# Accident 19990912027789A: Boeing 737322, Los Angeles, CA, September 12, 1999 - Type: FAA accident report (Accident/Incident Data System), as reported - Date: September 12, 1999, 08:52 local time - Place: Los Angeles, CA - Airport: Los Angeles International - Damage: Substantial damage - Phase of flight: Other Ground Ops - Operating rules: Air carrier (Part 121) - Operator: UALA - Location: 33.9496° N, 118.3991° W: From the FAA, an estimate near the named town, within about 3 miles - Nearby events: https://openairdocs.org/map.md?lat=33.9496&lon=-118.3991&mi=10 - Aircraft: N388UA (not matched to a registry record) - Reported make and model: BOEING 737322 - Reported engine: CFMINT CFM563C1 - People aboard: 86 - Fatal injuries: 0 - Pilot flight hours: 4,701 total, 2,578 in this make and model, 186 in the last 90 days - NTSB investigation: [NTSB LAX99LA302](https://openairdocs.org/ntsb/LAX99LA302) (OpenAirDocs) - FAA source: FAA Aviation Safety Information Portal (https://asip.faa.gov/) - Page: https://openairdocs.org/incident/19990912027789A ## Narrative As the FAA filed it, in capitals; the FAA replaces private details with ^PRIVACY DATA OMITTED^. (.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.' ## The NTSB's investigation of this event (1) From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. - [NTSB LAX99LA302](https://openairdocs.org/ntsb/LAX99LA302), Sep 12, 1999: Boeing 737-322 (N388UA), Los Angeles, CA, substantial damage. Probable cause: The lavatory service driver's failure to follow established company procedures and directives. A factor in the accident was the airline's use of a one person pushback procedure. From the FAA Accident/Incident Data System. Reports are matched to registry aircraft 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. For accidents, the NTSB's own investigation is the fuller record. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.