DEN06IA008

NTSB incident investigation · Airbus Industries A319-111 · Denver, CO · October 10, 2005

Incident · No injuriesIncident investigationFinal report
Date
October 10, 2005, 11:20 local (17:20 UTC)
Place
Denver, CO
Injuries
109 uninjured
Damage
Minor damage
Phase of flight
Taxi
Aircraft
N927FRAirbus Industries A319-111
Weather
Instrument (IMC) · Day
Status
Completed · report March 28, 2006
Report
Approved by Office Director
Parties
Denver Flight Standards District Office
FAA report
20051010025679I
Case key
62667

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the incident.

On this page

Probable cause

the de-ice vehicle operator's failure to follow post de-icing procedures, resulting in a collision. Contributing factors were the fog, snow, and the de-icing vehicle.

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.

On ground/water collision with objectTaxi
Procedure inadequateDriver of vehicleCause
Communications - inadequate
Weather condition - fogFactor
Weather condition - snowFactor
Object - vehicleFactor

Analysis

The airplane was de-iced and the flight crew was given a clearance to taxi. Communications between the flight crew and the de-icing vehicle operator were inadequate and the de-icing crew failed to correctly follow their post de-icing procedure. As the aircraft moved forward, the crew felt a jolt and received an ECAM warning for flight control/slat fault. They also received a report from a passenger who stated he had seen the de-ice truck and the airplane's right wing collide. Weather at the time of the incident was 1/4 SM visibility, snow, fog, temperature 0 degrees C., and dew point minus 1 degree C.

Factual narrative

On October 10, 2005, approximately 1124 mountain daylight time, an Airbus Industries A319-111, N927FR, operated by Frontier Airlines Inc., as flight 567, and piloted by an airline transport pilot, sustained minor damage when it collided with a de-icing vehicle while taxiing for takeoff from the de-icing pad at Denver International Airport (DEN), Denver, Colorado. Instrument meteorological conditions prevailed at the time of the incident. The scheduled, domestic passenger flight was destined for San Diego, California, and was being conducted under Title 14 Code of Federal Regulations Part 121. An instrument flight rules flight plan had been filed. The 5 crew members and 104 passengers sustained no injuries.

According to a report submitted by Frontier Airlines, Inc., "during a snowstorm at DEN, flight 567 scheduled to San Diego, was de-iced on de-ice pad A-3. At 1118, the crew was given the de-ice report and told they were clear to contact ground control. They were cleared to taxi to runway 25 via taxiway G. As the aircraft moved forward, the crew felt a jolt and they thought they had run over a chunk of ice with the nose wheel. As they continued to taxi, they received an electronic centralized aircraft monitoring (ECAM) warning for flight control/slat fault. After performing ECAM actions, they received a call from a flight attendant, who was on board, stating that the passenger in row 10D had seen the de-ice truck or boom and the right wing leading edge collide. The aircraft was taxied back to the gate to be inspected for damage."

According to the captain, who was the pilot in control at the time of the incident, "We moved forward and felt a jolt. I thought at the time we had run over a chunk of ice with the nose wheel." According to the co-pilot, "We began taxiing forward. We heard and sensed what felt like the nose wheel run over two chunks of ice. We continued to taxi the aircraft for takeoff and got an ECAM message the same as when we were taxiing in from the previous leg (flight control/slat fault), which cleared after cycling the flap. We got a call from the 'A' flight attendant that a passenger saw the right wingtip collide with the de-ice equipment on taxi out."

According to a report submitted by the de-ice vehicle operator, Aircraft Services International Group TM (ASIG), approximately 1124, flight 567 received a clearance from tower to taxi from de-ice pad A-3. At that time, de-ice truck #57 was positioned on the west (departure) side of the de-ice pads between A-3 and A-4. Truck #57 was facing north with its rear toward de-ice pad A-3. The boom operator had the boom in a "1 o'clock position approximately 10 feet from the ground. The wingtip struck our lower boom at the joint where it meets the upper boom." At that time, both the boom operator and the de-ice truck driver "felt the truck shake from side to side." The bucket operator was "thrown from one side to the other side and then thrown to the bottom of the bucket." The driver of the de-ice vehicle and the bucket operator sustained no injuries.

According to ASIG's report, prior to de-icing, the captain "indicated a growing sense of frustration" due to the lengthy amount of time it was taking to de-ice (approximately 1 hour and 17 minutes). The captain also stated that they were fuel critical and did not want to taxi back to the gate for more fuel. In an attempt to expedite the de-icing process, the captain requested only one step (Type I de-icing fluid) of the regular two step (both Type I and Type IV de-icing fluid) de-icing process. All other aircraft were requesting the two step process of both Type I and Type IV de-icing fluid.

According to ASIG's Aircraft De/Anti-icing OJT Facilitator Guide (August 2005), the post de-icing procedures are: When the [de-ice] operation is complete, ensure all trucks are in their designated safety areas. Relay post De/Anti-icing report. Advise crew 'the Post De/Anti-icing Check is complete.'" Also, employees are to "evaluate situations and/or conditions that could affect the safety of the personnel and equipment. Give consideration to personnel, limited visibility, weather conditions, ramp/roadway conditions, etc. For example, during periods of limited visibility due to inclement weather it may be appropriate to add a second person in the truck cab." De-ice truck #57 had a two person crew during the time of the incident; one person was operating the boom and the other was operating the truck. The routine aviation weather report (METAR) indicated visibility at the time of the accident as 1/4 statute mile with snow and fog.

Damage sustained to the airplane's right wing included; the number 5 slat had a scratch 10 inches long by 5 inches wide and 1 inch deep, and the navigation light lens was broken. There was a scrape from the aft end of the navigation light lens to the leading edge of the wing, and the right winglet had an 8 inches long by 1 inch wide tear. Damage to the de-ice truck included a scratch approximately 3 feet long by 8 inches wide on the right side of the boom, and one of the bolts on the elbow of the boom was sheared causing damage to the internal gear of the boom.

Weather at the time of the incident was winds 330 at 10 knots, 1/4 SM visibility, snow, fog, temperature 0 degrees C., dew point minus 1 degree C., and altimeter setting of 30.06 inches of mercury.

Aircraft

Registration
N927FR
Reported as
Airbus Industries A319-111
Category
Airplane
Serial number
2209
Airframe hours
5,063
Engines
General Electric CFM56-5B5/P, 22,000 lbs thrust, turbo fanGeneral Electric CFM56-5B5/P, 22,000 lbs thrust, turbo fan
Damage
Minor damage
Flight
Part 121
Operator
Frontier Airlines Inc
Registered owner
International Lease Finance Corp.
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · June 1, 2005 · 1,182 hours before
Departed
DEN · Denver, CO
Destination
SAN · San Diego, CA
Airport
DEN · Denver International Airport

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Co-pilot
Age
58
Injuries
None
Certificates
Flight instructor, Airline transport
Airplane ratings
Single-engine sea, Multi-engine land, Single-engine land, Multi-engine sea
Instrument ratings
Airplane, Helicopter
Medical
Class 1, Without waivers/limitations
Last flight review
March 1, 2005
Seat
Right
Flight hours
13,000 total · 1,300 in this make and model
Role
Pilot
Age
51
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Seat
Left

Weather

Conditions
Instrument (IMC) · Day
Wind
330° at 10 knots
Visibility
0.25 statute miles
Lowest ceiling
300 ft overcast
Temperature
32 °F, dew point 30 °F
Altimeter
30.15 inHg
Observed at
DEN

FAA reports on this event · 1

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