WPR13IA226

NTSB incident investigation · Boeing 737-7H4 · Phoenix, AZ · May 10, 2013

Incident · No injuriesIncident investigationFinal report
Date
May 10, 2013, 09:07 local (16:07 UTC)
Place
Phoenix, AZ
Injuries
59 uninjured
Damage
Minor damage
Phase of flight
Pushback/towing
Aircraft
N913WNBoeing 737-7H4
Defining event
Pushback/tow-engine start-up: Ground collision
Weather
Visual (VMC) · Day
Status
Completed · report July 30, 2014
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration, Southwest Airlines
FAA report
20130510007111A
Case key
86861

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

On this page

Probable cause

The failure of the tug operator and wing walker to adequately monitor the environment during pushback of the airplane from the gate in preparation for flight, which led to the collision of the airplane with an adjacently parked airplane.

Findings · 2

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Use of equip/info: use of equip/systemPersonnel issues › Task performance · Ground crewBoeing 737-7H4: 2 casesAll aircraft: 1,391 casesProbable cause
Attention/monitoring: monitoring other aircraftPersonnel issues › Psychological · Ground crewBoeing 737-7H4: 2 casesAll aircraft: 231 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Ground collisionPushback/tow-engine start-upBoeing 737-7H4: 8 casesAll aircraft: 618 casesDefining event

Analysis

While being pushed back from the gate by a tug in preparation for flight, the airplane collided with an airplane parked to its right. The pushback into an adjacent alleyway required the tug operator to accomplish a turn reversal to properly align the airplane. Further, the tug operator and wing walker slowed down the tug's speed during the turn to ensure that they avoided baggage carts located near the right engine. The turn was performed too tightly, and, when the tug operator's and wing walker's attention was focused on clearing the nearby carts, the airplane's right winglet struck the parked, unoccupied airplane's left horizontal stabilizer and elevator.

Factual narrative

On May 10, 2013, about 0907 mountain standard time, a Boeing 737-7H4, N913WN, collided with a parked, unoccupied Boeing 737-7H4, N776WN, at the Sky Harbor International Airport, Phoenix, Arizona. The airplane had one engine operating and was being pushed back for its flight by a pushback tug. The 2 airline transport pilots, 3 flight attendants and 54 passengers were not injured. There were no reported ground injuries. The airplane was registered to and operated by Southwest Airlines under the provisions of Title 14 Code of Federal Regulations Part 121. Visual meteorological conditions prevailed, and an instrument flight rules flight plan was filed. The scheduled domestic passenger flight had a planned destination of the Reno International Airport, Reno, Nevada, and was originating at the time. According to company ground personnel, the airplane was parked at gate C-1, which is positioned next to the terminal building. An unoccupied, adjacently parked airplane was on its right side, at gate C-3. The parking gate required the airplane to be pushed back into an adjacent alleyway. A turn reversal unto the alleyway, commonly referred to as a "S" type turn maneuver, would be accomplished. Performing this type of turn initially required the tug operator to turn towards the airplane parked on its right side, until adequate spacing was achieved with the terminal building, and then turn in the opposite direction for nearly 180 degrees, to correctly position the airplane in the alleyway. During the turn towards the parked airplane, the wing walker reported that the pushback tug operator turned tight. Also during the turn, the wing walker further reported that they had to slow down the tug's speed in order to ensure they avoided the baggage carts located near the right engine. With their attention focused on clearing the airplane's engine from the nearby carts, the wing walker looked back, and noticed the right wing tip moving towards the left horizontal stabilizer of the adjacently parked airplane, but was unable to get the tug operators attention in time to stop. Subsequently, the airplane's right winglet struck the parked, unoccupied airplane's left horizontal stabilizer and elevator. The pushback tug operator was hired in the previous year, and was qualified on the tug. During an interview with the National Transportation Safety Board (NTSB) investigator in charge (IIC), he stated that he has performed numerous pushbacks at similar gates near the terminal building. The wing walker had 18 years' experience with the company and was qualified. The operator's pushback procedures were followed, with the exception of a pre-brief for the pushback not being accomplished. Examination of both airplanes by NTSB investigators revealed that the pushback airplane, N913WN, sustained minor damage to the right winglet while the parked airplane sustained damage to its horizontal stabilizer and elevator. The pushback tug was examined by the operator and NTSB investigatorsand was fully functional with no anomalies noted.

Aircraft

Registration
N913WN
Reported as
Boeing 737-7H4
Category
Airplane
Serial number
29840
Built
2008
Airframe hours
17,245
Engines
CFM Intl CFM56-7B24, 24,200 lbs thrust, turbo fanCFM Intl CFM56-7B24, 24,200 lbs thrust, turbo fan
Damage
Minor damage
Flight
Part 121
Operator
Southwest Airlines Co, doing business as Southwest Airlines Co
Registered owner
Southwest Airlines Co
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · May 4, 2013
Departed
PHX · Phoenix, AZ
Destination
RNO · Reno/Tahoe Intl, NV
Flight plan
IFR
Airport
PHX · Phoenix Sky Harbor Int'l
Equipment
Stall warning system, Auto-pilot, Data recorder, Electronic multifunction display, Satellite tracking device

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
Age
55
Injuries
None
Certificates
Airline transport, Private, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
March 26, 2013
Seat
Left
Restraint
3-point
Flight hours
11,500 total · 9,500 in this make and model · 11,300 as pilot in command
Role
Co-pilot
Age
39
Injuries
None
Certificates
Airline transport, Commercial, Military, Private
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
August 12, 2012
Seat
Right
Restraint
3-point
Flight hours
7,500 total · 4,500 in this make and model · 2,000 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
77 °F, dew point 37 °F
Altimeter
29.97 inHg
Observed at
PHX

Docket · 8

The files NTSB released with the investigation on June 2, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.1 MB in all.

FAA reports on this event · 1

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

Other investigations on N913WN · 1

Matched to the same aircraft by N-number and date.