Pilot Debrief

MCDONNELL DOUGLAS DC10 near Pacific Ocean — 2008-05-19

Final reportDCA08FA062
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Date
2008-05-19
Location
Pacific Ocean, USA
Aircraft
MCDONNELL DOUGLAS DC10
Registration
N720AX
Category
Airplane
Highest injury
Serious
Fatalities
0
Phase of flight
Cruise

Probable cause

An inadvertent in-flight encounter with unforecasted clear air turbulence

NTSB narrative

The captain stated that the ride had been smooth at their cruise altitude of 36,000 feet, and the seatbelt sign was off. He further stated that there was some thunderstorm activity, and some towering cumulus in the area, and that the airplane’s radar indicated the presence of a cell about 30 miles south of the airplane’s position, with tops that reached about 28,000 to 30,000 feet. He said they encountered an area of higher clouds, but the radar still did not indicate any activity, and within a few seconds they felt an initial bump, followed by "moderate" turbulence. He said he then turned the seatbelt sign on, and a short while later he was notified that there were some injured passengers and flight attendants. The NTSB’s Recorder Laboratory, Washington DC, read out the DFDR, and the data indicated that at 13:27:22 FDR Recorded GMT, at a pressure altitude of 36,000 feet, the vertical acceleration changed from 0.9 g’s to 1.8 g’s to -0.5 g’s to 1.7 g’s and then back to 0.9 g’s all within 3 seconds, consistent with clear air turbulence. See the NTSB DFDR Factual Report. In addition the NTSB conducted a meteorological study, using data to include synoptic, upper air, and satellite data. See the NTSB Meteorological Factual Report.

Analysis

Primary failure mode
Environmental
First missed decision gate
Turning on the seatbelt sign earlier could have prevented injuries.

NTSB coding

Evidence available

  • FDR / data
  • 5 docket documents
View NTSB final reportView NTSB docket

Docket documents5

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