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Running Head: Accident Report Liberty University AVIA-400

Running Head: Accident Report Abstract In this paper I will briefly explain the cause and the event that occurred on December 20, 1995. On this day American Airlines flight 965 departed Miami and did not make it too its designed destination. In this paper I will also be using the swiss cheese model to determine the risk analysis and risk management that was involved with the aircraft on this significant date.

Running Head: Accident Report On December 20,1995 American Airlines flight 965 departed Miami international airport scheduled to land at Alfonso Bonilla Aragon International Airport. Early on the flight was delayed for about thirty minutes as they were waiting for the arrival of passengers and baggage. As the plane left its designed gate it then experienced another delay due to airport traffic. Eventually flight 965 was cleared for takeoff and cleared to climb to flight level. While communicating with the control tower the captain and first officer received their flight route which was declared by the Barranquilla air traffic control tower. The fight received clearance for the Rozo 1 arrival but the flight crew had selected the wrong directional beacon and began to fly off track crossing mountainous terrain. The crew realized they were in trouble as warnings began to grab their attention in the cockpit. The captain and first officer tried to pull the airplane up, but the plane continued over a ridge and impacted on the west side of the mountain and burned. This crash is listed as one of aviation deadliest crashes as 151 passengers lives were taken including 8 crewmembers. The airplane was destroyed and located in Buga Colombia. Implementing the swiss cheese model in this aviation accident will fall under the area of preconditions for unsafe acts. The probable cause of this accident is due to the lack of situational awareness of the flight crew regarding vertical navigation, proximity to terrain, and the relative location of critical radio aids. The flight crew may have experienced mental fatigue as they were almost delayed two hours and had intentions to just get to where they were going. Disappointment of the flight group to return to essential radio route when the FMS-helped route ended up befuddling and requested an extreme remaining task at hand in a basic period of the flight. Adding to the reason for the mishap were the flight group continuous endeavors to speed up their flight and arriving so as to maintain a strategic distance from any additional postponements. The flight team's execution of the departure while the speed brakes remained locked FMS rationale that dropped all moderate

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