WPR12LA119

NTSB accident investigation · Boeing 737-7H4 · Pawnee, NE · February 23, 2012

Accident · Serious injuriesLimited investigationFinal report
Date
February 23, 2012, 14:30 local (20:30 UTC)
Place
Pawnee, NE
Injuries
1 serious, 1 minor, 138 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N915WNBoeing 737-7H4
Defining event
Enroute-cruise: Turbulence encounter
Weather
Visual (VMC) · Day
Status
Completed · report January 31, 2013
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Southwest Airlines, Lincoln FSDO
FAA report
20120223005039A
Case key
82993

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 moderate turbulence during cruise flight, which resulted in a serious injury to a flight attendant.

Findings · 2

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: clear air turbulenceEnvironmental issues › Conditions/weather/phenomena · Effect on operationBoeing 737-7H4: 7 casesAll aircraft: 78 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

The airplane had been cruising in smooth air conditions for over 30 minutes when it suddenly encountered 2 to 3 seconds of moderate turbulence. The momentary altitude and roll deviation of the airplane, which was corrected by the autopilot, threw one of the flight attendants against the airplane structure, which resulted in a serious injury to her hand. The flight crew had not been given any turbulence advisories by air route traffic controllers, and the flight crew had not overheard any airplanes in the area reporting moderate turbulence. Immediately after the encounter, the airplane continued in smooth air conditions.

Factual narrative

On February 23, 2012, about 1430 central standard time, a Southwest Airlines Boeing 737-7H4, N915WN, encountered 2 to 3 seconds of moderate turbulence while in cruise flight between Chicago, Illinois, and Los Angles, California. The Captain and the First Officer, both of whom were airline transport pilots, were not injured, nor were any of the 135 passengers. One of the three flight attendants received minor injuries, and a second flight attendant received a serious injury to her right hand. The airplane was not damaged. The 14 Code of Federal Regulations Part 121 scheduled domestic passenger flight, which departed Chicago Midway Airport about 55 minutes prior to the turbulence encounter, was en route to Los Angeles International Airport, Los Angeles, California. At the time of the event, the airplane was in visual meteorological conditions on an Instrument Flight Rules flight plan. According to the flight crew, they were in level cruise flight in smooth air at Flight Level 360, when the airplane experienced the turbulence encounter. Although the airplane had encountered periods of light chop earlier in the flight, it had been in completely smooth air for about 30 minutes prior to the event, and there had been no report of turbulence from the Air Route Traffic Control Center, nor had the flight crew overheard any other aircrew stating that there was anything but smooth air in the area of the encounter. Although the flight attendants were in the process of serving drinks, the passenger seatbelt sign was still on from the earlier period of choppy air. At the moment of the encounter, the airplane experienced both a momentary altitude deviation and a left roll of less than 10 degrees, both of which were corrected by the autopilot, with a slight overshoot past the wings level position. During the encounter sequence, one flight attendant was thrown back against the aft galley door, whereupon her hand hit the recyclable can door. She then immediately felt pain in the hand. At that point in time, the Captain came on the public address system and directed the flight attendants to take their seats immediately, which they did until the flight crew was convinced that they had returned to smooth air conditions. Although the injured flight attendant continued her in-flight duties until the plane landed in Los Angeles, she ultimately went to Urgent Care for treatment. X-rays taken of her hand determined that she had a closed fracture of the carpal bone in her right hand. According to both flight crew members, the airplane reacted in a manner consistent with it flying through the wake of another preceding or crossing airplane, and after the few seconds of the turbulence encounter, followed by the correction by the autopilot, the airplane returned to straight and level flight in smooth air.

Aircraft

Registration
N915WN
Reported as
Boeing 737-7H4
Category
Airplane
Serial number
36888
Airframe hours
14,201
Engines
CFM Intl CFM56-7B24, 24,200 lbs thrust, turbo fanCFM Intl CFM56-7B24, 24,200 lbs thrust, turbo fan
Damage
No damage
Flight
Part 121
Operator
Southwest Airlines Co
Registered owner
Southwest Airlines Co
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · February 9, 2012
Departed
KMDW · Chicago, IL
Destination
KLAX · Las Angeles, CA
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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
52
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
November 2, 2011
Seat
Left
Flight hours
23,500 total · 20,550 in this make and model · 16,000 as pilot in command · 200 in the last 90 days · 75 in the last 30 days · 7 in the last 24 hours
Role
Co-pilot
Age
44
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
September 17, 2011
Seat
Right
Flight hours
9,887 total · 6,010 in this make and model · 1,977 as pilot in command · 208 in the last 90 days · 75 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
300° at 19 knots, gusting 25
Visibility
10 statute miles
Lowest ceiling
3,200 ft overcast
Temperature
46 °F
Altimeter
29.43 inHg

Docket · 6

The files NTSB released with the investigation on November 30, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 60.1 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.