DCA23LA086

NTSB accident investigation · Boeing 737 · Denver, CO · November 30, 2022

Accident · Serious injuriesClass 4 · LimitedFinal report
Date
November 29, 2022, 23:00 local (Nov 30, 2022, 06:00 UTC)
Place
Denver, CO · Estimated by Etcher and Fernando Avila, based on ADSB data and pilot's stmts
Injuries
1 serious, 1 minor, 6 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N946WNBoeing 737
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
Parties
FAA
Case key
106401

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 flight’s encounter with mechanical turbulence.

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: terrain induced turbulenceEnvironmental issues › Conditions/weather/phenomena · Effect on personnelBoeing 737-7H4: 1 caseAll aircraft: 70 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

Southwest Airlines flight 136 encountered turbulence while descending through 15,600 ft into Denver International Airport (DEN), Denver, Colorado, and a flight attendant fractured her ribs. During the brief for the flight preceding the accident flight, the captain notified FA “A” that he would be requesting that the FAs take their seats about 25 minutes before their arrival at DEN. The captain stated that this was a routine part of his briefings for flights into DEN due to the unpredictable weather. FA “A” stated that she had been busy with her duties and about 4 hours had passed since the briefing. Subsequently, she had forgot to share this information with the other FAs. About 35 minutes before landing, the captain asked the cabin crew to clean up the cabin and take their seats. All three FAs located vacant passenger seats in the cabin and were seated. When the captain “double chimed” the cabin at about 16,000 ft (indicating the cabin should be secured early), all three FAs stood up to return to their jump seats. Shortly thereafter, the airplane experienced moderate turbulence. FA “B” reported that as she was walking through the aisle, the turbulence occurred, and the airplane “dropped”. She went into the air before falling onto a row of seats. As she attempted to sit in one of the seats, the airplane dropped again, and she fell to the floor. Following the turbulence, the first officer stated that he gave a pilot report (PIREP) to air traffic control at DEN and the flight proceeded to its destination and landed without further incident. After landing, the flight crew was informed that FA “B” required medical attention. Emergency medical services arrived and transported FA “B” to the emergency room where she was diagnosed with multiple rib fractures. A post-accident review of meteorological conditions showed no significant meteorological information (SIGMETs). Upper air model data at the time of the accident revealed limited wind shear around the accident altitude. Weather radar data from the National Weather Service station located in Watkins, Colorado (located 6 nautical miles southeast of DEN) showed no reflectivity that suggested convective activity or other precipitation. There was one applicable PIREP from about 85 minutes earlier that reported moderate turbulence between 10,000 ft and 13,500 ft (MSL) about 35 miles east-southeast of the accident location near DEN. Analysis of the aggregate weather information suggested the turbulence was likely mechanical in nature and caused by significant surface winds in the vicinity of mountainous terrain.

Aircraft

Registration
N946WN
Reported as
Boeing 737 (7H4)
Category
Airplane
Serial number
36918
Built
2010
Airframe hours
40,908
Engines
CFM Intl CFM56-7B24/3, 22,800 lbs thrust, turbo fanCFM Intl CFM56-7B24/3, 22,800 lbs thrust, turbo fan
Damage
No damage
Flight
Part 121
Operator
Southwest Airlines Co
Registered owner
Southwest Airlines Co
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · November 24, 2022
Departed
SLC · Salt Lake City, UT
Destination
DEN · Denver, CO
Flight plan
IFR
Equipment
Angle of attack indicator, Auto-pilot, Data recorder, ADS-B, Electronic flight bag or handheld device, Electronic multifunction display, Electronic primary flight display, Heads up display, Onboard weather, Stall warning system

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 · 5

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
50
Injuries
None
Certificates
Commercial, Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
November 6, 2022
Seat
Left
Flight hours
14,954 total · 12,568 in this make and model · 141 in the last 90 days · 69 in the last 30 days · 0 in the last 24 hours
Role
Co-pilot
Age
37
Injuries
None
Certificates
Airline transport, Private, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
November 14, 2022
Seat
Right
Flight hours
2,280 total · 25 in this make and model · 880 as pilot in command · 25 in the last 90 days · 25 in the last 30 days · 0 in the last 24 hours
Role
Cabin crew
Injuries
None
Seat
None
Restraint
Lap only
Role
Cabin crew
Injuries
Serious
Seat
None
Restraint
None
Role
Cabin crew
Injuries
Minor
Seat
None
Restraint
None

Weather

Conditions
Visual (VMC) · Night
Wind
150° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
52 °F, dew point 57 °F
Altimeter
30.00 inHg
Turbulence
Moderate
Observed at
KDEN

Docket · 3

The files NTSB released with the investigation on October 16, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.2 MB in all.