Aviation Accident Summaries

Aviation Accident Summary LAX94LA357

BURBANK, CA, USA

Aircraft #1

N403SW

CANADAIR CL600

Analysis

THE GROUND CREW WERE NOT USING HEADSETS WHILE PUSHING BACK THE AIRPLANE. THE GROUND CREW DID NOT FOLLOW COMPANY PROCEDURES AND DISCONNECTED THE TOW BAR WITHOUT RECEIVING AN ACKNOWLEDGMENT FROM THE FLIGHT CREW. THE GROUND CREW DID UTILIZE HAND SIGNAL PROCEDURES TWICE, BUT WERE UNABLE TO SEE THE CAPTAIN'S RESPONSE DUE TO THE POOR LIGHTING CONDITIONS. THE FLIGHT CREW WAS STARTING THE ENGINES AND DID NOT SEE NOR ACKNOWLEDGE THE PARKING BRAKE SIGNAL. THEY WERE NOT AWARE THAT THE GROUND CREW DISCONNECTED THE TOW BAR. MOMENTS LATER, THE JET ROLLED FORWARD AND STRUCK THE TUG.

Factual Information

On September 8, 1994, at 0600 Pacific daylight time, a Canadair CL600, N403SW, collided with a tug after pushback at the Burbank Airport, Burbank, California. N403SW was operating as Skywest Airlines flight 5967, a scheduled domestic passenger flight to Salt Lake City, Utah. Visual meteorological conditions prevailed. The aircraft sustained substantial damage. There were no injuries to the 33 passengers, 3 crewmembers, and 4 ground personnel. In the Skywest Airlines Ground Accident Report, ground personnel reported that after pushback they gave the pilots hand signals to set the parking brake. Headsets were not made available for communication with the flightcrew and the light condition was dark. After giving the brake signal twice, the tow bar was disconnected. The airplane rolled forward and impacted the tug. The tug operator reported that the pilots were not clearly visible because of glare from the cockpit window and poor lighting. The pilots stated in the report that they were monitoring engine indications following the completion of engine start. They did not see the tug operator's brake signal. No signal to disconnect was given by the captain or first officer. According to Skywest Airlines Regional Jet Pushback Procedures, dated April 1, 1994: "Ground crew interphone will be used for all ground/cockpit communications. If the interphone is inoperative, hand signals will be used. Once pushback has ceased, the ground crew will instruct the crew over the interphone or by hand signals to set the parking brake. Once the tow bar and interphone cable has been disconnected, the torque link reconnected, and the tug and towbar are at a safe distance, the ground crew will signal with a departure salute that the aircraft is clear to taxi. The captain will acknowledge by returning the salute."

Probable Cause and Findings

the ground crew's failure to follow company procedures. The failure of the operator to provide headsets to communicate with the flightcrew and the poor lighting conditions were factors in this accident.

 

Source: NTSB Aviation Accident Database

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