N20BS

Unknown
Serious

PIPER PA-28-140 S/N: 28-22373

Accident Details

Date
Wednesday, February 23, 1994
NTSB Number
LAX94LA136
Location
SANTA ROSA, CA
Event ID
20001206X00780
Coordinates
38.499523, -122.759933
Aircraft Damage
Unknown
Highest Injury
Serious
Fatalities
0
Serious Injuries
1
Minor Injuries
0
Uninjured
1
Total Aboard
2

Probable Cause and Findings

A failure of the pilot-in-command to ensure that the powerplant controls were configured properly before moving the aircraft propeller. Inadequate planning/decision making was a factor in this accident.

Aircraft Information

Registration
N20BS
Make
PIPER
Serial Number
28-22373
Engine Type
Reciprocating
Year Built
1966
Model / ICAO
PA-28-140 P28A
Aircraft Type
Fixed Wing Single Engine
No. of Engines
1

Registered Owner (Historical)

Name
CONINE W DAVID
Address
1764 E PIONEER RD
Status
Deregistered
City
DRAPER
State / Zip Code
UT 84020-9691
Country
United States

Analysis

On February 23, 1994, about 1050 hours Pacific standard time, the instructor pilot of a Piper PA-28-140, N20BS, was struck by the propeller of the airplane at the Sonoma County Airport, Santa Rosa, California. The airplane was to be operated as a visual flight rules (VFR) instructional flight to Sacramento, California. The airplane, registered to the pilot and operated by Redwood Aviation Enterprises, Santa Rosa, was not damaged. The certificated commercial pilot/certified flight instructor received serious injuries. A student pilot seated in the airplane was not injured. Visual meteorological conditions prevailed.

A Federal Aviation Administration (FAA) operations inspector, Oakland Flight Standards District Office, reported that the pilot and student were preparing to depart on their flight. The student attempted to start the airplane; however, the engine was cranking too slowly to start. The instructor exited the airplane to arrange for an electrical "jump" start. The student inside the airplane did not manipulate the controls while the instructor was outside. The instructor turned the propeller to position it for the start. The engine caught and rotated the propeller, striking the instructor in the head and shoulder. Examination of the cockpit controls revealed that the master switch was OFF, mixture and throttle controls at idle, and the magneto switch was ON.

The pilot reported that she was unsure whether the propeller was stopped at the top of a compression stroke causing it to rotate suddenly when it was moved, or whether the engine actually fired.

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# LAX94LA136