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Printed page Unnumbered PDF sheet. PDF page 3.
Independent Safety Board Act of 1974 to investigate transportation accidents, determine the probable causes of the accidents, issue safety recommendations, study transportation safety issues, and evaluate the safety effectiveness of government agencies involved in transportatiOpen final report at PDF page 3NTSB AAR-14/01: Asiana Airlines 214
Printed page iv. PDF page 7.
Findings................................................................................................126 3.2 Probable Cause..........................................................................................129 4. Recommendations...........................................................Open final report at PDF page 7NTSB AAR-14/01: Asiana Airlines 214
Printed page xv. PDF page 18.
in December 2008. The National Transportation Safety Board (NTSB) determined that the probable cause of this accident was the flight crew's mismanagement of the airplane's descent during the visual approach, the PF's unintended deactivation of automatic airspeed control,Open final report at PDF page 18NTSB AAR-14/01: Asiana Airlines 214
Printed page 129. PDF page 147.
robust to anticipate and prevent the problems that occurred in the accident response. 3.2 Probable Cause The National Transportation Safety Board determines that the probable cause of this accident was the flight crew's mismanagement of the airplane's descent during theOpen final report at PDF page 147NTSB AAR-14/01: Asiana Airlines 214
Printed page 142. PDF page 160.
story of the interrelated complexity of multiple events laying the foundation for the probable cause. Of particular importance is how the execution of divided tasks and an overreliance on automation produced a decrease in monitoring automated technology during the landinOpen final report at PDF page 160NTSB AAR-14/01: Asiana Airlines 214
Printed page 143. PDF page 161.
competing views on human performance. The final report, comprehensive in nature, and the probable cause statement reflect the outcome of this challenge. For the most part, as both an aerospace engineer and pilot, I concur with the final report andOpen final report at PDF page 161NTSB AAR-14/01: Asiana Airlines 214