CRM combination of risks may be managed safely

CRM could be a systematic way of serving to us
use our collective cognitive skills to achieve and maintain situational
awareness and develop our interpersonal and behavioural skills to establish
relationships and communicate with everybody involved, to realize correct and
strong choices. Aviation trade has accomplished that human error, rather than
mechanical failure, underlies most aviation accidents and incidents. humans are
ultimately liable for ensuring the success and safety of the aviation industry.
they must continue to be knowledgeable, flexible, dedicated crew resource
management has prevented accidents and saved lives within the aviation
business, and will save lives in hospital in operation and emergency rooms.

CRM techniques are applied to other high-risk
things, including the high-stress surroundings of the operating room. Poor
choices are not merely because of surgeon error but also to the processes and
systems that allow errors to remain undetected. CRM within the operating room
has shown positive results because of improved communication, teamwork, error
reduction, and higher coaching of the complete team, reducing avoidable
mortality rates.

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In addition to learning to form sensible
aeronautic choices, and learning to manage risk and flight work, situation
awareness (SA) is a crucial component of ADM. Situational awareness is the
correct perception and understanding of all the factors and conditions within
the four basic risk components (PAVE) that influence safety before, during, and
after the flight. situation awareness (SA) involves being attentive to what’s
happening around you to understand however data, events, and your own actions
can impact your goals and objectives, both currently and in the near future.
Lacking SA or having inadequate SA has been known together of the first factors
in accidents attributed to human error.

Incorporated into pre-flight planning, the PAVE
list provides the pilot with an easy way to remember each category to look at
for risk prior to every flight. Once the pilot identifies the risks of a
flight, he or she must decide whether the danger or combination of risks may be
managed safely and with success. Remember, the PIC is accountable for deciding
about cancelling the flight. If the pilot decides to continue with the flight,
he or she should develop ways to mitigate the risks. one way to regulate risk
is by setting personal minimums for things in every risk class. Remember, these
are limits unique to a private pilot’s current level of expertise and
proficiency. they must be revaluated periodically primarily based upon
experience and proficiency.

An understanding of the decision-making method
provides pilots with a foundation for developing ADM skills. Some situations,
like engine failures, need a pilot to respond immediately using established
procedures with very little time for detailed analysis. referred to as
automatic decision-making, it is primarily based upon coaching, experience, and
recognition. Traditionally, pilots are well trained to react to emergencies,
however aren’t ready to form decisions that need a additional reflective response
when larger analysis is necessary. They usually overlook the section of
decision making which is accomplished on the ground.

DECIDE: Detect, Estimate, Set Safe Objectives, Identify, Do,
Evaluate. Such aids work by giving a structure to a decision process,
encouraging pilots to use a systematic decision process and avoid shortcuts
that can lead to error. It is important to recognise that such tools structure
the decision process but do not make the decision.

Effective Communication methods to improve safety

CRM LOFT is de?ned as training rather than formal
evaluation, with the goal of allowing crews to explore the impact of new
behaviours without exposing their certi?cation as crew members. LOFT should
influence behaviour most strongly when scenarios are crafted to require team
decision-making and coordinated actions to resolve in-flight situations.


 Stress is
a major factor in the Tenerife disaster. KLM crew were under stress because of
the terrorist attack attempt and were having to face uncertain weather
conditions with their flight duty time limits about to expire. Panam crew faced
the same conditions however were not near their limits of their duty time. The
air traffic control was dealing with much larger aircraft and more traffic in
the airport and having to speak in English a less familiar language. Demands
such as these disrupt cognitive processes, decrease alertness and diminish
judgement.  The KLM captain did not even
consider that Panam could still be on the runway. He made a premature decision.
He did not choose the better option of waiting a few more seconds against
taking off quickly. Tenerife links to the principle of stress causing
regression this is when in stressful situations people regress or behave
differently or in ways that they learned first. KLM pilot was an instructor for
10 years. He acted as a controller and issued take off instruction. The KLM
co-pilot and flight engineer might have gotten intimidated by the captain and
not raised the issue of the take-off clearance however Panam crew chose to
follow the controller’s instructions.

Human Factors


?          The
Poor use of language. The KLM co-pilot repeated the air traffic control clearance,
he was told with the words, “We are now at take-off.” However the controller,
who had not been asked for take-off clearance. The “OK” from the
Tower, which led the “stand by for take-off” was likewise incorrect –
although unrelated in this case because the take-off had already started about
six and a half seconds before.  


. Contributory Factors were
additionally distinguished:

3.         Did
not interfere with take-off when Pan Am accounted for that they were still on
the runway.


2.         Did
not comply with the “remain by for take-off” from ATC


1.         Took
off without leeway.


The Investigation found that the reason
for this mishap was the way that the KLM Captain:





Tenerife Airport Disaster (no date).  AviationKnowledge  Available at: (Accessed:
14 December 2017).

The investigation revealed that the primary cause
of the accident was the captain of the KLM flight taking off without clearance
from Air Traffic Control (ATC). The investigation specified that the captain
did not intentionally take off without clearance; rather he believed he had
clearance to take off due to misunderstandings in radio communications with

The Tenerife disaster was a runway crash between
two Boeing 747s, in 1977, at Los Rodeos Airport on the Spanish island of Tenerife,
the crash killed 583 people making it a fatal crash. CRM was not followed hence
why human error occurred, and unsafe acts leading up to the accident, it has
become an event in the study of human factors in aviation safety. Leading up to the crash, a bomb explosion at Gran Canaria Airport, and
the risk of another bomb, caused many aircraft to be moved to Los Rodeos
Airport. Among them were KLM and Panam Flight the two-aircraft involved in the
accident. At Los Rodeos, air traffic controllers were told to park many of the
aircraft on the taxiway, causing it to be blocked. Further confusing the
situation as the airport cannot handle lots of traffic at once as it’s a small
airport, while authorities waited to reopen Gran Canaria, a thick fog developed
at Tenerife, reducing visibility. When Gran Canaria
reopened, the parked aircrafts blocking the taxiway at Tenerife required both planes
to come on the only runway to get in position for take-off. The fog was so
thick to the point that neither one of the aircrafts could see each other, and
the controller in the tower couldn’t see the runway or the two planes on it. As
the air terminal did not have ground radar, the controller knew about where
every plane was just by voice over the radio. Because of a few misunderstandings,
the KLM flight attempted to take off while the Panam flight was still on the
runway. The subsequent crash demolished both airplane, murdering every one of
the 248 on board the KLM flight and 335 out of 396 on board the Panam flight.
Sixty-one individuals on board the Panam flight, including the pilots and
flight design, survived the fiasco.


This report will be discussing the KLM-Panam Tenerife Disaster and
how crew resource management played a vital role in this tragedy. What is Crew
Resource Management? (CRM) is an arrangement of principles and systems for use
in planes where human mistake can have impacts. Used for air security, CRM focusses
on communication, and leadership in the cockpit of a carrier to minimise
problems. Human error is the reason for around 80 percent of aviation accidents,
CRM has an essential influence and is there to reduce chances of error and
improve safety. One of the key components of CRM is situational awareness, it
is the comprehension of the conditions encompassing your flight. Comprehending
what will happen, and what has occurred before and how that may influence you
and your flight later. Situational awareness is most likely best depicted as a
prepared perspective while flying. It originates as a matter of fact and
learning and can be hindered by being unfit or having fatigue for instance. Another
key concept in CRM is communication. This is an area best described in its own
publication, as there are frequent factors that contribute to successful or
failed communication. There are many factors to be considered when analysing
communication, such as dialect. English is the universal air traffic language
however miscommunication played a huge part in the Tenerife accident as the air
traffic control had trouble understanding English as it wasn’t there first


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