Air Crash Investigations: The Plane That Vanished, the Crash of Adam Air Flight 574On 1 January 2007, a Boeing 737-4Q8, operated by Adam Air as flight DHI 574, was on a flight from Surabaya, East Java to Manado, Sulawesi, at FL 350 (35,000 feet) when it suddenly disappeared from radar. There were 102 people on board.. Nine days later wreckage was found floating in the sea near the island of Sulawesi. The black boxes revealed that the pilots were so engrossed in trouble shooting the IRS that they forgot to fly the plane, resulting in the crash that cost the lives of all aboard. |
Contents
Synopsis | 7 |
FACTUAL INFORMATION | 13 |
The Basic Facts | 15 |
Tests and Research | 51 |
Additional Information | 57 |
ANALYSIS | 73 |
Analysis | 75 |
CONCLUSIONS | 85 |
SAFETY ACTIONS | 93 |
Safety Actions | 95 |
Safety Recommendations | 103 |
APPENDICES | 109 |
Aircraft parts found in the sea between Majene and Barru | 111 |
Quick Reference Handbook Chapter 11 page 11 5 from myboeingfleet | 115 |
Quick Reference Handbook Chapter 11 pages 11 4 and 11 5 used by AdamAir pilots for training reference | 117 |
Human Factors | 119 |
Common terms and phrases
acceleration accident AdamAir AdamAir Boeing aileron aircraft upset recovery Airport airspeed airworthiness alignment autopilot disengaged bank angle alert Boeing 737 fleet Civil Aviation DGCA cockpit voice recorder copilot copilot’s EADI Crew Resource Management December DFDR data DGCA DIOLA Directorate General Civil display EADI and EHSI EFIS ensure evidence FCOM flight data recorder flight instruments flight path flight recorders flying groundspeed indicated Indonesian Inertial Reference System inputs IRS defects IRS malfunction IRS Mode Selector IRS problem IRU position January left IRU located Majene Makassar Strait Manado Mary Sears minutes Mode Selector Unit National Transportation Safety NTSC number-1 Pare-Pare passenger pilots pitch PK-KKW plane prior procedures proficiency check recorded data recovered Reference System IRS Sam Ratulangi Airport Serial Number simulator spatial disorientation standby Sulawesi Surabaya thump sound Transportation Safety Committee trouble shooting underwater UPG Lower Control upset recovery training weather wings level wreckage