Casualties unknown

2016-02-06: Bombardier DHC-8-400 (SP-EQE) — Katowice Pyrzowice (EPKT), PL

Katowice Pyrzowice (EPKT), PL

On February 6, 2016, a Bombardier DHC-8-400 (registration SP-EQE) was involved in an aviation accident near Katowice Pyrzowice (EPKT), PL. Investigators recorded the probable cause as: The coordinator granted permission to start engine No. 2 too early, while she was still near the nose landing gear doors. This summary draws on records from the Polish State Commission on Aircraft Accidents Investigation (PKBWL).

Sourcesthe Polish State Commission on Aircraft Accidents Investigation (PKBWL)Primary reportUpdated 1785092869Data APIEditorial standards
Aircraft registered SP-EQE
Aircraft registered SP-EQE. Photo: Aero Icarus from Zürich, Switzerland / CC BY-SA 2.0, via Wikimedia Commons

A coordinator was briefly trapped by closing nose landing gear doors after prematurely authorizing engine start during pushback of a Bombardier DHC-8-400 at Katowice Airport. The operator sustained bruised fingers while assisting.

Incident Details

On 6 February 2016, at Katowice Airport (EPKT), a Bombardier DHC-8-400 (registration SP-EQE) operated by PLL LOT SA was being pushed back from stand 8. A coordinator was attaching the towbar to the aircraft while in contact with the captain via headset. The aircraft's engines were off. While the coordinator was on the right side of the towbar, tightening securing bolts on both sides of the towbar head, the captain asked for permission to start engine No. 2. The coordinator gave permission while still under the fuselage near the nose landing gear leg. Immediately, she felt the nose landing gear doors, located in front of the leg, begin to close. An operator noticed the coordinator was trapped by the doors and rushed to help, attempting to pry the doors open. The operator heard the coordinator ask the captain to open the doors, but there was no visible reaction. After several attempts to pull the doors apart, the coordinator freed herself, and the doors closed completely. The coordinator did not feel any physical discomfort and together with the operator completed the pushback. Afterwards, the shift manager was informed. The coordinator was taken to a hospital for a day of observation and then discharged. The operator sustained bruised fingers during the rescue attempt, received outpatient treatment, and returned to work.

Cause

According to the investigation, the cause of the incident was that the coordinator granted permission to the captain to start engine No. 2 too early, while she was still in proximity to the nose landing gear doors.

Actions Taken

Following the incident, the user (PLL LOT SA) discussed the event with ground support equipment operators and flight coordination staff. Personnel were reminded that when the nose landing gear doors are open and engine No. 2 is being started, it is strictly forbidden to be directly near the nose landing gear leg because the doors automatically close upon engine start. Additionally, a bulletin was published outlining safety procedures during towbar attachment to Bombardier DHC-8 aircraft, emphasizing the automatic closing of the nose landing gear doors after engine start.

No safety recommendations were issued.

Probable cause

The coordinator granted permission to start engine No. 2 too early, while she was still near the nose landing gear doors.

Investigation report by the Polish State Commission on Aircraft Accidents Investigation (PKBWL). Original record: https://pkbwl.gov.pl/raporty/2016-0196/. This page is a structured re-presentation; facts and quotes are in the Panstwowa Komisja Badania Wypadkow Lotniczych (PKBWL), Poland.