"Miracle on the Hudson" Aircraft at

sufficient
Flight 1549 altitude Bird strike
(3200 feet)
Aircraft unable
Aircraft lost
to maintain AND/OR
both engines
altitude
Cause Map
Start with any one of the goals that have been impacted. Read the Cause Map Engine,
AND
from left to right using the phrase "was caused by" in place of the arrows. instrument
AND malfunction ?
Plane was
aligned with
AND/OR
Hudson River
Pilot guided
Safety Goal Zero fatalities Computer,
aircraft clear of AND
Impacted on the ground software issue
populated areas
Pilot avoided a ?
landing attempt
at Teterboro
Captain
decided to ditch AND
in Hudson River
Pilot avoided a
landing attempt
Property Goal
Loss of aircraft at LaGuardia
Impacted
AND
Aircraft ditched
Aircraft ditched Pilot believed
i t
in water ferrys, boats
Many flight
could respond
hours
quickly

AND
Nose of aircraft
No deaths from kept up Skills of Specific,
impact with captain, first recurring
water AND AND
officer training

AND
Wings kept Aircraft was
level flown smoothly AND
Pilot is licensed
glider pilot
Aircraft landed AND
smoothly in
water "Responsive"
Aircraft slowed controls
(with no power)

AND
AND
AND
AND
Safety Goal Zero fatalities River was calm
Impacted on aircraft
Winds calm

Passengers
braced for
impact

Fuel on water

No deaths from No fire after AND

No fire in cabin
fire aircraft ditched
No ignition
AND
sources after
AND ditching
Flames from
Both engines
damaged Aircraft ditched
No deaths from scooped full of
No fire after engine in water
smoke water
aircraft ditched extinguished
inhalation

Rescue boats Boats arrived

Ferry crews
were available on scene
saw plane ditch
quickly quickly
AND

AND

Passenger Passengers
Passengers Girt bar Flight
No deaths from exposure to waited on Floating slides Slide functioned
loaded onto installed attendants
hypothermia cold water/air forward floating deployed properly
boats quickly properly completed task
minimized slides

AND Main cabin Exit-row

passengers Window exits passengers
quickly exited opened quickly studied
window exits instructions

Passengers
waited on wing AND
(stood in water) No aft exit Aft doors were Tail of aircraft
available bent, damaged impacted water
AND Passengers in
aft section
moved to wing AND
exits
Water level was Water leaked
AND rising in aft through partially
cabin open aft exit

Aircraft floated Ports on bottom Aircraft floated

No deaths from "Ditch switch" partially above
partially above of aircraft
drowning used ? the water
the water closed ? Copyright 2009 ThinkReliability
version Int-1 Jan-09

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