Incident Overview

Date: Saturday 25 May 2019
Aircraft Type: Airbus A320-214 (WL)
Owner/operator: Batik Air
Registration Number: PK-LZJ
Location: Makassar-Sultan Hasanuddin International Airport (WAAA) – ÿ Indonesia
Phase of Flight: Pushback / towing
Casualties: Fatalities: 0 / Occupants: 89
Component Affected: Aviation Aircraft (specifically, the nose wheel of the Airbus A320)Aviation Aircraft (specifically, the nose wheel of the Airbus A320)
Investigating Agency: NTSCNTSC
Category: Accident
An Airbus A320 aircraft, registered PK-LZJ, experienced a ground handling accident at Makassar-Sultan Hasanuddin International Airport (WAAA) in Indonesia. The aircraft initiated a pushback operation at 1842 UTC (0242 LT), utilizing a towing tractor with three crew members: a towing tractor driver, a wing-man, and a headset-man. No briefing was provided regarding the pushback activity. The towing tractor driver and wing-man wore high-visibility vests, while the headset-man wore a company uniform without fluorescence strips or high-visibility vests. The pushback maneuver deviated from established guidelines, with the headset-man walking behind the nose wheel while observing engine start. During a turn, the aircraft’s nose wheel inadvertently passed over the headset-man’s foot. The towing tractor driver reported a bump and noticed the headset-man’s position, leading to the headset-man’s evacuation to a hospital with a right tarsal fracture. Contributing factors included a misinterpretation of pushback maneuver procedures between the two crew members, resulting in the headset-man’s position being obscured, and the towing tractor driver’s lack of awareness of the headset-man’s position.An Airbus A320 aircraft, registered PK-LZJ, experienced a ground handling accident at Makassar-Sultan Hasanuddin International Airport (WAAA) in Indonesia. The aircraft initiated a pushback operation at 1842 UTC (0242 LT), utilizing a towing tractor with three crew members: a towing tractor driver, a wing-man, and a headset-man. No briefing was provided regarding the pushback activity. The towing tractor driver and wing-man wore high-visibility vests, while the headset-man wore a company uniform without fluorescence strips or high-visibility vests. The pushback maneuver deviated from established guidelines, with the headset-man walking behind the nose wheel while observing engine start. During a turn, the aircraft’s nose wheel inadvertently passed over the headset-man’s foot. The towing tractor driver reported a bump and noticed the headset-man’s position, leading to the headset-man’s evacuation to a hospital with a right tarsal fracture. Contributing factors included a misinterpretation of pushback maneuver procedures between the two crew members, resulting in the headset-man’s position being obscured, and the towing tractor driver’s lack of awareness of the headset-man’s position.

Description

The Airbus A320 aircraft, registered PK-LZJ, was involved in a ground handling accident at Makassar-Sultan Hasanuddin International Airport (WAAA), Indonesia. At 1842 UTC (0242 LT), at night, the aircraft commenced pushback from stand B1. The push back operation used a towing tractor with the three crew members consisting of a towing tractor driver, a wing-man and a headset-man, a task performed by an aircraft mechanic. There was no briefing among the crew related to the pushback activity including the push back maneuver. The towing tractor driver and wing-man used high visibility vest while the headset-man used company uniform without any fluorescence strip or high visibility vest. The push back maneuver did not follow the guideline and the headset-man walked behind the nose wheel while observing the engine start process. During a turn, the aircraft nose wheel passed over the right foot of the headset-man. The towing tractor driver felt a bump and noticed that the headset-man laid on the ground. The headset-man was evacuated to the nearest hospital for medical treatment and found to have sustainied a fracture on his right tarsometatarsal. Contributing factors of the occurrence: The different assumption of pushback maneuver between headset-man and the push back tractor driver, and both were fixated to their own duties while working on a reduced alertness condition, resulted in the towing tractor driver did not aware of the headset-man position and the headset-man did not aware of the nose wheel position. These conditions led to the nose wheel passed over the headset-man foot.

Primary Cause

Misinterpretation of pushback maneuver procedures between the towing tractor driver and the headset-man, leading to the headset-man’s position being obscured.Misinterpretation of pushback maneuver procedures between the towing tractor driver and the headset-man, leading to the headset-man’s position being obscured.

Share on:

Leave a Reply

Your email address will not be published. Required fields are marked *