FTW95LA167

NTSB accident investigation · Boeing 757-223 · San Antonio, TX · April 11, 1995

Accident · Serious injuriesLimited investigationFinal report
Date
April 11, 1995, 14:04 local (19:04 UTC)
Place
San Antonio, TX
Injuries
1 serious, 2 minor, 129 uninjured
Damage
No damage
Phase of flight
Other
Aircraft
N683ABoeing 757-223
Weather
Visual (VMC) · Day
Status
Completed · report October 19, 1995
Report
Approved by Office Director
FAA report
19950411026689A
Case key
19392

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

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Probable cause

The pilot-in-command's failure to set the parking brake.

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/otherOther
Parking brakes - not setPilot in commandCause

Analysis

The captain taxied the airplane into position at the gate, pulled the parking brake handle in the 'up' position and checked the parking brake light on the annunciator panel. The seat belt sign was turned 'off' and the crew proceeded with the checklist. Upon hearing a 'thud', the captain 'looked up to see the aircraft moving' and stopped the airplane with the brakes. The captain was informed by the flight attendant of three passenger injuries. Maintenance personnel examined the airplane and 'ascertained that no brake failure had occurred.' The airplane was released for continued service with no discrepancies reported.

Factual narrative

On April 11, 1995, at 1404 central daylight time, one passenger was seriously injured and two passengers received minor injuries aboard a Boeing 757-223, N683A, during taxi at the San Antonio, Texas, International Airport. Six crew members and 123 passengers were not injured. Visual meteorological conditions prevailed for American Airlines Flight 1308 from Dallas/Fort Worth (DFW), Texas, which was conducted under Title 14 CFR Part 121.

Crew and company personnel reported the information in this paragraph. After arriving at the airport, the captain taxied the airplane into position at the gate, pulled the parking brake handle in the full "UP" position and checked the parking brake light on the annunciator panel. The seat belt sign was turned "OFF" and the crew proceeded with the engine shutdown checklists.

Upon hearing a "thud", the captain "looked up to see the aircraft moving" and stopped the airplane with the brakes. He was informed, by the flight attendant, of the three passenger injuries. Ground personnel threw chocks at the airplane as it rolled forward, trying to alert the flight crew.

Maintenance personnel examined the airplane and "ascertained that no brake failure had occurred." The airplane was released for continued service with no discrepancies reported.

Aircraft

Registration
N683A
Reported as
Boeing 757-223
Category
Airplane
Serial number
25340
Airframe hours
8,437
Engine
Rolls-Royce RB211-53-5E4B, 43,100 lbs thrust, turbo fan
Damage
No damage
Flight
Part 121
Registered owner
American Airlines, Inc.
Airworthiness certificate
Standard, Transport
Departed
DFW · Dfw Airport, TX
Destination
SAT
Flight plan
IFR
Airport
SAT · San Antonio 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
47
Certificates
Flight engineer, Military, Flight instructor, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
8,165 total · 512 in this make and model · 210 in the last 90 days · 72 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
20° at 7 knots
Visibility
7 statute miles
Lowest ceiling
None
Temperature
63 °F, dew point 28 °F
Altimeter
30.00 inHg

FAA reports on this event · 1

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