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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 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 Subtitling: difuze 63384

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