N723AG

MINR
Fatal

Diamond Aircraft DA-40S/N: 40.427

Accident Details

Date
Sunday, August 7, 2022
NTSB Number
ERA22LA362
Location
Bardstown, KY
Event ID
20220807105676
Coordinates
37.814333, -85.499639
Aircraft Damage
MINR
Highest Injury
Fatal
Fatalities
1
Serious Injuries
0
Minor Injuries
0
Uninjured
2
Total Aboard
3

Probable Cause and Findings

The pilot’s failure to provide adequate instructions to remain seated until the engine was shut down, which resulted in the passenger’s decision to exit the cockpit while the engine was operating and subsequently being struck by the rotating propeller.

Aircraft Information

Registration
Make
DIAMOND AIRCRAFT
Serial Number
40.427
Engine Type
Reciprocating
Year Built
2004
Model / ICAO
DA-40DA40
Aircraft Type
Fixed Wing Single Engine
No. of Engines
1
Seats
4
FAA Model
DA 40

Registered Owner (Current)

Name
SHORTT AIRCRAFT LEASING LLC
Address
910 FOULK RD # 201B
City
WILMINGTON
State / Zip Code
DE 19803-3158
Country
United States

Analysis

On August 7, 2022, about 1425 eastern daylight time a Diamond Aircraft DA-40, N723AG, sustained minor damage when it was involved in an accident at Samuels Field Airport (BRY), Bardstown, Kentucky. A passenger was fatally injured and the private pilot and additional passenger were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight.

According to the pilot, after about a one-hour pleasure flight with a passenger in the front seat and in the back seat, they decided to land at BRY so the two passengers could switch seats. As they approached the airport, light rain was developing. The pilot stated they were quickly going to change seats because of the rain and the large canopy style door: he wanted to keep the rain out of the cockpit.

During the taxi to the ramp, the front seat passenger handed the rear seat passenger her purse and phone and asked her to place it on the rear seat in preparations for switching seats. The pilot stated that before starting the shutdown checklist he briefed both passengers that when they exited the airplane, they would walk around the back of the airplane and meet at the tail then come back around and to watch out for the propeller. The pilot turned the airplane around to face the taxiway then came to a stop. Shortly after parking, the pilot opened the canopy as the engine was still operating but commenced the shutdown procedures per the checklist. As he was shutting down the engine, the front passenger exited the cockpit. The front seat passenger got out of the cockpit onto the right wing and stepped off the front step where she proceeded to walk into the operating propeller before the engine could be shut off and was fatally injured. According to the rear seat passenger, it all transpired “so fast” and the pilot did not provide any briefing information regarding exiting the airplane after they landed.

The airplane was a four-seat, low-wing cantilever monoplane made from composite materials. It had fixed tricycle landing gear and a T-tail. The front canopy opened forward and up with the hinge on the front and the aft seat door was in a gullwing configuration only on the left side.

The right wing, which was designed to be entered and exited off the front had a fuselage-mounted step forward of the leading edge wing root that was about 5 ft from the propeller arc. According to Diamond Aircraft, a temporary revision to the airplane flight manual was generated in 2014. Under the Temporary Revision, Entering and Exiting the Airplane; Chapter 4A.3 Checklists for Normal Operating Procedures. It stated the following:

CAUTION

Before starting the engine and until the engine is shut down, the canopy must be closed and latched in position 1 or 2 (‘cooling gap’) and the door must be closed and latched.

During engine operation it is prohibited to enter or exit the airplane.

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# ERA22LA362