Seattle-Tacoma International Airport
Aircraft Accident/Incident Report

Seattle, Washington 98188
Wednesday, December 24, 2008 7:00 PST

NTSB Narrative Summary Released at Completion of Accident

Airline personnel reported that the airplane pushed back from the gate with the auxiliary power unit running. As the push back sequence was completed, two deicing vehicles began deicing operations prior to the flight crew configuring the airplane for deicing. Shortly after, the cabin and flight crew noticed fumes within the cabin and cockpit area. The flight crew instructed the deice crew to discontinue deicing operations and the flight crew performed the smoke removal checklist as the deicing operation stopped. The flight crew started both engines and taxied back to gate N14 where the passengers and flight crew exited the airplane via the jet way. The captain reported that he did not clear the ground deicing crew to start their deicing operations. The driver of the primary deicing vehicle reported that he informed the flight crew of the fluid types, freeze points, and concentrations. He added that there was a lot of "radio chatter" and the bucket operator began deicing operations "after we received no objections" from the flight crew. Company deicing procedures state, in part, "prior to fluid application, Ground Deicing Crew member shall confirm with Flight Crew that the aircraft is configured for deicing." The flight crew gate deicing checklist states that the APU and engine bleed air switches are to be turned off prior to deicing. At the time, the APU and engine bleed air switches were still in the ON position when deicing fluid was sprayed on the airplane. This allowed the fluid to be introduced into the air supply lines leading to the cabin and cockpit.

NTSB Probable Cause Narrative

The failure of the deicing crew to follow company procedures by not receiving confirmation from the flight crew before beginning to deice the airplane.

Event Information

Type of Event Incident
Event Date 12/24/2008
Event Day of the Week Wednesday
Time of Event 700
Event Time Zone Pacific Standard Time
Event City Seattle
Event State WASHINGTON
Event Country --
Zipcode of the event site 98188
Event Date Year 2008
Event Date Month 12
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 472659N
Event Location Longitude 1221842W
Event Location Airport Seattle-Tacoma International
Event Location Nearest Airport ID SEA
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 433
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 715 Pacific Standard Time
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID SEA
Elevation of weather observation facility 433
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation PST
Lighting Conditions Dawn
Lowest Ceiling Height 800
Lowest Non-Ceiling Height 300
Sky/Lowest/Cloud Conditions Thin Broken
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 1
Air Temperature at event time (in degrees celsius) 1
Dew Point at event time (in degress fahrenheit) -1
Wind Direction (degrees magnetic) 160
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 8
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.58
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor --
Injury Total None 141
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 26108
NTSB Notification Source FAA Operations Center
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Dec 8 2009 10:09AM
User who most recently changed record johb
Basic weather conditions Instrument Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N516AS
NTSB Number WPR09IA065
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 121: Air Carrier
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 737-890
Aircraft Series Identifier --
Aircraft Serial Number 39044
Certified Max Gross Weight 174700
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats 3
Cabin Crew Seats 6
Passenger Seats 157
Total number of seats on the aircraft 166
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection --
Airframe hours since last inspection --
Airframe Hours --
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type Unknown
Aircraft Owner Name Alaska Airlines
Aircraft Owner Street Address 19300 International Blvd.
Aircraft Owner City SEATTLE
Aircraft Owner State WA
Aircraft Owner Country USA
Aircraft Owner Zipcode 98188
Operator is an individual? No
Operator Name Alaska Airlines
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address 19300 International Blvd.
Operator City SEATTLE
Operator State WA
Operator Country USA
Operator Zip code 98188
Operator Code ASAA
Owner has at least one certificate Yes - certificate holder
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 Domestic
Operator carrying Pax/Cargo/Mail Passenger Only
Type of Flying (Per_Bus / Primary) --
Second Pilot on Board Yes
Departure Point Same as Event Yes
Departure Airport Code SEA
Departure City Seattle
Departure State WA
Departure Country USA
Departure Time --
Departure Time Zone PST
Destination Same as Local Flt --
Destination Airport Code BUR
Destination City Burbank
Destination State CA
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Sep 23 2009 4:19PM
User who most recently changed record ricj
Since inspection or accident --
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --