LAX02LA138

NTSB accident investigation · Airbus Industrie A319-114 · Reno, NV · April 15, 2002

Accident · Serious injuriesLimited investigationFinal report
Date
April 15, 2002, 10:55 local (17:55 UTC)
Place
Reno, NV
Injuries
1 serious, 67 uninjured
Damage
No damage
Phase of flight
Approach
Aircraft
N325NBAirbus Industrie A319-114
Weather
Visual (VMC) · Day
Status
Completed · report March 2, 2004
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20020415005519A
Case key
54530

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 failure of an undetermined cabin crewmember to securely close an aft galley compartment door, which necessitated the injured crewmember leaving her seat to secure the compartment door.

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 weatherApproach
Unsafe/hazardous condition warning - issuedFlightcrew
Weather condition - turbulence
Miscellaneous/otherDescent
Misc eqpt/furnishings,galley - not securedCause
Procedures/directives - not complied withFlight attendantCause
Remedial action - attemptedFlight attendant

Analysis

The airplane encountered moderate turbulence while descending for the approach into the airport and one flight attendant sustained serious injuries. The captain briefed the lead flight attendant on the expected turbulence encounter and asked that the cabin be secured early with everyone, including the flight attendants, in their seats and secured. A prearranged chime signal would notify the lead flight attendant that everyone should be in their seats. After the chime signal, everyone was seated and secured; however, a flight attendant seated in the rear of the airplane noticed that a galley upper door compartment had come open. This compartment was in line with both her head and another attendant's head, and she was concerned about objects coming out of the compartment during landing and injuring either one of them. She unfastened her restraints, got up, and secured the door. As she was returning to her seat, the airplane encountered a severe jolt, which violently slammed her into the ceiling, then the floor.

Factual narrative

On April 15, 2002, at 1055 Pacific daylight time, a Northwest Airlines Airbus Industrie A319-114, N325NB, encountered moderate turbulence while descending for the approach to the Reno, Nevada, airport, and one flight attendant sustained serious injuries. The aircraft was operated under the provisions of 14 CFR Part 121by Northwest Airlines, Inc., as flight 1515, a regularly scheduled domestic passenger flight from Minneapolis, Minnesota, to Reno. The airplane was not damaged. There were no other injuries to the 2 airline transport pilot licensed pilots, 4 remaining flight attendants, or 61 passengers. Visual meteorological conditions prevailed. An instrument flight rules flight plan had been filed for the flight, which departed from Minneapolis at 0930 central daylight time as a nonstop flight to Reno.

According to the captain's written statement, when the flight was initially cleared to descend from FL390 to 15,000 feet by Oakland Air Route Traffic Control Center, they were advised to expect moderate turbulence while descending into the Reno airport area. He then briefed the lead flight attendant on the expected turbulence encounter and asked that the cabin be secured early, with everyone including the flight attendants in their seats with seat belts secured. The captain then prearranged a chime signal with the lead flight attendant that would mean everyone should be in their seats. Prior to reaching 15,000 feet, the flight was handed off to Reno TRACON and the controller cleared the flight to 11,000 feet and advised of preceding pilot reports of moderate turbulence from 15,000 to 11,000 feet on the approach to the airport. The flight crew then gave the prearranged chime signal. A short time later, as the flight was nearing 11,000 feet and was encountering the turbulence, the first officer called the lead flight attendant on the interphone and asked if the cabin was secure and he received an affirmative response. Just after that conversation, the airplane experienced what the crew described as a "severe jolt." The flight attendant then called to advise them of the injury and a medical emergency was declared.

The injured flight attendant was interviewed by a Federal Aviation Administration inspector from the Reno Flight Standards District Office on April 17, 2002. Her statement was consistent with the written statements provided by the other cabin crewmembers. She reported that they were briefed by the lead flight attendant on the expected turbulence encounter and the cabin crew secured the cabin early. When the chime signal was heard, she and the other attendants took their jump seats and fastened their restraint systems. Her seat was in the rear near the aft galley facing aft. The other attendant assigned to the rear galley was in a jump seat facing forward. As the flight was encountering the moderate turbulence, she noticed that one of the aft galley upper compartment doors had come open. This compartment was in line with both her head and the other attendants head, and she was concerned about objects coming out of the compartment on landing and injuring either one of them. She unfastened her restraints, got up and secured the door. As she was returning to her seat, the airplane encountered a severe jolt, which violently slammed her into the ceiling, then the floor.

Aircraft

Registration
N325NB
Reported as
Airbus Industrie A319-114
Category
Airplane
Serial number
1483
Airframe hours
2,906
Engine
CFM International CFM56-5-AS, 30,000 lbs thrust, turbo fan
Damage
No damage
Flight
Part 121
Operator
Northwest Airlines, Inc.
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · April 15, 2002
Departed
KMSP · Minneapolis, MN
Destination
KRNO · Reno, NV
Flight plan
IFR
Airport
RNO · Reno International

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
44
Injuries
None
Certificates
Flight engineer, Airline transport, Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Last flight review
January 12, 2002
Seat
Left
Flight hours
18,000 total · 1,755 in this make and model
Role
Co-pilot
Age
44
Injuries
None
Certificates
Airline transport, Commercial, Flight engineer, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1
Seat
Right
Flight hours
9,000 total · 2,579 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
320° at 18 knots, gusting 25
Visibility
10 statute miles
Lowest ceiling
6,500 ft broken
Temperature
41 °F, dew point 19 °F
Altimeter
29.70 inHg
Observed at
KRNO, 15 nm away

Docket · 5

The files NTSB released with the investigation on December 12, 2003, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.4 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.