LAX07LA127

NTSB accident investigation · Boeing 757-200 · Los Angeles, CA · April 12, 2007

Accident · Serious injuriesLimited investigationFinal report
Date
April 12, 2007, 13:15 local (20:15 UTC)
Place
Los Angeles, CA
Injuries
1 serious, 5 minor, 106 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N525UABoeing 757-200
Weather
Visual (VMC) · Day
Status
Completed · report December 20, 2007
Report
Approved by Office Director
Parties
United Airlines, Federal Aviation Administration
FAA report
20070412005169A
Case key
65573

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 flight's encounter with a turbulence event that occurred while the flight attendants were unseated. Contributing to the accident was the apparent conflicting information provided by the flight deck to the flight attendants and the flight attendants' interpretation of that information.

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 - turbulenceCause
Crew/group coordination - conflictingFlightcrewFactor

Analysis

While at flight level FL400 (40,000 feet) the flight deck received information about turbulence below 12,000 feet. The captain advised the flight attendants to have the cabin secured and be in their seats within 15 minutes. The first officer gave the 'prepare for landing' announcement in the descent around flight level FL250 (25,000 feet), which was after the captain had notified the flight attendants to prepare the cabin, but before the end of the stated 15 minutes. While descending through 15,500 feet, the airplane experienced a moderate 'jolt' lasting 1-2 seconds. By this time it had been more than 15 minutes since the captain gave the flight attendants the secure cabin instructions. The cabin crew reported injuries to all flight attendants and no injuries to passengers. All six flight attendants received medical attention after landing. One flight attendant was seriously injured with a closed fibular fracture; the five other flight attendants had minor injuries. The first officer said that turbulence during their departure had been very bad, therefore, in order to mitigate any passenger anxiety, when he made the 'prepare for landing' announcement, he added that the turbulence would not be as bad as it was on departure. He understood the captain's instructions to the flight attendants, and this announcement was aimed solely at the passengers. The flight attendants confirmed that they understood the captain's instructions to have the cabin cleaned up and be seated within 15 minutes. As they were finishing the cabin clean up, the first officer's 'prepare for landing' announcement indicated that the turbulence would not be as bad as they had been told to expect. The flight attendants may have interpreted this added information concerning turbulence as a relaxation of the captain's earlier instructions. The Digital Flight Data Recorder (DFDR) indicated the turbulence occurred as the aircraft was coming out of a 12-degree right bank and descending through 15,400 pressure altitude. The event lasted approximately 10-11 seconds. The bank angle of the aircraft was between 8 and 1 degrees right wing down during the event. Vertical acceleration fluctuated between .5 and 2.06 G's. Longitudinal acceleration spiked up to .2 G's about the same time as the 2 G vertical spike. Lateral acceleration fluctuated between .1 G left and .05 G's to the right during the incident. The data showed that the autopilot was engaged and in control of the aircraft during the incident.

Factual narrative

On April 12, 2007, at 1315 Pacific daylight time, a Boeing 757-200, N525UA, experienced moderate turbulence while on descent into Los Angeles International Airport, Los Angeles, California. United Airlines operated the airplane under the provisions of 14 CFR Part 121. The 2 airline transport pilots and the 104 passengers were not injured; 1 flight attendant was seriously injured; and 5 flight attendants had minor injuries. The airplane was not damaged. Visual meteorological conditions prevailed, and an instrument flight plan had been filed. The flight originated at John F. Kennedy Airport, New York, New York, at 1151 eastern daylight time.

United Airlines stated in the Pilot-Operator Aircraft Accident Report that while at flight level 400 (40,000 feet), the flight deck received information about turbulence below 12,000 feet. The captain advised the flight attendants to have the cabin secured and be in their seats within 15 minutes. The first officer gave the 'prepare for landing' announcement around flight level 250 (25,000 feet) as the airplane was descending, which was after the captain had notified the flight attendants to prepare the cabin, but before the end of the stated 15 minutes. While descending through 15, 500 feet, the airplane experienced a moderate 'jolt' lasting 1-2 seconds. By this time it had been more than 15 minutes since the captain gave the flight attendants the secure cabin instructions. The cabin crew reported injuries to all flight attendants and no injuries to passengers. All six flight attendants received medical attention after landing. One flight attendant was seriously injured with a closed fibular fracture; the five other flight attendants had minor injuries.

In a written statement, the first officer said that turbulence departing New York had been very bad, therefore, in order to mitigate any passenger anxiety, when he made the 'prepare for landing' announcement he added that the turbulence would not be as bad as it was on departure. He understood the captain's instructions to the flight attendants, and this announcement was aimed at the passengers.

In written statements provided by the flight attendants, they confirmed that they understood the instructions to have the cabin cleaned up and be seated within 15 minutes. As they were finishing the cabin clean up, the first officer's 'prepare for landing' announcement indicated that the turbulence would not be as bad as they expected.

After landing, the airplane's Digital Flight Data Recorder (DFDR) was removed from the airplane. The DFDR data provided by United was examined by National Transportation Safety Board technical experts. The turbulence occurred as the aircraft was coming out of a 12-degree right bank and descending through 15,400 pressure altitude. The event lasted approximately 10-11 seconds, starting at Subframe Reference Number 43371 (20:28:18 GMT per the captain's clock, and 20:27:36 GMT per the GPS clock). The bank angle of the aircraft was between 8 and 1 degrees right wing down during the event. Vertical acceleration fluctuated between .5 and 2.06 G's. Longitudinal acceleration spiked up to .2 G's about the same time as the 2 G vertical spike. Lateral acceleration fluctuated between .1 G left and .05 G's to the right during the incident. The data showed that the autopilot was engaged and in control of the aircraft during the incident.

Aircraft

Registration
N525UA
Reported as
Boeing 757-200
Category
Airplane
Serial number
24978
Airframe hours
54,600
Engines
Pratt & Whitney 2037, 38,250 lbs thrust, turbo jetPratt & Whitney 2037, 38,250 lbs thrust, turbo jet
Damage
No damage
Flight
Part 121
Operator
United Airlines
Registered owner
Finova Capital Leasing
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · March 1, 2007
Departed
KJFK · New York, NY
Destination
KLAX · Los Angeles, CA
Flight plan
IFR
Airport
KLAX · Los Angeles

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
41
Injuries
None
Certificates
Airline transport, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1
Last flight review
October 1, 2006
Seat
Left
Flight hours
14,000 total · 4,500 in this make and model
Role
Co-pilot
Age
40
Injuries
None
Certificates
Airline transport, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1
Last flight review
January 1, 2007
Seat
Right
Flight hours
4,200 total · 3,046 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
320° at 20 knots, gusting 32
Visibility
7 statute miles
Lowest ceiling
None
Temperature
66 °F, dew point 21 °F
Altimeter
29.84 inHg
Observed at
KLAX

FAA reports on this event · 1

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