Boeing 737-300 PK-CKL — Juanda International Airport, Surabaya

To ensure that the SMS manual and procedure should refer to the detail content of CASR SMS subpart 7.

The SMS implementation should refer to CASR SMS especially for the Safety Risk management.

The Aerodrome Manual Sub chapter 5.43 Hazard identification and risk assesment was not in accordance to CASR SMS subpart 7. As such, KNKT recommends that: To ensure that Aerodrome Manual Sub chapter 5.43 should refer to the detail contain of CASR SMS subpart 7.

The investigation found that the runway centre lines marks blurred, covered by the rubber deposit KNKT recommends reviewing the current of rubber deposit removal schedule to ensure that the centerline marks appear clearly.

The SMS implementation should refer to CASR SMS especially for the Safety Risk management

Refer to the ICAO Annex 19 sub chapter 7, the DGCA shall implement documented surveillance processes, by defining and planning inspections, audits, and monitoring activities on a continuous basis. Therefore the KNKT recommends proactively assure the oversight and ensure that the recommendations issued in this final report were implemented correctly.

To review the modification of the current SOP, to include information for the pilot the requirement for go around whenever uncertain condition occurs at critical phase.

To review the pilot CRM recurrent training on the subject of Visual Illusion in combining with decision making process in a critical situation included examples and practices

To ensure that the pilot familiar to the current NOTAM and shall be included in the dispatch briefing