Lompat ke konten utama
KNKT
Penerbangan Final Report Serious Incident

Boeing 737-300 PK-CKL — Juanda International Airport, Surabaya

Nomor investigasi
KNKT.14.01.02.04
Waktu kejadian
Lokasi
Juanda International Airport, Surabaya
Wilayah administratif
SIDOARJO, JAWA TIMUR

Kronologi & deskripsi kejadian

On final approach to SUB on RW 28, PIC as PM realize that aircraft on short final was not align with runway rather on parallel taxi way. ATC remind PIC to go around, but aircraft continue to land on parallel taxi way

Data teknis

Data teknis kejadian Boeing 737-300 PK-CKL — Juanda International Airport, Surabaya
Operator / maskapai Sriwijaya Air
Registrasi PK-CKL
Tipe pesawat Boeing 737-300
MTOW above 5,700 kg
Tipe operasi AOC 121
Fase penerbangan Landing (LDG)
Jenis kejadian Navigation Errors
Jenis kejadian II Landing on taxiway
Dimensi runway 3000 x 45
Kode / nomor runway Code 4

Faktor penyebab & kontributor

Faktor I
Environment; Human; Human

Sarana & operator terkait

Daftar sarana dan operator yang terlibat
Operator Flight Number Registrasi Tipe Pesawat Mtow Tahun Pembuatan Tipe Operasi
Sriwijaya Air PK-CKL Boeing 737-300 above 5,700 kg AOC 121

Rekomendasi keselamatan yang diterbitkan

Penerima: AirNav Indonesia Branch Office Surabaya

Penerima: Angkasa Pura I Branch Office Juanda International Airport

  • CLOSED 0 tanggapan

    The investigation found that the runway centre lines marks blurred, covered by the rubber deposit KNKT recommends reviewing the current of rubber deposit removal schedule to ensure that the centerline marks appear clearly.

    Lihat butir & lini masa tanggapan
  • CLOSED 0 tanggapan

    The SMS implementation should refer to CASR SMS especially for the Safety Risk management

    Lihat butir & lini masa tanggapan
  • CLOSED 0 tanggapan

    The Aerodrome Manual Sub chapter 5.43 Hazard identification and risk assesment was not in accordance to CASR SMS subpart 7. As such, KNKT recommends that: To ensure that Aerodrome Manual Sub chapter 5.43 should refer to the detail contain of CASR SMS subpart 7.

    Lihat butir & lini masa tanggapan

Penerima: Directorate General of Civil Aviation

  • OPEN 0 tanggapan

    Refer to the ICAO Annex 19 sub chapter 7, the DGCA shall implement documented surveillance processes, by defining and planning inspections, audits, and monitoring activities on a continuous basis. Therefore the KNKT recommends proactively assure the oversight and ensure that the recommendations issued in this final report were implemented correctly.

    Lihat butir & lini masa tanggapan

Penerima: Sriwijaya Air

  • CLOSED 0 tanggapan

    To review the modification of the current SOP, to include information for the pilot the requirement for go around whenever uncertain condition occurs at critical phase.

    Lihat butir & lini masa tanggapan
  • CLOSED 0 tanggapan

    To review the pilot CRM recurrent training on the subject of Visual Illusion in combining with decision making process in a critical situation included examples and practices

    Lihat butir & lini masa tanggapan
  • CLOSED 0 tanggapan

    To ensure that the pilot familiar to the current NOTAM and shall be included in the dispatch briefing

    Lihat butir & lini masa tanggapan