Airbu A320 PK-GLW — Juanda International Airport, Surabaya

KNKT recommends that Aviation Medical Center consider an exercise ECG that does not meet the minimum requirement of three stages (nine minutes) or an oxygen uptake equivalent to 11 METs as a potential risk for subsequent cardiovascular event which must triggers further evaluation.

KNKT recommends that Aviation Medical Center evaluates the procedures of reporting the ECG results for ensuring that all instructions from the cardiologist are delivered and performed appropriately.

KNKT recommends that Directorate General of Civil Aviation reviews the Staff Instruction (SI) 67-02 to ensure the anomalies identified during resting ECG to be clarified for a more comprehensive review of applicant’s cardiovascular condition.

KNKT recommends that Citilink Indonesia to establish a health monitoring system as mandated by the DGCA circular number SE 06 Tahun 2022 for ensuring medical intervention to reduce the health risk are implemented properly.

KNKT recommends that Citilink Indonesia review the reference documents for pilot incapacitation training for to ensure that the training implementation is conducted using current and valid document to avoid confusion during its implementation.

KNKT recommends that Citilink Indonesia evaluate the training materials for ensuring the flight attendant can administer oxygen as soon as it needed, including proper use of quick donning oxygen mask.

KNKT recommends that Citilink Indonesia review crew incapacitation procedure to consider the potential benefits of involving more than one medical doctor in handling incapacitation event.