Two Boeing 747s, KLM 4805 and Pan Am 1736, were diverted into Los Rodeos, Tenerife, on 27 March 1977 and then sent to depart in fog that came and went between 1,500 m and 300 m. Congestion forced both to backtrack along the active runway. At 1706:09 the KLM first officer read back the route clearance to the Papa beacon and added at its end: we are now at take-off. Halfway through that read-back the captain had released the brakes and said, in Dutch, we're going. No take-off clearance had been requested, and none had been given.
The tower answered OK, paused, and continued: stand by for take-off, I will call you. In the same seconds Pan Am, still taxiing down the runway, transmitted exactly that. The two transmissions overlapped, and in the KLM cockpit the overlap produced a shrill noise for 3.74 seconds in which neither message survived. The flight engineer asked twice, in Dutch, is he not clear then, that Pan American; the answer was an emphatic yes, at a moment when, the Dutch inquiry later established from the recorder, the take-off could still have been abandoned. Pan Am's crew saw the landing lights about nine seconds before the collision. Of the 644 people aboard the two aircraft, 583 died; the 61 survivors were all on the Pan Am.
Spain's investigators placed the fundamental cause on the KLM captain: taking off without clearance, not obeying stand by for take-off, not interrupting the take-off when Pan Am reported they were still on the runway, and answering the flight engineer in the affirmative. The Netherlands' authorities, agreeing on every fact, read the same evidence as a mutual misunderstanding between the tower and the aircraft with no serious error by anyone. On the remedy the two converged exactly. Spain recommended standard, concise, unequivocal language, the word take-off kept out of the route clearance, and time between that clearance and the take-off clearance; the Dutch board wrote the rule in one line, that the phrase take-off is used exclusively in the request, the issue and the confirmation of a take-off clearance. That line is the bullet above.