FlarePath
Cases › DCA19MA143 › Cockpit voice recorder

Boeing 737Miami Air International

165 lines · 19:36:48 – 21:42:10 · Jacksonville, FL, 2019-05-04

The NTSB cautions that a transcript is not a precise science and, taken out of context, can mislead. These are the last words of real people — handle with care.
165 of 165 lines
CaptainFirst officerControllersWarningsSounds
The final secondsjump to the end ↓

Crew communication

165 lines readobservations a human-factors reviewer takes from a transcript — the sterile cockpit, the Board's own notations, rhythm, CRM markers. Not emotions, not scores: the affect is in the audio, and the audio is sealed
43 / 57
floor share · CA / FO %
0%
non-pertinent talk in sterile window
0 · 8 · 0
laughter · delivery · expletives
2 of 3
crew questions unanswered in 8 s
4 of 7
warnings with a crew response in 5 s
CaptainCaptain: 1 in minute 4Captain: 1 in minute 57Captain: 1 in minute 104Captain: 2 in minute 107Captain: 1 in minute 108Captain: 2 in minute 110Captain: 2 in minute 113Captain: 4 in minute 114Captain: 1 in minute 115Captain: 1 in minute 116Captain: 1 in minute 117Captain: 2 in minute 120Captain: 1 in minute 121Captain: 2 in minute 122Captain: 3 in minute 123Captain: 2 in minute 124Captain: 2 in minute 125Captain: 3 in minute 126First officerFirst officer: 1 in minute 67First officer: 1 in minute 105First officer: 3 in minute 106First officer: 1 in minute 108First officer: 1 in minute 111First officer: 1 in minute 112First officer: 1 in minute 113First officer: 2 in minute 114First officer: 2 in minute 115First officer: 1 in minute 116First officer: 2 in minute 117First officer: 1 in minute 120First officer: 2 in minute 121First officer: 2 in minute 122First officer: 4 in minute 123First officer: 4 in minute 124First officer: 1 in minute 125First officer: 1 in minute 126ControllersControllers: 1 in minute 106Controllers: 3 in minute 107Controllers: 1 in minute 108Controllers: 1 in minute 110Controllers: 1 in minute 112Controllers: 1 in minute 114Controllers: 1 in minute 115Controllers: 1 in minute 117Controllers: 1 in minute 120Controllers: 1 in minute 12219:3619:4619:5620:0620:1620:2620:3620:4620:5621:0621:1621:2621:36
Utterances per minute, one row per speaker on one clock. shaded = sterile-cockpit window · red = end of recording.
Sterile cockpit · 14 CFR 121.542

Windows: 19:08:06–19:20:32, 21:26:37–21:42:19 · basis: recorder pressure altitude below 10,000 ft. Candidate non-pertinent lines below are a first reading for the investigator, not a finding.

No candidate non-pertinent conversation inside the window.

The Board’s own notations

Delivery and physiological notes the transcribers added in brackets, plus # expletives. 127 words are marked unintelligible (*).

  • sound of single chime21:21:07“[sound of single chime].”
  • sound of single chime21:40:13“[sound of single chime].”
  • electronic voice21:41:16“five hundred [electronic voice].”
  • electronic voice21:41:17“approaching minimums [electronic voice].”
  • electronic voice21:41:23“minimums. [electronic voice].”
  • electronic voice21:41:35“sink rate, sink rate, sink rate, sink rate, sink rate HOT [electronic voice].”
  • electronic voice21:41:42“ten. [electronic voice].”
  • electronic voice21:41:42“sink rate [electronic voice].”
Silences of 45 s or more
Concerns voiced, and what followed

Hedged or questioning lines from one pilot in the critical window, with the other pilot’s next words.

None found in the window.

Warnings and the response
  • 21:20:43[sound of altitude alert].
    → 2 s later: 21:20:45“give them the {{arrival check checklist}}.”
  • 21:31:19[sound of altitude alert].
    → 3 s later: 21:31:22“* thousand, four thousand.”
  • 21:39:06[sound of altitude alert].
    → 1 s later: 21:39:07“okay so climb out five hundred and then ah three thousand runway ah heading ah we understand Biscayne two nine three.”
  • 21:40:04[sound of altitude alert].
    → no crew words within 5 s
  • 21:40:25[sound of autopilot disconnect warning].
    → no crew words within 5 s
  • 21:41:35sink rate, sink rate, sink rate, sink rate, sink rate HOT [electronic voice].
    → 1 s later: 21:41:36“I got it, I got it. DCA19MA143 Cockpit Voice Recorder Factual Report Page 21”
  • 21:41:42sink rate [electronic voice].
    → no crew words within 5 s
Questions between the pilots left unanswered
Standard callouts
Gear downRunway in sightV1 · not in transcriptRotate / Vr · not in transcriptV2 · not in transcriptPositive rate · not in transcriptGear up · not in transcript1,000 ft · not in transcript500 ft · not in transcriptMinimums · not in transcriptGo around · not in transcriptStabilized · not in transcript

“Not in transcript” never means “not said”: a line may be unintelligible, or the recording may not cover that phase.

Language, as counts
Speakerwordsquestionshedgesexclamationsexpletiveschecklistsnon-pertinent lines
Captain228510010
First officer305100000

Read next to the Board’s coded human-factors findings on the case page. The NTSB cautions that a transcript is not a precise science; these are pointers into it, for a trained reader to weigh.

Hover a line to bookmark it or write a note against it — the note keeps the line’s time, speaker and words.

19:36:48◦HOT[intermittent speech in Spanish].p.8
19:39:51CAPA-1[passenger briefing].p.8
20:01:43◦HOT[sounds consistent with SIGMET 24-E 0155].p.8
20:06:25◦HOT[intermittent inaudible speech in Spanish].p.8
20:31:29RDORDO-?[query concerning weather en-route and vectors around weather].p.8
20:33:18CARDO-1[call to Miami OPS requesting weather info].p.8
20:34:23??[latest METAR information relayed to flight wind 120 at DISP 4 knots, visibility 10 statute miles, temperature two six, dewpoint and altimeter information, and remarks CB in the distance south west, west].p.8
20:39:35RDORDO[discussion of weather location and deviations for weather].p.8
20:42:20RDORDO[radio calls pertaining to vectors around weather].p.8
20:43:28FOPA-2[passenger announcement]. DCA19MA143 Cockpit Voice Recorder Factual Report Page 8p.8
20:48:35RDORDO[request for weather deviation].p.9
20:52:28??[inaudible speech in Spanish].p.9
20:54:13RDORDO[deviation requested and granted for weather].p.9
20:58:17RDORDO[flight requested and cleared direct Orlando].p.9
20:58:53??[partially audible speech in Spanish].p.9
21:01:02◦CAM[sounds consistent with approach briefing].p.9
21:01:37RDORDO[contact with center and weather report received including altimeter setting of 29.99 in Hg].p.9
21:08:12??* * closed. attention all aircraft hazardous weather HOT information for the JAX area available on * * or flight service frequencies, advise on initial contact you have information X-ray. Jacksonville international airport ATIS information X-ray, zero zero five six zulu, winds zero one zero at three, visibility one zero, few clouds at one thousand six hundred, seven thousand scattered, ceiling one one thousand broken. visual approach runway two six, and simultaneous approaches to runway two six and three two in use, landing and departing r-p.9
21:08:50◦CAM[sounds consistent with descent and approach checklist]. DCA19MA143 Cockpit Voice Recorder Factual Report Page 9p.9
21:10:31◦CAM[partially audible speech in Spanish].p.10
21:12:24RDORDO[flight directed to squawk 2651].p.10
21:12:56CAMCAM-?* * * *.p.10
21:15:48??[sounds consistent with discussion of arrival CAM-T procedures].p.10
21:18:13CAMCAM-?* * * *.p.10
21:18:58CAMCAM-?* * * *. 2120:36. * * * *. CAM-?p.10
21:20:43◦CAM[sound of altitude alert].p.10
21:20:45CACAM-1give them the {{arrival check checklist}}.p.10
21:20:58FOPA-2ah flight attendant arrival check please.p.10
21:21:07◦CAM[sound of single chime].p.10
21:22:08ATCCTRBiscayne two ninety three contact JAX approach one two four point niner. DCA19MA143 Cockpit Voice Recorder Factual Report Page 10p.10
21:22:13FORDO-2one two four point nine Biscayne ah two nine three good night.p.11
21:22:17HOTHOT-?*.p.11
21:22:18FORDO-2ah JAX approach ah Biscayne two nine three with you ah one three thousand.p.11
21:22:22??Biscayne two nine three JAX approach JAX altimeter two nine APR nine eight expect a R-NAV runway two eight Navy JAX arriving at golf.p.11
21:22:29FORDO-2ah we expect ah runway two eight ah R-NAV ah Biscayne two nine three.p.11
21:22:36◦CAM* * *.p.11
21:22:39??and Biscayne two nine three * * gonna be some ah light to APR moderate, actually (nah) moderate to heavy precipitation on the final of runway two eight.p.11
21:22:46◦CAM* * *.p.11
21:22:49CARDO-1ah what's the winds over there ah * * * we don't have, we don't have the ah, I couldn't pick up the ATIS.p.11
21:22:55APRAPRah standby. DCA19MA143 Cockpit Voice Recorder Factual Report Page 11p.11
21:22:56CAMCAM-?* * *.p.12
21:23:25APRAPRBiscayne two nine three winds er ah (three) five zero at four.p.12
21:23:29CARDO-1ah any chance ah, I think it looks a lot better coming from ah runway one zero.p.12
21:23:34APRAPRah runway one zero I'm showing ahm.p.12
21:23:42??R-NAV for one, one zero I'm showing the ah, I'm showing (ahm APR moderate to heavy) precipitation (is) well, ahm, it’s kinda building on runway one zero as well it's starting at about a five mile final inbound to the airport.p.12
21:23:54CAMCAM-?* * *.p.12
21:23:55CARDO-1alright, ah le-, lets then stick with ah two eight, runway, ah R- NAV two eight Biscayne two ninety three thank you.p.12
21:24:03APRAPR(roger) *.p.12
21:24:21??Biscayne two ninety three fly heading ah, fly present heading APR descend and maintain five thousand.p.12
21:24:26FORDO-2descend and maintain present heading descend and maintain oh five thousand Biscayne two nine three. DCA19MA143 Cockpit Voice Recorder Factual Report Page 12p.12
21:24:29CAMCAM-?* * *.p.13
21:25:45??ah Biscayne two nine three just talked to Navy JAX tower he APR said ahm, both ah both runways look pretty ah, pretty bad, or pretty socked in ahm, showing ah moderate to heavy precipitation east and ah west of the airport, do you want to try to go for R-NAV two eight?p.13
21:26:02CARDO-1ah yes sir, what- whichever looks better and ah then when I get closer I check how it is.p.13
21:26:07??ah yes sir Biscayne two nine three turn right heading zero one APR zero descend and maintain three thousand.p.13
21:26:11CARDO-1* zero one-, eh right zero one zero and ah three thousand.p.13
21:26:17APRAPR*.p.13
21:26:53CAMCAM-?* *.p.13
21:27:05HOTHOT-?* * *.p.13
21:27:19FOCAM-2are you alright?p.13
21:27:55APRAPRand Biscayne two nine three fly heading zero four zero.p.13
21:27:57FORDO-2zero four zero Biscayne two nine three. DCA19MA143 Cockpit Voice Recorder Factual Report Page 13p.13
21:28:16CAMCAM-?* * *.p.14
21:28:24HOTHOT-?* runway two eight *.p.14
21:28:50CAMCAM-?* * *.p.14
21:29:09CACAM-1{{we are doing}} R-NAV?p.14
21:29:11FOCAM-2two eight.p.14
21:29:13CACAM-1(thousand? *) six?p.14
21:30:01??and Biscayne two nine * three ahm as you head northbound APR the ah precip is heading eastbound, you wanna try one, one zero that might be better?p.14
21:30:09CARDO-1I'm sorry which one, ah one zero?p.14
21:30:12APRAPRone zero.p.14
21:30:13CARDO-1yeah go ahead let's do it.p.14
21:30:14??Biscayne two nine three turn left heading zero, turn left ah APR heading two seven zero.p.14
21:30:19FORDO-2left heading two seven zero Biscayne two nine three. DCA19MA143 Cockpit Voice Recorder Factual Report Page 14p.14
21:30:21CACAM-1alright * * runway, hold a second, two seven zero.p.15
21:30:34FOCAM-2zero *.p.15
21:30:37HOTHOT-?* * transition * *.p.15
21:30:38CACAM-1* *.p.15
21:30:48CAMCAM-?* *.p.15
21:30:53APRAPRBiscayne two nine three continue left turn two five zero.p.15
21:30:56FORDO-2left two five zero Biscayne two nine three.p.15
21:31:03CACAM-1* * one zero, right * * *.p.15
21:31:12HOTHOT-?{{* put *}}.p.15
21:31:19◦CAM[sound of altitude alert].p.15
21:31:22FOCAM-2* thousand, four thousand.p.15
21:31:55FOCAM-2* * *.p.15
21:31:56CACAM-1zero nine six, zero nine- * * *. DCA19MA143 Cockpit Voice Recorder Factual Report Page 15p.15
21:33:31APRAPRBiscayne two nine three turn right heading two niner zero.p.16
21:33:34FORDO-2right two nine zero Biscayne two nine three.p.16
21:33:37FOCAM-2two nine zero.p.16
21:33:40CACAM-1two nine zero.p.16
21:35:56APRAPRBiscayne two nine three turn right heading zero one zero.p.16
21:35:58FORDO-2right * * zero one zero Biscayne ah two nine three.p.16
21:36:20CACAM-1flaps 1.p.16
21:36:34CACAM-1flaps 5.p.16
21:36:46CAMCAM-?* * *.p.16
21:37:06??Biscayne two nine three turn right heading zero eight zero join APR the final.p.16
21:37:09CAMCAM-?* * *.p.16
21:37:10FORDO-2zero eight zero join the final Biscayne two nine three. DCA19MA143 Cockpit Voice Recorder Factual Report Page 16p.16
21:37:13CAMCAM-?alright.p.17
21:37:27CACAM-1LNAV.p.17
21:37:28CAMCAM-?*.p.17
21:37:34??Biscayne two ninety three five miles, okay seven miles from APR final approach fix cleared for the R-NAV * runway one zero approach.p.17
21:37:40CAMCAM-?* * *.p.17
21:37:40FORDO-2and we're cleared for the R-NAV one zero approach Biscayne two nine three.p.17
21:37:45HOTHOT-?(cleared for the R-NAV).p.17
21:37:48??Biscayne two nine three contact Navy JAX G-C-A three six APR three point zero.p.17
21:37:52HOTHOT-?* * (contact tower).p.17
21:37:55FORDO-2ah contact tower Biscayne two nine three.p.17
21:37:57??ah yes sir contact ah Navy JAX G-C-A three six three point APR zero. DCA19MA143 Cockpit Voice Recorder Factual Report Page 17p.17
21:38:02CARDO-1ah you have a V-H-F one twenty five fifteen working?p.18
21:38:05APRAPRah standby one second.p.18
21:38:17??Biscayne two nine three contact Navy JAX G-C-A one two APR seven point seven.p.18
21:38:20CAMCAM-?* * *.p.18
21:38:21CARDO-1twenty seven, seven thank you sir.p.18
21:38:31CAMCAM-?* * * zero, R-NAV *. zero.p.18
21:38:32FORDO-2ah JAX ah tower Biscayne two nine three with you R-NAV one zero.p.18
21:38:37??Biscayne two nine three Navy JAX G-C-A altimeter two niner GCA niner niner this will be a R-NAV approach utilizing P-A-R monitoring after landing rollout squawk standby contact Navy JAX tower.p.18
21:38:49FORDO-2yah after landing ah we contact JAX tower Biscayne two nine three.p.18
21:38:53??Biscayne two nine three in event of a missed approach. missed GCA approach procedure is climb to one thousand eight hundred, correction climb to five hundred and then climb to three thousand direct MADEN. DCA19MA143 Cockpit Voice Recorder Factual Report Page 18p.18
21:39:06◦HOT[sound of altitude alert].p.19
21:39:07FORDO-2okay so climb out five hundred and then ah three thousand runway ah heading ah we understand Biscayne two nine three.p.19
21:39:14??Biscayne two nine three be advised the short trip gear is rigged GCA for runway one, one zero.p.19
21:39:21FORDO-2we understand Biscayne two nine three.p.19
21:39:23CARDO-1and that's for the ah first thousand feet, correct?p.19
21:39:28GCAGCAaffirmative Biscayne two nine three.p.19
21:39:30CARDO-1ah roger.p.19
21:39:33GCAGCABiscayne two nine three standby final controller at this time.p.19
21:39:38CAMCAM-?whoa.p.19
21:39:38??Biscayne two nine three (JAX) final controller how do you hear GCA me wheels should be down.p.19
21:39:42RDORDO-?* *.p.19
21:39:42CAMCAM-?* *. DCA19MA143 Cockpit Voice Recorder Factual Report Page 19p.19
21:39:44FORDO-2yeah we got ah loud and clear Biscayne two nine three.p.20
21:39:45CACAM-1gear down flaps fifteen.p.20
21:39:48??runway one, zero winds two four zero at one zero cleared to GCA land.p.20
21:39:48◦CAM[sounds consistent with gear extension].p.20
21:39:48FOCAM-2flaps fifteen.p.20
21:39:52FORDO-2okay one zero (cleared) to land ah Biscayne two nine three.p.20
21:40:01FOPA-2ah flight attendant ah, landing checklist please.p.20
21:40:04◦HOT[sound of altitude alert].p.20
21:40:08GCAGCA* * *.p.20
21:40:13◦CAM[sound of single chime].p.20
21:40:14CACAM-1flaps thirty.p.20
21:40:15GCAGCAyou're well above glidepath. DCA19MA143 Cockpit Voice Recorder Factual Report Page 20p.20
21:40:25◦CAM[sound of autopilot disconnect warning].p.21
21:40:31CACAM-1landing checklist please.p.21
21:40:33FOCAM-2* landing checklist. * * ah. * * * * speedbrakes ah armed, landing gear down three green, flaps thirty.p.21
21:41:09GCAGCAreport field in sight.p.21
21:41:10CACAM-1field in sight. report it.p.21
21:41:12FORDO-2field in sight Biscayne two nine three.p.21
21:41:15GCAGCArog.p.21
21:41:16◦HOTfive hundred [electronic voice].p.21
21:41:17◦HOTapproaching minimums [electronic voice].p.21
21:41:23◦HOTminimums. [electronic voice].p.21
21:41:35??sink rate, sink rate, sink rate, sink rate, sink rate HOT [electronic voice].p.21
21:41:36CACAM-1I got it, I got it. DCA19MA143 Cockpit Voice Recorder Factual Report Page 21p.21
21:41:42◦HOTten. [electronic voice].p.22
21:41:42◦HOTsink rate [electronic voice].p.22
21:41:44◦CAM[sounds consistent with touchdown]p.22
21:41:52CAHOT-1oh.p.22
21:41:52CAMCAM-?*.p.22
21:42:00CAHOT-1oh. * *.p.22
21:42:01CAMCAM-?* * *.p.22
21:42:04CAHOT-1oh we're going *.p.22
21:42:06FOHOT-2oh.p.22
21:42:10◦CAM[sounds consistent with departure from prepared surface]. 2142:19p.22