korean air flight 801 ntsb report

The special surface weather observation for 0132 on August 6, 1997, was as follows: Exposure to the postimpact fire resulted in various degrees of damage to the remaining wing structure, including the leading edge and trailing edge flap structure.

About 0126:25, the flight engineer stated, "it's Guam, Guam." The Safety Board's investigation of the accident concluded, among other things, that the FAA's guidance on special airports was not sufficiently specific about criteria and As a result of its findings, the Safety Board issued Safety Recommendations A-97-92 through -94 on August 25, 1997.
The autopilot system consists of a mode control panel and three pitch and roll computers (with a landing rollout function) that drive the pitch and roll actuators. For many pilots, they are less familiar. The EMT stated that he approached the burning wreckage to within about 150 feet and saw about 14 survivors outside the airplane with various injuries, most of which were burn related. According to ALPA's submission, the information that the FAA releases "bears no resemblance to the final user product," which "seriously hampers the ability to readily and effectively critique the proposed approach procedure." According to the DOT/IG report, DOD's policy has been to use U.S. carriers for this transportation service, and DOD performs a safety review of a U.S. carrier before it can be included on an approved list of authorized military air transport providers. D.F. The captain also said that, from 1988 to 1997, one-half of the commercial jet CFIT accidents were during step-down approaches, even though most of those airplanes had DME available.The captain testified that, according to the accident data, the chances of a CFIT accident occurring during a nonprecision approach is five times greater than during a The captain stated that 70 percent of the CFIT accidents occurred on final approach and that most of these aircraft were "...in line with the runway."

The FAA indicated that, since 1996, Korean Air received about 201 operations inspections, 129 maintenance inspections, and 48 avionics inspections. They also stated the visibility was "good" under 2,000 feet and that they maintained visual contact with the airport throughout the approach. The FAA indicated that the AC would reference the appropriate regulatory requirements and contain the universal documentation format for each DFDR aircraft configuration and installation. Upon arrival to the Guam area, the first officer made initial contact with the Guam Combined Center/Radar Approach Control (CERAP) controller about 01:03, when the airplane was level at 41,000 feet and about 240 nm … Complete autopsies and toxicological evaluations were performed on the remains of the three flight crewmembers (as discussed previously.) Washington, DC.168 See National Transportation Safety Board. However, this MSAW capability was based on a different algorithm than the disabled ARTS IIA MSAW system (see section 2.6.2). The Safety Board continued to believe that the FAA should do all it can to enhance pilots' situational awareness regarding proximity to terrain and that adding readily interpretable terrain information to navigation charts would be an economical way to accomplish this goal.

The manager of the FAA's Western Flight Procedures Development Branch testified at the Safety Board's public hearing that the FAA distributes approach procedures to industry user groups (including ALPA, the Air Transport Association, and the Aircraft Owners and Pilots Association) and airport operators for comment. The study found that the 70 monitoring/challenging errors committed by flight crewmembers occurred in 31 (84 percent) of the 37 accidents reviewed in the study and that most of these errors played very important roles in the accidents. Helmreich. Every Korean-registered aircraft is subject to annual renewal of its airworthiness certificate from the Korean Civil Aviation Bureau (KCAB); this airplane's last airworthiness certificate was issued on July 7, 1997. Safety Board investigators and MOCT officials interviewed a surviving flight attendant and several passengers in a Guam hospital on August 9, 1997. For a recording to be considered "good quality," most of the crew conversations need to be accurately and easily understood. (The FAA subsequently indicated that, under the new procedures, the Guam CERAP would transfer responsibility for the aircraft's data block to the Agana tower and that the aural MSAW alert would be transferred to the tower upon its acceptance of the transfer of the data block.

Korean Air's Guam airport familiarization video, which the captain and first officer had viewed in July 1997, noted that weather conditions in Guam allowed visual approaches most of the year and that, even though IMC is likely during the rainy season from June to November, "you [the pilot] will be guided from over Apra Harbor to the localizer. The airport is leased to the Guam International Airport Authority by the U.S. Navy, and the associated navigational facilities are owned and operated by the FAA. In addition, pilots receive LOFTThe CRM program that was in place at the time of the flight 801 accident was developed from the United Airlines CRM program and adapted with the assistance of an outside contractor. On December 18, 1991, the FAA stated that it was planning to develop an AC to address the installation and maintenance of DFDRs and flight data acquisition units (FDAU).

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