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Cases › DCA12FA069 · Part 121 airline

AIRBUS A319-112FRONTIER AIRLINES INC

Fort Lauderdale, FL, USA · 2012-05-10·N951FR

0
fatal
1
serious
Serious injury
highest injury
—
damage

What happened

NTSB summary, verbatim

On May 10, 2012, at 1224 Eastern Daylight Time (EDT) an Airbus 319, registration N951FR, operated by Frontier Airlines as flight 384, encountered turbulence resulting in serious injuries to a flight attendant during descent into the Fort Lauderdale Airport (FLL). The flight was descending through 12,400 feet about 45 miles west of FLL at the time of the encounter. The airplane was not damaged. The flight crew reported that on initial descent into the Fort Lauderdale area they noticed typical Florida summertime cumulus cloud conditions. About 20 minutes before the event, the Captain appropriately briefed the flight attendants to prepare the cabin for landing early and to be seated after completing the initial clean-up. The flight crew subsequently illuminated the seat belt sign during the descent. The flight attendants were still in the process of preparing the cabin for landing when the turbulence was encountered. During descent, the airplane passed in and out of cloud formations. The crew described, and CVR data is consistent with, passing out of a cloud and noticing a larger developing cumulus in front of them. The autopilot and autothrust were engaged. The crew reported that the radar did not indicate any echoes ahead of them. The Airbus weather radar system includes a Turbulence detection function, which was not used by the crew. The Airbus flight crew training manual describes effective mode, range, and tilt settings for detecting “wet” (convective) turbulence. As the airplane passed into the cumulus development, the airplane encountered convectively induced turbulence, resulting in a peak vertical acceleration of about +2 G and -0.5 G. The activity was likely developing upwards, possibly below the field of view of the radar, and into the flight path. As a result of the injuries to the forward flight attendant, the flight crew advised ATC that they had an injured crew member and requested priority handling and for paramedics to meet the airplane on arrival. The ATC approach controller did not forward the request for paramedics. The crew also attempted to contact the company station agents and dispatch, but received no response. The lack of ATC coordination, and lack of company personnel to monitor communications from inbound flights, delayed the arrival of emergency medical personnel to meet the flight.

Photographs

1the aircraft, and what the investigators found
The aircraft before the accident
Airbus A319-112 ‘N951FR’ Frontier (28234204321)
Alan Wilson from Stilton, Peterborough, Cambs, UK · CC BY-SA 2.0 · Wikimedia Commons

Probable cause

the Board's determination
an inadvertent encounter with convectively induced turbulence developing upwards into the flight path, which was not detected on weather radar as configured by the crew. Contributing to the delay in emergency medical personnel notification was the incomplete coordination of paramedic response by air traffic control and ineffective communications monitoring by Frontier Airlines.

Occurrence sequence

2 stepsNTSB coding · CICTT taxonomy
  1. 1 · Enroute-descent
    Turbulence encounter
    defining event
  2. 2 · Enroute-descent
    Cabin safety event

Findings

4 causal · 0 contributing
  • CAUSE
    Environmental issues › Conditions/weather/phenomena › Turbulence › Convective turbulence — Effect on personnel
  • CAUSE
    Aircraft › Aircraft systems › Navigation system › Weather radar system — Incorrect use/operation
  • CAUSE
    Personnel issues › Action/decision › Action › Forgotten action/omission — ATC personnel
  • CAUSE
    Organizational issues › Management › Resources › Availability of personnel — Operator

Sequence of events

3 timed eventsfrom the FDR factual report · claude-fable-5-1 (in-session)
  1. 07:10 MSTtakeoffp.1
    Departure from Denver
  2. 12:24 EDTdescentp.2
    Turbulence encounter descending through about 12,400 ft about 45 miles west of FLL; recorded position at the event about N26:20:04.868, W81:13:26.935 at about 12,000 ft pressure altitude and about 300 knots
  3. 12:24 EDTdescentp.3
    Vertical acceleration dropped to about 0.4 g then spiked to about 2.1 g, followed by several more drops and spikes between 0.5 g and 1.6 g over the next 30 to 45 seconds; autopilot engaged throughout with no sidestick inputs; pitch deviations less than 2 degrees from the steady -2 degrees; roll between +6 and -4 degrees

NTSB analysis

from the final report

On May 10, 2012, at 1224 Eastern Daylight Time (EDT) an Airbus 319, registration N951FR, operated by Frontier Airlines as flight 384, encountered turbulence resulting in serious injuries to a flight attendant during descent into the Fort Lauderdale Airport (FLL). The flight was descending through 12,400 feet about 45 miles west of FLL at the time of the encounter. The airplane was not damaged. The flight crew reported that on initial descent into the Fort Lauderdale area they noticed typical Florida summertime cumulus cloud conditions. About 20 minutes before the event, the Captain appropriately briefed the flight attendants to prepare the cabin for landing early and to be seated after completing the initial clean-up. The flight crew subsequently illuminated the seat belt sign during the descent. The flight attendants were still in the process of preparing the cabin for landing when the turbulence was encountered. During descent, the airplane passed in and out of cloud formations. The crew described, and CVR data is consistent with, passing out of a cloud and noticing a larger developing cumulus in front of them. The autopilot and autothrust were engaged. The crew reported that the radar did not indicate any echoes ahead of them. The Airbus weather radar system includes a Turbulence detection function, which was not used by the crew. The Airbus flight crew training manual describes effective mode, range, and tilt settings for detecting “wet” (convective) turbulence. As the airplane passed into the cumulus development, the airplane encountered convectively induced turbulence, resulting in a peak vertical acceleration of about +2 G and -0.5 G. The activity was likely developing upwards, possibly below the field of view of the radar, and into the flight path. As a result of the injuries to the forward flight attendant, the flight crew advised ATC that they had an injured crew member and requested priority handling and for paramedics to meet the airplane on arrival. The ATC approach controller did not forward the request for paramedics. The crew also attempted to contact the company station agents and dispatch, but received no response. The lack of ATC coordination, and lack of company personnel to monitor communications from inbound flights, delayed the arrival of emergency medical personnel to meet the flight.