CHI99LA184

NTSB accident investigation · Boeing 777-222 · Madison, WI · June 12, 1999

Accident · Serious injuriesLimited investigationFinal report
Date
June 11, 1999, 21:18 local (Jun 12, 1999, 02:18 UTC)
Place
Madison, WI
Injuries
1 serious, 8 minor, 287 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N781UABoeing 777-222
Weather
Visual (VMC) · Night/dark
Status
Completed · report June 22, 2000
Report
Approved by Office Director
FAA report
19990611046209A
Case key
46549

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

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Probable cause

the pilot-in-command's inadequate evaluation of the weather conditions. Factors associated with the accident were the turbulence encountered and the seat belt sign was not illuminated.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Altitude deviation,uncontrolledDescent - normal
Weather condition - turbulenceFactor
Weather evaluation - inadequatePilot in commandCause
Seat belt sign - not usedPilot in commandFactor

Analysis

While en route from Minneapolis to Chicago the flight encountered turbulence at 19,680 feet msl while in a descent. Four passengers and four flight attendants received minor injuries. One passenger received a broken ankle. The flight had diverted to Minneapolis due to thunderstorm activity in the Chicago area. The captain reported the flight was smooth up until the unexpected turbulence was encountered. The seat belt sign was not on at the time of the encounter. The flight crew received a Weather Briefing Message (WBM) prior to departing Minneapolis, which contained convective sigmets for Wisconsin, Illinois, and Indiana. The accident took place ahead of a stationary front which extended northeast-southwest through central Wisconsin and Iowa which had been creating shower and thunderstorm activity throughout afternoon and evening on the day of the accident. A review of the data from the Quick Access Recorder revealed the flight experienced a change in G-loading from .0843 g's to 1.9375 g's over a 2-second time period while at an altitude of 19,680 feet msl.

Factual narrative

On June 11, 1999, at 2118 central daylight time (cdt), a Boeing 777-222, N781UA, operated by United Airlines as flight 256 encountered turbulence during a descent near Madison, Wisconsin. Four passengers received minor injuries and one passenger was seriously injured. Four flight attendants received minor injuries. Both cockpit crewmembers, 6 flight attendants, and 279 passengers were not injured. The airplane was not damaged. The 14 CFR Part 121 passenger flight was operating in visual meteorological conditions on an IFR flight plan.

The flight was originally scheduled from Denver, Colorado, to Chicago, Illinois; however, it diverted to Minneapolis, Minnesota due to thunderstorms in the Chicago area. The flight departed from Minneapolis, Minnesota, at 2048 cdt. The flight continued on to Chicago after the turbulence encounter where it landed uneventfully, at the Chicago O'Hare International Airport, at 2149 cdt.

The captain reported the flight was smooth up until the unexpected turbulence was encountered while they were descending through 18,000 feet msl. He reported the moderate turbulence lasted 20 to 30 seconds after which the remainder of the flight was smooth. The seat belt sign was not on at the time of the turbulence encounter. The captain reported the radar was on and it was showing no indication of cells or turbulence along the route. He reported there was a rain shower at their 2 o'clock position, 30 miles away.

The first officer reported that moderate turbulence was encountered during the descent at an altitude of about 17,000 feet msl. He reported, "It consisted of a 2-3 second period of negative "g" followed by a 2-3 second positive "g" deviation, then a two to five minute period of light to moderate slight deviations from our flight path." He reported there was nothing on the radar in their area, but convective activity was displayed beyond the Chicago area.

The flight attendants reported that all the passengers that were injured were out of their seats and in the back of the airplane when the turbulence was encountered. The most serious injury was a passenger who suffered a broken ankle.

According to United Airlines, the flight crew received a Weather Briefing Message (WBM) prior to departing Minneapolis, which contained convective sigmets for Wisconsin, Illinois, and Indiana. The accident took place ahead of a stationary front which extended northeast-southwest through central Wisconsin and Iowa which had been creating shower and thunderstorm activity throughout afternoon and evening on the day of the accident.

A review of recorded aircraft data revealed the flight experienced a change in G-loading from .0843 g's to 1.9375 g's over a 2-second time period while at an altitude of 19,680 feet msl.

Aircraft

Registration
N781UA
Reported as
Boeing 777-222
Category
Airplane
Serial number
26945
Airframe hours
11,389
Engine
P&W PW4077, 77,000 lbs thrust, turbo fan
Damage
No damage
Flight
Part 121
Registered owner
United Air Lines, Inc.
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · May 11, 1999 · 390 hours before
Departed
MSP · Minneapolis, MN
Destination
ORD · Chicago, IL
Flight plan
IFR

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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
56
Certificates
Airline transport, Flight engineer, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
23,000 total · 75 in this make and model · 104 in the last 90 days · 64 in the last 30 days · 13 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/dark
Wind
180° at 15 knots
Visibility
10 statute miles
Lowest ceiling
4,600 ft broken
Temperature
77 °F, dew point 64 °F
Altimeter
30.00 inHg
Observed at
MSN

FAA reports on this event · 1

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