Pilot Debrief

EMBRAER EMB-145LR near Madison, WI — 2010-11-23

Final reportCEN11LA092
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Date
2010-11-23
Location
Madison, WI, USA
Airport
MSN
Aircraft
EMBRAER EMB-145LR
Registration
N678AE
Category
Airplane
Highest injury
Serious
Fatalities
0
Phase of flight
Landing

Probable cause

The passenger's decision to deplane without assistance despite having a preexisting condition that limited her mobility.

NTSB narrative

A wheelchair-designated passenger wearing an ankle brace was instructed to remain seated and wait for assistance that would be provided after the other passengers had deplaned. Despite these instructions, the passenger attempted to deplane without assistance and without the aid of her crutches, which had been stowed in the crew closet for the flight. While walking down the aisle of the airplane's cabin, the passenger fell near the forward galley and broke both of her ankles.

Analysis

Primary failure mode
Human factors
First missed decision gate
Passenger should have remained seated until assistance arrived.

NTSB coding

Evidence available

  • 2 docket documents
View NTSB final reportView NTSB docket

Docket documents2

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