Pilot Debrief

BOEING 737 7H4 near Nashville, TN — 2014-01-09

Final reportDCA14CA035
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Date
2014-01-09
Location
Nashville, TN, USA
Aircraft
BOEING 737 7H4
Registration
N966WN
Category
Airplane
Highest injury
Serious
Fatalities
0

Probable cause

A buildup of pressure in the coffee filter package resulting in the release of hot coffee and grounds when the potlocking lever was raised, which resulted in 2nd degree burns.

NTSB narrative

While preparing coffee service in the aft galley, the C flight attendant (FA) observed the coffee maker emitting an unusual noise and coffee was pooling on the burner. The FA lifted the potlocking lever on the coffee pot and hot coffee and coffee grounds erupted onto her face, neck, and chest. The flight diverted and landed at Nashville International Airport, Nashville, Tennessee where medical personnel met the flight at the gate. The FA was transported to the hospital and diagnosed with second-degree burns. In January of 2013, the Federal Aviation Administration issued Safety Alert For Operators (SAFO) 13001, which addressed reported cases of coffee filter packages bursting in flight during coffee preparation, resulting in 1st and 2nd degree burns to flight attendants and bystanders. The SAFO encouraged air carriers and operators to add cautionary instructions and procedures to the Flight Attendant Manual (FAM) and training program, warning crew members of the dangers to personnel and equipment.

NTSB coding

Evidence available

  • 5 docket documents
View NTSB final reportView NTSB docket

Docket documents5

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