Lesson Learn from the QZ8501 Investigation. Komite Nasional Keselamatan Transportasi (KNKT) Indonesia

Similar documents
International Civil Aviation Organization. Fourth Meeting of the Asia/Pacific Regional Search and Rescue Task Force (APSAR/TF/4)

Human Factors Approach in KNKT Aviation Investigation Analysis

Aircraft Accident Investigation Report

Regional Aviation Association of Australia

Regional Cooperation in Search and Rescue (SAR) Operations. - An Australian Perspective

PRELIMINARY KNKT

PT. Merpati Nusantara Airlines CASA ; PK-NCZ Larat Airport, Maluku Republic of Indonesia 03 December 2011

ICAO Initiatives on Global Tracking

PT. Alfa Trans Dirgantara PA T ; PK SUV Halim Perdanakusuma Airport, Jakarta Republic of Indonesia 20 June 2010

SHORT SUMMARY REPORT KNKT

PRELIMINARY KNKT KOMITE NASIONAL KESELAMATAN TRANSPORTASI REPUBLIC OF INDONESIA

KOMITE NASIONAL KESELAMATAN TRANSPORTASI REPUBLIC OF INDONESIA PRELIMINARY KNKT Aircraft Serious Incident Investigation Report

Cessna 172 ; PK NIP PT. Nusa Flying International (NFI) Mount Ciremai, West Java Republic of Indonesia 16 November 2011

Aircraft Accident Investigation Report Aero Flyer Institute Cessna 172 ; PK HAF Cakrabhuwana Airport, Cirebon, West Java Republic of Indonesia

PRELIMINARY KNKT PT. Trigana Air Service Boeing F; PK-YSY Wamena Airport, Papua Republic of Indonesia 13 September 2016

Session 10. Underwater Search and Recovery of Flight Recorders and Wreckage SEMINAR ON ACCIDENT INVESTIGATION AUGUST 2011

ASSEMBLY 37TH SESSION

The Global Aeronautical Distress and Safety System (GADSS)

FINAL KNKT KOMITE NASIONAL KESELAMATAN TRANSPORTASI REPUBLIC OF INDONESIA

Unmanned Aircraft System (UAS): regulatory framework and challenges. NAM/CAR/SAM Civil - Military Cooperation Havana, Cuba, April 2015

CASA PK-TLF Leuser Mountain National Park, North Sumatera Republic of Indonesia 29 September 2011

Indonesia Civil Aviation Institute Socata TB-10 Tobago; PK-AGM Banten Bay, Banten Republic of Indonesia 1 December 2010

FINAL KNKT Aircraft Accident Investigation Report

PT. Merpati Nusantara Airlines De Havilland DHC Twin Otter; PK-NUH Dabra Airstrip, Papua Republic of Indonesia 17 October 2011

Asia/Pacific SAR Plan

Aircraft Accident Investigation Report. PT. Airfast Indonesia Eurocopter AS 350B3 ; PK ODA Mt. Zaagkam, Papua Republic of Indonesia 17 March 2012

PT. Airfast Indonesia Bell 412 Helicopter; PK OCV Lemurung area, Sumbawa, Nusa Tenggara Barat Republic of Indonesia 25 September 2011

REGIONAL CIVIL MILITARY COOPERATION

Search and Rescue Coordination in the Ross Sea Region

Explanatory Note to Decision 2015/030/R

KNKT September 2011

FINAL KNKT Aircraft Serious Incident Investigation Report

Alfa Flying School PK SDP Cessna 172 Nirwana Indah Village, Ciputat, Tangerang Republic of Indonesia 7 April 2007

Aircraft Accident Investigation Report

Aircraft Serious Incident Investigation Report

Aircraft Accident Investigation Report

T Ranking Clause El Ex En L I

KOMITE NASIONAL KESELAMATAN TRANSPORTASI

PRELIMINARY KNKT KOMITE NASIONAL KESELAMATAN TRANSPORTASI REPUBLIC OF INDONESIA

KOMITE NASIONAL KESELAMATAN TRANSPORTASI REPUBLIC OF INDONESIA PRELIMINARY KNKT Aircraft Accident Investigation Report

FINAL KNKT Aircraft Serious Incident Investigation Report. Collision on the Ground. PT. Manunggal Air Service Antonov AN-26B 4L-IFE.

SEARCH AND RESCUE (SAR) ORGANIZATION IN CAMEROON

KOMITE NASIONAL KESELAMATAN TRANSPORTASI

FINAL KNKT KOMITE NASIONAL KESELAMATAN TRANSPORTASI REPUBLIC OF INDONESIA

5 th ANNUAL MENASASI SEMINAR & WORKSHOP 7-9 NOVEMBER 2017 ELAF JEDDAH HOTEL JEDDAH SAUDI ARABIA

NATIONAL TRANSPORTATION SAFETY COMMITTEE

FINAL KNKT Aircraft Accident Investigation Report

Cooperative Development of Operational Safety & Continuing Airworthiness Programme. 25th COSCAP SA STEERING COMMITTEE MEETING

HIGH-LEVEL SAFETY CONFERENCE

Aircraft Serious Incident Investigation Report

FINAL KNKT KOMITE NASIONAL KESELAMATAN TRANSPORTASI REPUBLIC OF INDONESIA

PT. Intan Angkasa Air Service PA ; PK-IWH Mayang Hill, Bontang East Kalimantan Republic of Indonesia 24 August 2012

ICAO - AND PUBLIC HEALTH EMERGENCIES

PRELIMINARY KNKT KOMITE NASIONAL KESELAMATAN TRANSPORTASI REPUBLIC OF INDONESIA

Foreign Air Carrier Family Support Act. August, 2011

ICAO and aircraft accident and incident investigation. Visión global de la investigación para la seguridad operacional Buenos Aires 10 November 2017

Foster Brooks drunk pilot skit.wmv

What is safety oversight?

The role of Unmanned Aircraft System (AUS) in search and rescue (SAR) operations

PT. Nyaman Air Service Bell 412; PK FUG Dua Saudara Mountain, Bitung, North Sulawesi Republic of Indonesia 3 August 2011

KOMITE NASIONAL KESELAMATAN TRANSPORTASI REPUBLIC OF INDONESIA PRELIMINARY KNKT Aircraft Accident Investigation Report

International Aviation Safety Program

Cooperation Agreements for SAR Service and COSPAS-SARSAT SEARCH AND RESCUE AGREEMENTS: OVERVIEW. (Presented by United States)

Indonesia AirAsia Flight Accident. Investigation

PRELIMINARY KNKT KOMITE NASIONAL KESELAMATAN TRANSPORTASI REPUBLIC OF INDONESIA

Inmarsat GADSS Solutions Global Aeronautical Distress and Safety System

Continuous Improvement of the Global Air Traffic Management System

Aircraft Accident Investigation Report

ICAO Regulatory Framework and Universal Safety Oversight Audit Programme

AUTOMATIC DEPENDENT SURVEILLANCE BROADCAST (ADS-B) IMPLEMENTATION IN INDONESIA

Aircraft Serious Incident Investigation Report

Conference on Search and Rescue

Air Safety Through Investigation

Aircraft Accident Investigation Report

(Non-legislative acts) REGULATIONS

FINAL REPORT OF THE USOAP CMA AUDIT OF THE CIVIL AVIATION SYSTEM OF THE KINGDOM OF NORWAY

BAKORKAMLA CONTRIBUTION IN RESCUED MT NAUTICA BY RMN AND MMEA FROM A GROUP OF ARMED PIRATES IN THE SOUTH CHINA SEA ON OCT 27,2011.

FINAL KNKT Aircraft Accident Investigation Report

AIP GEN SRI LANKA REGULATIONS AND REQUIREMENTS 25 MAY 17 GEN 1.2 ENTRY, TRANSIT AND DEPARTURE OF AIRCRAFT

The Legal Framework for RPAS/UAS Suitability of the Chicago Convention and its Annexes

Aircraft Accident Investigation Report

PT. Derazona Air Service Bell 206 B Jet Ranger ; PK DAT Labih Ricefield, Labih Village, Gianyar, Bali Republic of Indonesia 23 April 2008

Introduction to Annex 9: ICAO SARPs on Traveller Identification and Border Controls

ICAO Universal Safety

FINAL KNKT KOMITE NASIONAL KESELAMATAN TRANSPORTASI REPUBLIC OF INDONESIA

AIRLINE FAMILY ASSISTANCE PLAN

Foster Brooks drunk pilot skit.wmv

COMMISSION REGULATION (EU) No 255/2010 of 25 March 2010 laying down common rules on air traffic flow management

4 th Africa Regional Meeting of the Collaborative Arrangement for the Prevention and Management of Public Health Events in Civil in Civil Aviation

Civil-Military Cooperation in Germany. Roland Mallwitz German Air Navigation Services Head of Surveillance Services

FINAL KNKT Aircraft Accident Investigation Report

Aviation Safety Directorate. Strategy Roadmap SSP

National Air Transport Facilitation Program Kingdom of Bahrain

ASSEMBLY 39TH SESSION

GEN 3. SERVICES GEN 3.6 SEARCH AND RESCUE

Contents. Subpart A General 91.1 Purpose... 7

Air Law and ATC Procedures Subject: AIR LAW AND ATC PROCEDURES

FINAL KNKT Aircraft Accident Investigation Report

ESTABLISHMENT AND OPERATIONALIZATION OF SAR IN GHANA

Cranfield Safety Management and Investigation Course

Transcription:

Lesson Learn from the QZ8501 Investigation Komite Nasional Keselamatan Transportasi (KNKT) Indonesia 1

Events 28 December 2014, A320 operated as QZ8501 reported lost contact with 162 persons on board. SAR response launched by Indonesian SAR agency, BARSARNAS Debris was found floating in Karimata Strait KNKT (accident investigation authority) coordinated effort to locate and recover flight recorders.

Timeline of Events 29 December 2014, the investigation go team assembled including the black box searching team. Singapore, France, United Kingdom, South Korea and Australia offered assistant to support the investigation and black box search 31 December 2014 the search operation moved from Pangkal Pinang to Pangkalan Bun.

Challenges Faced Accommodation Lack of accommodation Improvising and staying onboard vessels Transport 400Kg of equipment Help from military and BASARNAS

Locating the Flight Recorder Locating flight recorder refer to the last ADS-B data. The point calculation was made by team in Jakarta (head quarter) consisted of KNKT, BEA, and ATSB.

Challenges Faced Weather Reduced window to detect/localise pings Affected dive operations Logistics Planning for maximum endurance of vessels Trade travelling time for endurance

Recovering the Flight Recorders 12 January, FDR recovered 13 January, CVR recovered

Management of Sea Search SAR operation led by BASARNAS Flight recorder recovery coordinated by KNKT KNKT handled Overall management of underwater search team Logistic support for underwater search team Coordination with BASARNAS Facilitation for necessary clearance required for foreigners

International Cooperation KNKT coordinated with MFA for necessary diplomatic clearance One KNKT personnel to each group of foreign participants Translator to communicate with locals Coordinator with HQ Search team able to focus on task Importance of close relation with counterparts Developed before crisis Through attending ISASI seminars, ICAO AIG events, MOU, etc

The lessons learnt Successful operation based on international cooperation Benefits accept offers of assistance Greater efficiency for flight recorder recovery Challenge to coordinate resources Investigator training to the current technology, methodology and related issue are significant.

THANK YOU KOMITE NASIONAL KESELAMATAN TRANSPORTASI Transportation Building 3 rd floor Jl. Medan Merdeka Timur No. 5, Jakarta - 10110 INDONESIA Telp. (021) 384 7601, 3517606 ; Fax (021) 351 7606 Website : http://www.kemhubri.dephub.go.id/knkt E-mail : knkt@dephub.go.id

Annex 12 Annex 11/13 Issues Following is ICAO comment in terms of lessons learnt Search Planning The search planning and instructions should be carried out by all units civil, military, survey, govt., etc.) based on the plans provided by the RCC. They should not choose and change their area allocated without receiving approval from the RCC

Annex 12 Annex 11/13 Issues Alerting Service QZ8501 was under radar control but it took about an hour for the information (including radar data) to flow to the RCC (Indonesia has separate agencies providing the ATC and SAR services). Command and Control- In the SAR operations Area, only one authority can provide command and control to ensure safety. The RCC should also have aviation personnel to ensure that aircraft operating in the same area are separated by levels or distance or areas (if at same level).

Annex 12 Annex 11/13 Issues SAR and Accident Investigation The Accident Investigation should not complicate SAR efforts: requesting that SRU keep out of the most probable area to conduct underwater detection for the black boxes; or asking SAR units to remain stationary while they do their search for the black box; or deploying a buoy to recover black boxes and hinder the SAR operation unless this is under the command and control of the RCC; investigators should be educated to understand that SAR is separate from investigation so should make provisions to utilize their own resources instead of using SAR assets.

Annex 12 Annex 11/13 Issues the search for the black boxes should not be conducted under the Command and Control of AIG until such time as the possibility of survivors is so low that the official SAR response is terminated. There must be a handover of command and control between the Annex 12 and Annex 13 elements and only one can be in charge at a time. This relationship is NOT clear in ICAO documents at present, and was also identified as a problem in the MH370 event.