Avianca Flight 52: a Case Study on Human Error

Relevant facts/ Background Avianca Flight 52 touched the ground for a final time on January 25 1990, 16 miles from JFK airport in Cove Neck, Long Island, N. Y. , completely out of fuel. The Boeing 707-321B was carrying 158 people coming from Medellin, Columbia, in which 85 people survived. The crash of Avianca Flight 52 was the largest rescue operation in New York prior to 9/11. There was a severe blizzard on the north-east coast of the U. S. causing bad weather with a low pressure system and wind shear.
JFK airport authorities had been told to keep a higher landing rate than safe at 33 planes attempting to land per hour, on one runway – the typical rate being 52 in good weather, with all runways open. The airport was experiencing a rate of 27% missed approaches, with 39 planes waiting in holding patterns for clearance to land and dozens waiting to take-off. Sequence of events The 707 had been placed in holding patterns for a total of 1 hour and 17 minutes during three separate occasions over the U. S. east coast.
There were 6 different air traffic controllers that had communicated directions to Flight 52 after they entered U. S. airspace, adding confusion and un-transmitted messages, yet at the same time not providing any more crucial information such as weather conditions. The Flight Engineer failed to communicate the urgency of the low fuel situation to the pilot and co-pilot after they passed the point of no return and had to remain committed to JFK –by not having enough fuel to get to their alternate airport at Boston, 342km away from JFK.

He also failed to emphasize the importance of landing in their first attempt because they would not have enough fuel to loop around and try again. Another discrepancy was how the co-pilot used the words “Low Fuel” and “Priority” rather than “MAYDAY” and “Minimum Fuel” while communicating to ATCs. There was a lot of crucial information left out or misinterpreted and not so important information repeated, which could have easily been avoided without the language barriers in place.
In terms of the Swiss Cheese model there were many holes in the conversations between ATCs and the flight crew, similarly between the flight crew and passengers, where they weren’t even given a warning. Causes and factors During the chase to point the blame on someone, Avianca stated to investigators that the phraseology used by their pilots was correct as per their training -whether it matched the standard English phraseology used by IATA countries or not they were only following what they thought to be proper protocol.
Investigation by the NTSB found many holes in the events leading up to the crash, due to both active and latent failures by the crew, ATCs, and airport management. The leading causes can be attributed to airport mismanagement, inconsistent training for pilots that should have English proficiency, and overall poor communication between ATCs and the flight crew. Repetitive flaws in a system run by human beings shows a clear link in the lack of Risk Management, causing communication gaps referred to as holes in the Swiss Cheese model for human error.
CRM stipulates training crew in assertiveness, inter-personal communication, leadership and decision-making, to name a few key attributes these pilots were in need of addressing prior to the incident. There was no problem of experience as both the pilot and co-pilot had flown that route before, and the pilot had 27 years of experience flying for Avianca. The implementation of Crew Resource Management techniques in the previous years must not have been as streamlined as intended, at least not for the American ATCs and those training under Avianca in Columbia.
If one lesson would be learned from this it would be that had the crew received effective and efficient CRM training on time, they could have saved 73 people from an almost completely preventable death by human error. References AskCaptainLim. com {comments}. Aviation, Air Crash. Avianca flight 52: why the pilots failed to use proper phraseology. (Last updated October 19, 2008). Retrieved from: http://www. askcaptainlim. com/-air-crash-aviation-34/830-avianca-flight-52-why-the-pilots-failed-to-use-the-proper-phraseology. html Cushman Jr. , John H.
New York Times, Archives, Collections, Fuel. Avianca flight 52: the delays that ended in disaster. (February 5, 1990). Retrieved from: http://www. nytimes. com/1990/02/05/nyregion/avianca-flight-52-the-delays-that-ended-in-disaster. html? pagewanted=all&src=pm National Geographic, Cineflix Productions. Air Crash Investigation series, Episode S02E05 – Missing Over New York. Retrieved from http://natgeotv. com/ca/air-crash-investigation/videos/deadly-delay Wikipedia. org, Avianca Flight 52. (Last updated March 22, 2013). Retrieved from: http://en. wikipedia. org/wiki/Avianca_Flight_52

Don't use plagiarized sources. Get Your Custom Essay on
Avianca Flight 52: a Case Study on Human Error
For as low as $13/Page
Order Essay
Place your order
(550 words)

Approximate price: $22

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
$26
The price is based on these factors:
Academic level
Number of pages
Urgency
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more
Live Chat 1 763 309 4299EmailWhatsApp

Order your essay today and save 20% with the discount code WELCOME