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Cases › DCA23FA428 · Part 121 airline · Class 3

AIRBUS SAS A350-941Delta Air Lines

Atlanta, GA, USA · 2023-08-29·N576DZ

0
fatal
4
serious
Serious injury
highest injury
Minor
damage

What happened

NTSB summary, verbatim

Two passengers and two flight attendants received serious injuries aboard Delta Air Lines flight 175 when it encountered turbulence during descent into Hartsfield-Jackson Atlanta International Airport (ATL), Atlanta, Georgia. The flight was an international scheduled passenger flight operated as a Title 14 Code of Federal Regulation Part 121 from Milan Malpensa Airport (MXP), Ferno, Italy to ATL. The flight crew’s performance leading up to the turbulence encounter was consistent with standard practices. The investigation evaluated the potential for crew awareness of the rapidly building cell where the flight encountered severe turbulence. The flight crew was aware and monitoring the general convective weather in the area and showed intention to deviate around other potential convective cells. However, the rapid development of cloud buildup that caused this turbulence event and the lack of precipitation associated with it, meant that the risk of turbulence was not apparent on aircraft weather radar nor on air traffic control scopes. In anticipation of another convective cell a few minutes further down their route, the crew took steps to advise the flight attendants to secure the cabin early and the seat belt sign was illuminated. Unfortunately, the timing of the unexpected turbulence meant that cabin crew were not seated during the event, resulting in multiple injuries. The investigation evaluated whether existing technology would have been sufficient to give the crew advance warning of the rapidly building cell. The Graphic Turbulence Guidance Nowcast (GTGN) or “Turbulence Nowcast” provides a computer-generated four-dimensional forecast related to the expected intensity of atmospheric turbulence in convection provided in eddy dissipation rate (EDR) as based on estimated vertical wind velocity or aircraft vertical acceleration to provide aircraft specific turbulence intensity values. While the accident aircraft did not have this capability, a Southwest Airlines flight immediately behind the accident flight on the route had in-situ capability and reported severe turbulence in the location where the turbulence event occurred. The GTGN can provide nowcasts corresponding to observed severity in near real time and could have alerted the flight crew earlier to secure the cabin.

Photographs

1the aircraft, and what the investigators found
The aircraft before the accident
N576DZ @ AMS, 2023-08-07
Anna Zvereva · CC BY-SA 2.0 · Wikimedia Commons

Probable cause

the Board's determination
The flight crew’s unintentional encounter with rapidly developing cumulus clouds which resulted in an encounter with severe convectively induced turbulence.

Occurrence sequence

1 stepsNTSB coding · CICTT taxonomy
  1. 1 · Approach
    Turbulence encounter
    defining event

Findings

1 causal · 0 contributing
  • CAUSE
    Environmental issues › Conditions/weather/phenomena › Convective weather — Effect on personnel

Sequence of events

5 timed eventsfrom the FDR factual report · claude-sonnet-5
  1. ~1300 UTCDeparturep.5
    Aircraft departed shortly after 1300 UTC
  2. cruise (~9 hours)Cruisep.5
    Aircraft climbed to cruise altitude; cruise portion of flight lasted approximately 9 hours; autopilot engaged shortly after departure and remained on until final approach
  3. 2231:15 UTCDescentp.5
    During descent, as aircraft passed through pressure altitude of about 15,100 ft and computed airspeed of 312 kts, aircraft experienced a period of severe turbulence
  4. 2231:15 UTC (within <1 second)Descent - turbulence encounterp.5
    Aircraft experienced vertical accelerations ranging from +1.69g to -0.97g and recorded vertical speeds from +3,000 fpm to -10,600 fpm; peak values likely not captured due to sampling rate; aircraft experienced perturbations in pitch, roll, yaw, and airspeed
  5. 2248:06 UTCLandingp.5
    Aircraft landed

NTSB analysis

from the final report

Two passengers and two flight attendants received serious injuries aboard Delta Air Lines flight 175 when it encountered turbulence during descent into Hartsfield-Jackson Atlanta International Airport (ATL), Atlanta, Georgia. The flight was an international scheduled passenger flight operated as a Title 14 Code of Federal Regulation Part 121 from Milan Malpensa Airport (MXP), Ferno, Italy to ATL. The flight crew’s performance leading up to the turbulence encounter was consistent with standard practices. The investigation evaluated the potential for crew awareness of the rapidly building cell where the flight encountered severe turbulence. The flight crew was aware and monitoring the general convective weather in the area and showed intention to deviate around other potential convective cells. However, the rapid development of cloud buildup that caused this turbulence event and the lack of precipitation associated with it, meant that the risk of turbulence was not apparent on aircraft weather radar nor on air traffic control scopes. In anticipation of another convective cell a few minutes further down their route, the crew took steps to advise the flight attendants to secure the cabin early and the seat belt sign was illuminated. Unfortunately, the timing of the unexpected turbulence meant that cabin crew were not seated during the event, resulting in multiple injuries. The investigation evaluated whether existing technology would have been sufficient to give the crew advance warning of the rapidly building cell. The Graphic Turbulence Guidance Nowcast (GTGN) or “Turbulence Nowcast” provides a computer-generated four-dimensional forecast related to the expected intensity of atmospheric turbulence in convection provided in eddy dissipation rate (EDR) as based on estimated vertical wind velocity or aircraft vertical acceleration to provide aircraft specific turbulence intensity values. While the accident aircraft did not have this capability, a Southwest Airlines flight immediately behind the accident flight on the route had in-situ capability and reported severe turbulence in the location where the turbulence event occurred. The GTGN can provide nowcasts corresponding to observed severity in near real time and could have alerted the flight crew earlier to secure the cabin.