Exclusive: Cockpit voice recorder of
doomed Lion Air jet depicts pilots' frantic search for fix - sources
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[March 20, 2019]
By Cindy Silviana, Jamie Freed and Tim Hepher
JAKARTA/SINGAPORE/PARIS (Reuters) - The
pilots of a doomed Lion Air Boeing 737 MAX scoured a handbook as they
struggled to understand why the jet was lurching downwards, but ran out
of time before it hit the water, three people with knowledge of the
cockpit voice recorder contents said.
The investigation into the crash, which killed all 189 people on board
in October, has taken on new relevance as the U.S. Federal Aviation
Administration (FAA) and other regulators grounded the model last week
after a second deadly accident in Ethiopia.
Investigators examining the Indonesian crash are considering how a
computer ordered the plane to dive in response to data from a faulty
sensor and whether the pilots had enough training to respond
appropriately to the emergency, among other factors.
It is the first time the voice recorder contents from the Lion Air
flight have been made public. The three sources discussed them on
condition of anonymity.
Reuters did not have access to the recording or transcript.
A Lion Air spokesman said all data and information had been given to
investigators and declined to comment further.
The captain was at the controls of Lion Air flight JT610 when the nearly
new jet took off from Jakarta, and the first officer was handling the
radio, according to a preliminary report issued in November.
Just two minutes into the flight, the first officer reported a "flight
control problem" to air traffic control and said the pilots intended to
maintain an altitude of 5,000 feet, the November report said.
The first officer did not specify the problem, but one source said
airspeed was mentioned on the cockpit voice recording, and a second
source said an indicator showed a problem on the captain's display but
not the first officer's.
The captain asked the first officer to check the quick reference
handbook, which contains checklists for abnormal events, the first
source said.
For the next nine minutes, the jet warned pilots it was in a stall and
pushed the nose down in response, the report showed. A stall is when the
airflow over a plane's wings is too weak to generate lift and keep it
flying.
The captain fought to climb, but the computer, still incorrectly sensing
a stall, continued to push the nose down using the plane's trim system.
Normally, trim adjusts an aircraft's control surfaces to ensure it flies
straight and level.
"They didn't seem to know the trim was moving down," the third source
said. "They thought only about airspeed and altitude. That was the only
thing they talked about."
Boeing Co declined to comment on Wednesday because the investigation was
ongoing.
The manufacturer has said there is a documented procedure to handle the
situation. A different crew on the same plane the evening before
encountered the same problem but solved it after running through three
checklists, according to the November report.
But they did not pass on all of the information about the problems they
encountered to the next crew, the report said.
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Indonesia's Navy Commander Rear Admiral Yudo Margono holds the
cockpit voice recorder (CVR) of a Lion Air JT610 that crashed into
Tanjung Karawang sea, on the deck of Indonesia's Navy ship KRI
Spica-934 at Karawang sea in West Java, Indonesia, January 14, 2019
in this photo taken by Antara Foto. Antara Foto/Aprillio Akbar/ via
REUTERS/File Photo
The pilots of JT610 remained calm for most of the flight, the three
sources said. Near the end, the captain asked the first officer to
fly while he checked the manual for a solution.
About one minute before the plane disappeared from radar, the
captain asked air traffic control to clear other traffic below 3,000
feet and requested an altitude of "five thou", or 5,000 feet, which
was approved, the preliminary report said.
As the 31-year-old captain tried in vain to find the right procedure
in the handbook, the 41-year-old first officer was unable to control
the plane, two of the sources said.
The flight data recorder shows the final control column inputs from
the first officer were weaker than the ones made earlier by the
captain.
"It is like a test where there are 100 questions and when the time
is up you have only answered 75," the third source said. "So you
panic. It is a time-out condition."
The Indian-born captain was silent at the end, all three sources
said, while the Indonesian first officer said "Allahu Akbar", or
"God is greatest", a common Arabic phrase in the majority-Muslim
country that can be used to express excitement, shock, praise or
distress.
The plane then hit the water, killing all 189 people on board.
French air accident investigation agency BEA said on Tuesday the
flight data recorder in the Ethiopian crash that killed 157 people
showed "clear similarities" to the Lion Air disaster. Since the Lion
Air crash, Boeing has been pursuing a software upgrade to change how
much authority is given to the Maneuvering Characteristics
Augmentation System, or MCAS, a new anti-stall system developed for
the 737 MAX.
The cause of the Lion Air crash has not been determined, but the
preliminary report mentioned the Boeing system, a faulty, recently
replaced sensor and the airline's maintenance and training.
On the same aircraft the evening before the crash, a captain at Lion
Air's full-service sister carrier, Batik Air, was riding along in
the cockpit and solved the similar flight control problems, two of
the sources said. His presence on that flight, first reported by
Bloomberg, was not disclosed in the preliminary report.
The report also did not include data from the cockpit voice
recorder, which was not recovered from the ocean floor until
January.
Soerjanto Tjahjono, head of Indonesian investigation agency KNKT,
said last week the report could be released in July or August as
authorities attempted to speed up the inquiry in the wake of the
Ethiopian crash.
On Wednesday, he declined to comment on the cockpit voice recorder
contents, saying they had not been made public.
(Reporting by Cindy Silviana in Jakarta, Jamie Freed in Singapore
and Tim Hepher in Paris; writing by Jamie Freed; Editing by Gerry
Doyle)
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