Homework Question on Turkish Airlines Flight 1951
Human Error Case Study :Write a module case study applying the HFACS
- Once again go to the NTSB Web site (Links to an external site.)
- Select one aviation accident report that particularly interests you.
- Review the Factual Information chapter (do not review the Analysis, Conclusions, or Recommendations chapters) of the Full Report (not the Summary).
- Then analyze and evaluate the human error aspects of the accident by creatively applying the data analysis tools of the Human Factors Analysis and Classification System (HFACS).
- Report your results and conclusions.
- As always, support your work with a reliable source(s).
- Review the Module Case Study Information page for guidance and grading criteria.
A Module Case Study is a critical analysis and evaluation of a specific case or subject. For this course a Module Case Study must:
- Be two pages in length,
- Consist of a title (accurately reflective of the topic),
- An introductory paragraph,
- One to three body paragraphs,
- A summary paragraph.
- Include information obtained from primary or secondary sources beyond those listed in the Module.
- Include proper APA (current edition) citations and references (with the references listed on a separate last page). Combined, Module Case Studies account for 25% of your final grade.
- For the grading standard for all Module Case Studies, review the Grading Rubric Preview the document View in a new window(PDF).
Homework Answer on Turkish Airlines Flight 1951
On February 25, 2009, Turkish Airlines flight 1951, a Boeing 737-800 was involved in accident around a mile away from the runway. It was established that in the flight there were 128 passengers and seven crew personnel the crash led to the death of 9 individuals while the rest sustained serious and minor injuries (Stanton et al, 2013). Upon the investigation by the NTSB it was discovered that all PSU outboard fastens were splintered, an opening in the fuselage more than 3-feet wide compromised the right side of the cabin near rows seven and eight.
It was also discovered through examination that the matching left side of the cabin malformed inward. In addition, the investigators discovered that from row eight to twenty nine, a number of PSUs were released and fell when the outboard clamps fractured. It was established by Joseph Sedor of National Transport Safety Board (NTSB), that a failing altimeter may have steered the aircraft control system to command a decline in shove, as well as a substantial fall in airspeed and elevation, in the course of final approach to the runway.
From the investigations it is clear that that human error might have led to the occurrence of the accident, the assertion is supported by the fact that the radio altimeter kept on issuing warning, instead the pilots kept on assuming even after consistent reminder by the intern who was also present in the cockpit. It was established that the pilots were to detect that the altimeter was giving warnings and at the same time was providing wrong readings of the altitude.