Status: | Accident investigation report completed and information captured |
Date: | Friday 26 September 1997 |
Time: | 13:34 |
Type: |  Airbus A300B4-220 |
Operator: | Garuda Indonesia Airways |
Registration: | PK-GAI |
MSN: | 214 |
First flight: | 1982-10-06 (15 years) |
Total airframe hrs: | 27095 |
Cycles: | 16593 |
Engines: | 2 Pratt & Whitney JT9D-59A |
Crew: | Fatalities: 12 / Occupants: 12 |
Passengers: | Fatalities: 222 / Occupants: 222 |
Total: | Fatalities: 234 / Occupants: 234 |
Aircraft damage: | Destroyed |
Aircraft fate: | Written off (damaged beyond repair) |
Location: | 25 km (15.6 mls) SSW of Medan-Polonia Airport (MES) ( Indonesia)
|
Crash site elevation: | 900 m (2953 feet) amsl |
Phase: | Approach (APR) |
Nature: | Domestic Scheduled Passenger |
Departure airport: | Jakarta-Soekarno-Hatta International Airport (CGK/WIII), Indonesia |
Destination airport: | Medan-Polonia Airport (MES/WIMM), Indonesia |
Flightnumber: | GA152 |
Narrative:Garuda Indonesia Airways flight 152 from Jakarta to Medan, Indonesia, was destroyed after impacting terrain near Medan. All 234 occupants suffered fatal injuries.
The aircraft, an Airbus A300B4-220, was cleared for an ILS approach to Medan's runway 05 and was flying on a 316 degree heading on Airway 585/W12. Having descended to 3000 feet the crew were instructed to turn left, heading 240 degrees for vectoring to intercept the runway 05 ILS. The flight crew did not respond to this instruction, as the controller addressed the call to 'Merpati 152'. The instructions were repeated, this time using the correct call sign. The flight crew replied: "GIA 152 heading 235. Confirm we cleared from a (pause) mountainous area?"
At 13:28 the controller confirmed they were turning towards a mountainous area and the flight was instructed to continue on a 215 degree heading. At 13:30 ATC directed the flight to turn right heading 046 and report when established on the localizer.
Although the clearance for a right hand turn had been read back correctly, confusion on the part of the air traffic controller followed over whether GA152 was turning left or right: "152, confirm you're making turning left now?" Garuda 152 responded, as cleared, that they were turning right. The controller subsequently added to the confusion by stating: "152 OK, you continue turning left now."
This was contrary to the crew's expectations, so they enquired: "A (pause) confirm turning left? We are starting turning right now." The controller, possibly realising his error, replied: "OK (pause). OK..... GIA 152 continue turn right heading 015."
Ten seconds later, the Airbus impacted a wooded area, broke up and burst into flames. The wreckage covered a 150x75 m area near the village of Pancur Batu, which is located at 900-1000 meters amsl.
The region was affected by smog from forest fires; visibility was reported to be 600-800 meters.
Probable Cause:
Probable Cause: "There was confusion regarding turning direction of left turn instead of right turn at critical position during radar vectoring that reduced the flight crews vertical awareness while they were concentrating on the aircrafts lateral changes. These caused the aircraft to continue descending below the assigned altitude of 2000 ft and hit treetops at 1550 ft above mean sea level."
Accident investigation:
|
Investigating agency: | NTSC Indonesia  |
Status: | Investigation completed |
Accident number: | KNKT/97.29/04.06.016 | Download report: | Final report
|
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Classification:
Language/communication problems
Controlled Flight Into Terrain (CFIT) - Mountain
Sources:
»
ATC Transcript GA152» Aviation Week & Space Technology 06 October 1997 (40-41)
» Flight International 8-14 October 1997 (10)
Follow-up / safety actions
NTSC issued 14 Safety Recommendations
Issued: -- | To: | PK-GAI(1) |
Reinforce the implementation of existing Standard Operating Procedure (SOP) for the flight crew. |
Issued: -- | To: | PK-GAI(10) |
Review the ATC manpower planning for Medan ATS Unit. |
Issued: -- | To: | PK-GAI(11) |
Reinforce training program on emergency phraseologies as well as standard phraseologies in accordance with ICAO guidelines. |
Issued: -- | To: | PK-GAI(12) |
Ensure the implementation of on-going and recurrent training program for all air traffic services officers, especially by using the simulator for emergency and unusual situation procedures and phraseologies. |
Issued: -- | To: | PK-GAI(13) |
Ensure that GPWS functional and operational checks are performed in accordance with the MSI. |
Issued: -- | To: | PK-GAI(14) |
Ensure that GPWS functional check be classified as a mandatory item if the SB 34-0121 has not been applied. |
Issued: -- | To: | PK-GAI(2) |
Ensure that dispatching and flight release shall be performed in accordance with applicable sections of Subpart U CASR 121. |
Issued: -- | To: | PK-GAI(3) |
Review the use of radar vector approach procedures in Polonia airport from the South, and set the radar rotational speed to the required speed in accordance with ICAO Annex 10. |
Issued: -- | To: | PK-GAI(4) |
Install a Minimum Safe Altitude Warning System (MSAWS) and other safety warning devices for ATS Medan. |
Issued: -- | To: | PK-GAI(5) |
Consider the construction of a full parallel taxiway at Polonia airport to enable a more practical one-way system of take-off and landings, in order to meet ATS objective for safe and efficient air traffic operation. |
Issued: -- | To: | PK-GAI(6) |
Ensure that the approval of training programs considers the program published by the manufacturer which has been approved by its authority. |
Issued: -- | To: | PK-GAI(7) |
Revise SKEP Dirjen No SKEP/07/I/1996 (dated 19 January 1996) with a regulation that requires airport authority to close its airport when the weather is below minima. |
Issued: -- | To: | PK-GAI(8) |
Ensure that radar vectoring procedure at airports where radar service is provided shall be approved by authority. |
Issued: -- | To: | PK-GAI(9) |
Avoid using similar flight numbers for scheduled flights along the same ATS route and in the same area. |
Show all...
Photos

accident date:
26-09-1997type: Airbus A300B4-220
registration: PK-GAI

accident date:
26-09-1997type: Airbus A300B4-220
registration: PK-GAI

accident date:
26-09-1997type: Airbus A300B4-220
registration: PK-GAI
Map
This map shows the airport of departure and the intended destination of the flight. The line between the airports does
not display the exact flight path.
Distance from Jakarta-Soekarno-Hatta International Airport to Medan-Polonia Airport as the crow flies is 1389 km (868 miles).
Accident location: Approximate; accuracy within a few kilometers.
This information is not presented as the Flight Safety Foundation or the Aviation Safety Network’s opinion as to the cause of the accident. It is preliminary and is based on the facts as they are known at this time.