Crash of a BAe 146-300 in Wamena: 6 killed

Date & Time: Apr 9, 2009 at 0743 LT
Type of aircraft:
Operator:
Registration:
PK-BRD
Flight Type:
Survivors:
No
Schedule:
Jayapura - Wamena
MSN:
E3189
YOM:
1990
Country:
Region:
Crew on board:
6
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
6
Captain / Total flying hours:
8305
Captain / Total hours on type:
958.00
Copilot / Total flying hours:
12389
Copilot / Total hours on type:
191
Aircraft flight hours:
22225
Circumstances:
On the morning of 9 April 2009, a British Aerospace BAe 146-300 aircraft, registered PK-BRD, was being operated by PT. Aviastar Mandiri Airlines as a scheduled passenger and cargo flight from Sentani Airport to Wamena Airport, Papua. The crew consisted of two pilots, two flight attendants, an engineer, and a load master. The aircraft performed a go-around from the initial landing approach on runway 15 at Wamena. The flight crew positioned the aircraft on a right downwind leg for another landing approach. As the aircraft was turned towards the final approach for the second landing approach at Wamena it impacted terrain and was destroyed. All of the occupants were fatally injured. The Enhanced Ground Proximity Warning System (EGPWS) manufacturer performed simulations using data from the flight recorders, and two separate terrain data sources. The manufacturer informed the investigation that “the GPWS/EGPWS alerts recorded in the CVR were issued as designed”. However the enhanced Look-Ahead function appeared to have been inhibited following the go around. There was no evidence from the CVR that the crew had deliberately inhibited the terrain function of the EGPWS. The investigation determined that the EGPWS issued appropriate warnings to the flight crew, in the GPWS mode. The pilot in command did not take appropriate remedial action in response to repeated EGPWS warnings. The investigation concluded that flight crew’s lack of awareness of the aircraft’s proximity with terrain, together with non conformance to the operator’s published operating procedures, resulted in the aircraft’s impact with terrain. As a consequence of this accident, the operator took safety action to address deficiencies in its documentation for missed approach procedures at Wamena. As a result of this accident, the National Transportation Safety Committee (NTSC) also issued safety recommendations to the operator and to the Directorate General Civil Aviation (DGCA) to ensure that relevant documented safety procedures are implemented. During the investigation, safety issues were identified concerning modification of aircraft and DGCA approval of those modifications. While those safety issues did not contribute to the accident, they nevertheless are safety deficiencies. Accordingly, the NTSC report includes recommendations to address those identified safety issues.
Probable cause:
The crew did not appear to have awareness of the aircraft’s proximity with terrain until impact with terrain was imminent. The flight crew did not act on the Enhanced Ground Proximity Warning System aural warnings, and did not conform to the operator’s published operating procedures. Together, those factors resulted in the aircraft’s impact with terrain.
Final Report:

Ground fire of a Transall C-160NG in Wamena

Date & Time: Mar 6, 2008 at 0920 LT
Type of aircraft:
Operator:
Registration:
PK-VTQ
Flight Type:
Survivors:
Yes
Schedule:
Jayapura – Wamena
MSN:
F235
YOM:
1985
Country:
Region:
Crew on board:
7
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
On 6 March 2008, a Transall C-160 aircraft, registered PK-VTQ, operated by PT. Manunggal Air, was on an unscheduled freight flight from Sentani Airport, Jayapura, to Wamena Airport, Papua. There were seven people on board; two pilots, two engineers, and three flight officers. The pilots reported that the approach and landing were normal. However, they told the investigators that both Beta lights did not illuminate during the landing roll, so they could not use reverse thrust. They reported that they used maximum brakes to slow the aircraft, and rolled through to the end of runway 15. During the 180-degree right turn at the end of the runway, they felt the left brakes grabbing, and had to use increased thrust on the left engine to assist the turn. After completing the turn, the pilots backtracked the aircraft towards taxiway “E”, about 450 meters from the departure end of runway 15. The air traffic controller informed the Transall crew that heavy smoke was coming from the left main wheels, and that they should proceed to taxiway “E” and stop on the taxiway. Before the aircraft entered taxiway “E”, the controller activated the crash alarm. The pilots stopped the aircraft on taxiway “E”, and the occupants disembarked and attempted to extinguish the wheel-bay fire with a hand held extinguisher. The airport rescue fire fighting service (RFFS) arrived at the aircraft 10 minutes after the aircraft came to a stop on taxiway “E”. It took a further 5 minutes to commence applying foam. The attempts to extinguish the fire were unsuccessful, and the fire destroyed the aircraft and its cargo of fuel in drums. Investigators found molten metal on the runway along the left wheel track for about 16 meters, about 100 meters from taxiway “E”, between taxiway “E” and the departure end of runway 15. There was also molten metal along the left wheel track on taxiway “E”.
Probable cause:
The aircraft’s left main wheels’ brakes overheated during the landing roll and a fire commenced in the brake assembly of one or more of the left main landing gear wheels. The evidence indicated that a brake cylinder and/or hydraulic line may have failed. It is likely that brake system hydraulic fluid under pressure, was the propellant that fed the fire. There was no Emergency Response Plan at Wamena. The RFFS delay in applying fire suppressant resulted in the fire engulfing the aircraft.
Final Report:

Crash of a Casa 212 Aviocar 100 off Sarmi: 15 killed

Date & Time: Feb 22, 2005 at 0715 LT
Type of aircraft:
Operator:
Registration:
P-2032
Survivors:
Yes
Schedule:
Jayapura - Sarmi
MSN:
220/60N
YOM:
1985
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
14
Pax fatalities:
Other fatalities:
Total fatalities:
15
Circumstances:
On final approach to Sarmi Airport, the crew reported engine problems when the aircraft lost height and crashed in the sea about 400 metres from the runway threshold. The wreckage was found 100 metres offshore. Three passengers were rescued while 15 other occupants were killed.

Crash of an Antonov AN-72 in Wamena

Date & Time: Apr 21, 2002 at 0913 LT
Type of aircraft:
Operator:
Registration:
ES-NOP
Flight Type:
Survivors:
Yes
Schedule:
Jayapura – Wamena
MSN:
36572010905
YOM:
1980
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
7744
Captain / Total hours on type:
800.00
Copilot / Total flying hours:
8500
Copilot / Total hours on type:
100
Aircraft flight hours:
1897
Aircraft flight cycles:
1376
Circumstances:
At 23:40 UTC / 08:40 LT (WIT) on Sunday April 21, 2002, the ES-NOP departed Sentani Airport, Jayapura, bound for Wamena. The aircraft, an Antonov AN-72, was being operated by PT Trigana Air Services as a cargo carrying charter transport flight. The flight crews of four included three cockpit crew personnel and a loadmaster. The flight was the third flight of eight flights planned for the day between Sentani Airport and Wamena airport. The first flight departed Sentani airport at 21:05 UTC / 06:05 LT. Arriving at Wamena at 21:40 UTC / 06:40 LT. The return flight from Wamena bound for Sentani, departing Wamena at 22:22 UTC/ 07:22 LT arrived at Sentani at 22:52 UTC/07:52 LT. The flights were reported normal, and the weather along the route was reported clear. The third return flight, from Sentani to Wamena departed Sentani at 23:40 UTC / 08:40 LT carrying a load of 7,481 kg. The weather at Jayapura and along the route was clear. The cruise altitude during the flight was 16,000 ft. After waypoint ‘Maleo’ the airplane over-flew the so called ‘north-gap’ and the descent was initiated while passing the ‘pass valley’. Three other airplanes were reported to be in the area, one Fokker F27 PK-YPQ which was enroute from Wamena airport to Jayapura, and two Antonov A26 aircraft, registration ER-AFQ and ER-AFE. Flying over ‘Yiwika’ 7 Nm from Wamena airport, and descending through 12,000 ft with speed of 330 km/hr, the ES-NOP overtook the ER-AFE. The flight crew had the runway in sight. The PIC acting as pilot flying, flew an ‘S’ approach pattern during the final flight path of Wamena airport. (arriving Wamena 24:15 UTC/09:15 LT). On final and at an altitude of 100 meters, the airplane was lined up to the runway 15-center line. The airplane touched down while still within the touchdown zone. The airplane bounced twice, the second and last bounce reported to be more severe than the first one. The airplane rolled down the runway, with the flight crew noticing an unusual nose down attitude. The PIC/Pilot Flying applied reverse power and brakes, controlling the aircraft by using rudder inputs. During the roll, the loadmaster, sitting behind the PIC’s seat saw black smoke coming from the floor of the forward side of the cargo compartment. The crew reported that the smoke hurt their eyes. The airplane decelerated with smoke emitted from the forward cargo compartment. After stopping, the loadmaster opened the airplane door taking the extinguisher to extinguish the fire. The PIC shut down the engines after the airplane came to a standstill then opened the left cockpit window. PIC then left the cockpit assisting the loadmaster extinguishing the fire, the F/O completed the shutdown procedure, as the smoke blocked out his vision. The Flight Engineer attempted unsuccessfully opened the overhead emergency exit. The F/O and Flight Engineer then evacuated through the left cockpit window, while the PIC and loadmaster exited through the door. Observing the occurrence, and as the crash bell was unserviceable, the ATC on duty called the Deputy Chief of the airport, and alerted the fire fighting brigade. The fire fighting personnel failed to start the fire truck, and after recharging the truck’s battery for about 10 minutes reattempt to start for a second time. This attempt again failed, and the battery was again recharged, while fire fighting personnel ran the airplanes final position carrying portable fire extinguisher. After another ten minutes of battery charging, the fire fighting truck was finally started, immediately proceeding to the accident site. After a refill of the fireextinguishing agent the fire was finally extinguished. Firefighting personnel extinguished the fire in about 30 minutes time. The airplane was seriously damaged, with the front side of the airplane completely burnt out, the fire cutting a hole from behind the cockpit roof until approximately the middle of the cabin in front of the roof. The cargo was totally consumed by fire. No one was injured during the accident. After the occurrence, Wamena airport was closed for Fokker 27 or bigger aircraft but opened for DHC-6 (Twin Otter) or smaller aircraft. The NTSC investigator team embarked to Wamena on that day (Sunday, April 21 2002). On Monday, April 22 2002, at 02.00 PM (LT), the investigator team give the clearance to remove the aircraft from the runway, at 05.00 PM (LT) the airport authority personnel started the efforts to removed the aircraft by big back hoe, at 08.30 PM (LT) ES-NOP has cleared from runway. On Tuesday April 23rd 2002, the Wamena airport activities back to normal as usual.
Probable cause:
The following findings were identified:
- The crew performed visual approach to Wamena airport at airspeed exceeded the provision on AN-72 manual.
- The crew failure to estimate distance to start the final turn properly made the unable to decrease speed and therefore unable to extend flap to landing configuration.
- The high rate of descent and flap configuration upon final activated GPWS warning.
- The landing (touchdown) speed was exceeded the prescribed value in the AN-72 manual and the aircraft has slight drift angle at first touchdown.
- After the first touch the aircraft bounced three times. This and the fact that the aircraft was at high loading lead to the failure of the nose gear.
- The fire was caused by the heat from the friction as the aircraft components skidding on the runway and the presence of hydraulic fluid leaking from the damaged system.
- There is no indication of any malfunction in the aircraft system that could contribute to the accident.
- There is no indication of misconduct in the maintenance of the aircraft that could contribute to the accident.
- The fire brigade at Wamena airport was not in ready condition at the time of the accident, which leads to failure to extinguish the fire in time. The failure resulted in heavy fire damage on the aircraft.
- The fire brigade was not able the handle the fire due to non-serviceable equipment and lack of training for the personnel.
- Government check pilot need to perform close supervision (onboard the flight or give exams) to AN72 crew according to CASR 121 and CASR 61. By the time the report is written, the investigation could not find the necessary document that stated whether PT. Trigana has the authority to represent the government on the matter.
Safety Threats:
It is to be noted that there is blank radio transmission area at the gap. The Aviation Safety of Department of Communication plan to install relay antenna to resolve the problem. In the meantime, the authority required all aircraft passing the gap to perform blind transmission. It is to be noted that the lack of type certificate made the investigation progress very slow. The difficulty was due to lack of knowledge in the Indonesian authority on the technical aspect of the aircraft. Indonesian DGAC stated that the special permit for non-TC aircraft to operate in Papua will only valid until 2004.
Final Report:

Crash of a Transall C-160NG in Jayapura: 1 killed

Date & Time: Jun 16, 2001 at 1430 LT
Type of aircraft:
Operator:
Registration:
PK-VTP
Survivors:
Yes
Schedule:
Jayapura – Wamena
MSN:
F234
YOM:
1985
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
16
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
After takeoff from Jayapura-Sentani Airport, while climbing, the crew informed ATC about engine problems and was cleared for an immediate return. Following a 180 turn, the crew initiated an approach to runway 30. After touchdown, the crew started the braking procedure and reduced the engine power when a technical problem occurred on the right engine. The aircraft went out of control, veered off runway to the left, collided with a drainage ditch and came to rest against palm trees located 72 metres to the left of the runway centerline and 1,050 metres from the runway threshold. 18 occupants were injured and a passenger was killed. The aircraft was written off.
Probable cause:
A technical failure occurred on the right engine whose rotation could not be reduced below 14,200 rpm after touchdown, for reasons unknown.

Crash of a Casa NC-212MP Aviocar 200 near Timika: 9 killed

Date & Time: Jan 8, 2001
Type of aircraft:
Operator:
Registration:
U-614
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Timika - Jayapura
MSN:
223/63N
YOM:
1984
Country:
Region:
Crew on board:
5
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
9
Circumstances:
About 12 minutes after takeoff from Timika Airport, while cruising at an altitude of 11,800 feet, the twin engine aircraft struck the slope of Mt Trikora. All nine occupants were killed, among them high ranking Police and Navy officers.
Probable cause:
Controlled flight into terrain.

Crash of a Fokker F27 Friendship 600 in Jayapura

Date & Time: May 8, 1995
Type of aircraft:
Operator:
Registration:
PK-YPL
Survivors:
Yes
Schedule:
Wamena - Jayapura
MSN:
10435
YOM:
1970
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
24
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
En route from Wamena to Jayapura, the crew encountered technical problems with the hydraulic system that lost pressure. Following a normal approach, the aircraft landed at Jayapura-Sentani Airport. While rolling at a speed of about 60 knots, it deviated to the left, veered off runway and came to rest in a ravine. All 28 occupants escaped uninjured and the aircraft was damaged beyond repair.
Probable cause:
It was determined that the brakes partially failed upon landing due to a loss of hydraulic pressure for unknown reasons. Nevertheless, the crew failed to use the auxiliary system that may help them to obtain more power.

Crash of a Piper PA-31-350 Navajo Chieftain in Papua: 2 killed

Date & Time: Nov 19, 1994
Operator:
Registration:
PK-IWC
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Jayapura - Oksibil
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
The crew departed Jayapura-Sentani Airport on a cargo flight to Oksibil. En route, the twin engine aircraft disappeared, maybe in a mountainous area located north of Oksibil. The wreckage was never found.

Crash of a Douglas C-47A-10-DK in Wamena: 2 killed

Date & Time: Aug 15, 1984
Operator:
Registration:
PK-OBC
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Wamena - Jayapura
MSN:
12485
YOM:
1944
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
Shortly after takeoff from Wamena Airport, while in initial climb in limited visibility due to low clouds, the aircraft struck power cables and crashed, bursting into flames. A pilot was killed while both other occupants were killed.
Probable cause:
It was reported that the aircraft failed to gain sufficient altitude after liftoff as it was overloaded.

Crash of a Short S.6 Sealand near Baliem: 1 killed

Date & Time: Apr 28, 1955 at 0930 LT
Type of aircraft:
Operator:
Registration:
JZ-PTA
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Jayapura – Baliem
MSN:
SH.1769
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
The amphibian aircraft departed Jayapura-Sentani Airport along the north coast of New Guinea on a VFR flight plan for the Baliem River at 0840LT on a transport flight carrying a load of furniture, foodstuffs and aluminum sheets. At 0922 the Biak area control centre and Sentani aeronautical radio station both received a report from the aircraft that it was over the ldenburg River, course 220 degrees, VFR at 9,000 feet in slight rain, operation normal. When the next position report over the Baliem became overdue, the Sentani aeronautical radio station and the Biak area control centre attempted to contact the aircraft, but to no avail. The aircraft was found after one month of extensive searching, crashed on a 10,335 foot high mountain. The sole occupant, the pilot, did not survive the crash.
Probable cause:
The investigating authority reached the conclusion that the probable cause of the accident was the fact that the pilot was caught in adverse weather conditions during his attempt to reach better visibility conditions by climbing to a higher flight level and during this maneuver collided with a mountain,
Final Report: