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Aviation safety reports, made easier to study

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NTSB Report

May 31, 2011 · Boeing 757-222 · N526UA

Los Angeles, CA

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
May 31, 2011
Injury Outcomes
No injuries (190 uninjured, 1 unknown outcome)
Location
Los Angeles, CA
Aircraft
Boeing 757-222
Tail Number
N526UA
Operator
United Airlines
Injuries
None
Aircraft Damage
Minor
NTSB Number
WPR11LA300

The tug’s tow bar’s shear pins broke while the airplane was being pushed back from the gate to an adjacent alley (a “turn reversal”), which required a significant (but within limits) turn of the nose landing gear. The tow bar became stuck and, despite repeated attempts by the operator’s ground crew personnel, would not disconnect from the tug or the airplane. When the operator’s ground personnel asked the pilots to release the airplane’s parking brake to ease the tension on the tow bar, the pilots did so. The airplane rolled slightly forward, contacting and fracturing the foot of one of the ground crewmembers. Although the operator’s ground crew ramp service manual procedure and flight manual guidance specified that the airplane’s parking brakes should not be released to assist in releasing a stuck tow bar, the pilots stated that they released the brakes believing that they were going to resume pushback. As a result of a postaccident hazard assessment, the operator stopped performing turn reversal tow operations similar to the accident operation.

NTSB Probable Cause

The ground crewmembers’ failure to follow proper procedures for removing a stuck or jammed tow bar, which resulted in a ground crew injury.

Full Narrative

On May 31, 2011, about 1215 Pacific daylight time, a Boeing 757-222, N526UA, operating as flight number 840, was being pushed back from the gate at the Los Angeles International Airport (LAX), Los Angeles, California, when, one of its nose wheel tires made contact with and trapped a ground crewmember's foot. The airplane's nose gear tire sustained minor damage while the ground crewmember sustained a serious foot injury. United Airlines was operating the domestic passenger flight from Los Angeles to Chicago, Illinois, under the provisions of Title 14 Code of Federal regulations Part 121. There were 182 passengers on board, along with six cabin crewmembers and two airline transport certificated pilots. Representatives from United Airlines reported the accident occurred as the airplane was being turned to a nose out position in the alley, adjacent to the dispatch gate. The tow bar's shear pins broke during the turn, and additional ground personnel arrived on scene to assist in removing the tow bar and its respective pins. The position of the tow bar was about at an 80 degree angle, but not past the limit, as marked on the airplane nose landing gear door. The flight crew was requested to set the brakes and attempts to release the tow bar from the tractor and airplane were initially unsuccessful. Proper company tow bar removal procedures for abnormal conditions were not referenced by ground personnel during these efforts. In an attempt to relieve tension on the tow bar, ground personnel requested the flight crew to release the parking brakes. Although, the company flight manual has a caution for flight crews not to release the parking brakes to assist in releasing a stuck tow bar, the flight crew complied with the ground crew’s request. The flight crew assumed they were resuming the pushback since they were not made aware of any difficulty in removing the tow bar. The airplane brakes were released while ground personnel attempted to release the tow bar. Attempts to open the locking handle on the tow bar were successful and the tow bar immediately dropped to the ramp. The airplane rolled slightly forward and overran the tow bar and then made contact with and trapped one of the assisting ground personnel's foot before coming to a stop. Post accident inspection revealed no mechanical discrepancies in the airplane braking system.

Flight

Event TypeAccident
Event Time12:15 PDT
Nearest AirportLos Angeles Intl. (0nm)
Flight Plan FiledIFR
Flight Plan ActivatedYes
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftBoeing 757-222
Tail NumberN526UA
Aircraft CategoryAir
DamageMinor
OperatorUnited Airlines
Operating RulePart 121
Engines2
Engine TypeTurbofan
Engine DetailsP & W · PW2040 · Turbofan · 40900 | P & W · PW2040 · Turbofan · 40900
Seats190

People & Injuries

Injury SummaryNo injuries (190 uninjured, 1 unknown outcome)
Fatal0
Serious0
Minor0
Uninjured190
Total191
Crew 1Age 52 · First Class · None
Crew 2Age 47 · First Class · None

Conditions

ConditionsVMC
LightDaylight
WindCalm
Visibility10 sm
CeilingNone
Temperature / Dew Point0 C / 0 C
Altimeter0
Weather SourcePILO

Appendix: Source Data