WPR11CA174

NTSB accident investigation · Cessna 182C · Stockton, CA · March 20, 2011

Accident · Minor injuriesData collectionFinal report
Date
March 20, 2011, 16:00 local (23:00 UTC)
Place
Stockton, CA
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Standing
Aircraft
N9040TCessna 182C
Defining event
Standing-engine(s) start-up: Ground handling event
Weather
Visual (VMC) · Day
Status
Completed · report June 20, 2011
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
FAA FSDO
FAA report
20110320003619A
Case key
78600

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The pilot's failure to secure the airplane before pulling the propeller to start the engine.

Findings · 1

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Personnel issuesPersonnel issues › Task performance · PilotCessna 182C: 1 caseAll aircraft: 137 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot said he had tried to start the airplane's engine, but the battery seemed weak. He decided to pull the propeller by hand a revolution or two to get more oil/lubricant to the cylinders, rings, and valve stems. He explained to his non-pilot passenger that he was not going to start the engine, but mechanically lubricate it for an easier start. He stated that he turned the master off, and he believed that he turned the magnetos off. He did not set the parking brake or block the tires. After the propeller was turned 1 to 1.5 revolutions, the engine started. The airplane lurched forward and the pilot was unable to get into it. The airplane crossed a taxiway and a runway before it encountered soft earth and nosed over. The engine was pushed aft, wrinkling the fuselage, the right wing lift strut was bent, the right wing displayed wrinkles, and the aft section of the fuselage was bent and wrinkled.

Factual narrative

The pilot said he had tried to start the airplane's engine, but the battery seemed weak. He decided to pull the propeller through by hand a revolution or two to get more oil/lubricant to the cylinders, rings, and valve stems. He explained to his non-pilot passenger that he was not going to start the engine, but mechanically lubricate it for an easier start. The pilot stated that he turned the master off, and he believed that he turned the magnetos off. He did not set the parking brake or block the tires. After the propeller was turned 1 to 1.5 revolutions, the engine started. The airplane lurched forward and the pilot was unable to get into it. The airplane crossed a taxiway and a runway before it encountered soft earth and nosed over inverted. The engine was pushed aft, wrinkling the fuselage, the right wing lift strut was bent, the right wing displayed wrinkles, and the aft section of the fuselage was bent and wrinkled.

Aircraft

Registration
N9040T
Reported as
Cessna 182C
Category
Airplane
Serial number
52940
Airframe hours
7,951
Engine
Continental O-470-L, 230 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Mattew R. Stefanac
Registered owner
Mattew R. Stefanac
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 11, 2010 · 19 hours before
Departed
SCK · Stockton, CA
Destination
SCK · Stockton, CA
Flight plan
Unknown
Airport
SCK · Stockton Metropolitan Airport

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
63
Injuries
Minor
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
March 7, 2010
Flight hours
2,000 total · 500 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
140° at 12 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
52 °F, dew point 46 °F
Altimeter
29.54 inHg
Observed at
SCK

Docket · 1

The files NTSB released with the investigation on April 13, 2011, on NTSB’s docket system: statements, records, photos and specialists’ reports. 361 KB in all.

FAA reports on this event · 1

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

Other investigations on N9040T · 1

Matched to the same aircraft by N-number and date.