MIA95LA135

NTSB accident investigation · Boeing 727-232 · West Palm Beach, FL · May 24, 1995

Accident · No injuriesLimited investigationFinal report
Date
May 24, 1995, 12:48 local (16:48 UTC)
Place
West Palm Beach, FL
Injuries
136 uninjured
Damage
Substantial damage
Phase of flight
Pushback/towing
Aircraft
N489DABoeing 727-232
Weather
Visual (VMC) · Day
Status
Completed · report August 31, 1995
Report
Approved by Office Director
FAA report
19950524014959A
Case key
37771

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 failure of the ground pushback crew to follow delta airlines pushback procedures and place a signalman forward of the aircraft in view of the captain during pushback. This resulted in the captain not being aware that the tug tow bar had disconnected and the need for him to apply brakes to stop the aircraft.

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 - pushback/tow
Procedures/directives - not followedGround personnelCause
Landing gear,towbar/attachment - overloadFactor
Landing gear,towbar/attachment - disconnectedFactor
Object - vehicle

Analysis

The aircraft was pushed back from the gate with two engines operating due to an inoperative APU. The tug driver was assisted by two wing walkers. There was no signalman in front of the aircraft as required by delta airlines pushback procedures. After pushing the aircraft straight back and turning the tail to the left the tug was positioned to the right front of the aircraft. As the tug moved forward to straighten the nose gear the safety pin on the tug end of the tow bar sheered. The aircraft became disconnected from the tug and rolled forward striking the tug with the right front area of the aircraft. As the aircraft rolled forward the tug driver's headset became disconnect from the aircraft and communication with the cockpit crew was lost.

Factual narrative

On May 24, 1995, about 1248 eastern daylight time, a Boeing 727-232, N489DA, registered to Delta Air Lines, Inc., and operating as Delta flight 1522, scheduled domestic passenger service from West Palm Beach, Florida, to Atlanta, Georgia, sustained damage when it collided with a tug during pushback at West Palm Beach. Visual meteorological conditions prevailed at the time and an instrument flight rules flight plan was filed. The aircraft sustained substantial damage. The airline transport-rated pilot, first officer, flight engineer, 3 flight attendants, and 130 passengers were not injured. The flight was originating at the time of the accident.

The tug driver who was pushing N489DA from the gate stated that two of the aircraft's engines had been started before pushback due to the aircraft's power unit being inoperative. During the pushback there were two wing walkers. There was not a signal man in front of the aircraft in view of the captain, as required by Delta Air Lines pushback procedures, due to manpower shortages.

He pushed the aircraft straight back and then turned the aircraft's tail to the left. The aircraft and tug made a "U" shape at this time with the tug on the aircraft's right front. As he moved the tug to straighten the aircraft's nose gear, the safety pin on the tug end of the tow bar sheered. He did not believe he turned the nose gear beyond the normal limits; however, it was a "sharp" turn. The aircraft became disconnected from the tug and rolled forward at which time the right front side of the aircraft struck the tug. As the aircraft rolled forward the tug driver's headset cord became disconnected from the aircraft and he lost communication with the cockpit crew. The left wingman arrived at the front of the aircraft at this time and signaled the captain to brake the aircraft and stop it.

Aircraft

Registration
N489DA
Reported as
Boeing 727-232
Category
Airplane
Serial number
21019
Airframe hours
60,114
Engine
P&W JT8D-15A, 15,500 lbs thrust, turbo fan
Damage
Substantial damage
Flight
Part 121
Registered owner
Delta Air Lines Inc
Airworthiness certificate
Standard, Transport
Last inspection
AAIP · March 6, 1995 · 600 hours before
Departed
PBI
Destination
ATL · Atlanta, GA
Flight plan
IFR
Airport
PBI · Palm Beach 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
57
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
18,500 total · 9,000 in this make and model · 7,000 as pilot in command · 187 in the last 90 days · 70 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
100° at 13 knots, gusting 19
Visibility
10 statute miles
Lowest ceiling
None
Temperature
86 °F, dew point 72 °F
Altimeter
30.00 inHg
Observed at
PBI, 1 nm away

FAA reports on this event · 1

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