General accident scenario; Poldercrash

Essay by Sabine87University, Bachelor'sC, April 2010

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Sabine Nievelstein, i426482

Poldercrash

Case study of the Turkish Airlines Flight 1951 crash at Schiphol

Maastricht University

School of Business and Economics

Course: Crisis Management (EBC2100)

Tutor: Walter Hendriks

Group: 12

January 5th, 2009

Sabine Nievelstein, I426482

Table of contents

1. Introduction.............................................................................................Page 2

2. Background.............................................................................................Page 2

3. General accident scenario........................................................................Page 4

3.1. The Accident............................................................................. Page 5

3.2. Defence Mechanisms.................................................................Page 6

3.3. Unsafe Acts............................................................................... Page 8

3.4. Psychological Precursors...........................................................Page 8

3.5. Failure Types.............................................................................Page 9

3.6. Decisions....................................................................................Page 10

4. Summary and conclusion..........................................................................Page 11

5. Appendix.................................................................................................. Page 13

6. References................................................................................................ Page 16

1. Introduction

On February the 25th 2009, almost sixteen years after the Bijlmerramp and thirteen years after the disaster with the Hercules in Eindhoven, again, Holland was startled by a plane crash of huge extent. Turkish Airlines Flight 1951 was a passenger flight, a Boeing 737, that crashed near Amsterdam Schiphol Airport, and ended up in a meadow, next to highway A9.

The plane broke into three pieces. Nine passengers and crew including all three pilots were killed and there were 86 injuries. This crisis caused a lot of commotion in the Netherlands, but other state were also involved, such as Turkey as the State of registration and State of operator, the United States, because the plane was manufactured there, and at the end France because the engines of the plane were manufactured there (Dutch Safety Board, 2009). How could this happen, was it a human mistake, a technical error or a combination? This paper will give an insight look on this crisis and will be assisted by the general accident scenario. The general accident scenario is launched by W.A. Wagenaar, P.T.W.Hudson and J.T. Reason, with the help of this scenario, the Poldercrash will be analyzed to see what went wrong and who has the responsibility for the faults that...