LAX97LA051

NTSB accident investigation · Boeing 737-500 · Bishop, CA · November 20, 1996

Accident · Serious injuriesLimited investigationFinal report
Date
November 19, 1996, 17:50 local (Nov 20, 1996, 01:50 UTC)
Place
Bishop, CA
Injuries
1 serious, 112 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N916UABoeing 737-500
Weather
Visual (VMC) · Dusk
Status
Completed · report October 14, 1997
Report
Approved by Office Director
FAA report
19961119047639A
Case key
29689

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

a clear air turbulence encounter.

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 weatherCruise
Weather condition - turbulence,clear airCause
Seat belt sign - selectedPilot in command
Seat belt - not usedFlight attendant

Analysis

A known area of clear air turbulence was encountered at FL290 shortly after the captain turned on the fasten seat belt sign and instructed the cabin crew to take their seats. An aft flight attendant was in the process of closing a door before she sat down when the aircraft experienced severe turbulence and dropped sharply in altitude. The flight attendant broke her right foot during the encounter and was treated at a local hospital after landing. Company procedures for the crew to follow when turbulence is anticipated is for the flight attendants to take their seats after the cockpit crew makes the announcement and turns on the fasten seat belt sign. The captain had been monitoring the flight conditions of other aircraft at various altitudes in the area and, when turbulence was reported ahead of the flight, he made the announcement.

Factual narrative

On November 19, 1996, at 1750 hours Pacific standard time, a flight attendant sustained a serious foot injury after encountering some clear air turbulence (CAT) near Bishop, California, during cruise at flight level (FL) 290 on United Flight 2188 from San Francisco, California, to Las Vegas, Nevada. The aircraft, a Boeing 737-500, N916UA, was not damaged, nor were there any injuries to the other 112 persons onboard.

According to the operator, the captain illuminated the fasten seat belt sign and instructed the flight attendants to take their seats. The injured aft flight attendant was in the process of securing a carrier door in the aft galley when the turbulence was encountered. After arriving in Las Vegas, she was taken to a local hospital where it was determined that her right foot was broken. Another flight attendant stated that shortly after the captain made the announcement, the aircraft dropped sharply. He was holding on to something and didn't get hurt.

According to the operator, there were several reports of moderate or greater turbulence throughout central and southern California at flight levels under FL300. A "CAT ALERT" was in effect for the area at the time of the accident with some mention of mountain wave activity east of the Sierra Mountains. This alert was on the Weather Briefing Message (WBM) for Flight 2188. The captain was monitoring the flight conditions of other aircraft in the area and chose the smoother ride at FL290 due to turbulent rides at the higher altitudes. When the captain was advised of turbulent conditions ahead, he made the announcement to the cabin crew to take their seats.

United Airlines procedures for crew action to take when turbulence weather conditions are anticipated are to turn on the Fasten Seat Belt sign and make a PA announcement. This permits the flight attendants to tie down serving carts and stow other loose items before taking their seats. If turbulence is encountered unexpectedly, the fasten seat belt sign will be cycled on and off three or four times and a PA announcement advising the passengers and flight attendants to be seated immediately.

Aircraft

Registration
N916UA
Reported as
Boeing 737-500
Category
Airplane
Serial number
25383
Airframe hours
13,535
Engine
GE CFM56-3-B1, 20,000 lbs thrust, turbo fan
Damage
No damage
Flight
Part 121
Registered owner
United Airlines
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · July 16, 1996 · 1,013 hours before
Departed
SFO · San Francisco, CA
Destination
LAS · Las Vegas, NV
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
53
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
7,857 total

Weather

Conditions
Visual (VMC) · Dusk
Wind
270° at 55 knots
Lowest ceiling
None
Temperature
-56 °F
Altimeter
29.00 inHg

FAA reports on this event · 1

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