Vliegtuigongeval op 09 MAY 2012 met Sukhoi Superjet 100-95B 97004

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Accident

Last updated: 20 May 2013

Status:	Definitief
Datum:	09 MEI 2012
Tijd:	14:32
Type:	Sukhoi Superjet 100-95B
Luchtvaartmaatschappij:	Sukhoi
Registratie:	97004
Constructienummer:	95004
Bouwjaar:	2009-07-25 (2 years 10 months)
Aantal vlieguren:	843
Aantal vluchten:	502
Motoren:	2 PowerJet SaM146
Bemanning:	slachtoffers: 4 / inzittenden: 4
Passagiers:	slachtoffers: 41 / inzittenden: 41
Totaal:	slachtoffers: 45 / inzittenden: 45
Schade:	Vernield
Gevolgen:	Written off (damaged beyond repair)
Plaats:	75 km (46.9 mijl) S of Jakarta (Indonesië)
Fase:	Kruisvlucht (ENR)
Soort vlucht:	Demonstratie
Vliegveld van vertrek:	Jakarta-Halim Perdana Kusuma Airport (HLP/WIHH), Indonesië
Vliegveld van aankomst:	Jakarta-Halim Perdana Kusuma Airport (HLP/WIHH), Indonesië
Vluchtnummer:	36801

Beschrijving:
A Sukhoi Superjet 100 passenger plane was destroyed when it struck the side of a mountain during a demonstration flight over Indonesia. All 45 on board were killed.
A flight plan had been filed for an IFR flight from Halim Airport to Pelabuhan Ratu area then return to Halim Airport.
The flight departed Jakarta-Halim Perdana Kusuma Airport (HLP/WIHH) at 14:21. It flew south and circled Mount Salak (elevation 7254 feet). After circling the mountain, the airplane began to descend from 10,000 feet to 6,000 feet. Last contact with the flight was at 14:30. The wreckage was found the following morning on a near-vertical mountainside on the eastern side of Mount Salak at an elevation of 6,100 feet.

The Superjet was conducting a demonstration flight to prospective customers in several countries. Demonstrations were flown in Myanmar, Pakistan and Kazakhstan before arriving in Indonesia on May 9. Two demonstration flights were planned. The first flight was uneventful. Passengers on the second flight were reporters and representatives of several Indonesian airlines. There were six crew members on board, two representatives of Sukhoi and 37 journalists and prospective clients.

FACTORS:
a. The crew were not aware of the mountainous area surrounding the flight path due to various factors resulting in disregarding the TAWS warning.
b. The Jakarta Radar service had not established the minimum vectoring altitudes and the system was not equipped with functioning MSAW for the particular area surrounding Mount Salak.
c. Distraction to the flight crew from prolonged conversation not related to the progress of the flight resulted in the pilot flying did not continue to change the aircraft heading while in orbit. Consequently, the aircraft unintentionally exited the orbit.

Bronnen:
» BBC
» sergeydolya.livejournal.com
» Ministry of Transportation, Indonesia

Official accident investigation report

investigating agency:	National Transportation Safety Committee (NTSC) - Indonesia
report status:	Final
report number:	KNKT.12.05.09.04
report released:	18-DEC-2012
duration of investigation:	223 days (7.4 months)
download report:	Sukhoi Civil Aircraft Company Sukhoi RRJ–95B; 97004 Mount Salak, West Java Republic of Indonesia 9 May 2012 (NTSC KNKT.12.05.09.04)

Veiligheidsmaatregelen

NTSC issued 19 Safety Recommendations

Issued: 22-JUN-2012	To: DGAC Indonesia	KNKT/001/5/VI/REK.KU/12
To ensure a copy of the crew and passenger manifest be available in the Ground handling and Operation Service office prior to flight.
Issued: 22-JUN-2012	To: Sukhoi Civil Aircraft Company	KNKT/001/5/VI/REK.KU/12
To review the current procedures for the preparation and conduct of a demonstration flight and, if needed, introduce appropriate amendments.
Issued: 22-JUN-2012	To: Sukhoi Civil Aircraft Company	KNKT/001/5/VI/REK.KU/12
To arrange additional training for flight crews who will conduct demonstration flights, especially in mountainous regions.
Issued: 22-JUN-2012	To: Sukhoi Civil Aircraft Company	KNKT/001/5/VI/REK.KU/12
To ensure a copy of the crew and passenger manifest be available in the Ground handling and Operation Service office prior to flight.
Issued: 22-JUN-2012	To: DGAC Indonesia	KNKT/001/5/VI/REK.KU/12
To ensure that all aircraft used for a demonstration flight operated under IFR should be conducted with respect to a published minimum safe flight altitude.
Issued: 18-DEC-2012	To: Soekarno-Hatta International Airport	97004 (1)
To ensure that the ATC units and airspace structure provide acceptable workload for the ATC as on Advisory Circular (AC) 170-02 regarding Capacity Management.
Issued: 18-DEC-2012	To: DGAC Indonesia	97004 (10)
To review its oversight and to ensure flight crew actions to respond properly the aircraft system warning through adequate training.
Issued: 18-DEC-2012	To: DGAC Indonesia	97004 (11)
To ensure that all aircraft operated under IFR should be conducted with respect to a published minimum safe t1ight altitude.
Issued: 18-DEC-2012	To: DGAC Indonesia	97004 (12)
To review its oversight and to ensure that all ATS provider comply with the requirement of MSAW and the minimum vectoring altitude being integral part of radar service.
Issued: 18-DEC-2012	To: DGAC Indonesia	97004 (13)
To review its oversight and to ensure that all ATS provider follow with the requirement of Advisory Circular (AC) 170-02 regarding Capacity Management.
Issued: 18-DEC-2012	To: DGAC Indonesia	97004 (14)
To review its oversight and to ensure that all approved Ground Handling comply with regulatory documentation keeping in regard to crew and passenger manifest.
Issued: 18-DEC-2012	To: Soekarno-Hatta International Airport	97004 (2)
To ensure its radar warning system functions properly and to review that all radar controllers are fully conversant with the system and comply with procedures that they operate.
Issued: 18-DEC-2012	To: Soekarno-Hatta International Airport	97004 (3)
To ensure that the correct aircraft type data to be entered to the Flight Data Edit Display (FDED).
Issued: 18-DEC-2012	To: Department of Avition Industry - Ministry of Trade and Industry of Russia	97004 (4)
To review its oversight and to ensure flight crew actions to respond properly the aircraft system waming through adequate training.
Issued: 18-DEC-2012	To: Department of Avition Industry - Ministry of Trade and Industry of Russia	97004 (5)
To ensure that all aircraft operated under IFR should be conducted with respect to a published minimum safe flight altitude.
Issued: 18-DEC-2012	To: Department of Avition Industry - Ministry of Trade and Industry of Russia	97004 (6)
To review the current procedures for the preparation and conduct of a demonstration flight and, if needed, introduce appropriate amendments.
Issued: 18-DEC-2012	To: Department of Avition Industry - Ministry of Trade and Industry of Russia	97004 (7)
To provide the crews with sufficient aeronautical information.
Issued: 18-DEC-2012	To: Sukhoi Civil Aircraft Company	97004 (8)
To provide the crews with sufficient aeronautical and other necessary information to the crewmember prior to perform flight outside published airway including obstacle and terrain information.
Issued: 18-DEC-2012	To: Sukhoi Civil Aircraft Company	97004 (9)
To review its current demonstration flight practices and ensures the compliance to the flight procedures during demonstration night.

Show all AD's and Safety Recommendations

Foto's

Flight path of the Superjet

Flight path and altitude of the final phase of the flight

Annotated final part of the flight

97004 departing Jakarta-Halim on it's final flight

Kaart

Deze kaart geeft het vliegveld van vetrek weer en de geplande bestemming van de vlucht. De lijn tussen de vliegvelden geeft niet de exacte vliegroute weer.
De afstand tussen Jakarta-Halim Perdana Kusuma Airport en Jakarta-Halim Perdana Kusuma Airport bedraagt 0 km (0 miles).

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