DCA19CA186

NTSB accident investigation · Boeing 757 · San Francisco, CA · July 23, 2019

Accident · No injuriesClass 4 · Data collectionFinal report
Date
July 23, 2019, 00:48 local (07:48 UTC)
Place
San Francisco, CA
Injuries
199 uninjured
Damage
Substantial damage
Phase of flight
Prior to flight
Aircraft
N57852Boeing 757
Defining event
Prior to flight: Ground handling event
Weather
Visual (VMC) · Night
Status
Completed
Report
Approved by Office Director
Investigation class
Class 4 - Basic report with no Prelim publish
NTSB office
Major Investigations Division
Case key
99936

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 the ground crew to maintain clearance from the parked airplane during pushback.

Findings · 2

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 · Ground crewBoeing 757-324: 1 caseAll aircraft: 1,386 casesProbable cause
Towing and taxiing: towingAircraft › Aircraft handling/service · Incorrect use/operationBoeing 757-324: 1 caseAll aircraft: 10 cases

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

On July 23, 2019, about 0048, pacific daylight time, United Airlines flight 1161, N57852, a Boeing 757-324, received substantial damage during pushback. There were no injuries to the passengers or crew onboard. The regularly scheduled domestic passenger flight was operating under the provisions of 14 Code of Federal Regulations Part 121 from San Francisco International Airport (SFO), to Chicago O'Hare International Airport (ORD), Chicago, Illinois. According to the flight crew the airplane was at gate 62 at SFO and after the door was closed and Pre-flight and Before-pushback checklists were completed, the flight crew then received clearance to push back. According to the ground crew, the pushback operation was conducted with a tug driver and a wing walker at each wing. After pushback was initiated, another airplane was towed behind the accident airplane. The tug driver stated he saw the other airplane and stopped but lost sight of the wing walker. After he thought the other airplane was clear, he started to move the airplane again, but then was signaled by the other airplanes ground crew to stop and that he had hit their airplane. Postaccident examination of the airplane revealed that the right-hand elevator outboard section had broken at the second attach fitting. Also, the right-hand horizontal stabilizer had a puncture, end cap damage and other damage to the lower skin extending about 24 to 30 inches from the outboard end.

Factual narrative

On July 23, 2019, about 0048, Pacific daylight time, United Airlines flight 1161, N57852, a Boeing 757-324, received substantial damage during pushback. There were no injuries to the crew or passengers on board. The regularly scheduled domestic passenger flight was operating under the provisions of 14 Code of Federal Regulations Part 121 from San Francisco International Airport (SFO), to Chicago O'Hare International Airport (ORD), Chicago, Illinois. According to the flight crew, while their airplane was being pushed back from gate 62 at SFO, it impacted a parked airplane, causing damage to their airplane’s right stabilizer and right elevator.

Aircraft

Registration
N57852
Reported as
Boeing 757 (324)
Category
Airplane
Serial number
32811
Built
2001
Engines
Rolls Royce RB211-535, 42,540 lbs thrust, turbo fanRolls Royce RB211-535, 42,540 lbs thrust, turbo fan
Damage
Substantial damage
Flight
Part 121
Operator
United Airlines
Registered owner
United Airlines Inc
Airworthiness certificate
Standard, Transport
Departed
KSFO · San Francisco, CA
Destination
KORD · Chicago, IL
Flight plan
IFR
Airport
KSFO · San Francisco International

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
60
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
February 9, 2019
Seat
Left
Restraint
5-point
Flight hours
22,260 total · 8,364 in this make and model
Role
Co-pilot
Age
38
Injuries
None
Certificates
Flight instructor, Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Seat
Right
Restraint
5-point
Flight hours
9,000 total · 500 in this make and model · 6,500 as pilot in command · 80 in the last 90 days

Weather

Conditions
Visual (VMC) · Night

Docket · 4

The files NTSB released with the investigation on February 25, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 8.1 MB in all.