Status: | Accident investigation report completed and information captured |
Date: | Thursday 11 January 2007 |
Time: | 23:50 UTC |
Type: |  CASA/IPTN NC-212 Aviocar 200 |
Operator: | Aviastar Mandiri |
Registration: | PK-BRM |
MSN: | 412/92N |
First flight: | 1992 |
Total airframe hrs: | 9383 |
Cycles: | 11969 |
Engines: | 2 Garrett TPE331 |
Crew: | Fatalities: 0 / Occupants: 3 |
Passengers: | Fatalities: 0 / Occupants: 10 |
Total: | Fatalities: 0 / Occupants: 13 |
Aircraft damage: | Substantial |
Aircraft fate: | Repaired |
Location: | Sangata-Tanjung Bara Airport ( Indonesia)
|
Phase: | Landing (LDG) |
Nature: | Domestic Non Scheduled Passenger |
Departure airport: | Balikpapan-Sepingan Airport (BPN/WALL), Indonesia |
Destination airport: | Sangata-Tanjung Bara Airport (WRLJ), Indonesia |
Narrative:The Aviocar aircraft registered PK-BRM, was on a charter flight from Balikpapan, East Kalimantan to Tanjung Bara, East Kalimantan, Indonesia.
The aircraft departed from Balikpapan at 23:00 UTC with a planned flight time of 55 minutes at an altitude of 7000 feet. There were 13 people on board; two pilots, a maintenance engineer, and 10 passengers. The pilot in command (PIC) was the pilot flying for the sector to Tanjung Bara, and the copilot was the monitoring pilot.
The flight was normal until 5 minutes before landing when the number 1 (left engine) generator malfunctioned. The pilot in command (PIC) asked the maintenance engineer on board the aircraft, who advised that there was no problem for the aircraft operations.
The aircraft made its final approach to runway 04 at Tanjung Bara at 23:50. The aircraft touched down to the right of the centreline, then diverged right into soft wet ground, impacting a channel embankment and subsequently a barbed-wire airport perimeter fence.
The investigation determined that aircraft was not being flown on a stabilized approach and subsequently touched down to the right of the runway centerline. It then veered to the right of centerline after touchdown and the PICs effort to bring the aircraft back to the runway centreline by using aileron was ineffective.
There was no evidence that visibility affecting visual acquisition of the runway was a factor. However, the investigation considered that a visual approach guidance system such as Visual Approach System Indication (VASI), may have provided additional visual cues to alert the pilots to the prevent the unstabilized approach.
Probable Cause:
Causes:
1. The pilot in command (PIC) continued to land the aircraft from an unstabilized approach.
2. The PIC did not maintain effective and appropriate control of the aircraft on the ground.
Accident investigation:
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Investigating agency: | NTSC Indonesia  |
Status: | Investigation completed |
Duration: | 2 years and 7 months | Accident number: | KNKT/07.01.03.04 | Download report: | Final report
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Classification:
Landing after unstabilized approach
Runway excursion
Follow-up / safety actions
NTSC issued 2 Safety Recommendations
Issued: 24-JUL-2009 | To: PT. Kalimantan Prima Coal (airport operator) | 04.B.2009.3.1 |
The National Transportation Safety Committee encourages the airport operator, PT. Kalimantan Prima Coal (KPC), to improve the safety of operations at KPC Airport through the installation of a visual approach guidance system such as Visual Approach System Indication (VASI). |
Issued: 24-JUL-2009 | To: Aviastar Mandiri | 04.O.2009.3.1 |
The National Transportation Safety Committee encourages the use of the Flight Safety Foundation (FSF) Approach-and-landing Accident Reduction (ALAR) and Controlled Flight Into Terrain (CFIT) awareness material and recommends that Aviastar Mandiri include ALAR and CFIT awareness modules in their recurrency training programs, and conduct initial ALAR and CFIT training for flight crew members who have not yet completed such training |
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Photos
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 Balikpapan-Sepingan Airport to Sangata-Tanjung Bara Airport as the crow flies is 219 km (137 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.