DCA20CA043

NTSB accident investigation · Embraer ERJ190 · Disputanta, VA · December 18, 2019

Accident · Serious injuriesClass 4 · Data collectionFinal report
Date
December 18, 2019, 11:09 local (16:09 UTC)
Place
Disputanta, VA
Injuries
1 serious, 47 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N959UWEmbraer ERJ190
Defining event
Enroute: Turbulence encounter
Weather
Visual (VMC) · 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
20191218024149I
Case key
100713

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 encounter with clear air turbulence during cruise flight.

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: clear air turbulenceEnvironmental issues › Conditions/weather/phenomena · Effect on personnelEmbraer ERJ 190-100 IGW: 1 caseAll aircraft: 78 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 18, 2019, at about 1109 EST, American Airlines flight 2247, an Embraer ERJ190, N959UW, encountered turbulence while enroute to Raleigh-Durham International Airport (KRDU), Morrisville, North Carolina. Of the 48 passengers and crew onboard, one flight attendant received a serious injury. The flight was operating under 14 Code of Federal Regulation Part 121 as a regularly scheduled domestic passenger flight from LaGuardia Airport (KLGA), Queens, New York, to KRDU. According to the flight crew, the flight was in cruise at flight level (FL) 200 with the seatbelt sign off because air traffic control had reported all pilot reports (PIREPs) as "smooth" and "no complaints". About one hour into the flight, they encountered a brief duration of "light to moderate chop" and illuminated the seatbelt sign. The flight crew requested a descent to FL180. The seatbelt sign was extinguished after the flight reached FL180 since the skies were clear, they were experiencing a smooth ride, and there were no pilot reports of turbulence. A short time later, the flight encountered "light to moderate chop" turbulence that lasted 20 seconds to a minute. The flight crew then received a call from the cabin advising them that a flight attendant (FA) had been injured. At the time of the second turbulence event, the FAs were conducting drink service in the cabin and the FA in the aft cabin was thrown to the floor, injuring her foot. One nonrevenue crew member described the turbulence encountered as “moderate to severe”. The injured FA was transferred to a passenger seat for the remainder of the flight. Upon being notified of the injury, the flight crew declared a medical emergency and request paramedics meet the flight at the gate. After landing the FA was transported to a local hospital where she was diagnosed with a fractured foot. Post accident examination of the weather data determined that the airplane was passing through the lower boundary of a strong jet stream that was associated with significant shear. Moderate turbulence had been forecasted for the area of the encounter and there were no previous PIREPs of severe turbulence.

Aircraft

Registration
N959UW
Reported as
Embraer ERJ190 (100IGW)
Category
Airplane
Serial number
19000166
Built
2008
Airframe hours
27,232
Engines
General Electric CF34-10E6, turbo fanGeneral Electric CF34-10E6, turbo fan
Damage
No damage
Flight
Part 121
Operator
American Airlines Inc, doing business as American Airlines
Registered owner
American Airlines Inc
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · November 4, 2019
Departed
LGA/ · Queens, NY
Destination
RDU/ · Morrisville, NC
Flight plan
IFR
Equipment
Electronic multifunction display, Electronic primary flight display, Electronic flight bag or handheld device, Onboard weather, Satellite tracking device, Stall warning system, Data recorder, ADS-B

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

Docket · 22

The files NTSB released with the investigation on July 13, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 31.5 MB in all.

Weather studyItem 1 · PDF · 14 pages · 2.3 MBAttachment 1 to the weather studyItem 2 · PDF · 13 pages · 3.6 MBZdc_cwsu_predutyvideowxbrefing_20191218_1045Z__the filenameiscorrecttimenottheslideoraudioItem 3 · MP4 · 2.4 MBOperational factors/human performance group factual reportItem 4 · PDF · 48 pages · 499 KBOperational factors/human performance attachment 1 - crew statementsItem 5 · PDF · 6 pages · 150 KBOperational factors/human performance attachment 2 - flight crew training records [excerpts]Item 6 · PDF · 20 pages · 848 KBOperational factors/human performance attachment 3 - flight crew schedulesItem 7 · PDF · 7 pages · 2.2 MBOperational factors/human performance attachment 4 - American airlines personnel interview transcriptsItem 8 · PDF · 274 pages · 474 KBOperational factors/human performance attachment 5 - accident flight paperworkItem 9 · PDF · 46 pages · 196 KBOperational factors/human performance attachment 6 - accident flight acars transmissions [excerpts]Item 10 · PDF · 20 pages · 281 KBOperational factors/human performance attachment 7 - American airlines operations manual vols 1 & 2 [excerpts]Item 11 · PDF · 32 pages · 578 KBOperational factors/human performance attachment 8 -American airlines flight operations manual [excerpts]Item 12 · PDF · 47 pages · 565 KBOperational factors/human performance attachment 9 - American airlines flight operations bulletin 17-007BItem 13 · PDF · 19 pages · 3.2 MBOperational factors/human performance attachment 10 - American airlines inflight manual [excerpts]Item 14 · PDF · 21 pages · 217 KBOperational factors/human performance attachment 11 - American airlines dispatch procedures manual [excerpts]Item 15 · PDF · 13 pages · 190 KBOperational factors/human performance attachment 12 - American airlines weight and balance manual [excerpt]Item 16 · PDF · 3 pages · 143 KBOperational factors/human performance attachment 13 - American airlines post accident weather reportItem 17 · PDF · 17 pages · 622 KBOperational factors/human performance attachment 14 - archived pirepsItem 18 · CSV · 58 KBOperational factors/human performance attachment 15 - group party formItem 19 · PDF · 18 pages · 467 KBCockpit voice recorder - specialista��s factual reportItem 20 · PDF · 2 pages · 20 KBFlight data recorder - specialista��s factual reportItem 21 · PDF · 8 pages · 4 photos · 1.8 MBFlight data recorder - attachment 1 (FDR tabular data for event flight)Item 22 · CSV · 10.9 MB

FAA reports on this event · 1

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