Individually Owned: 150,657
Corporate Owned: 137,281
Sonoma County Airport
Aircraft Accident/Incident Report
Santa Rosa, California 95403
Wednesday, February 23, 1994 10:50 PST
NTSB Narrative Summary Released at Completion of Accident
PRIOR TO DEPARTING ON A TRAINING FLIGHT, THE FLIGHT INSTRUCTOR AND A STUDENT WERE SEATED IN THE AIRPLANE ATTEMPTING TO START THE ENGINE. THE ENGINE TURNED OVER SLOWLY, BUT FAILED TO START. THE FLIGHT INSTRUCTOR BELIEVED THE PROBLEM TO BE WITH THE STARTER. SHE DECIDED TO EXIT THE AIRPLANE TO REPOSITION THE PROPELLER IN ORDER TO FREE THE STARTER. IN THE PROCESS, THE PROPELLER ROTATED AND STRUCK THE HEAD AND SHOULDER OF THE FLIGHT INSTRUCTOR. THE STUDENT INSIDE THE AIRPLANE DID NOT MANIPULATE THE CONTROLS WHILE THE INSTRUCTOR WAS OUTSIDE. EXAMINATION OF THE COCKPIT CONTROLS REVEALED THAT THE MASTER SWITCH WAS OFF, MIXTURE AND THROTTLE CONTROLS AT IDLE, AND THE MAGNETO SWITCH WAS ON.
NTSB Probable Cause Narrative
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.
Event Information
| Type of Event | Accident |
| Event Date | 2/23/1994 |
| Event Day of the Week | Wednesday |
| Time of Event | 1050 |
| Event Time Zone | Pacific Standard Time |
| Event City | SANTA ROSA |
| Event State | CALIFORNIA |
| Event Country | -- |
| Zipcode of the event site | 95403 |
| Event Date Year | 1994 |
| Event Date Month | 2 |
| MidAir Collision Indicator | No |
| On Ground Collision occurred ? | No |
| Event Location Latitude | |
| Event Location Longitude | |
| Event Location Airport | SONOMA COUNTY AIRPORT |
| Event Location Nearest Airport ID | STS |
| Indicates whether the acc/inc occurred off or on an airport | On Airport |
| Distance from airport in statute miles | -- |
| Degrees magnetic from airport | -- |
| Airport Elevation | 125 |
| Weather Briefing Completeness | Unknown |
| Investigator's weather source | Unknown |
| Time of the weather observation | 1045 Pacific Standard Time |
| Direction of event from weather observation facility (degrees) | 0 |
| Weather Observation Facility ID | STS |
| Elevation of weather observation facility | 125 |
| Distance of event from weather observation facility (units?) | 0 |
| Time Zone of the weather observation | PST |
| Lighting Conditions | Day |
| Lowest Ceiling Height | 0 |
| Lowest Non-Ceiling Height | 0 |
| Sky/Lowest/Cloud Conditions | Clear |
| Sky Condition for Lowest Ceiling | None |
| Visibility Runway Visual Range (Feet) | 0 |
| Visibility Runway Visual Value (Statute Miles) | 0 |
| Visibility (Statute Miles) | 25 |
| Air Temperature at event time (in degrees celsius) | 10 |
| Dew Point at event time (in degress fahrenheit) | 2 |
| Wind Direction (degrees magnetic) | 320 |
| Variable Wind Indicator | Unknown |
| Wind Speed (knots) | 10 |
| Wind Velocity Indicator | Unknown |
| Wind Gust Indicator | Unknown |
| Wind Gust (knots) | 0 |
| Altimeter Setting at event time (in. Hg) | 30 |
| Density Altitude (feet) | -- |
| Intensity of Precipitation | Unknown |
| METAR weather report | -- |
| Event Highest Injury | Serious |
| On Ground, Fatal Injuries | 0 |
| On Ground, Minor Injuries | 0 |
| On Ground, Serious Injuries | 0 |
| Injury Total Fatal | -- |
| Injury Total Minor | -- |
| Injury Total None | 1 |
| Injury Total Serious | 1 |
| Injury Total All | 1 |
| Investigating Agency | NTSB |
| NTSB Docket Number (internal use) | 217 |
| NTSB Notification Source | -- |
| NTSB Notification Date | Feb 24 1994 12:00AM |
| NTSB Notification Time | 1200 |
| Fiche Number and/or location -used to find docket information | IMAGE |
| Date of most recent change to record | Dec 6 2000 10:41AM |
| User who most recently changed record | dbo |
| Basic weather conditions | Visual Meteorological Cond |
| FAA District Office | -- |
Aircraft Involved |
|
|---|---|
Aircraft #1 |
|
| Aircraft Registration Number | N20BS |
| NTSB Number | LAX94LA136 |
| Missing Aircraft Indicator | N |
| Federal Aviation Reg. Part | Part 91: General Aviation |
| Type of Flight Plan filed | None |
| Flight plan Was Activated? | -- |
| Damage | None |
| Aircraft Fire | None |
| Aircraft Explosion | None |
| Aircraft Manufacturer's Full Name | PIPER |
| Aircraft Model | PA-28-140 |
| Aircraft Series Identifier | PA-28-140 |
| Aircraft Serial Number | 28-22373 |
| Certified Max Gross Weight | 2150 |
| Aircraft Category | Airplane |
| Aircraft Registration Class | U.S. Registered/U.S. Soil |
| Aircraft is a homebuilt? | No |
| Flight Crew Seats | -- |
| Cabin Crew Seats | -- |
| Passenger Seats | -- |
| Total number of seats on the aircraft | 2 |
| Number of Engines | 1 |
| Fixed gear or retractable gear | Fixed |
| Aircraft, Type of Last Inspection | Annual |
| Date of Last Inspection | Aug 4 1993 12:00AM |
| Airframe hours since last inspection | 59 |
| Airframe Hours | 4298 |
| ELT Installed | Yes |
| ELT Activated | No |
| ELT Aided Location of Event Site | Unknown |
| ELT Type | -- |
| Aircraft Owner Name | LINDHOLM, BERIT |
| Aircraft Owner Street Address | 216 USHER DRIVE |
| Aircraft Owner City | WINDSOR |
| Aircraft Owner State | CA |
| Aircraft Owner Country | |
| Aircraft Owner Zipcode | 95492 |
| Operator is an individual? | -- |
| Operator Name | REDWOOD AVIATION ENTERPRISES |
| Operator Same as Owner? | No |
| Operator Is Doing Business As | -- |
| Operator Address Same as Owner? | No |
| Operator Street Address | 2238 AIRPORT BLVD. |
| Operator City | SANTA ROSA |
| Operator State | CA |
| Operator Country | |
| Operator Zip code | 95403 |
| Operator Code | |
| Owner has at least one certificate | None |
| Other Operator of large aircraft? | No |
| Certified for Part 133 or 137 Operation | Unknown |
| Operator Certificate Number | -- |
| Indicates whether an air carrier operation was scheduled or not | -- |
| Indicates Domestic or International Flight | -- |
| Operator carrying Pax/Cargo/Mail | -- |
| Type of Flying (Per_Bus / Primary) | Instructional |
| Second Pilot on Board | No |
| Departure Point Same as Event | No |
| Departure Airport Code | |
| Departure City | |
| Departure State | |
| Departure Country | |
| Departure Time | 0 |
| Departure Time Zone | |
| Destination Same as Local Flt | -- |
| Destination Airport Code | SMF |
| Destination City | SACRAMENTO |
| Destination State | CA |
| Destination Country | |
| Specific Phase of Flight | Standing |
| Report sent to ICAO? | -- |
| Evacuation occurred | -- |
| Date of most recent change to record | Jan 2 2001 10:34AM |
| User who most recently changed record | dbo |
| Since inspection or accident | -- |
| Event Location Runway Number and Location | 0 |
| Runway Length | -- |
| Runway Width | -- |
| Sight Seeing flight | No |
| Air Medical Flight | No |
| Medical Flight | -- |