DCA09MA026

NTSB accident investigation · Airbus A320 · Weehawken, NJ · January 15, 2009

Accident · Serious injuriesClass 1 · MajorFinal report
Date
January 15, 2009, 15:30 local (20:30 UTC)
Place
Weehawken, NJ
Injuries
5 serious, 150 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N106USAirbus A320
Defining event
Initial climb: Birdstrike
Status
Completed · report May 28, 2010
Report
Board-adopted at Board Meeting
Investigation class
Class 1
NTSB office
Major Investigations Division
Safety recommendations
Yes
FAA report
20090115024869A
Case key
73240

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 ingestion of large birds into each engine, which resulted in an almost total loss of thrust in both engines and the subsequent ditching on the Hudson River. Contributing to the fuselage damage and resulting unavailability of the aft slide/rafts were (1) the Federal Aviation Administration’s approval of ditching certification without determining whether pilots could attain the ditching parameters without engine thrust, (2) the lack of industry flight crew training and guidance on ditching techniques, and (3) the captain’s resulting difficulty maintaining his intended airspeed on final approach due to the task saturation resulting from the emergency situation. Contributing to the survivability of the accident was (1) the decision-making of the flight crewmembers and their crew resource management during the accident sequence; (2) the fortuitous use of an airplane that was equipped for an extended overwater flight, including the availability of the forward slide/rafts, even though it was not required to be so equipped; (3) the performance of the cabin crewmembers while expediting the evacuation of the airplane; and (4) the proximity of the emergency responders to the accident site and their immediate and appropriate response to the accident.

Findings · 11

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.

Object/animal/substance: animal(s)/bird(s)Environmental issues › Physical environment · Effect on equipmentAirbus Industrie A320-214: 1 caseAll aircraft: 358 casesProbable cause
Performance/control parametersAircraft › Aircraft oper/perf/capability · Related operating infoAirbus Industrie A320-214: 1 caseAll aircraft: 1,269 casesProbable cause
Performance/control parameters: airspeedAircraft › Aircraft oper/perf/capability · Not attained/maintainedAirbus Industrie A320-214: 1 caseAll aircraft: 1,681 casesProbable cause
Pressures/demands: other pressure/demandEnvironmental issues › Task environment · Effect on personnelAirbus Industrie A320-214: 1 caseAll aircraft: 6 casesProbable cause
Air traffic/operating procEnvironmental issues › Operating environment · Not specifiedAirbus Industrie A320-214: 1 caseAll aircraft: 13 cases
FuselageAircraft › Aircraft structures · DesignAirbus Industrie A320-214: 1 caseAll aircraft: 4 cases

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 Safety Board’s full report is available at http://www.ntsb.gov/publictn/A_Acc1.htm. The Aircraft Accident Report number is NTSB/AAR-10/03. On January 15, 2009, about 1527 eastern standard time, US Airways flight 1549, an Airbus Industrie A320-214, N106US, experienced an almost complete loss of thrust in both engines after encountering a flock of birds and was subsequently ditched on the Hudson River about 8.5 miles from LaGuardia Airport (LGA), New York City, New York. The flight was en route to Charlotte Douglas International Airport, Charlotte, North Carolina, and had departed LGA about 2 minutes before the in-flight event occurred. The 150 passengers, including a lap held child, and 5 crewmembers evacuated the airplane via the forward and overwing exits. One flight attendant and four passengers were seriously injured, and the airplane was substantially damaged. The scheduled, domestic passenger flight was operating under the provisions of 14 Code of Federal Regulations Part 121 on an instrument flight rules flight plan. Visual meteorological conditions prevailed at the time of the accident.

Factual narrative

The Safety Board’s full report is available at http://www.ntsb.gov/publictn/A_Acc1.htm. The Aircraft Accident Report number is NTSB/AAR-10/03. On January 15, 2009, about 1527 eastern standard time, US Airways flight 1549, an Airbus Industrie A320-214, N106US, experienced an almost complete loss of thrust in both engines after encountering a flock of birds and was subsequently ditched on the Hudson River about 8.5 miles from LaGuardia Airport (LGA), New York City, New York. The flight was en route to Charlotte Douglas International Airport, Charlotte, North Carolina, and had departed LGA about 2 minutes before the in-flight event occurred. The 150 passengers, including a lap held child, and 5 crewmembers evacuated the airplane via the forward and overwing exits. One flight attendant and four passengers were seriously injured, and the airplane was substantially damaged. The scheduled, domestic passenger flight was operating under the provisions of 14 Code of Federal Regulations Part 121 on an instrument flight rules flight plan. Visual meteorological conditions prevailed at the time of the accident.

Aircraft

Registration
N106US
Reported as
Airbus A320 (214)
Category
Airplane
Serial number
1044
Engines
CFM CFM56 5B, turbo fanCFM CFM56 5B, turbo fan
Damage
Substantial damage
Flight
Part 121
Operator
US Airways Inc
Registered owner
Wells Fargo Northwest NA Trustee
Airworthiness certificate
Standard, Transport
Departed
LGA · New York, NY
Destination
CLT · Charlotte, NC
Flight plan
IFR
Airport
LGA · New York La Guardia

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.

Docket · 123

The files NTSB released with the investigation on June 9, 2009, on NTSB’s docket system: statements, records, photos and specialists’ reports. 162 MB in all.

Order of Hearing: 1AItem 1 · .PDF · 22 KBNotice of Designation of Chairman of Board of Inquiry: 1BItem 2 · .PDF · 28 KBDesignation of Hearing Officer: 1CItem 3 · .PDF · 29 KBDesignation of Parties to the Hearing: 1DItem 4 · .PDF · 24 KBNotice of Hearing: 1EItem 5 · .PDF · 23 KBOperations/Human Performance 2A - Factual Report of Group ChairmenItem 6 · .PDF · 344 KBOperations/Human Performance 2B - Attachment 1: Interviews with Flight CrewItem 7 · .PDF · 161 KBOperations/Human Performance 2C - Attachment 2: Interview of US Airways Fleet CaptainItem 8 · .PDF · 80 KBOperations/Human Performance 2D - Attachment 3: Interview of Airbus VP Flight Operations Support and ServicesItem 9 · .PDF · 77 KBOperations/Human Performance 2E - Attachment 4: Interview of APM and POIItem 10 · .PDF · 82 KBOperations/Human Performance 2F - Attachment 5: Interviews in New YorkItem 11 · .PDF · 90 KBOperations/Human Performance 2G - Attachment 6: Interviews in CharlotteItem 12 · .PDF · 165 KBOperations/Human Performance 2H - Attachment 7: Additional InterviewsItem 13 · .PDF · 96 KBOperations/Human Performance 2I - Attachment 8: ECAM ExceptionsItem 14 · .PDF · 71 KBOperations/Human Performance 2J - Attachment 9: Airbus QRH - ENG DUAL FAILUREItem 15 · .PDF · 322 KBOperations/Human Performance 2K - Attachment 10: US Airways QRH - ENG DUAL FAILUREItem 16 · .PDF · 222 KBOperations/Human Performance 2L - Attachment 11: Airbus FCOM - Hydraulic System ArchitectureItem 17 · .PDF · 68 KBOperations/Human Performance 2M - Attachment 12: Airbus Airspeed ScaleItem 18 · .PDF · 59 KBOperations/Human Performance 2N - Attachment 13: US Airways QRH - DitchingItem 19 · .PDF · 113 KBOperations/Human Performance 2O - Attachment 14: Airbus QRH - DitchingItem 20 · .PDF · 89 KBOperations/Human Performance 2P - Attachment 15: US Airways QRH - EvacuationItem 21 · .PDF · 89 KBOperations/Human Performance 2Q - Attachment 16: US Airways FOM - Captains AuthorityItem 22 · .PDF · 67 KBOperations/Human Performance 2R - Attachment 17: Airbus FOBN - Birdstrike Threat AwarenessItem 23 · .PDF · 974 KBOperations/Human Performance 2S - Attachment 18: US Airways Ground School Ditching ModuleItem 24 · .PDF · 1.1 MBOperations/Human Performance 2T - Attachment 19: US Airways Qualification Briefing Guide Sim T-6Item 25 · .PDF · 375 KBOperations/Human Performance 2U - Attachment 20: US Airways A320 Training Manual - Control LawsItem 26 · .PDF · 214 KBOperations/Human Performance 2V - Attachment 21: US Airways Training Manual - AQP and CRMItem 27 · .PDF · 729 KBOperations/Human Performance 2W - Attachment 22: US Airways I/E Curriculum Guide T-6 Spot 2Item 28 · .PDF · 87 KBOperations/Human Performance 2X - Attachment 23: Airbus FCOM 1 Flight Control Normal LawItem 29 · .PDF · 295 KBOperations/Human Performance 2Y - Attachment 24: Airbus FCTM FlareItem 30 · .PDF · 108 KBOperations/Human Performance 2Z - DOT/FAA/AR-95-54 - Transport Water Impact and Ditching PerformanceItem 31 · .PDF · 3.7 MBOperations/Human Performance 2AA - Attachment 25: US Airways QRH Engine RelightItem 32 · .PDF · 166 KBOperations/Human Performance 2BB - Attachment 26: Airbus QRH - Engine RelightItem 33 · .PDF · 102 KBOperations/Human Performance 2CC - Attachment 27: FAA AIM 6-3-3 paragraph eItem 34 · .PDF · 50 KBOperations/Human Performance 2DD - Attachment 28: Simulator Results DocumentItem 35 · .PDF · 646 KBOperations/Human Performance 2EE - Addendum 1: GPWSItem 36 · .PDF · 33 KBOperations/Human Performance 2FF - Addendum 2 Flight Crew InterviewItem 37 · .PDF · 36 KBOperations/Human Performance 2GG - Addendum 3: Visual IllusionsItem 38 · .PDF · 23 KBOperations/Human Performance 2HH - Errata 1Item 39 · .PDF · 15 KBATC 3A - Factual Report of Group ChairmanItem 40 · .PDF · 1.7 MBATC 3C - Attachment 1 LGA Tower Position LogsItem 41 · .PDF · 631 KBATC 3D- Attachment 2 N90 Departure Control Position LogItem 42 · .PDF · 82 KBATC 3E - Attachment 3 FAA Accident PackageItem 43 · .PDF · 9.1 MBMeteorology 5A- Factual Report of Group ChairmanItem 44 · .PDF · 1.8 MBSurvival Factors 6A - Factual Report of Group ChairmanItem 45 · .PDF · 1.1 MBSurvival Factors 6B - Attachment 1 - Flight Attendant StatementsItem 46 · .PDF · 457 KBSurvival Factors 6C - Attachment 2 - US Airways Flight Attendant Initial Training MaterialsItem 47 · .PDF · 170 KBSurvival Factors 6D - Attachment 3 - US Airways Flight Attendant Recurrent Training MaterialsItem 48 · .PDF · 584 KBSurvival Factors 6E - Attachment 4 - PhotographsItem 49 · .PDF · 66 photos · 5.6 MBSurvival Factors 6F - Attachment 5 - US Airways Flight Attendant Inflight Emergency ManualItem 50 · .PDF · 3.0 MBSurvival Factors 6G - Attachment 6 - Airbus Document: “Getting to Grips with Cabin Safety” Chapter 6: DitchingItem 51 · .PDF · 504 KBSurvival Factors 6H - Attachment 7 - Injury ChartItem 52 · .PDF · 108 KBSurvival Factors 6I - Attachment 8 - Passenger Questionnaires (Part I)Item 53 · .PDF · 13.9 MBSurvival Factors 6I - Attachment 8 - Passenger Questionnaires (Part II)Item 54 · .PDF · 15.1 MBSurvival Factors 6J - Attachment 9 - Evacuation Videos (2 Shelf Items)Item 55 · .PDF · 69 KBSurvival Factors 6K - Attachment 10 - CIDS Teardown ReportItem 56 · .PDF · 114 KBSurvival Factors 6L - Attachment 11 - US Airways EOW A320 Safety Information CardItem 57 · .PDF · 1.7 MBSurvival Factors 6M - NTSB Safety Study SS-85/02 Air Carrier Overwater Emergency Equipment and ProceduresItem 58 · .PDF · 1.6 MBSurvival Factors 6N - FAA Report AR-95/54 Transport Water Impact and Ditching PerformanceItem 59 · .PDF · 3.7 MBSurvival Factors 6O - FAA Report AM-98/19 Analysis of Ditching and Water Survival Training Programs of Major Airframe Manufacturers and AirlinesItem 60 · .PDF · 1.6 MB
All 123 files on NTSB’s docket

FAA reports on this event · 1

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