Singapore Airlines flight sq006 crashed soon after take-off on October 31 at 2318 hours

82 of the passengers & crew died in the crash

All 3 pilots survived

They were trying to take off in near 0 visibility as a typhoon rolled into Taipei

159 passengers were aboard.

• 11.15.18 - ATC - Singapore 6, runway 05 left. Wind 020 at 28. Gusts to 50. Clear for take off.

• 11.15.26 - Captain - Clear for take off. Runway 05 left. Singapore 6.

• 11.16.19 - Captain - We can see the runway not so bad. OK, I am going to put it to high first.

• 11.16.51- First Officer - 80 knots• 11.16.52 - Captain - OK, my control.• 11.17.08 - First Officer - V1• 11.17.12 - Captain - (expletive) Something there!• 11.17.13 - Banging sound• 11.17.14 - Captain says something unintelligible followed by a

series of crashing sounds.• 11.17.18 - Recording stopped

All facts, figures, news footage used in this presentation are located on Channelnewsasia.com. The short cuts

provided direct you to their web site. These videos are copy righted material and intended for your personal use only. You must have Windows media player 2 or higher

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http://www.channelnewsasia.com/sq006/asx/sim_siacrash.asx

sim_siacrash.asx

11.17.12 - Captain - (expletive) Something there!11.17.13 - Banging sound

Wrong Turn?The ill-fated SQ006 was on the wrong runway before it crashed on Tuesday night, said Taiwan’s chief investigator at a news conference on Friday.

The statement by Taiwan’s Aviation Safety Council Managing Director, implied that pilot error played a major role in the crash of the Boeing 747, which lead to the death of 81 people.

The closed runway, number 05R, runs parallel to the one from which the plane should have taken off, 05L

Layout of Chiang Kai Shek Airport

Was pilot error the sole cause of the event?

Runways that are out of service are not lighted to make it clear to pilots they are not in use. This is not the case at Chiang Kai Shek airport where

one switch controls green lights on the common taxiway and down the middle of 05R.

Yellow barriers are generally used to block runways that are out of service. This is not the case at Chiang Kai Shek airport where

the strip under construction was still in use as a taxiway back to the terminal.

Was pilot error the sole cause of the event?

The pilot confirmed twice to the control tower that he understood he was to be on runway 05L. Control Tower officials are unable to confirm aircraft

location at Chiang Kai Shek airport where ground radar has yet to be installed and the runways are out of the line of tower sight.

Runway 05R was classified as a VFR runway only. Due to the approaching typhoon visibility prior to

take off was 600 meters. The concrete barriers were placed about 4080ft

down the runway.

What Really Happened?

What we find is a reaffirmation of the need to look past the obvious human error. It is far too easy for organizations to place sole responsibility for such unfortunate events on the people involved. Just as we define performance as behaviors plus results, we must consider events as organizational factors plus human error. Ignoring the organization’s role in events makes us vulnerable to our own fallibility.

All facts, figures, news footage used in this presentation are located on Channelnewsasia.com. The short cuts

provided direct you to their web site. These videos are copy righted material and intended for your personal use only. You must have Windows media player 2 or higher

to view and be connected to the web.

http://www.channelnewsasia.com/sq006/asx/graphic1103.asx

graphic1103.asx