LEVEL 3 Final report

Based on the investigation authority's final report.

Date
Show source
NTSB final report1.1 History of Flight | Printed page 1 | PDF page 17Find this passage in evidence search
Occurrence
Engine failure and depressurization
Operator
Southwest Airlines
Show source
NTSB final report1.1 History of Flight | Printed page 1 | PDF page 17Find this passage in evidence search
Aircraft
Boeing 737-7H4
Show source
NTSB final report1.1 History of Flight | Printed page 1 | PDF page 17Find this passage in evidence search
Registration
N772SW
Show source
NTSB final report1.1 History of Flight | Printed page 1 | PDF page 17Find this passage in evidence search
People aboard
149: 144 passengers and five crew
Show source
NTSB final report1.1 History of Flight | Printed page 1 | PDF page 17Find this passage in evidence search
Casualties
One fatality and eight minor injuries
Show source
NTSB final report1.1 History of Flight | Printed page 1 | PDF page 17Find this passage in evidence search
NTSB final report1.1 History of Flight | Printed page 1 | PDF page 17Find this passage in evidence search
Topics
Fan-blade fatigue, Inspection and quality control, Rapid depressurization, Nacelle structural response, Emergency diversion, Emergency workload management

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

Photographs and geographic context

Two NTSB investigators examining Flight 1380's damaged left engine, with the engine's internal components exposed.

NTSB investigators examining N772SW's damaged left engine after Flight 1380.

Photo: National Transportation Safety Board, Public domain

Image info

This investigation photograph shows exposed engine components after the aircraft landed in Philadelphia. It documents the physical damage available for inspection; identifying the initiating fracture and the sequence of failures required further examination.

Image source

Resized and JPEG recompressed; no content changes.

Geographic context

Geographical orientation for Southwest 1380New York LaGuardia; Dallas Love Field (planned); Philadelphia (diversion). Approximate airport and geographical reference positions. This schematic shows the planned journey and relevant locations, not a recorded flight track.123NORTH UP / SCHEMATIC / NOT A RECORDED FLIGHT TRACK
  1. New York LaGuardia
  2. Dallas Love Field (planned)
  3. Philadelphia (diversion)
Approximate airport and geographical reference positions. This schematic shows the planned journey and relevant locations, not a recorded flight track. Basemap: Natural Earth, public domain.
Read supporting evidence
NTSB final report1.1 History of Flight | Printed page 1 | PDF page 17Find this passage in evidence search
NTSB final report1.1 History of Flight | Printed page 1 | PDF page 17Find this passage in evidence search
NTSB final report1.1 History of Flight | Printed page 1 | PDF page 17Find this passage in evidence search
NTSB final report1.1 History of Flight | Printed page 6 | PDF page 22Find this passage in evidence search

What happened

During climb, a low-cycle fatigue crack caused fan blade No. 13 in the left engine to separate. Its impact with the fan case transmitted loads to the surrounding inlet and fan cowl. Parts of the cowl departed and a fragment struck the fuselage near a cabin window. The window separated, causing rapid depressurization and a fatal passenger injury. The crew regained control, descended and diverted to Philadelphia, landing about 17 minutes after the failure.

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

What investigators concluded

The NTSB traced the probable cause to the fatigue crack and the subsequent chain of fan-case impact, cowl separation and window loss. Its analysis identified loads through the radial restraint fitting that the fan-cowl design had not accounted for. The reason the crack escaped the earlier overhaul inspection remained unknown. The NTSB judged the choice of Philadelphia appropriate and found that the crew balanced the emergency workload with the need for a timely landing.

Evidence behind this explanation
NTSB final report3.2 Probable Cause | Printed page 90 | PDF page 106Find this passage in evidence search
NTSB final reportExecutive Summary | Printed page ix | PDF page 12Find this passage in evidence search
NTSB final reportExecutive Summary | Printed page ix | PDF page 12Find this passage in evidence search
NTSB final report3.1 Findings | Printed page 90 | PDF page 106Find this passage in evidence search

An engine failure, a cabin breach and a diversion

1,789 words / about 9 minutes to read. Based on the investigation records cited below.

A fan blade fails during the climb

Southwest Airlines flight 1380 was flying from New York LaGuardia to Dallas Love Field on 17 April 2018. The Boeing 737-700, registered N772SW, carried 144 passengers and five crew members. At about 11:03, as the aircraft climbed through approximately 32,000 feet, a fan blade separated in the left engine. Parts of the engine inlet and fan cowl then broke away. A component from the inboard fan cowl struck the fuselage beside the window at seat 14A, causing the window to leave the aircraft.

The open window caused rapid depressurization. The crew heard the disturbance and encountered significant vibration, alerts and a sudden roll. The flight data recorded a left bank reaching 41.3 degrees before the aircraft returned towards level flight. The first officer was flying, and the captain initially handled the other duties. The pilots had to establish control, obtain oxygen and begin a descent while the engine failure and cabin-pressure emergency occurred together.

The left engine was brought to idle and then shut down. The crew used their oxygen masks, but the report records initial uncertainty over the switch needed to communicate through the mask microphones. Controllers' repeated calls initially received no clear reply. This temporary communication difficulty formed part of the emergency workload. The crew did establish radio contact and reported an engine emergency while descending. Their early description reflected the indications and circumstances they were experiencing, while the investigation later established the precise structural sequence that had damaged the cabin.

Sources for this section
NTSB final report1.1 History and 3.2 Probable Cause | Printed page 1 | PDF page 17Find this passage in evidence search
NTSB final report1.1 History and 3.2 Probable Cause | Printed page 1 | PDF page 17Find this passage in evidence search
NTSB final report1.1 History and 3.2 Probable Cause | Printed page 2 | PDF page 18Find this passage in evidence search
NTSB final report1.1 History and 3.2 Probable Cause | Printed page 2 | PDF page 18Find this passage in evidence search
NTSB final report1.1 History and 3.2 Probable Cause | Printed page 90 | PDF page 106Find this passage in evidence search

Descending and choosing Philadelphia

The captain asked the controller for a nearby diversion airport. Harrisburg was suggested, but the crew considered Philadelphia, with the first officer identifying it on a map as a suitable nearby choice. About two and a half minutes after the engine failure, they received clearance direct to Philadelphia International. The captain informed the cabin that the flight would divert there. The decision was made while the aircraft was already descending from cruising altitude with one engine shut down.

The crew's radio report was clarified during the descent: the captain told the controller there was no fire then, but that they were operating on one engine. Controllers arranged lower altitudes and emergency support. The peak recorded descent rate was approximately 5,228 feet per minute. The aircraft initially remained between about 280 and 300 knots during the descent to 17,000 feet. These data show a rapid descent, but the account does not assume that speed alone describes how the crew managed every part of the emergency.

At about 13,600 feet, the captain took over as pilot flying, and the first officer became pilot monitoring. He began the engine fire, severe damage or separation checklist. Below 10,000 feet, the pilots removed their oxygen masks, with a brief further transfer of control while the captain's mask was removed. The captain later explained that she reduced speed to ease the severe vibration. Controllers offered flexibility over speed and the approach. The crew now had to reconcile the need for timely landing with incomplete information about both the aircraft's damage and the condition of people in the cabin.

Sources for this section
NTSB final report1.1 History of Flight | Printed page 3 | PDF page 19Find this passage in evidence search
NTSB final report1.1 History of Flight | Printed page 3 | PDF page 19Find this passage in evidence search
NTSB final report1.1 History of Flight | Printed page 3 | PDF page 19Find this passage in evidence search
NTSB final report1.1 History of Flight | Printed page 4 | PDF page 20Find this passage in evidence search
NTSB final report1.1 History of Flight | Printed page 4 | PDF page 20Find this passage in evidence search

The emergency inside the cabin

The flight attendants heard a loud noise and felt the aircraft shaking. They initially went to their jumpseats, secured themselves and used oxygen masks. They then obtained portable oxygen and moved into the cabin to assist passengers. The report describes debris in the cabin and the difficulties created by the noise. One attendant later explained that she answered an interphone call but could not hear the caller. The cockpit's first attempt to obtain a cabin report therefore did not bring a usable answer.

At seat 14A, the passenger had been partly drawn through the window opening after it departed. Passengers and cabin crew worked to bring her back inside and provide assistance. The first officer eventually established contact with an attendant, who described the missing window and injured passenger. The captain learned of the injury at about 11:15. The crew's knowledge of the cabin emergency was therefore acquired during the diversion, rather than being complete from the moment the engine failed.

The captain had requested a long final approach to allow time for checklists. After learning about the passenger's condition, she decided to expedite the approach. Medical personnel were requested to meet the aircraft on the runway. The NTSB's investigation treated the cabin response as part of the same accident sequence as the engine failure and diversion. The emergency was not limited to managing a single-engine landing: the loss of a window had exposed a passenger to fatal injury and created an immediate need for medical attention while the flight crew were still bringing the damaged aircraft down.

Sources for this section
NTSB final report1.7.4 Flight Attendant Interviews and 1.1 History | Printed page 43 | PDF page 59Find this passage in evidence search
NTSB final report1.7.4 Flight Attendant Interviews and 1.1 History | Printed page 44 | PDF page 60Find this passage in evidence search
NTSB final report1.7.4 Flight Attendant Interviews and 1.1 History | Printed page 44 | PDF page 60Find this passage in evidence search
NTSB final report1.7.4 Flight Attendant Interviews and 1.1 History | Printed page 5 | PDF page 21Find this passage in evidence search

A fast approach and landing with reduced flap

The captain chose a five-degree flap setting because she was uncertain about the aircraft's controllability. In her interview, she described substantial drag on the controls. The normal single-engine landing guidance used a greater flap setting, and the airline's checklist did not provide a specific five-degree-flap single-engine landing speed. She selected an approach target by taking the speed for flap 15 and adding 20 knots, reaching 180 knots. The flight data showed the aircraft settling at about 185 knots during the approach.

The captain reported the airport in sight, and controllers cleared the aircraft for a visual approach to runway 27L. The tower reported wind from 280 degrees at 19 knots, gusting to 25. The crew performed the before-landing checklist, and the flight attendants repeatedly instructed passengers to brace. The aircraft touched down at about 11:20:30, approximately 17 minutes after the engine failure, with the flaps still at five degrees and a speed of about 171 knots.

Spoilers extended immediately after touchdown, and reverse thrust was used on the right engine. The aircraft left the runway through a high-speed taxiway and stopped near a fire vehicle. The crew advised passengers to remain seated and follow cabin instructions. Firefighters examined the damage and reported no external smoke or fire. This was a successful diversion and landing of the damaged aircraft, but it could not reverse the injury caused earlier by the window departure. The final report records one passenger fatality and eight minor injuries, rather than describing the landing outcome as an accident without casualties.

Sources for this section
NTSB final report1.1 History of Flight | Printed page 5 | PDF page 21Find this passage in evidence search
NTSB final report1.1 History of Flight | Printed page 6 | PDF page 22Find this passage in evidence search
NTSB final report1.1 History of Flight | Printed page 6 | PDF page 22Find this passage in evidence search
NTSB final report1.1 History of Flight | Printed page 6 | PDF page 22Find this passage in evidence search
NTSB final report1.1 History of Flight | Printed page 1 | PDF page 17Find this passage in evidence search

Medical response and disembarkation

After landing, the captain advised emergency personnel that injuries required attention as soon as possible. The pilots completed the shutdown checklist, and the captain briefly entered the cabin. Firefighters arranged buses and paramedics, and the cabin crew disarmed the doors. An announcement asked that the aisle be kept clear for medical responders. The injured passenger remained the immediate medical priority while preparations were made to take the other occupants off the aircraft.

Passenger disembarkation began through airstairs at about 11:52. The report reconstructs these events from the cockpit recording and emergency communications. It also records an attempt to preserve the cockpit recorder in which the captain most likely pulled the flight-data-recorder circuit breakers instead. The cockpit voice recorder consequently continued recording. Investigators noted the potential for a continuously recording device to overwrite useful evidence, although that did not deprive this investigation of the relevant information.

The post-landing sequence is separate from the cause of the window failure, but it explains how the flight ended and how investigators obtained evidence. The aircraft remained on the ground while medical and ground transport arrangements were completed. The passengers did not use an immediate slide evacuation. In the cabin, the attendants had earlier left their jumpseats to provide aid; the NTSB found that their lack of restraint during the emergency landing was not a factor in this accident's outcome, but still identified a training issue. A report can recognise effective assistance while also documenting a precaution that should be improved for another emergency.

Sources for this section
NTSB final report1.1.1 Ground events and 2 Analysis | Printed page 7 | PDF page 23Find this passage in evidence search
NTSB final report1.1.1 Ground events and 2 Analysis | Printed page 7 | PDF page 23Find this passage in evidence search
NTSB final report1.1.1 Ground events and 2 Analysis | Printed page 71 | PDF page 87Find this passage in evidence search
NTSB final report1.1.1 Ground events and 2 Analysis | Printed page 90 | PDF page 106Find this passage in evidence search

The blade crack and the departing fan cowl

The NTSB identified a low-cycle fatigue crack in the dovetail root of fan blade 13. The fracture originated in the area of high stresses from normal engine operation. Examination found the material and microstructure consistent with the specified titanium alloy and no material defect at the origin. The blade had accumulated 32,636 cycles since new. The investigation connected crack initiation to higher-than-expected stresses at the dovetail, rather than treating the failure as an unexplained instantaneous break in an otherwise unchanged blade.

When the blade separated, it struck the fan case at a location particularly important to the fan cowl's structural response. Loads passed through the radial restraint fitting into the cowl, and the associated stresses exceeded the damaged structure's remaining strength. Portions of the cowl left the aircraft. The inboard aft latch keeper hit the fuselage near seat 14A and caused the window to depart. That structural chain, including cowl-component separation, is the NTSB's adopted explanation of the fatal injury.

The blade's crack had not been detected during its earlier overhaul. The report states that the reason was unknown and discusses inspection limitations. Subsequent visual inspections during lubrication had also found no crack, while the likely crack size was below the visual detection threshold. The accident engine did not fall within the applicability of the ultrasonic-inspection bulletins then in use. Those details are not evidence that airline maintenance was identified as the accident cause: the final findings explicitly state that Southwest's maintenance was not a factor. They explain the limits of the inspection arrangements that existed before this failure.

Sources for this section
NTSB final report2.2.1 Fan Blade Release and 3 Conclusions | Printed page 71 | PDF page 87Find this passage in evidence search
NTSB final report2.2.1 Fan Blade Release and 3 Conclusions | Printed page 73 | PDF page 89Find this passage in evidence search
NTSB final report2.2.1 Fan Blade Release and 3 Conclusions | Printed page 72 | PDF page 88Find this passage in evidence search
NTSB final report2.2.1 Fan Blade Release and 3 Conclusions | Printed page 73 | PDF page 89Find this passage in evidence search
NTSB final report2.2.1 Fan Blade Release and 3 Conclusions | Printed page 89 | PDF page 105Find this passage in evidence search
NTSB final report2.2.1 Fan Blade Release and 3 Conclusions | Printed page 89 | PDF page 105Find this passage in evidence search
NTSB final report2.2.1 Fan Blade Release and 3 Conclusions | Printed page 90 | PDF page 106Find this passage in evidence search

What the final report changed in the safety discussion

The NTSB considered the diversion to Philadelphia appropriate given the aircraft's position, emergency circumstances and the airport's runways and firefighting capability. It also assessed the incomplete checklist work in context. The crew performed most, but not all, of the engine checklist and did not complete three other relevant non-normal checklists. The Board concluded that, in this emergency, their performance appropriately balanced procedural work with maintaining control and achieving a timely descent and landing. That judgement does not turn checklist completion into an optional routine practice.

The report's recommendations extended beyond fan-blade inspection. It called for identification of critical blade-impact locations, fan-cowl redesign, installation on new aircraft and retrofit of existing aircraft. Other recommendations sought closer coordination between engine and airframe manufacturers so that fragment behaviour and loads would be incorporated into nacelle design. The accident showed that retaining engine fragments in some directions did not, by itself, prevent damaging structural consequences elsewhere around the engine.

Cabin emergency training and guidance for an in-flight loss of seating capacity also received recommendations. The final report describes inspection requirements and actions at its publication date; recommendations for redesign and retrofit should not be read as confirmation that every aircraft has since received every change. Flight 1380's account links a fatigue crack to a specific structural failure, then to a cabin breach and a medically urgent diversion. The flight crew landed the aircraft, cabin crew and passengers assisted the injured passenger, and investigators identified design and inspection protections that needed strengthening. The passenger's fatal injury remains part of the outcome despite the safe arrival of the aircraft at Philadelphia.

Sources for this section
NTSB final report3.1 Findings and 4 Recommendations | Printed page 90 | PDF page 106Find this passage in evidence search
NTSB final report3.1 Findings and 4 Recommendations | Printed page 90 | PDF page 106Find this passage in evidence search
NTSB final report3.1 Findings and 4 Recommendations | Printed page 91 | PDF page 107Find this passage in evidence search
NTSB final report3.1 Findings and 4 Recommendations | Printed page 91 | PDF page 107Find this passage in evidence search
NTSB final report3.1 Findings and 4 Recommendations | Printed page 91 | PDF page 107Find this passage in evidence search
NTSB final report3.1 Findings and 4 Recommendations | Printed page 90 | PDF page 106Find 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. Fan blade separates

    A low-cycle fatigue crack in the dovetail of fan blade No. 13 caused the blade to separate and strike the fan case.

    Read supporting evidence
    NTSB final reportInvestigation findings | Printed page 90 | PDF page 106Find this passage in evidence search
  2. Loads damage the surrounding structure

    Fan-case impact transmitted loads into the inlet and fan cowl. The report identified a load path not accounted for in the cowl design.

    Read supporting evidence
    NTSB final reportInvestigation findings | Printed page ix | PDF page 12Find this passage in evidence search
  3. Departing cowl material strikes the cabin

    A cowl component struck the fuselage near a cabin window. The window separated and the cabin rapidly depressurized.

    Read supporting evidence
    NTSB final reportInvestigation findings | Printed page 90 | PDF page 106Find this passage in evidence search
  4. The crew descends and diverts

    The crew brought the roll under control, descended and landed in Philadelphia. The NTSB considered that diversion appropriate to the circumstances.

    Read supporting evidence
    NTSB final reportInvestigation findings | Printed page 2 | PDF page 18Find this passage in evidence search
    NTSB final reportInvestigation findings | Printed page 90 | PDF page 106Find this passage in evidence search

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

Eastern Daylight Time (EDT), UTC minus four hours. The failure occurs shortly after 11:03:33 in the report chronology. Expand an event to see its evidence.

  1. 10:43Departure from LaGuardia

    The aircraft took off for Dallas Love Field. The first officer was pilot flying and the captain was pilot monitoring.

    NTSB final report1.1 History of Flight | Printed page 1 | PDF page 17Find this passage in evidence search
    NTSB final report1.1 History of Flight | Printed page 1 | PDF page 17Find this passage in evidence search
  2. Shortly after 11:03:33Left engine failure during climb

    The aircraft passed through flight level 320. Recorder data showed falling left-engine speeds and increased vibration; the crew reported a loud bang.

    NTSB final report1.1 History of Flight | Printed page 1 | PDF page 17Find this passage in evidence search
    NTSB final report1.1 History of Flight | Printed page 1 | PDF page 17Find this passage in evidence search
  3. 11:03:39 to 11:03:44Cabin warning and uncommanded roll

    The cabin altitude warning sounded. The uncommanded left roll reached 41.3 degrees before the first officer brought the roll back under control.

    NTSB final report1.1 History of Flight | Printed page 2 | PDF page 18Find this passage in evidence search
    NTSB final report1.1 History of Flight | Printed page 2 | PDF page 18Find this passage in evidence search
  4. 11:03:58 to 11:04:09Emergency descent and engine shutdown

    Power was reduced to idle, consistent with an emergency descent. The left-engine fuel parameter then changed to cutoff.

    NTSB final report1.1 History of Flight | Printed page 2 | PDF page 18Find this passage in evidence search
    NTSB final report1.1 History of Flight | Printed page 2 | PDF page 18Find this passage in evidence search
  5. 11:05:52Cleared direct to Philadelphia

    The controller cleared the flight to Philadelphia. The crew advised the cabin that they were diverting.

    NTSB final report1.1 History of Flight | Printed page 3 | PDF page 19Find this passage in evidence search
  6. 11:09:30Captain takes control

    The captain became pilot flying as the aircraft descended. The first officer began the engine-damage checklist shortly afterwards.

    NTSB final report1.1 History of Flight | Printed page 3 | PDF page 19Find this passage in evidence search
    NTSB final report1.1 History of Flight | Printed page 3 | PDF page 19Find this passage in evidence search
  7. 11:15:47 to 11:15:54Injured passenger reported to captain

    After cabin communication, the captain learned of the injured passenger and decided to expedite the approach.

    NTSB final report1.1 History of Flight | Printed page 5 | PDF page 21Find this passage in evidence search
    NTSB final report1.1 History of Flight | Printed page 5 | PDF page 21Find this passage in evidence search
  8. 11:20:30Landing at Philadelphia

    Weight-on-wheels data recorded touchdown on Runway 27L. The spoilers extended immediately afterwards; reverse thrust was used on the right engine.

    NTSB final report1.1 History of Flight | Printed page 6 | PDF page 22Find this passage in evidence search
    NTSB final report1.1 History of Flight | Printed page 6 | PDF page 22Find this passage in evidence search

Search the report evidence

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

Questions readers ask

Did the blade itself have to penetrate the cabin to cause the fatal injury?

No. The investigation describes a chain through fan-case impact and cowl separation. A departed cowl component struck near a window, which then separated.

NTSB final reportInvestigation findings | Printed page 90 | PDF page 106Find this passage in evidence search
Why did the crew land before completing every checklist?

The NTSB found that the crew balanced high workload, aircraft control and emergency descent with the need for a timely landing. Incomplete checklist execution was assessed in that context.

NTSB final reportInvestigation findings | Printed page 90 | PDF page 106Find this passage in evidence search
Did the first officer lose control permanently during the roll?

No. The uncommanded left roll reached 41.3 degrees before the first officer brought it back under control. The aircraft subsequently descended and landed.

NTSB final reportInvestigation findings | Printed page 2 | PDF page 18Find this passage in evidence search

What the evidence can and cannot establish

The missed overhaul detection remains unexplained

The report says the crack was not detected at the earlier overhaul for unknown reasons. It does not establish a single proven reason for that missed detection.

Read supporting evidence
NTSB final reportInvestigation findings | Printed page ix | PDF page 12Find this passage in evidence search

The adopted cause describes a structural damage sequence

The probable-cause finding identifies fan-blade fatigue and the structural damage sequence. Initial emergency descriptions should not replace that established mechanism.

Read supporting evidence
NTSB final reportInvestigation findings | Printed page 90 | PDF page 106Find this passage in evidence search

Safety follow-up

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

Recommended: redesign and retrofit of the fan cowl

A-19-17 through A-19-19 called for identification of critical blade impact locations, cowl redesign, installation on new production and retrofit of existing aircraft. These are 2019 recommendations, not a statement that every retrofit is complete.

Read supporting evidence
NTSB final reportRecommendations | Printed page 91 | PDF page 107Find this passage in evidence search

Recommended: coordinated engine and airframe certification

A-19-20 and A-19-23 sought collaborative analysis of blade impact, fragmentation and resulting loads, with the findings incorporated into nacelle design.

Read supporting evidence
NTSB final reportRecommendations | Printed page 91 | PDF page 107Find this passage in evidence search

Recommended: cabin emergency training

A-19-22 called for Southwest to incorporate lessons in initial and recurrent flight-attendant training, including being secured in a jumpseat during emergency landings.

Read supporting evidence
NTSB final reportRecommendations | Printed page 91 | PDF page 107Find this passage in evidence search

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.

Initiating eventFan-blade fatigue

The NTSB identified a low-cycle fatigue crack in blade No. 13 as the start of the accident sequence.

NTSB final report3.2 Probable Cause | Printed page 90 | PDF page 106Find this passage in evidence search
System behaviourNacelle structural response

Fan-case impact transmitted loads that damaged the inlet and fan cowl. The radial restraint load path was not accounted for in the cowl design.

NTSB final reportExecutive Summary | Printed page ix | PDF page 12Find this passage in evidence search
ConsequenceRapid depressurization

A departed cowl component struck near a cabin window, causing the window to separate and the cabin to depressurize.

NTSB final report3.2 Probable Cause | Printed page 90 | PDF page 106Find this passage in evidence search
Investigation findingInspection and quality control

The crack likely predated the 2012 overhaul but was not found there for unknown reasons. Subsequent visual inspections also did not detect it.

NTSB final reportExecutive Summary | Printed page ix | PDF page 12Find this passage in evidence search
NTSB final reportExecutive Summary | Printed page ix | PDF page 12Find this passage in evidence search
Crew actionEmergency diversion

The NTSB considered Philadelphia a suitable choice given location, circumstances, runways and rescue capability.

NTSB final report3.1 Findings | Printed page 90 | PDF page 106Find this passage in evidence search
Investigation findingEmergency workload management

The NTSB concluded that incomplete non-normal checklist execution enabled a balance between procedural work and control, descent and landing during this emergency.

NTSB final report3.1 Findings | Printed page 90 | PDF page 106Find 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 32

Both incidents show why engine failure protection must consider effects on the airframe. Southwest 1380 involved fan-blade impact loads and cowl separation; Qantas 32 involved an uncontained turbine-disc burst that damaged multiple systems.

Read supporting evidence
NTSB final reportInvestigation findings | Printed page 90 | PDF page 106Find this passage in evidence search
ATSB final report6.1 Contributing safety factors | Printed page 143 | PDF page 163Find 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.

  • NTSB investigation record

    NTSB / investigation record

    Official case overview and investigation updates.

  • Public investigation docket

    NTSB / public docket

    Supporting factual reports, engineering evidence and operational records for DCA18MA142. The docket also includes submissions by investigation parties; those submissions are not adopted NTSB findings. Read them alongside the final report.

Sources and transparency

Source-based check against the NTSB final report. No independent expert review.

Source limitations

This dossier uses the NTSB final report adopted in November 2019. Initial radio reports of fire are not treated as proof of an engine fire. The earlier overhaul missed detection for an unknown reason, which is retained as an uncertainty. No cockpit transcript or report illustration is reproduced.

Left Engine Failure and Subsequent Depressurization: Southwest Airlines Flight 1380, Boeing 737-7H4, N772SW, Philadelphia, Pennsylvania, April 17, 2018

National Transportation Safety Board
NTSB/AAR-19/03, adopted 19 November 2019

Official report PDF, hosted by ntsb.gov

Open source document

Retrieved 4 October 2026. 193 PDF pages. 6,920,369 bytes.

File fingerprint (SHA-256). It identifies the exact version of the report this page was checked against.

ca9d64cb9bc77178d61aec5ea4303a541711b5583d306f095039c8df50933dd3

US federal investigation report, attributed to the NTSB. Limited excerpts for commentary; third-party material and illustrations excluded. No NTSB endorsement. Source terms / provenance.

Read the extraction, classification and review methodology.

Suggest a correction to this dossier

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
AirlineIncidents editorial desk
Report citation check
Independent expert review
Not completed

Citation checks compare supporting text with the indexed report pages. They do not constitute independent expert review. How these pages are prepared.

Revision history

: Checked report citations and source hashes. Added credited photographs, geographic context, sequence diagrams, reader answers, evidence limits, report-era safety follow-up, further records, sourced incident comparisons and this editorial record.

: Added a full chronological account with section-level report references and links from the short summary.

Source-based corrections are reviewed before changes appear here. Suggest a correction to this dossier.