Incident Overview

Date: Friday 19 December 1997
Aircraft Type: Boeing 737-36N
Owner/operator: Silkair
Registration Number: 9V-TRF
Location: 56 km N of Palembang – ÿ Indonesia
Phase of Flight: En route
Status: Destroyed, written off
Casualties: Fatalities: 104 / Occupants: 104
Component Affected: Flight recorder data (specifically the cockpit voice recorder and flight data recorder) ? the data is fragmented and lacks crucial context for a complete causal analysis, but the evidence strongly suggests a deliberate action by the pilot.Flight recorder data (specifically the cockpit voice recorder and flight data recorder) ? the data is fragmented and lacks crucial context for a complete causal analysis, but the evidence strongly suggests a deliberate action by the pilot.
Investigating Agency: NTSCNTSC
The Silkair Flight MI185, a Boeing 737-300, crashed north of Palembang, Indonesia, resulting in the loss of all 104 passengers and crew. The flight, which began with takeoff from Jakarta-Soekarno Hatta Airport runway 25R, deviated to PARDI and then continued to FL350, before abruptly descending and colliding with the Musi River delta. The cockpit voice recorder ceased recording at 16:12:18, and the aircraft broke up in flight, leading to a catastrophic crash. The investigation, conducted by the NTSC, concluded that the captain, facing financial difficulties and potential suicide risk, intentionally initiated a dive, potentially triggered by a switch-off of both flight recorders. The NTSC investigation revealed a complex sequence of events, including a series of logistical errors, a pilot’s decision to deviate, and a subsequent descent that culminated in the crash. While the NTSC team did not find definitive evidence to explain the departure from FL350 or the stoppage of the flight recorders, the analysis points to a deliberate action by the pilot, potentially driven by a combination of factors including a risk of suicide and a decision to initiate a dive.The Silkair Flight MI185, a Boeing 737-300, crashed north of Palembang, Indonesia, resulting in the loss of all 104 passengers and crew. The flight, which began with takeoff from Jakarta-Soekarno Hatta Airport runway 25R, deviated to PARDI and then continued to FL350, before abruptly descending and colliding with the Musi River delta. The cockpit voice recorder ceased recording at 16:12:18, and the aircraft broke up in flight, leading to a catastrophic crash. The investigation, conducted by the NTSC, concluded that the captain, facing financial difficulties and potential suicide risk, intentionally initiated a dive, potentially triggered by a switch-off of both flight recorders. The NTSC investigation revealed a complex sequence of events, including a series of logistical errors, a pilot’s decision to deviate, and a subsequent descent that culminated in the crash. While the NTSC team did not find definitive evidence to explain the departure from FL350 or the stoppage of the flight recorders, the analysis points to a deliberate action by the pilot, potentially driven by a combination of factors including a risk of suicide and a decision to initiate a dive.

Description

Silkair flight 185, a Boeing 737-300, crashed north of Palembang, Indonesia, killing all 104 occupants in what appears to have been an intentional crash. At 15:37 Silkair flight MI185 took off from Jakarta-Soekarno Hatta Airport runway 25R with the captain as the handling pilot. The flight received clearance to climb to FL350 and to head directly to Palembang. At 15:47 the aircraft passed FL245. Ten seconds later, the crew requested permission to proceed directly to PARDI. The air traffic controller instructed MI185 to standby, to continue flying directly to Palembang and to report when reaching FL350. At 15:53, MI 185 reported reaching FL350. Subsequently, the controller cleared MI185 to proceed directly to PARDI and to report when abeam Palembang. At 16:05, the cockpit voice recorder ceased recording. At 16:10 the controller informed MI185 that it was abeam Palembang. The controller instructed the aircraft to maintain FL350 and to contact Singapore Control when at PARDI. The crew acknowledged this call. At 16:11:27 the FDR ceased recording. MI 185 was still at FL350 until it started a rapid descent around 16:12:18. The aircraft broke up in flight and crashed into the Musi river delta. Although not concluded by the Indonesian authorities, it has been suggested by a.o. the US NTSB that the captain may have committed suicide by switching off both flight recorders and intentionally putting the Boeing 737 in a dive, possibly when the first officer had left the flight deck. During 1997 the captain experienced multiple work-related difficulties, particularly during the last 6 months. Also at the time of the accident the captain was experiencing significant financial difficulties, which was disputed by the Indonesian investigators. Coincidentally the accident happened on exactly the same date in 1979 the captain was forced to withdraw from a scheduled Air Force A-4 Skyhawk jet training mission because of a mechanical problem with his aircraft. The other three aircraft continued with the training mission and collided with terrain after encountering bad weather in a mountainous area. All of the pilots on board the aircraft were killed. FINAL REMARKS: – The NTSC investigation into the MI 185 accident was a very extensive, exhaustive and complex investigation to find out what happened, how it happened, and why it happened. It was an extremely difficult investigation due to the degree of destruction of the aircraft resulting in highly fragmented wreckage, the difficulties presented by the accident site and the lack of information from the flight recorders during the final moments of the accident sequence. – The NTSC accident investigation team members and participating organizations have done the investigation in a thorough manner and to the best of their conscience, knowledge and professional expertise, taking into consideration all available data and information recovered and gathered during the investigation. – Given the limited data and information from the wreckage and flight recorders, the NTSC is unable to find the reasons for the departure of the aircraft from its cruising level of FL350 and the reasons for the stoppage of the flight recorders. – The NTSC has to conclude that the technical investigation has yielded no evidence to explain the cause of the accident. The US NTSB responded to the Indonesian investigation report in a letter dated December 11, 2000. The NTSB states that “when all of the investigative evidence is considered, it leads to the conclusions that: 1) no airplane-related mechanical malfunctions or failures caused or contributed to the accident, and 2) the accident can be explained by intentional pilot action. Specifically, a) the accident airplane’s flight profile is consistent with sustained manual nose-down flight control inputs; b) the evidence suggests that the cockpit voice recorder (CVR) was intentionally disconnected; c) recovery of the airplane was possible but not attempted; and d) it is more likely that the nose-down flight control inputs were made by the captain than by the first officer.”

Primary Cause

Intentional pilot action, potentially driven by a combination of financial difficulties and a risk of suicide.Intentional pilot action, potentially driven by a combination of financial difficulties and a risk of suicide.

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