접근 중 방파제 충돌

기본 사실

원인

• 원인

  the flight crew's mismanagement of the airplane's descent during the visual approach

• 원인

  the pilot flying's unintended deactivation of automatic airspeed control

• 원인

  the flight crew's inadequate monitoring of airspeed

• 원인

  the flight crew's delayed execution of a go-around after they became aware that the airplane was below acceptable glidepath and airspeed tolerances.

• 기여요인

  the complexities of the autothrottle and autopilot flight director systems that were inadequately described in Boeing's documentation and Asiana's pilot training, which increased the likelihood of mode error

• 기여요인

  the flight crew's nonstandard communication and coordination regarding the use of the autothrottle and autopilot flight director systems

• 기여요인

  the pilot flying's inadequate training on the planning and executing of visual approaches

• 기여요인

  the pilot monitoring/instructor pilot's inadequate supervision of the pilot flying

• 기여요인

  flight crew fatigue, which likely degraded their performance.

사고조사의 목적은 사고의 재발 방지이며, 비난이나 책임을 묻기 위한 것이 아닙니다.

연결된 사건