CEN19LA266

NTSB accident investigation · Canadair CL600 2B16 · Lubbock, TX · August 8, 2019

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
August 8, 2019, 15:47 local (20:47 UTC)
Place
Lubbock, TX
Injuries
1 serious, 2 minor, 7 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N237QSCanadair CL600 2B16
Defining event
Enroute-climb to cruise: Turbulence encounter
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA FSDO
FAA report
20190808014849A
Case key
100049

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The unexpected wake turbulence encounter while climbing in smooth air to cruise, resulting in passenger injuries. Contributing to the accident was the passenger seat belt sign was off.

Findings · 1

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Turbulence: wake turbulenceEnvironmental issues › Conditions/weather/phenomena · Contributed to outcomeBombardier CL-600-2B16(CL-604): 1 caseAll aircraft: 47 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The business jet was climbing through flight level (FL) 335 to an assigned altitude of FL 340, when it suddenly encountered turbulence. The captain reported that the airplane was in smooth air when the turbulence was encountered. The passenger seat belt sign was off. Unsecured objects, passengers, and the flight attendant were thrown about the cabin, resulting in several minor injuries and one serious injury to a passenger. The captain stabilized the airplane and diverted to the nearest airport and landed. Flight data recorder (FDR) data recorded the event that lasted for about 11 seconds. At the time of the turbulence encounter, the airplane was between eight and ten miles in trail of a heavy transport airplane. The transport airplane was level at FL340 and on the same assigned route as the business jet. The flight crew of the business jet was not aware of the preceding heavy transport after the turbulence encounter. It is likely that the business jet encountered wake turbulence from the proceeding heavy transport airplane.

Factual narrative

On August 8, 2019, about 1547 central daylight time, a Bombardier CL-600-2B16 business jet, N237QS, was involved in an accident while flying at flight level (FL)335 in the vicinity of Lubbock, Texas. The pilot and co-pilot were not injured. The flight attendant sustained minor injuries, 1 passenger sustained serious injuries, 1 passenger sustained minor injuries, and 5 passengers were not injured. The business flight was being operated under the provisions of Title 14 Code of Federal Regulations Part 91. The aircraft was climbing through flight level (FL) 335 to the assigned altitude of FL340. The airplane was in an approximate 500-foot per minute rate of climb when unexpected wake turbulence was encountered. The captain, who was at the controls, reported that prior to the event, the aircraft was in smooth air when suddenly, the airplane started to shudder and quickly rolled left and back to the right. The airplane pitched up and down as it rolled. The autopilot (AP) was on, so the captain disconnected the AP and tried to stabilize. The passenger seat belt sign was off. The flight attendant reported that unsecured objects in the cabin were thrown about, including passengers and the flight attendant. Cabin service items (food, broken plates, and dishware), and the lavatory fluid spilled on the interior of the cabin. After the event, the flight crew stabilized and assessed the aircraft, believing it was wake turbulence, they advised ATC of the event, and requested a climb to FL360 to be above any other potential wake. According to the flight crew, an immediate assessment of injuries was completed by the flight attendant, and the captain went to the cabin to check on the passengers and flight attendant. After accessing the injuries, the captain made an immediate decision to divert the flight. The flight crew coordinated a destination change to Lubbock, Texas, with ATC and advised the company. A normal approach and landing were made at Lubbock, Texas (LBB). Emergency services met the aircraft upon arrival and assessed the crew and passengers. Two passengers were transported to the hospital. One passenger was treated and released with minor injuries and the other was admitted with a tibia fracture which required surgery. The flight attendant was standing in the galley at the time of the event and reported several minor injuries. She was escorted to the hospital by the flight crew and was treated and released. A review of flight data showed at the time of the event the aircraft was between eight and ten miles in trail of FedEx Flight 3154, an Airbus A300 enroute from Fort Worth Alliance (AFW) to Burbank Bob Hope Airport (BUR). The FedEx Flight was level at FL340 and on the same assigned route as N237QS. During the event, FDR data reported winds from 336° (right quartering headwind) at 77 knots for one data plot. The flight crew was not aware of the preceding FedEx Airbus until after the wake turbulence encounter. According to Flight Data Recorder(FDR) data, the wake turbulence lasted 11 seconds during which a maximum bank of 23.4° right and 12.6° left were encountered. The pitch reached a maximum of 8.5° nose up and -2.5° nose down during this time, while the airspeed was stable between 268 and 276 knots. Heading started at 280 degrees and initially went left to 272° before oscillating to 282° (after 2 seconds) and back to 269° (2 seconds later).

Aircraft

Registration
N237QS
Reported as
Canadair CL600 2B16
Category
Airplane
Serial number
6127
Built
2018
Airframe hours
874
Engines
General Electric CF34-3B, 8,729 lbs thrust, turbo fanGeneral Electric CF34-3B, 8,729 lbs thrust, turbo fan
Damage
No damage
Flight
Business · Part 91
Operator
Netjets
Registered owner
Slypharma LLC
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · June 27, 2019
Departed
DAL · Dallas, TX
Destination
SNA · Santa Ana, CA
Flight plan
IFR
Equipment
Auto-pilot, Angle of attack indicator, ADS-B, Data recorder, Electronic multifunction display, Electronic primary flight display, Onboard weather, Stall warning system

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew · 3

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
48
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
April 8, 2019
Seat
Left
Restraint
Lap only
Flight hours
6,630 total · 298 in this make and model · 115 in the last 90 days · 57 in the last 30 days · 4 in the last 24 hours
Role
Co-pilot
Age
60
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
July 18, 2019
Seat
Right
Restraint
Lap only
Flight hours
15,017 total · 4 in this make and model · 4 in the last 90 days · 4 in the last 30 days · 4 in the last 24 hours
Role
Cabin crew
Injuries
Minor
Seat
Single
Restraint
None

Weather

Conditions
Visual (VMC) · Day
Turbulence
Moderate

Docket · 2

The files NTSB released with the investigation on March 8, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.8 MB in all.

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.