Swiss Cheese Slices

Swiss Cheese Slices

swiss cheese

Let’s look at where a different decision could have changed the outcome of this accident.

  1. Due to the conditions, the pilot could have landed at Queenstown.
  2. After the stock clearing run, the pilot could have climbed to 500 feet to establish on the correct approach path.
  3. The pilot could have established a stabilised approach.
  4. The pilot could have gone around at 200 feet when it became clear the touchdown point would be too far into the airstrip.
  5. The pilot could have accepted the slow speed crash into the fence at the end of the strip.
  6. The pilot could have ensured he selected flap 10 for the go-around.
  7. The pilot could have followed the usual go around path and turned right away from the rising terrain.