Key Safety Issue(s)

  • The investigation found that the flight crew was fatigued.
  • The investigation found that the flight crew did not practice CRM.
  • The crew did not speak English proficiently except for the first officer. 
  • When running low on fuel the first officer did not declare an emergency using standard emergency terminology. 
  • During the survivable crash event the seats did not protect the passengers or crew adequately.

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