DCA24LA316
2024-09-19 · Dunnigan, California, United States · Serious · 1 aircraft · Status: Completed
Current FAA registration · N12125
- Make / Model
- BOEING 757-224
- Year of manufacture
- 1998 · 26 years old at event
- Engine
- ROLLS-ROYC RB-211 SERIES
- Seats / Engines
- 178 seats · 2 engines
- Last airworthiness date
- 19980130
- ADS-B equipped
- Yes — Mode-S A05A25
Source: FAA Aircraft Registry (releasable master file).
Aircraft involved
Probable cause & findings
The abrupt pitch control input by the flight crew in response to a TCAS resolution advisory resulted in two serious passenger injuries.
Factual narrative
United Airlines (UA) flight 2428 received a traffic alert and collision avoidance system (TCAS) resolution advisory (RA) while descending to flight level FL310 when enroute to San Francisco International Airport (SFO), San Francisco, California. Two passengers were seriously injured, and two cabin crewmembers sustained minor injuries as a result of the aircraft response to the TCAS alert. The flight was a regularly scheduled domestic passenger flight from Newark Liberty International Airport (EWR), Newark, New Jersey to SFO. UA2428 was instructed by air traffic control to descend and maintain FL310 for their arrival into SFO. About 500 ft above level off at FL310, the crew received a TCAS traffic alert “traffic, traffic” for an aircraft crossing 1,500 feet below to which, the first officer, as pilot flying, reduced vertical speed on the mode control panel in response. A TCAS RA then immediately annunciated for the same traffic. The pilot flying responded by disengaging the autopilot and auto throttle and pitched the aircraft up following the pitch guidance on the primary flight display. Flight data show pitch increased by about 3° over 1 second and the aircraft descent arrested. Vertical acceleration ranged from 2.3 to 0.6 (g) over 2 seconds during the maneuver. The seatbelt sign had been turned on in the cabin shortly prior to the TCAS annunciation, however passengers still remained in the lavatories at the time of the maneuver. Two flight attendants were in the forward galley cleaning in preparation for the initial descent announcement. These two flight attendants fell to the floor during the maneuver and sustained minor injuries. There were two passengers in the aft lavatories at the time of the maneuver. One passenger flew upwards and landed forward fracturing the L2 spinal vertebrae. The other passenger was exiting the lavatory when he flew upwards and landed on his leg resulting in a fractured ankle. Following the event, the aircraft landed uneventfully. Paramedics met the aircraft at the gate and transported the passengers to the hospital for treatment. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
FAA avdata. C = Cause, F = Factor.
- — Environmental issues-Physical environment-Object/animal/substance-Aircraft-Effect on equipment
- — Environmental issues-Physical environment-Object/animal/substance-Aircraft-Effect on personnel
Verbatim from NTSB's published report. Source file
NTSB_2024_DCA24LA316.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
Search this event elsewhere
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Related research
Matched on aircraft type or causal vocabulary (autopilot). All research papers
- arXiv 2025 · arXiv preprint ROSflight 2.0: Lean ROS 2-Based Autopilot for Unmanned Aerial Vehicles
ROSflight is a lean, open-source autopilot ecosystem for unmanned aerial vehicles (UAVs). Designed by researchers for researchers, it is built to lower the barrier to entry to UAV research and acceler…
- arXiv 2025 · arXiv preprint ROSplane 2.0: A Fixed-Wing Autopilot for Research
Unmanned aerial vehicle (UAV) research requires the integration of cutting-edge technology into existing autopilot frameworks.
- arXiv 2024 · arXiv preprint A Data-Driven Autopilot for Fixed-Wing Aircraft Based on Model Predictive Control
Autopilots for fixed-wing aircraft are typically designed based on linearized aerodynamic models consisting of stability and control derivatives obtained from wind-tunnel testing.
- arXiv 2022 · arXiv preprint Experimental Flight Testing of a Fault-Tolerant Adaptive Autopilot for Fixed-Wing Aircraft
This paper presents an adaptive autopilot for fixed-wing aircraft and compares its performance with a fixed-gain autopilot.
- arXiv 2021 · arXiv preprint An Adaptive Digital Autopilot for Fixed-Wing Aircraft with Actuator Faults
This paper develops an adaptive digital autopilot for a fixed-wing aircraft and compares its performance with a fixed-gain autopilot.
- arXiv 2026 · arXiv preprint Robust Adaptive Sliding-Mode Control for Damaged Fixed-Wing UAVs
Many unmanned aerial vehicles (UAVs) can remain aerodynamically flyable after sustaining structural or control surface damage, yet insufficient robustness in conventional autopilots often leads to mis…