What REALLY Caused the Tenerife Airport Disaster?! The WORST Aviation Accident in History

Mentour Pilot
11 Dec 202144:42
EducationalLearning
32 Likes 10 Comments

TLDRThe video script recounts the tragic Tenerife airport disaster of 1977, one of the deadliest aviation accidents in history. It details the chain of events that led to the collision of two fully loaded Boeing 747s on the runway, highlighting the complex circumstances involving political tensions, bomb threats, and diversions to Los Rodeos Airport in Tenerife. The narrative delves into the experiences of the flight crews, the challenges posed by the airport's poor safety record and weather conditions, and the miscommunications that culminated in the disaster. The aftermath includes investigations and changes in aviation protocols to enhance safety, emphasizing the importance of clear communication and crew resource management.

Takeaways
  • ✈️ The Tenerife airport disaster involved two fully loaded Boeing 747s, KLM Flight 4805 and Pan Am Flight 1736, which led to the worst aviation accident in history at the time.
  • 🌫️ The disaster occurred in thick fog at Los Rodeos Airport in Tenerife, which had a history of poor safety records and was known for its rapidly changing visibility due to its unique meteorological conditions.
  • 💣 The initial cause of the disaster was a diversion from Las Palmas Airport due to a bomb threat by the MPAIAC, which led to both flights being rerouted to Los Rodeos Airport.
  • ⛰️ Los Rodeos Airport's location in the northeastern corner of Tenerife, surrounded by the Pico del Teide volcano, contributed to the poor weather conditions that day.
  • 🛫️ Captain Jacob Veldhuyzen van Zanten of KLM decided to refuel during the ground delay, which increased the aircraft's weight and required a longer takeoff run.
  • 🕰️ Time pressure due to flight time limitations and the need to return to Amsterdam within legal hours contributed to the KLM crew's rush to depart.
  • 🗣️ Miscommunication and misunderstandings between the KLM and Pan Am crews, as well as with air traffic control, played a significant role in the sequence of events leading to the collision.
  • 🔊 The KLM crew may have misinterpreted a radio transmission as clearance to take off, while the Pan Am crew was still taxiing on the runway.
  • 🛑 The KLM aircraft began its takeoff roll without receiving a clear takeoff clearance from air traffic control, and did not abort the takeoff despite indications that the runway was not clear.
  • 🔥 The collision resulted in a catastrophic fire, with the KLM aircraft catching fire immediately and the Pan Am aircraft becoming engulfed after the impact.
  • 📝 The investigation into the disaster led to significant changes in aviation safety protocols, including crew resource management, clear communication standards, and improved taxiway markings for low visibility operations.
Q & A
  • What was the original destination of Pan Am Flight 1736?

    -The original destination of Pan Am Flight 1736 was New York, where it was to pick up passengers before flying down to Las Palmas in the Canary Islands.

  • Why was the KLM Flight 4805 diverted to Los Rodeos Airport?

    -KLM Flight 4805 was diverted to Los Rodeos Airport due to a bomb threat at Las Palmas Airport, which led to the closure of the airport and a directive to stop all inbound flights.

  • What was the role of Captain Jacob Veldhuyzen van Zanten on KLM Flight 4805?

    -Captain Jacob Veldhuyzen van Zanten was the Chief Flight Instructor on the Boeing 747 fleet for KLM and was in charge of the two flights operated by KLM on that day.

  • Why did the KLM aircraft start refueling at Los Rodeos Airport?

    -Captain Van Zanten decided to refuel the aircraft while on the ground to minimize the time spent on the ground at Las Palmas Airport once it reopened, allowing for a quicker return to Amsterdam within flight time limitations.

  • What was the weather condition like at Los Rodeos Airport when the two aircraft arrived?

    -When the two aircraft arrived at Los Rodeos Airport, the visibility was good. However, the weather quickly deteriorated with lower clouds starting to roll in from the hills and visibility decreasing minute by minute.

  • What was the cause of the miscommunication between KLM Flight 4805 and the air traffic control?

    -The miscommunication was caused by a combination of factors, including the use of non-standard phraseology by the KLM first officer, the incorrect call sign used by the approach controller, and the simultaneous transmission of messages on the radio frequency which caused interference.

  • What was the final decision made by the KLM Captain that led to the disaster?

    -The KLM Captain, Captain Jacob van Zanten, decided to initiate the takeoff roll despite not having received a clear takeoff clearance from air traffic control, and did not abort the takeoff even when his flight engineer questioned whether the Pan Am aircraft was clear of the runway.

  • What was the impact of the collision on the passengers and crew of both aircraft?

    -The collision resulted in a catastrophic loss of life, with all 248 passengers and crew on the KLM aircraft being lost, and only 61 survivors out of 396 people on board the Pan Am aircraft.

  • What were the key findings of the investigation into the Tenerife airport disaster?

    -The investigation found that the accident was caused by the KLM Captain taking off without ATC clearance and not aborting the takeoff despite indications that the runway was not clear. It also highlighted the need for improved crew resource management, clear and unambiguous communication, and better taxiway markings.

  • How did the aviation industry respond to the Tenerife airport disaster to prevent similar incidents in the future?

    -The aviation industry responded by implementing changes in communication protocols, such as avoiding the use of the word 'takeoff' without a clearance, improving taxiway markings for better visibility in low-visibility conditions, and emphasizing the importance of ground radar. It also led to a greater focus on crew resource management and clear, unambiguous phraseology in communication between air traffic control and pilots.

  • What were the circumstances that contributed to the confusion and misinterpretation of instructions in the KLM cockpit?

    -The circumstances included the pressure to minimize ground time due to new flight time limitation legislation, the distraction of the KLM crew due to thinking ahead about potential delays, the lack of clear and unambiguous phraseology in ATC communications, and the potential misinterpretation of radio frequency messages due to interference and language barriers.

Outlines
00:00
🛫 The Tenerife Airport Disaster: A Shocking Prelude

The video script begins with a dramatic introduction to the Tenerife airport disaster, mentioning two fully loaded Boeing 747s preparing for takeoff amidst thick fog. The narrator, Petter, teases the audience with the promise of revealing how an unthinkable event could occur and encourages viewers to stay until the end. The video is sponsored by Curiosity Stream, and the story unfolds with the recount of Pan Am Flight 1736's journey, starting from Los Angeles and heading towards Las Palmas in the Canary Islands, with a brief stop in New York. The flight is filled with elderly passengers ready for a cruise. The Canary Islands' political climate is also discussed, with a group called the MPAIAC fighting for independence. The crew of Pan Am Flight 1736 is introduced, highlighting their experience, followed by the preparation of KLM Flight 4805 in Amsterdam, with its crew and flight details. The script sets the stage for the tragic events that were to unfold.

05:03
☎️ The Bomb Threat and Diversion to Tenerife

The narrative progresses with the unfolding of a bomb threat at Las Palmas Airport, which leads to the closure of the airport and a diversion of all flights to Los Rodeos Airport in Tenerife. The KLM flight 4805 lands first, followed by Pan Am Flight 1736. The situation at Los Rodeos is tense as the airport begins to fill with diverted flights, and the conditions are described, highlighting the airport's poor safety record and the meteorological challenges it faces due to its location and altitude. The KLM crew decides to let passengers disembark due to the extended delay, while the Pan Am crew keeps their passengers on board. The video also discusses the airport's lack of ground radar and the decision to build a new airport in the south of Tenerife, which was not yet operational due to political disputes.

10:07
⛽️ Fueling Decisions and Increasing Anxiety

As the situation at Tenerife's Los Rodeos Airport develops, the KLM flight decides to use the ground delay to refuel, despite the ongoing delay. Captain Van Zanten's decision to fuel up is aimed at minimizing the time spent on the ground at Las Palmas. However, this decision also increases the aircraft's weight, requiring a higher speed and longer distance for takeoff. The Pan Am flight, unable to maneuver past the refueling KLM flight, must wait for the KLM to finish before they can depart. Tensions rise as the KLM crew is anxious about the potential for exceeding new Dutch flight time limitations, which could result in legal consequences. The KLM flight's refueling process is described, emphasizing the gamble the crew is taking on the delay's duration.

15:10
🛫 Final Preparations and Miscommunication

The KLM aircraft completes refueling, and the crew prepares for departure. There's a notable exception, as one passenger, Mrs. Robina Monique van Lanschot, has decided to stay behind in Tenerife with her boyfriend. As the KLM crew undergoes their pre-start checklist, there's a palpable sense of urgency, with Captain Van Zanten inadvertently speeding up the process. The video also discusses the potential distraction caused by thinking ahead to the flight to Las Palmas and the return to Amsterdam. Miscommunication begins to play a role as the KLM crew misunderstands the taxi instructions, and the approach controller's clarification adds to the confusion. The narrative builds up to the point where the KLM flight is about to start its takeoff roll, with the Pan Am flight still on the runway.

20:14
🚨 Misinterpretation and the Approach of Disaster

The KLM crew receives their departure clearance, but a miscommunication occurs. The First Officer's request for takeoff and en-route clearance is granted, but only after he has started reading back the instructions. Captain Van Zanten, under the impression that the runway is clear, begins the takeoff roll. Meanwhile, the Pan Am crew, still taxiing on the runway, reports their position to air traffic control. Their message, along with the controller's response, interferes with each other, leading to a misunderstanding in the KLM cockpit. The KLM crew, thinking the runway is clear, does not abort the takeoff, even when the flight engineer questions whether the Pan Am flight has cleared the runway. The stage is set for a potential disaster as the KLM aircraft accelerates down the runway.

25:21
💥 The Collision and Its Aftermath

The KLM aircraft, under the command of Captain Jacob van Zanten, collides with the Pan Am 747 that was still on the runway. The collision is catastrophic, with the KLM's number four engine slicing into the Pan Am's first-class section and the left wing severing the tail. The KLM aircraft continues for a short distance before crashing down, immediately engulfed in flames, resulting in the loss of all 248 souls on board. In the Pan Am aircraft, chaos ensues, with many passengers unable to comprehend the sudden impact. The Pan Am crew survives the initial collision, but the damage is extensive, and the aircraft is severely crippled. A few passengers manage to escape through breaches in the aircraft's structure, but only 61 of the 396 people on board survive the crash. The air traffic controller, unaware of the tragedy due to the lack of ground radar and poor visibility, only dispatches the rescue team after another aircraft reports seeing flames on the runway. The firefighters, hindered by the fog, eventually reach the scene and battle the intense fires, focusing on the Pan Am aircraft where survivors remain.

30:23
🕵️‍♂️ Investigation and the Impact on Aviation Safety

An immediate investigation follows the tragic accident, with the recovery of both aircraft's cockpit voice recorders and flight data recorders providing crucial evidence. The Spanish final report apportions most of the blame to KLM Captain Jacob van Zanten for taking off without clearance and not aborting the takeoff despite indications that the Pan Am aircraft was still on the runway. The Dutch investigation team, however, delves deeper into the reasons behind the captain's decisions, considering sub-optimal teamwork, potential distractions, and psychological factors. The inquiry also examines the power dynamics within the KLM cockpit and the First Officer's ability to challenge the captain's decisions. The accident leads to significant changes in aviation practices, emphasizing crew resource management, unambiguous communication, clear taxiway markings, and the importance of ground radar. The industry learns from this tragedy, leading to improved safety measures and protocols to prevent such disasters in the future.

Mindmap
Keywords
💡Boeing 747
The Boeing 747 is a large, long-range commercial jet airliner developed and manufactured by Boeing. In the video, two fully loaded Boeing 747s, Pan Am Flight 1736 and KLM Flight 4805, are central to the narrative as they are involved in the Tenerife airport disaster, which is the main focus of the video.
💡Tenerife airport disaster
The Tenerife airport disaster refers to the tragic event on March 27, 1977, when two Boeing 747 airliners collided on the runway at Los Rodeos Airport in Tenerife, Spain. It is the deadliest aviation accident in history and is the central theme of the video, providing a detailed account of the circumstances leading to the disaster.
💡Air traffic control (ATC)
Air traffic control, abbreviated as ATC, is a service that coordinates the movement of aircraft to maintain separation between them, both in the air and on the ground. In the context of the video, ATC plays a critical role in the disaster as miscommunications and misunderstandings between the KLM crew and the ATC contributed to the tragic outcome.
💡Runway incursion
A runway incursion occurs when an aircraft, vehicle, or person mistakenly enters a part of the aerodrome that is not designated for their use, or does so without proper clearance. In the video, the KLM aircraft's runway incursion due to misinterpretation of ATC instructions and poor visibility is a key factor leading to the collision.
💡Visibility
Visibility in aviation refers to the distance at which an object can be clearly discerned with the naked eye during flight. The video highlights how poor visibility at Los Rodeos Airport, due to fog and low cloud cover, contributed to the difficulty in recognizing the presence of the Pan Am aircraft on the runway, leading to the disaster.
💡Call sign
A call sign is a unique designation assigned to a specific aircraft, station, or vehicle to facilitate communication. In the video, incorrect call signs used by the approach controller when addressing the KLM flight contributed to the confusion and miscommunication that led to the disaster.
💡Takeoff clearance
Takeoff clearance is a permission given by ATC to an aircraft to initiate takeoff. The video emphasizes the importance of obtaining proper takeoff clearance, as the KLM aircraft began its takeoff roll without such clearance, which was a critical error leading to the collision.
💡Cockpit resource management (CRM)
Cockpit resource management refers to the effective use of all available resources in the aircraft's cockpit to enhance safety and efficiency. The video discusses CRM in the context of the KLM cockpit, highlighting the need for clear communication and decision-making processes to prevent errors.
💡Ground radar
Ground radar is a system used to monitor and track aircraft on the ground. The video points out the absence of ground radar at Los Rodeos Airport as a factor that hindered the ATC's ability to visually confirm the position of the aircraft, which could have potentially averted the disaster.
💡Taxiway
A taxiway is a path on an airport that connects the apron to the runway. The video details the confusion regarding the taxiway exits on Runway 12, which played a role in the misrouting of the Pan Am aircraft, contributing to the disaster.
💡Investigation
The investigation into the Tenerife airport disaster is a critical part of the video's narrative. It discusses the findings and the impact of the investigation on aviation safety, including the implementation of new procedures and the emphasis on CRM and clear communication.
Highlights

The Tenerife airport disaster involved two fully loaded Boeing 747s preparing for takeoff amidst thick fog.

The story of the disaster is filled with coincidences that could have led to a different outcome.

Pan Am Flight 1736, a Boeing 747-100, took off from Los Angeles heading towards Las Palmas in the Canary Islands with elderly passengers.

The Canary Islands had political friction in 1977 with the MPAIAC group fighting for independence.

Captain Victor Grubbs, First Officer Robert Bragg, and Flight Engineer George Warns were in command of Pan Am Flight 1736.

A bomb threat at Las Palmas Airport led to the closure of the airport and diversion of flights to Los Rodeos Airport in Tenerife.

Los Rodeos Airport had a history of safety issues and lacked ground radar at the time of the accident.

KLM Flight 4805, also a Boeing 747, was diverted to Los Rodeos Airport and was refueling while waiting for clearance to depart.

Captain Jacob Veldhuyzen van Zanten of KLM was under pressure due to new Dutch flight time limitation legislation.

Miscommunication and misunderstandings between KLM and air traffic control contributed to the tragic sequence of events.

The KLM aircraft began its takeoff roll without a proper takeoff clearance, leading to a collision with the Pan Am aircraft.

The Pan Am aircraft was still taxiing on the runway at the time of the collision, resulting in a catastrophic crash.

Only 61 out of 396 people on board the Pan Am aircraft survived the disaster.

The accident led to significant changes in aviation safety protocols and crew resource management.

The investigation into the disaster revealed the importance of clear communication and unambiguous phraseology between ATC and pilots.

Ground radar and clear taxiway markings were identified as crucial safety measures following the accident.

The Tenerife airport disaster remains one of the darkest moments in aviation history, leading to substantial improvements in safety protocols.

Transcripts
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