DCA09CA051

NTSB accident investigation · Boeing 767 332 · San Juan, PR · May 20, 2009

Accident · Serious injuriesData collectionFinal report
Date
May 20, 2009, 12:30 local (16:30 UTC)
Place
San Juan, PR
Injuries
1 serious, 4 minor, 263 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N129DLBoeing 767 332
Defining event
Enroute-cruise: Turbulence encounter
Weather
Visual (VMC) · Day
Status
Completed · report August 24, 2016
Report
Approved by Office Director
NTSB office
Major Investigations Division
FAA report
20090520857189A
Case key
73916

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

Inadvertent encounter with convective turbulence while in cruise.

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: convective turbulenceEnvironmental issues › Conditions/weather/phenomena · Effect on personnelBoeing 767-332: 2 casesAll aircraft: 145 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

On May 20, 2009, at 1230 eastern daylight time, Delta Airlines flight 419, a Boeing 767, N129DL, encountered turbulence while enroute from Atlanta, Georgia, to San Juan, Puerto Rico. The captain stated that preflight information and enroute reports indicated only light chop for the flight and he communicated this to the flight attendants. About 10 minutes before the turbulence encounter, the captain turned on the seat belt sign and made an announcement for the passengers to remain in their seats with the seat belt fastened because they would be deviating around weather ahead. After deviating around the weather and with no weather returns on the radar, the flight encountered turbulence that lasted for about 20 seconds. At the time of the turbulence encounter, the airplane was in cruise at Flight Level 350. One of the flight attendants in the back of the airplane was thrown from her jump seat to the floor and injured. Two doctors and a nurse assisted the injured flight attendant. The flight crew declared an emergency and was given direct routing to San Juan. The injured flight attendant was transported to the hospital, where she was subsequently diagnosed with a fractured femur.

Factual narrative

On May 20, 2009, at 1230 eastern daylight time, Delta Airlines flight 419, a Boeing 767, N129DL, encountered turbulence while enroute from Atlanta, Georgia, to San Juan, Puerto Rico. The captain stated that preflight information and enroute reports indicated only light chop for the flight and he communicated this to the flight attendants. About 10 minutes before the turbulence encounter, the captain turned on the seat belt sign and made an announcement for the passengers to remain in their seats with the seat belt fastened because they would be deviating around weather ahead. After deviating around the weather and with no weather returns on the radar, the flight encountered turbulence that lasted for about 20 seconds. At the time of the turbulence encounter, the airplane was in cruise at Flight Level 350. One of the flight attendants in the back of the airplane was thrown from her jump seat to the floor and injured. Two doctors and a nurse assisted the injured flight attendant. The flight crew declared an emergency and was given direct routing to San Juan. The injured flight attendant was transported to the hospital, where she was subsequently diagnosed with a fractured femur.

Aircraft

Registration
N129DL
Reported as
Boeing 767 332 (332)
Category
Airplane
Serial number
24079
Built
1988
Engines
GE CF6-80 SERIES, turbo fanGE CF6-80 SERIES, turbo fan
Damage
No damage
Flight
Part 121
Operator
Delta Air Lines
Registered owner
Delta Air Lines Inc
Airworthiness certificate
Standard, Transport
Departed
Atlanta, GA
Destination
San Juan, PR

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.

Weather

Conditions
Visual (VMC) · Day
Wind
60° at 15 knots, gusting 19
Turbulence
Moderate

Docket · 3

The files NTSB released with the investigation on August 29, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 8.7 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.