- Date
- January 8, 2003, 18:15 local (Jan 9, 2003, 02:15 UTC)
- Place
- Medford, OR
- Injuries
- 1 serious, 31 uninjured
- Damage
- Substantial damage
- Phase of flight
- Approach
- Aircraft
- N409QXBombardier DHC-8-401
- Weather
- Visual (VMC) · Night/bright
- Status
- Completed · report December 3, 2004
- Report
- Approved by Office Director
- Parties
- Bombardier Aerospace, Transport Canada, Portland FAA FSDO, New York ACO, FAA, Sierracin/Sylmar Corp., Horizon Air
- FAA report
- 20030108000499I
- Case key
- 56312
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On this page
Probable cause
The NTSB’s determination of the probable cause, and any contributing factors.
The fracture and spalling of the inner-most pane of the aircraft's port side windshield while on a downwind for a night visual approach due to an imposed load beyond that required for windshield certification (multiple bird strikes). Factors include a dark night, and a flock of ducks (Lesser Scaups) flying in the location of the visual traffic pattern.
Analysis
The aircraft, which was on a downwind for a night visual approach, impacted a flock of Lesser Scaups (diving ducks). The nose structure of the aircraft and the windshield directly in front of the captain received multiple bird strikes. Some of the birds penetrated the aircraft's skin, but there was no direct penetration of the windshield. Although the windshield was not penetrated, hundreds of small pieces of glass were ejected from the most inner of the windshield's three panes, and approximately 70 of these pieces imbedded themselves in the face, forehead, and scalp of the captain. The first officer ultimately completed a successful landing, while using backup flight instruments. The investigation determined that the windshield certification process defined in Part 25 of the Federal Aviation Regulations and the Canadian Aviation Regulations does not take into account the effects of multiple bird strikes on the same windshield.
Factual narrative
The factual narrative1,330 words
History of flight
On January 8, 2003, approximately 1815 Pacific standard time, a Bombardier DHC-8-401, N409QX, collided with an undetermined number of birds approximately four miles northeast of Rogue Valley International Airport, Medford Oregon. The airline transport pilot in the left seat received serious injuries, and was temporarily unable to perform his flight crew duties, but the first officer was uninjured. The flight attendant and the 29 passengers were not injured. The aircraft, which was being operated on a scheduled 14 CFR Part 121 flight by Horizon Airlines, sustained substantial damage. The flight crew, which had been on an IFR flight plan, departed Seattle International Airport, Seattle, Washington, at 1726.
According to the flight crew, what appeared to the first officer as a flock of seven or eight birds suddenly appeared in front of the aircraft while they were approaching Medford on a clear dark night. At the time of the event, the aircraft was descending through approximately 3,900 feet, on an extended right visual downwind for runway 32. The birds were momentarily illuminated by the aircraft's approach lights and flare lights, but before the flight crew could take any action, several of the birds impacted the aircraft's nose and windshield. The force of the impact fractured the inner pane of the forward windshield on the captain's side of the aircraft, and numerous small pieces of the glass hit the captain in the face, scalp and chest. The captain, who was cut by the glass in several places, turned over control of the aircraft to the first officer, who asked the tower to turn up the brightness on the runway lights, because she had momentarily lost sight of the runway due to the distraction of the impact. About 20 seconds after the impact, the aircraft experienced a partial loss of electrical power resulting in the aircraft's primary navigational, flight, and avionics displays becoming inoperative. The first officer then slowed the aircraft and configured it for landing according to the checklist, while using the backup attitude indicator as her primary flight instrument. The captain then declared an emergency and advised the tower that there had been an injury to a flight crew member. During this sequence, both engine fire warning lights on the glare shield came on, but there was no audible fire warning tone, nor did either fire T-handle illuminate. After the aircraft was established on final approach, the captain was able to lean forward to read the secondary airspeed indicator and make airspeed callouts to the first officer. About five minutes after the impact with the birds, the first officer executed a successful landing at Medford.
Injuries to persons
At the time of the impact, hundreds of pieces of glass of various sizes and shapes separated from the windshield's inner pane and traveled toward the aft wall of the flight deck. The captain, who at the time of the event was wearing special polycarbonate safety glasses, was hit in the upper torso, face, and scalp by numerous pieces of fractured glass. He sustained between 60 and 70 cuts to his face and scalp, and ultimately received approximately 20 stitches to the injuries that were severe enough to warrant such treatment. In addition to the glass that penetrated his skin, numerous smaller pieces of glass became lodged between his eyeballs and his eyelids, but did not penetrate the membrane of either surface. Many of the cuts to his forehead and scalp bled heavily, and the dripping blood interfered with his ability to see. The force of the glass impacting his face knocked his safety glasses to the floor, and when later recovered, the lenses of the glasses were determined to have been scratched and gouged by the impacting of the glass. In addition to the damage to the lenses, the frames themselves were twisted, bent, and nicked. Later, after the captain was taken to the hospital, emergency room personal spent approximately three hours removing pieces of glass from his skin and eyes. Two days after the event, the forehead, cheeks and nose area of the captain turned a light brownish-green due to the bruising associated with the force of the glass impacting his face.
The captain reported that the force of the glass hitting him in the face caused him to be stunned, dazed, and a little disorientated, but he felt that he was not totally incapacitated. He said that for the first two minutes after the impact, he was dazed and not thinking clearly, and had a hard time locating knobs and switches that he was use to manipulating on a daily basis. He ultimately was able to read the secondary airspeed indication, but had some trouble seeing because of the amount of blood that was dripping down from his forehead. During an early post-accident interview, the captain said that he felt that if the other pilot had have been incapacitated that he could have kept control of the aircraft, but in a later telephone conversation he stated that he was not sure that his original evaluation of his capability to control the aircraft during the sequence of events was correct.
Damage to aircraft
Inspection of the aircraft revealed that one or more ducks impacted the airframe in four separate locations (see diagram #1). The most forward impact point was on the centerline of the aircraft, near the top rear of the forward nose compartment (Zone 212). The bird(s) that collided with the aircraft at that point penetrated the honeycomb skin (see photo #1) and impacted the DC Contactor Box (DCCB), resulting in 18 of the 31 circuit breakers opening do to impact forces, not thermal overloading (see photo #2). The popping of the circuit breakers resulted in the first officer flying the aircraft by reference to the standby instrument pack, eventually aided by airspeed callouts from the captain. In addition to the flight instrument limitations, the Audio and Radio Control Display (ARCDU) showed numerous red fail lights, and the engine fire lights on the glare shield illuminated ( there was no engine fire warning tone nor illumination of the T-handles). The crew also discovered that there was no elevator trim, and that the nose wheel steering did not work after touchdown.
The second impact point was on a line almost directly in front of the captain at the riveted seam between the forward nose compartment (Zone 212) and the flight crew cabin (Zone 211). The impact at that location resulted in a partial penetration and a separation of the riveted seam along approximately two feet of its length (see photo #3). This impact did not directly alter the function of any electrical or mechanical subcomponents.
The third impact occurred about two feet below the first officers front windscreen, just aft of the aforementioned 211/212 rivet seam. Although the aircraft skin was dented and buckled at this location, there was no penetration.
The fourth impact area was on the windscreen in front of the captain (see photo #4). All glass panes of this window fractured, and hundreds of small irregular pieces of glass were ejected from the inner-most pane into the left side and center of the flight deck. In addition to the aforementioned injuries to the captain, the captain's seat and floor area, and most of the center console were covered with large quantities of broken glass (see photo #5). Further inspection revealed that no direct penetration of the windshield occurred, although a small amount of blood and vitreous fluid from the bird(s) passed between the edge of the windscreen and the rubber seal that holds it in place on the airframe.
Meteorological information
According to the crew, at the time of the accident there were no clouds of any type in the sky around Medford. The night was dark and clear, and the visibility was good enough that they had clearly seen the lights of Medford while more than 90 miles north of the city. The temperature at the airport was seven degrees centigrade, and the
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.
Aircraft
- Registration
- N409QX
- Reported as
- Bombardier DHC-8-401
- Category
- Airplane
- Serial number
- 4051
- Airframe hours
- 2,760
- Engine
- Pratt & Whitney PW 150-A, turbo prop
- Damage
- Substantial damage
- Flight
- Part 121
- Registered owner
- Horizon Air Industries Inc
- Airworthiness certificate
- Standard, Transport
- Last inspection
- Continuous airworthiness · December 10, 2002 · 168 hours before
- Departed
- SEA · Seattle, WA
- Destination
- MFR · Medford, OR
- Flight plan
- IFR
- Airport
- MFR · Rogue Valley Int., runway 32, 8,798 × 150 ft, asphalt
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
- 54
- Injuries
- Serious
- Certificates
- Flight instructor, Airline transport
- Airplane ratings
- Single-engine land, Multi-engine land
- Instrument ratings
- Airplane
- Medical
- Class 1, Valid Medical--w/ waivers/lim
- Last flight review
- June 14, 2002
- Seat
- Left
- Flight hours
- 18,662 total · 4,922 in this make and model · 2 in the last 24 hours
- Role
- Co-pilot
- Age
- 45
- Injuries
- None
- Certificates
- Flight instructor, Airline transport
- Airplane ratings
- Multi-engine land, Single-engine land
- Instrument ratings
- Airplane
- Medical
- Class 2, Valid Medical--w/ waivers/lim
- Last flight review
- January 15, 2002
- Seat
- Right
- Flight hours
- 9,241 total · 1,288 in this make and model · 2 in the last 24 hours
Weather
- Conditions
- Visual (VMC) · Night/bright
- Wind
- Calm
- Visibility
- 20 statute miles
- Lowest ceiling
- None
- Temperature
- 45 °F, dew point 32 °F
Docket · 9
The files NTSB released with the investigation on September 20, 2004, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.3 MB in all.
FAA reports on this event · 1
The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.