Unmanned engine start leads to taxiing incident at Nantes-Atlantique

Casualties unknown • French is the work of reference., FR

A Robin DR400-160 experienced an unexpected engine start during manual propeller rotation, resulting in the aircraft taxiing toward a parked airliner.

What happened

On 6 March 2024, a Robin DR400-160, registration F-GYAC, was prepared for a local flight at Nantes-Atlantique airport. After the pilot and a passenger boarded, the pilot attempted to start the engine. Following three unsuccessful attempts using the starter motor, the pilot moved the battery switch to the OFF position and turned the magneto selector key to what he believed was the OFF position, though the key remained in the ignition.

After engaging the parking brake, the pilot exited the aircraft to manually rotate the propeller. As the propeller passed the compression point, the engine unexpectedly ignited. The aircraft began moving forward across a grass strip toward a parked Airbus A320. The pilot, attempting to prevent a collision, climbed onto the left wing and eventually managed to partially enter the cockpit, using his hand to depress the rudder pedal to steer the aircraft away from the commercial airliner. He eventually regained full control and returned the aircraft to the flying club.

The investigation

The investigation examined the aircraft's electrical and mechanical state following the event. A maintenance check revealed that the battery voltage had dropped to approximately 8V following the repeated starting attempts. The investigation also reviewed the pilot's actions regarding the engine shutdown and the aircraft's configuration. It was determined that while the pilot believed the magnetos were grounded, the key had not been removed, and the throttle was not at idle, with the mixture set to full rich.

Findings

  • The primary cause of the unexpected engine start was the failure to follow an appropriate checklist or shutdown procedure when exiting the aircraft.
  • The pilot did not fully apply the parking brake before exiting.
  • The magneto selector key was left in the ignition, and the engine was not properly secured (throttle not at idle, mixture not adjusted).
  • Repeated attempts to start the engine had significantly depleted the battery voltage, making subsequent starts unreliable.

Probable cause

The engine unexpectedly started because the pilot failed to follow a proper shutdown checklist before exiting the aircraft to manually rotate the propeller, leaving the engine in a state where it could ignite upon passing the compression point.

Frequently asked questions

What happened in the 2024-03-06 ROBIN DR400-160 accident near French is the work of reference., FR?

A Robin DR400-160 experienced an unexpected engine start during manual propeller rotation, resulting in the aircraft taxiing toward a parked airliner.

What aircraft was involved and where did it happen?

The accident on 2024-03-06 involved a ROBIN DR400-160, registration F-GYAC, at French is the work of reference., FR.

What was the probable cause of the accident?

The engine unexpectedly started because the pilot failed to follow a proper shutdown checklist before exiting the aircraft to manually rotate the propeller, leaving the engine in a state where it could ignite upon passing the compression point.

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