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Deadliest Plane Crash, The
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Classroom Activity
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Activity Summary
Students
examine the contributing role of each event that led to the 1977 crash on
Tenerife in the Canary Islands.
Learning Objectives
Students will be able to:
state what events contributed to the 1977 crash on Tenerife.
identify some of the variables involved in air traffic safety.
understand that air traffic safety relies on both technology and the people who control it.
- copy of the "Thinking Things Through" student handout
(PDF or
HTML)
- copy of the "Events Chart" student handout
(PDF or
HTML)
Background
On
March 27, 1977, a series of events led to an air crash that resulted in the
largest loss of life in the history of flight. Two 747s heading for the Canary
Islands—a KLM flight from Amsterdam and a Pan Am flight from Los
Angeles—were diverted to Los Rodeos airport at Tenerife when a bomb
exploded at the Las Palmas airport, their original destination. After both
planes landed at Tenerife, a series of circumstances led to the KLM plane
crashing into the Pan Am aircraft as the KLM plane attempted takeoff.
Five hundred and eighty-three people died in the disaster. Because the crash
involved American and Dutch flights on Spanish soil, multiple governments were
involved in a difficult and sometimes acrimonious investigation.
According to the Dutch report, the cause of the crash was the failure of the
Pan Am pilots to turn off at the appropriate taxiway and the fact that the
Tenerife controllers used non-standard terminology and were listening to a
soccer match while they worked. While the American and Spanish reports
acknowledged that the Pan Am mistake played a role, they held that the main
fault for the crash lay with the KLM crew, which took off without the proper
clearance.
In this activity, students consider which events played a major role in
contributing to the 1977 crash and what the underlying cause of each major
event may have been.
The program contains scenes that may be emotionally difficult for some
students. Preview the program before having students view it and choose any
sections you may want to fast-forward over while students are watching.
Organize students into teams. As students view the program, have them take
notes on events that led up to the crash.
When students have finished watching, provide a copy of the student handouts
to each team. Have students work in teams to review the "Events Chart" and add
any other events that led to the crash which they may have listed while
watching the program.
After they have completed their lists, have students categorize whether
they think each event was an action (a decision made or step taken that
contributed to the crash that could have been changed at the time) or a
condition (a feature of the situation that may have played a role in the crash
but could not have been changed at the time). After they have determined the
nature of each event, have students work in their teams to list the results of
each event they categorized as an "action" event.
Next have students review each action and its results and choose the top
three events they think contributed to the crash. After all teams have made
their choices, have each team report its choices and reasons for making
them.
After all teams have reported, conduct a class poll about which three
events students think were most responsible. List on the board the top three
events for which the majority of the class voted. Next, have students consider
the underlying causes of these three events. (Some underlying causes might
include time limit policies as a reason for adding a sense of urgency to take
off as soon as possible; the nature of cockpit interactions as a reason no one
challenged the KLM pilot's decisions to let passengers off, refuel, and take
off; and lack of a standard international communications protocol as a reason
for miscommunications between controllers and flight crews.)
For each event, have students recommend changes to address some of the
underlying causes. Conclude with a discussion about what it would take to
implement some of the proposed changes.
As an extension, have students research changes that have been made in air
safety since the onset of commercial flight.
The
following chart lists some of the events that contributed to the crash. Student
responses may differ. Accept all reasonable answers.
Event |
Action |
Condition |
Result |
bomb
explodes at Las Palmas' Gando airport
|
√* |
√ |
Gando
airport is closed
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Gando
controllers divert traffic to Tenerife's Los Rodeos airport
|
√ |
|
too
many planes back up at Tenerife, blocking taxiways and making it difficult to
move traffic around
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Los
Rodeos too small to accommodate that day's traffic
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|
√ |
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Los
Rodeos controllers unaccustomed to handling that day's traffic load
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|
√ |
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KLM
pilot lets passengers off plane
|
√ |
|
additional
delay on taxiway while passengers are rounded up and reboarded; pilot uses
extra time to refuel the plane
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KLM
crew decides to refuel
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√ |
|
Pan
Am flight can't leave because it can't get around KLM plane; additional fuel
weighs plane down more, which means it takes more time to get off the ground;
added fuel contributes to bigger explosion when planes collide
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Los
Rodeos controllers decide to backtrack planes simultaneously
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√ |
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planes
are on the runway at the same time
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fog
rolls in
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√ |
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Pan
Am pilots not sure where to turn
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√ |
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Pan
Am flight remains on runway
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visibility
drops to 500 meters
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√ |
|
Los
Rodeos controllers let planes move without seeing them
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√ |
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planes
continue preparing for takeoff
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KLM
pilot initiates takeoff without clearance
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√ |
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planes
crash; 583 people are killed
| *
Some students may consider this event an action in that better security
measures may have prevented the bombing. Accept either answer.
Student Handout Questions
Where in the chain of events could decisions have been made that could have
affected the outcome? What were some actions that could have been taken that
were not? There are many places in the chain of events where different
decisions may have affected the outcome. Students may note that:
the Las Palmas tower crew could have diverted planes to other airports
or put them in a holding pattern, thus lessening the traffic load on
Tenerife.
the KLM pilot could have decided not to let the passengers off the
plane, thus decreasing the plane's wait time on the runway.
the KLM pilot could have decided not to refuel, or to take on as much
fuel as he did, thus decreasing both runway wait time and the plane's final
takeoff weight.
the Los Rodeos controllers could have decided to not backtrack the
planes, or to only backtrack the planes one at a time.
the Pan Am flight crew could have called in for better clarification
of its turn-off coordinates.
the Los Rodeos controllers could have halted all air traffic movement
when they could no longer see the planes.
the KLM pilot could have waited for proper clearance before taking off
or aborted the takeoff altogether.
Choose three events that your team believes contributed most to the crash.
Provide reasons for your choices. Student answers will vary.
Web Sites
NOVA—The Deadliest Plane Crash
www.pbs.org/nova/planecrash
Find out to what degree human error can still happen in air travel today,
read a transcript of communications during the 1977 disaster, learn about
safety improvements following other major air crashes, and weigh the risks of
different modes of travel.
Vulnerable System: An Analysis of the Tenerife Air Disaster
www.slis.indiana.edu/faculty/arobbin/COURSES/l547/readings/weick1990.pdf
Presents a detailed report of the 1977 Tenerife plane crash.
Books
Air Accident Investigation
by
David Owen. Motorbooks International, 2002.
Presents the major factors involved in a number of air crashes.
Aircraft Accident Analysis
by Robert Sumwalt. McGraw-Hill Professional, 2000.
Summarizes findings from National Transportation Safety Board reports of famous
air crashes.
The "Thinking Things Through"" activity aligns with the following National
Science Education Standards (see
books.nap.edu/html/nses).
Grades 9-12
Science Standard F
Science in Personal and Social Perspectives
Natural and human-induced hazards
Classroom Activity Author
James Sammons taught middle and high school science in Rhode Island for 30
years. His teaching practices have been recognized by the National Science
Teachers Association, the Soil Conservation Service, and the National
Association of Geoscience Teachers.
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