TCAS Resolution Advisory Maneuver Results in Flight Attendant Injury

Casualties unknown • Snow Hill, VA, US

A flight crew's response to a TCAS resolution advisory resulted in an aircraft maneuver that caused a flight attendant to fall and sustain an injury.

What happened

During the flight, the crew received a traffic advisory (TA) from the Traffic Alert and Collision Avoidance System (TCAS), which was followed by an aural resolution advisory (RA) instructing the crew to "CLIMB, CLIMB." In response, the first officer disconnected the autopilot and began a climb at 1,500 feet per minute. The captain then took control of the aircraft and increased the pitch angle. During this ascent, a flight attendant fell to the floor, resulting in one injury (a broken ankle).

After the TCAS announced "clear of conflict," the captain leveled the aircraft at 30,000 feet before returning controls to the first officer and descending the aircraft back to its assigned altitude of FL 290.

The investigation

An analysis of radar data and air traffic control information showed that the aircraft was climbing at 2,500 feet per minute with an airspeed of 483 knots. The other aircraft involved in the traffic alert, an MD-80, was climbing at 2,000 feet per minute with an airspeed of 433 knots. The minimum separation between the two aircraft was 1,54 nautical miles and 1,500 feet.

A review of the radar data indicated that the maneuver performed by the crew consisted of a 1,000-foot climb followed immediately by a descent back to the assigned altitude. This sequence involved an initial 1.15 G pull-up, a 0.05 G push-over to arrest the climb, and a 1.4 G pull-up to level off. The time between the push-over and the final level-off was approximately 5 seconds.

Findings

According to the operator's Flight Standards Manual, the proper response to a corrective RA is to fly from the red zone into the green zone, a maneuver that should be executed within 5 seconds using approximately a 0.25g maneuver.

Frequently asked questions

What happened in the 2004-07-21 Bombardier CL-600 accident near Snow Hill, VA?

A flight crew's response to a TCAS resolution advisory resulted in an aircraft maneuver that caused a flight attendant to fall and sustain an injury.

What aircraft was involved and where did it happen?

The accident on 2004-07-21 involved a Bombardier CL-600, registration N995CA, at Snow Hill, VA.

What was the probable cause of the accident?

The pilot's excessive maneuvering in response to a TCAS alert, which resulted in a serious injury to the flight attendant.

Investigation report by the U.S. National Transportation Safety Board (NTSB) historical archive. Original record: https://carol.ntsb.gov/event/20040812X01200. This page is a structured re-presentation; facts and quotes are in the National Transportation Safety Board (NTSB), United States.

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