
Reported as
Lake LA250
Category
Airplane
Serial number
112
Engine
Lycoming N/A, 250 horsepower, reciprocating
Damage
Substantial damage
Flight
Ferry · Part 91
Registered owner
DIAL-A-PLANE Inc.
Airworthiness certificate
Standard, Normal
Departed
LCI · Laconia, NH
Destination
ORF · Norfolk, VA
Flight plan
IFR
Airport
LCI · Laconia 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
58
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine land, Single-engine sea, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
August 1, 2003
Seat
Left
Flight hours
22,700 total · 150 in this make and model · 22,550 as pilot in command · 66 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
250° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
48 °F, dew point 37 °F
Altimeter
30.14 inHg
Observed at
LCI

FAA reports on this event · 1

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