Crew Resource Management Case Studies
Crew Resource Management
Case studies
The following case studies are designed to provide practical examples of how crew resource management principles can be applied in practical settings. They are intended to help participants understand the real-world implications of crew resource management and to develop skills in applying these principles in their own work.
1 - Fatigue, organisational and environmental factors contribute to a runway incursion
This case study examines a scenario where fatigue, organisational factors, and environmental conditions contribute to a runway incursion. The case study focuses on a cargo flight operated by a B737-300 from Singapore Changi Airport (SIN) to Jakarta Halim Perdanakusuma Airport (HLP) on November 28, 2020. It was the sixth and final sector of a multi-sector duty.
Learning Outcomes
Impact of Fatigue
Understanding how tiredness affects information processing and safety performance.
Organisational and environmental factors
Recognising how individual, organisational, and environmental factors can undermine effective crew coordination.
Standard Operating Procedures
Over-reliance on memory items and inappropriate checklist usage.
Communication
Misleading low traffic conditions and lack of context in communications contributed to the incident.
Key Takeaways
The training emphasises the importance of fatigue management, effective CRM, adherence to SOPs, and proper duty time management to prevent similar incidents. It highlights the need for thorough communication, the correct use of resources, and the avoidance of assumptions in high-stakes environments like aviation.
This case study serves as a practical learning tool to enhance safety awareness and operational procedures among aviation professionals.
Have Any Questions?
Check out the FAQs.
Yes we can deliver CRM training programmes in-person at your location in the UK, and worldwide.
Yes this is a self paced online module designed to compliment CRM training. The package includes a PowerPoint presentation which may be resused for the purpose of internal training. (Not for resale)
Global Air Training is the market leading specialist in Crew Resource Management and Human Factors training. We have been working with airlines and aviation organisations worldwide since 1997. You can be sure that our facilitators are experienced experts in the field. We are the only ISO9001 accredited specialist CRM training provider.
The self-paced online training module is £45 per participant, there is no VAT for participants based outside the UK. Please contact us for a quote for multiple participants or bespoke requirements.
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