DFW07LA155

NTSB accident investigation · Boeing 737-232 · Tunica, MS · July 10, 2007

Accident · FatalLimited investigationFinal report
Date
July 10, 2007, 16:30 local (21:30 UTC)
Place
Tunica, MS
Injuries
1 fatal, 115 uninjured
Damage
No damage
Phase of flight
Standing
Aircraft
N332DLBoeing 737-232
Weather
Visual (VMC) · Day
Status
Completed · report June 30, 2008
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20070710017209A
Case key
66176

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 NTSB’s determination of the probable cause, and any contributing factors.

Gorund service personal's removal of the portable stairway prior to the main cabin door being secured. Factors were the high winds and heavy rain.

Analysis

The charter flight was preparing for departure for an on-demand air taxi flight. The operator reported that the flight had finished boarding all passengers and the portable airstairs had been pushed back; however, the engines were not running. The mechanic was directed to secure the cabin door to prevent additional rain from soaking the main entrance and galley area as an approaching storm created gusty winds and heavy rains.

Passengers seated on row 1 of the main cabin witnessed the mishap. The passengers reported that soon after boarding the airplane a "furious hard blowing rain had started." The forward cabin flight attendant attempted to close the cabin door then moved back to allow the mechanic to close it. The witness added that "suddenly his hand slipped from the door handle, his feet slipped from under him, and he fell out the doorway" onto the ramp.

Following the accident, the airline developed and implemented numerous safety enhancements, including revised procedures and training regarding portable airstairs and jet-bridge operations.

Factual narrative

The factual narrative474 words

On July 10, 2007, at 1630 central daylight time, a mechanic fell onto the ramp from the main cabin entrance door of a Boeing 737-232 airplane, N332DL, while attempting to close the door during a thunderstorm. The crew of six, including the mechanic and 110 passengers were on board. The mechanic sustained fatal injuries. No other crewmembers or passengers were injured and the airplane was not damaged. The charter flight was being operated by Sky King, Inc., as a 14 Code of Federal Regulations Part 121 supplemental domestic flight and was preparing for departure at the Tunica Air Center (KUTA) near Tunica, Mississippi, for an on-demand air taxi flight to Tulsa, Oklahoma, with a scheduled intermediate stop in Oklahoma City, Oklahoma.

The operator reported that the flight had finished boarding all passengers and the portable airstairs had been pushed back; however, the engines were not running. The mechanic was directed to secure the cabin door to prevent additional rain from soaking the main entrance and galley area as an approaching storm created gusty winds and heavy rains.

Passengers seated on row 1 of the main cabin witnessed the mishap. The passengers reported that soon after boarding the airplane a "furious hard blowing rain had started." The forward cabin flight attendant attempted to close the cabin door then moved back to allow the mechanic to close it. The witness added that "suddenly his hand slipped from the door handle, his feet slipped from under him, and he fell out the doorway" onto the ramp.

Weather reported at KUTA 10 minutes prior to the accident was winds from 180 degrees at 11 knots, visibility of 10 statute miles. Thunderstorm activity with lightning reported in all quadrants, scattered clouds at 3,800 feet, broken clouds at 5,000 and 6,500 feet, temperature of 30 degrees Celsius and a dew point of 22 degrees Celsius, with an altimeter setting of 29.87 inches of Mercury. At 30 minutes after the accident the weather was reported as winds from 290 degrees at 10 knots, visibility 2 1/2 statue miles, heavy thunderstorms and rain with broken cloud layers at 500 feet and 1,300 feet, overcast skies at 3,200 feet, with lightning in all quadrants, with an altimeter setting of 29.90 inches of Mercury.

Post-Accident Airline Safety Efforts.

Following the accident, Sky King, Inc. developed the following safety enhancements:

- The Airline created and published a safety bulletin emphasizing the requirement to have the portable airstairs or Jet-Bridge remain in place until the main cabin door has been secured.

- Flight attendant and flight operations manuals were revised as follows: CAUTION: The Main Cabin door (L1) must remain open with the jetway or stairs in place until push-back for normal and emergency egress for passengers and crew.

- Emphasis for all crew members during in initial training and recurrent training concerning portable airstairs procedures.

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.

Miscellaneous/otherStanding - engine(s) not operating
Door,entrance stair - stowed
Condition(s)/step(s) in improper sequenceGround personnelCause
External load equipment - removedGround personnelCause
Miscellaneous/otherStanding - engine(s) not operating
Weather condition - high windFactor
Weather condition - thunderstormFactor

Aircraft

Registration
N332DL
Reported as
Boeing 737-232
Category
Airplane
Serial number
23104
Airframe hours
52,222
Engines
Pratt & Whitney JT8D-15, 15,000 lbs thrust, turbo fanPratt & Whitney JT8D-15, 15,000 lbs thrust, turbo fan
Damage
No damage
Flight
Part 121
Operator
Sky King, Inc., doing business as Sky King, Inc.
Registered owner
Wilmington Trust Company
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · June 1, 2007
Departed
UTA · Tunica, MS
Destination
OKC · Oklahoma City, OK
Flight plan
IFR
Airport
UTA · Tunica Municipal 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
Check pilot
Age
55
Injuries
None
Certificates
Airline transport, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
April 1, 2007
Seat
Right
Flight hours
26,300 total
Role
Pilot
Age
52
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Medical
Class 1, Without waivers/limitations
Last flight review
June 1, 2007
Seat
Left
Flight hours
7,000 total

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 11 knots
Visibility
10 statute miles
Lowest ceiling
5,000 ft broken
Temperature
86 °F, dew point 72 °F
Altimeter
29.87 inHg
Observed at
KUTA

FAA reports on this event · 1

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