On October 26, 2023, an Airbus A300 (American FLT 699) was pushed back by a ramp crew due to a scheduled international passenger flight. Witnesses reported a ramp crew member walking behind the nose gear at least once before an accident occurred. Subsequently, the ramp crew member stumbled, causing the nose gear tire to roll over the crew’s upper body, resulting in traumatic injuries. Records indicated the ramp guide had safety training and was qualified for its duties.On October 26, 2023, an Airbus A300 (American FLT 699) was pushed back by a ramp crew due to a scheduled international passenger flight. Witnesses reported a ramp crew member walking behind the nose gear at least once before an accident occurred. Subsequently, the ramp crew member stumbled, causing the nose gear tire to roll over the crew’s upper body, resulting in traumatic injuries. Records indicated the ramp guide had safety training and was qualified for its duties.