BOEING 737 7H4

Dallas, TX — June 17, 2014

Event Information

DateJune 17, 2014
Event TypeACC
NTSB NumberDCA14CA120
Event ID20140619X52159
LocationDallas, TX
CountryUSA
Coordinates32.50528, -97.15667
Highest InjurySERS

Aircraft

MakeBOEING
Model737 7H4
CategoryAIR
FAR Part121

Conditions

Light ConditionDAYL
WeatherUnk

Injuries

Fatal0
Serious1
Minor0
None143
Total Injured1

Event Location

Probable Cause

A buildup of pressure in the coffee filter package resulting in the release of hot coffee and grounds when the potlocking handle was raised, which resulted in 2nd and 3rd degree burns.

Full Narrative

While working in the forward galley, the flight attendant noticed that the coffee pot was leaking onto the counter and proceeded to turn it off and cleaned up the spill. Then while lifting the coffee maker's potlocking lever, hot coffee grounds and hot water erupted onto her face, neck, upper chest and hands. The flight crew elected to divert to Dallas Love Field (DAL), Dallas, Texas, and landed without incident. Medical personnel met the flight and the flight attendant was treated for 1st and 2nd degree burns.

Approximately 18 months before the accident, the Federal Aviation Administration (FAA) had issued Safety Alert for Operators (SAFO) 13001, which addressed reported cases of coffee filter packages bursting in-flight during coffee preparation, causing 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.

At the time of the accident the following warning was present in the operator's FAM:

WARNING: To avoid injury from bursting coffee filters, step to the side, turn off power to the coffeemaker, and do not raise the potlocking lever until the unit has cooled.

Following the accident the warning was changed to the following:

WARNING: Water overflowing and/or a hissing noise coming from the coffeemaker could result in injury from bursting coffee packets. Step to the side, turn off power to the coffeemaker, and DO NOT raise the potlocking lever.

About This NTSB Record

This aviation event was investigated by the National Transportation Safety Board (NTSB). NTSB investigates all U.S. civil aviation accidents to determine probable cause and issue safety recommendations to prevent future accidents.

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