Airlines can and do remove passengers from flights for reasons beyond obvious disruptive behaviour, citing safety, comfort and operational concerns. Incidents and carrier policies show travellers have been denied carriage for being too ill to fly, travelling barefoot, creating offensive odours, not fitting safely in a seat, or refusing to follow crew instructions.

Carriers say such decisions are driven by safety or the reasonable comfort of other passengers, and in several cases ground staff arranged medical checks, accommodation or alternative travel after removing travellers. The actions are reported in recent media accounts and reflect a range of company rules and the way crews assess risk during boarding and preflight.

Sickness has led to mass removals. In 2019, travel operator TUI reportedly ordered dozens of passengers off a flight from Boa Vista, Cape Verde, after a gastric illness spread among tourists; crew asked anyone who had been ill to leave the aircraft and undergo medical checks before being cleared to fly, according to media reports. Airlines and regulators say removing passengers who may require medical attention in flight or spark an unscheduled diversion is a legitimate safety step.

Rules on clothing and footwear have surprised some travellers. Several U.S. carriers have language in their contracts of carriage allowing crew to refuse transport for bare feet or what is judged offensive clothing. American Airlines is reported to forbid "bare feet or offensive clothing," and other carriers include similar terms that empower staff to act if attire is judged to threaten comfort or safety.

Poor personal hygiene has also prompted refusals to carry passengers. Delta Air Lines' policy, cited in media reports, allows the carrier to refuse transport when a passenger's hygiene or odour "creates an unreasonable risk of offence or annoyance." News accounts describe a 2019 incident in which a family was removed after other passengers complained about an odour; the airline provided accommodation and rebooked the travellers for the following day, according to those reports.

Seating and safety considerations have been the basis for other denials. Some airlines require passengers who cannot be safely seated with both armrests down to buy a second seat, upgrade, or defer travel. Emirates has said it will require an adjacent seat or an upgrade if a customer cannot be safely belted in, according to a spokesperson quoted in press accounts. In one reported case, two passengers were removed from an Air New Zealand domestic flight after cabin crew judged they were unable to fit safely in their seats; the carrier later provided food, accommodation and alternate flights.

Refusing to comply with crew instructions can also lead to removal. Safety briefings and preflight procedures are a standard requirement; a passenger who repeatedly ignored requests to watch a safety video or follow directions was reported to have been removed from an Air New Zealand aircraft in 2019 after crew efforts to get cooperation failed.

Airlines and crews balance competing priorities when deciding to remove a passenger. Company policies, published in contracts of carriage and public guidance, typically list circumstances such as medical unsuitability to fly, offensive clothing, hygiene issues, inability to be restrained safely, and refusal to obey crew orders as grounds for denial of transport. Carriers often say staff will try to resolve issues at the gate and, where appropriate, arrange medical assessments or alternate travel and accommodation.

Passenger advocacy groups and some travellers have criticized decisions they view as heavy-handed or inconsistently applied, but carriers maintain the authority to protect safety and the well-being of others on board. Regulatory authorities also advise airlines to assess fitness to fly and to take measures that prevent inflight medical emergencies or disturbances that could endanger the aircraft or force unscheduled diversions.

The examples underline that airline removal decisions are not limited to overt misconduct. Crew members are authorized to act when a passenger’s condition, conduct, attire or personal hygiene is judged to pose a safety risk or an unreasonable burden on fellow travellers, and passengers who find themselves denied carriage are usually offered further assessment, assistance or rebooking according to carrier protocols.