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Poor manual flying during unstabilized approach causes Lion Air 737 crash at Bali
1 September 2014
The Boeing 737-800 during evacuation (NTSC)

The Boeing 737-800 during evacuation (NTSC)

An April 2013 accident involving a Lion Air Boeing 737-800 was caused by poor manual flying during an unstabilized approach to Bali Airport. The airplane struck the water short of the runway. There were 101 passengers and seven crew members on board. All aboard survived.

The airplane was flying a VOR-DME approach to runway 09 at Denpasar-Ngurah Rai Bali International Airport (DPS) in Indonesia. The copilot was pilot flying.

While descending through 900 feet the copilot stated that the runway was not in sight. Since the captain noted a flashing light at the beginning of the runway, he responded: “OK. Approach light in sight, continue”. After the EGPWS called out “Minimum” at an altitude of approximately 550 ft AGL, the pilot disengaged the autopilot and the auto throttle and continued the descent. The airplane then entered an area of rainfall and the outside environment became totally dark.
At 150 ft AGL the captain took over control. The copilot handed the control to the captain and stated that he could not see the runway. When the EGPWS called out “Twenty”, the captain commanded a go around. One second later the aircraft impacted the water.
The aircraft stopped facing to the north at about 20 meters from the shore or approximately 300 meters south west of the beginning runway 09.

The investigators also concluded that the pilots of accident aircraft were not provided with timely and accurate weather conditions.

More information:

 

The final approach path (NTSC)

The final approach path (NTSC)