DCA19CA034

NTSB accident investigation · Boeing 767 · SUNNS intersection, Osaka, Japan · December 4, 2018

Accident · Serious injuriesClass 4 · Data collectionFinal report
Date
December 4, 2018, 18:00 local (18:00 UTC)
Place
SUNNS intersection, Osaka, Japan
Injuries
1 serious, 2 minor, 92 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N193DNBoeing 767
Defining event
Enroute-cruise: Turbulence encounter
Weather
Night
Status
Completed
Report
Approved by Office Director
Investigation class
Class 4 - Basic report with no Prelim publish
NTSB office
Major Investigations Division
Case key
98733

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 airplane’s encounter with severe turbulence.

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 operationBoeing 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 December 4, 2018, about 2130 Japan standard time, Delta Air Lines flight 278, N193DN, a Boeing 767-300ER, encountered severe turbulence during cruise. Of the 95 passengers and crew onboard, one flight attendant received serious injuries and two flight attendants received minor injuries. The airplane was not damaged. The regularly scheduled international passenger flight was operating under the provisions of 14 Code of Federal Regulations Part 121 from Kansai International Airport (RJBB), Osaka, Japan, to Honolulu International Airport (PHNL), Honolulu, Hawaii. The first officer was the pilot flying, and the captain was pilot monitoring. According to the captain, the flight had experienced continuous light turbulence during the climb. Upon reaching FL350, in the moonless night, and in smooth air, the captain said that he deactivated the seat belt sign, and released the flight attendants to begin cabin service, while also giving a precautionary notice on the interphone to remain seated with the seatbelts fastened as much as possible. He added that the weather radar was set with the Gain on AUTO, and it was depicting green radar returns on its display. He said that they were approaching SUNNS intersection and noted that the radar showed a light green return. He said he discussed it with the first officer, and they both agreed to request a turn and a climb to avoid the depicted weather. After clearance was given to make the turn, the captain said that he turned the seatbelt sign ON, and made an announcement for everyone, including the flight attendants, to be seated. As the flight made the course deviation to avoid the weather, the captain indicated that the radar gave more definition in its depiction, and the lightning illumination emanating from the cloud showed that the cloud extended about 1,000 feet above their flight level, so they continued the turn to remain outside the green weather return depiction. He said that the radar depiction suddenly showed a faint dot of red at its center, and at that time the ride went immediately from smooth to severe turbulence, without any intervening intermediate intensities being noted. He said the airplane climbed about a few hundred feet and a momentary engine indicating and crew alerting system (EICAS) overspeed message occurred. He further stated that the turbulence came in two waves, and it lasted less than 30 seconds. The airplane then recovered back to FL350, and light chop continued. During the turbulence encounter, the flight attendants were in the middle of meal service. As a result, two flight attendants sustained minor injuries and one flight attendant fractured an ankle.

Aircraft

Registration
N193DN
Reported as
Boeing 767 (332)
Category
Airplane
Serial number
28450
Built
1997
Engines
Pratt & Whitney PW4060, 24,900 horsepower, turbo fanPratt & Whitney PW4060, 24,900 horsepower, turbo fan
Damage
No damage
Flight
Part 121
Operator
Delta Air Lines
Registered owner
Delta Air Lines Inc
Airworthiness certificate
Standard, Transport
Departed
RJBB · Osaka, OF
Destination
KHNO · Honolulu, HI
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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
59
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Unknown
Last flight review
February 15, 2018
Seat
Left
Restraint
5-point
Flight hours
19,433 total · 4,621 in this make and model · 15,172 as pilot in command · 155 in the last 30 days · 6 in the last 24 hours
Role
Co-pilot
Age
58
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Unknown
Last flight review
November 28, 2018
Seat
Right
Restraint
5-point
Flight hours
12,814 total · 9,654 in this make and model · 167 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Night
Turbulence
Severe

Docket · 10

The files NTSB released with the investigation on February 25, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.5 MB in all.