LC2 was clearly distracted by several events in the few short minutes prior to the accident. Allowing 5569 to make an intersection departure was acceptable and she cleared the flight into position prior to giving 1493 landing clearance. The initial confusion with 5006 caused her to lose awareness of 5569's position. The futher confusion regarding the flight strip of 5072 caused her again to avert her attention from the situation on the active runways. She later said she had believed 5072 taxied in front of the tower to runway 24L was actually 5569 and formed a mental picture that all was correct.
The NTSB cited many factors as contributing to the cause of the accident. Primary was Air Traffic Control procedures at Los Angeles International Airport. The FAA later required LAX to revise its flight strip handling to relieve the local controllers (LCs) from carrying the full responsibility of flight strip marking and handling and allowing better awareness during high workloads. LC2 was also cited for becoming distracted and allowing a breakdown in awareness during the incident period. The NTSB also cited lighting placement on the Metro, showing that its light blended with and were not conspicuous against the runway environment background during low light periods. Although both flight crews were operating within their ATC clearances, they were both still responsible for "see and avoid" operations since conditions were VFR.
- 1 0 年前最佳解答
LC2 在意外事件之前清楚地在幾短分鐘內被一些事件分心了。 允許 5569 使十字路口成為離開是可接受的和她在給 1493個登陸清除之前清除的班機進入位置。最初的混亂由於 5006 導致她喪失對 5569 年代位置的注意。 futher 混亂關於長條班機 5072 再一次引起了她在積極的跑道上避免來自情形的她的注意。她稍後說她已經相信 5072 在對跑道 24L 的塔之前乘計程車是實際上 5569 而且形成全部是正確的一張心智的照片。
NTSB 像貢獻援引許多因素對事故的起因。主要空中交通管理規程在洛杉磯國際機場。FAA 以後要求LAX 校正它的飛行小條處理解除地方控制器(LCs) 從運載飛行小條的充分的責任標記和處理和允許更好的了悟在高工作量期間。LC2 並且被援引為成為分散和允許一次故障在了悟在事件期間。NTSB 並且援引照明設備安置在地鐵, 它的光混合與和不是顯眼的反對跑道環境背景在低燈期間的陳列。雖然兩機組乘務員經營在他們的ATC 清除之內, 他們是兩個負責任為"看和避免" 操作因為情況是VFR 。