1997-08-06

Korean Air

Flight KE801

Boeing 747-3B5229 fatalities25 survivors

Departure

Gimpo International Airport, Seoul, South Korea

Destination

Antonio B. Won Pat International Airport, Guam

Causation Breakdown

Recurrence Likelihood Today

Low

Korean Air's safety culture has been fundamentally transformed. EGPWS is now universal. NOTAM communications for out-of-service aids have been strengthened. CRM training on crew assertiveness is a global standard.

Summary

Korean Air 801 crashed into Guam's Nimitz Hill when the captain flew a non-precision approach believing the glideslope was active. Rain and darkness removed visual terrain cues. The first officer and engineer did not challenge the excessive descent. Of 254 aboard, 229 died. The accident became a landmark study in Korean cockpit authority culture and catalyzed a complete transformation of Korean Air's safety program.

Cause & Investigation

Determined cause

Controlled flight into terrain — glideslope misidentification

The captain mistakenly believed the instrument landing system glideslope was operational when it had been taken out of service for maintenance. He flew a visual descent profile without adequate terrain awareness. The first officer and flight engineer failed to challenge the descent rate. The aircraft struck Nimitz Hill 4.8 km short of the runway in heavy rain.

Investigation body

National Transportation Safety Board (NTSB), USA; Korean Ministry of Construction and Transportation.

Timeline & Safety Improvements

  1. Flight KE801 disaster

    Boeing 747-3B5 operating for Korean Air. 229 fatalities, 25 survivors.

  2. Formal investigation opened

    Conducted by: National Transportation Safety Board (NTSB), USA; Korean Ministry of Construction and Transportation.

  3. Cause determined: Controlled flight into terrain — glideslope misidentification

    The captain mistakenly believed the instrument landing system glideslope was operational when it had been taken out of service for maintenance. He flew a visual descent profile without adequate terrain awareness. The first officer and flight engineer failed to challenge the descent rate. The aircraft struck Nimitz Hill 4.8 km short of the runway in heavy rain.

  4. Improvement implemented

    Korean Air undertook a comprehensive cultural safety overhaul, including mandatory CRM training focused on challenging authority.

  5. Improvement implemented

    NOTAM dissemination procedures for out-of-service navigational aids were improved.

  6. Improvement implemented

    EGPWS fitment was accelerated across the Korean Air fleet.

  7. Improvement implemented

    The Korean government established stronger oversight of Korean airline safety culture.