DCA23LA477

NTSB accident investigation · Boeing 757 · Lake Butler, FL · February 10, 2023

Accident · Serious injuriesClass 4 · LimitedFinal report
Date
February 9, 2023, 22:35 local (Feb 10, 2023, 03:35 UTC)
Place
Lake Butler, FL · ADS-B Perturbations location
Injuries
1 serious
Damage
No damage
Phase of flight
Enroute
Aircraft
N13138Boeing 757
Defining event
Enroute: 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
195438

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 convectively induced 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.

TurbulenceEnvironmental issues › Conditions/weather/phenomena · Effect on personnelBoeing 757-224: 1 caseAll aircraft: 92 casesProbable cause
Turbulence: convective turbulenceEnvironmental issues › Conditions/weather/phenomena · Awareness of conditionBoeing 757-224: 1 caseAll aircraft: 145 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 passenger sustained a serious injury on United Airlines flight 600 when it encountered turbulence during cruise flight while enroute to Tampa International Airport (TPA), Tampa Florida. The flight was a regularly scheduled passenger flight from Newark Liberty International Airport (EWR), Newark, New Jersey, to TPA. A review of Automatic Dependent Surveillance Broadcast (ADS-B) data revealed that shortly after the airplane began a descent from its cruise altitude of flight level (FL) 380, the airplane experienced a sudden decrease in groundspeed along with a reduction in vertical speed. The groundspeed reduced from 454 knots to 438 knots over an 11 second period. During this time, the vertical speed reduced from about -2,600 feet per minute (FPM) to -900 FPM. Relatively sharp fluctuations in vertical speed and groundspeed continued for about 90 seconds as the airplane descended from FL350 to FL310, before the trends for each stabilized. See figures 1 thru 3 (Note: the time used in the figures is UTC, local time plus 5 hours.) Figure 1. ADS-B data showing groundspeed and vertical speed at time of event. Figure 2. ADS-B data showing groundspeed and pressure altitude at time of event. Figure 3. ADS-B tracking data at time of event. A review of weather records revealed that the event occurred in an area immediately south of the jetstream in an area of isolated embedded convection as depicted on the National Weather Service High-Level Significant Weather Prognostic Chart valid at the time of the accident. No significant clear air turbulence was depicted over Florida. At the time of the accident, there was an area of embedded extreme intensity echoes with echo tops up to FL370 and areas of hail located about 45 miles west of the airplane’s location. Figure 4. Regional composite radar mosaic at the time of the event. There were no convective significant meteorological information (SIGMETs) in effect for the accident location, however one was in effect for an area about 30 miles to the west and southwest of the accident, which advised of embedded thunderstorms moving north-northeast at 30 knots, with cloud tops up to FL 380. An airman’s meteorological information (AIRMET) was also in effect for the accident area and advised of moderate turbulence between FL240 and FL420. A review of pilot report (PIREPS) records revealed no reports of turbulence at or near the flight level and location of the accident for the 3 hours preceding the event. The nearest report of turbulence above FL180 was one of light to moderate chop at FL320, located 120 nautical miles north-northeast of the accident location. No PIREP records were found reported by the accident flight during the 3 hours following the event. A review of a high-resolution numerical atmospheric model over the grid point closest to the accident location revealed a temperature inversion at FL350, likely associated with the tropopause. The model also depicted a maximum wind of 60 knots at FL360, and a highprobability of moderate clear air turbulence at that level. The event occurred as the airplane was downwind of an area of convective activity, in the vicinity of the tropopause, while also in an area of possible clear air turbulence, which precluded a conclusive determination about the type of turbulence (clear air or convectively induced) the airplane may have encountered. However, given the significant strength of the upwind convective activity depicted on radar, the presence of convectively induced turbulence was more likely than the clear air turbulence predicted in the numerical model.

Aircraft

Registration
N13138
Reported as
Boeing 757 (224)
Category
Airplane
Serial number
30351
Built
1999
Engines
Rolls-Royc RB-211 SERIES, 22,000 lbs thrust, turbo fanRolls-Royc RB-211 SERIES, 22,000 lbs thrust, turbo fan
Damage
No damage
Flight
Part 121
Operator
United Airlines Inc
Registered owner
United Airlines Inc
Airworthiness certificate
Standard, Transport
Departed
EWR · Newark, NJ
Destination
TPA · Tampa, FL
Flight plan
IFR
Equipment
ADS-B, Stall warning system, Satellite tracking device, Onboard weather, Electronic primary flight display, Electronic multifunction display, Electronic flight bag or handheld device, Data recorder, Auto-pilot, Angle of attack indicator

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
61
Injuries
None
Certificates
Airline transport, Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
July 6, 2023
Seat
Left
Restraint
5-point
Role
Co-pilot
Age
42
Injuries
None
Certificates
Flight instructor, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
January 5, 2025
Seat
Right
Restraint
5-point

Weather

Conditions
Visual (VMC) · Night
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
7,000 ft broken
Temperature
66 °F, dew point 63 °F
Altimeter
30.20 inHg
Turbulence
Unknown
Observed at
KGNV, 18 nm away
METAR
METAR KGNV 100353Z 00000KT 10SM FEW045 SCT055 BKN070 19/17 A3020 RMK AO2 SLP224 T01940172=

Docket · 6

The files NTSB released with the investigation on March 21, 2025, on NTSB’s docket system: statements, records, photos and specialists’ reports. 28.2 MB in all.

Other investigations on N13138 · 1

Matched to the same aircraft by N-number and date.