DCA20CA071

NTSB accident investigation · Bombardier CL-600-2D24 · Waynesville, NC · February 7, 2020

Accident · Serious injuriesClass 4 · Data collectionFinal report
Date
February 7, 2020, 01:05 local (06:05 UTC)
Place
Waynesville, NC
Injuries
1 serious, 22 minor, 50 uninjured
Damage
Minor damage
Phase of flight
Enroute
Aircraft
N610NNBombardier CL-600-2D24
Defining event
Enroute-descent: Turbulence encounter
Weather
Visual (VMC) · Night
Status
Completed
Report
Approved by Office Director
Investigation class
Class 4 - Basic report with no Prelim publish
NTSB office
Major Investigations Division
FAA report
20200207007509A
Case key
100913

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 severe convective turbulence associated with a strong sheared environment associated with the jet stream.

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 personnelBombardier CL-600-2D24: 4 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 7, 2020, about 0105 eastern standard time, PSA Airlines flight 5634, a Canadair CRJ-900, N610NN, encountered turbulence during enroute descent to McGhee Tyson Airport (KTYS), Knoxville, Tennessee. Of the 73 passengers and crew onboard, one flight attendant received serious injuries and there were 21 minor injuries. The airplane sustained minor damage. The regularly scheduled domestic passenger flight was operating under the provisions of 14 Code of Federal Regulations Part 121 from Charlotte Douglas International Airport (KCLT), Charlotte, North Carolina, to KTYS. The accident flight departed 4 hours late due to the late arrival of the inbound airplane in KCLT because of persistent severe weather that had been in the area. According to the flight crew, they kept the seatbelt sign illuminated for the entire flight because of the late night and weather in the area. They indicated that the takeoff, climb, and cruise were uneventful. Most of the flight was conducted at flight level (FL) 220 in clear air, with clouds beneath. As they approached KTYS, the flight was cleared to descend at pilot’s discretion to 13,000 feet. During the descent, the onboard radar was on but did not depict any precipitation in the cloud layer below them. In the early stages of the descent, the flight began entering and exiting various cloud layers and experienced very light/intermittent chop. At about FL 185, the flight went into a cloud and encountered severe turbulence, causing the autopilot to disengage and the airplane pitched nose down rapidly. The pilot flying reduced power, leveled the wings, and the airplane quickly exited the clouds into visual meteorological (VMC) conditions again. The flight continued to experience moderate turbulence during the descent. The captain called back to check on the flight attendants (FA) and passengers but initially received no reply. A short time later, the captain called back again and was informed by a dead-heading flight attendant (FA) that both FAs had been injured. At the time of the turbulence encounter, the forward FA was preparing the galley for landing and was thrown to the ceiling and back to the floor, injuring both ankles. The FA could not stand, and a dead-heading pilot helped her to a passenger seat. The aft FA was conducting final compliance checks in the cabin and was also thrown to the ceiling and back to the floor, causing her to black out for a short time. Multiple passengers received various injuries, that included head bumps/bruises, scrapes, and anxiety issues. Two dead-heading FAs assumed the duties of the two injured FAs for the remainder of the flight. After landing, paramedics met the airplane at the gate and the two FAs and several passengers were transported to the hospital. The forward FA was diagnosed with fractures in both ankles. Post accident examination of the weather data determined that the turbulence encounter occurred in a strong sheared environment with a 155-knot jet stream. Therewere several pilot reports (PIREPs) of moderate to severe turbulence in the area, and there was a National Weather Service SIGMET current for severe turbulence in the area.

Aircraft

Registration
N610NN
Reported as
Bombardier CL-600-2D24
Category
Airplane
Serial number
15476
Built
2019
Engines
General Electric CF34-8C5, turbo fanGeneral Electric CF34-8C5, turbo fan
Damage
Minor damage
Flight
Part 121
Operator
PSA Airlines
Registered owner
American Airlines Inc.
Airworthiness certificate
Standard, Transport
Departed
CLT · Charlotte, NC
Destination
TYS · Knoxville, TN
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
53
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
November 4, 2019
Seat
Left
Restraint
5-point
Flight hours
8,700 total · 2,800 in this make and model · 7,700 as pilot in command · 235 in the last 90 days · 70 in the last 30 days · 1 in the last 24 hours
Role
Co-pilot
Age
30
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
January 18, 2020
Seat
Right
Restraint
5-point
Flight hours
3,106 total · 1,300 in this make and model · 1,602 as pilot in command · 9 in the last 90 days · 9 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night
Wind
280° at 9 knots
Visibility
10 statute miles
Lowest ceiling
2,800 ft overcast
Temperature
43 °F, dew point 37 °F
Altimeter
29.35 inHg
Observed at
TYS, 55 nm away

Docket · 21

The files NTSB released with the investigation on July 8, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 38.6 MB in all.

Weather studyItem 1 · PDF · 42 pages · 5.0 MBMeteorology attachment 1 - ncar graphic turbulence guidance (gtg) productsItem 2 · PDF · 6 pages · 583 KBMeteorology attachment 2 - flight release and weather documentItem 3 · PDF · 22 pages · 53 KBOperational factors specialist reportItem 4 · PDF · 46 pages · 722 KBOperational factors attachment 1 - crew statementsItem 5 · PDF · 30 pages · 616 KBOperational factors attachment 2 - flight crew schedulesItem 6 · PDF · 5 pages · 347 KBOperational factors attachment 3 - flight crew training records (excerpts)Item 7 · PDF · 7 pages · 492 KBOperational factors attachment 4 - accident flight's dispatch releaseItem 8 · PDF · 20 pages · 92 KBOperational factors attachment 5 - accident flight cargo load slipItem 9 · PDF · 2 pages · 658 KBOperational factors attachment 6 - accident flight acars messages [excerpts]Item 10 · PDF · 6 pages · 166 KBOperational factors attachment 7 - psa airlines operations manual [excerpt]Item 11 · PDF · 12 pages · 2.0 MBOperational factors attachment 8 - psa airlines crj pilot operating handbook [excerpts]Item 12 · PDF · 12 pages · 297 KBOperational factors attachment 9 - psa airlines dispatch standard process manual [excerpt]Item 13 · PDF · 12 pages · 1.6 MBOperational factors - attachment 10 - psa airlines flight attendant manual [excerpts]Item 14 · PDF · 13 pages · 137 KBOperational factors attachment 11 - psa airlines hazardous weather and radar use trainingItem 15 · PDF · 36 pages · 1.5 MBOperational factors attachment 12 - psa airlines captain upgrade weather radar trainingItem 16 · PDF · 15 pages · 903 KBOperational factors attachment 13 - archived pirepsItem 17 · CSV · 20 KBOperational factors attachment 14 - accident aircraft maintenance log entries [excerpts]Item 18 · PDF · 2 pages · 148 KBPilot/operator aircraft accident report, NTSB form 6120.1Item 19 · PDF · 11 pages · 2.1 MBFlight data recorder - specialista��s factual reportItem 20 · PDF · 9 pages · 2.2 MBFlight data recorder - attachment 1 (FDR tabular data for event flight)Item 21 · CSV · 19.0 MB

FAA reports on this event · 1

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