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Case Study #117 — 300 Software Failure Case Studies

Aeroperu Flight 603 crash

A Boeing 757 crashed into the Pacific Ocean off Lima, Peru, shortly after takeoff, killing all 70 people aboard.

1996-10-02
When it happened
Aviation
Sector
#117 of 300
Ranked by documented impact
01 — What Happened

The damage was public. The root cause was preventable.

A Boeing 757 crashed into the Pacific Ocean off Lima, Peru, shortly after takeoff, killing all 70 people aboard.

Aviation
Sector affected
1996-10-02
Date of the event
#117
Rank in the 300 Software Failure Case Studies
2
Distinct root-cause clauses identified below
02 — The Root Cause

What the software actually got wrong

Maintenance workers left masking tape over the aircraft's static ports after washing it, and once airborne the blocked ports fed corrupted airspeed and altitude data into the flight computers, triggering a cascade of contradictory automated warnings that the systems could not resolve or explain to the disoriented crew.

01Root Cause

Maintenance workers left masking tape over the aircraft's static...

What Happened

Maintenance workers left masking tape over the aircraft's static ports after washing it

How Requs AI Catches This

Requs AI Edge Case flags this exact pattern at the requirements and architecture stage — before a single line of code implementing it exists — so the assumption behind it gets challenged while it is still cheap to fix.

02Root Cause

Once airborne the blocked ports fed corrupted airspeed and...

What Happened

once airborne the blocked ports fed corrupted airspeed and altitude data into the flight computers, triggering a cascade of contradictory automated warnings that the systems could not resolve or explain to the disoriented crew

How Requs AI Catches This

Requs AI Software FMEA traces this failure mode back to the system-level hazard it feeds, tagging it against the Common Defect Enumeration so it surfaces in review instead of in the field.

03 — How This Gets Caught Before It Happens

Beyond code coverage and "shall" testing

Root causes like this one rarely show up in code coverage or requirements-compliance testing, because nobody wrote a requirement anticipating the specific edge case that broke. Requs AI Edge Case and Requs AI Software FMEA are built to surface exactly this class of overlooked failure mode — before the software is written.

Requs AI Edge Case

Surfaces this before code exists

Identifies edge cases like this one at requirements and architecture time, using the Common Defect Enumeration to catalog failure patterns seen across hundreds of real-world software failures — including this one.

Requs AI Software FMEA

Connects the failure mode to the hazard

Traces this class of root cause directly to the system-level hazard it can produce, so a defect pattern like this one gets flagged during design review instead of after it ships.

Find the overlooked root causes before they ship.

Schedule a demonstration, or explore how Requs AI Edge Case and Software FMEA use the Common Defect Enumeration.