19990912027789A

Accident · Substantial damage

FAA accident report · Boeing 737322 · Los Angeles, CA · September 12, 1999

Date
September 12, 1999 · 08:52 local
Place
Los Angeles, CA
Airport
Los Angeles International
Phase of flight
Other Ground Ops
Operating rules
Air carrier (Part 121)
Operator
UALA
Damage
Substantial damage
Aircraft
N388UA
NTSB investigation
NTSBLAX99LA302
Reported as
Boeing 737322
Reported engine
CFMINT CFM563C1
People aboard
86
Fatal injuries
0
Pilot’s flight hours
4,701 total2,578 in this make and model186 in the last 90 days

From the FAA’s Accident/Incident Data System (AIDS), through its Aviation Safety Information Portal, as reported. The NTSB investigates accidents separately, and its record of an accident is the fuller one. The aircraft is matched to the registry by N-number and event date, checked against the reported make and model; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

What happened

The FAA’s narrative, in sentence case. The FAA writes it in capitals and removes private details.

(.19) On September 12, 1999, at 0852 hours pacific daylight time, united airlines flight 2528, a Boeing 737-300, N388UA, collided with a lavatory service truck during pushback from gate 84 at the Los Angeles International Airport, Los Angeles, California. The aircraft was operated by united airlines, inc, as a regularly scheduled domestic passenger flight under 14 CFR part 121 of the federal aviation regulations. The aircraft incurred substantial damage. None of the 2 atp-licensed cockpit crew, 3 flight attendants, 81 passengers or 5 ground service personnel were injured. The flight was originating as a non-stop flight to oakland, California. An IFR flight plan was filed and visual meteorological conditions prevailed. According to united airlines flight safety department, the aircraft was being pushed out of gate 84 by a tug when it contacted a lavatory service truck. The damaged area on the aircraft encompassed a 60- by 60-inch section of the right rear fuselage at a point 5 feet forward of the lavatory service panel. In addition to skin damage, two stringers and two lower bell frames were bent. (-23)on pushback, a/c struck a lavatory service truck at gate 84 and sustained substantial damage to the right rear fuselage, 5 feet forward of the lavatory service panel. (.4)the flight was being pushed back by a tug when it contacted a lavatory service truck, which had pulled up at the rear of the airplane to service the lavatories. The airline uses one person pushback operations at this station for B737'S. Under the procedure, the ground handler will walk around the airplane just before the pushback to ensure that the airplane's path is clear. Once the flight crew gives the clearance, the pushback commences without the aid of wing walkers or other safety observers. The handler assigned to this flight did his walk around after the jetway bridge had been moved back. Once he was cleared by the flight crew he leaned over the tow bar for one last look and then mounted the tractor to start the push. He did not see the lavatory service truck at any time and the lavatory driver did not verbally communicate his presence or intentions. The flight crew turned on the rotating beacon just before the aircraft started to move. During the pus h the handler felt resistance and stopped just as the lavatory service driver ran to the front of the airplane shouting for him to stop. Three calls had been made for lavatory service on this airplane, the last one 10 minutes prior to departure. The lavatory service driver originally assigned to handle this flight was busy. Another lavatory service driver heard the service request on the radio and responded to the airplane, arriving about 7 minutes prior to departure. When he arrived, the rotating beacon was not on, which signified to him that the pushback was not imminent. He parked his service truck under the tail of the airplane and proceeded to service the aft lavatory just as the airplane began to move and it contacted his truck. The airline's ramp operations manual states, 'before approaching aircraft to perform last-minute servicing, at or near departure time, always establish positive verbal communication with the pushback tractor driver.'

As the FAA filed it

(.19) ON SEPTEMBER 12, 1999, AT 0852 HOURS PACIFIC DAYLIGHT TIME, UNITED AIRLINES FLIGHT 2528, A BOEING 737-300, N388UA, COLLIDED WITH A LAVATORY SERVICE TRUCK DURING PUSHBACK FROM GATE 84 AT THE LOS ANGELES INTERNATIONAL AIRPORT, LOS ANGELES, CALIFORNIA. THE AIRCRAFT WAS OPERATED BY UNITED AIRLINES, INC, AS A REGULARLY SCHEDULED DOMESTIC PASSENGER FLIGHT UNDER 14 CFR PART 121 OF THE FEDERAL AVIATION REGULATIONS. THE AIRCRAFT INCURRED SUBSTANTIAL DAMAGE. NONE OF THE 2 ATP-LICENSED COCKPIT CREW, 3 FLIGHT ATTENDANTS, 81 PASSENGERS OR 5 GROUND SERVICE PERSONNEL WERE INJURED. THE FLIGHT WAS ORIGINATING AS A NON-STOP FLIGHT TO OAKLAND, CALIFORNIA. AN IFR FLIGHT PLAN WAS FILED AND VISUAL METEOROLOGICAL CONDITIONS PREVAILED. ACCORDING TO UNITED AIRLINES FLIGHT SAFETY DEPARTMENT, THE AIRCRAFT WAS BEING PUSHED OUT OF GATE 84 BY A TUG WHEN IT CONTACTED A LAVATORY SERVICE TRUCK. THE DAMAGED AREA ON THE AIRCRAFT ENCOMPASSED A 60- BY 60-INCH SECTION OF THE RIGHT REAR FUSELAGE AT A POINT 5 FEET FORWARD OF THE LAVATORY SERVICE PANEL. IN ADDITION TO SKIN DAMAGE, TWO STRINGERS AND TWO LOWER BELL FRAMES WERE BENT. (-23)ON PUSHBACK, A/C STRUCK A LAVATORY SERVICE TRUCK AT GATE 84 AND SUSTAINED SUBSTANTIAL DAMAGE TO THE RIGHT REAR FUSELAGE, 5 FEET FORWARD OF THE LAVATORY SERVICE PANEL. (.4)THE FLIGHT WAS BEING PUSHED BACK BY A TUG WHEN IT CONTACTED A LAVATORY SERVICE TRUCK, WHICH HAD PULLED UP AT THE REAR OF THE AIRPLANE TO SERVICE THE LAVATORIES. THE AIRLINE USES ONE PERSON PUSHBACK OPERATIONS AT THIS STATION FOR B737'S. UNDER THE PROCEDURE, THE GROUND HANDLER WILL WALK AROUND THE AIRPLANE JUST BEFORE THE PUSHBACK TO ENSURE THAT THE AIRPLANE'S PATH IS CLEAR. ONCE THE FLIGHT CREW GIVES THE CLEARANCE, THE PUSHBACK COMMENCES WITHOUT THE AID OF WING WALKERS OR OTHER SAFETY OBSERVERS. THE HANDLER ASSIGNED TO THIS FLIGHT DID HIS WALK AROUND AFTER THE JETWAY BRIDGE HAD BEEN MOVED BACK. ONCE HE WAS CLEARED BY THE FLIGHT CREW HE LEANED OVER THE TOW BAR FOR ONE LAST LOOK AND THEN MOUNTED THE TRACTOR TO START THE PUSH. HE DID NOT SEE THE LAVATORY SERVICE TRUCK AT ANY TIME AND THE LAVATORY DRIVER DID NOT VERBALLY COMMUNICATE HIS PRESENCE OR INTENTIONS. THE FLIGHT CREW TURNED ON THE ROTATING BEACON JUST BEFORE THE AIRCRAFT STARTED TO MOVE. DURING THE PUS H THE HANDLER FELT RESISTANCE AND STOPPED JUST AS THE LAVATORY SERVICE DRIVER RAN TO THE FRONT OF THE AIRPLANE SHOUTING FOR HIM TO STOP. THREE CALLS HAD BEEN MADE FOR LAVATORY SERVICE ON THIS AIRPLANE, THE LAST ONE 10 MINUTES PRIOR TO DEPARTURE. THE LAVATORY SERVICE DRIVER ORIGINALLY ASSIGNED TO HANDLE THIS FLIGHT WAS BUSY. ANOTHER LAVATORY SERVICE DRIVER HEARD THE SERVICE REQUEST ON THE RADIO AND RESPONDED TO THE AIRPLANE, ARRIVING ABOUT 7 MINUTES PRIOR TO DEPARTURE. WHEN HE ARRIVED, THE ROTATING BEACON WAS NOT ON, WHICH SIGNIFIED TO HIM THAT THE PUSHBACK WAS NOT IMMINENT. HE PARKED HIS SERVICE TRUCK UNDER THE TAIL OF THE AIRPLANE AND PROCEEDED TO SERVICE THE AFT LAVATORY JUST AS THE AIRPLANE BEGAN TO MOVE AND IT CONTACTED HIS TRUCK. THE AIRLINE'S RAMP OPERATIONS MANUAL STATES, 'BEFORE APPROACHING AIRCRAFT TO PERFORM LAST-MINUTE SERVICING, AT OR NEAR DEPARTURE TIME, ALWAYS ESTABLISH POSITIVE VERBAL COMMUNICATION WITH THE PUSHBACK TRACTOR DRIVER.'

NTSB investigation

The NTSB’s investigation of this event, with its probable cause and findings. Matched to this report by N-number and date.