complete the power Point attached with the Information of the West Caribbean Airways Flight 708 accident in the 3 different models
lrn_jeyca
west_caribbean_airways_flight_708.pptxWest Caribbean Airways Flight 708
Estefania N.
Synopsis
On August 16, 2005, West Caribbean Airways Flight 708 was flying to France
The flight crashed in a mountainous region in northwest Venezuela
killed all 152 passengers, and eight crew
5 – Model analysis
MAN
The captain of flight 708 was 40-year-old Omar Ospina
The first officer was 21-year-old David Muñoz.
The eight flight crewmembers added a sufficient quantity of fuel to reach their destination.
At 06:51 AM the crew reported at FL330 over the SIDOS waypoint
The ATC instructed the crew to continue on the present heading and to await further clearance direct to ONGAL.
At 06:57 AM the flight crew requested permission to descend to FL310, which was approved.
The autopilot was disconnected and the airplane started to descend.
MACHINE
The aircraft involved in the incident was delivered to Continental Airlines on November 4, 1986 as N72824
On 01/ 10/ 2005, the aircraft was transferred to West Caribbean Airways, and registered as HK-4374X,
The jet's tail cone fell off in early July 2005 and was replaced.
MEDIUM
Heavy rains and the difficult terrain are reported to be hampering the rescue effort
MANAGEMENT
French Transport Minister Dominique said the plane was recently inspected and there was no problem noted
However, a spokesman for WC admitted the plane had dropped its tail con last month during a flight
But it was later repaired
MISSION
Given the aerodynamic and performance conditions, the aircraft was taken to a critical state
Which led to this loss of lift
The CRM and decision-making during the development of the emergency were misguided, caused by:
Awareness of of environment
Lack of effective communication
The evidence shows the classification of “Human Factor” as a cause of this accident
Swiss Cheese Analysis
Active errors: the pilot did not realize the source of the engine problem, therefore, he stated a rapid descent as a precaution
Latent errors:
Windows of opportunity:
Causation chain:
Latent failures
Decision making
Active failures
Limited window of accident opp.
Active failures
Aircraft crash
160 were killed
SHELL Model Analysis
Software:
Hardware:
Environment:
Liveware:
