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Atlas / NTSB / WPR12LA085

NTSB CAROL · Event

Event WPR12LA085

2012-01-30 San Diego, California, United States Airport · SEE Fatal 1 aircraft Status: Completed

Aircraft involved

Probable cause & findings

The pilot's failure to turn the magneto switch to the off position before moving the propeller to start the engine by hand.

Factual narrative

On January 30, 2012, about 0830 Pacific standard time, the pilot of Piper PA-28R-200, N746R, was struck by the airplane’s propeller during engine start at Gillespie Field Airport, San Diego, California. He was fatally injured, and his passenger was not injured. There was no damage to the airplane. The airplane was registered to, and operated by, the private pilot under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed for the planned personal cross-country flight, which was originating at the time of the accident. The pilot was preparing for a flight to Bermuda Dunes, California. The passenger stated that they were seated in the airplane when the pilot made three unsuccessful attempts to start the engine. He told the passenger “get out, I need to jump it.” The passenger got out of the airplane and was walking away when he heard a noise. When he looked back towards the front of the airplane, he saw the pilot lying on the ground below the propeller. The airplane’s engine was not running. Federal Aviation Administration inspectors responded to the scene of the accident and reported that photographs of the cockpit taken immediately after the accident by a local law enforcement officer showed that the magneto switch was in the both position, the mixture control was full forward (rich), the propeller control was full forward, the throttle control was about 1/4 travel forward, and the master switch was off. The passenger reported that he and the pilot were both seated in the airplane when the pilot made three unsuccessful attempts to start the engine. The pilot told the passenger to “get out, I need to jump it.” The passenger got out of the airplane and was walking away when he heard a noise. When he looked back toward the front of the airplane, he saw the pilot lying on the ground below the propeller. The airplane’s engine was not running. Postaccident examination revealed that the magneto switch was in the both position. It is likely that the pilot moved the propeller, and because the magnetos were in a ready-to-start condition, this resulted in a spark plug firing, which caused the propeller to turn rapidly and strike the pilot. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12

NTSB Findings

Hierarchical cause / factor breakdown from the FAA bulk avdata database. Each finding tagged C (Cause) or F (Factor).

  • C Aircraft-Aircraft power plant-Ignition system-Switching-Incorrect use/operation - C
  • C Personnel issues-Task performance-Use of equip/info-Use of equip/system-Pilot - C

Verbatim from NTSB's published report. Source file NTSB_2012_WPR12LA085.txt. Findings + structured fields enriched from FAA avall.mdb. Full investigation docket on data.ntsb.gov ↗.