LEVEL 3 Final report

Based on the investigation authority's final report.

Date
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Occurrence
Severe turbulence in cruise
Location
Southwest Myanmar, about 30nm beyond waypoint PTN
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Operator
Singapore Airlines, scheduled passenger flight
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Aircraft
Boeing B777-300ER
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Registration
9V-SWM
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Route
London Heathrow to Singapore; diverted to Bangkok Suvarnabhumi
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People aboard
229: 211 passengers and 18 crew
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Fatalities
1 passenger; certified cause of death was heart failure and lung edema
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Survivors
228 of the 229 people aboard
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Topics
Severe convective turbulence, Intermittent weather radar returns, Limits of ground radar tests, Seat belts during cruise

This photograph is cropped for the banner. See the full photograph, credit, licence and what it shows.

Photographs and geographic context

Singapore Airlines Boeing 777 9V-SWM in Star Alliance colours approaching Beijing Capital Airport.

9V-SWM approaching Beijing Capital Airport on 1 March 2020.

Photo: N509FZ, CC BY-SA 4.0

Image info

The aircraft involved, photographed more than four years before the turbulence event.

Image source

Resized copies for display; original framing retained.

Geographic context

Geographical orientation for Singapore Airlines 321London Heathrow, departure; Southwest Myanmar, approximate turbulence location; Bangkok Suvarnabhumi, diversion landing; Singapore, planned destination. The encounter was about 30nm beyond PTN over Southwest Myanmar. The occurrence-area diagrams support an approximate marker. Airport markers provide geographic orientation.1234NORTH UP / SCHEMATIC / NOT A RECORDED FLIGHT TRACK
  1. London Heathrow, departure
  2. Southwest Myanmar, approximate turbulence location
  3. Bangkok Suvarnabhumi, diversion landing
  4. Singapore, planned destination
The encounter was about 30nm beyond PTN over Southwest Myanmar. The occurrence-area diagrams support an approximate marker. Airport markers provide geographic orientation. Basemap: Natural Earth, public domain.
Read supporting evidence

What happened

At 37,000ft over Southwest Myanmar, rapidly changing vertical air movements caused severe acceleration changes. The crew stabilised the aircraft and diverted to Bangkok after learning of multiple cabin injuries.

Read the full incident Follow what happened, from the flight to the investigation findings.

What investigators concluded

TSIB found severe convectively induced turbulence. It considered intermittent missing or weak weather radar returns possible and identified limits in the prescribed maintenance test.

Evidence behind this explanation
B777-300ER, 9V-SWM: Turbulence Event over Myanmar, 21 May 20241.1.13 to 1.1.16 Turbulence encounter | Printed page 7 | PDF page 14Find this passage in evidence search

Turbulence over Southwest Myanmar

1,508 words / about 7 minutes to read. Based on the investigation records cited below.

A smooth flight toward Myanmar

Singapore Airlines 321 left London Heathrow at about 21:38 UTC on 20 May 2024 for Singapore. The Boeing B777-300ER, registered 9V-SWM, carried 211 passengers, three flight crew and 15 cabin crew. Before departure, the pilot-in-command briefed the in-flight manager that weather could be expected nearer Singapore. The forecast package included occasional cumulonimbus and isolated embedded cumulonimbus between southern Myanmar and Singapore. The flight remained smooth through departure, climb and cruise until the Yangon Flight Information Region.

At about 07:30 on 21 May, the aircraft was approaching Southwest Myanmar at 37,000ft. The pilot-in-command occupied the left seat and was flying; an augmenting captain in the right seat monitored the flight. The senior first officer was resting behind the cockpit. Passengers were being awakened and cabin crew were preparing breakfast. The pilots reported that the immediate flight path looked clear, with cirrus visible in the distance, and that their navigation displays showed no weather returns.

Sources for this section

The radar display and a route change

The aircraft had two selectable weather radar systems sharing an antenna. The right system was selected for the inbound flight, following the operator's policy. The captain used manual mode, selecting a weather slice at 33,000ft and maximum gain. The right-seat pilot used automatic mode with calibrated gain. The pilots reported no radar fault or failure indications. The equipment manufacturer recommended automatic mode and calibrated gain for normal use.

At 07:44:52, approaching waypoint PTN, the crew asked Yangon air traffic control for a direct route to EKAVO and cited weather. They later explained that they had no weather concern at that point and used that reason to improve the prospect of approval. ATC instead offered a direct route to DWI, which they accepted. Both pilots briefly expanded their display ranges for route planning. The right-seat pilot subsequently reduced his range through 320nm and 160nm to 40nm. He reported no weather returns during those adjustments; the voice recorder captured no discussion of weather between the two pilots.

Sources for this section
B777-300ER, 9V-SWM: Turbulence Event over Myanmar, 21 May 20241.1.9 to 1.1.12 Navigation display ranges and turbulence onset | Printed page 6 | PDF page 13Find this passage in evidence search

Seventeen seconds into the encounter

At 07:49:23, while cruising at Mach 0.84, the aircraft began encountering turbulence. Over the following 17 seconds, recorded vertical acceleration varied between +0.44G and +1.57G. The augmenting pilot saw airspeed increasing toward the overspeed range, alerted the captain and deployed the speed brakes. The captain selected Mach 0.82, the prescribed turbulence penetration speed, switched on the fasten-seat-belt sign and called for belts to be fastened. There was insufficient time for a public-address announcement.

As altitude increased, the autopilot progressively commanded a nose-down attitude to regain the selected 37,000ft. The aircraft continued rising and reached 37,362ft. At 07:49:40, about 30nm beyond PTN, vertical acceleration fell from +1.35G to -1.5G in 0.6 seconds. It then rose from -1.5G to +1.5G over the next four seconds. Those changes could lift an unbelted occupant into the air and bring that person down again. The stick shaker activated momentarily. The crew made manual control inputs, disengaging the autopilot, and controlled the aircraft manually for 21 seconds before reengaging it at 07:50:05. TSIB assessed their response as understandable and appropriate.

Sources for this section
B777-300ER, 9V-SWM: Turbulence Event over Myanmar, 21 May 20241.1.9 to 1.1.12 Navigation display ranges and turbulence onset | Printed page 6 | PDF page 13Find this passage in evidence search
B777-300ER, 9V-SWM: Turbulence Event over Myanmar, 21 May 20241.1.13 to 1.1.16 Turbulence encounter | Printed page 7 | PDF page 14Find this passage in evidence search

Injuries in the cabin and a diversion

Cabin crew informed the pilots of multiple injuries. The senior first officer, awakened by the turbulence, returned toward the cockpit and saw toppled service carts, broken service wares and an injured cabin crew member receiving help. At about 07:55, the crew reported severe turbulence to Yangon ATC and asked about reports from other aircraft at their altitude. ATC had received none from aircraft in the vicinity. At about 08:01 the pilots declared Mayday and requested a diversion to Bangkok Suvarnabhumi. Two minutes later they informed the airline by an aircraft communications message.

The senior first officer took over monitoring duties from the augmenting captain, who helped assess the cabin and coordinate preparations. One passenger was unconscious and receiving cardiopulmonary resuscitation. Cabin crew and passengers helped injured people back into seats where possible. Those with injuries that prevented movement were cushioned with blankets and pillows and held securely by people seated beside them for landing. The in-flight manager confirmed that crew capable of carrying out safety duties could man all cabin doors. The aircraft landed at about 08:45 and reached its parking bay at about 08:50, where medical personnel treated the injured and arranged hospital transport.

Sources for this section
B777-300ER, 9V-SWM: Turbulence Event over Myanmar, 21 May 20241.1.24 to 1.1.28 Cabin response and landing | Printed page 9 | PDF page 16Find this passage in evidence search

The medical and physical evidence

The final report's injury table records one passenger fatality, 56 serious injuries and 23 minor injuries. Five cabin crew and 51 passengers were seriously injured; one cabin crew member and 22 passengers had minor injuries. Another 149 people were uninjured. Injuries mainly involved the head, neck and spine, including fractures, compression injuries, lacerations and dislocations. Thai Police performed an autopsy, and their official certificate gave heart failure and lung edema as the passenger's cause of death.

The cabin had broken ceiling panels, dislodged passenger service units, punctured overhead bins, damaged seat-back reclining mechanisms, cracked sidewalls and broken lights. Inspections found no evidence of pre-existing defects in cockpit or cabin seat structures, and the seat belts were in working condition. A separate test in Bangkok found the fasten-seat-belt sign system operating normally. Myanmar delegated the investigation to Singapore's Transport Safety Investigation Bureau, which classified the occurrence as an accident.

Sources for this section

A cloud growing through the cruising altitude

Investigators compared satellite imagery, Yangon ground radar information and observations from four other flight crews in Myanmar airspace. Those crews saw widespread clouds and used their radar systems to divert around weather cells. They experienced light to moderate turbulence. Their aircraft flew different tracks and altitudes from 9V-SWM, so their observations described conditions in the surrounding region. TSIB could not determine why the occurrence crew had not seen the widespread clouds.

Satellite analysis identified a rapidly developing convective cloud at the encounter location. Its top rose from about 27,500ft at 07:40 to about 40,000ft at 07:50, growing through the aircraft's cruising altitude. TSIB considered the turbulence likely to have resulted from the strong vertical movements associated with this growth. The operator estimated an updraft of about 8,000 to 9,000ft/min; an independent Boeing calculation estimated maximum vertical winds of about 9,000ft/min. TSIB identified severe convectively induced turbulence and excluded clear air and mechanical turbulence as factors.

Sources for this section
B777-300ER, 9V-SWM: Turbulence Event over Myanmar, 21 May 20241.6.3 Weather observations by other flight crews | Printed page 21 | PDF page 28Find this passage in evidence search

Earlier reports of missing weather returns

Maintenance records showed two reports of weak returns from the aircraft's right radar on 29 April and 1 May 2024. A further report on 15 May described no returns despite convective clouds being visible outside. On that flight, switching to the left radar brought weather returns onto the displays. No radar fault messages accompanied those three events. After each report, the system passed the prescribed maintenance test. The three reports fell outside the operator's trigger for additional attention to a defect recurring three times within ten days.

TSIB considered the occurrence pilots' description of blank weather displays credible, supported by the recorded absence of weather discussion and the captain's surprise after the encounter. Returns reappeared during the diversion after descent below 31,000ft. A ferry crew later observed weaker returns from the right radar than from the left. The equipment manufacturer disputed that comparison because photographs were taken one minute after switching systems, before the specified five-minute cycle had elapsed. The crew said the display remained similar after five minutes. TSIB considered the observations together with the maintenance history to support concern about intermittent radar performance.

Sources for this section
B777-300ER, 9V-SWM: Turbulence Event over Myanmar, 21 May 20241.5.3 Weather radar maintenance records | Printed page 18 | PDF page 25Find this passage in evidence search
B777-300ER, 9V-SWM: Turbulence Event over Myanmar, 21 May 20241.5.3.3 Previous no-painting report | Printed page 18 | PDF page 25Find this passage in evidence search
B777-300ER, 9V-SWM: Turbulence Event over Myanmar, 21 May 20241.1.26 Weather radar returns during descent | Printed page 9 | PDF page 16Find this passage in evidence search

Tests left an intermittent problem unresolved

Investigators sent the radar components for extensive examination. The equipment manufacturer assessed the reconstructed system's performance as within limits and found no hardware defect explaining the reported missing weather. TSIB questioned differences in test returns, including weaker returns directly ahead and stronger returns to the side. Cold-temperature testing produced erratic antenna scanning under some conditions, while testing across estimated occurrence-flight temperatures passed. Control-panel tests intermittently showed a variable-gain indication with the knob at its calibrated position; the panel subsequently passed another test without adjustment. Transceiver stress tests and visual inspection found no defective diodes.

The equipment manufacturer concluded that the tests provided no evidence of inaccurate weather detection or display during the occurrence flight. TSIB concluded that intermittent missing or weak returns remained possible. It found that the maintenance manual's ground test checked system integrity but could neither reproduce the in-flight environment nor identify the faults behind those display problems. Existing equipment also lacked a recording of the radar images shown to the pilots. Investigators therefore could not examine the displayed weather directly.

Sources for this section
B777-300ER, 9V-SWM: Turbulence Event over Myanmar, 21 May 20241.10.2.9 to 1.10.2.10 Temperature tests | Printed page 31 | PDF page 38Find this passage in evidence search
B777-300ER, 9V-SWM: Turbulence Event over Myanmar, 21 May 20241.10.2.11 to 1.10.2.12 Control panel tests | Printed page 32 | PDF page 39Find this passage in evidence search
B777-300ER, 9V-SWM: Turbulence Event over Myanmar, 21 May 20241.10.2.13 to 1.10.2.15 Transceiver tests | Printed page 32 | PDF page 39Find this passage in evidence search
B777-300ER, 9V-SWM: Turbulence Event over Myanmar, 21 May 20242.6 Troubleshooting weather radar defects | Printed page 39 | PDF page 46Find this passage in evidence search
B777-300ER, 9V-SWM: Turbulence Event over Myanmar, 21 May 20242.8 Weather information recordings | Printed page 40 | PDF page 47Find this passage in evidence search

Training, reporting and four recommendations

The final report, issued on 18 May 2026, recorded changes made by Singapore Airlines. These included turbulence information on crew tablets, additional forecasting information for rapidly developing cumulus areas and the SkyPath application. Weather radar refresher training ran from July to December 2024. The airline added turbulence learning materials and cabin crew training, strengthened seat-belt reminders and issued guidance on identifying and troubleshooting radar display problems. It also began sending reports of missing or weak returns to Boeing and the radar equipment manufacturer.

TSIB made four recommendations: Boeing should develop guidance for crews to detect and respond to missing or weak weather returns, and improve maintenance guidance for identifying those problems. The radar manufacturer should develop a way to record displayed weather images. ICAO should extend flight crew-machine interface recording requirements to older aircraft types in the specified large-aircraft category. TSIB also stressed keeping seat belts fastened while seated, even when the sign is off, because turbulence can arrive suddenly.

Sources for this section
B777-300ER, 9V-SWM: Turbulence Event over Myanmar, 21 May 20245.3 and 5.4 Safety recommendations | Printed page 46 | PDF page 53Find this passage in evidence search

Return to the short summary / Source status and limitations

How the sequence developed

Follow the main stages, then open the evidence beneath each step.

  1. Rapid convective growth

    A cloud top rose from about 27,500ft to 40,000ft in ten minutes, with strong vertical air movements near the flight path.

    Read supporting evidence
  2. Severe acceleration changes

    Vertical acceleration fell from +1.35G to -1.5G in 0.6 seconds, then rose to +1.5G over the following four seconds.

    Read supporting evidence
    B777-300ER, 9V-SWM: Turbulence Event over Myanmar, 21 May 20241.1.13 to 1.1.16 Turbulence encounter | Printed page 7 | PDF page 14Find this passage in evidence search
  3. Cabin injuries

    The acceleration changes could lift unbelted occupants and bring them down again. The injury table records 56 seriously injured and 23 with minor injuries.

    Read supporting evidence
    B777-300ER, 9V-SWM: Turbulence Event over Myanmar, 21 May 20241.1.13 to 1.1.16 Turbulence encounter | Printed page 7 | PDF page 14Find this passage in evidence search
  4. Recovery and diversion

    The crew used manual controls to stabilise the aircraft and requested Bangkok after learning of multiple cabin injuries.

    Read supporting evidence

A simplified reading of the investigation findings. The sequence does not replace the full report or imply that every contributing factor is shown.

Sequence of events

All flight times are UTC. Departure was on 20 May; the turbulence and diversion were on 21 May 2024. Expand an event to see its evidence.

  1. 20 May, about 21:38Departure from London

    The Boeing B777-300ER departed Heathrow for Singapore.

  2. 21 May, about 07:30Approaching Myanmar

    At FL370, the crew reported a clear immediate flight path and no weather returns on their displays.

  3. 07:44:52Direct route accepted

    Yangon ATC offered a direct route to waypoint DWI after the crew requested EKAVO.

  4. 07:49:23Turbulence begins

    Increasing flight-parameter fluctuations marked the start of turbulence; airspeed increased and the crew used speed brakes.

    B777-300ER, 9V-SWM: Turbulence Event over Myanmar, 21 May 20241.1.9 to 1.1.12 Navigation display ranges and turbulence onset | Printed page 6 | PDF page 13Find this passage in evidence search
    B777-300ER, 9V-SWM: Turbulence Event over Myanmar, 21 May 20241.1.13 to 1.1.16 Turbulence encounter | Printed page 7 | PDF page 14Find this passage in evidence search
  5. 07:49:40Severe acceleration change

    Vertical acceleration fell from +1.35G to -1.5G within 0.6 seconds, then rose to +1.5G over the next four seconds.

    B777-300ER, 9V-SWM: Turbulence Event over Myanmar, 21 May 20241.1.13 to 1.1.16 Turbulence encounter | Printed page 7 | PDF page 14Find this passage in evidence search
  6. 07:50:05Autopilot reengaged

    The crew had manually controlled the aircraft for 21 seconds while stabilising it.

  7. About 08:01Mayday and diversion

    The flight crew requested Bangkok after reports of multiple cabin injuries.

  8. About 08:45Landing at Bangkok

    The aircraft landed at Suvarnabhumi; medical personnel met it at the parking bay.

  9. 18 May 2026Final report

    TSIB issued final report TIB/AAI/CAS.231 with four safety recommendations.

Search the report evidence

Search extracted report prose, with original page references. Short results link to the full document.

Questions readers ask

What kind of turbulence did TSIB identify?

TSIB found severe convectively induced turbulence associated with rapidly developing clouds over Southwest Myanmar. Clear air turbulence and mechanical turbulence were excluded as factors.

When was the seat-belt sign switched on?

The captain switched it on after turbulence began and called for belts to be fastened. The crew had no time for a public-address announcement before the severe acceleration changes.

B777-300ER, 9V-SWM: Turbulence Event over Myanmar, 21 May 20241.1.13 to 1.1.16 Turbulence encounter | Printed page 7 | PDF page 14Find this passage in evidence search
What did TSIB conclude about the radar?

TSIB considered intermittent missing or weak weather returns possible. Earlier defect reports, the crew observations and the limits of maintenance tests supported that finding.

How did the crew prepare injured people for landing?

People who could be moved were helped back into seats and belted. Others were cushioned where they lay and secured by people seated beside them.

B777-300ER, 9V-SWM: Turbulence Event over Myanmar, 21 May 20241.1.24 to 1.1.28 Cabin response and landing | Printed page 9 | PDF page 16Find this passage in evidence search

What the evidence can and cannot establish

Radar fault mechanism

The tests did not identify a hardware fault that explained the occurrence. TSIB and the equipment manufacturer reached different assessments of the evidence for intermittent radar display problems.

Read supporting evidence

Safety follow-up

Actions and recommendations are described at the dates of the cited records. A recommendation is not proof of implementation.

Classifications, with reasons

These labels organise the evidence. They are not a ranking of causes. A shared label means a shared research topic, not an identical mechanism.

causeSevere convective turbulence

A rapidly growing convective cloud produced strong vertical air movements at the occurrence location.

circumstanceIntermittent weather radar returns

TSIB considered intermittent missing or weak radar returns possible, supported by earlier defect reports and ferry-flight observations.

safety issueLimits of ground radar tests

The prescribed maintenance test checked system integrity but could not identify missing or weak weather returns.

B777-300ER, 9V-SWM: Turbulence Event over Myanmar, 21 May 20242.6 Troubleshooting weather radar defects | Printed page 39 | PDF page 46Find this passage in evidence search
injury riskSeat belts during cruise

Rapid changes in vertical acceleration could lift unbelted occupants and bring them down again; TSIB stressed keeping belts fastened while seated.

B777-300ER, 9V-SWM: Turbulence Event over Myanmar, 21 May 20241.1.13 to 1.1.16 Turbulence encounter | Printed page 7 | PDF page 14Find this passage in evidence search

Read alongside

These comparisons connect specific research topics. Shared circumstances do not establish identical causes. Evidence from both investigations is provided below.

Qantas Flight 72

Both investigations examined injuries during sudden vertical acceleration changes and the protection provided by seat belts. Singapore Airlines 321 encountered severe convective turbulence; Qantas 72 involved nose-down flight-control commands following erroneous angle-of-attack data. The ATSB found substantially greater injury rates and severity among occupants who were standing or seated without belts.

Read supporting evidence
B777-300ER, 9V-SWM: Turbulence Event over Myanmar, 21 May 20241.1.13 to 1.1.16 Turbulence encounter | Printed page 7 | PDF page 14Find this passage in evidence search
ATSB AO-2008-070: In-flight upset, VH-QPA, 7 October 20086.1 Contributing safety factors | Printed page 213 | PDF page 233Find this passage in evidence search
ATSB AO-2008-070: In-flight upset, VH-QPA, 7 October 2008Executive summary, Use of seat belts | Printed page xvii | PDF page 19Find this passage in evidence search

Further investigation records

Explore the records below for additional context. They open on the publisher's site and are not all included in our report search. Source reuse terms apply.

  • TSIB final report TIB/AAI/CAS.231

    NTSB / investigation record

    The complete investigation, flight recorder sequence, meteorological analysis, radar tests, conclusions and safety recommendations.

Sources and transparency

TSIB issued final investigation report TIB/AAI/CAS.231 on 18 May 2026.

Source limitations

The navigation displays were not recorded, and TSIB could not reconstruct their weather images during the encounter.

B777-300ER, 9V-SWM: Turbulence Event over Myanmar, 21 May 2024

Transport Safety Investigation Bureau, Singapore
Final report TIB/AAI/CAS.231, 18 May 2026

Official report PDF, hosted by isomer-user-content.by.gov.sg

Open source document

66 PDF pages.

Copyright 2026 Government of Singapore. Limited source quotations for attributed commentary. Source terms.

ATSB AO-2008-070: In-flight upset, VH-QPA, 7 October 2008

ATSB
Final report, December 2011; official release date 19 December 2011 confirmed by ATSB investigation page.

Official report PDF, hosted by atsb.gov.au

Open source document

313 PDF pages.

Private evidence cache for original attributed commentary. Full source and third-party illustrations are not redistributed. Source terms.

Read the extraction, classification and review methodology.

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Editorial record

Kevin Murphy writes the incident accounts on AirlineIncidents.com, out of a long interest in aviation safety and the lessons each investigation leaves behind.

Prepared by
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Revision history

: TSIB final report dated 18 May 2026.

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