DCA16CA009

NTSB accident investigation · Boeing 757 223 · Dallas, TX · October 21, 2015

Accident · Serious injuriesData collectionFinal report
Date
October 21, 2015, 17:56 local (22:56 UTC)
Place
Dallas, TX
Injuries
1 serious, 166 uninjured
Damage
No damage
Phase of flight
Standing
Aircraft
N183ANBoeing 757 223
Defining event
Standing-engine(s) not oper: Miscellaneous/other
Weather
Day
Status
Completed · report April 8, 2016
Report
Approved by Office Director
NTSB office
Major Investigations Division
Case key
92219

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 disabled passenger not being properly secured during the transfer from the aisle chair causing him to slide to floor and receive a serious injury.

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.

Action: incorrect action performancePersonnel issues › Action/decision · OtherBoeing 757-223: 3 casesAll aircraft: 1,386 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

According to a company report, after boarding all other passengers, gate agents proceeded with boarding a quadriplegic passenger who required assistance and use of an aisle chair to be moved to his seat on the airplane. A seatbelt and additional belts across the passenger's chest were used to secure him in the aisle chair while moving him onboard. When the belts were removed in order to transfer the passenger from the aisle chair to the airplane seat the passenger slid to the floor. The passenger was then lifted into his seat by the gate agents. According to crew statements, after the gate agents left the airplane and the jetway had been retracted, a flight attendant (FA) observed that the passenger appeared to be injured and the crew requested emergency services. The passenger was transported to a hospital and diagnosed with a broken right tibia.

Factual narrative

According to a company report, after boarding all other passengers, gate agents proceeded with boarding a quadriplegic passenger who required assistance and use of an aisle chair to be moved to his seat on the airplane. A seatbelt and additional belts across the passenger's chest were used to secure him in the aisle chair while moving him onboard. When the belts were removed in order to transfer the passenger from the aisle chair to the airplane seat the passenger slid to the floor. The passenger was then lifted into his seat by the gate agents. According to crew statements, after the gate agents left the airplane and the jetway had been retracted, a flight attendant (FA) observed that the passenger appeared to be injured and the crew requested emergency services. The passenger was transported to a hospital and diagnosed with a broken right tibia.

Aircraft

Registration
N183AN
Reported as
Boeing 757 223 (223)
Category
Airplane
Serial number
29593
Built
1999
Engines
Rolls-Royc RB.211 SERIES, turbo fanRolls-Royc RB.211 SERIES, turbo fan
Damage
No damage
Flight
Part 121
Operator
American Airlines Inc
Registered owner
American Airlines Inc
Airworthiness certificate
Standard, Transport
Departed
DFW · Dallas, TX
Destination
MCO · Orlando, FL
Airport
DFW · Dallas / Ft Worth
Equipment
Unknown

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
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Seat
Left
Flight hours
11,468 total · 807 in this make and model
Role
Co-pilot
Age
53
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Seat
Right
Flight hours
2,876 total · 650 in this make and model

Weather

Conditions
Day
Wind
110° at 12 knots
Visibility
10 statute miles
Lowest ceiling
25,000 ft broken
Temperature
82 °F, dew point 63 °F
Altimeter
30.06 inHg
Observed at
KDFW

Docket · 2

The files NTSB released with the investigation on April 8, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.1 MB in all.