Aircraft Accident/Incident Report

Snow Hill, Virginia 23337
Wednesday, July 21, 2004 8:15 EDT

NTSB Narrative Summary Released at Completion of Accident

The flight crew received a traffic advisory (TA) alert from the Traffic Alert and Collision Avoidance System (TCAS), followed shortly by an aural resolution advisory (RA) warning to "CLIMB, CLIMB." The first officer (FO) then disconnected the autopilot and initiated a climb, at a rate of ascent of 1,500 feet per minute. The captain then announced he was taking the controls and proceeded to pitch the airplane at a greater angle. As the airplane ascended, the flight attendant fell to the floor and broke her ankle. Once the TCAS announced, "clear of conflict," the captain leveled the airplane at 30,000 feet. He then returned the controls to the FO, and the airplane was descended back to an assigned altitude of FL 290. A review of radar data and air traffic control information, revealed that the accident airplane was climbing at a rate of 2,500 feet per minute and an airspeed of 483 knots. The airplane which caused the traffic alert for the accident airplane was an MD-80, which was climbing at 2,000 feet per minute, and an airspeed of 433 knots. The closest proximity between the two aircraft was 1.54 nautical miles, and 1,500 feet. According to the operator's Flight Standards Manual, "the correct response to a corrective RA is to fly from the red zone into the green zone. This maneuver requires a response within 5 seconds of the advisory using approximately a 0.25g maneuver". A performance review of the radar data revealed the flight crew's maneuver in response to the TCAS alert included a 1,000-foot climb, followed immediately by a descent back to the airplaneā€™s assigned altitude. The maneuver described by the radar data could be performed using an initial 1.15 G pull-up to start the climb, followed by a 0.05 push-over to arrest the climb and start the descent, followed by a 1.4 G pull-up to level the airplane at the assigned altitude. In this sequence, the time between the 0.05 G push-over and the 1.4 G level-off was about 5 seconds.

NTSB Probable Cause Narrative

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

Event Information

Type of Event Accident
Event Date 7/21/2004
Event Day of the Week Wednesday
Time of Event 815
Event Time Zone Eastern Daylight Time
Event City Snow Hill
Event State VIRGINIA
Event Country --
Zipcode of the event site 23337
Event Date Year 2004
Event Date Month 7
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 380323N
Event Location Longitude 0752750W
Event Location Airport --
Event Location Nearest Airport ID --
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 754 Eastern Daylight Time
Direction of event from weather observation facility (degrees) 180
Weather Observation Facility ID WAL
Elevation of weather observation facility 40
Distance of event from weather observation facility (units?) 7
Time Zone of the weather observation EDT
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 4
Air Temperature at event time (in degrees celsius) 27
Dew Point at event time (in degress fahrenheit) 20
Wind Direction (degrees magnetic) 350
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 5
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Serious
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor --
Injury Total None 4
Injury Total Serious 1
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 19404
NTSB Notification Source Eastern Region Ops Center
NTSB Notification Date Jul 21 2004 12:00AM
NTSB Notification Time 1115
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Mar 28 2006 1:55PM
User who most recently changed record NTSB\JOHB
Basic weather conditions Visual Meteorological Cond
FAA District Office Garden City FSDO

Aircraft Involved

Aircraft #1

Aircraft Registration Number N995CA
NTSB Number NYC04LA174
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 121: Air Carrier
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage None
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Bombardier
Aircraft Model CL-600
Aircraft Series Identifier --
Aircraft Serial Number 7229
Certified Max Gross Weight 53000
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 53
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Jul 1 2004 12:00AM
Airframe hours since last inspection --
Airframe Hours 15817
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name COMAIR INC
Aircraft Owner Street Address 77 Comair Blvd
Aircraft Owner City Erlanger
Aircraft Owner State KY
Aircraft Owner Country USA
Aircraft Owner Zipcode 41018
Operator is an individual? No
Operator Name --
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City --
Operator State --
Operator Country --
Operator Zip code --
Operator Code COMA
Owner has at least one certificate --
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation --
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not Scheduled
Indicates Domestic or International Flight Domestic
Operator carrying Pax/Cargo/Mail Passenger Only
Type of Flying (Per_Bus / Primary) --
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code CHS
Departure City CHARLESTON
Departure State SC
Departure Country USA
Departure Time 630
Departure Time Zone EDT
Destination Same as Local Flt --
Destination Airport Code JFK
Destination City NEW YORK
Destination State NY
Destination Country USA
Specific Phase of Flight Climb
Report sent to ICAO? No
Evacuation occurred No
Date of most recent change to record Jan 11 2006 12:34PM
User who most recently changed record MUZD
Since inspection or accident Time of Accident
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --