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Accidents · NTSB ERA16LA154 · Final report

Piper PA28 accident near West Mifflin, Pennsylvania, March 27, 2016

On March 27, 2016 at about 4:00 pm local time, a 1973 Piper PA28, registered N16366, was substantially damaged in an accident during standing (engine(s) start-up) near West Mifflin, Pennsylvania (Allegheny County airport). It was a personal flight under general aviation rules (Part 91). No one was hurt; 1 person was on board or involved. The weather was visual conditions (good weather).

The NTSB's probable cause their words, unchanged

The pilot's failure to follow checklist procedures for an engine fire during start.

Source: NTSB aviation accident database, copy made October 5, 2026. Docket and reports at the NTSB.

What the record shows

Date
March 27, 2016 · about 4:00 pm local time
Place
West Mifflin, Pennsylvania · Allegheny County · map
Type
Accident
Injuries
No one was hurt; 1 person was on board or involved.
Weather
visual conditions (good weather)
Aircraft
Piper PA28 180, built 1973 · all PA28s on the register
Registration
N16366 · no longer on the register · serial 28-7305236
Damage
Substantial damage
Flight
Personal flight · general aviation rules (Part 91)

The NTSB's narrative final · quoted from the NTSB record

The private pilot stated that he attempted to start the airplane's engine but that it would not start. On the fifth attempt, he followed the "starting engine when flooded" checklist. As the propeller was turning with the starter motor engaged, white smoke began to emanate from the engine cowling. He then turned off the master switch, exited the airplane, and opened the engine cowling. Flames suddenly emanated from the left side of the engine. The engine and compartment subsequently sustained substantial fire and heat damage. The pilot added that there were no preaccident mechanical malfunctions with the airplane; examination of the wreckage revealed that the primer control was not in and locked. Review of a pilot's operating manual for the airplane revealed that, if an engine fire occurs during start, the pilot should move the mixture control to idle, move the throttle control to full open, and continue to turn the engine with the starter motor in an attempt to pull the fire into the engine. If the pilot had followed this procedure, it is likely that the fire would have been extinguished and prevented further damage to the airplane.

The complete narrative as the NTSB published it. The NTSB's docket holds the report as a PDF and any photographs, statements and other documents from the investigation.

The factual record from the NTSB's investigation tables, in plain English

What happened, in order

  1. Fire/smoke (non-impact) during standing (engine(s) start-up) defining event

The NTSB's findings

  • cause Personnel issues › Task performance › Use of equip/info › Use of equip/system › Pilot
  • cause Personnel issues › Action/decision › Action › Incorrect action performance › Pilot
  • cause Personnel issues › Task performance › Use of equip/info › Use of checklist › Pilot
  • cause Aircraft › Aircraft power plant › Power plant › (general) › Incorrect use/operation

Pilot

  • Certificate: private
  • Ratings: single-engine land
  • Flight time: 1,029 hours in all; 623.7 in this make and model
  • Last flight review: September 19, 2013
  • Medical certificate: Class 3 (with waivers/limitations)
  • Seat: left
  • Injury: no injuries

The aircraft

  • Airframe total time: 6,336.6 hours
  • Last inspection: annual inspection, September 8, 2015
  • Maximum gross weight: 2,450 lb
  • Seats: 4
  • Landing gear: fixed
  • Engine: Lycoming O-360-A4 (piston); 6,337 hours total
  • Fire on the ground

The flight

  • Departed from: AGC West Mifflin PA at 3:00 pm
  • Destination: AGC West Mifflin PA
  • Flight plan: none

Weather at the time

  • Light: daylight
  • Wind: from 140° at 6 knots
  • Visibility: 10 statute miles
  • Sky: clear
  • Temperature: 57°F (14°C), dew point 39°F (4°C)
  • Altimeter: 30.14 inHg
  • Observation at 2:53 pm from KAGC

Injuries

FatalSeriousMinorNone
Flight crew1

Documents from the investigation the NTSB's docket: the evidence folder behind the report

4 documents, released by the NTSB on July 25, 2018. View them here, or download them; the NTSB redacts some personal details before release, and this site shows the NTSB's own titles rather than its file names.

The same docket at the NTSB · documents without a copy here are fetched from the NTSB when you open them.

Everything on this page comes from the NTSB's public records. The narrative, probable cause and findings are the NTSB's own words; the coded tables behind the report are written out in plain English, with pilots' ages, home towns and medical details left out. The documents and photographs are the NTSB's docket, shown as the NTSB released them. This site's own text never names anyone involved. A preliminary report can change; the final report usually follows one to two years later, and the page is refreshed when it does.