Airport records show that flight controllers had told the pilots to use runway 22, which is nearby runway 26 which they used, something that pilots claim occurs commonly whenever there is reduced visibility. The aim of this report is to identify management, engineering, regulatory, socio-technical and ethical issues that culminated in the accident, and make appropriate recommendations mainly based on engineering ethics considerations.
Since it is impossible to determine a single factor that resulted in the crash of Flight 5191, the NTSB should look at all the components of the system that were not functioning at their optimal level, and single them out for improvement, starting with the ones that have the most effect. For instance, any design errors of the airport and management issues among other factors.
Engineering Issues. All the airports that these accidents occur have a similar design, showing a lack of concern by engineers or incompetent since the designers have not modified or improved the design despite its predisposition to result in accidents. Runways of different lengths and meant for different plane sizes are built close to each other, making it difficult for pilots to pick the one they have been cleared for takeoff. To make matters worse, there is an unusually short distance to the runway from the airport terminal, such that pilots do not have adequate space to negotiate their planes safely. In addition, these airports are exceedingly complex, and the runway maps provided to pilots are inaccurate; such that a pilot has to use personal judgment when navigating through the runways. In addition to using a single runway for multiple destination flights, the airport managements allow the use of runaways as a taxiway, making a poor situation even worse (Federal Aviation Authority vii).
Management Issues. The management of Blue Green Airport failed in some aspects of its duties, which