NYC97LA106

NTSB accident investigation · Piper PA-17 · Mansfield, MA · June 7, 1997

Accident · Serious injuriesLimited investigationFinal report
Date
June 7, 1997, 10:24 local (14:24 UTC)
Place
Mansfield, MA
Injuries
1 serious, 2 uninjured; on the ground: 1 serious
Damage
Minor damage
Phase of flight
Standing
Aircraft
N4832HPiper PA-17
Weather
Visual (VMC) · Day
Status
Completed · report April 24, 1998
Report
Approved by Office Director
FAA report
19970607046219A
Case key
39367

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 inadequate procedure for hand-prop starting of the engine.

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 - improperOther personCause

Analysis

The pilot and passenger had flown to the airport earlier to have breakfast. While preparing for engine start the pilot noted that the engine was still '...hot.' He stated that the engine was difficult to start when warm and that it flooded quickly if not started right away. The pilot said the passenger hand-propped the airplane unsuccessfully 8 to 10 times and the engine flooded. The pilot stated that he turned the magneto switch to 'off,' pushed the throttle in, and instructed the passenger to pull the propeller through backwards 12 times to clear the flooded engine. The pilot stated: 'At this point a guy walks up and says, 'I'll take it from here.' The guy yelled, 'mags off!', and I yelled 'mags off, but wait a minute!' He was way too close to the spinner. He pulled it through, I heard this 'clunk', and he fell down out of my view. The airplane did not start. We got out of the plane and saw that it hit his left knee. A witness who observed the pilot and passenger as they attempted to handprop start the engine described their actions as 'extremely thorough and conscientious.' According to the witness, the other person came over. The pilot waved him away, but he pulled the propeller through..

Factual narrative

On June 7, 1997, at 1024 eastern daylight time, a Piper PA-17, N4832H, received minor damage when the propeller struck the person hand propping the engine during engine start at the Mansfield Airport, Mansfield, Massachusetts The certificated private pilot and passenger were not injured. The person who pulled the propeller through suffered serious injuries. Visual meteorological conditions prevailed and no flight plan was filed for the personal flight conducted under 14 CFR Part 91.

In a telephone interview, the pilot reported that he and the passenger had flown to Mansfield for breakfast. When preparing for engine start, prior to departure from Mansfield, the pilot noted that the engine was still "...hot." He stated that the engine was difficult to start when warm and that it flooded quickly if not started right away. The pilot said the passenger hand-propped the airplane unsuccessfully 8 to 10 times and the engine flooded.

The pilot stated that he turned the magneto switch to "OFF", pushed the throttle in, and instructed the passenger to pull the propeller through backwards 12 times to clear the flooded engine. The pilot stated:

"At this point a guy walks up and says, 'I'll take it from here.' The guy yelled, "Mags off!', and I yelled 'Mags off, but wait a minute!' He was way too close to the spinner. He pulled it through, I heard this 'clunk', and he fell down out of my view. The airplane did not start. We got out of the plane and saw that it hit his left knee. He just went too quick. [The passenger] wasn't even in the seat. There's a sequence you go through when you hand prop an airplane."

During an interview, a witness reported that he was intrigued by the airplane and had come over to watch the start, taxi, and takeoff. He said he was immediately impressed with the pilot and passenger of N4832H. He stated that the pair was extremely thorough and conscientious. The witness said he was impressed by the woman hand-propping the airplane and that it was clear "...she really knew what she was doing." He said that after approximately three attempts to start the airplane, the woman started turning the propeller backwards. He further said:

"At that point the victim came over. He was fairly insistent, kind of take charge ... intimidating. The pilot waved him away but he pulled the prop through. I was shocked he just walked over and did this. I think maybe he suffered from complacency. Maybe he couldn't handle that a woman was hand propping the airplane, but those two really knew what they were doing. They were very thorough and cautious."

The pilot reported that he gave his passenger formal instruction on the hand-propping of his airplane and that she had performed this job successfully for 2 years.

Aircraft

Registration
N4832H
Reported as
Piper PA-17
Category
Airplane
Serial number
17-130
Airframe hours
3,400
Engine
Continental C-90-14F, 90 horsepower, reciprocating
Damage
Minor damage
Flight
Personal · Part 91
Registered owner
Peter A. Fellman
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Annual · April 30, 1997 · 50 hours before
Departed
1B9
Destination
CQX · Chatam, MA
Airport
1B9 · Mansfield 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
42
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
375 total · 275 in this make and model · 375 as pilot in command · 25 in the last 90 days · 10 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
80° at 11 knots
Visibility
10 statute miles
Lowest ceiling
20,000 ft overcast
Temperature
57 °F, dew point 50 °F
Altimeter
30.00 inHg
Observed at
BOS, 25 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.