ASN Aircraft accident Boeing 737-3Q8 PK-GWA Yokyakarta
ASN logo
 

Status:Accident investigation report completed and information captured
Date:Wednesday 16 January 2002
Time:16:29
Type:Silhouette image of generic B733 model; specific model in this crash may look slightly different
Boeing 737-3Q8
Operator:Garuda Indonesia Airways
Registration: PK-GWA
MSN: 24403/1706
First flight: 1989-04-07 (12 years 10 months)
Total airframe hrs:28141
Cycles:24607
Engines: 2 CFMI CFM56-3B1
Crew:Fatalities: 1 / Occupants: 6
Passengers:Fatalities: 0 / Occupants: 54
Total:Fatalities: 1 / Occupants: 60
Aircraft damage: Damaged beyond repair
Location:22,5 km (14.1 mls) NE of Yokyakarta (   Indonesia)
Phase: Approach (APR)
Nature:Domestic Scheduled Passenger
Departure airport:Mataram-Selaparang Airport (AMI/WADA), Indonesia
Destination airport:Yogyakarta-Adisutjipto Airport (JOG/WARJ), Indonesia
Flightnumber:GA421
Narrative:
Flight 421 departed Mataram around 15:00 and climbed to the cruising altitude of FL310. During the initial descent the crew decided to deviate from the planned route because of thunderstorms along their planned route. At 16:19 the flight encountered an area of severe turbulence and thunderstorm activity with extremely heavy precipitation and hail. The crew attempted to fly towards a gap between two storm cells. About 90 seconds after entering the thunderstorm, as the airplane descended through about FL180 at a flight idle power setting, both engines flamed out. The crew carried out three unsuccessful attempts to restart the engines followed by one unsuccessful attempt to start the auxiliary power unit (APU). The flight crew’s reported actions to restart the engines and APU however, were contrary to the procedures contained in the Boeing 737 Operations Manual. For instance, they waited only about 1 minute between each restart attempt instead of three minutes.
As the airplane descended below an overcast cloud layer at about 8,000 feet, the crew observed the Bengawan Solo River and decided to attempt to ditch the airplane into the river with flaps and landing gear in a shallow, 1 metre deep part of the river. One stewardess did not survive the crash.
Similar occurrences (Boeing 737-300 double engine flameout while descending in heavy precipitation with engines at flight idle) happened May 24, 1988 and July 26, 1988. Following these incidents OMB 88-5 and AD 6-14-88 were issued to require minimum rpm of 45% and to restrict the use of autothrust in moderate/heavy precipitation; engine modification was provided for increased capacity of water ingestion.

Probable Cause:

Probable Cause: "The NTSC determines that the probable causes of the accident were the combination of 1) The aircraft had entered severe hail and rain during weather avoidance which subsequently caused both engines flame out; 2) Two attempts of engine-relight failed because the aircraft was still in the precipitation beyond the engines’ certified capabilities; and 3) During the second attempt relight, the aircraft suffered run-out electrical power."

Accident investigation:

cover
Investigating agency: NTSC Indonesia
Status: Investigation completed
Accident number: KNKT/02.02/06.01.33
Download report: Final report

Classification:
Precipitation-induced flame-out
Ditching

Sources:
» Flight International
» Jakarta Post
» NTSB


Follow-up / safety actions

NTSB issued 2 Safety Recommendations
NTSC issued 11 Safety Recommendations

Show all...

Photos

photo of Boeing-737-3Q8-PK-GWA
accident date: 16-01-2002
type: Boeing 737-3Q8
registration: PK-GWA
photo of Boeing-737-3Q8-PK-GWA
accident date: 16-01-2002
type: Boeing 737-3Q8
registration: PK-GWA
photo of Boeing-737-3Q8-PK-GWA
Seat map Boeing 737-3Q8 PK-GWA
photo of Boeing-737-3Q8-PK-GWA
accident date: 16-01-2002
type: Boeing 737-3Q8
registration: PK-GWA
photo of Boeing-737-3Q8-PK-GWA
accident date: 16-01-2002
type: Boeing 737-3Q8
registration: PK-GWA
photo of Boeing-737-3Q8-PK-GWA
accident date: 16-01-2002
type: Boeing 737-3Q8
registration: PK-GWA
 

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 Mataram-Selaparang Airport to Yogyakarta-Adisutjipto Airport as the crow flies is 626 km (392 miles).
Accident location: Global; accuracy within tens or hundreds of 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.
languages: languages

Share

Boeing 737-300

  • 1113 built
  • 11th loss
  • 8th fatal accident
  • 8th worst accident (at the time)
  • 10th worst accident (currently)
» safety profile

The Aviation Safety Network is an exclusive service provided by:
Quick Links:

CONNECT WITH US: FSF on social media FSF Facebook FSF Twitter FSF Youtube FSF LinkedIn FSF Instagram

©2024 Flight Safety Foundation

1920 Ballenger Av, 4th Fl.
Alexandria, Virginia 22314
www.FlightSafety.org