CEN11LA092

NTSB accident investigation · Embraer EMB-145LR · Madison, WI · November 23, 2010

Accident · Serious injuriesLimited investigationFinal report
Date
November 23, 2010, 13:40 local (19:40 UTC)
Place
Madison, WI
Injuries
1 serious, 48 uninjured
Damage
No damage
Phase of flight
Standing
Aircraft
N678AEEmbraer EMB-145LR
Defining event
Standing-engine(s) not oper: Cabin safety event
Weather
Visual (VMC) · Day
Status
Completed · report October 17, 2011
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA- Milwaukee FSDO
FAA report
20101123052839A
Case key
77931

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 passenger's decision to deplane without assistance despite having a preexisting condition that limited her mobility.

Findings · 1

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

ActionPersonnel issues › Action/decision · PassengerEmbraer EMB-145LR: 1 caseAll aircraft: 111 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

A wheelchair-designated passenger wearing an ankle brace was instructed to remain seated and wait for assistance that would be provided after the other passengers had deplaned. Despite these instructions, the passenger attempted to deplane without assistance and without the aid of her crutches, which had been stowed in the crew closet for the flight. While walking down the aisle of the airplane's cabin, the passenger fell near the forward galley and broke both of her ankles.

Factual narrative

On November 23, 2010, about 1340 central standard time, a passenger received serious injuries while deplaning from an Embraer EMB-145LR, N678AE, registered to and operated by American Eagle Airlines under the provisions of 14 Code of Federal Regulations Part 121 as a scheduled domestic passenger flight on an instrument flight rules flight plan. The airplane was piloted by an airline transport pilot. Except for the one passenger injury, there were no injuries to the other passengers or crewmembers. The flight originated from the Dallas/Fort Worth International Airport (DFW), Dallas-Fort Worth, Texas, at 1140, and had arrived at the Dane County Regional Airport-Truax Field (MSN), Madison, Wisconsin. According to crew statements, the injured passenger was designated as a wheelchair passenger and had boarded the airplane wearing an ankle brace. The passenger was seated in seat 9A. According to the gate agent, the passenger had been instructed to remain seated and wait for assistance which would be provided after the other passengers had deplaned. The flight attendant reported seeing the passenger walking down the cabin aisle during passenger deplaning without her crutches. The crutches had been stowed in the crew closet of the airplane for the flight. The flight attendant reported that the passenger fell in the aisle of the airplane's cabin near the forward galley. After falling, the passenger complained of pain in her right foot. Paramedics were called and assisted the injured passenger off of the airplane using a wheelchair. It was later determined that the injured passenger had broken both of her ankles and required surgery.

Aircraft

Registration
N678AE
Reported as
Embraer EMB-145LR
Category
Airplane
Serial number
14500813
Engines
Rolls-Royc AE3007 SER, 7,200 horsepower, turbo fanRolls-Royc AE3007 SER, 7,200 horsepower, turbo fan
Damage
No damage
Flight
Part 121
Operator
American Eagle Airlines Inc
Registered owner
American Eagle Airlines Inc
Airworthiness certificate
Standard, Transport
Departed
DFW · Dallas, TX
Destination
MSN · Madison, WI
Flight plan
IFR
Airport
MSN · Dane County Regional Airport

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
62
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
July 17, 2010
Seat
Left
Flight hours
14,974 total · 8,308 as pilot in command
Role
Co-pilot
Age
27
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
April 12, 2010
Seat
Right
Flight hours
1,394 total

Weather

Conditions
Visual (VMC) · Day
Wind
360° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
30 °F, dew point 14 °F
Altimeter
30.21 inHg
Observed at
MSN

Docket · 2

The files NTSB released with the investigation on September 7, 2011, on NTSB’s docket system: statements, records, photos and specialists’ reports. 683 KB in all.

FAA reports on this event · 1

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