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The Fate of Flight SQ006

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... Tuesday night, said Taiwan's chief investigator at a news conference on Friday. ... where one switch controls green lights on the common taxiway and down ... – PowerPoint PPT presentation

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Title: The Fate of Flight SQ006


1
The Fate of Flight SQ006
2
Singapore Airlines flight sq006 crashed soon
after take-off on October 31 at 2318 hours
82 of the passengers crew died in the crash
159 passengers were aboard.
They were trying to take off in near 0 visibility
as a typhoon rolled into Taipei
All 3 pilots survived
3
Black Box
  • 11.15.18 - ATC - Singapore 6, runway 05 left.
    Wind 020 at 28. Gusts to 50. Clear for take off.
  • 11.15.26 - Captain - Clear for take off. Runway
    05 left. Singapore 6.
  • 11.16.19 - Captain - We can see the runway not so
    bad. OK, I am going to put it to high first.
  • 11.16.51- First Officer - 80 knots
  • 11.16.52 - Captain - OK, my control.
  • 11.17.08 - First Officer - V1
  • 11.17.12 - Captain - (expletive) Something there!
  • 11.17.13 - Banging sound
  • 11.17.14 - Captain says something unintelligible
    followed by a series of crashing sounds.
  • 11.17.18 - Recording stopped

4
http//www.channelnewsasia.com/sq006/asx/sim_siacr
ash.asx
All facts, figures, news footage used in this
presentation are located on Channelnewsasia.com.
The short cuts provided direct you to their web
site. These videos are copy righted material and
intended for your personal use only. You must
have Windows media player 2 or higher to view and
be connected to the web.
5
But remember the black box ......
11.17.12 - Captain - (expletive) Something
there! 11.17.13 - Banging sound
Wrong Turn? The ill-fated SQ006 was on the wrong
runway before it crashed on Tuesday night, said
Taiwans chief investigator at a news conference
on Friday. The statement by Taiwans Aviation
Safety Council Managing Director, implied that
pilot error played a major role in the crash of
the Boeing 747, which lead to the death of 81
people. The closed runway, number 05R, runs
parallel to the one from which the plane should
have taken off, 05L
6
Layout of Chiang Kai Shek Airport
7
Was pilot error the sole cause of the event?
  • Runways that are out of service are not lighted
    to make it clear to pilots they are not in use.
  • This is not the case at Chiang Kai Shek airport
    where one switch controls green lights on the
    common taxiway and down the middle of 05R.
  • Yellow barriers are generally used to block
    runways that are out of service.
  • This is not the case at Chiang Kai Shek airport
    where the strip under construction was still in
    use as a taxiway back to the terminal.

8
Was pilot error the sole cause of the event?
  • The pilot confirmed twice to the control tower
    that he understood he was to be on runway 05L.
  • Control Tower officials are unable to confirm
    aircraft location at Chiang Kai Shek airport
    where ground radar has yet to be installed and
    the runways are out of the line of tower sight.
  • Runway 05R was classified as a VFR runway only.
  • Due to the approaching typhoon visibility prior
    to take off was 600 meters.
  • The concrete barriers were placed about 4080ft
    down the runway.

9
Sketch of Wreckage
10
What Really Happened?
  • What we find is a reaffirmation of the need to
    look past the obvious human error. It is far too
    easy for organizations to place sole
    responsibility for such unfortunate events on the
    people involved. Just as we define performance as
    behaviors plus results, we must consider events
    as organizational factors plus human error.
    Ignoring the organizations role in events makes
    us vulnerable to our own fallibility.

11
http//www.channelnewsasia.com/sq006/asx/graphic11
03.asx
All facts, figures, news footage used in this
presentation are located on Channelnewsasia.com.
The short cuts provided direct you to their web
site. These videos are copy righted material and
intended for your personal use only. You must
have Windows media player 2 or higher to view and
be connected to the web.
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