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1
00:00:18,228 --> 00:00:20,188
We can't keep going down.
2
00:00:20,354 --> 00:00:22,356
Above the Pacific Ocean,
3
00:00:22,481 --> 00:00:24,313
the pilots
of Transair Flight 8-10
4
00:00:24,438 --> 00:00:26,565
can't get their cargo plane
to climb.
5
00:00:26,731 --> 00:00:29,316
- Just hitting the water is
gonna tear the airplane apart.
6
00:00:30,525 --> 00:00:33,026
- We're in the water.
We're in the water!
7
00:00:34,734 --> 00:00:35,901
Remarkably,
8
00:00:36,068 --> 00:00:39,529
they survive the crash and
are rescued by the Coast Guard.
9
00:00:39,654 --> 00:00:41,862
- They're covered in gasoline
and hydraulic fluid.
10
00:00:42,028 --> 00:00:43,362
So it wasn't pretty.
11
00:00:43,487 --> 00:00:46,072
Investigators
are eager to interview the crew.
12
00:00:46,239 --> 00:00:49,824
- Did both engines fail
at the same time?
13
00:00:49,949 --> 00:00:52,241
- Most likely.
That's my conclusion.
14
00:00:53,242 --> 00:00:57,201
The evidence
does not support
the pilot's assessment.
15
00:00:57,326 --> 00:00:58,992
- It looks fine.
16
00:00:59,118 --> 00:01:00,536
No internal damage.
17
00:01:00,701 --> 00:01:04,620
- So it was critical for us
to get more information
18
00:01:04,745 --> 00:01:08,039
to better understand
what had happened here.
19
00:01:08,206 --> 00:01:10,790
Mayday! Mayday!
20
00:01:32,131 --> 00:01:33,548
It's the middle
of the night
21
00:01:33,672 --> 00:01:36,257
at Daniel K. Inouye
International Airport
22
00:01:36,424 --> 00:01:38,716
in Honolulu, Hawaii.
23
00:01:40,591 --> 00:01:42,467
- Okay.
24
00:01:42,592 --> 00:01:43,885
Let's see.
25
00:01:44,052 --> 00:01:46,428
Crews have just
finished loading cargo
26
00:01:46,593 --> 00:01:48,845
for Transair Flight 8-10.
27
00:01:48,970 --> 00:01:50,721
- Okay, thank you.
See ya.
28
00:01:50,888 --> 00:01:54,179
The captain of
tonight's flight is Henry Okai.
29
00:01:54,304 --> 00:01:57,472
He has almost
16,000 flying hours.
30
00:01:57,597 --> 00:02:00,391
- So this captain is highly
experienced in the aircraft,
31
00:02:00,557 --> 00:02:02,267
been doing it for a while.
32
00:02:02,433 --> 00:02:04,852
- Engine start checklist.
33
00:02:04,977 --> 00:02:07,728
- Engine start checklist.
34
00:02:07,894 --> 00:02:09,853
Tail stand.
- Removed.
35
00:02:09,977 --> 00:02:11,311
- Cargo.
36
00:02:11,437 --> 00:02:13,896
First Officer
Gregory Ryan is a lawyer
37
00:02:14,021 --> 00:02:17,689
who recently returned to flying
part-time for Transair.
38
00:02:17,813 --> 00:02:20,774
- It's not necessarily the best
pilot career, straight up,
39
00:02:20,940 --> 00:02:24,607
but you do get to be in Hawaii.
You get to fly an airplane.
40
00:02:24,774 --> 00:02:28,900
- Engine start checklist
complete and...
41
00:02:29,067 --> 00:02:31,445
...clear right.
42
00:02:31,611 --> 00:02:33,070
- Clear right.
43
00:02:33,237 --> 00:02:37,530
Transair flights
use Rhoades Express
as a call sign.
44
00:02:38,739 --> 00:02:42,281
- Tower, Rhoades Express
8-10 Taxi Kilo.
45
00:02:43,407 --> 00:02:45,658
- Rhoades Express 8-10,
Honolulu tower,
46
00:02:45,783 --> 00:02:52,201
runway 8 right, taxi via
Charlie Romeo Tango Romeo Alpha.
47
00:02:56,912 --> 00:02:59,829
Transair is
owned and operated
48
00:02:59,954 --> 00:03:01,247
by Rhoades Aviation,
49
00:03:01,414 --> 00:03:04,581
which transports cargo
between the Hawaiian Islands.
50
00:03:04,747 --> 00:03:07,624
- They had the postal contract,
which was quite lucrative.
51
00:03:07,791 --> 00:03:10,166
Their focus was on keeping
their costs down
52
00:03:10,291 --> 00:03:15,294
to maintain their advantage
over more and well-established
competitors.
53
00:03:16,960 --> 00:03:20,296
The plane is
a Boeing 7-37-200
54
00:03:20,463 --> 00:03:24,629
built in the 1960's and 70's
for passenger travel.
55
00:03:25,505 --> 00:03:29,506
Today,they're workhorses
for transporting cargo.
56
00:03:29,631 --> 00:03:31,175
- Twin engine,
small aircraft,
57
00:03:31,300 --> 00:03:33,092
it was designed
for short haul operations.
58
00:03:33,217 --> 00:03:35,175
It wasn't very sophisticated.
No automation.
59
00:03:35,300 --> 00:03:37,302
I loved flying that airplane.
60
00:03:37,469 --> 00:03:40,719
The pilots
prepare for takeoff.
61
00:03:41,927 --> 00:03:43,929
- Runway 8 right confirmed.
62
00:03:44,054 --> 00:03:46,262
Before takeoff
checklist complete.
63
00:03:46,429 --> 00:03:49,015
Rhoades 8-10,
cleared for takeoff.
64
00:03:50,432 --> 00:03:54,558
- Runway 8 right, cleared
for takeoff, Rhoades 8-10.
65
00:03:59,851 --> 00:04:02,936
Tonight's flight
is a short hop to Kahului
66
00:04:03,103 --> 00:04:07,480
on the neighboring island
of Maui, only 100 miles away.
67
00:04:08,104 --> 00:04:10,271
- Okay.
You have control.
68
00:04:10,438 --> 00:04:13,273
- Okay. I have control.
69
00:04:14,565 --> 00:04:16,773
At 1:33 a.m.,
70
00:04:16,940 --> 00:04:20,983
Captain Okai hands over
the plane to first officer Ryan.
71
00:04:25,944 --> 00:04:27,820
- Engines stable.
72
00:04:30,987 --> 00:04:32,822
Eighty knots.
73
00:04:32,988 --> 00:04:33,864
- Check.
74
00:04:33,989 --> 00:04:36,157
- V-1...
75
00:04:36,323 --> 00:04:37,989
Rotate.
76
00:04:39,908 --> 00:04:41,700
- V2...
77
00:04:41,825 --> 00:04:43,450
Positive rate.
78
00:04:44,951 --> 00:04:46,327
Gear up.
79
00:04:46,493 --> 00:04:50,119
Within seconds
of lifting off ...
80
00:04:54,330 --> 00:04:56,038
- Damn!
81
00:04:56,163 --> 00:04:57,289
- Lost an engine.
82
00:04:57,414 --> 00:04:59,791
You got it?
- Yeah. I got it.
83
00:04:59,916 --> 00:05:02,750
The pilots
have lost thrust
84
00:05:02,875 --> 00:05:06,875
in one of their engines
only 390 feet off the ground.
85
00:05:07,000 --> 00:05:10,293
- Losing an engine after takeoff
is one of the most critical
events
86
00:05:10,461 --> 00:05:11,795
that can happen in a flight.
87
00:05:11,920 --> 00:05:14,128
You're close to the ground,
you're slow.
88
00:05:14,252 --> 00:05:15,837
However, we also know
from our training
89
00:05:16,003 --> 00:05:18,798
that the aircraft will fly
perfectly well on one engine.
90
00:05:18,923 --> 00:05:21,005
The first
officer levels the plane
91
00:05:21,173 --> 00:05:23,924
and continues to climb away
from the airport.
92
00:05:24,049 --> 00:05:25,882
- Flaps.
93
00:05:26,007 --> 00:05:28,176
- Turn 2-20 heading.
94
00:05:28,342 --> 00:05:30,009
I'll give you the flaps.
95
00:05:30,175 --> 00:05:31,635
- Okay.
96
00:05:33,259 --> 00:05:35,678
- Rhoades 8-10,
we have an emergency.
97
00:05:35,845 --> 00:05:37,012
Standby.
98
00:05:37,178 --> 00:05:38,970
We're on 2-20 heading.
99
00:05:39,138 --> 00:05:41,471
You can inch up to 2,000.
100
00:05:41,596 --> 00:05:44,305
The captain wants
to put more distance
101
00:05:44,473 --> 00:05:45,972
between the plane and the ocean,
102
00:05:46,097 --> 00:05:48,599
so they have space
to address the problem.
103
00:05:48,724 --> 00:05:50,892
- Anytime you have an emergency
situation,
104
00:05:51,017 --> 00:05:53,143
maintain aircraft control.
If you fail to do that,
105
00:05:53,268 --> 00:05:54,811
nothing else you do matters.
106
00:05:54,936 --> 00:05:57,727
- Okay, Rhoades 8-10,
we've lost an engine.
107
00:05:57,852 --> 00:06:00,269
We're on a 2-20 heading
maintaining 2,000.
108
00:06:00,394 --> 00:06:02,938
Declaring an emergency.
How do you read?
109
00:06:03,062 --> 00:06:04,938
- Rhoades Express 8-10,
110
00:06:05,063 --> 00:06:08,689
you are cleared visual approach
runway four right.
111
00:06:08,857 --> 00:06:11,148
You can turn in
towards the airport.
112
00:06:11,316 --> 00:06:15,026
The controller
clears Flight 8-10
to return to the airport.
113
00:06:15,192 --> 00:06:18,736
- Okay, Rhoades 8-10,
we're gonna run a checklist.
114
00:06:18,860 --> 00:06:21,779
I'll let you know when we're
ready to come to the airport.
115
00:06:21,904 --> 00:06:25,445
Captain Okai wants
to assess the situation further
116
00:06:25,570 --> 00:06:28,488
before returning
to the airport.
117
00:06:28,656 --> 00:06:32,073
Flight 8-10 has been in the air
less than three minutes
118
00:06:32,198 --> 00:06:36,076
flying over the Pacific Ocean
on a very dark night.
119
00:06:37,159 --> 00:06:38,826
- Okay.
I have control.
120
00:06:38,992 --> 00:06:40,284
- Roger.
121
00:06:40,409 --> 00:06:43,035
- Okay, let's see
what's the problem.
122
00:06:43,203 --> 00:06:44,620
What's going on with the gauges?
123
00:06:44,745 --> 00:06:48,412
The pilots
troubleshoot the situation.
124
00:06:48,539 --> 00:06:50,621
- So it looks like
the number one.
125
00:06:50,746 --> 00:06:53,248
- Number one's gone?
- Gone, yeah.
126
00:06:53,373 --> 00:06:54,999
We still have the number two.
127
00:06:55,164 --> 00:06:57,499
- So we have number two.
Okay.
128
00:06:58,707 --> 00:07:02,460
They confirm
they've lost their number one -
129
00:07:02,585 --> 00:07:03,961
or left - engine.
130
00:07:04,086 --> 00:07:06,045
They now must rely
on their right engine
131
00:07:06,210 --> 00:07:07,503
to return to the airport.
132
00:07:07,670 --> 00:07:10,296
- Let's do the engine failure
shutdown checklist.
133
00:07:10,421 --> 00:07:13,129
And I have the radios now.
- Okay.
134
00:07:13,256 --> 00:07:15,840
- There's a number of things
this checklist is gonna do
for you.
135
00:07:16,006 --> 00:07:18,465
It's gonna confirm
the failed engine
136
00:07:18,590 --> 00:07:20,758
and you're gonna wanna secure
that engine.
137
00:07:21,841 --> 00:07:23,843
- Okay, engine failure
or shutdown
138
00:07:23,968 --> 00:07:26,843
when one of these occurs - an
engine failure,
139
00:07:26,968 --> 00:07:30,594
an engine flameout -
another checklist directs
an engine shutdown.
140
00:07:30,719 --> 00:07:33,930
As the pilots
zero-in on the problem engine,
141
00:07:34,055 --> 00:07:35,639
the situation intensifies.
142
00:07:35,764 --> 00:07:38,014
- Hey, we're red line here.
143
00:07:38,139 --> 00:07:41,140
The right engine
is now overheating
144
00:07:41,265 --> 00:07:43,100
and they're losing altitude.
145
00:07:43,225 --> 00:07:45,975
- We should pull back
on the right one a little bit.
146
00:07:46,100 --> 00:07:47,768
- Okay.
147
00:07:48,935 --> 00:07:51,102
- We should head back
to the airport.
148
00:07:51,227 --> 00:07:52,854
- Yeah, we should.
Yeah.
149
00:07:52,979 --> 00:07:55,688
The pilots now
face the possibility
150
00:07:55,813 --> 00:07:58,521
of losing both engines.
151
00:07:58,646 --> 00:08:02,566
- Problems on your second engine
is going to significantly change
your outlook
152
00:08:02,732 --> 00:08:04,439
because you got the dark water
below you
153
00:08:04,565 --> 00:08:06,650
and you know
you're running out of options.
154
00:08:06,775 --> 00:08:08,817
- Okay, Rhoades 8-10,
155
00:08:08,942 --> 00:08:10,775
we'd like
to come to the airport now.
156
00:08:10,900 --> 00:08:12,735
We might lose the other engine.
157
00:08:12,901 --> 00:08:15,528
- Rhoades Express 8-10, roger.
158
00:08:15,653 --> 00:08:18,362
Confirm you still have, uh,
the airport in sight.
159
00:08:18,530 --> 00:08:20,780
- Uh, negative.
160
00:08:21,655 --> 00:08:25,030
The pilots
have descended too low
to see the airport.
161
00:08:25,155 --> 00:08:27,740
Only the lights on the shoreline
are visible.
162
00:08:29,367 --> 00:08:30,784
- Hey man,
we're going down.
163
00:08:30,909 --> 00:08:33,702
We can't keep going down.
- We're descending!
164
00:08:34,577 --> 00:08:36,201
The captain has
no other option
165
00:08:36,326 --> 00:08:39,370
but to increase power
to the overheating engine,
166
00:08:39,495 --> 00:08:42,203
risking a double engine failure.
167
00:08:42,370 --> 00:08:44,455
- How's the EGT?
168
00:08:44,580 --> 00:08:47,080
- Ah, it's max.
It's beyond max.
169
00:08:47,247 --> 00:08:51,041
The temperature
of the right engine is now
dangerously high,
170
00:08:51,166 --> 00:08:54,626
and the pilots suspect
it could fail at any moment.
171
00:08:54,751 --> 00:08:56,668
- Do we go flaps?
Flaps one?
172
00:08:56,793 --> 00:08:58,586
Fearing the worst,
173
00:08:58,751 --> 00:09:00,378
the first officer suggests
174
00:09:00,545 --> 00:09:03,087
configuring the plane
for a water landing.
175
00:09:03,254 --> 00:09:06,129
- No.
Not... not, not yet.
176
00:09:06,254 --> 00:09:08,214
- Okay, we're very slow, though.
177
00:09:08,381 --> 00:09:13,383
The Captain's
efforts to reduce the loss
in altitude aren't working.
178
00:09:13,549 --> 00:09:16,718
- Shoot.
Okay, flaps one.
179
00:09:18,135 --> 00:09:20,092
- Just hitting the water's
gonna tear the airplane apart
180
00:09:20,259 --> 00:09:23,302
so you want to be at the lowest
possible airspeed.
181
00:09:23,427 --> 00:09:25,886
The flaps will facilitate that.
182
00:09:28,804 --> 00:09:30,013
- Oh.
183
00:09:30,138 --> 00:09:32,847
Rhoades Express 8-10,
low altitude alert.
184
00:09:32,972 --> 00:09:37,557
As Transair Flight
8-10 descends below 400 feet,
185
00:09:37,682 --> 00:09:42,684
the controller is automatically
alerted to the aircraft's
dangerously low altitude.
186
00:09:42,809 --> 00:09:45,061
- Are you able to climb at all?
187
00:09:45,186 --> 00:09:48,437
- Uh, negative. Can you let
the Coast Guard know?
188
00:09:48,603 --> 00:09:50,980
- We will.
189
00:09:53,605 --> 00:09:55,732
Watch desk, please call
the Coast Guard.
190
00:09:55,857 --> 00:10:00,108
Flight 8-10, a 7-37, is probably
going to be in the water.
191
00:10:00,274 --> 00:10:02,358
- How's the EGT?
192
00:10:02,483 --> 00:10:04,650
If the engine
temperature has improved,
193
00:10:04,775 --> 00:10:06,610
they might be able to climb.
194
00:10:06,777 --> 00:10:08,235
- Hot.
Way over.
195
00:10:08,402 --> 00:10:11,404
Terrain. Terrain. Pull up.
196
00:10:11,570 --> 00:10:14,614
The chances
of reaching the airport
six miles away
197
00:10:14,779 --> 00:10:18,239
deteriorate as the plane
descends even further.
198
00:10:18,405 --> 00:10:19,907
The controller has an idea.
199
00:10:20,072 --> 00:10:24,657
- Express 8-10,
do you want Kalaeloa?
200
00:10:24,782 --> 00:10:26,784
There's a closer airport.
201
00:10:26,951 --> 00:10:29,576
It might be
the pilots' last hope.
202
00:10:29,701 --> 00:10:32,620
- We want the closest runway
available, please.
203
00:10:32,785 --> 00:10:34,953
- Anything we can land on.
204
00:10:35,121 --> 00:10:39,247
If they can't
make it to the closer airport,
205
00:10:39,413 --> 00:10:40,997
there might be
no other option
206
00:10:41,122 --> 00:10:44,166
than to ditch the 7-37
into the Pacific Ocean
207
00:10:44,291 --> 00:10:45,999
and hope for rescue.
208
00:10:48,416 --> 00:10:50,500
Too low.
Gear. Too low.
209
00:10:50,626 --> 00:10:53,502
- Okay, give me a heading.
Terrain.
Terrain. Pull up.
210
00:10:53,628 --> 00:10:55,337
The pilots
of Transair Flight 8-10
211
00:10:55,462 --> 00:10:58,420
have one last chance
to reach land.
212
00:10:59,421 --> 00:11:01,421
- Rhoades Express 8-10,
213
00:11:01,589 --> 00:11:04,714
the airport is about a
three one zero heading from you.
214
00:11:05,590 --> 00:11:07,715
But it's too late.
215
00:11:07,840 --> 00:11:11,967
Pull up.
Pull up. Pull up. Pull up.
216
00:11:12,134 --> 00:11:14,009
Terrain. Terrain.
- We're in the water!
217
00:11:14,134 --> 00:11:16,595
- Pull up.
- We're in the water!
218
00:11:17,929 --> 00:11:19,845
12 minutes
after takeoff,
219
00:11:19,970 --> 00:11:22,554
Transair Flight 8-10
hits the ocean
220
00:11:22,679 --> 00:11:25,973
just two miles
from the Kalaeloa airport.
221
00:11:31,642 --> 00:11:33,517
- Watch desk, 8-10's
in the water
222
00:11:33,642 --> 00:11:36,101
two miles south-east
of Kalaeloa.
223
00:11:36,226 --> 00:11:40,603
Coast Guard Air
Rescue is immediately
dispatched.
224
00:11:41,977 --> 00:11:45,437
- Hearing that there's a 7-37
that crashed,
I didn't believe it.
225
00:11:45,605 --> 00:11:48,564
But if there is and
there's 200 people in the water,
226
00:11:48,689 --> 00:11:50,106
what am I gonna do?
227
00:11:50,273 --> 00:11:52,816
- They told me two souls
onboard.
228
00:11:52,981 --> 00:11:55,566
We're like alright, two's a lot
more manageable than like 200.
229
00:11:55,691 --> 00:11:58,150
45 minutes later,
230
00:11:58,318 --> 00:12:02,195
there's still no sign
of the plane, or the pilots.
231
00:12:02,319 --> 00:12:04,862
Rescuers fear the worst,
until...
232
00:12:04,987 --> 00:12:08,446
- There were a bunch of boxes
now floating by us.
233
00:12:08,571 --> 00:12:11,698
I figured, alright, well,
this might be the start
of a debris field.
234
00:12:11,822 --> 00:12:13,615
So we started our second pass,
235
00:12:13,740 --> 00:12:16,990
and grabbing onto the vertical
fin of the tail
236
00:12:17,157 --> 00:12:19,284
was one of our pilots.
237
00:12:19,409 --> 00:12:22,369
It's Captain Okai.
238
00:12:22,494 --> 00:12:25,203
- And I was like,
Alright, he is still okay.
239
00:12:25,328 --> 00:12:27,578
Great. I still wanna find
the second pilot.
240
00:12:27,703 --> 00:12:30,496
They soon spot
the first officer
241
00:12:30,663 --> 00:12:33,665
on a cargo pallet,
bleeding from the head.
242
00:12:33,829 --> 00:12:36,832
- Right before we started
to make the moves
243
00:12:36,998 --> 00:12:39,959
to put me in the water to go up
to him, the plane moved.
244
00:12:40,123 --> 00:12:43,542
The tail section
the captain had been clinging
to
245
00:12:43,668 --> 00:12:45,710
sinks beneath the waves.
246
00:12:45,835 --> 00:12:47,878
- The captain
is drowning right now.
247
00:12:50,795 --> 00:12:54,629
They race back
and deploy the rescue swimmer.
248
00:12:56,005 --> 00:12:58,381
- And as soon as
I grabbed his hand,
249
00:12:58,506 --> 00:13:00,840
it's like his eyes rolled back
and he went limp.
250
00:13:02,925 --> 00:13:05,342
- And they're dripping wet,
covered in gasoline
251
00:13:05,509 --> 00:13:07,634
and hydraulic fluid,
so it wasn't pretty.
252
00:13:07,759 --> 00:13:10,719
The first officer
is soon rescued
253
00:13:10,844 --> 00:13:12,594
by a fire department vessel
254
00:13:12,719 --> 00:13:15,428
as the captain is rushed
to a local hospital.
255
00:13:15,553 --> 00:13:17,721
Both pilots survive.
256
00:13:17,846 --> 00:13:20,890
- Good planning, good crew,
good decision-making
257
00:13:21,015 --> 00:13:24,057
and then implementing
those decisions
258
00:13:24,182 --> 00:13:25,891
is how we came out on top.
259
00:13:26,016 --> 00:13:29,101
While the pilots
recover from their injuries,
260
00:13:29,226 --> 00:13:32,643
investigators from the National
Transportation Safety Board
261
00:13:32,768 --> 00:13:35,687
or NTSB,
arrive on the scene.
262
00:13:35,852 --> 00:13:38,812
- Right now, we're in
the fact-gathering phase.
263
00:13:38,980 --> 00:13:40,854
Once we finish
the fact-gathering,
264
00:13:41,022 --> 00:13:43,022
we'll switch into
the analytical side
265
00:13:43,188 --> 00:13:45,314
and then that's when we'll go in
to determine the probable cause
266
00:13:45,481 --> 00:13:47,148
and contributing factors.
267
00:13:51,026 --> 00:13:53,150
- What can you tell me
about last night?
268
00:13:53,275 --> 00:13:55,485
- It was a normal night. Slow.
269
00:13:55,653 --> 00:13:58,944
There was another Transair
flight inbound
270
00:13:59,069 --> 00:14:00,446
around the same time.
271
00:14:01,196 --> 00:14:04,698
- And when did Flight 8-10 alert
you that there was a problem?
272
00:14:04,863 --> 00:14:07,781
Investigators
turn to the controller
273
00:14:07,906 --> 00:14:13,199
to determine what might have
caused Transair Flight 8-10
to ditch into the Pacific.
274
00:14:13,366 --> 00:14:16,534
- It was about, uh, two minutes
into the flight,
275
00:14:16,701 --> 00:14:18,493
they reported
they'd lost an engine.
276
00:14:18,618 --> 00:14:20,829
- Okay, Rhoades 8-10,
we've lost an engine.
277
00:14:20,995 --> 00:14:23,538
We're on a 2-20 heading,
maintaining 2,000,
278
00:14:23,705 --> 00:14:25,705
declaring an emergency.
How do you read?
279
00:14:25,871 --> 00:14:28,871
- They wanted to work on the
problem before turning back.
280
00:14:29,039 --> 00:14:31,039
- Did they say
which engine?
281
00:14:31,206 --> 00:14:34,666
- No. But not long after
they said that, uh...
282
00:14:34,834 --> 00:14:37,001
they might lose the other engine
as well.
283
00:14:37,876 --> 00:14:39,293
- Really?
284
00:14:39,418 --> 00:14:41,669
- Okay, Rhoades 8-10,
285
00:14:41,794 --> 00:14:43,752
we'd like to come
to the airport now.
286
00:14:43,877 --> 00:14:45,837
We might lose the other engine.
287
00:14:45,962 --> 00:14:50,046
Could Transair 8-10
have really lost both engines?
288
00:14:50,214 --> 00:14:53,173
- The only information we had to
go on initially was
289
00:14:53,340 --> 00:14:55,673
the communications between
the airplane and the controller.
290
00:14:55,840 --> 00:14:58,425
But the airplane
and its recorders
291
00:14:58,550 --> 00:15:00,260
were at the bottom of the ocean.
292
00:15:00,384 --> 00:15:02,427
- Thank you.
293
00:15:03,509 --> 00:15:07,178
Another NTSB team
is tasked with recovering
the airplane
294
00:15:07,303 --> 00:15:12,472
and its engines lying 350 feet
deep on the ocean floor.
295
00:15:12,597 --> 00:15:15,597
- At the depth that the airplane
was at,
296
00:15:15,723 --> 00:15:17,806
it's difficult to get divers
down there.
297
00:15:17,931 --> 00:15:20,933
So in order to actually hook
all of our equipment
298
00:15:21,058 --> 00:15:23,518
up to the aircraft
and pull it up,
299
00:15:23,643 --> 00:15:25,643
we needed to use ROV's.
300
00:15:25,768 --> 00:15:27,978
It will take time
for the investigation
301
00:15:28,103 --> 00:15:29,853
to secure
the necessary equipment
302
00:15:29,978 --> 00:15:33,147
from a salvage company
on the mainland.
303
00:15:35,896 --> 00:15:39,024
- Good morning.
- Good morning.
304
00:15:39,189 --> 00:15:42,150
- I'm glad to see you here.
- So am I, very glad.
305
00:15:42,275 --> 00:15:43,733
Yeah.
306
00:15:43,900 --> 00:15:46,484
Investigators meet
with Captain Okai
307
00:15:46,609 --> 00:15:51,319
to determine if Transair Flight
8-10 did lose both engines.
308
00:15:52,237 --> 00:15:55,611
- The purpose of this
investigation is to determine
309
00:15:55,738 --> 00:15:57,571
probable cause
and prevent recurrence.
310
00:15:57,738 --> 00:15:59,990
Our role is not to assign fault.
311
00:16:00,115 --> 00:16:01,781
- I understand.
312
00:16:03,198 --> 00:16:05,199
- It's critical to speak
to pilots as soon as we can
313
00:16:05,324 --> 00:16:07,659
because we want
to get those fresh memories.
314
00:16:07,784 --> 00:16:09,826
- Walk me through
what happened.
315
00:16:10,744 --> 00:16:14,078
- Everything was normal
up to about 400 feet.
316
00:16:15,703 --> 00:16:18,079
- Gear up.
317
00:16:25,581 --> 00:16:27,166
Damn!
318
00:16:27,291 --> 00:16:31,083
- There was a whoosh
sort of a sound, not a pow.
319
00:16:31,251 --> 00:16:33,043
It was a whoosh.
320
00:16:33,210 --> 00:16:35,084
Then it was in a roll.
321
00:16:35,252 --> 00:16:37,920
And my first officer was able
to counteract that.
322
00:16:39,337 --> 00:16:41,047
Lost an engine.
323
00:16:41,211 --> 00:16:42,338
You got it?
324
00:16:42,464 --> 00:16:44,713
- Yeah. I got it.
325
00:16:46,756 --> 00:16:49,548
- Eventually we leveled off
at 2,000 feet
326
00:16:49,673 --> 00:16:52,632
and I go,
"Greg, what do we have?"
327
00:16:52,759 --> 00:16:54,885
- So it looks like
the number one.
328
00:16:55,010 --> 00:16:57,509
- Number one's gone?
- Gone, yeah.
329
00:16:57,634 --> 00:16:59,343
We still have the number two.
330
00:16:59,469 --> 00:17:02,303
- So we have number two.
Okay.
331
00:17:04,763 --> 00:17:08,556
I'm looking at Number 1 EPR,
there's no power.
332
00:17:08,722 --> 00:17:10,598
I'm looking at Number 2,
333
00:17:10,766 --> 00:17:14,017
and the EPR, it-it's,
it's coming down.
334
00:17:15,141 --> 00:17:18,726
The captain
explains he first lost power
335
00:17:18,893 --> 00:17:22,226
in the left engine and
was losing power in the right.
336
00:17:23,810 --> 00:17:25,854
- How's the EGT?
337
00:17:26,438 --> 00:17:28,688
- Ah, it's max.
It's beyond max.
338
00:17:29,855 --> 00:17:32,899
- Did both engines
fail at the same time?
339
00:17:33,024 --> 00:17:35,941
- Most likely.
That is my conclusion.
340
00:17:37,274 --> 00:17:39,401
- Thank you.
- Thanks.
341
00:17:39,525 --> 00:17:40,984
- We'll be in touch.
342
00:17:41,108 --> 00:17:43,736
What could have
caused both engines to fail
343
00:17:43,902 --> 00:17:45,695
so soon after take-off?
344
00:17:45,819 --> 00:17:47,611
- The purpose of this
investigation...
345
00:17:47,778 --> 00:17:51,237
- A dual-engine failure seemed
improbable,
346
00:17:51,362 --> 00:17:53,905
but both the crew
347
00:17:54,071 --> 00:17:56,740
seemed to agree that
that is what had occurred.
348
00:17:56,906 --> 00:17:58,949
We couldn't confirm or deny it
349
00:17:59,115 --> 00:18:01,200
unless we could actually
look at the wreckage
350
00:18:01,325 --> 00:18:03,367
and get the recorders.
351
00:18:03,493 --> 00:18:06,743
But those vital
clues remain out of reach,
352
00:18:06,910 --> 00:18:09,162
deep on the bottom of the sea.
353
00:18:12,454 --> 00:18:14,412
Could contaminated fuel
354
00:18:14,537 --> 00:18:17,290
have brought down
Transair Flight 8-10?
355
00:18:17,456 --> 00:18:20,706
- You're looking for an item
that's common to both engines,
356
00:18:20,831 --> 00:18:22,791
would cause them both
to shut down at the same time.
357
00:18:22,957 --> 00:18:26,460
For that would be
most likely the fuel.
358
00:18:30,544 --> 00:18:33,629
- So one thing that we did do
at the airport
359
00:18:33,795 --> 00:18:35,921
was take samples
from the fuel truck
360
00:18:36,089 --> 00:18:39,214
that had been used to fuel
the airplane before it departed.
361
00:18:40,507 --> 00:18:43,173
The US Navy
conducts the testing.
362
00:18:44,632 --> 00:18:46,758
- If you have water
in your fuel,
363
00:18:46,883 --> 00:18:50,551
that was most likely to be the
cause of fuel contamination.
364
00:18:52,051 --> 00:18:54,552
When the fuel
samples are analysed,
365
00:18:54,677 --> 00:18:56,679
the results are conclusive.
366
00:18:58,763 --> 00:19:01,347
- We actually found that the
fuel that was in the aircraft
367
00:19:01,471 --> 00:19:04,224
conformed to standards
as we would expect.
368
00:19:05,890 --> 00:19:08,558
- So according to the pilots,
369
00:19:08,683 --> 00:19:12,809
they lose the left engine
first and then the right.
370
00:19:21,021 --> 00:19:24,981
- All the samples from
the fuel truck tested clean.
371
00:19:28,106 --> 00:19:31,150
What was the weather like
on that night?
372
00:19:31,316 --> 00:19:33,818
Any volcanic activity?
373
00:19:33,984 --> 00:19:36,944
Hawaii is
in an active volcano zone.
374
00:19:37,109 --> 00:19:40,654
Could volcanic ash
have caused the engines to fail?
375
00:19:41,654 --> 00:19:43,947
- Volcanic ash
is very bad for jet engines.
376
00:19:44,113 --> 00:19:46,197
It's like throwing sand
in the gears.
377
00:19:46,322 --> 00:19:48,113
Jet engines will shut down.
378
00:19:48,988 --> 00:19:52,782
In 1982,
a British Airways 7-47
379
00:19:52,907 --> 00:19:55,700
traveling from England
to New Zealand
380
00:19:55,826 --> 00:19:58,200
flew through an ash cloud
over Indonesia.
381
00:19:58,325 --> 00:20:00,119
All four engines failed.
382
00:20:00,285 --> 00:20:04,536
The plane was high enough
for pilots to be able to restart
the engines,
383
00:20:04,661 --> 00:20:07,995
find an airport
and land safely.
384
00:20:10,164 --> 00:20:11,873
- Nothing here.
385
00:20:11,998 --> 00:20:13,624
Clear night.
386
00:20:20,292 --> 00:20:22,042
- So that leaves maintenance.
387
00:20:22,167 --> 00:20:25,711
- There were no reports
of volcanic ash on that night.
388
00:20:25,837 --> 00:20:28,546
The only information that we
have to work on is what the crew
was telling us
389
00:20:28,671 --> 00:20:30,130
that they had
a dual engine failure.
390
00:20:30,255 --> 00:20:32,672
So we're gonna look at the
maintenance on the engines.
391
00:20:32,839 --> 00:20:34,381
In the meantime,
392
00:20:34,505 --> 00:20:38,049
recovery crews pinpoint the
exact location of the plane.
393
00:20:38,174 --> 00:20:42,299
It has settled on the ocean
floor in two large pieces.
394
00:20:43,593 --> 00:20:45,219
- Often with water recoveries,
395
00:20:45,344 --> 00:20:48,178
we have an airplane that's
in multiple different pieces.
396
00:20:48,344 --> 00:20:51,138
They're usually smaller pieces
and they're less heavy.
397
00:20:51,263 --> 00:20:54,472
So to bring them up intact
398
00:20:54,638 --> 00:20:56,806
was a bigger
engineering problem.
399
00:20:56,931 --> 00:21:00,850
It means another
delay for investigators.
400
00:21:02,432 --> 00:21:05,851
- The plane is, what, like
40-something years old?
401
00:21:07,935 --> 00:21:11,435
The team digs
into the engine history
of the accident aircraft
402
00:21:11,561 --> 00:21:15,020
to determine why both engines
might have failed.
403
00:21:16,313 --> 00:21:18,314
- Uh, 46.
404
00:21:18,439 --> 00:21:21,689
Flown over 69,000 cycles.
405
00:21:21,857 --> 00:21:23,648
The engines have been around
too;
406
00:21:23,816 --> 00:21:27,651
the left engine
32,000 flying hours
407
00:21:27,776 --> 00:21:30,277
and the right over 70,000.
408
00:21:32,026 --> 00:21:35,152
- Engines that old are
going to need upkeep.
409
00:21:35,278 --> 00:21:38,405
- Jet engines
are very solid machines.
410
00:21:38,530 --> 00:21:40,406
With proper inspection
and maintenance,
411
00:21:40,531 --> 00:21:42,405
they can fly on forever.
412
00:21:42,530 --> 00:21:45,158
- Anything in the FAA database?
413
00:21:45,283 --> 00:21:49,033
Investigators look
into service reports
414
00:21:49,199 --> 00:21:52,409
filed by Transair with the
Federal Aviation Administration,
415
00:21:52,534 --> 00:21:56,162
or FAA, to see if
the aircraft had any history
416
00:21:56,327 --> 00:21:57,703
of engine troubles.
417
00:21:57,870 --> 00:22:01,161
- I've got three reports
on this aircraft.
418
00:22:02,247 --> 00:22:03,997
The most recent
419
00:22:04,163 --> 00:22:06,165
was two and a half years ago:
420
00:22:06,331 --> 00:22:09,707
left engine failure
at 2,000 feet.
421
00:22:10,540 --> 00:22:12,458
- That's something.
422
00:22:13,709 --> 00:22:15,960
Did an aging
aircraft
423
00:22:16,085 --> 00:22:18,835
put the lives of two pilots
in jeopardy?
424
00:22:19,003 --> 00:22:22,462
The team researches the repair
work that's been performed
425
00:22:22,588 --> 00:22:24,879
on the engines over the years.
426
00:22:25,046 --> 00:22:28,298
- Both engines were serviced
two years ago
427
00:22:28,423 --> 00:22:32,882
and underwent a daily check the
day before the accident flight.
428
00:22:33,048 --> 00:22:35,883
- Did they report anything?
429
00:22:38,342 --> 00:22:40,427
- No discrepancies.
430
00:22:46,555 --> 00:22:51,055
- It's possible that maintenance
could have missed something.
431
00:22:52,849 --> 00:22:55,348
- Call your contacts
at the FAA.
432
00:22:55,515 --> 00:22:58,267
Maybe they can shed
some light on Transair.
433
00:22:58,392 --> 00:23:00,893
And I'll speak
to maintenance personally.
434
00:23:01,058 --> 00:23:03,811
- Because of the possibility
that there had been
435
00:23:03,936 --> 00:23:05,603
a dual engine failure,
436
00:23:05,727 --> 00:23:09,146
we did a deep dive
on the maintenance organization
at the airline,
437
00:23:09,271 --> 00:23:11,980
trying to find
potential theories
438
00:23:12,105 --> 00:23:15,398
for something
that could have gone wrong.
439
00:23:16,231 --> 00:23:19,190
- A bit of a mess over there
at Transair maintenance.
440
00:23:19,316 --> 00:23:21,066
- What did you find out?
441
00:23:21,234 --> 00:23:25,277
- The chief maintenance
inspector quit six weeks
ahead of the accident
442
00:23:25,402 --> 00:23:28,528
citing chronic maintenance
issues and being understaffed.
443
00:23:28,653 --> 00:23:33,322
I also found multiple reports
from different pilots
444
00:23:33,447 --> 00:23:35,697
about engines overheating.
445
00:23:35,822 --> 00:23:39,823
Investigators
uncover internal
Transair reports
446
00:23:39,948 --> 00:23:42,450
revealing issues
with the engines.
447
00:23:42,575 --> 00:23:47,410
- We noticed so many of these
reported issues with temperature
448
00:23:47,576 --> 00:23:49,869
that we were starting
to think
449
00:23:49,994 --> 00:23:52,036
that this might really involve
a maintenance issue.
450
00:23:52,161 --> 00:23:54,079
There was just so much smoke,
451
00:23:54,245 --> 00:23:56,997
we thought there had
to be some fire.
452
00:23:57,122 --> 00:24:00,248
Anything specific
to the accident aircraft?
453
00:24:00,414 --> 00:24:03,708
- No. They involved
other airplanes.
454
00:24:03,874 --> 00:24:06,708
Not exactly a smoking gun.
455
00:24:06,833 --> 00:24:08,958
Anything from the FAA?
456
00:24:09,083 --> 00:24:12,043
- Most of the current inquiries
into the company
457
00:24:12,211 --> 00:24:14,545
are policy
and procedure related.
458
00:24:14,711 --> 00:24:16,754
Nothing to do
with engine maintenance.
459
00:24:16,921 --> 00:24:21,256
Investigators don't
find any maintenance issues
460
00:24:21,421 --> 00:24:24,924
that would have brought down
Flight 8-10.
461
00:24:27,008 --> 00:24:29,258
- We need those engines.
462
00:24:30,175 --> 00:24:33,052
- So even though we were
discovering these issues
with pilot reports
463
00:24:33,219 --> 00:24:37,218
and maintenance records,
there wasn't anything clearly
indicating a specific problem
464
00:24:37,386 --> 00:24:40,887
that would have led to this
reported dual engine failure.
465
00:24:41,054 --> 00:24:44,138
With a salvage
company in place
466
00:24:44,263 --> 00:24:46,057
and the weather clearing,
467
00:24:46,222 --> 00:24:49,391
the NTSB is finally able
to attempt the recovery
468
00:24:49,516 --> 00:24:53,434
of Flight 8-10
from 350 feet of water.
469
00:24:53,600 --> 00:24:58,185
- This was one of the largest
water recovery efforts we have
done in a couple decades.
470
00:24:58,310 --> 00:25:00,604
The wreckage
is successfully raised
471
00:25:00,769 --> 00:25:02,394
in two large pieces.
472
00:25:02,519 --> 00:25:05,314
The black boxes are recovered
from the rear fuselage
473
00:25:05,438 --> 00:25:07,939
and sent to Washington
for analysis.
474
00:25:08,106 --> 00:25:10,898
The engines are retrieved
separately
475
00:25:11,023 --> 00:25:13,232
and brought to a warehouse
for inspection.
476
00:25:14,025 --> 00:25:17,692
- To be able to see that
wreckage come up just creates
immense satisfaction
477
00:25:17,817 --> 00:25:21,276
because you're like, "Okay,
now... now we can start this
in earnest."
478
00:25:27,570 --> 00:25:29,948
- Let's start with this one.
479
00:25:30,114 --> 00:25:33,074
Investigators begin
with an examination
480
00:25:33,199 --> 00:25:36,617
of the right engine, the one
the pilots say was overheating.
481
00:25:36,784 --> 00:25:39,200
- It's in better shape
than I expected.
482
00:25:41,368 --> 00:25:43,078
- They were
in pretty good shape.
483
00:25:43,242 --> 00:25:45,577
There was damage due
to the water impact.
484
00:25:47,287 --> 00:25:49,162
- Let's take a look inside.
485
00:25:49,287 --> 00:25:52,581
They perform
a borescope inspection
486
00:25:52,746 --> 00:25:54,165
of the right engine.
487
00:25:54,289 --> 00:25:56,916
It enables them
to examine the engine interior
488
00:25:57,041 --> 00:25:59,583
without the need
for disassembly.
489
00:25:59,708 --> 00:26:02,709
- There.
Take a look.
490
00:26:02,834 --> 00:26:05,293
- Broken fan blades.
491
00:26:05,919 --> 00:26:09,087
- See if there's any damage
downstream.
492
00:26:13,629 --> 00:26:17,882
- Multiple puncture marks
on the turbine.
493
00:26:18,006 --> 00:26:19,382
- With that type of damage
494
00:26:19,506 --> 00:26:21,632
the engine could have
easily overheated.
495
00:26:21,800 --> 00:26:27,010
Investigators
discover two fractured
turbine blades
496
00:26:27,135 --> 00:26:30,551
which caused shrapnel damage
inside the right engine.
497
00:26:30,678 --> 00:26:32,720
- The pilots were correct.
498
00:26:32,845 --> 00:26:35,096
The right engine
was giving them trouble.
499
00:26:35,263 --> 00:26:39,430
- So from the examination
on the right engine,
500
00:26:39,555 --> 00:26:42,432
they were able to see that there
were blades that had fractured
501
00:26:42,598 --> 00:26:45,433
in the high pressure turbine.
But it was only those two.
502
00:26:45,558 --> 00:26:50,768
And they knew that it would
still be able to produce power,
503
00:26:50,893 --> 00:26:53,770
so it wasn't like
a complete failure.
504
00:26:53,895 --> 00:26:56,145
- It looks like rust
and corrosion
505
00:26:56,311 --> 00:26:59,730
inside of the blades
caused them to rupture.
506
00:27:02,439 --> 00:27:05,107
- The routine maintenance
inspection procedures
507
00:27:05,274 --> 00:27:07,275
contained
in the maintenance manual
508
00:27:07,440 --> 00:27:09,525
would not necessarily
have revealed
509
00:27:09,650 --> 00:27:12,652
the presence of cracks
or one fractured blade.
510
00:27:12,819 --> 00:27:16,653
- So this is the engine
the pilots said failed first.
511
00:27:18,152 --> 00:27:20,613
Investigators
turn their attention
512
00:27:20,779 --> 00:27:22,612
to the left engine.
513
00:27:26,615 --> 00:27:29,116
- Let's see what we got.
514
00:27:35,660 --> 00:27:38,120
- It looks fine.
515
00:27:39,704 --> 00:27:42,079
No internal damage.
516
00:27:42,204 --> 00:27:45,454
The pilots said
the left engine failed,
517
00:27:45,579 --> 00:27:46,998
followed by the right
518
00:27:47,163 --> 00:27:51,164
but investigators
can't find anything wrong
with the left engine.
519
00:27:51,332 --> 00:27:54,041
- When we found out that the
left engine was undamaged
520
00:27:54,166 --> 00:27:55,582
prior to impact,
521
00:27:55,708 --> 00:27:58,502
it really changed the course
of our investigation
522
00:27:58,668 --> 00:28:02,461
in terms of focusing more
on the crew actions.
523
00:28:04,004 --> 00:28:07,213
- We pulatfrom the radar .
524
00:28:08,380 --> 00:28:11,215
- I've got the CVR data.
525
00:28:12,549 --> 00:28:15,008
And here's...
526
00:28:15,841 --> 00:28:18,299
a copy of the transcript.
527
00:28:18,425 --> 00:28:21,884
Investigators turn
to the cockpit voice recorder,
528
00:28:22,010 --> 00:28:24,343
or CVR, of Flight 9-10
529
00:28:24,511 --> 00:28:28,053
to determine why the pilots
thought the left engine failed
530
00:28:28,178 --> 00:28:30,972
as the evidence suggests
it did not.
531
00:28:31,097 --> 00:28:33,847
- Let's hear it from takeoff.
532
00:28:36,724 --> 00:28:38,349
80 knots.
533
00:28:38,515 --> 00:28:39,890
- Check.
534
00:28:40,016 --> 00:28:41,641
V1.
535
00:28:41,766 --> 00:28:43,143
- Rotate.
536
00:28:43,310 --> 00:28:45,269
- V2.
537
00:28:45,394 --> 00:28:47,853
- Positive rate.
538
00:28:48,854 --> 00:28:50,853
- Gear up.
539
00:29:02,692 --> 00:29:04,151
Damn!
540
00:29:05,692 --> 00:29:08,319
- Stop.
Did you hear that?
541
00:29:10,027 --> 00:29:12,111
Play it again.
542
00:29:12,779 --> 00:29:14,195
- Gear up.
543
00:29:15,530 --> 00:29:18,990
- It definitely sounds
like an engine surge.
544
00:29:19,114 --> 00:29:20,989
They discover
that Flight 8-10
545
00:29:21,114 --> 00:29:25,742
suffered engine trouble
17 seconds after takeoff.
546
00:29:25,867 --> 00:29:28,159
- Most likely the blades
547
00:29:28,284 --> 00:29:30,160
breaking apart
in the right engine.
548
00:29:30,327 --> 00:29:32,077
Keep playing.
549
00:29:32,702 --> 00:29:34,537
Lost an engine.
550
00:29:34,703 --> 00:29:37,830
You got it?
- Yeah. I got it.
551
00:29:37,955 --> 00:29:39,996
- Yup, looks like
you lost number...
552
00:29:40,121 --> 00:29:43,247
Number two.
- Number two.
553
00:29:43,372 --> 00:29:45,081
- Hold it right there.
554
00:29:45,206 --> 00:29:49,083
- They both said number two,
the right engine.
555
00:29:52,668 --> 00:29:54,377
- They were correct.
556
00:29:54,544 --> 00:29:56,462
The pilots' original assessment
557
00:29:56,587 --> 00:29:58,837
matches what investigators
have discovered:
558
00:29:58,962 --> 00:30:02,172
the initial problem was
with the right engine.
559
00:30:02,297 --> 00:30:05,922
- So why did they think that
the left engine had failed?
560
00:30:07,257 --> 00:30:11,800
- We were able to hear the crew
discuss they had correctly
identified the right engine.
561
00:30:11,925 --> 00:30:14,675
So at some point, you know,
in their mindset,
562
00:30:14,800 --> 00:30:16,926
it flipped to the wrong engine.
563
00:30:17,052 --> 00:30:19,635
- Let's hear what happens next.
564
00:30:19,761 --> 00:30:21,511
Flaps.
565
00:30:21,679 --> 00:30:24,054
Turn 2-20 heading.
566
00:30:24,220 --> 00:30:26,639
I'll give you the flaps.
567
00:30:30,139 --> 00:30:32,558
- Rhoades 8-10.
We have an emergency.
568
00:30:32,724 --> 00:30:34,017
Standby.
569
00:30:34,142 --> 00:30:36,101
We're on 2-20 heading.
570
00:30:36,226 --> 00:30:39,102
You can inch up to 2,000.
571
00:30:40,561 --> 00:30:42,520
- The captain calls in
the emergency.
572
00:30:42,686 --> 00:30:45,687
Tells the first officer
to climb to a safe altitude.
573
00:30:45,854 --> 00:30:47,771
It all sounds good.
574
00:30:47,896 --> 00:30:50,440
- We're on 2-20 heading.
575
00:30:52,105 --> 00:30:55,108
Say again.
Heading two four zero.
576
00:30:55,232 --> 00:30:58,025
- Two four zero
heading Rhoades 8-10.
577
00:30:58,193 --> 00:31:00,525
- No, Rhoades eight zero nine.
578
00:31:00,693 --> 00:31:03,986
Rhoades eight zero nine
left two four zero.
579
00:31:05,152 --> 00:31:07,321
- It sounds like
there's some overlap
580
00:31:07,446 --> 00:31:09,446
with another Transair Flight.
581
00:31:12,113 --> 00:31:14,032
- According to these
transcripts,
582
00:31:14,197 --> 00:31:18,157
the captain spends the
next minute and forty seconds
583
00:31:18,282 --> 00:31:20,116
communicating
with the controller.
584
00:31:20,241 --> 00:31:23,035
- That's a long time
in a critical moment.
585
00:31:25,159 --> 00:31:30,037
Investigators learn
that instead of monitoring
the engines...
586
00:31:30,204 --> 00:31:33,038
- Rhoades Express 8-10,
you are cleared visual approach
587
00:31:33,163 --> 00:31:35,206
runway four right.
588
00:31:35,331 --> 00:31:37,498
...the captain
is distracted
589
00:31:37,623 --> 00:31:39,291
by a conversation
with the controller.
590
00:31:39,415 --> 00:31:42,707
- Okay, Rhoades 8-10,
we're gonna run a checklist.
591
00:31:42,832 --> 00:31:45,502
I'll let you know when we're
ready to come to the airport.
592
00:31:45,626 --> 00:31:47,710
- When you have
an emergency situation,
593
00:31:47,835 --> 00:31:50,835
it is important to aviate,
navigate and communicate.
594
00:31:50,960 --> 00:31:54,712
And your third priority is
communicating your emergency.
595
00:31:55,921 --> 00:31:58,048
- What happens next?
596
00:31:59,215 --> 00:32:01,548
- Okay. I have control.
- Roger.
597
00:32:01,673 --> 00:32:04,633
Okay,
let's see what's the problem.
598
00:32:04,758 --> 00:32:06,424
What's going on with the gauges?
599
00:32:06,592 --> 00:32:09,467
- The captain starts flying
the plane
600
00:32:09,592 --> 00:32:12,511
and turns his attention
to the engines.
601
00:32:12,636 --> 00:32:14,720
- So it looks like
the number one.
602
00:32:14,845 --> 00:32:17,261
- Number one's gone?
- Gone, yeah.
603
00:32:17,429 --> 00:32:19,387
We still have the number two.
604
00:32:19,513 --> 00:32:22,555
So we have
number two. Okay.
605
00:32:22,680 --> 00:32:24,056
- Stop.
606
00:32:24,224 --> 00:32:27,350
The FO changes his diagnosis.
607
00:32:27,475 --> 00:32:29,600
Investigators confirm
608
00:32:29,766 --> 00:32:32,018
that the first officer
correctly assesses
609
00:32:32,143 --> 00:32:34,852
that the right engine
lost power on takeoff.
610
00:32:34,977 --> 00:32:39,020
- Yup.
It looks like we lost number...
- Number two.
611
00:32:39,145 --> 00:32:41,438
But less than
four minutes later,
612
00:32:41,604 --> 00:32:45,107
he tells Captain Okai it's
the left engine that's failed.
613
00:32:45,272 --> 00:32:47,066
- So it looks like
the number one.
614
00:32:47,232 --> 00:32:50,232
- Number one's gone?
- Gone, yeah.
615
00:32:51,066 --> 00:32:52,566
- Why?
616
00:32:54,317 --> 00:32:58,735
- It wasn't clear why they had
changed their minds about it.
617
00:33:00,445 --> 00:33:03,195
- The captain then instructs
the FO
618
00:33:03,320 --> 00:33:05,196
to do the engine shutdown
checklist
619
00:33:05,321 --> 00:33:07,405
but he only gets through
the first step.
620
00:33:09,032 --> 00:33:11,073
- Hey, we're red line here.
621
00:33:11,198 --> 00:33:13,907
We should pull back
on the right one a little bit.
622
00:33:14,032 --> 00:33:15,617
- Okay.
623
00:33:15,783 --> 00:33:17,701
The right engine
overheats
624
00:33:17,827 --> 00:33:19,743
because of the internal damage,
625
00:33:19,868 --> 00:33:23,078
leading the pilots to believe
they're losing both engines.
626
00:33:23,246 --> 00:33:27,246
- Once the crew had convinced
themselves that they had
a dual engine failure,
627
00:33:27,414 --> 00:33:31,665
they were focused almost
exclusively on altitude
and airspeed
628
00:33:31,790 --> 00:33:35,834
and eventually, they ran out
of options and had to ditch.
629
00:33:36,959 --> 00:33:39,043
- It's clear that the right
engine -
630
00:33:39,167 --> 00:33:41,001
the one with the issue -
631
00:33:41,127 --> 00:33:43,836
is overheating
and not producing full thrust.
632
00:33:43,961 --> 00:33:47,838
But what led them to think
the left engine wasn't working?
633
00:33:47,963 --> 00:33:51,631
- Let's see what the flight
data recorder can tell us.
634
00:33:56,216 --> 00:33:58,550
Okay. Let's see
what the engines were doing.
635
00:33:58,675 --> 00:34:03,175
Investigators
examine the engine power data
of Flight 8-10
636
00:34:03,300 --> 00:34:06,135
to determine what actions
the pilots took
637
00:34:06,301 --> 00:34:09,554
that led them to believe
their perfectly working engine,
638
00:34:09,679 --> 00:34:12,220
the left one, had failed.
639
00:34:13,305 --> 00:34:15,888
- After the right engine failed,
640
00:34:16,013 --> 00:34:18,266
both engines are brought back
to flight idle
641
00:34:18,433 --> 00:34:21,765
once they level off
at 2,000 feet.
642
00:34:26,143 --> 00:34:30,519
That's proper procedure
to get the speed down.
643
00:34:31,436 --> 00:34:33,645
- But the first officer never
told the captain
644
00:34:33,812 --> 00:34:36,104
he brought the engines back
to idle.
645
00:34:38,231 --> 00:34:40,856
They discover
a key step missing
646
00:34:40,981 --> 00:34:43,400
in the pilots' actions.
647
00:34:44,316 --> 00:34:46,941
- It was procedure
for a crew member
648
00:34:47,109 --> 00:34:49,943
to verbalize when they moved
the engine controls.
649
00:34:50,109 --> 00:34:53,194
In this case, the first officer
actually did not do that.
650
00:34:53,319 --> 00:34:56,862
And that could have affected
the captain's situational
awareness
651
00:34:56,987 --> 00:34:59,779
of where those engine throttles
were.
652
00:34:59,947 --> 00:35:02,323
Why did
the first officer fail
653
00:35:02,490 --> 00:35:05,198
to inform the captain
of his action?
654
00:35:06,532 --> 00:35:08,992
- Send someone to interview
the first officer again
655
00:35:09,159 --> 00:35:11,243
about bringing
the throttles back.
656
00:35:13,160 --> 00:35:17,078
- So it was critical for us
to get more information
657
00:35:17,203 --> 00:35:19,787
to better understand
what had happened there.
658
00:35:19,911 --> 00:35:23,204
- Did anyone actually
ever test the throttles?
659
00:35:23,329 --> 00:35:26,123
After they leveled off,
660
00:35:26,247 --> 00:35:29,666
the pilots could have increased
power to the left engine
661
00:35:29,832 --> 00:35:33,459
to confirm which engine
had failed.
662
00:35:33,626 --> 00:35:35,251
- No.
663
00:35:35,376 --> 00:35:37,751
The left engine throttle
stayed at idle
664
00:35:37,878 --> 00:35:40,212
for the rest of the flight.
665
00:35:42,254 --> 00:35:44,129
- If you're going into the water
666
00:35:44,254 --> 00:35:46,089
and you have
no other option left,
667
00:35:46,214 --> 00:35:48,465
you're gonna firewall
both throttles
668
00:35:48,630 --> 00:35:50,424
just in case it might help.
669
00:35:51,673 --> 00:35:56,759
- Why didn't the captain check
the first officer's
misdiagnosis?
670
00:35:56,884 --> 00:35:59,384
- Let's ask him.
671
00:36:00,594 --> 00:36:03,137
- When the first officer
subsequently said
it was the number one,
672
00:36:03,304 --> 00:36:05,305
the captain just accepted it.
673
00:36:05,430 --> 00:36:07,139
He didn't effectively
cross-check
674
00:36:07,305 --> 00:36:09,806
that erroneous assertion.
675
00:36:09,931 --> 00:36:13,307
So we wanted to ask him
676
00:36:13,432 --> 00:36:16,224
why...
why did he accept that?
677
00:36:18,684 --> 00:36:20,768
- Captain Okai.
678
00:36:20,893 --> 00:36:23,144
Thanks for meeting
with me again.
679
00:36:25,395 --> 00:36:27,146
You're muted.
680
00:36:27,271 --> 00:36:30,646
Investigators speak
to Captain Okai one more time
681
00:36:30,813 --> 00:36:34,315
to find out why he thought
the left engine had failed.
682
00:36:34,482 --> 00:36:37,356
- Sorry about that.
Glad I can help.
683
00:36:37,523 --> 00:36:40,151
- When Greg told you
the left engine had failed,
684
00:36:40,316 --> 00:36:44,526
do you recall initially thinking
the right one had failed?
685
00:36:44,693 --> 00:36:46,402
- No.
686
00:36:46,527 --> 00:36:48,987
The thing with Greg is
I've flown with him
so many times.
687
00:36:49,154 --> 00:36:50,571
He's never made a mistake.
688
00:36:50,696 --> 00:36:54,572
If Greg says the left is gone,
the left engine is gone.
689
00:36:55,530 --> 00:36:58,948
Investigators
learn the captain put his faith
690
00:36:59,073 --> 00:37:01,742
in his first officer's
diagnosis.
691
00:37:01,867 --> 00:37:04,033
- While trust is very important,
692
00:37:04,200 --> 00:37:06,494
when it comes to crew
resource management,
693
00:37:06,659 --> 00:37:09,036
you also want to verify.
694
00:37:09,202 --> 00:37:11,161
The captain did not verify
695
00:37:11,328 --> 00:37:13,661
the information that the first
officer was giving him.
696
00:37:14,995 --> 00:37:16,497
- Okay.
Thank you.
697
00:37:16,621 --> 00:37:18,122
- Sure thing.
698
00:37:18,247 --> 00:37:22,290
- It's really critical when
you do have an engine failure
699
00:37:22,415 --> 00:37:26,083
to look at all the available
information and cross-check
700
00:37:26,209 --> 00:37:30,001
and agree that you have
identified the correct engine.
701
00:37:30,169 --> 00:37:33,294
In this case, that didn't occur.
702
00:37:34,253 --> 00:37:37,588
- What were the power readings
when the engines were at idle?
703
00:37:38,837 --> 00:37:41,715
Even if the captain
trusted the first officer,
704
00:37:41,881 --> 00:37:43,673
wouldn't there be
other indicators
705
00:37:43,840 --> 00:37:46,174
showing which engine had failed?
706
00:37:49,092 --> 00:37:53,676
- The left engine was 1.05
707
00:37:53,843 --> 00:37:57,595
and the right 1.12.
708
00:37:57,720 --> 00:37:59,638
The team discovers
709
00:37:59,763 --> 00:38:03,139
the power was a bit lower
on the left engine
710
00:38:03,264 --> 00:38:05,847
even though both engines
were set to idle.
711
00:38:05,972 --> 00:38:09,682
- Okay, let's see
what's the problem.
712
00:38:09,807 --> 00:38:11,600
What's going on with the gauges?
713
00:38:11,724 --> 00:38:14,560
- They did have slightly
different power outputs.
714
00:38:14,727 --> 00:38:18,644
And that is something you would
see with two different engines.
715
00:38:18,769 --> 00:38:22,270
- And that could have really
affected the captain's
decision-making.
716
00:38:23,855 --> 00:38:26,648
If the captain
had checked the gauges,
717
00:38:26,773 --> 00:38:29,941
the readings would have
supported his first officer's
report
718
00:38:30,066 --> 00:38:32,733
that the left engine had failed.
719
00:38:32,899 --> 00:38:34,942
- So it looks like
the number one.
720
00:38:35,067 --> 00:38:36,983
- Number one's gone?
- Gone, yeah.
721
00:38:37,108 --> 00:38:40,068
- So we have number two. Okay.
722
00:38:42,904 --> 00:38:45,154
But this doesn't
explain why the first officer
723
00:38:45,279 --> 00:38:46,570
never told the captain
724
00:38:46,738 --> 00:38:50,031
that he brought both throttles
back in the first place.
725
00:38:55,742 --> 00:38:57,575
- If the first officer had said,
726
00:38:57,742 --> 00:39:00,368
"Hey, I pulled the thrust back
on both engines,"
727
00:39:00,493 --> 00:39:02,493
then that might have caused
the captain to engage
728
00:39:02,618 --> 00:39:05,703
in a different thought process
about what might be going on.
729
00:39:12,747 --> 00:39:16,124
- First officer
follow-up interview.
730
00:39:16,249 --> 00:39:20,458
Why didn't the
first officer of Transair Flight
8-10
731
00:39:20,583 --> 00:39:23,085
tell the captain he brought
the power levers back
732
00:39:23,251 --> 00:39:25,460
after the right engine failed?
733
00:39:25,585 --> 00:39:29,253
- He has no recollection
of bringing either thrust lever
734
00:39:29,419 --> 00:39:30,920
back to idle.
735
00:39:33,088 --> 00:39:36,256
- We believe that the first
officer forgot
736
00:39:36,423 --> 00:39:38,339
because he was busy.
737
00:39:38,464 --> 00:39:40,632
That leads to stress.
738
00:39:40,757 --> 00:39:43,592
Stress leads
to tunneling of attention.
739
00:39:43,758 --> 00:39:47,842
That can lead to fixation
on a small number of parameters.
740
00:39:48,927 --> 00:39:53,845
- But even if the first officer
didn't tell the captain
about the thrust levers,
741
00:39:53,971 --> 00:39:57,389
there must have been other signs
which engine failed.
742
00:39:59,098 --> 00:40:01,890
Check out the rudder data.
743
00:40:02,014 --> 00:40:06,643
Immediately after the right
engine failed on takeoff,
744
00:40:06,767 --> 00:40:09,850
5.5 degrees of left rudder
is applied.
745
00:40:13,895 --> 00:40:17,563
- You got it?
- Yeah. I got it.
746
00:40:20,438 --> 00:40:24,064
After the right
engine lost power on takeoff,
747
00:40:24,189 --> 00:40:26,483
the plane pulled
to the right.
748
00:40:26,608 --> 00:40:29,818
When the first officer
applied the left rudder,
749
00:40:29,943 --> 00:40:32,193
the plane straightened out.
750
00:40:32,318 --> 00:40:35,068
- The foot that isn't pressing
on the rudder pedal
751
00:40:35,236 --> 00:40:36,820
is the side with the bad engine.
752
00:40:36,945 --> 00:40:40,280
So it's usually a pretty clear
indication of which engine
has failed.
753
00:40:41,613 --> 00:40:45,406
- He held that left rudder
for three minutes!
754
00:40:46,115 --> 00:40:49,448
He had a clear indicator,
but it never registered.
755
00:40:49,615 --> 00:40:53,368
The fact that
the first officer was applying
left rudder
756
00:40:53,493 --> 00:40:56,618
was an indication that the right
engine had lost power.
757
00:40:56,785 --> 00:40:58,412
- It's very possible that under
those stressful conditions
758
00:40:58,579 --> 00:41:00,579
in the middle of the night
over the water,
759
00:41:00,744 --> 00:41:02,955
you could make that mistake.
760
00:41:04,497 --> 00:41:06,914
- They made the right assessment
initially,
761
00:41:07,039 --> 00:41:11,040
but in the end, the stress
of the situation
762
00:41:11,165 --> 00:41:14,000
degraded their ability
to fly the plane.
763
00:41:16,292 --> 00:41:19,418
Investigators now
know the series of events
764
00:41:19,585 --> 00:41:23,253
that led to the ditching
of Transair Flight 8-10.
765
00:41:25,087 --> 00:41:29,380
When the right engine loses
power after takeoff...
766
00:41:32,506 --> 00:41:33,840
- Damn!
767
00:41:33,965 --> 00:41:37,259
...both pilots
make the proper assessment.
768
00:41:38,383 --> 00:41:40,594
- Yup, looks like we lost
number...
769
00:41:40,760 --> 00:41:43,469
- Number two...
- Number two.
770
00:41:43,635 --> 00:41:48,638
But while
the captain communicates
with air traffic control...
771
00:41:48,804 --> 00:41:50,929
- Okay, Rhoades 8-10,
772
00:41:51,054 --> 00:41:52,598
we're gonna run a checklist.
773
00:41:52,763 --> 00:41:56,057
...the first
officer reduces engine power.
774
00:41:56,182 --> 00:41:59,016
- Okay, let's see
what's the problem.
775
00:41:59,808 --> 00:42:04,059
In a moment
of stress, he forgets
to tell the captain.
776
00:42:04,184 --> 00:42:05,603
- What's going on
with the gauges?
777
00:42:05,728 --> 00:42:09,103
The slightly
different readings on the gauges
778
00:42:09,271 --> 00:42:11,022
lead the pilots to believe
779
00:42:11,147 --> 00:42:12,980
the fully functioning
left engine has failed.
780
00:42:13,147 --> 00:42:14,813
- So it looks like
the number one.
781
00:42:14,981 --> 00:42:16,522
- Number one's gone?
782
00:42:16,647 --> 00:42:19,357
The captain relies
on the first officer's
assessment
783
00:42:19,482 --> 00:42:22,525
without doing his own analysis
of the situation.
784
00:42:22,650 --> 00:42:25,900
- Gone, yeah.
We still have the number two.
785
00:42:26,027 --> 00:42:28,526
- So we have number two.
Okay.
786
00:42:28,651 --> 00:42:33,113
Instead of
confirming which engine
had actually lost power
787
00:42:33,237 --> 00:42:35,446
and forgetting
their original assessment,
788
00:42:35,613 --> 00:42:38,615
the pilots end up flying
on a damaged engine.
789
00:42:38,781 --> 00:42:41,948
- How's the EGT?
790
00:42:42,073 --> 00:42:43,782
- Uh, it's max.
It's beyond max.
791
00:42:43,907 --> 00:42:48,034
Setting them up
for an inevitable ditching.
792
00:42:48,159 --> 00:42:51,286
- We're in the water.
We're in the water!
793
00:43:06,666 --> 00:43:09,875
- The pilots' misidentification
of the damaged engine,
794
00:43:10,000 --> 00:43:11,501
and their use of the only...
795
00:43:11,668 --> 00:43:15,128
Before the NTSB's
final report is published,
796
00:43:15,295 --> 00:43:19,212
Rhoades Aviation is shut down
by the Federal Aviation
Administration
797
00:43:19,337 --> 00:43:23,130
for numerous safety
and maintenance violations.
798
00:43:25,505 --> 00:43:27,633
- While it may be disappointing
799
00:43:27,758 --> 00:43:31,758
that the crew never actually
touched their left engine
that was working properly,
800
00:43:31,883 --> 00:43:35,968
it is a testament
to the human limitations
that actually arise
801
00:43:36,093 --> 00:43:39,053
when you have stressful,
high workload situations.
802
00:43:39,178 --> 00:43:40,970
And that's what we need
to account for.
803
00:43:41,136 --> 00:43:46,139
With only 50
7-37-200's remaining
in service,
804
00:43:46,305 --> 00:43:50,099
it's deemed impractical
to fit them with engine sensors
805
00:43:50,224 --> 00:43:52,850
that would alert pilots
to a failed engine.
806
00:43:53,017 --> 00:43:56,809
But it's now standard
in most passenger airliners.
807
00:43:57,726 --> 00:44:01,560
- Engine monitoring technology
has improved considerably
808
00:44:01,685 --> 00:44:03,811
since this aircraft
was manufactured.
809
00:44:03,979 --> 00:44:09,230
Newer airplanes actually
give very clear indications
to the pilot
810
00:44:09,356 --> 00:44:11,523
regarding which engine is bad
811
00:44:11,690 --> 00:44:16,232
and reduces the risk
of the crew misidentifying it.
812
00:44:34,199 --> 00:44:36,199
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