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RUNNING HEAD: 6.5 Case Analysis – Aviation Human Factors

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On a near perfect sunny day of July 6, 2013 at San Francisco Airport, three people werekilled by a plane crash. The Boeing 777, which had one of the industry’s best safety records werecarrying 307 onboard passengers for Asiana Flight 214. Asiana Flight 214 struck a seawall justshort of the runway, which sent the Boeing 777 spinning and skidding resulting into a fireexplosion. The primary cause of the accident was due to pilot mismanagement, and confusion.The flight crew’s failure to monitor and maintain the airspeed of the Boeing 777 and theconfusion over whether one of the airliner’s key controls was maintaining speed, the flight crewdid not had full knowledge on automated systems which the flight crew was over relying on.Also flight crew’s mismanagement of the approach and they did not try to abort a landing whenthings went wrong. And cultural factors played some role from preventing the accident.AnalysisThe both human factors and cultural factors appear to have played a significant role in theaccident. First of all, flight crew over-relied on automated systems without the full knowledge onhow they perform. The flight crew made errors due to not fully understanding the automatedsystems. One of the errors is when the Boeing 777 was selected an inappropriate autopilot mode,the flight crew believed that the automatic throttle would keep the plane flying at the requiredspeed to land safely, but the captain named Lee Kang Kuk, 45, who was new to the Boeing 777put the throttle in idle after the plane had unexpectedly climbed too high, which also designed toturn off the autopilot and remained on hold. But the flight crew should have notice the issues2 Background image of page 2

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On a near perfect sunny day of July 6, 2013 at San Francisco Airport, three people werekilled by a plane crash. The Boeing 777, which had one of the industry’s best safety records werecarrying 307 onboard passengers for Asiana Flight 214. Asiana Flight 214 struck a seawall justshort of the runway, which sent the Boeing 777 spinning and skidding resulting into a fireexplosion. The primary cause of the accident was due to pilot mismanagement, and confusion.The flight crew’s failure to monitor and maintain the airspeed of the Boeing 777 and theconfusion over whether one of the airliner’s key controls was maintaining speed, the flight crewdid not had full knowledge on automated systems which the flight crew was over relying on.Also flight crew’s mismanagement of the approach and they did not try to abort a landing whenthings went wrong. And cultural factors played some role from preventing the accident.AnalysisThe both human factors and cultural factors appear to have played a significant role in theaccident. First of all, flight crew over-relied on automated systems without the full knowledge onhow they perform. The flight crew made errors due to not fully understanding the automatedsystems. One of the errors is when the Boeing 777 was selected an inappropriate autopilot mode,the flight crew believed that the automatic throttle would keep the plane flying at the requiredspeed to land safely, but the captain named Lee Kang Kuk, 45, who was new to the Boeing 777put the throttle in idle after the plane had unexpectedly climbed too high, which also designed toturn off the autopilot and remained on hold. But the flight crew should have notice the issues2 Background image of page 2

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