# NTSB ATL93LA024: Boeing 757-232, N619DL, Atlanta, GA, November 13, 1992

- Type: NTSB accident investigation
- Classification: Accident · Serious injuries · Limited investigation · Final report
- Date: November 13, 1992, 16:55 local (21:55 UTC)
- Place: Atlanta, GA
- Location: 33.7490° N, 84.3880° W: Placed by OpenAirDocs: center of Atlanta, GA, within about 7 miles (OpenAirDocs)
- Nearby events: https://openairdocs.org/map.md?lat=33.7490&lon=-84.3880&mi=10
- Phase of flight: [Pushback/towing](https://openairdocs.org/ntsb-phases/200) (OpenAirDocs' grouping)
- Highest injury: Serious injuries
- Injuries: 1 serious, 187 uninjured; on the ground: 1 serious
- Status: Completed, report September 28, 1993
- Report: Approved by Office Director
- NTSB case key (mKey): 8704
- NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=ATL93LA024
- NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/8704/pdf
- Page: https://openairdocs.org/ntsb/ATL93LA024

## Probable cause

THE INADEQUATE PROCEDURES AND TRAINING OF GROUND PERSONNEL INVOLVED IN THE AIRCRAFT PUSH BACK OPERATIONS BY COMPANY MANAGEMENT.

## Sequence of events

In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf).

- Miscellaneous/other, taxi - pushback/tow
  - procedures/directives - inadequate, ground personnel (cause)
  - inadequate training, company/operator management (cause)

## 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 (not matched to a registry record)
- Reported make and model: BOEING 757-232
- Category: Airplane
- Serial number: 22909
- Engines: P&W PW 2037 37000 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.

- Pilot; age 52; 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 (OpenAirDocs).

- [Accident 19921113056799A](https://openairdocs.org/incident/19921113056799A), Nov 13, 1992: Boeing 757232, Atlanta, GA. During pushback from gate main landing gear wheel rolled over ground crewmans foot.

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.

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