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Last updated: 19 September 2019
Status:Schlussbericht
Datum:Mittwoch 12 April 2017
Zeit:ca 12:40
Flugzeugtyp:Silhouette image of generic C208 model; specific model in this crash may look slightly different
Cessna 208 Caravan I
Fluggesellschaft:Spirit Avia Sentosa
Kennzeichen: PK-FSO
Werknummer: 20800313
Baujahr: 1991
Betriebsstunden:6226
Anzahl Zyklen der Zelle:8668
Triebwerk: 1 Pratt & Whitney Canada PT6A-114A
Besatzung:Todesopfer: 1 / Insassen: 1
Fluggäste:Todesopfer: 0 / Insassen: 0
Gesamt:Todesopfer: 1 / Insassen: 1
Sachschaden: Zerstört
Konsequenzen: Written off (damaged beyond repair)
Unfallort:13 km (8.1 Meilen) N of Oksibil Airport (OKL) (   Indonesien)
Flugphase: Während des Fluges (ENR)
Betriebsart:Frachtflug
Flug von:Tanahmerah Airport (TMH/WAKT), Indonesien
Flug nach:Oksibil Airport (OKL/WAJO), Indonesien
Unfallbericht:
The Cessna 208 aircraft registered PK-FSO, was being operated on an unscheduled cargo flight from Tanahmerah Airport to Oksibil Airport in Papua, Indonesia. On board the aircraft was one pilot, 1,225 kg of general cargo and 800 lbs of fuel.
At 11:44 hours local time, in daylight conditions, the aircraft departed Tanahmerah and cruised at altitude of 7,000 feet. Estimate time arrival at Oksibil would be 12:24.
At 12:12, when the aircraft position was about 45 NM north of Tanahmerah, the aircraft passed another Cessna 208B aircraft from the opposite direction from Oksibil to Tanahmerah. The Cessna 208B pilot advised to the pilot via radio that the PK-FSO aircraft was in sight. The pilot responded that the aircraft was maintaining 7,000 feet on direct route to Oksibil.
The pilot failed to contact the Oksibil air traffic controller and failed to arrive at the destination. The airline's flight following officer received an emergency signal with a last recorded position of 6 NM north of Oksibil.
The next day the aircraft was found on a ridge of Anem Mountain at a height of 7100 feet. The aircraft was destroyed by impact forces and the pilot was fatally injured.

The investigation learned that two days prior the occurrence, the pilot travelled on a night commercial flight. This might have resulted in a sleep disturbance during the window of circadian low and an increase of the potential of fatigue. There are indications that the pilot did not have the required adequate restorative sleep before he started flying on the accident day. Prior to the occurrence flight, the pilot had flown for 3 flight sectors, with total flight hour of 2 hours 55 minutes. The multiple take-offs and landings that day increased fatigue.
Based on the final flight track, the absence of voice communication, the weather condition permitting the pilot to identify the airport location and the aircraft wreckage, consistently indicated that there were no pilot activities to fly the aircraft after the last known pilot activities at about 29 Nm from Oksibil until impact.
Colleagues of the pilot reported that he often smoked in the cockpit during the flight, looked sleepy and engaged the Terrain Inhibit switch which disabled the GA-EGPWS function while flying. This prevented any prior warning when the aircraft neared Anem Mountain.
This known behavior was not reported to the Operation and Safety department, so no action could be taken.

Probable Cause:

Contributing Factors: "The possibility of the pilot being fatigue, physical and environment condition increased pilot sleepiness which might have made the pilot inadvertently falling asleep indicated by no pilot activity. The absence of GA-EGPWS aural alert and warning was unable to wake up the pilot."

Accident investigation:
cover
Investigating agency: NTSC Indonesia
Status: Investigation completed
Duration: 2 years and 5 months
Accident number: KNKT.17.04.10.04
Download report: Final report


Sicherheitsempfehlungen

NTSC issued 6 Safety Recommendations

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Fotos

photo of Cessna-208-Caravan-I-PK-FSO
accident date: 12-04-2017
type: Cessna 208 Caravan I
registration: PK-FSO
photo of Cessna-208-Caravan-I-PK-FSO
 

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 Tanahmerah Airport to Oksibil Airport as the crow flies is 136 km (85 miles).
Accident location: Exact; as reported in the official accident report.

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.
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