Boeing 737-800 PK-LKS (Lion Air) — I Gusti Ngurah Rai Airport, Bali

The ATIS information of the visibility was 10 km contrary to the actual condition that the pilots could not see the runway. Considered to this finding KNKT recommends that the AirNav Indonesia should adjust the airport operation according to the current firefighting and rescue category, declared by airport authority

In regard to the actual time of the ARFF arrival at the accident site and the ICAO Annex 14 Para 9.2.23 recommended response time indicated that the actual response time performed by the ARFF was 4 minutes instead of 3 minutes after the crash bell pressed by controller. Following to this finding the PT Angkasa Pura I requires to evaluate the ARFF response time capability based on the involvement o...

While foam tender(s) absence from the fire station, the requirement of ICAO for the response time and firefighting category should be complied therefore requires specific strategy. If the response time could not be achieved, the airport operation should be reduce or stop for evaluating purposes.

The ICAO Annex 3 4.6, Observing and reporting of visibility, should be implemented

The BMKG and AP I should evaluate the current information distribution system to ensure the latest weather information distributes to the pilots representing the ICAO Recommendation

The DGCA should oversight all air operators to ensure pilot monitoring skills are embedded in the pilot training program and SOP

The DGCA should oversight all air operators in reviewing the effectiveness of current Safety Emergency Procedure particularly evacuation procedure

The DGCA should oversight all air operators in achieving the effectiveness of training programs for the pilots to be competent in hand flying and covered during pilot initial training and recurrent program.

The DGCA should oversight the ARFF response time capability, including in the case of the firefighting and rescue category downgraded due to firefighting and rescue activities

The DGCA should oversight all air operators to ensure the effectiveness of current CRM training program and CRM practices

The operator should emphasize and ensure pilot monitoring skills are embedded in the pilot training program and SOP

The operator should ensure that all pilots must be competent in hand flying and covered during pilot initial and recurrent training program

The operator should review and ensure the effectiveness of current Safety Emergency Procedure particularly evacuation procedure.

The operator should review and ensure the effectiveness of current CRM training program and CRM practices.