WPR11LA071

NTSB accident investigation · Boeing 767 · Pago Pago, Antarctica · December 3, 2010

Accident · Serious injuriesLimited investigationFinal report
Date
December 3, 2010, 10:42 local (10:42 UTC)
Place
Pago Pago, Antarctica
Injuries
1 serious, 2 minor, 181 uninjured
Damage
No damage
Phase of flight
Initial climb
Aircraft
N584HABoeing 767
Defining event
Initial climb: Turbulence encounter
Weather
Visual (VMC) · Night
Status
Completed · report October 4, 2012
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration - CMO
FAA report
20101203053579A
Case key
77934

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 airplane’s encounter with convectively-induced turbulence, which resulted in serious injury to one flight attendant.

Findings · 1

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Turbulence: convective turbulenceEnvironmental issues › Conditions/weather/phenomena · Contributed to outcomeBoeing 767-3G5: 1 caseAll aircraft: 145 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

Shortly after departure, the airplane experienced what the captain described as three or four “jolts” of moderate turbulence. The captain reported clear skies with thunderstorms in the area. The seatbelt sign was illuminated in the cabin, and the passengers were in their seat. One flight attendant, who was in the aft cabin preparing a beverage cart, sustained serious injuries. The airplane continued to climb and the remainder of the flight was uneventful. The flight data recorder recorded vertical and lateral accelerations consistent with a turbulence encounter. According to the FDR, the disturbance lasted less than 10 seconds, and there was a change in wind speed and direction evident around that time period. Although no convective activity was noted at the accident location at the accident time, satellite imagery identified convective activity in the region. The airplane was ascending near a boundary defined by a significant decrease in atmospheric moisture. This type of boundary is conducive to the propagation of gravity waves and most likely contributed to the convectively-induced turbulence that the airplane encountered.

Factual narrative

On December 3, 2010, at 1042 Coordinated Universal Time (UTC), a Boeing 767-3G5, N584HA, encountered clear air turbulence at 18,000 feet (FL180) after departing Tafuna/Pago Pago International Airport (NSTU), Pago Pago, American Samoa. The certificated airline transport pilot captain, first officer, an additional pilot, 6 flight attendants, and 172 passengers were not injured; 1 flight attendant received serious injuries, and another flight attendant and 1 passenger sustained minor injuries. The airplane was not damaged. International Lease Finance Corp., d.b.a. Hawaiian Airlines, operated the airplane under the provisions of 14 Code of Federal Regulations Part 121, as a passenger carrying flight. An instrument flight rules (IFR) flight plan had been filed. Night visual meteorological conditions prevailed for the flight that was destined for Honolulu International Airport (HNL), Honolulu, Hawaii. According to Hawaiian Airlines, while on climb-out shortly after departure, the flight experienced four “jolts” of turbulence, characterized as moderate in intensity. The captain reported clear skies, with thunderstorms in the area. The captain further reported that the seatbelt sign was illuminated in the cabin, and the passengers were in their seat. The two flight attendants who were injured were in the aft cabin, preparing a beverage cart. The flight data recorder (FDR) was secured and sent to the National Transportation Safety Board laboratory for readout. According to the FDR data, approximately 8 minutes after takeoff, as the airplane was about to pass through 19,000 feet, the airplane experienced perturbations in the acceleration parameters. The vertical acceleration parameter increased to +1.59 g’s and within 2 seconds decreased to +0.66 g’s. Vertical acceleration increased again to record a maximum value of +1.75 g’s and then decreased to record a minimum value of +0.05 g’s 2 seconds later. The lateral acceleration parameter registered a minimum of -0.16 g’s and a maximum of +0.14 g’s over the same period. The disturbance lasted less than 10 seconds, and there was a change in wind speed and direction evident around that time period. The airplane continued to climb, and the remainder of the flight was uneventful. According to satellite imagery, there was convective activity in the area; however, the location where the turbulence was encountered was free of convective activity. According to the staff’s meteorologist report (attached to the public docket), the airplane was ascending through/near a boundary defined by significant decrease in atmospheric moisture. These types of boundaries are conducive to the propagation of gravity waves. These waves can be generated by convection, which was occurring near the accident location. No radar data was available for the area at the time of the accident. There were no AIRMET’s or SIGMET’s for the time of the accident.

Aircraft

Registration
N584HA
Reported as
Boeing 767 (3G5)
Category
Airplane
Serial number
24258
Engine
P & W 4060, 60,200 lbs thrust, turbo fan
Damage
No damage
Flight
Part 121
Operator
International Lease Finance Corp, doing business as Hawaiian Airlines
Registered owner
International Lease Finance Corp
Airworthiness certificate
Standard, Transport
Departed
STU · American Samoa
Destination
HNL · Honolulu, HI
Flight plan
IFR
Airport
STU · Tafuna/Pago Pago Internl Airpo

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
51
Injuries
None
Certificates
Commercial, Flight instructor, Airline transport, Flight engineer
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Seat
Left
Flight hours
16,302 total · 5,800 in this make and model · 5,000 as pilot in command · 250 in the last 90 days · 80 in the last 30 days · 11 in the last 24 hours
Role
Co-pilot
Injuries
None
Certificates
Airline transport, Flight engineer, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Seat
Right

Weather

Conditions
Visual (VMC) · Night
Wind
70° at 4 knots
Visibility
10 statute miles
Lowest ceiling
22,000 ft broken
Temperature
21 °F
Altimeter
29.92 inHg
Observed at
NSTU, 100 nm away

Docket · 6

The files NTSB released with the investigation on August 7, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 7.2 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.