Lion Air JT610 Boeing 737 Max 8 accident – human factors analysis

Mike Bromfield, Nils Jamieson

Research output: Chapter in Book/Report/Conference proceedingConference contribution

520 Downloads (Pure)


Lion Air JT610 departed Soekarno-Hatta International Airport, Jakarta Indonesia for Depati Amir Airport, Pangkal Pinang on the 29th of October 2018 at 06:20 AM local time. As the aircraft passed through 2,000 ft during the initial climb-out, it pitched down and the crew attempted recovery but were unable to do so. At 06:32 AM the aircraft crashed into the sea with an airspeed in excess of 400 knots. All 189 persons on board lost their lives. This fatal accident was a loss of control in flight (LOC-I) or “unintended deviation from flightpath”, the number one category of fatal accident type over the last 60 years. Aircraft technology has seen significant development over this period with a corresponding reduction in fatal accident rate, yet LOC-I still persists. With technological advancements how could an accident like this have happened? This paper will explore contributory and causal human factors and what is proposed to prevent future occurrences.
Original languageEnglish
Title of host publicationContemporary Ergonomics & Human Factors Conference 2022
EditorsDavid Golightly, Nora Balfe
Place of PublicationUK
PublisherChartered Institute of Ergonomics & Human Factors
Number of pages3
ISBN (Electronic)9781999652746
ISBN (Print)9781999652746
Publication statusPublished - 24 Jun 2022
EventErgonomics & Human Factors 2022 - Birmingham, United Kingdom
Duration: 11 Apr 202226 Apr 2022


ConferenceErgonomics & Human Factors 2022
Abbreviated titleEHF2022
Country/TerritoryUnited Kingdom


  • Accident investigation
  • loss of control in flight
  • human factors


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