ATL93LA024

NTSB accident investigation · Boeing 757-232 · Atlanta, GA · November 13, 1992

Accident · Serious injuriesLimited investigationFinal report
Date
November 13, 1992, 16:55 local (21:55 UTC)
Place
Atlanta, GA
Injuries
1 serious, 187 uninjured; on the ground: 1 serious
Damage
No damage
Phase of flight
Pushback/towing
Aircraft
N619DLBoeing 757-232
Weather
Visual (VMC) · Day
Status
Completed · report September 28, 1993
Report
Approved by Office Director
FAA report
19921113056799A
Case key
8704

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The inadequate procedures and training of ground personnel involved in the aircraft push back operations by company management.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Miscellaneous/otherTaxi - pushback/tow
Procedures/directives - inadequateGround personnelCause
Inadequate trainingCompany/operator managementCause

Analysis

The aircraft was in the process of push back operations from the terminal gate. The ground crewman, who was serving as a wing walker in the push back at the time, was still in the process of removing a wheel chock from behind the left main landing gear at the time the push back began, and his leg was caught under the wheel as the aircraft began rolling backwards. Investigation revealed that the airline's ground operations manual and training of ground personnel did not include procedures to assure that wing walkers and other ground personnel were clear of the landing gear, and in the proper position, prior to the beginning of bush back.

Aircraft

Registration
N619DL
Reported as
Boeing 757-232
Category
Airplane
Serial number
22909
Engine
P&W PW 2037, 37,000 lbs thrust, turbo fan
Damage
No damage
Flight
Part 121
Operator
Delta Airlines, Inc.
Registered owner
Delta Airlines, Inc.
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · January 2, 2000
Departed
ATL
Destination
BWI · Baltimore, MD
Flight plan
IFR
Airport
Hartsfield Intl.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
52
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
21,400 total · 203 in the last 90 days · 65 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
270° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
61 °F, dew point 45 °F
Altimeter
30.00 inHg
Observed at
ATL, 1 nm away

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.