Haider Ali Khan Sir Sabahat Ali 190726 Bsavm-5B: Presented By: Presented To: Roll No: Class

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Assignment # 01

Presented by: Haider Ali Khan

Presented to: Sir Sabahat Ali

Roll no: 190726

Class: BSAvM-5B
AVIANCA 052 – Accident Investigation

Risk Management:

 First and biggest mistake that was identified in this accident was that the copilot used
terms such as “priority” rather than “emergency” or “MAYDAY” which created
confusion and complexity for ATC.
 They were not following IATA’s sop’s for communicating with ATC.
 Aircraft was running low on fuel and nobody said anything about it and half of the time
the first pilot didn’t even mention it. If they would have identified this problem sooner
the crash could have avoided.
 Poor CRM, less crew trainings, which if were given attention would have saved all those
lives.

PAVE Checklist:

Pilot: The pilot got under pressure and stress because the Aircraft was held in air for so long and
also they were running out of fuel. One more reason was that the Pilot in Command was not that
good in speaking English was also increased the complexity for ATC while communicating.

Aircraft: The Aircraft was in perfectly good condition, and they had enough fuel to fly for 2
more hours. The aircraft engineer who was sitting in the cockpit did not have much flight time in
the aircraft.
Environment: The weather conditions in New York (Destination Airport) were not compatible
for the flight and were just over the minimum required conditions (Heavy mist, rain, pitch black
night, wind shear), but the ATC and pilot both of them didn’t care to look at the weather
conditions. Pilots were not ready to fly IFR either. It is essential to get a weather report for the
destination and the route.

External Pressures: There was no mention of any external pressure prior to the flight.

IMSAFE Checklist:

Illness: The pilots appeared to be in decent health.

Medication: There was no indication or mention of any medication.

Stress: The pilots were stressed because of extensive holding time, moreover the pilot in
command seemed to be distressed from the beginning mostly because of language barrier and he
also put pressure on the first pilot. 

Alcohol: No Alcohol was consumed that has been mentioned before the flight.

Fatigue: Pilots were completely relaxed and comfortable before the takeoff, although the pilots
were exhausted after holding the aircraft over John F. Kennedy for almost 2 hours.

Emotion: No mention of any sort of emotion before the flight.


Hazardous Attitudes:
The one hazardous attitude I could identify was the Pilot in Command was too confident in
himself and his abilities and he was also very violent towards the First Pilot. First Pilot was also
not very fluent in English which created so many complications and confusions while
communicating with ATC which is against IATA protocols.
So the 2 hazardous attitudes shown by the Pilot in Command were:
 Macho
 Impulsivity
 Anti-Authority

Moving towards the First Pilot he appeared to be stressed and missing out information in a rush,
he failed to tell the ATC they ran completely OUT of fuel earlier when things could have been
handled.

 Impulsivity
 Resignation

The party most at fault was the ATC and airport management rather than the
pilot or crew in the cockpit.

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