LAX00LA098

NTSB accident investigation · Fokker FK-28-4000 · Red Bluff, CA · February 14, 2000

Accident · Serious injuriesLimited investigationFinal report
Date
February 14, 2000, 11:37 local (19:37 UTC)
Place
Red Bluff, CA
Injuries
1 serious, 23 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N493USFokker FK-28-4000
Weather
Visual (VMC) · Day
Status
Completed · report January 2, 2002
Report
Approved by Office Director
FAA report
20000214000579A
Case key
48634

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

the failure of the passenger to fasten his seat belt without the necessity of being instructed by the flight attendant.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

In flight encounter with weatherDescent - normal
Seat belt sign - activatedPilot in command
Crew/group briefing - performedCopilot/second pilot
Passenger briefing - performedCopilot/second pilot
Passenger briefing - not complied withPassengerCause
Passenger briefing - performedFlight attendant
Weather condition - turbulence,clear air

Analysis

The captain initiated descent from flight level (FL) 290 and illuminated the "fasten seatbelts" sign. Upon reaching FL 240, the air began to get "choppy." As they descended below FL 240, the flight attendants were notified to clean up and be seated. A passenger announcement was made at the same time including possible turbulence. Approximately FL 230, the flight attendants were notified to all be seated. At FL 220 they encountered severe turbulence for about 5 seconds. Two or 3 minutes later, they encountered severe turbulence again, for about 5 seconds. On the way to her seat, one of the flight attendants stopped because of a passenger who had not fastened his seat belt. While she was instructing the passenger, the aircraft encountered severe turbulence and she was thrown about the cabin. The "A" flight attendant next notified the flight crew that the "B" flight attendant had been injured. The captain told the "A" flight attendant to help put the "B" flight attendant in her seat and then to return to her own seat as soon as possible. Air traffic control was notified of the severe turbulence and that medical assistance would be needed upon their arrival. Company flight operations in Fresno was also informed of the situation. Upon arrival at the gate, all of the passengers deplaned without further incident. Paramedics boarded the aircraft and attended to the "B" flight attendant. Subsequent x-rays revealed that she had sustained a fractured ankle.

Factual narrative

On February 14, 2000, at 1137 hours Pacific standard time, Horizon Air flight 2457, a Fokker FK-28-4000, N493US, encountered turbulence over Red Bluff, California, and one flight attendant sustained serious injuries. The aircraft was not damaged. There were no injuries to the airline transport pilot certificated captain, the first officer, a second flight attendant, or the 20 passengers. The aircraft was being operated as a scheduled domestic passenger flight by Horizon Air Industries, Inc., under 14 CFR Part 121 when the accident occurred. The flight originated in Seattle, Washington, at 0926 on the morning of the accident as a nonstop flight to Fresno, California. Visual meteorological conditions prevailed at the time and an IFR flight plan was filed.

The captain stated that he had initiated descent from flight level (FL) 290 and illuminated the "fasten seatbelts" sign at about 1110. Upon reaching FL 240, the air began to get "choppy." As they descended below FL 240, the first officer notified the flight attendants to clean up and be seated. A passenger announcement was made at the same time regarding possible turbulence, destination weather, and the expected time of arrival (ETA).

Approximately FL 230, they were still above the cloud layer and the first officer notified the flight attendants to all be seated at that time. The captain was also aware that the flight attendants had been told to be seated for the duration of the flight.

At FL 220 they encountered severe turbulence for about 5 seconds. Two or 3 minutes later, they encountered severe turbulence again, that lasted about 5 seconds. On the way to her seat, one of the flight attendants stopped because of a passenger who had not fastened his seat belt. While she was instructing the passenger, the aircraft encountered severe turbulence and she was thrown about the cabin.

The "A" flight attendant next notified the flight crew that the "B" flight attendant had been injured. The captain told the "A" flight attendant to help put the "B" flight attendant in her seat and then to return to her own seat as soon as possible. As the descent continued into the Fresno area, air traffic control (ATC) was notified of the severe turbulence and that medical assistance would be needed upon their arrival. Company flight operations in Fresno was also informed of the situation.

Upon arrival at the gate, all of the passengers deplaned without further incident. Paramedics boarded the aircraft and attended to the "B" flight attendant. Subsequent x-rays revealed that she had sustained a fractured ankle.

Aircraft

Registration
N493US
Reported as
Fokker FK-28-4000
Category
Airplane
Serial number
11161
Airframe hours
39,157
Engine
Rolls-Royce RB183-555-15P, 5,000 lbs thrust, turbo jet
Damage
No damage
Flight
Part 121
Operator
Horizon Air Industries, Inc., doing business as Horizon Air
Registered owner
First Security Bank Of Utah
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · February 3, 2000 · 80 hours before
Departed
SEA · Seattle, WA
Destination
FAT · Fresno, CA
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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
51
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
18,000 total · 2,000 in this make and model · 15,000 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 12 knots, gusting 24
Visibility
10 statute miles
Lowest ceiling
5,000 ft broken
Temperature
138 °F, dew point 122 °F
Altimeter
29.00 inHg
Observed at
RBL

FAA reports on this event · 1

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