NYC06LA191

NTSB accident investigation · Embraer EMB-135LR · Newark, NJ · July 24, 2006

Accident · No injuriesLimited investigationFinal report
Date
July 24, 2006, 13:00 local (17:00 UTC)
Place
Newark, NJ
Injuries
16 uninjured
Damage
Substantial damage
Phase of flight
Pushback/towing
Aircraft
N703MREmbraer EMB-135LR
Weather
Visual (VMC) · Day
Status
Completed · report August 30, 2007
Report
Approved by Office Director
Parties
FAA/FSDO, ALPA, American Eagle Arlines
FAA report
20060724023089A
Case key
64259

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 captain's failure to follow company procedures, which resulted in pushback with the parking brake set. A factor was the larger than preferred tug.

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/otherTaxi - pushback/tow
Airport equipment,ground support - otherFactor
Procedures/directives - not followedPilot in commandCause
Parking brakes - not removed

Analysis

During pushback, the airplane skidded approximately 14 inches, and sustained damage to the forward pressure bulkhead, forward longerons, and nose landing gear. Both flightcrew reported that the parking brake was released prior to pushback; however, review of the cockpit voice recorder did not reveal any reference to the parking brake being released. In addition, the captain and guideperson used non-standard phraseology when discussing the pushback. A larger and more powerful tug was used for pushback, rather than the preferred tugs for regional jet aircraft. The make and model tug used for the pushback was approved, with caution, at stations where a preferred tug was not available, such as the accident station on the day of the accident.

Factual narrative

On July 24, 2006, at 1300 eastern daylight time, an Embraer EMB-135LR, N703MR, operated by American Eagle Airlines Inc. as flight 4514, was substantially damaged during pushback at Newark Liberty International Airport (EWR), Newark, New Jersey. There were no injuries to the 2 flightcrew, 1 flight attendant, or 13 passengers. Visual meteorological conditions prevailed, and an instrument flight rules flight plan was filed for the planned flight to General Edward Lawrence Logan International Airport (BOS), Boston, Massachusetts. The scheduled passenger flight was conducted under 14 CFR Part 121.

According to the Manager of Flight Safety at American Eagle Airlines, a tug operator was attempting to push the airplane back from a gate. As the tug began to move, the landing gear tires skidded against the tarmac, and the pushback was aborted. Approximately 14 inches of skid marks were observed near the main landing gear tires. The airplane sustained damage to the forward pressure bulkhead, forward longerons, and nose landing gear.

The captain reported that all preflight checklists were completed, and the flightcrew waited about 8 to 10 minutes for weight and balance data. During that time, the air conditioner was off, as the pneumatic air supply was needed for an air start of the engines. The captain completed the Before Start Checklist and started both engines to try and cool the cabin. The captain further stated that after the ground equipment was clear of the airplane, he released the parking brake when the pushback clearance was received. The captain then informed the tug operator that he was cleared to push. After about 3 to 5 feet of movement, there was a sudden jolt and the airplane came to a stop. The captain added that after the impact, the tug operator asked him to set the parking brake, which he did.

The first officer stated that the parking brake was released after the pushback clearance was received.

Review of the cockpit voice recorder (CVR) revealed at:

12:43:54, the first officer read the before starting engines checklist, including the challenge and response of "parking brake set."

12:48:23, the captain discussed departure issues with a ground crewman, and the ground crewman subsequently advised that he was changing the pneumatic air supply from conditioning air to ground start.

12:55:08, the flightcrew received aircraft departure information, and the captain reviewed the takeoff weights and data.

12:55:53, the captain read the before starting engines checklist items, advised the ground crewman he was ready to start engines, and started both engines.

12:58:10, the captain then advised the ground crewman that both engines were started and "it is okay to disconnect."

12:59:13, the first officer read the after start checklist, and the ground crewman advised he was ready for pushback.

12:59:39, the first officer received pushback clearance from ramp control.

12:59:57, the captain advised the ground crewman that the flight was cleared for pushback; the ground crewman replied, "here we go," followed by the sound of impact.

After the impact, the ground crewman asked the captain to set the parking brake and the captain responded, "parking brake set."

Except for the first officer referring to the parking brake set during the before starting engines checklist, no other reference to the parking brake was heard on the CVR prior to the accident. In addition, the captain and ground crewman used non-standard phraseology when discussing the pushback.

Review of the American Eagle Embraer Aircraft Operating Manual Revealed:

"...Starting at the Gate, then Push-out

This procedure will be used primarily when an external air start is required. Normally, only the #2 Engine will be started at the gate. The #1 Engine will be started after the tow bar is removed and the ram area is clear.

Guideperson will advise Captain:

"Ramp to cockpit, parking brake set, all secure below, cleared to start."

This indicates that the doors and windows are closed, chocks are removed, loading bridge is retracted and the ramp area is clear.

When ready to start engines (and having obtained engine start clearance, where required), Captain will verify closed - windows and MFD and EICAS door messages are displayed:

"Cockpit to ramp, parking brake set, starting #___."

If external power and/or external air supply is used for start, Captain will advise the Guideperson when to disconnect the external power an/or external air supply.

Guideperson will advise Captain:

"All secure below, standing by for steering disengaged and parking brake released...

When ready to push-out after obtaining push-out clearance, where required, the Captain will advise Guideperson:

"Parking brake released, steering disengaged, ready to push."

At the end of push-out, Guideperson will advise:

"Parking brake set."

The tug used for pushback was a Stewart and Stevenson GT-50. Review of American Eagle Guidelines (published December 2005) revealed that the tug was larger and more powerful than the preferred tugs used to pushback regional jet aircraft; however; the Stewart and Stevenson GT-50 was approved, with caution, to be used at stations were a preferred tug was not available. On the day of the accident, a preferred tug was not available at the Newark, New Jersey station.

Aircraft

Registration
N703MR
Reported as
Embraer EMB-135LR
Category
Airplane
Serial number
145173
Airframe hours
14,720
Engines
Rolls-Royce AE 3007 A1/3, 7,057 lbs thrust, turbo fanRolls-Royce AE 3007 A1/3, 7,057 lbs thrust, turbo fan
Damage
Substantial damage
Flight
Part 121
Registered owner
American Eagle Airlines Inc
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · June 1, 2006 · 309 hours before
Departed
EWR · Newark, NJ
Destination
BOS · Boston, MA
Flight plan
IFR
Airport
EWR · Newark Liberty International

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
51
Injuries
None
Certificates
Commercial, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Seat
Front
Flight hours
9,554 total · 1,134 in this make and model · 1,446 as pilot in command
Role
Co-pilot
Age
26
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Seat
Right
Flight hours
1,409 total · 134 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
84 °F, dew point 55 °F
Altimeter
30.01 inHg
Observed at
EWR

FAA reports on this event · 1

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