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01:20 PM, November 28, 2018
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Installation Record of AOA Sensor not in Lion Air Crash Investigation Report: Boeing
Lion Air Boeing 737 aircraft: File photo

Boeing has commented that the Indonesia National Transportation Safety Committee (NTSC) preliminary report on the 737 MAX Lion Air Flight 610 crash does not include records as to the installation or calibration of the Angle of Attack (AOA) sensor, nor does the report indicate whether the sensor was new or refurbished.

Boeing comment: Earlier today, the NTSC released its preliminary accident investigation report.  The report provides detailed accounts of Flight 610 and of the immediately preceding flight of the same aircraft.

The report explains that the maintenance logs for the accident aircraft recorded problems related to airspeed and altitude on each of the four flights that occurred over the three days prior to Flight 610. The logs indicate that various maintenance procedures were performed, but issues related to airspeed and altitude continued on each successive flight. The logs indicate that, among other procedures, on Oct. 27, two days prior to the incident flight, one of the airplane’s Angle of Attack (AOA) sensors was replaced.

On Oct. 28, before the flight immediately prior to Flight 610, the pilot in command and the maintenance engineer discussed the maintenance that had been performed on the aircraft. The engineer informed the pilot that the AOA sensor had been replaced and tested. The report does not include records as to the installation or calibration of the new sensor, nor does the report indicate whether the sensor was new or refurbished.  Although the report states that the pilot was satisfied by the information relayed by the engineer that the AOA sensor had been replaced and tested, on the subsequent flight the pilots again experienced problems with erroneous airspeed data, and also experienced automatic nose down trim.

The report states that the flight crew of the Oct. 28 flight turned off the stabilizer trim switches within minutes of experiencing the automatic nose down trim, and continued with manual trim through the end of the flight. The report further notes that the pilot performed three non-normal checklist procedures, including the runaway stabilizer non-normal checklist, which is a memory item prescribed by the 737 MAX Flight Crew Operations Manual, and reaffirmed in Boeing Flight Crew Operations Manual Bulletin TBC-19 and FAA Emergency Airworthiness Directive (AD) Number 2018-23-51, as the appropriate procedure to address unintended horizontal stabilizer movement, regardless of source.

The report indicates that the remainder of the Oct. 28 flight was uneventful and that the flight continued to its destination. The report also states that, after landing, the pilot reported some of the experienced issues both on the aircraft maintenance log and to engineering. The report states that the pilot ran the runaway stabilizer non-normal check list, but it does not state that he communicated that fact in the maintenance documentation following that flight.

The following day, Oct. 29, shortly after taking off, the pilots experienced issues with altitude and airspeed data that the pilots had previously experienced on the earlier flights, due to erroneous AOA data. Data from the flight data recorder summarized in the report also makes clear that, as on the previous flight, the airplane experienced automatic nose down trim. In response, the flight crew repeatedly commanded nose up trim. This sequence repeated for the remainder of the flight, during which the flight crew was able to maintain control of the airplane for approximately ten minutes. Unlike as is stated with respect to the prior flight, the report does not state whether the pilots performed the runaway stabilizer procedure or cut out the stabilizer trim switches.

Meanwhile, the NTSC said during a press conference that the aircraft used for Lion Air flight JT610, which crashed into the Java Sea during a flight to Pangkalpinang, Bangka Belitung Islands, from Jakarta on Oct. 29 was in bad condition during previous flights.

Investigator Nurcahyo Utomo said on Wednesday upon releasing the NTSC preliminary report, "The FDR recorded that the plane's stick shaker was active prior to and during the flight from Denpasar, Bali, to Jakarta the night before the accident," Nurcahyo said. A stick shaker is a device that gives a pilot warning of an imminent stall.

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