# NTSB LAX91IA415: Airbus Industrie A-320-231, N633AW, Santa Ana, CA, September 21, 1991

- Type: NTSB incident investigation
- Classification: Incident · Minor injuries · Incident investigation · Final report
- Date: September 20, 1991, 22:15 local (Sep 21, 1991, 05:15 UTC)
- Place: Santa Ana, CA
- Location: 33.6757° N, 117.8682° W: Placed by OpenAirDocs at JOHN WAYNE/ORANGE COUNTY (SNA), within about a mile (OpenAirDocs)
- Nearby events: https://openairdocs.org/map.md?lat=33.6757&lon=-117.8682&mi=10
- Phase of flight: [Landing](https://openairdocs.org/ntsb-phases/550) (OpenAirDocs' grouping)
- Highest injury: Minor injuries
- Injuries: 1 minor, 80 uninjured
- Status: Completed, report February 8, 1993
- Report: Approved by Office Director
- NTSB case key (mKey): 27035
- NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=LAX91IA415
- NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/27035/pdf
- Page: https://openairdocs.org/ntsb/LAX91IA415

## Probable cause

THE FAILURE OF THE FLIGHT ATTENDANT ASSIGNED TO THE AFT GALLEY JUMPSEAT TO SECURE A BEVERAGE CART IN ACCORDANCE WITH COMPANY POLICY.

## Sequence of events

In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf).

- Miscellaneous/other, landing
  - misc eqpt/furnishings,galley - not secured (cause)
  - procedures/directives - not followed, flight attendant (cause)
  - diverted attention, flight attendant (contributing factor)

## Analysis

ONE PASSENGER SUSTAINED A FRACTURED ANKLE AFTER BEING HIT WITH A BEVERAGE CART WHICH WAS NOT SECURED BY THE AFT GALLEY FLIGHT ATTENDANT PRIOR TO LANDING.  THE FLIGHT ATTENDANT'S ATTENTION WAS DIVERTED TO OTHER MATTERS PRIOR TO LANDING AND SHE FAILED TO PROPERLY STOW THE CART IN ACCORDANCE TO AMERICA WEST POLICY GUIDELINES.

## Aircraft

- Registration: [N633AW](https://openairdocs.org/deregistered/N633AW-2016-08-08), registration cancelled 2016-08-08, S/N 82, built 1989 (OpenAirDocs)
- Reported make and model: Airbus Industrie A-320-231
- Registry model: [Airbus Industrie A320-231](https://openairdocs.org/model/airbus-industrie-a320-231) (registry code 3930325) (OpenAirDocs)
- Registry engine: [IAE V2500SERIES](https://openairdocs.org/engine/iae-v2500series) (registry code 34601, turbo-jet) (OpenAirDocs)
- Category: Airplane
- Engines: Int'l Aero En 2500-A1 24800 lbs thrust turbo fan
- Damage: No damage
- Flight: Part 121
- Operator: America West
- Registered owner: America West
- Airworthiness certificate: Standard, Transport
- Last inspection: Unknown, January 2, 2000
- Departed: PHX, PHOENIX, AZ
- Flight plan: IFR
- Airport: SNA, John Wayne, runway 19, 5,700 × 150 ft, asphalt

## Flight crew

As NTSB recorded them. NTSB leaves out names.

- Pilot; airline transport; airplane ratings: multi-engine land; instrument ratings: airplane; medical: class 1, unknown

## Weather

- Conditions: Visual (VMC), Night/bright
- Lowest ceiling: none

## FAA reports on this event (1)

The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs).

- [Accident 19910920063159A](https://openairdocs.org/incident/19910920063159A), Sep 20, 1991: Airbus A320231, Santa Ana, CA. Galley cart not secured rolled down aisle and fractured a passengers ankle during landing approach.

From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model.

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