Episode 18 - The Tenerife disaster, CRM part two & the introduction of read back procedures
Plane Crash DiariesShow Notes
This episode we’ll probe the Tenerife disaster on 27 March 1977 which remains the most deadly aviation accident in history.
583 people died when two Boeing 747s collided on the Canary Island of Tenerife - one operated by KLM and the other by Pan Am.
This led to a major aviation safety initiative the known as Cockpit Resource Management or CRM which is now part of pilot training where combined crew input is encouraged and the captain can be questioned. It also led to other changes in communication methodology between planes waiting to take off and the tower as well as setting English as the language of aviation.
The problem with CRM is that it comes up against different cultures in the world, where the decisions by the strong man in charge are generally not contradicted. This is thought to be behind the accident in Pakistan during Covid-19 lockdown in May 2020 where authorities say not only was CRM ignored by the senior pilot, he also apparently tried to land an Airbus at 240 knots – well over its recommended landing speed.
Back to Tenerife 1977 – an incident which still shocks those who hear the details for the first time.
There were no survivors from the KLM aircraft and only 61 of the 396 passengers and crew on the Pan Am aircraft survived.
Pilot error was the primary cause, as the KLM captain began his take-off run without obtaining air traffic control clearance in extremely dense fog. But as you’ll hear, there is more to this story.
The conversation between PanAm, KLM and the ATC was peppered with confusing messages.
Other contributing factors were a terrorist incident at Gran Canaria Airport on a separate island that had caused many flights to be diverted to Los Rodeos, a small airport on the island of Tenerife not well equipped to handle aircraft of such size arriving together.
This increased the stress on the Air Traffic Controller and mistakes were bound to be made.
The Canary Islands are infamous among pilots for the extreme wind and weather conditions that spring up on this archipelago off the coast of Africa in the Atlantic Ocean. The weather was to play a major role in this catastrophe.
More from Plane Crash Diaries
. This is episode 45 – the Pitot-Tube Loving Mud-Dauber Wasp and Birgenair Flight 301, an episode that follows an email from one of my listeners, Dr Athayde Tonhasca. HE is a Brazilian entomologist working for Scottish Heritage in the United Kingdom.
Welcome back to Plane Crash Diaries with me, your host and pilot, Des Latham. Episode 44 and we’re exploring more bizarre stories of pilot suicide with the tragedy of A10 Captain Craig Button and the Kamikaze Pink Porn Pilot, Mitsuyatsu Maeno. A listener called Clifford who’s a SouthWest Airlines pilot suggested the topic for this episode and it’s taken me a year to get around to it – the curious case of Captain Craig Button. The incident has been called one of the most puzzling in US Air Force history. We’ll also hear about an off the wall weird example of pilot suicide in the second half, Japanese porn actor and pilot Mitsuyasu Maeno who dressed up in Kamikazi gear than tried to kill a Yakuza crime boss with a loaded Piper Cherokee. I decided to look at these two in particular because of how cosmology, religion, and extremism can hide in plain sight in someone who may be sitting next to you on the flight deck. Neither were examples of commercial aviation-linked suicides, but they are a warning to all of us to keep an eye out for folks who may harbour dark secrets. Let’s start It on April 2nd, 1997. Captain Craig Button was leading a three plane A-10 Thunderbolt Warthog formation conducting a live-weapons training mission from Davis-Monthan Air Force Base in Arizona. Button inexplicably broke formation. He flew 800 miles off course, and zigzagged across Arizona and Colorado the plane obviously being handled in a controlled fashion, maneuvering through bad weather, and in places, changing altitude. Button was tracked by radar, until he flew into Gold Dust Peak near Vail in Colorado, hitting the mountain just 100 feet below the summit. Apart from the mystery of what caused the accident, there was also a small matter of four 500 pound MK82 bombs which were never found despite extensive searches. It appeared he dropped them over the desert somewhere, like trees falling in a forest, unseen but as you’ll hear in a minute, not unheard. What caused this highly respected and skilled instructor to apparently commit suicide, which is what the Air Force concluded had happened. Unrequited love perhaps? Confusion over his role as a fighter pilot? The missing motive and missing ordnance were equally baffling. A search and rescue began immediately. The wreckage was finally spotted on 20 April 1997 by a Colorado Army National Guard helicopter crew, 18 days after Button went missing,on the northwest face of Gold Dust Peak at about 13,200 feet. Because the crash took place at such a high elevation during spring, most of the bits were buried under deep snow. Like the mysterious flight MH370, the pilot here had picked a spot on earth that was extremely difficult to access. Let’s move onto the second example of the pilot suicide took place On March 23, 1976. This involved love of a very different kind. Japanese porn actor and pilot Mitsuyasu Maeno staged a kamikaze-style attack, crashing a Piper PA-28 Cherokee into the Tokyo home of right-wing figure Yoshio Kodama. Maeno was dressed in a World War II Kamikazi pilot uniform and died on impact. He was the only fatality. The attack was motivated by rage over what was called the Lockheed bribery scandal. Yoshio Kodama was a notorious political fixer, Yakuza-connected gangster, and key figure in corrupt business practices..
This is episode 43, and I thought instead of taking a closer look at the plethora of pilot suicides, another topic is heating up fast. The dangers of lithium-based batteries, lithium polymers, now playing probably on your wrist theatre, or perhaps in your hand, or gauging your heartbeat, monitoring the baby, inside your laptop, powering your GPS and your vaping device.
This is episode 42, and we’re diving into a particular category of aviation accidents — those that happen right at the beginning of a pilot’s journey. We’re talking about ab initio training mishaps. Ab initio, Latin for “from the beginning,” refers to a training path designed for aspiring pilots who start with zero flight time. Nothing. Not a minute logged, not a system diagram understood. These courses take students from ground zero to the right-hand seat of a commercial flight deck — through a tightly structured mix of theory, simulator time, and real-world flying. They’re intense and sometimes quite fast. And they aim to do two things: produce skilled, airline-ready pilots and identify those who should probably find another career. Many of these programmes are tied directly to airlines, which means you’re taught from the outset to fly their way — their SOPs, their ethos, their cockpit culture. That brings clear advantages. The pathway is laid out: from the classroom to the cockpit, without the detours of fragmented, school-hopping training. For many, there’s financial backing too — covering tuition, even living costs — opening doors for those who’d otherwise never afford to fly. There’s also the camaraderie. Like a military intake, you form close bonds under pressure, guided by seasoned instructors and surrounded by peers. And at the end, a job may be waiting — conditional on success. But it’s not all lift and no drag. Freedom? Limited. You’re often bonded to the airline for years — and leaving early can come with steep penalties. Career flexibility? Not much. Your training is airline-specific, and if you decide to fly charter or head bush, you may be back at square one. Contrary to the doomsaying of many veteran aviators, the accident rate during ab initio flight training in the United States has fallen by close to 50% — measured per flight hour - it shows between 2000 and 2019, the number of fatal training accidents almost halved. The Aircraft Owners and Pilots Association’s Air Safety Institute has the data to back it up.
Episode 41 is about substance abuse, technocrats behaving badly, sub-standard crew training and fatal attractions to nicotine and C H 3 C H 2 OH — methylethyl alcohol, otherwise known as hootch, or in South Africa, dop.