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Silkair MI 185 Aircraft Accident Report

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Silkair MI 185 Aircraft Accident Report National Transportation Safety Committee Aircraft Accident Report- Appendix SILKAIR FLIGHT MI 185 BOEING B737-300 9V-TRF MUSI RIVER, PALEMBANG, INDONESIA 19 DECEMBER 1997 Jakarta, 14 December 2000 Department of Communications Republic of Indonesia Appendix I Professional Events in the Flight Crew’s Career during 1997 I-1 Professional Events in the Pilot-in-Command’s Career During 1997 18 February PIC attends base check. Performance rated as ‘above average’. 3 March PIC was flying pilot on a flight from Singapore to Manado, Indonesia. During approach to runway 36, the crew conducted a go- around manoeuvre. 8 April The PIC was selected as a line instructor pilot (LIP). 10 May The PIC commenced line operations as an LIP. 3 June The first officer on the 3 March flight was interviewed by the B737 Fleet Manager about the Manado incident. 6 June The B737 Fleet Manager interviewed and obtained written statements from the PIC and the first officer on the 3 March flight, and wrote an initial report. He recommended that further investigation was required. 19 June The Flight Operation Manager re-interviewed both pilots involved in the Manado incident (3 March). 24 June The PIC and the first officer on the 3 March Manado flight were rostered to fly together. While preparing for the flight in the flightdeck, the PIC had asked the first officer some questions about the Manado incident.He then pulled the circuit breaker for the cockpit voice recorder (CVR) in order to preserve the previous conversation between the two pilots as evidence for the ongoing investigation into the Manado incident. The PIC decided to reset the circuit breaker before take off. The flight continued uneventfully. 25 June Both pilots on the 24 June flight reported the CVR circuit breaker incident to management. The Flight Operations Manager decided to conduct a Divisional Inquiry into the incident. 3 July The PIC was handed a letter summarizing the findings of the inquiry panel into the circuit breaker incident. The PIC was also informed that the company had decided to remove him from his LIP position immediately, and he was reprimanded for his actions. Attached to the letter was a form that asked the PIC whether or not he accepted the company’s decision. 7 July The PIC returned the form attached to the 3 July letter, and stated that he did not accept the company’s decision. As a result, a Company Inquiry into the go-around and circuit breaker incidents was held. 15 July The PIC was informed by letter that the Company Inquiry would take place on 28 July. 28 July The Company Inquiry into the go-around and circuit breaker incidents took place. The panel recommended that the original penalty stands. 1 August The PIC was informed of the Company Inquiry’s decision by the Flight Operations Manager. During this meeting, the PIC indicated that he did not accept the decision and he inquired about further I-2 avenues of appeal. 7 August The PIC completed a base check. Performance was rated ‘above average’. 19 August The PIC had a meeting with the SilkAir General Manager about the inquiries. 16 December The PIC last flight assignment was on this date 19 December Accident I-3 Professional Events in the First Officer’s Career During 1997 3 March The F/O completed base check. Performance rated as “above average”. 4 June The F/O was found fit during his last medical examination. 14 Sept. The F/O completed his most recent recurrent training (included recovery from unusual attitude) and was found to be satisfactory. 15 Sept. The F/O completed base check. Performance rated as “above average”. 10 October The F/O completed a line check, and no problems were noted. 16 December The F/O last flight assignment was on this date 19 December Accident I-4 Appendix J History of FAA AD Related to Boeing 737 Rudder System J-1 J-2 J-3 J-4 J-5 J-6.
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