Incident Overview

Date: Monday 28 June 2004
Aircraft Type: Boeing 777-212ER
Owner/operator: Singapore Airlines Limited
Registration Number: 9V-SRC
Location: Near Waypoint ARESI (L625) – ÿ Pacific Ocean
Phase of Flight: En route
Casualties: Fatalities: 0 / Occupants: 225
Component Affected: Fasten seat belt switchFasten seat belt switch
Investigating Agency: AAIB SingaporeAAIB Singapore
Category: Accident
An aircraft experienced moderate to severe turbulence over the South China Sea, resulting in a seriously injured cabin attendant. The PIC cycled the fasten seat belt switch too quickly, generating only one chime. The cabin crew, interpreting this as a precautionary measure, ceased cabin service and activated seat belt signs based on the chime count. This approach is inadequate due to the potential for the number of chimes to be influenced by the speed of the switch cycle.An aircraft experienced moderate to severe turbulence over the South China Sea, resulting in a seriously injured cabin attendant. The PIC cycled the fasten seat belt switch too quickly, generating only one chime. The cabin crew, interpreting this as a precautionary measure, ceased cabin service and activated seat belt signs based on the chime count. This approach is inadequate due to the potential for the number of chimes to be influenced by the speed of the switch cycle.

Description

Aircraft encountered moderate to severe turbulence over the South China Sea. A cabin attendant was seriously injured (with fractured wrists). CONCLUSIONS – The PIC could have cycled the fasten seat belt switch too quickly which resulted in only one chime being generated in the cabin. Since he did not make an announcement and with only one chime generated in the cabin, the cabin crew thought that the switching on of the seat belt signs was only for an impending light turbulence or a precautionary measure and reacted accordingly. – The system of using the number of chimes generated by cycling the fasten seat belt switch to advise the cabin crew to cease cabin service and be seated is not robust as the number of chimes may depend on how fast the switch is being operated. – The information in the operator?s crew procedures regarding turbulence could be better organised. However, this is not a factor in the occurrence.

Primary Cause

PIC cycling the fasten seat belt switch too quickly.PIC cycling the fasten seat belt switch too quickly.

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