CREW RESOURCE MANAGEMENT

The development of Crew Resource Management and Maintenance Resource

The development of Crew Resource Management and Maintenance Resource

Introduction

Due to intense fog, the KLM jet pilots could not see the Pam Am plane in front. KLM Flight 4805 1736 was visible from approximately 8 seconds PAA and a half before the collision, but despite having tried to accelerate out of the track, the clash was inevitable.

The KLM was completely in the air when the impact occurred, about 250 km / h. His front hit the top of another Boeing, ripping the roof of the cabin and upper deck passengers, after which the two engines hit the Pan Am plane, killing most passengers in the back instantly. In total 248, people died aboard the KLM and 335 of the 380 people aboard Pan Am, including 9 who died later from their injuries (Robert, 2000).

All those deaths resulted from a series of events that began when the airport had to be closed by a bomb threat. The flights to the airport were diverted to Los Rodeos airport, Tenerife, much smaller and with a single airstrip running a parallel track. Then Los Rodeos were not prepared to handle as much traffic unexpectedly, or was a suitable airport to receive aircraft the size of the Boeing 747.The aircraft diverted to the airport arriving in Gran Canaria were accumulating in the waiting area of the runway waiting to normalize the situation and could fly to their original purpose, a 25-minute flight (Robert, 2000).

The situation was lingering for hours. While waiting, the captain of the plane of the Dutch company KLM, decided to use to refuel the fuel to get from Gran Canaria to Amsterdam some time saving compared to refuel once arrived in Gran Canaria. The filling was not necessary, but a new airline regulation harshly penalizing those drivers who exceeded the workday beyond the maximum hours allowed. While carrying 55,000 liters of fuel is opened traffic on the airport of Gran Canaria, but the huge 747 of KLM could not take off until the end and also blocked the exit of the Pan Am 747 behind it, waiting to use the runway.

While the refueling was completed the fog began to descend and Cubiro the airport, reducing the scope of visibility quickly.

Once the KLM plane was ready for takeoff, and while the fog still permitted, the control tower cleared both aircraft to roll down the runway to the head and prepare for take-off. While the KLM plane was positioned at the head and was waiting for take-off clearance, the 747 of the PanAm also rolled down the same track bound for the taxiway (parallel runway to take off) I should take the third exit, so that the runway would be free for the KLM plane. But here is a misunderstanding in the PanAm crew's plane on which exit to take. Control tower said the third exit (C3) but the PanAm plane could not take because the angle of the output was too open, for such ...