ERA18LA112

NTSB accident investigation · Gulfstream Aerospace G V · Miami, FL · March 21, 2018

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
March 21, 2018, 05:24 local (09:24 UTC)
Place
Miami, FL
Injuries
1 serious, 2 minor, 5 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N90JEGulfstream Aerospace G V
Defining event
Enroute-descent: Turbulence encounter
Weather
Instrument (IMC) · Night
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20180321009789I
Case key
96907

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 passengers' failure to comply with the fasten seatbelt sign, with resulted in their injury during an inflight turbulence encounter.

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.

Action: lack of actionPersonnel issues › Action/decision · PassengerGulfstream Aerospace G-V: 1 caseAll aircraft: 792 casesProbable cause
TurbulenceEnvironmental issues › Conditions/weather/phenomena · Effect on personnelGulfstream Aerospace G-V: 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

During their descent for arrival, the flight crew of the business jet illuminated the fasten seatbelt sign. They cycled the seatbelt sign again when the airplane began encountering light turbulence. After deviating left of some adverse weather that was displayed on radar, they continued their descent and encountered moderate turbulence and heavy rain, during which the airplane dropped about 500 to 1,000 ft. Despite the flight crew having warned the passengers by cycling the seatbelt sign during their descent from cruise altitude, three of the five passengers were not wearing seatbelts during the turbulence encounter. One of the unbelted passengers was seriously injured, while the other two incurred minor injuries. The flight subsequently landed without further incident.

Factual narrative

On March 21, 2018, about 0524 eastern daylight time, a Gulfstream Aerospace Corporation G-V, N90JE, encountered turbulence while descending on approach to Miami International Airport (MIA), Miami, Florida. The two airline transport pilots and flight attendant were not injured. There were five passengers onboard, one sustained serious injuries, two sustained minor injuries, and two were uninjured. Night, instrument meteorological conditions prevailed, an instrument flight rules flight plan was filed. The flight was operated by Clover Aviation under the provisions of Title 14 Code of Federal Regulations Part 91. The flight departed Rio de Janeiro-Galeao International Airport (SBGL), Rio de Janeiro, Brazil, at 1050 eastern standard time. According to the SIC (second-in-command), while descending from 27,000 ft to 12,000 ft approaching MIA, the PIC (pilot-in-command) turned on the seatbelt sign. While descending to 9,000 ft the PIC cycled the seatbelt sign again and they began to encounter "light chop." The PIC noted red cells on his weather radar, the SIC did not note any cells on his radar. He suggested to the PIC they maintain their present course because he could see Miami's coastline behind a small layer of clouds. The PIC requested a left deviation from air traffic control (ATC), and they turned 20° left and entered clouds as they continued the descent to 4,000 ft; the PIC cycled the seatbelt sign for the third time. During the descent they encountered moderate chop and heavy precipitation. About 7,000 ft they instantly dropped 500-1,000 ft. The turbulence was moderate for a moment and ended at 5,000 ft. When they leveled off at 4,000 ft the flight attendant notified them some of the passengers may be injured. The crew notified ATC they had experienced moderate turbulence but did not notify them of the injured passengers. The three injured passengers did not have their seatbelts fastened at the time of the turbulence encounter. The weather conditions reported at MIA included wind from 290° at 9 knots, visibility 10 statute miles, temperature 22° C, dew point 19° C, and an altimeter setting of 29.87 inches of mercury. There were no Convective SIGMETs active for the event location at the event time. No lightning was detection associated with this convection.

Aircraft

Registration
N90JE
Reported as
Gulfstream Aerospace G V (UNDESIGNAT)
Category
Airplane
Serial number
552
Built
1998
Engines
BMW Rolls BR700-710A110, 14,750 horsepower, turbo fanBMW Rolls BR700-710A110, 14,750 lbs thrust, turbo fan
Damage
No damage
Flight
Business · Part 91
Operator
Peyton Holdings LLC
Registered owner
Peyton Holdings LLC
Airworthiness certificate
Standard, Transport
Departed
SBGL · Rio de Janeiro
Destination
Miami, FL
Flight plan
IFR
Equipment
Auto-pilot, Data recorder, Electronic flight bag or handheld device, Electronic multifunction display, Electronic primary flight display, Handheld GPS, Heads up display, Satellite tracking device, Stall warning system, 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 · 3

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
52
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Unknown
Seat
Left
Flight hours
5,800 total
Role
Co-pilot
Age
30
Injuries
None
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
February 5, 2018
Seat
Right
Flight hours
5,300 total
Role
Cabin crew
Injuries
None

Weather

Conditions
Instrument (IMC) · Night
Wind
290° at 9 knots
Visibility
10 statute miles
Lowest ceiling
7,000 ft broken
Temperature
72 °F, dew point 66 °F
Altimeter
29.87 inHg
Observed at
KMIA, 2 nm away

Docket · 2

The files NTSB released with the investigation on October 9, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.5 MB in all.

FAA reports on this event · 1

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