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Cases › DCA12CA062 · Part 121 airline

AIRBUS INDUSTRIE A319-132US AIRWAYS INC

Buena Vista, CO, USA · 2012-04-15·N808AW

0
fatal
2
serious
Serious injury
highest injury
Minor
damage

What happened

NTSB summary, verbatim

On 15 April 2012, at approximately 0549 coordinated universal time, US Airways flight 496, an Airbus A319-132, N808AW, encountered severe mountain wave turbulence at flight level 320 in the vicinity of Buena Vista, Colorado. Of the 98 passengers and crew onboard, two flight attendants received serious injuries and one passenger received minor injuries during the encounter. The flight was operating under the provisions of 14 Code of Federal Regulations Part 121 as a regularly scheduled passenger flight between Phoenix Sky Harbor International Airport (KPHX), Phoenix, Arizona, and Denver International Airport (KDEN), Denver, Colorado. According to the operator, the captain was the pilot monitoring, and the first officer (FO) was the pilot flying. The flight was cleared to descend from FL390 to 17,000 feet. The seatbelt sign was on during the descent and there were no pilot reports of turbulence in the area.   The captain turned on the weather radar and noted no returns present between the airplane and the airport. As the airplane passed through about FL320, the captain noticed the airspeed rapidly increasing.  He disconnected the autopilot while simultaneously notifying the FO of the overspeed and began to apply a nose-up input. The FO also began to command a nose-up input at that time and so the captain released his pitch up input. The crew received an overspeed warning and then encountered severe turbulence. The flight crew stated the encounter lasted about 10 – 15 seconds. After the encounter, both Elevator and Aileron Computers (ELAC) faults were displayed. The FO resumed pilot flying duties while the Captain performed the appropriate actions to reset ELAC 1 and 2, report the encounter to air traffic control and dispatch, and contacted the flight attendants. The A flight attendant (A-FA) was in the forward jumpseat and the B flight attendant (B-FA) and C flight attendant (C-FA) were in the aft galley sitting in their jumpseats without their seatbelts on. During the turbulence encounter, both aft flight attendants struck the overhead ceiling,  panels before landing on the floor. Two passengers who were also not wearing their seatbelts were lifted out of their seats and struck the ceiling panels during the encounter. Oxygen masks in several rows of seats were also released as a result of the turbulence. Two onboard medical personnel tended to the B-FA and C-FA with the assistance of the A-FA. The captain declared a medical emergency and arranged for emergency personnel to meet the flight on arrival. At the gate, paramedics transported the two injured flight attendants and one of the injured passengers to the hospital.

Photographs

1the aircraft, and what the investigators found
The aircraft before the accident
340bc - America West Airlines Airbus A319-132, N808AW@LAS,01.03.2005 - Flickr - Aero Icarus
Aero Icarus from Zürich, Switzerland · CC BY-SA 2.0 · Wikimedia Commons

Probable cause

the Board's determination
an inadvertent encounter with mountain wave turbulence.

Occurrence sequence

1 stepsNTSB coding · CICTT taxonomy
  1. 1 · Enroute-descent
    Turbulence encounter
    defining event

Findings

1 causal · 0 contributing
  • CAUSE
    Environmental issues › Conditions/weather/phenomena › Turbulence › Terrain induced turbulence — Effect on personnel

Sequence of events

10 timed eventsfrom the FDR factual report · claude-fable-5-1 (in-session)
  1. about 22:50 MDTclimbp.3
    Flight departed; climbed to flight level 390 by 22:15 (as stated); right sidestick inputs from the start of flight until about 22:54 when autopilot 2 was engaged, with no left stick inputs before then
  2. about 23:45 MDTdescentp.3
    Descent began; autopilot 2 remained engaged in various modes until the upset
  3. 23:49:16 MDTdescentp.3
    Descending through about 30,500 ft pressure altitude, airspeed began increasing from 297 knots, reaching a maximum of 318 knots at about 23:49:23
  4. 23:49:23 MDTupsetp.3
    Autopilot 2 last sampled engaged; not sampled engaged again until about 23:51:35
  5. 23:49:24 MDTupsetp.3
    Left stick recorded lateral and longitudinal inputs, joined about half a second later by right stick inputs; dual stick inputs continued for about 8 seconds; master warning recorded for about 3 seconds
  6. 23:49:23-23:49:31 MDTupsetp.3
    Vertical acceleration ranged from -0.56 g to 2.61 g and pitch from -2.8 to 14.1 degrees; the aircraft began to climb and airspeed decreased
  7. about 23:49:30 MDTupsetp.3
    Pitch law switched from normal to alternate, reverting to normal at about 23:50:19; autothrottles remained engaged throughout
  8. 23:49:23-23:49:38 MDTupsetp.3
    Angle of attack ranged from about -3.5 to 18.9 degrees
  9. about 23:51 MDTdescentp.3
    Autopilot 2 re-engaged
  10. about 00:07 MDTlandingp.3
    Aircraft landed at Denver

NTSB analysis

from the final report

On 15 April 2012, at approximately 0549 coordinated universal time, US Airways flight 496, an Airbus A319-132, N808AW, encountered severe mountain wave turbulence at flight level 320 in the vicinity of Buena Vista, Colorado. Of the 98 passengers and crew onboard, two flight attendants received serious injuries and one passenger received minor injuries during the encounter. The flight was operating under the provisions of 14 Code of Federal Regulations Part 121 as a regularly scheduled passenger flight between Phoenix Sky Harbor International Airport (KPHX), Phoenix, Arizona, and Denver International Airport (KDEN), Denver, Colorado. According to the operator, the captain was the pilot monitoring, and the first officer (FO) was the pilot flying. The flight was cleared to descend from FL390 to 17,000 feet. The seatbelt sign was on during the descent and there were no pilot reports of turbulence in the area.   The captain turned on the weather radar and noted no returns present between the airplane and the airport. As the airplane passed through about FL320, the captain noticed the airspeed rapidly increasing.  He disconnected the autopilot while simultaneously notifying the FO of the overspeed and began to apply a nose-up input. The FO also began to command a nose-up input at that time and so the captain released his pitch up input. The crew received an overspeed warning and then encountered severe turbulence. The flight crew stated the encounter lasted about 10 – 15 seconds. After the encounter, both Elevator and Aileron Computers (ELAC) faults were displayed. The FO resumed pilot flying duties while the Captain performed the appropriate actions to reset ELAC 1 and 2, report the encounter to air traffic control and dispatch, and contacted the flight attendants. The A flight attendant (A-FA) was in the forward jumpseat and the B flight attendant (B-FA) and C flight attendant (C-FA) were in the aft galley sitting in their jumpseats without their seatbelts on. During the turbulence encounter, both aft flight attendants struck the overhead ceiling,  panels before landing on the floor. Two passengers who were also not wearing their seatbelts were lifted out of their seats and struck the ceiling panels during the encounter. Oxygen masks in several rows of seats were also released as a result of the turbulence. Two onboard medical personnel tended to the B-FA and C-FA with the assistance of the A-FA. The captain declared a medical emergency and arranged for emergency personnel to meet the flight on arrival. At the gate, paramedics transported the two injured flight attendants and one of the injured passengers to the hospital.