DCA19CA081

NTSB accident investigation · Embraer ERJ170 · Reno, NV · February 13, 2019

Accident · Serious injuriesClass 4 · Data collectionFinal report
Date
February 13, 2019, 14:55 local (22:55 UTC)
Place
Reno, NV
Injuries
1 serious, 4 minor, 59 uninjured
Damage
Minor damage
Phase of flight
Enroute
Aircraft
N613CZEmbraer ERJ170
Defining event
Enroute-cruise: Turbulence encounter
Weather
Instrument (IMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 4 - Basic report with no Prelim publish
NTSB office
Major Investigations Division
FAA report
20190213015829A
Case key
98982

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

an inadvertent encounter with convective turbulence that resulted in a TCAS RA, which required an abrupt control input by the flight crew to resolve the conflict.

Findings · 2

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 personnelEmbraer-Empresa Brasileira De ERJ 170-200 LR: 3 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 February 13, 2019 about 1232 PST, Compass Airlines flight 5763, an Embraer ERJ 175, N613CZ, encountered turbulence while in cruise flight at flight level (FL) 340 and subsequently diverted to Reno-Tahoe International Airport (KRNO), Reno, Nevada. Of the 75 passengers and crew onboard, one flight attendant sustained serious injuries while two flight attendants and two passengers received minor injuries. The airplane sustained minor damage. The flight was operating under the provisions of 14 Code of Federal Regulations Part 121 as a regularly scheduled passenger flight from the John Wayne-Orange County Airport (KSNA), Santa Ana, California to Seattle-Tacoma International Airport (KSEA), Seattle, Washington. According to the flight crew, about 40 minutes into the flight when the airplane was in smooth air and “between cloud layers”, the captain informed the flight attendants that they could begin cabin service but left the seatbelt sign illuminated for passengers because there was a report of ”occasional light chop”. About 20 minutes later, the flight encountered an area of severe turbulence that lasted about 8 seconds and caused the airplane to rapidly gain altitude and the traffic collision avoidance system (TCAS) to issue a resolution advisory (RA) for opposite-direction traffic 1,000 ft above them. The first officer (FO) , who was the flying pilot, disengaged the autopilot and applied forward control pressure to comply with the RA. The FO could not obtain the target flight path vector directed by the TCAS, so the captain assisted on the controls to obtain the desired pitch attitude. After the airplane descended back to its assigned altitude, the TCAS RA cleared, and the captain informed air traffic control of the turbulence and TCAS RA. According to the flight attendants (FA), the turbulence was encountered as they were beginning the beverage service. Two of the FAs impacted the ceiling before falling to the floor and one passenger, who had been in the lavatory at the time of the encounter had a small head laceration. As a result of the injuries, the captain declared an emergency and the flight diverted to KRNO. The FA in the aft galley was assisted by a medically qualified passenger and remained on the floor until landing due to her injuries. She was transported to the hospital and diagnosed with a broken arm. Post accident examination of the weather satellite data depicted cloud patterns aloft consistent with the presence of a convective updraft coincident with the flight’s location at the time of the turbulence encounter. The convection appeared to be “embedded” with stratiform clouds and may not have been visually identifiable by the flight crew.

Aircraft

Registration
N613CZ
Reported as
Embraer ERJ170 (200LR)
Category
Airplane
Serial number
17000203
Built
2008
Airframe hours
30,469.12
Engines
General Electric CF34-8E5, 14,510 lbs thrust, turbo fanGeneral Electric CF34-8E5, 14,510 lbs thrust, turbo fan
Damage
Minor damage
Flight
Part 121
Operator
Compass Airlines, doing business as Delta Connection
Registered owner
Delta Air Lines Inc
Airworthiness certificate
Standard, Transport
Departed
SNA · Santa Ana, CA
Destination
RNO · Reno, NV
Flight plan
IFR
Equipment
Electronic flight bag or handheld device, Data recorder, Auto-pilot, Electronic primary flight display, Electronic multifunction display

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
32
Injuries
None
Certificates
Commercial, Airline transport, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
January 27, 2019
Seat
Left
Restraint
3-point
Flight hours
4,270 total · 2,727 in this make and model · 1,962 as pilot in command · 116 in the last 90 days · 39 in the last 30 days
Role
Co-pilot
Age
30
Injuries
None
Certificates
Airline transport, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
October 28, 2018
Seat
Right
Restraint
3-point
Flight hours
2,233 total · 674 in this make and model · 566 as pilot in command · 195 in the last 90 days · 40 in the last 30 days

Weather

Conditions
Instrument (IMC) · Day
Turbulence
Severe

Docket · 22

The files NTSB released with the investigation on July 13, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 48.2 MB in all.

Meteorology factual reportItem 1 · PDF · 25 pages · 4.0 MBAttachment 1 to the meteorology factual reportItem 2 · PDF · 3 pages · 21 KBAttachment 2 to the meteorology factual reportItem 3 · PDF · 3 pages · 22 KBAttachment 3 to the meteorology factual reportItem 4 · PDF · 25 pages · 1.2 MBZoa cwsu preduty weather briefing video 12FEB2019 2030PSTItem 5 · MP4 · 16.1 MBZoa cwsu preduty weather briefing video 13FEB2019 0545PSTItem 6 · MP4 · 11.0 MBOperational factors group chairman factual reportItem 7 · PDF · 40 pages · 826 KBOperational factors - attachment 1 - flight crew interview summaries and statementsItem 8 · PDF · 25 pages · 368 KBOperational factors - attachment 2 - flight 6058 flight crew interview summariesItem 9 · PDF · 9 pages · 137 KBOperational factors - attachment 3 - flight attendant written statementsItem 10 · PDF · 6 pages · 237 KBOperational factors - attachment 4 - compass airline dispatch personnel interview summariesItem 11 · PDF · 27 pages · 266 KBOperational factors - attachment 5 - accident flight crew training records [excerpt]Item 12 · PDF · 81 pages · 977 KBOperational factors - attachment 6 - accident flight crew schedules [excerpt]Item 13 · PDF · 3 pages · 185 KBOperational factors - attachment 7 - accident flight dispatch releaseItem 14 · PDF · 64 pages · 1.7 MBOperational factors - attachment 8 - weight and balanceItem 15 · PDF · 6 pages · 191 KBOperational factors - attachment 9 - aircraft operations manual vol. 1 and 2 [excerpt]Item 16 · PDF · 30 pages · 4.3 MBOperational factors - attachment 10 - flight operations manual [excerpt]Item 17 · PDF · 21 pages · 462 KBOperational factors - attachment 11 - system operations control manual [excerpt]Item 18 · PDF · 4 pages · 313 KBOperational factors - attachment 12 - aircraft maintenance logbook entry [excerpt]Item 19 · PDF · 2 pages · 195 KBOperational factors - attachment 13 - operational factors group party formsItem 20 · PDF · 3 pages · 301 KBOperational factors - attachment 14 - archeived pirepsItem 21 · CSV · 78 KBPilot/operator aircraft accident report, NTSB form 6120.1Item 22 · PDF · 11 pages · 5.4 MB

FAA reports on this event · 1

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