Casualties unknown

1999-09-12: Boeing 737-322 (N388UA) — United Airlines, Inc. — Los Angeles, CA

Los Angeles, CA, US

On September 12, 1999, a Boeing 737-322 (registration N388UA) operated by United Airlines, Inc. was involved in an aviation accident near Los Angeles, CA. Investigators recorded the probable cause as: The lavatory service driver's failure to follow established company procedures and directives. A factor in the accident was the airline's use of a one person pushback procedure. This summary draws on records from the U.S. National Transportation Safety Board (NTSB) historical archive; 3 related events involving the same aircraft type or operator are linked below.

Sourcesthe U.S. National Transportation Safety Board (NTSB) historical archivePrimary reportUpdated 1781061362Data APIEditorial standards
Boeing 737-322
Photo: San Diego Air & Space Museum Archives / Public domain, via Wikimedia Commons

A lavatory service truck was struck by a B737 during pushback after the driver arrived without communicating, contrary to airline procedures. The handler did not notice the truck.

Incident Overview

During a pushback operation at an airport, a Boeing 737 contacted a lavatory service truck that had positioned itself under the aircraft's tail to service the aft lavatory. The contact occurred shortly after the pushback began, and the handler stopped upon feeling resistance and hearing shouts from the truck driver.

Sequence of Events

The airline uses one-person pushback procedures for B737s at this station. The ground handler conducted a walk-around after the jetway bridge was retracted. After receiving clearance from the flight crew, he leaned over the tow bar for a final check, then boarded the tractor to initiate the push. He did not see the lavatory service truck at any point, and the truck driver did not verbally announce his presence or intentions.

The flight crew activated the rotating beacon just before the aircraft began moving. The lavatory truck driver, who had responded to a service call originally made for another driver, arrived approximately seven minutes before the scheduled departure. When he arrived, the rotating beacon was off, leading him to believe that the pushback was not imminent. He parked his truck under the tail and began servicing the aft lavatory. As the aircraft started moving, it made contact with his truck.

Relevant Procedures

The airline's ramp operations manual stipulates that before approaching an aircraft for last-minute servicing near departure time, personnel must establish positive verbal communication with the pushback tractor driver. In this incident, such communication did not occur.

Investigation report by the U.S. National Transportation Safety Board (NTSB) historical archive. Original record: https://carol.ntsb.gov/event/20001212X19804. This page is a structured re-presentation; facts and quotes are in the National Transportation Safety Board (NTSB), United States.