ERA09LA418

NTSB accident investigation · Boeing 757 · Cuba, Cuba · May 16, 2009

Accident · Serious injuriesLimited investigationFinal report
Date
May 16, 2009, 11:45 local (15:45 UTC)
Place
Cuba, Cuba
Injuries
1 serious, 4 minor, 184 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N657DLBoeing 757
Defining event
Enroute-cruise: Turbulence encounter
Weather
Instrument (IMC) · Day
Status
Completed · report August 12, 2010
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
Delta Airlines
Case key
74357

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 unanticipated inflight encounter with turbulence.

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.

TurbulenceEnvironmental issues › Conditions/weather/phenomena · Effect on personnelBoeing 757-232: 1 caseAll aircraft: 92 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

The airplane was at flight level 350 with the autopilot engaged, and about 35 to 40 minutes from its destination, when it encountered severe turbulence. The captain had turned the seat belt light on 5 to 10 minutes before the turbulence, and the first officer had made the public address announcing that everyone needed to remain seated with their seatbelts fastened. Suddenly, the airplane encountered severe turbulence and climbed rapidly to about 500 feet above the assigned altitude; the autopilot then disengaged. The captain took control of the airplane and slowly lowered the nose. As the captain leveled the airplane, the nose pitched down and the airplane descended about 500 feet below the assigned altitude before leveling and departing the area of turbulence. At the time of the encounter, the airplane was in a layer of haze. There was no heavy precipitation noted on the radar, and no build-ups visible to the flight crew. One passenger was seriously injured, and two passengers and two flight attendants sustained minor injuries.

Factual narrative

On May 16, 2009, at 1145 eastern daylight time, a Boeing 757-232, N657DL, operating as Delta Airlines flight 687, encountered turbulence while in cruise flight over Cuba. One passenger was seriously injured, and two passengers and two flight attendants sustained minor injuries. The captain, first officer, 2 flight attendants, and 180 passengers were not injured, and the airplane was not damaged. The flight was operating on an instrument flight rules flight plan under the provisions of Title 14, Code of Federal Regulations (CFR) Part 121. Instrument meteorological conditions prevailed in the vicinity of the turbulence. The flight departed from Hartsville Jackson International Airport (KATL), Atlanta, Georgia, at 1052, and was en route to Owen Roberts International Airport (MWCR), George Town, Cayman Islands. According to the captain, the airplane was at flight level 350, with the autopilot engaged, about 35 to 40 minutes from MWCR in Cuban airspace. He had turned the seat belt light on 5 to 10 minutes earlier, and the first officer had made the public address announcement that everyone needed to remain seated with their seatbelts fastened. The airplane was in a haze layer, the radar was on and painted only small patches of green, no yellow or red was showing, and there were no buildups up ahead. All of a sudden, the “ride” became severe, as the airplane climbed rapidly, to approximately 500 feet above the assigned altitude, and the autopilot disengaged. The captain took control of the yoke to stop the climb and slowly lowered the nose. As he was trying to level the airplane, it then pitched down, and was recovered about 500 feet below cruise altitude. The first officer attempted to communicate the event to the Cuban controller but language difficulties intervened. The captain stated that the event probably lasted about a minute, or slightly longer. The first officer called the cabin to assess any injuries; he was informed by a flight attendant that at least two, and perhaps three passengers appeared to be injured, as well as a flight attendant who had hurt her wrist and shoulder. The captain contacted the destination controller and requested that medical personnel meet the flight. Three passengers were transported to the local hospital for assessment. The flight attendant declined further treatment until returning to Atlanta. The lead flight attendant confirmed that the seat belt light had been on when the turbulence occurred.

Aircraft

Registration
N657DL
Reported as
Boeing 757 (232)
Category
Airplane
Serial number
24419
Airframe hours
63,598
Engines
Pratt & Whitney PW2037, 37,000 lbs thrust, turbo fanPratt & Whitney PW2037, 37,000 lbs thrust, turbo fan
Damage
No damage
Flight
Part 121
Operator
Delta Air Lines, Inc.
Registered owner
Wilmington Trust Co Trustee
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · May 9, 2009
Departed
ATL · Atlanta, GA
Destination
MWCR · George Town
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
51
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
August 29, 2008
Seat
Left
Flight hours
8,830 total · 4,328 in this make and model
Role
Co-pilot
Age
44
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 1, Without waivers/limitations
Last flight review
October 8, 2008
Seat
Right
Flight hours
4,152 total · 697 in this make and model

Weather

Conditions
Instrument (IMC) · Day
Wind
360° at 13 knots, gusting 19
Visibility
10 statute miles
Lowest ceiling
None
Temperature
63 °F, dew point 52 °F
Altimeter
30.28 inHg
Observed at
MWCR

Docket · 3

The files NTSB released with the investigation on June 28, 2010, on NTSB’s docket system: statements, records, photos and specialists’ reports. 786 KB in all.