Accident Boeing 757-2S7 N901AW,
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Date:Friday 19 August 1994
Time:09:24 LT
Type:Silhouette image of generic B752 model; specific model in this crash may look slightly different    
Boeing 757-2S7
Owner/operator:America West Airlines
Registration: N901AW
MSN: 23321/76
Year of manufacture:1985
Total airframe hrs:35188 hours
Engine model:Rolls-Royce RB211-535E4
Fatalities:Fatalities: 0 / Occupants: 168
Aircraft damage: None
Category:Accident
Location:Phoenix, AZ -   United States of America
Phase: Pushback / towing
Nature:Unknown
Departure airport:
Destination airport:Newark, NJ (KEWR)
Investigating agency: NTSB
Confidence Rating: Accident investigation report completed and information captured
Narrative:
THE HEADSET OPERATOR WAS DISTRACTED FOR UNDETERMINED REASONS DURING PUSHBACK AND WAS RUN OVER BY THE NOSE WHEEL. GROUND WITNESSES SAID HE FAILED TO MAINTAIN A POSITION AT LEAST 10 FEET FROM THE AIRPLANE'S NOSE WHEEL AS HIS EMPLOYER REQUIRED. THE HEADSET OPERATOR WAS IN CHARGE OF THE PUSHBACK, AND IN THE PREVIOUS MONTH WAS HIRED AND COMPLETED THE OPERATOR'S COURSE OF RAMP SAFETY/PUSHBACK INSTRUCTION. THIS WAS HIS FIRST UNSUPERVISED EXPERIENCE. THE AIRLINE HAS A PROCEDURE WHICH REQUIRED THE HEADSET OPERATOR TO COMMUNICATE WITH THE FLIGHT DECK VIA A COMMUNICATIONS CORD WHICH WAS PLUGGED INTO THE AIRPLANE'S NOSE GEAR STRUT. THE AIRLINE HAD A SIMILAR GROUND ACCIDENT IN 1989 WHEN THE AIRLINE'S B-757 ALSO OVERRAN A HEADSET OPERATOR. IN APRIL 1994, THE FAA ALERTED THE OPERATOR OF HEADSET PUSHBACK ACCIDENTS FOLLOWING THE ISSUANCE OF THE SAFETY BOARD RECOMMENDATION A-93-55. AFTER THIS ACCIDENT, THE AIRLINE CHANGED ITS GROUND HANDLING EQUIPMENT AND PROCEDURES TO ELIMINATE THE NECESSITY OF A HEADSET OPERATOR WALKING IN THE PROXIMITY OF ANY AIRCRAFT NOSE WHEEL.

Probable Cause: the failure of the headset operator to adhere to established company safety procedures when he diverted his attention during pushback. A factor in the accident was the airline's failure to modify its ground handling procedures and equipment to eliminate the need for ground personnel to be in close proximity to the aircraft landing gear during pushback operations.

Accident investigation:
cover
  
Investigating agency: NTSB
Report number: LAX94LA333
Status: Investigation completed
Duration: 9 months
Download report: Final report

Sources:

NTSB LAX94LA333

Location

Revision history:

Date/timeContributorUpdates
15-Mar-2024 16:20 ASN Update Bot Added

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