- Date
- September 21, 2014, 15:00 local (22:00 UTC)
- Place
- Las Vegas, NV
- Injuries
- 2 uninjured
- Damage
- Substantial damage
- Phase of flight
- Standing
- Aircraft
- N15RJBeech E33A
- Defining event
- Standing-engine(s) start-up: Ground collision
- Weather
- Visual (VMC) · Day
- Status
- Completed · report January 12, 2015
- Report
- Approved by Office Director
- NTSB office
- Western Pacific Region
- Parties
- FAA
- FAA report
- 20140921019829A
- Case key
- 90153
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 incorrect engine start procedures, which included improper throttle position and failure to keep the brakes applied, which resulted in a loss of directional control and subsequent collision with a parked airplane.
Findings · 3
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.
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 owner/pilot had recently purchased the high performance, complex airplane, and he wanted to have another pilot accompany him while he familiarized himself with the airplane's flight and operational characteristics. He contacted a flight instructor, who was referred to him by another individual, to fulfill that role. Based on discussions with the owner, and the owner's significant number of flight hours, the instructor planned to perform in the role of safety pilot, as opposed to providing instruction. The airplane was parked in a row of aircraft that was separated from another row of aircraft by a strip of pavement about 60 feet wide. The airplane pitch and roll flight controls were of the "throwover" design, where there was only one yoke, which could be shifted to either the left or right cockpit position. The right cockpit position was not equipped with brake pedals. The owner took the left seat, while the safety pilot took the right seat. The owner's preflight and pre-start procedures all seemed normal and uneventful, and did not give the safety pilot any reason to more closely observe or doubt the owner's abilities. According to the safety pilot, the engine started "very aggressively," increased to a high rpm, and the airplane immediately began moving rapidly forward out of its parking spot. Once the safety pilot realized that the airplane was accelerating towards the row of airplanes on the other side of the pavement, he moved his left foot over and tried to apply the brakes, in part by stepping on the owner's right foot. After the airplane had traveled about "10 to 15 feet," the safety pilot also fully retarded the mixture control to cut the engine. The airplane continued across the ramp, and struck a parked, unoccupied airplane. The parked airplane received substantial damage to its fuselage and wing structure. The left wing of the accident airplane was substantially damaged. The safety pilot recalled that prior to and during the engine start, the throttle control appeared to be in a sufficiently retarded position for engine start, but the owner reported that he had positioned the throttle control inappropriately for engine start. Postaccident examination of the throttle control system did not reveal any mechanical anomalies that would have precluded normal operation.
Factual narrative
The owner/pilot had recently purchased the high performance, complex airplane, and he wanted to have another pilot accompany him while he familiarized himself with the airplane's flight and operational characteristics. He contacted a flight instructor, who was referred to him by another individual, to fulfill that role. Based on discussions with the owner, and the owner's significant number of flight hours, the instructor planned to perform in the role of safety pilot, as opposed to providing instruction. The airplane was parked in a row of aircraft that was separated from another row of aircraft by a strip of pavement about 60 feet wide. The airplane pitch and roll flight controls were of the "throwover" design, where there was only one yoke, which could be shifted to either the left or right cockpit position. The right cockpit position was not equipped with brake pedals. The owner took the left seat, while the safety pilot took the right seat. The owner's preflight and pre-start procedures all seemed normal and uneventful, and did not give the safety pilot any reason to more closely observe or doubt the owner's abilities. According to the safety pilot, the engine started "very aggressively," increased to a high rpm, and the airplane immediately began moving rapidly forward out of its parking spot. Once the safety pilot realized that the airplane was accelerating towards the row of airplanes on the other side of the pavement, he moved his left foot over and tried to apply the brakes, in part by stepping on the owner's right foot. After the airplane had traveled about "10 to 15 feet," the safety pilot also fully retarded the mixture control to cut the engine. The airplane continued across the ramp, and struck a parked, unoccupied airplane. The parked airplane received substantial damage to its fuselage and wing structure. The left wing of the accident airplane was substantially damaged. The safety pilot recalled that prior to and during the engine start, the throttle control appeared to be in a sufficiently retarded position for engine start, but the owner reported that he had positioned the throttle control inappropriately for engine start. Postaccident examination of the throttle control system did not reveal any mechanical anomalies that would have precluded normal operation.
Aircraft
- Registration
- N15RJ
- Reported as
- Beech E33A
- Category
- Airplane
- Serial number
- CE-199
- Built
- 1968
- Airframe hours
- 3,690
- Engine
- Cont Motor IO 520 SERIES, 285 horsepower, reciprocating
- Damage
- Substantial damage
- Flight
- Personal · Part 91
- Airworthiness certificate
- Standard, Normal
- Last inspection
- Annual · July 1, 2014 · 20 hours before
- Departed
- KVGT · Las Vegas, NV
- Destination
- KVGT · Las Vegas, NV
- Airport
- KVGT · North Las Vegas
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 · 2
As NTSB recorded them. NTSB leaves out names.
- Role
- Pilot
- Age
- 88
- Injuries
- None
- Certificate
- Commercial
- Airplane ratings
- Single-engine land
- Instrument ratings
- Airplane
- Medical
- Class 3, Without waivers/limitations
- Last flight review
- July 25, 2014
- Seat
- Left
- Restraint
- 4-point
- Flight hours
- 4,800 total · 4,000 in this make and model
- Role
- Other flight crew
- Age
- 24
- Injuries
- None
- Certificate
- Flight instructor
- Airplane ratings
- Single-engine land
- Instrument ratings
- Airplane
- Medical
- Class 1, Unknown
- Last flight review
- March 25, 2014
- Seat
- Right
- Flight hours
- 670 total · 0 in this make and model · 670 as pilot in command · 148 in the last 90 days · 30 in the last 30 days
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- Calm
- Lowest ceiling
- None
Docket · 5
The files NTSB released with the investigation on December 30, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.7 MB 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.