LAX07CA077

NTSB accident investigation · Bombardier DHC-8-103 · Kaunakakai, HI · February 1, 2007

Accident · Serious injuriesData collectionFinal report
Date
January 31, 2007, 15:40 local (Feb 1, 2007, 01:40 UTC)
Place
Kaunakakai, HI
Injuries
1 serious, 5 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N979HABombardier DHC-8-103
Weather
Visual (VMC) · Day
Status
Completed · report April 25, 2007
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20070131020129A
Case key
65231

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 in-flight encounter with clear air turbulence, which resulted in a serious injury to a deadheading crewmember.

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
Weather condition - turbulence,clear airCause

Analysis

The airplane encountered severe turbulence during an en route descent and a captain who was deadheading was not secured in his seat and received serious injuries. The airplane was being positioned to another airport, and had a deadheading flight crew on board. Prior to the descent, the captain noted an airspeed anomaly for the existing power setting. He also observed that the flap indicator showed a "slight" deployment of the flaps. He requested that the deadheading captain look out a cabin window, and verify the flap position. The deadheading captain reported to the flying captain that the flaps were in the fully retracted position. About this time, ATC personnel requested that a descent be initiated, which the flight crew initiated by reducing the power to slow down the airplane. As the deadheading captain was making his way back to his cabin seat, the airplane encountered severe turbulence, which lasted about 5 to 10 seconds. He was thrown about the cabin and injured. The flying captain declared an emergency. The flight landed without incident, and taxied to the gate where the injured crewmember was transported to the hospital. A review was conducted of the ATC air-ground recordings between Maui approach control (APCON), two other airplanes flying in the area, and the accident airplane (Moku 979). Prior to Moku 979 checking in with Maui approach, the two other airplanes reported moderate turbulence at 4,000 feet, and moderate to occasional severe turbulence between 2,000 and 2,500 feet. Both airplanes were about 15 miles east of Maui, in the general vicinity of the accident airplane. The controller contacted FSS, and advised them of the PIREP's. About 75 seconds later, Moku 979 reported in to the approach control. The controller told them to "expect lower in 5 miles." The controller did not advise Moku 979 of the reported turbulence in the area. Ninety-five seconds later the controller instructed Moku 979 to begin a descent to 1,500 feet. Fifteen seconds later Moku 979 declared an emergency and reported the injury.

Factual narrative

On January 31, 2007, about 1540 Hawaiian standard time, a Bombardier DHC-8-103, N979HA, encountered severe turbulence while descending near Kaunakakai, Hawaii. Hawaii Island Air, d.b.a. Island Air, was operating the airplane as a positioning flight under the provisions of 14 CFR Part 91. The airline transport pilot licensed captain, first officer, one flight attendant, and two deadheading pilot crew members were not injured; one deadheading pilot sustained serious injuries. The airplane was not damaged. The cross-country repositioning flight departed Honolulu, Hawaii, about 1515, with a planned destination of Kahului, Hawaii. Visual meteorological conditions prevailed, and an instrument flight rules (IFR) flight plan had been filed. The approximate global positioning system (GPS) coordinates of the event were 21 degrees 09.02 minutes north latitude and 157 degrees 05.8 minutes west longitude.

In the operator's written report, the company reported that the purpose of the flight was to position the airplane to Kahului. A second airplane crew was deadheading on the flight. The flying captain noted an anomaly in the airspeed for the existing power setting. He also observed that the flap indicator showed a "slight" deployment of the flaps. He requested that the deadheading captain look out a cabin window, visually note the physical setting of the flap position, and report the findings. The deadheading captain observed that the flaps were in the fully retracted position, and reported that information to the flying captain.

About this time, ATC personnel requested that a descent be initiated. The flight crew began the descent by reducing the power to slow the airplane. The deadheading captain left the cockpit to return to his cabin seat. While the deadheading captain was walking back to his seat, the airplane encountered a severe turbulence event, which lasted about 5 to 10 seconds. The deadheading captain was thrown about the cabin area, and was injured.

The flying captain declared an emergency, and received priority handling by ATC. The flight landed and taxied to the gate without incident. The deadheading captain was transported to the hospital via ambulance. A medical examination reveled he had sustained a compression fracture to his L-1 vertebrae.

The FAA accident coordinator reviewed the ATC recordings between Maui approach control (APCON), Sunami 4 (Cessna 208), C-FBCN (Beech King-Air), and the accident airplane Moku 979.

Prior to Moku 979 checking into APCON, Sunami 4 reported moderate turbulence at 4,000 feet about 15 miles east of Maui. The King Air reported moderate and occasional severe turbulence at 2,000 to 2,500 feet 15 miles east of Maui. APCON contacted FSS and advised them of the PIREP's. About 75 seconds after APCON contacted FSS, Moku 979 reported in. APCON told them to "expect lower in 5 miles." APCON did not advise Moku 979 of the reported turbulence in the area. Ninety-five seconds later, APCON said, "Moku 979 turn right to 170, descend to 1,500 feet." Fifteen seconds later Moku 979 declared an emergency.

Aircraft

Registration
N979HA
Reported as
Bombardier DHC-8-103
Category
Airplane
Serial number
373
Airframe hours
28,080
Engines
Pratt & Whitney PW121, turbo propPratt & Whitney PW121, 2,000 horsepower, turbo prop
Damage
No damage
Flight
Positioning · Part 91
Operator
Hawaii Island Air, doing business as Island Air
Registered owner
Wells Fargo Bank Northwest
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · December 1, 2006
Departed
HNL · Honolulu, HI
Destination
OGG · Kahului, HI
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
42
Injuries
None
Certificates
Flight instructor, Airline transport, Flight engineer
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
January 1, 2007
Seat
Left
Flight hours
8,853 total · 2,713 in this make and model · 3,138 as pilot in command · 38 in the last 90 days · 8 in the last 30 days
Role
Co-pilot
Age
25
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
October 1, 2006
Seat
Right
Flight hours
2,105 total · 837 in this make and model · 1,151 as pilot in command · 133 in the last 90 days · 65 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 23 knots, gusting 34
Visibility
10 statute miles
Lowest ceiling
None
Temperature
81 °F, dew point 70 °F
Altimeter
29.76 inHg
Observed at
PHMK, 30 nm away

FAA reports on this event · 1

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