CHI95LA031

NTSB accident investigation · Boeing 757-231 · St Paul, MN · November 6, 1994

Accident · Serious injuriesLimited investigationFinal report
Date
November 6, 1994, 13:05 local (19:05 UTC)
Place
St Paul, MN
Injuries
1 serious, 123 uninjured; on the ground: 1 serious
Damage
No damage
Phase of flight
Taxi
Aircraft
N518USBoeing 757-231
Weather
Visual (VMC) · Day
Status
Completed · report September 24, 1995
Report
Approved by Office Director
Case key
9792

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

Failure of ground personnel to identify the unsafe/hazardous situation regarding the closeness of the airplane to the baggage carts, and the captain's improper planning/decision concerning the situation.

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.

Propeller blast or jet exhaust/suctionTaxi - to takeoff
Object - other
Unsafe/hazardous condition - not identifiedGround personnelCause
Planning/decision - improperPilot in commandCause
Object - other person

Analysis

The captain reported that after being cleared to taxi for departure, the tug driver pushed the airplane back to a spot close to the gate. To conserve fuel, only the right engine was started for taxiing. Due to the position of other aircraft and closeness of the gate, the captain elected to make a 270 degree right turn to taxi to the runway. During the turn, jet blast from the right engine overturned three baggage carts. One of the carts hit a ground worker, which resulted in serious injury. The company operations manual stated that taxi thrust should be kept below 45% N1. The flight data recorder indicated the right engine N1 peaked at 49.73% as the throttle was advanced to initiate the turn.

Factual narrative

On November 6, 1994, about 1305 central standard time, an airline ground service employee was seriously injured when a Boeing 757-251, N518US, operated by Northwest Airlines, Inc., blew over a baggage cart as the airplane departed the gate at the Minneapolis/St. Paul International Airport, St. Paul, Minnesota. The scheduled domestic flight was operating under 14 CFR Part 121, as Flight 100 with a destination of Washington, D.C. There was no damage to the airplane. An IFR flight plan was filed, and visual meteorological conditions prevailed at the time.

The Captain reported in his written statement that the tug driver "pushed us to a spot close to the gate with our left wing overlapping some carts." After the airplane was pushed back from gate 63, the right engine was started. The Captain reported, "After assessing the situation, I figured that I was too close to turn left out of the gate. With only one engine going I staged my turn. As I slowed I straightened the nose rather than add power... ."

An approximate 270 degree right turn was made on the ramp to taxi to the taxiway. While the airplane was making the turn, jet blast from the right engine overturned three baggage carts. The baggage carts were located near the left wing of N518US as it was parked in the gate. One of the baggage carts struck a ground service employee. The employee received a dislocated shoulder and a fractured right hip, along with several minor contusions and abrasions.

Prior to this incident Northwest Airline's Boeing 757 Aircraft Operations Manual (AOM) stated that taxi thrust should be kept below 45% N1. According to flight data recorder information obtained from Northwest Airlines, the right engine N1 peaked momentarily at 49.73% as the throttles were advanced to initiate the turn. The throttles were then reduced and N1 was decreased to 44% or below. Since this accident, Northwest Airlines has revised the AOM to state, "Always verify with ground personnel that the area behind the aircraft is clear if you must exceed 40% N1." In addition to this change in the AIM, an Exhaust Velocity Contours chart was added.

Aircraft

Registration
N518US
Reported as
Boeing 757-231
Category
Airplane
Serial number
23206
Airframe hours
26,862
Engine
P&W 2037, 37,000 lbs thrust, turbo fan
Damage
No damage
Flight
Part 121
Operator
Northwest Airlines
Registered owner
First National Bank Of Boston
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · November 6, 1994 · 4 hours before
Departed
MSP
Destination
DCA · Washington, DC
Flight plan
IFR
Airport
MSP · Minneapolis-St Paul Intl

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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
54
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
3,260 total · 469 in this make and model · 132 in the last 90 days · 38 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
300° at 8 knots
Visibility
15 statute miles
Lowest ceiling
None
Temperature
48 °F, dew point 37 °F
Altimeter
30.00 inHg
Observed at
MSP