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Tenerife NTSB Report

On March 27, 1977 at 1706:52 G.M.T. A KLM 747 collided with a Pan Am 747 in dense fog on runway 30 at Los Rodeos Airport in the Spanish Canary Islands. KLM flight 4805 was a 747-206B with serial number PH-BUF. Pan Am flight 1736 was a 747-121 with serial number N736PA. Both aircraft were properly maintained and airworthy according to the regulations of the country of registration. All crew members of both aircraft were properly certified and current for their particular crew member positions on the Boeing 747. The KLM captain had 11,700 hrs. With 1,545 of those hours on the 747. The First officer had a total of 9,200 hours at the time of the accident with only 95 hours on the 747. The flight engineer had 17,031 hours with 543 hours on the 747. The Pan Am captain had 21,043 total with 584 hours on the 747. His co-pilot had 10,800 hours with 2,796 hours on the 747. The flight engineer had 15,210 hours total flight time with 559 hours on the 747.

KLM 4805 was a charter flight from Amsterdam, Netherlands to Las Palmas, Canary Islands on behalf of Holland international Travel Group. Pan Am 1736 was also a charter flight to Las Palmas originating in Los Angeles, California the previous afternoon with a stop over and cre


There are several contributing factors to the Tenerife disaster that could have been avoided. If any one of these mistakes didn't happen, the accident would have never happened. If the Pan Am crew had better charts and diagrams of the Los Rodeos Airport, they would have never missed their turn off. The Pan Am would have been off the runway in plenty of time. If the KLM crew was not in such a hurry, the captain would not have commenced takeoff roll before distinct clearance to takeoff. If KLM had Cockpit Resource Management training, the first officer would not have felt intimidated by the captain. He would have corrected the captain again for trying to takeoff without adequate clearance. The captain would have been trained to accept the input of his fellow crew members. If the Pan Am first officer and the tower had not stepped on eachother over the radio, the KLM would have heard both warnings that would have prevented the accident.

Both aircraft were given instruction to use the active runway 30 as a taxiway because aircraft were parked on the paralleling taxiway. The KLM taxied to the end of the runway and made a 180 degree turn to align itself for takeoff. The Pan Am lagged behind because a blanket of fog surrounded them making it difficult to find their turn off. The Pan Am crew was unsure which taxiway they were to get on. The controller told the Pan Am to exit at the 3rd taxiway. This didn't make sense to them because they would have needed to make a 135 degree turn. The fourth taxiway was only 45 degrees. As the KLM 747 completed its turn and the pre-takeoff checklists were complete the captain started adding power for take off. The first officer noticed this and said, "Wait a minute, we don't have an ATC clearance." The captain held the brakes and said, "No...I know that. Go ahead ask." The KLM requested ATC clearance. The tower read them their departure clearance but did not clear them for takeoff. The KLM captain advanced the throttles again as the first officer read back the clearance. The KLM first officer told ATC they were, "at takeoff." The Pan Am heard this and said that they will report when clear the runway. They understood "at takeoff" to mean at takeoff position. The KLM second officer questioned the captain, "Did he not clear the runway - that Pan American?" The captain said, "Yes, he did." Moments later the Pan Am first officer noticed the takeoff lights of the KLM approaching fast. He shout

Some common words found in the essay are:
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Approximate Word count = 1657
Approximate Pages = 7 (250 words per page double spaced)


  

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