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Atlas / NTSB / DCA16CA009

NTSB CAROL · Event

Event DCA16CA009

2015-10-21 Dallas, Texas, United States Airport · DFW Serious 1 aircraft Status: Completed

Aircraft involved

Probable cause & findings

the disabled passenger not being properly secured during the transfer from the aisle chair causing him to slide to floor and receive a serious injury.

Factual narrative

According to a company report, after boarding all other passengers, gate agents proceeded with boarding a quadriplegic passenger who required assistance and use of an aisle chair to be moved to his seat on the airplane. A seatbelt and additional belts across the passenger's chest were used to secure him in the aisle chair while moving him onboard. When the belts were removed in order to transfer the passenger from the aisle chair to the airplane seat the passenger slid to the floor. The passenger was then lifted into his seat by the gate agents. According to crew statements, after the gate agents left the airplane and the jetway had been retracted, a flight attendant (FA) observed that the passenger appeared to be injured and the crew requested emergency services. The passenger was transported to a hospital and diagnosed with a broken right tibia. According to a company report, after boarding all other passengers, gate agents proceeded with boarding a quadriplegic passenger who required assistance and use of an aisle chair to be moved to his seat on the airplane. A seatbelt and additional belts across the passenger's chest were used to secure him in the aisle chair while moving him onboard. When the belts were removed in order to transfer the passenger from the aisle chair to the airplane seat the passenger slid to the floor.  The passenger was then lifted into his seat by the gate agents. According to crew statements, after the gate agents left the airplane and the jetway had been retracted, a flight attendant (FA) observed that the passenger appeared to be injured and the crew requested emergency services. The passenger was transported to a hospital and diagnosed with a broken right tibia. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12

NTSB Findings

Hierarchical cause / factor breakdown from the FAA bulk avdata database. Each finding tagged C (Cause) or F (Factor).

  • C Personnel issues-Action/decision-Action-Incorrect action performance-Other/unknown - C

Verbatim from NTSB's published report. Source file NTSB_2015_DCA16CA009.txt. Findings + structured fields enriched from FAA avall.mdb. Full investigation docket on data.ntsb.gov ↗.