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University Republic Polytechnic (RP)
Subject E370: Diploma in Aviation Management

Case Study 1

Singapore Airlines (SIA) Flight SQ006, which was on its way to Los Angeles from Singapore via Taiwan, crashed on a closed runway at Chiang Kai-shek Airport (now called Taiwan Taoyuan International Airport) during take-off on 31 October 2000 at 11.18 pm local time. The incident, which destroyed the aircraft and killed 83 people, was SIA’s first serious accident and marred its reputation of having a good safety record.

Case Study 2

On 6 August 1997, Korean Air (KAL) Flight 801, a Boeing 747-300, crashed at night at Nimitz Hill, 3 miles southwest of Won Guam International Airport, Agana, Guam while on final approach for runway 6 Left. Of the 254 persons on board, 228 were killed. 23 passengers and 3 flight attendants survived the accident with serious injuries.

Case Study 3

SilkAir Flight MI 185, while on its way to Singapore from the Indonesian capital of Jakarta, nosedived into Musi River near the city of Palembang in South Sumatra, Indonesia, on 19 December 1997 at about 4.13 pm local time. The plane was almost completely destroyed and all 104 people on board were killed.

Instructions for Graded Assignment 

You are to submit a written report based on your assigned case study on the following:

  1. Provide an in-depth analysis using the Swiss Cheese Model of Accident Causation.
  2. Based on your answer to part (a), perform a risk assessment and propose a solution to prevent this accident from recurring.
  3. Identify one human factor that contributed to the accident. Explain in detail how it was a causal factor.

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