Boeing 737-Max 8 PK-LQP — Tanjung Karawang

KNKT recommends providing information to the flight crew that the altitude indication on the ATC radar display was repeating data from the aircraft

KNKT recommends emphasizing engineers to record test values as required by the BAT LMPM

KNKT recommends establishing system to ensure the company manuals are updated in timely manner.

KNKT recommends that Batam Aero Technic establish policy and procedure of handling OMF

KNKT recommends that the aircraft manufacture to consider the effect of all possible flight deck alerts and indications on flight crew recognition and response; and incorporate design, flight crew procedures, and/or training requirements where needed to minimize the potential for flight crew actions that are inconsistent with manufacturer assumptions

KNKT recommends that Boeing include a larger tolerance in the design is required to allow operability by a larger population of flight-rated pilots

KNKT recommends that Boeing and the FAA more closely scrutinize the development and certification process for systems whose malfunction has the ability to lead to loss of control of the airplane.

KNKT recommends to Boeing to develop the guidance for the criteria of information which should be included in flight crew and engineer’s manuals

KNKT recommends to Boeing that they ensure that certified and delivered airplanes have intended system functionality

KNKT recommends the IFIM tasks sequence are reviewed to ensure they are effective.

KNKT recommends improving oversight to ensure implementation of the standard procedure.

KNKT recommends improving the oversight of the manual to ensure the manuals are conform to the standard and updated in timely manner

KNKT recommends that the Directorate General of Civil Aviation review operators SMS training material and the duration of training to ensure adequacy of SMS implementation

According to the weight and balance sheet, on board the aircraft were two pilots, five flight attendants and 181 passengers consisted of 178 adult, one child and two infants. The voyage report showed that the number of flight attendant on board was six flight attendants. This indicated that the weight and balance sheet did not contain actual information.KNKT recommend ensuring all the operation do…

Refer to the CASR Part 91.7 Civil Aircraft Airworthiness and the Operation Manual part A subchapter 1.4.2, the pilot in command shall discontinue the flight when un-airworthy mechanical, electrical, or structural conditions occur.The flight from Denpasar to Jakarta experienced stick shaker activation during the takeoff rotation and remained active throughout the flight. This condition is considere…

KNKT recommends establishing system to ensure the company manuals are updated in timely manner.

KNKT recommends that Lion Air review the SMS training material and the duration of training

recommends that Lion Air improve their hazard report management enabling identifying the hazard and provides proper mitigation.

KNKT recommends to review the requirements of the applicable FARs to consider any issue that may be overlooked when the requirements are considered separately

KNKT recommends that the FAA review their processes for determining their level of involvement (degree of delegation) and how changes in the design are communicated to the FAA to ensure an appropriate level of review

KNKT recommends that the FAA improves the oversight to Approved Maintenance Organization (AMO) to ensure the processes within the AMO are conducted in accordance with the requirements

KNKT recommends that Boeing and the FAA more closely scrutinize the development and certification process for systems whose malfunction has the ability to lead to loss of control of the airplane

KNKT recommends that the FAA work with international regulatory authorities to review assumptions on flight crew behavior used during design and revise certification processes to ensure assumptions used during the design process are validated.

KNKT recommends to the FAA work with international regulatory authorities to review the guidance for the criteria of information which should be included in flight crew and engineer’s manuals

KNKT recommends to Boeing and the FAA that they ensure that certified and delivered airplanes have intended system functionality

KNKT recommends emphasizing the implementation of a company manual including equivalency assessment, training and written procedure, to ensure component being repaired are properly maintained