NYC99LA076

NTSB accident investigation · Boeing 737-300 · Newark, NJ · March 17, 1999

Accident · Serious injuriesLimited investigationFinal report
Date
March 17, 1999, 15:40 local (20:40 UTC)
Place
Newark, NJ
Injuries
1 serious, 108 uninjured
Damage
No damage
Phase of flight
Standing
Aircraft
N17321Boeing 737-300
Weather
Visual (VMC) · Day
Status
Completed · report August 3, 2000
Report
Approved by Office Director
FAA report
19990317041959A
Case key
46010

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 flight attendant's failure to follow cabin door opening procedures.

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 followedFlight attendantCause

Analysis

+The flight attendant fell from the main cabin doorway of a Boeing 737, to the tarmac, while the airplane was parked. The airplane had been completely closed and the jetway pushed back in preparation for departure. An agent appeared at the end of the jetway, and asked if two additional passengers could board. The captain agreed to do so, and the agent proceeded back up the jetway to get the additional passengers, without moving the jetway back to the airplane. The flight attendant was advised of the situation. The captain then made a pre-departure announcement over the public address system, and when it was completed, a passenger advised him that the flight attendant had fallen from the airplane. At the time of the accident, the flight attendant had been flying with the company for 4 months. According to the airline's written procedures, the flight attendant was required to disarm, and 'crack' the cabin door, by rotating the handle enough to break the seal. The gate agent would have been responsible for actually opening the door. If the gate agent had specifically asked for assistance, then the flight attendant would have helped to open the cabin door.

Factual narrative

On March 17, 1999, about 1540 Eastern Standard Time, a flight attendant was seriously injured when she fell from the main cabin doorway of a Boeing 737-300, N17321, to the tarmac, at Newark International Airport (EWR), Newark, New Jersey. The airplane, which was operating as Continental Airlines flight 517, was parked at the gate. The 2 pilots, 2 additional flight attendants, and 104 passengers onboard were not injured, and there was no damage to the airplane. Visual meteorological conditions prevailed at the time of the accident. An instrument flight rules flight plan had been filed for the flight, between Newark and Jacksonville International Airport (JAX), Jacksonville, Florida. The scheduled passenger flight was to be conducted under 14 CFR Part 121.

The captain stated that the airplane was completely closed and the jetway had been pushed back in preparation for departure. An agent appeared at the end of the jetway, and after the captain opened the cockpit window, the agent asked if two additional passengers could board. The captain agreed to do so, and the agent proceeded back up the jetway to get the additional passengers. The flight attendant was advised of the situation. The captain then made a pre-departure announcement over the public address system, and when it was completed, a passenger came up to the cockpit and advised him that the flight attendant had fallen from the airplane. The captain disembarked the airplane, and remained with the flight attendant until she was put into an ambulance.

According to a representative from the airline, the flight attendant could not remember how the fall occurred, and she declined to make a statement. At the time of the accident, the flight attendant had been flying with the company for 4 months.

According to the Continental Airlines in-flight manual, under "Door Opening Procedures" for domestic arrivals of narrow body aircraft, the flight attendant was required to disarm and "crack" the cabin door. "'Cracking' is defined as rotating the handle enough to break the seal on the door after disarming the slide." The gate agent would have actually opened the door. If the gate agent had specifically asked for assistance, the flight attendant would then have assisted in opening the door.

Aircraft

Registration
N17321
Reported as
Boeing 737-300
Category
Airplane
Serial number
23372
Airframe hours
44,089
Engine
Cfm 56-3B, 20,100 lbs thrust, turbo fan
Damage
No damage
Flight
Part 121
Operator
Continental Airlines, Inc.
Registered owner
Fleet National Bank, Trustee
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · March 16, 1999 · 4 hours before
Departed
EWR
Destination
JAX · Jacksonville, FL
Flight plan
IFR
Airport
EWR · Newark Intl Airport

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
46
Certificates
Airline transport, Flight engineer
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Right
Flight hours
16,000 total · 260 in this make and model · 6,500 as pilot in command · 196 in the last 90 days · 65 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
305° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
57 °F, dew point 34 °F
Altimeter
29.00 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.