NYC02IA117

NTSB incident investigation · Dornier 328 · Washington, DC · June 17, 2002

Incident · Minor injuriesIncident investigationFinal report
Date
June 17, 2002, 19:50 local (23:50 UTC)
Place
Washington, DC
Injuries
1 minor, 13 uninjured
Damage
No damage
Phase of flight
Standing
Aircraft
N439JSDornier 328
Weather
Visual (VMC) · Day
Status
Completed · report June 25, 2003
Report
Approved by Office Director
Case key
54993

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

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Probable cause

The ground service personnel's failure to follow company procedure, which resulted in the flight attendant sustaining a serious injury.

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
Procedures/directives - not followedGround personnelCause

Analysis

While the flight attendant was attempting to lock the door from inside the airplane, ground service personnel locked it from the outside of the airplane, catching the flight attendant's hand, fracturing her finger and wrist. The procedure for the Dornier 328 aircraft was for ground personnel to close the door flush with the fuselage, and the flight attendant to lock it.

Factual narrative

On June 17, 2002, about 1950 eastern daylight time, a flight attendant sustained minor injuries while closing the main cabin door on a standing Dornier 328, N439JS operated by PSA, dba U.S. Airways Express, at Ronald Regan Washington National Airport (DCA), Washington, District of Columbia. Two flight crew members, 10 passengers, and one other flight attendant were not injured. Visual meteorological conditions prevailed for the flight scheduled to be conducted under 14 CFR Part 121.

According to the operator, the flight attendant was attempting to lock the main cabin door after ground service personnel had closed it flush with the fuselage. While the flight attendant was locking the door from inside the airplane, ground service personnel locked it from the outside of the airplane, catching the flight attendant's hand, fracturing her finger and wrist. The procedure for the Dornier 328 aircraft was for ground personnel to close the door flush with the fuselage, and the flight attendant to lock it.

The flight attendant did not report any malfunction with the main cabin door.

Aircraft

Registration
N439JS
Reported as
Dornier 328
Category
Airplane
Serial number
3057
Engines
Pratt & Whitney 119B, turbo propPratt & Whitney 119B, turbo prop
Damage
No damage
Flight
Part 121
Registered owner
Psa
Airworthiness certificate
Standard, Normal
Departed
DCA · Washington, DC
Destination
BTV · Burlington, VT
Flight plan
IFR
Airport
DCA · Ronald Regan Washington

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
Pilot
Injuries
None
Certificate
Airline transport
Role
Co-pilot
Injuries
None
Certificate
Airline transport

Weather

Conditions
Visual (VMC) · Day
Wind
230° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
77 °F, dew point 54 °F
Altimeter
29.92 inHg
Observed at
DCA

Docket · 1

The files NTSB released with the investigation on May 15, 2003, on NTSB’s docket system: statements, records, photos and specialists’ reports. 415 KB in all.