Loss of pressurization Serious incident Boeing 737-8GP (WL) 9M-LCM, Tuesday 13 February 2024
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Date:Tuesday 13 February 2024
Time:20:59
Type:Silhouette image of generic B738 model; specific model in this crash may look slightly different    
Boeing 737-8GP (WL)
Owner/operator:Batik Air Malaysia
Registration: 9M-LCM
MSN: 39840/6242
Year of manufacture:2017
Total airframe hrs:18153 hours
Cycles:9017 flights
Engine model:CFMI CFM56-7B
Fatalities:Fatalities: 0 / Occupants: 92
Other fatalities:0
Aircraft damage: None
Category:Serious incident
Location:NW of Kuching -   Malaysia
Phase: En route
Nature:Passenger - Scheduled
Departure airport:Kuala Lumpur International Airport (KUL/WMKK)
Destination airport:Sibu Airport (SBW/WBGS)
Investigating agency: AAIB Malaysia
Confidence Rating: Accident investigation report completed and information captured
Narrative:
Batik Air Malaysia flight OD1904, a Boeing 737-8GP, experienced rapid cabin decompression while en route. The flight crew carried out an emergency descent and diverted to Kuching Airport.

The incident began following the illumination of the Engine No. 2 Bleed Trip light and a subsequent issue with the Engine No. 1 Thermal Anti-Icing (TAI) system. While cruising at FL290, the situation escalated, necessitating an emergency descent and the deployment of passenger oxygen masks. The situation was stabilised at approximately FL100, and the distress signal was cancelled. The aircraft was diverted to Kuching International Airport (WBGG), where it landed safely at 2153 LT without any casualties.

The incident flight was the first flight of the aircraft for Batik Air Malaysia. The aircraft was transferred from Batik Air (Indonesia) and ferried to Kuala Lumpur on 29 November 2023. It was test flown on 17 December 2023 before commencing regular operations on February 13, 2024.

Causes/Contributing Factors
The rapid decompression event was primarily attributed to malfunctions in the bleed air systems of both engines.
• On 9 February 2024, an Engine No. 2 Bleed Trip occurred during an idle run inspection, which led to the temporary replacement of the Bleed Air Regulator (BAR). However, persistent issues resurfaced during subsequent flights.
• On 13 February 2024, Engine No. 2 experienced a Bleed Trip during climb due to faults in the High-Stage Valve (HSV) and High-Stage Regulator (HSR). The HSV was prone to sticking in the open position, while the HSR's reverse flow
diaphragm was leaking, compromising the system's ability to maintain cabin pressure.
• During descent, Engine No. 1 encountered a Low Bleed issue caused by a partially open HSV, restricting airflow and exacerbating the decompression.
• Cannibalised components, such as the Pressure Control Check Valve (PCCV) on Engine No. 2 sourced from donor aircraft PK-LDH, introduced further potential vulnerabilities.

The combination of these component failures across both engines under varying altitude and power conditions culminated in a loss of cabin pressurisation. The serious incident is classified as System/Component Failure or Malfunction (Non-Powerplant) (SCF-NP).

Accident investigation:
cover
  
Investigating agency: AAIB Malaysia
Report number: SI 04/24
Status: Investigation completed
Duration: 11 months
Download report: Final report

Sources:

https://www.mot.gov.my/en/aviation/reports/statistics-and-accident-report-aaib/2024

Revision history:

Date/timeContributorUpdates
13-Mar-2024 09:13 ASN Added
13-Mar-2024 09:13 ASN Updated
11-Mar-2025 18:14 ASN Updated [Total occupants, Narrative, Accident report, ]

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