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Lion Air crew castigated in Bali crash final report

Discussion in 'Latest Airline Incidents' started by Shawn White, Sep 8, 2014.

  1. Shawn White

    Shawn White Hangar Silver Member I

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    Written by Greg Waldron in Singapore, Flightglobal.com
    http://www.flightglobal.com/news/ar...GTSE-2014-0905-GLOB|news&sfid=70120000000taAp




    So basically the pilots screwed up big time. Forget about the visual minimums, the autopilot warnings about terrain, and the fact that they couldn't see anything in front of the plane. Just go ahead, take manual controls, and fly the plane nice and hard into the ground. Or water, cause that makes for cooler crash pictures. :confused: Then try to go around with just 20ft left??? All that did was cause more damage since the engines were running at a higher power setting and the plane was probably pitched up, snapping the tail harder than it would have on its own...

    [​IMG]
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    The final report into the crash of a Lion Air Boeing 737-800 aircraft on short finals to land at Denpasar's Ngurah Rai International airport on 13 April 2013 has identified several safety issues around the skill of the pilots and the carrier's emergency response procedures.

    The National Transportation Safety Committee (NTSC) report retains the same chronology as the preliminary report issued in May 2013. As with the earlier report, it highlights the failure of the captain and first officer to communicate effectively prior to impacting the water. The final report also refers to CCTV footage, which shows the extent of the rainy weather immediately prior to the crash, which prevented the flight crew from seeing the runway.

    The first officer, who was flying, mentioned that the runway was not in sight as the aircraft descended through 900ft on final approach after an uneventful flight from Bandung. Although the aircraft's automated systems issued a "minimum" warning at 550ft, the crew disengaged the autopilot and autothrottle, and continued the descent flying manually.

    At 300ft, the report reveals that the cockpit voice recorder picked up a sound consistent with rain hitting the windshield, although there was no sound of windshield wipers. When the 737 had descended to just 150ft, the captain took control of the aircraft, while the first officer again said that he could not see the runway.

    During interviews, the captain maintained that he was confident the runway would appear at any moment. It was only when the enhanced ground proximity warning system called a 20ft height alert that the pilot commanded a go-around but, just 1s later, the aircraft impacted the water. Though there were no fatalaties among the 101 passenges and seven crew, four passengers suffered serious injuries. The aircraft, bearing registration PK-LKS, was a complete hull loss.

    “The (pilot in command’s) expectation that he would be able to see the runway after the rain can be considered as inability to accurately perceive what was going on in the flight deck and outside the aircraft, including the thunderstorm formation that was observed at an aircraft altitude below 900ft. This might be due to unutilised resources available in the flight deck and the limited visibility due to the hazy conditions which made the pilot unable to see the thunderstorm formation properly.”

    The report makes it clear that the captain’s go around decision came far too late. It notes that the bare minimum altitude for a 737 go around is 50 feet, as 30 feet of altitude are lost when executing the manoeuvre. The manoeuvre also demands three seconds to executive effectively.

    After the aircraft came to rest in the water, the report shows that the crew handled the evacuation poorly. The first officer initally attempted to evacuate passengers through the right cockpit window. When this proved unviable, he conducted the evacuation through the right-hand service door.

    Meanwhile, a flight attendant on the left side of the aircraft was unable to detach a life raft from the aircraft, as her only training for this exercise consisted of watching a video.

    The report lists 13 recommendations for five parties including Lion Air, airport operator PT Angkasa Pura I, and the Directorate General of Civil Aviation.

    The key recommendations, however, focus on ensuring the pilots employ effective crew resource management skills, hand flying skills, and emergency procedures.
     

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  2. Exuma Guy

    Exuma Guy Hangar Silver Member V

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  3. Lord Leighton

    Lord Leighton Hangar Gold Member I

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    Castigated or castrated? Makes ya wonder if the pilots are terrorists in disguise. :eek: "Let's land a plane at 2 times it's landing speed to save fuel!" Bwahahaha! I think I'll book a flight ASAP.......................NOT! Shakes head. And Norwegian wants to hire "Asian" crews to fly their NAI planes? I'm sure there are more than enough qualified Asian crews but it seems there maybe a few hangin around from "out of the past area" waitin to be rehired. Pteradachtyl Airlines here we go! Maybe these guys are in a contest with Asiana!
     
    Last edited: Sep 8, 2014
  4. Exuma Guy

    Exuma Guy Hangar Silver Member V

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    "We don't need to train- We'll be reincarnated!"
    (Political Correctness be darned)
     
  5. Lord Leighton

    Lord Leighton Hangar Gold Member I

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    Ta hell with that. With 72 moustachioed virgins that goats wouldn't do either? Each? Do they make that many there? Bwahahahahaha! What do FEMALE Islamic extremist suicide bombers get for a reward? Oh. I forgot. who gives a shyt!, right?
     
  6. David Barnshaw

    David Barnshaw Hangar Gold Member I

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    Right-but maybe an nuclear powered vibrator manufactured by ISIS would be a draw for those binliners.
     
  7. Lord Leighton

    Lord Leighton Hangar Gold Member I

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    That would create quite a buzz:rolleyes:
     
  8. Richard Wyeroski

    Richard Wyeroski Hangar Gold Member I

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    oopps....read it too fast, I thought they were "castrated"....;)
     
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  9. Lord Leighton

    Lord Leighton Hangar Gold Member I

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    probably shoulda been lol.
     
  10. Shawn White

    Shawn White Hangar Silver Member I

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    I see what you mean...:rolleyes:
    The captain claimed there was a sudden downdraft? How does that help you OVERSHOOT the threshold by over 800 meters??? You'd think that if the approach was seriously disrupted they would have gone around, not try to land with just half the runway left.
     
  11. Richard Wyeroski

    Richard Wyeroski Hangar Gold Member I

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    ....He should have gone around, however if he was spooled down there would have been a delay to get power back up?

    No one really knows what happened ...........
     
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  12. litekeep

    litekeep New Hangar Member

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    Thank you and no one ever will.
     
  13. Richard Wyeroski

    Richard Wyeroski Hangar Gold Member I

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    [​IMG]
    hells bells a little duck tape and it will be back in the air soon!!!
     
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  14. Lord Leighton

    Lord Leighton Hangar Gold Member I

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    NOKair give Lionair some never used extra emergency "Duck" tape? ;)
     

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    Last edited: Sep 12, 2014
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