LAX96LA035

NTSB accident investigation · Boeing 747-122 · Pacific Ocean (Pacific Ocean) · November 1, 1995

Accident · Serious injuriesLimited investigationFinal report
Date
November 1, 1995
Place
Pacific Ocean (Pacific Ocean)
Injuries
1 serious, 300 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N4714UBoeing 747-122
Weather
Visual (VMC) · Night/dark
Status
Completed · report April 18, 1996
Report
Approved by Office Director
FAA report
19951101041669A
Case key
29330

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 the passenger to comply with the fasten seatbelt signs and the verbal directives of the flight and cabin crew.

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.

Miscellaneous/otherCruise
Weather condition - turbulence
Procedures/directives - not followedPassengerCause

Analysis

As the flight approached an area in which preceding flights had reported moderate turbulence, the flight crew turned on the fasten seatbelt sign, announced the impending turbulence to the cabin, and instructed the flight attendants to be seated. While the fasten seatbelt sign was on, a female, English-speaking passenger, left her seat and went to the lavatory despite a verbal warning from a flight attendant about the eminent turbulence. As the passenger was exiting the lavatory the flight encountered moderate turbulence and the passenger fell to the floor. The passenger complained of pain in her right leg. Cabin and flight crew personnel stabilized her leg and helped her to a nearby seat. Post-flight medical examination revealed that the passenger had suffered multiple fractures of the right leg and foot.

Factual narrative

On November 1, 1995, at 1515 UTC, one passenger was seriously injured onboard United Airlines flight 830, during a moderate turbulence encounter over the Pacific Ocean. The aircraft, a Boeing 747-122, N4714U, was operated by United Airlines, Inc., as a regularly scheduled non-stop international passenger flight from Tokyo, Japan, to Honolulu, Hawaii. The accident occurred in international airspace between latitudes 28 - 33 degrees north and at longitude 173 degrees west, while the aircraft was in cruise at flight level 350. The aircraft was not damaged. The remaining 279 passengers, 18 flight attendants, and flight deck crew of three were not injured. The flight originated from Narita Airport, Tokyo, Japan, at 1037 UTC and subsequently landed at Honolulu, Hawaii, at 1721 UTC.

Reports provided by the flight crew to the United Airlines Flight Safety Department stated that at the time of the accident the aircraft was in clear air. Convective activity associated with a front was visible in the distance ahead and on radar. The flight crew characterized the radar return as a solid yellow band across their flight course with an area of green return to the south. The flight crew elected to alter course to the south and follow a preceding Japan Airlines flight through the area of lighter returns. In response to a report of moderate turbulence from the preceding aircraft, the flight crew turned on the fasten seat belt sign about 1500 hours. Ten minutes later, because of turbulence, the cabin attendants were instructed to take their seats.

During the period that the flight attendants were seated and the flight was encountering light turbulence, a female passenger in the upper deck lounge left her seat to go to the lavatory. According to reports by the flight attendants and other passenger witnesses, the flight attendants called to the English-speaking, American passenger to remain seated, but she declined and continued to the lavatory. While returning to her seat, moderate turbulence was encountered and the passenger fell in the aisle. The passenger complained of pain in her right leg and flight attendants, assisted by the second officer, immobilized her leg prior to helping her to a nearby seat. Two medical doctors aboard the flight talked with the passenger and paramedic personnel met the flight in Honolulu. Subsequent examination revealed multiple fractures of the passenger's right leg.

Aircraft

Registration
N4714U
Reported as
Boeing 747-122
Category
Airplane
Serial number
19876
Airframe hours
14,672
Engine
P&W JT9D-7AH, 44,000 lbs thrust, turbo fan
Damage
No damage
Flight
Part 121
Registered owner
United Airlines, Inc.
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · January 7, 1995 · 2,404 hours before
Departed
RJAA · Narita, OF
Destination
PHNL · Honolulu, 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
56
Certificate
Airline transport
Airplane ratings
Multi-engine land
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
18,137 total · 2,123 in this make and model

Weather

Conditions
Visual (VMC) · Night/dark

FAA reports on this event · 1

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

Other investigations on N4714U · 1

Matched to the same aircraft by N-number and date.