Incident Overview

Date: Sunday 15 December 2019
Aircraft Type: Embraer EMB-145LR
Owner/operator: Piedmont Airlines, opf American Eagle
Registration Number: N648AE
Location: Philadelphia, Pennsylvania – ÿ United States of America
Phase of Flight: En route
Casualties: Fatalities: 0 / Occupants: 41
Component Affected: Autopilot SystemAutopilot System
Investigating Agency: NTSBNTSB
Category: Accident
On December 15, 2019, a Piedmont Airlines flight 4797 experienced moderate turbulence while approaching Philadelphia International Airport (KPHL) due to a cloud layer below the aircraft. The captain initiated a rapid descent to 1,300 fpm to navigate the cloud layer, inadvertently activating the autopilot disconnect button instead of the Touch Control Steering (TCS) button. This action resulted in the aircraft encountering moderate turbulence and icing conditions. The flight attendant was injured while conducting pre-landing compliance checks in the cabin. The turbulence lasted approximately 25-30 seconds.On December 15, 2019, a Piedmont Airlines flight 4797 experienced moderate turbulence while approaching Philadelphia International Airport (KPHL) due to a cloud layer below the aircraft. The captain initiated a rapid descent to 1,300 fpm to navigate the cloud layer, inadvertently activating the autopilot disconnect button instead of the Touch Control Steering (TCS) button. This action resulted in the aircraft encountering moderate turbulence and icing conditions. The flight attendant was injured while conducting pre-landing compliance checks in the cabin. The turbulence lasted approximately 25-30 seconds.

Description

On December 15, 2019, about 0627 eastern standard time, Piedmont Airlines flight 4797, an Embraer EMB-145LR, N648AE, encountered turbulence while on approach to land at Philadelphia International Airport (KPHL), Philadelphia, Pennsylvania. Of the 38 passengers and 3 crew members onboard, the flight attendant was seriously injured. The airplane was not damaged. The regularly scheduled domestic passenger flight was operating under the provisions of 14 Code of Federal Regulations Part 121 from Columbia Metropolitan Airport (KCAE), Columbia, South Carolina. The captain was the pilot flying, and the first officer was monitoring. As the flight approached KPHL, the first officer made a public address announcement to the flight attendant to prepare the cabin for arrival. While descending through about 10,000 feet for the visual approach to runway 35, the crew noted a cloud layer below them and, in order to transit the cloud layer quickly, the captain increased the descent from about 1,000 feet per minute (fpm) to about 1,300 fpm. When the airplane entered the cloud layer at about 7,000 feet, it encountered moderate turbulence along with icing conditions. The captain stated that to prevent an overspeed and mitigate turbulence effects, he immediately reduced the thrust to idle and inadvertently pressed the autopilot disconnect button instead of the Touch Control Steering (TCS) button, which he had intended to activate in order to manually raise the airplanes nose. He stated he maintained control of the airplane, eased the nose up to level flight, and immediately reengaged the autopilot. The crew stated the turbulence lasted about 25 to 30 seconds. At the time of the turbulence encounter, the flight attendant (FA) was in the aisle conducting her before landing compliance checks. She was at the rear of the cabin turning around when she was thrown to the floor, injuring her ankle. Medically qualified passengers assisted the FA with the injury and another passenger manned the FA’s jumpseat during landing. Emergency medical personnel met the airplane at the gate and transported the FA to the local hospital where she was diagnosed with a fractured ankle. Probable Cause: An inadvertent encounter with convective turbulence.

Primary Cause

Inadvertent activation of the autopilot disconnect button during descent due to the cloud layer, leading to a rapid and uncontrolled descent and subsequent turbulence.Inadvertent activation of the autopilot disconnect button during descent due to the cloud layer, leading to a rapid and uncontrolled descent and subsequent turbulence.

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