MIA94LA214

NTSB accident investigation · Boeing 737-400 · Atlantic Ocean (Atlantic Ocean) · September 19, 1994

Accident · Serious injuriesLimited investigationFinal report
Date
September 19, 1994, 18:39 local (22:39 UTC)
Place
Atlantic Ocean (Atlantic Ocean)
Injuries
1 serious, 131 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N433USBoeing 737-400
Weather
Instrument (IMC) · Day
Status
Completed · report January 26, 1995
Report
Approved by Office Director
FAA report
19940919034139A
Case key
37605

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 inflight encounter with turbulence in clouds.

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
Weather condition - turbulence in cloudsCause

Analysis

While descending in clouds the airliner encountered turbulence. No echoes were observed on the airborne weather avoidance radar. One flight attendant received serious back injuries. A review of the weather after the accident revealed the airplane was operating in an area of developing convective cells that may not have appeared on radar.

Factual narrative

On September 19, 1994, about 1839 eastern daylight time, N433US, a Boeing 737-400 experienced turbulence during descent over the Atlantic Ocean. The airplane was owned and operated by U.S. Air,Inc. and was operating as flight No. 811, scheduled, domestic, passenger service from Charlotte, North Carolina, to West Palm Beach, Florida. Instrument meteorological conditions prevailed at the time and an IFR flight plan was filed. The airplane was not damaged and the captain, first officer, 3 flight attendants, and 126 passengers were not injured. One flight attendant received serious injuries. The flight originated from Charlotte, North Carolina, about 1654 the same day.

One flight attendant was standing in the rear galley when the airplane experienced one jolt of turbulence. She was evacuated from the airplane upon arrival in West Palm Beach, Florida, and examination revealed she had a fractured lower back vertebrae.

The crew stated they were established in descent with the weather avoidance radar on and the airplane encountered one jolt of turbulence. They stated that no echoes were observed on the radar. A factual weather report of the environmental conditions was conducted by the NTSB meteorology division and the airplane was placed in an area of developing convection cells that would not necessarily show up on airborne weather radar. Details of the weather and the report are attached to this report.

Aircraft

Registration
N433US
Reported as
Boeing 737-400
Category
Airplane
Serial number
24842
Engine
Cfm CFM 56-3B2, 22,000 lbs thrust, turbo jet
Damage
No damage
Flight
Part 121
Registered owner
Usair
Airworthiness certificate
Standard, Transport
Departed
CLT · Charlotte, NC
Destination
PBI · West Palm Beach, FL
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
49
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
2,225 total · 2,158 in this make and model · 152 in the last 90 days · 65 in the last 30 days · 7 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Day
Wind
310° at 13 knots
Visibility
7 statute miles
Lowest ceiling
1,900 ft broken
Temperature
75 °F, dew point 73 °F
Altimeter
29.00 inHg
Observed at
PBI, 25 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.