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Common Theme Related Lesson

The document discusses human error that led to an aviation accident on Tenerife involving KLM and Pan Am flights. Due to unusual circumstances like dense fog, both flights deviated from normal procedures which led to confusion. The KLM pilot was also running short on time which may have increased pressure. To prevent future accidents, the document recommends encouraging co-pilots to question captains, emphasizing procedures during deviations, and having flexible yet safe regulations.

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33 views6 pages

Common Theme Related Lesson

The document discusses human error that led to an aviation accident on Tenerife involving KLM and Pan Am flights. Due to unusual circumstances like dense fog, both flights deviated from normal procedures which led to confusion. The KLM pilot was also running short on time which may have increased pressure. To prevent future accidents, the document recommends encouraging co-pilots to question captains, emphasizing procedures during deviations, and having flexible yet safe regulations.

Uploaded by

ianhar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Common theme related

lesson

HUMAN ERROR
Everyone involved, from each flight to the
air traffic controllers, were forced to
compensate for the unusual circumstances.
In a cascading series of deviations from
normal, routine events, confusion in the
cockpits of both the KLM and Pan Am flights
and in the control tower led to a series of
errors that resulted in the accident.

Prevention
co-pilots and flight engineers are
encouraged to question the captain
and give recommendations.
When it is necessary to deviate from
normal operations, extra vigilance
and strict adherence to proper
procedures should be emphasized.

UNINTEDED EFFECT
The pilot of KLM was running short of
his allotted duty time hours, which
were strictly regulated in the
Netherlands.
dense fog was drifting in

Prevention
Regulatory standards should be
sufficiently flexible to allow
deviation in special
circumstances, without
compromising safety.
Application of an appropriate
alternative can result in the level
of safety intended by the
regulation

refrence
. 2015.. [ONLINE] Available at:http://space.uah.edu
/publications/aiaa_region2_2012/
Alcorn_AirSafetyFundamentals_Manuscript.pdf . [Accessed 29
November 2015].
Lessons Learned. 2015.Lessons Learned. [ONLINE] Available
at:http://lessonslearned.faa.gov /ll_main.cfm?TabID=1&LLID=52
. [Accessed 29 November 2015].
Lessons From Tenerife, The Worst Air Disaster - tribunedigitalsunsentinel. 2015.Lessons From Tenerife, The Worst Air
Disaster - tribunedigital-sunsentinel. [ONLINE] Available at:
http://articles.sun-sentinel.com/2002-03-25/news/0203240525_1
_canary-islands-tenerife-island-klm
. [Accessed 29 November 2015].

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