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Date: | Friday 5 November 1993 |
Time: | 14:06 LT |
Type: | Swearingen SA227-AC Metro III |
Owner/operator: | Northeast Express Airlines Inc |
Registration: | N550TD |
MSN: | AC-487B |
Total airframe hrs: | 8767 hours |
Engine model: | Garrett TPE 331-11 |
Fatalities: | Fatalities: / Occupants: 16 |
Aircraft damage: | None |
Category: | Accident |
Location: | Newark, NJ -
United States of America
|
Phase: | Standing |
Nature: | Unknown |
Departure airport: | |
Destination airport: | Boston, MA (KBOS) |
Investigating agency: | NTSB |
Confidence Rating: | Accident investigation report completed and information captured |
Narrative:THE RAMP AGENT WAS SERVICING A FLIGHT THAT WAS 40 MINUTES BEHIND ITS SCHEDULED DEPARTURE TIME. AFTER BOTH ENGINES HAD BEEN STARTED, THE CAPTAIN GAVE THE HAND SIGNAL TO DISCONNECT THE AIRPLANE FROM THE GROUND POWER UNIT (GPU). UPON RECEIVING THE SIGNAL, THE RAMP AGENT WALKED FROM THE FRONT OF THE AIRPLANE, AROUND THE RIGHT WING, AND TO THE REAR OF THE AIRPLANE. A SECOND RAMP AGENT THEN ARRIVED TO ASSIST. THE FIRST RAMP AGENT DISCONNECTED THE GPU, HANDED THE PLUG TO THE SECOND RAMP AGENT, DUCKED UNDER THE RIGHT WING, WALKED FORWARD INTO THE PROPELLER ARC, AND WAS STRUCK SEVERAL TIMES BY THE MOVING PROPELLER. THE RAMP AGENT RECIEVED TRAINING ON RAMP SAFETY AND WAS DESIGNATED AN INSTRUCTOR OF RAMP SAFETY. THREE AIRPLANES WERE AT THE GATE AREA AT THE TIME OF THE ACCIDENT. THE RAMP AREA DOES NOT HAVE ANY MARKINGS FOR AIRPLANE PARKING OR GROUND OPERATIONS. THE MANUALS USED BY THE AGENT'S EMPLOYER DID NOT REFERENCE WALKING UNDER WINGS OR CLEARANCE FROM PROPELLER ARCS DURING RAMP OPERATIONS.
Probable Cause: 1) THE FAILURE OF THE RAMP AGENT TO FOLLOW PROPER PROCEDURES DURING THE SERVICING OF THE AIRPLANE, AND 2) HER LACK OF ATTENTION TO THE HAZARDS SURROUNDING HER. FACTORS RELATED TO THE ACCIDENT ARE 1) THE PRESSURE PLACED ON THE RAMP AGENT TO RUSH THE SERVICING OF THE DELAYED FLIGHT, AND 2) THE INADEQUATE MANUALS PROVIDED BY THE OPERATOR CONCERNING RAMP SAFETY.
Accident investigation:
|
| |
Investigating agency: | NTSB |
Report number: | BFO94LA002 |
Status: | Investigation completed |
Duration: | 11 months |
Download report: | Final report |
|
Sources:
NTSB BFO94LA002
Revision history:
Date/time | Contributor | Updates |
16-Mar-2024 14:46 |
ASN Update Bot |
Added |
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