DCA23LA305

NTSB accident investigation · Boeing 737-924ER · Chicago, IL · June 1, 2023

Accident · Serious injuriesClass 4 · LimitedFinal report
Date
June 1, 2023, 17:06 local (22:06 UTC)
Place
Chicago, IL
Injuries
1 serious, 185 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N28457Boeing 737-924ER
Defining event
Enroute-descent: Turbulence encounter
Weather
Visual (VMC) · Not reported
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
192293

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 convectively-induced turbulence (CIT).

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.

Convective weatherEnvironmental issues › Conditions/weather/phenomena · Effect on personnelBoeing 737-924ER: 1 caseAll aircraft: 17 cases

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

A flight attendant was seriously injured when United Airlines flight 1734 encountered convectively-induced turbulence during the descent into the Chicago O'Hare International Airport (ORD), Chicago, Illinois. Flight 1734 originated from the San Francisco International Airport (SFO) and the captain was the pilot monitoring and the first officer was the pilot flying. The flight crewmembers reported that they were not aware of any adverse reports of turbulence from either air traffic control (ATC), or other aircraft and they found the route along the arrival path to be generally smooth. Their weather radar was on and showed some cells located to the west of ORD, but none were along either their arrival route, the airport itself, or the area east of ORD where they conducted their approach to landing. When they first checked in with the Chicago approach controller, they were assigned runway 27R. However, they preferred a longer runway due to their landing weight and were therefore assigned runway 28C which they had to load into the flight management computer and re-brief. The captain indicated that the seat belt sign had been turned on early in the descent during the “arrival” passenger announcement. About 13,000 ft, the captain gave the cabin crew the “double chime” indicating that they should prepare the cabin for landing and then take their seats. The flight crewmembers reported that as the aircraft was descending through an isolated overcast layer, they observed a small cloud buildup with the top of the buildup slightly above their altitude. They contacted ATC and requested and were approved to make a left turn to avoid the cloud build-up. Although they attempted to avoid the cloud, the aircraft penetrated the left outermost area of the cloud buildup at an altitude of approximately 12,100 ft. The flight crewmembers indicated that as they went through this area, they experienced about 5 seconds of light to borderline moderate turbulence. As soon as they exited the area, the air was once again smooth. Shortly after the encounter, the flight crewmembers received a call from the cabin crew informing them that one of the flight attendants had fallen in the rear galley and had injured her foot. According to the cabin crew, shortly after they heard the double chime, there was a big bump of turbulence, and a flight attendant lost her balance, twisted her ankle, and hit her back on the corner of her jump seat. A physician who was onboard the airplane assisted her and helped move her to a passenger seat for the remainder of the flight. Emergency medical personnel met the airplane at the gate and a post-flight medical evaluation revealed that the flight attendant had a fracture injury to her metatarsal bone in the left foot. Based on a review of WSR-88Dweather radar (KMKX), satellite (GOES-16), and upper air model (HRRR) data, the turbulence encounter appeared generally coincident in time and location with a convective updraft that reached heights above12,100 ft.

Aircraft

Registration
N28457
Reported as
Boeing 737-924ER
Category
Airplane
Serial number
41744
Built
2012
Engines
CFM Intl CFM56-7B27, 273,000 lbs thrust, turbo fanCFM Intl CFM56-7B27, 27,300 lbs thrust, turbo fan
Damage
No damage
Flight
Part 121
Operator
United Airlines Inc
Registered owner
United Airlines Inc
Airworthiness certificate
Standard, Transport
Departed
KSFO · San Francisco, CA
Destination
KORD · Chicago, IL
Flight plan
IFR
Equipment
Electronic primary flight display, Heads up display, Stall warning system, ADS-B, Data recorder, Electronic flight bag or handheld device, 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
55
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
May 23, 2023
Seat
Left
Restraint
4-point
Flight hours
22,950 total · 17,558 in this make and model · 13,445 as pilot in command · 142 in the last 90 days · 12 in the last 30 days · 0 in the last 24 hours
Role
Pilot
Age
54
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
February 14, 2023
Seat
Right
Restraint
4-point
Flight hours
15,600 total · 2,800 in this make and model · 10,300 as pilot in command · 200 in the last 90 days · 36 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Not reported
Wind
200° at 7 knots
Visibility
10 statute miles
Lowest ceiling
6,000 ft broken
Temperature
79 °F, dew point 61 °F
Altimeter
30.06 inHg
Icing
Unknown
Turbulence
Light
Observed at
KBUU, 3.85 nm away

Docket · 4

The files NTSB released with the investigation on October 16, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 23.7 MB in all.