San Francisco International Airport
Aircraft Accident/Incident Report

San Francisco, California 94128
Saturday, August 16, 2008 1:50 PDT

NTSB Narrative Summary Released at Completion of Accident

The transport airplane had been pushed back from the gate and the engines were started. Ground personnel attempted to disconnect the tow bar but had difficulty. They instructed the flight crew to release the parking brake in order to reposition the nose gear. The mechanic attempted to disconnect the tow bar and when it finally disconnected, the airplane moved forward and he was pinned under the left nose gear. The ground crew management and airline personnel indicated that the ground crew personnel were not acting in accordance with established standard operating procedures which requires that the parking brake be set prior to removal of the tow bar.

NTSB Probable Cause Narrative

The ground crewman's failure to follow the tow bar disconnect standard operating procedures.

Event Information

Type of Event Accident
Event Date 8/16/2008
Event Day of the Week Saturday
Time of Event 150
Event Time Zone Pacific Daylight Time
Event City San Francisco
Event State CALIFORNIA
Event Country --
Zipcode of the event site 94128
Event Date Year 2008
Event Date Month 8
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 373708N
Event Location Longitude 1222229W
Event Location Airport San Francisco International
Event Location Nearest Airport ID SFO
Indicates whether the acc/inc occurred off or on an airport On Airport
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation 13
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 156 Pacific Daylight Time
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID SFO
Elevation of weather observation facility 13
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation PDT
Lighting Conditions Night/Dark
Lowest Ceiling Height 13000
Lowest Non-Ceiling Height 200
Sky/Lowest/Cloud Conditions Few
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 14
Dew Point at event time (in degress fahrenheit) 13
Wind Direction (degrees magnetic) 300
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 9
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.87
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Serious
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries 1
Injury Total Fatal --
Injury Total Minor --
Injury Total None 311
Injury Total Serious 1
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 25252
NTSB Notification Source NTSB Com Ctr
NTSB Notification Date Aug 17 2008 12:00AM
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Mar 23 2009 5:28PM
User who most recently changed record stam
Basic weather conditions Visual Meteorological Cond
FAA District Office FAA SFO International Field Office

Aircraft Involved

Aircraft #1

Aircraft Registration Number B-16710
NTSB Number SEA08LA182
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 129: Foreign
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage None
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name BOEING
Aircraft Model 777-300
Aircraft Series Identifier --
Aircraft Serial Number 32641
Certified Max Gross Weight 758000
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats 4
Cabin Crew Seats 15
Passenger Seats 316
Total number of seats on the aircraft 316
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection AAIP
Date of Last Inspection Jul 31 2008 12:00AM
Airframe hours since last inspection 234
Airframe Hours 1894.54
ELT Installed No
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Eva Air
Aircraft Owner Street Address 117, Sec 2, Chang An E. Rd.
Aircraft Owner City Taipei
Aircraft Owner State --
Aircraft Owner Country TW
Aircraft Owner Zipcode --
Operator is an individual? No
Operator Name Eva Air
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 117, Sec 2, Chang An E. Rd.
Operator City Taipei
Operator State --
Operator Country TW
Operator Zip code --
Operator Code --
Owner has at least one certificate None
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation --
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not Scheduled
Indicates Domestic or International Flight International
Operator carrying Pax/Cargo/Mail Passenger Only
Type of Flying (Per_Bus / Primary) --
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code SFO
Departure City San Francisco
Departure State CA
Departure Country USA
Departure Time 202
Departure Time Zone PDT
Destination Same as Local Flt --
Destination Airport Code TPE
Destination City Taipei
Destination State --
Destination Country TW
Specific Phase of Flight Standing - engine(s) operating
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Mar 23 2009 5:28PM
User who most recently changed record stam
Since inspection or accident Last Inspection
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --