Mechanical and design issues contributed to the crash of a Lion Air 737 MAX jet last October, Indonesian investigators told victims’ families in a briefing today ahead of the release of a final report.
Contributing factors to the crash of the new Boeing jet, which killed all 189 onboard, included incorrect assumptions on how an anti-stall device called the Maneuvering Characteristics Augmentation System (MCAS) functioned and how pilots would react, slides in the presentation showed.
The briefing slides showed that a lack of documentation about how systems would behave in a crash scenario, including the activation of a “stick shaker” device that warned pilots of a dangerous loss of lift, also contributed.
“Deficiencies” in the flight crew’s communication and manual control of the aircraft contributed as well, the slides showed, as did alerts and distractions in the cockpit.
The deficiencies had been “identified during training,” the slides said, without elaborating.
Reliance on a single angle-of-attack sensor made MCAS more vulnerable to failure, while the sensor on the plane that crashed had been miscalibrated during an earlier repair, according to the slides.
The final report will be released on Friday.
Some relatives of the victims at the briefing in Jakarta expressed disappointment that direct responsibility wasn’t assigned.
“Why isn’t the airline heavily sanctioned?” said Anton Sahadi, 30, whose relatives Riyan Aryandi and Muhammad Rafi Andrian were killed in the crash. “This isn’t about one or two lives, it’s about 189 lives.”
The role of the civil investigators is not to assign blame but to draw lessons that will make flying safer. Separate court actions will address who is legally responsible for the crash.
Ony Soerjo Wibowo, an investigator with Indonesia’s National Transportation Safety Committee (KNKT) who delivered the briefing, declined to comment afterwards. An agency representative also declined to comment.
A representative for Lion Air declined to comment.
A Boeing spokesperson declined to comment on the briefing, saying: “As the report hasn’t been officially released by the authorities, it is premature for us to comment on its contents.”
The 737 MAX was grounded worldwide after a second deadly crash in Ethiopia in March 2019.
Planemaker Boeing is under growing pressure to explain what it knew about 737 MAX problems before the aircraft entered service.
Boeing has already said it would redesign the MCAS anti-stall system to rely on more than a single sensor and to help reduce pilot workload.
The planemaker is set to release third-quarter financial results today.
Lion Air flight
Contact with Lion Air flight 610 was lost 13 minutes after it took off on Oct 29 from the capital Jakarta, heading north to the tin-mining town of Pangkal Pinang.
The Boeing 737 MAX aeroplane had suffered a sequence of problems in cockpit readings since Oct 26, culminating in a decision to change the angle-of-attack sensor before the penultimate flight from Denpasar to Jakarta.
During the fatal night-time flight, a “stick shaker” was vibrating the captain’s controls, warning of a stall throughout most of the 13 minutes aloft, based on what investigators believe to have been erroneous data on the altitude of the wings relative to the direction of flight, called the angle of attack.
The angle must be controlled so that the aircraft’s wings maintain lift and avoid stalling, a condition in which a plane will begin to fall out of the sky.
The airplane’s anti-stall system repeatedly pushed the nose of the aircraft down, which is how pilots usually get air under the wings.
Boeing was widely criticised for placing emphasis on piloting and maintenance issues in its public response to an earlier report, sparking a furious dispute with Lion Air co-founder Rusdi Kirana.
The planemaker has since acknowledged that MCAS and a faulty angle of attack sensor played a role, and apologised for lives lost without admitting formal responsibility.
Boeing last month settled the first claims stemming from the Lion Air crash, a US plaintiffs’ lawyer said.
Three other sources told Reuters the families of those killed will receive at least US$1.2 million each.
The manufacturer faces nearly 100 lawsuits over the Ethiopian Airlines crash on March 10, which killed all 157 people on board the flight from Addis Ababa to Nairobi.
The 737 MAX was grounded following the second crash, leaving Boeing and the US Federal Aviation Administration (FAA) grappling to contain a crisis that has left 346 people dead, forced airlines to ground more than 300 aircraft, and put Boeing deliveries worth more than US$500 billion on hold.
Boeing yesterday ousted the top executive of its commercial airplanes division, Kevin McAllister, marking the first high-level departure from the planemaker since two fatal crashes.
- Reuters
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