B732, Pekanbaru Indonesia, 2002

B732, Pekanbaru Indonesia, 2002

Summary

On 14 January 2002, a Boeing 737-200, operated by Lion Air, attempted to complete a daylight take off from Pekanbaru, Indonesia without flaps set after a failure to complete the before take off checks. The rejected take off was not initiated promptly and the aircraft overran the runway. The take off configuration warning failed to sound because the associated circuit breaker was so worn that it had previously auto-tripped and this had not been noticed.

Description

On 14 January 2002, a Boeing 737-200 being operated by Lion Air on a domestic scheduled passenger fight from Pekanbaru to Batam could not get airborne from Runway 18 at Pekanbaru when rotated and a rejected take off as made which led to an overrun recorded as between 240 and 275 metres and impact with trees. The aircraft was destroyed but there was no fire and all 102 occupants were able to evacuate with only one serious injury sustained.

Investigation

An Investigation was carried out by the Indonesian NTSC. Flight Data Recorder (FDR) and Cockpit Voice Recorder (CVR) data were successfully replayed with the exception of the absence of the cockpit area microphone channel which had no data. The FDR was of limited value as it was designed to record only 11 parameters.

It was established that an engineer had been occupying the flight deck supernumerary seat, that the First Officer had been PF and that a reduced thrust take off was being made. Runway 18, which is 2150 metres long, was used for the take off. When the aircraft did not become airborne following rotation to the prescribed attitude, and the stick shaker was reported to have activated, the initial response of the aircraft commander had been to increase the thrust. When this did not produce the expected effect, a rejected take off had been initiated with aircraft around 25 knots above V1. An overrun followed during which the aircraft was steered around obstructions.

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