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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:
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state what events contributed to the 1977 crash on Tenerife.
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identify some of the variables involved in air traffic safety.
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understand that air traffic safety relies on both technology and
the people who control it.
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copy of the "Thinking Things Through" student handout (PDF
or
HTML)
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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.
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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.
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Organize students into teams. As students view the program, have
them take notes on events that led up to the crash.
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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.
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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.
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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.
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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.)
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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.
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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
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Action
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Condition
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Result
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bomb explodes at Las Palmas' Gando airport
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√* |
√ |
Gando airport is closed
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Gando controllers divert traffic to Tenerife's Los Rodeos
airport
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√ |
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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
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√ |
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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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√ |
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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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√ |
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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
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* Some students may consider this event an action in that better
security measures may have prevented the bombing. Accept either
answer.
Student Handout Questions
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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:
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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.
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the KLM pilot could have decided not to let the passengers
off the plane, thus decreasing the plane's wait time on the
runway.
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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.
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the Los Rodeos controllers could have decided to not
backtrack the planes, or to only backtrack the planes one at
a time.
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the Pan Am flight crew could have called in for better
clarification of its turn-off coordinates.
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the Los Rodeos controllers could have halted all air traffic
movement when they could no longer see the planes.
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the KLM pilot could have waited for proper clearance before
taking off or aborted the takeoff altogether.
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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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