RUNWAY EXCURSION, SINARMAS SUPER AIR (THRUSH S2R-T34 PK-PND) KAJUI AIRSTRIP KNKT.22.12.20.04
On 17 December 2022, a Thrush
S2R-T34 aircraft, registered PK-PND was being operated by PT Sinar Mas Super
Air (SMSA) in Kajui airstrip, Gunung Mas Regency, Central Kalimantan to perform
an aerial topdressing of fertilizers over palm oil plantation.
There were two pilots on duty
that day, each for morning and afternoon shifts. Prior to the morning shift,
the left brake pads were change due to wear thickness limitation. After
ensuring the brakes were working properly, the first pilot departed Kajui for
the first sortie of the morning shift at 0735 LT. The first shift then ended at
1205 LT. During the shift change, the first pilot informed the second pilot
that the left brake pads were replaced. The first pilot reported that the tail
wheel was dirty and a bit difficult to unlock. The engineer cleaned and
readjusted the tail wheel to solve the issue.
At 1205 LT, prior to the
afternoon shift, the engineer refueled the aircraft in refueling area near
Runway 36. Afterwards, the pilot performed the preflight procedures, and there
were no abnormalities reported. At 1220 LT, the pilot started taxi to loading
area near Runway 18 to fill in the aircraft with fertilizers. At 1225 LT, the
aircraft departed Kajui for the first sortie of the shift. The weather was
sunny, and the wind was calm.
At 1235 LT, the pilot landed and
then taxied to loading area wanting to refill the fertilizers. But there was a
problem with the fertilizers’ equipment. The pilot then decided to taxi to the
parking area, while the problem was being settled. During the taxi maneuver,
the pilot felt that the left brake less gripped and reported the issue to the
engineer. Prior to the second sortie, the pilot tested the left brake and found
it to be normal. The aircraft departed for its second sortie at 1255 LT. The
aircraft landed at 1305 LT refilled the fertilizers prepared for the third
sortie.
Prior to takeoff rolling, the
pilot attempted to direct the aircraft to the right since the aircraft was on
the left side of the runway with the left wheel touching the grass. But the
aircraft kept going straight. Afterwards, the aircraft shifted more to the
left. Both left wheel and tail wheel were on the grass in the shoulder, while
the right wheel was on the edge of the runway. Despite of the power increased
along with the pilot’s effort to veer to the right, the aircraft went straight
ahead. The pilot then felt the aircraft jumped a little and attempted to dump
the fertilizers. But the aircraft rolled over and landed upside down. The
aircraft was substantially damaged, and the pilot suffered minor injury due to
the impact forces.
KNKT acknowledged the safety
action taken by SMSA to address Runway Excursion issue by defining Temporary
Emergency Procedure. However, there still safety issues remain to be
considered. Therefore, the KNKT issued safety recommendation to encourage the
implementation of the operational control procedures and reporting system for a
safer flight operation. Nonetheless, the investigation is continuing. Should
any further relevant safety issues emerge during the course of the
investigation, KNKT will immediately bring the issues to the attention of the
relevant parties and publish as required.