Aviation Accident Summaries

Aviation Accident Summary WPR10FA199

Los Angeles, CA, USA

Aircraft #1

N624SW

BOEING 737-3H4

Analysis

While the airplane was being pushed back for its flight, it was struck by a runaway baggage tug. The tug operator reported that he stopped on the ramp to pick up two bags. He exited the tug without setting its parking brake, turning off its engine, or placing the gear selector in neutral or park, which was not in accordance with the tug company’s ground equipment general driving rules. The tug operator then placed the first bag on the passenger seat, which company procedures caution against doing. While the tug operator was handling the second bag, the unoccupied tug began to move because the first bag had fallen off the passenger seat onto the accelerator pedal. The tug moved forward, struck a hydrant fueling cart on the ramp, and then veered toward the left side of the airplane. The tug impacted both of the airplane’s engines and its fuselage. If the tug operator had followed company driving rules, the accident could have been prevented. In addition, postaccident examination of the tug revealed that the electrical motor disengaging seat switch, which is designed to disengage the tug's electrical motor when weight is removed from the driver's seat, was inoperative; therefore, it did not prevent the tug from moving forward as designed.

Factual Information

HISTORY OF FLIGHT On April 9, 2010, about 1930 Pacific daylight time, a Boeing 737-3H4, N624SW, sustained substantial damage when it was struck by a runaway baggage tug at the Los Angeles International Airport, Los Angeles, California. At the time, the airplane had one engine operating and was being pushed back for its flight by a pushback tug. None of the 2 airline transport pilots, the 3 flight attendants, or the 104 passengers were injured. There were no reported ground injuries. The airplane was registered to and operated by Southwest Airlines as flight number 579, 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 Tucson International Airport, Tucson, Arizona. In a written statement, an airline ground service employee reported he drove a baggage tug close to gate 3, terminal 1, whereupon he exited the tug with the gear selector in forward and without setting the parking brake or turning off its electric motor. The employee reported he then walked around the tug to pick up two bags that were placed on the ramp. He picked up one of the bags and placed it on the passenger's seat of the unoccupied tug. As the employee was handling the second bag, he observed that the tug had started to move and was traveling in the direction of a hydrant fueling cart that was parked between gates 3 and 5. The ground service employee ran after the tug to get aboard it and attempt to stop its movement. He attempted to apply the brakes but had to exit the tug before it impacted the airplane. He stated that prior to exiting the tug, he noticed that the first bag he had placed on the tug was on the floor and likely resting on the accelerator pedal. The company issued a Safety Advisory (SA 10-06) on the accident that stated that the bag fell off the seat and onto the tug’s accelerator. Ground service employees located on the ramp near gate 3 stated that, initially, the tug rolled forward about 30 feet until it struck a hydrant fueling cart. The runaway tug veered off the side of the cart and continued rolling about 130 feet until it impacted the airplane’s number 1 engine. Subsequently, the tug impacted the left, lower side of the airplane's fuselage and belly, and proceeded beneath the airplane and came to a stop upon impacting the number 2 engine. DAMAGE TO AIRCRAFT Examination of the airplane by maintenance personnel revealed that the fuselage exhibited various skin punctures, dents and an internal frame shear tie was bent. The number 1 engine sustained damage to its cowl. The number 2 engine sustained damage to the engine, engine components, engine cowl and the engine pylon (including wing fairings, pylon structure, and mid-spar fitting to under wing fitting fuse pins). PERSONNEL INFORMATION The 47 year-old tug operator was on his first day back to work following an extended leave of about 2 months. He has been employed with the company for about 7 ½ years. He received his initial Powered Industrial Truck Training (PITT) on December 13, 2006, and his three year refresher PITT training was completed on October 16, 2009. TESTS AND RESEARCH Examination of the tug by a National Transportation Safety Board (NTSB) investigator revealed that the seat switch was inoperative. According to the tug operator’s guide, when weight is removed from the driver's seat, the seat switch is designed to open the electric circuit thereby disengaging the tug's electrical motor. The weight activated switch is located beneath the driver's seat. Post-accident testing revealed that the tug would not move while pushing down on the accelerator pedal if the parking brake was set or the brakes applied, or with the directional control level in the neutral position. The company ground equipment general driving rules require unoccupied vehicles on the ramp to be placed in park or neutral, with the parking brake set and the engine turned off. The company ground equipment general driving rules has a caution which states never to transport any items (e.g., baggage, freight) on top of or in the passenger seating area of a vehicle.

Probable Cause and Findings

The tug operator’s failure to comply with company procedures when parking an unoccupied baggage tug, and the failure of the tug’s seat switch to disengage the electric motor when weight was removed from the driver’s seat.

 

Source: NTSB Aviation Accident Database

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