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These are the user uploaded subtitles that are being translated: 1 00:00:17,516 --> 00:00:20,018 On approach to Cincinnati, Ohio. 2 00:00:23,731 --> 00:00:28,361 The pilots of Air Tahoma Flight 1-85, face disaster. 3 00:00:28,445 --> 00:00:31,321 - 23-hundred feet. - Keep it steady. 4 00:00:31,405 --> 00:00:33,365 - The airplane will fall like a rock. 5 00:00:34,075 --> 00:00:35,451 - My god. 6 00:00:35,576 --> 00:00:38,746 The plane crashes into a golf course. 7 00:00:39,789 --> 00:00:41,832 Only the captain survives. 8 00:00:41,915 --> 00:00:44,710 - He did not remember much of the flight. 9 00:00:44,793 --> 00:00:47,255 When you have a tragic event happen, 10 00:00:47,380 --> 00:00:49,173 the memories are not there. 11 00:00:49,256 --> 00:00:52,093 The wrecked engines provide investigators 12 00:00:52,218 --> 00:00:53,552 with their first clue. 13 00:00:53,636 --> 00:00:55,012 - There's no evidence of burning or charring. 14 00:00:55,095 --> 00:00:57,390 Both engines flamed out before the crash. 15 00:00:57,515 --> 00:00:59,725 But according to the gauges, 16 00:00:59,808 --> 00:01:01,936 there was ample fuel for the flight. 17 00:01:02,561 --> 00:01:04,897 - If there was still 56-hundred pounds of fuel 18 00:01:05,022 --> 00:01:08,192 in the right tank, why didn't that fuel feed the engines? 19 00:01:09,109 --> 00:01:12,030 - That was certainly something that I had not seen before. 20 00:01:35,344 --> 00:01:40,141 Air Tahoma Flight 1-85 is cruising at 15,000 feet. 21 00:01:40,808 --> 00:01:44,019 It's headed for Cincinnati Northern Kentucky 22 00:01:44,144 --> 00:01:45,772 International Airport. 23 00:01:47,774 --> 00:01:50,150 - The coffee's still hot if you want some? 24 00:01:50,275 --> 00:01:52,861 - No, thanks. I'm well rested. 25 00:01:52,986 --> 00:01:56,615 Captain Bruno Pichelli is an experienced pilot 26 00:01:56,698 --> 00:01:58,367 who has flown all over the world 27 00:01:58,492 --> 00:02:02,329 and also worked as a firefighter in British Columbia, Canada. 28 00:02:02,454 --> 00:02:05,959 Convair-5-80 pilot Bruno St. Jacques 29 00:02:06,084 --> 00:02:08,836 has flown alongside Captain Pichelli. 30 00:02:08,961 --> 00:02:13,007 - He was a very good person, easy to get along with. 31 00:02:13,133 --> 00:02:14,967 He flew well. 32 00:02:15,050 --> 00:02:18,930 Me and him, it was a very good joint venture. 33 00:02:21,014 --> 00:02:25,103 Michael Gelwicks has logged nearly 25 hundred hours 34 00:02:25,186 --> 00:02:26,770 as a pilot and flight engineer 35 00:02:26,854 --> 00:02:30,608 and is now a first officer for Air Tahoma. 36 00:02:31,693 --> 00:02:33,902 Tonight's flight from Memphis, Tennessee 37 00:02:34,027 --> 00:02:37,323 to Cincinnati, Ohio is 80 minutes. 38 00:02:37,407 --> 00:02:39,658 - This was the first leg of a round trip 39 00:02:39,783 --> 00:02:42,996 and was done every weeknight by Air Tahoma. 40 00:02:45,122 --> 00:02:47,834 They're flying a Convair 5-80, 41 00:02:47,917 --> 00:02:52,379 a twin turboprop aircraft used for short-haul flights. 42 00:02:53,173 --> 00:02:57,009 - The Convair 5-80 is about 50 years old, 43 00:02:57,092 --> 00:03:00,013 was used in passenger service for a long time, 44 00:03:00,096 --> 00:03:02,973 and then transitioned to cargo service. 45 00:03:05,643 --> 00:03:09,688 - It was always reputed to be a very stable, reliable airplane. 46 00:03:13,776 --> 00:03:16,486 - So, what was it like flying as a firefighter? 47 00:03:16,570 --> 00:03:19,741 - Well, uh, long hours. 48 00:03:20,532 --> 00:03:22,075 Same plane as this. 49 00:03:22,200 --> 00:03:23,828 Different cargo, of course. 50 00:03:25,413 --> 00:03:28,457 There are five pallets containing mail 51 00:03:28,582 --> 00:03:32,753 and parcels from the courier DHL Express onboard the aircraft. 52 00:03:42,722 --> 00:03:44,598 - How's the paperwork? 53 00:03:45,349 --> 00:03:46,768 - Almost done. 54 00:03:51,939 --> 00:03:53,733 - The captain was focused on some paperwork 55 00:03:53,858 --> 00:03:56,276 that he needed to complete before he landed in Cincinnati, 56 00:03:56,401 --> 00:03:58,070 which he did. 57 00:04:01,241 --> 00:04:03,241 - Okay. 58 00:04:05,118 --> 00:04:08,413 You know what? I'm just gonna balance out the fuel here. 59 00:04:10,290 --> 00:04:12,293 Captain Pichelli notices 60 00:04:12,418 --> 00:04:15,921 that one of his fuel tanks has more fuel than the other. 61 00:04:17,214 --> 00:04:21,177 - The Convair 5-80 has two tanks and you can use one tank 62 00:04:21,302 --> 00:04:25,807 to feed both engines until both tanks are even. 63 00:04:28,810 --> 00:04:30,560 One hour into the flight, 64 00:04:30,644 --> 00:04:32,605 the crew receives a weather update. 65 00:04:32,689 --> 00:04:35,149 - Tahoma 1-85. The winds are kinda weird today. 66 00:04:35,274 --> 00:04:37,526 Suggest 10 left to Cincinnati when able. 67 00:04:37,985 --> 00:04:41,656 - Okay, 10 degrees left to Cincinnati when able. 68 00:04:41,781 --> 00:04:44,658 1-85, thank you. - I already had it. 69 00:04:45,158 --> 00:04:46,786 Right on the money. 70 00:04:47,995 --> 00:04:51,749 As Air Tahoma 1-85 begins its descent, 71 00:04:51,833 --> 00:04:54,961 the first officer detects a change in the controls. 72 00:04:55,043 --> 00:04:57,254 - The yoke feels funny. 73 00:04:58,714 --> 00:05:00,132 - Say again? 74 00:05:00,591 --> 00:05:02,343 - It feels like I need a lot of force. 75 00:05:06,180 --> 00:05:08,516 - It's pushing to the right for some reason. 76 00:05:08,641 --> 00:05:10,310 I don't know why. 77 00:05:13,103 --> 00:05:15,648 - The Convair doesn't use hydraulics 78 00:05:15,773 --> 00:05:18,067 to move the control surfaces. 79 00:05:18,192 --> 00:05:21,321 The pilot must use a lot of arm strength 80 00:05:21,446 --> 00:05:23,906 when the autopilot is not on. 81 00:05:25,908 --> 00:05:27,869 - Four in the box. 82 00:05:31,079 --> 00:05:32,956 Thirty miles from the airport, 83 00:05:33,040 --> 00:05:35,918 the controller provides an update on the approach. 84 00:05:36,043 --> 00:05:40,255 - Tahoma 1-85, fly heading 0-9-0 maintain 4,000. 85 00:05:40,380 --> 00:05:43,050 - Maintain 4,000, 1-85. 86 00:05:43,175 --> 00:05:46,637 - They're packed tonight so we're gonna go bang bang bang. 87 00:05:46,721 --> 00:05:48,514 - Got it. 88 00:05:49,348 --> 00:05:52,142 - There was pressure on it, because if you get late 89 00:05:52,225 --> 00:05:57,482 in the sequence of the other aircraft landing in the airport, 90 00:05:57,564 --> 00:06:00,860 you're slowing down all the airplanes behind you. 91 00:06:00,942 --> 00:06:03,612 - Tahoma 1-85, 92 00:06:03,737 --> 00:06:05,740 cleared for visual approach, 3-6 right. 93 00:06:05,865 --> 00:06:07,367 Keep your speed up. 94 00:06:07,492 --> 00:06:08,408 - Visual approach. 95 00:06:08,533 --> 00:06:12,497 3-6 right. Keep the speed up, 1-85. Thank you. 96 00:06:12,579 --> 00:06:16,041 As the crew receives clearance for a visual approach, 97 00:06:16,125 --> 00:06:19,002 the aircraft continues pulling to the right. 98 00:06:19,086 --> 00:06:21,923 - What in the world is going on with this plane? 99 00:06:22,048 --> 00:06:24,091 This sucker is acting so funny. 100 00:06:24,925 --> 00:06:27,261 - We'll do a full-control check on the ground. 101 00:06:28,762 --> 00:06:31,723 Point it down at 3,000 as quick as you can. 102 00:06:34,644 --> 00:06:39,232 - Usually, an airplane flies straight and wings level. 103 00:06:39,314 --> 00:06:41,733 It wouldn't give you a nice feeling to fly the plane, 104 00:06:41,858 --> 00:06:44,653 which always want to turn on one side. 105 00:06:44,778 --> 00:06:48,740 - 1-85, runway 3-6 right, cleared to land. 106 00:06:48,865 --> 00:06:52,077 - Cleared to land, 3-6 right, 1-85. 107 00:06:52,870 --> 00:06:54,579 - Runway's in sight. 108 00:06:54,663 --> 00:06:57,290 - Alright, I'll give you the in-range. 109 00:06:58,793 --> 00:07:02,129 - In-range check... cabin pressure. 110 00:07:02,254 --> 00:07:03,047 - Set. 111 00:07:03,130 --> 00:07:06,216 - Bypass is down. Hydraulic pressure. 112 00:07:06,300 --> 00:07:07,509 Quantity checks. 113 00:07:07,634 --> 00:07:10,555 As the crew runs the in-range checklist. 114 00:07:11,139 --> 00:07:13,932 - AC pump is on. Green light. 115 00:07:14,057 --> 00:07:15,267 Boost pumps on. 116 00:07:15,392 --> 00:07:18,228 The plane continues to handle poorly. 117 00:07:18,312 --> 00:07:21,774 - Man, I'm telling you, what is wrong with this plane? 118 00:07:21,899 --> 00:07:23,442 It is really funny. 119 00:07:25,026 --> 00:07:27,447 Then, less than 5 miles from the airport. 120 00:07:29,865 --> 00:07:33,494 And just 23 hundred feet above the ground, 121 00:07:33,619 --> 00:07:36,038 both engines lose power. 122 00:07:45,839 --> 00:07:48,216 - The airplane will fall like a rock, 123 00:07:48,341 --> 00:07:52,930 because it needs at least one engine in good shape 124 00:07:53,014 --> 00:07:55,641 to bring them to the runway. 125 00:07:55,725 --> 00:08:01,146 Twenty-three hundred feet... my God. 126 00:08:02,189 --> 00:08:04,983 - Cincinnati control, Tahoma 1-85, 127 00:08:05,067 --> 00:08:06,610 we're having engine problems. 128 00:08:06,694 --> 00:08:10,238 - Tahoma 1-85, do you require emergency support? 129 00:08:14,785 --> 00:08:15,995 - Negative. 130 00:08:19,372 --> 00:08:21,666 - I think the reason he said no, 131 00:08:21,791 --> 00:08:24,795 was he was still hoping that somehow 132 00:08:24,879 --> 00:08:25,795 he could get to the airport. 133 00:08:25,879 --> 00:08:27,507 - Pull up. 134 00:08:27,632 --> 00:08:28,841 Pull up. 135 00:08:28,966 --> 00:08:30,175 - Keep it steady. 136 00:08:30,300 --> 00:08:31,927 But they're dropping too fast 137 00:08:32,052 --> 00:08:34,138 to make it to the airport. 138 00:08:34,221 --> 00:08:35,181 - Come on! 139 00:08:35,306 --> 00:08:37,475 They see an opening ahead. 140 00:08:37,557 --> 00:08:40,977 - There's no time at all to raise the gear, raise the flap, 141 00:08:41,062 --> 00:08:44,105 restart the engine before you touch the ground. 142 00:08:44,231 --> 00:08:47,985 Their only option was to go straight to the safest place 143 00:08:48,068 --> 00:08:53,282 to put down the plane, and hope for the best. 144 00:08:54,033 --> 00:08:56,785 - Tahoma 1-85, please respond. 145 00:08:57,577 --> 00:08:59,496 - They were at low altitude. - Hold it up. 146 00:08:59,580 --> 00:09:02,667 - They were short of the runway. It was dark outside. 147 00:09:02,750 --> 00:09:04,418 - Tahoma 1-85, do you copy? 148 00:09:04,543 --> 00:09:06,461 - The situation was very, very dire. 149 00:09:06,586 --> 00:09:09,465 - Trees! - Pull up. 150 00:09:09,590 --> 00:09:11,424 - Pull up. Pull up. 151 00:09:18,265 --> 00:09:19,808 They make it through the trees. 152 00:09:19,933 --> 00:09:22,102 - Come on. Come on! 153 00:09:25,105 --> 00:09:27,692 But can't keep the plane on the ground. 154 00:09:56,136 --> 00:09:59,432 Emergency vehicles soon arrive at the crash site, 155 00:09:59,557 --> 00:10:01,517 just 1. 2 miles 156 00:10:01,642 --> 00:10:03,769 south of Cincinnati's International Airport. 157 00:10:07,648 --> 00:10:09,817 The body of First officer Gelwicks 158 00:10:09,942 --> 00:10:11,735 is found in the wreckage. 159 00:10:15,530 --> 00:10:19,368 Incredibly, Captain Pichelli has survived. 160 00:10:22,663 --> 00:10:26,958 the National Transportation Safety Board, or NTSB,m 161 00:10:27,083 --> 00:10:30,629 rush to Cincinnati and begin looking into the crash 162 00:10:30,754 --> 00:10:33,298 of Air Tahoma Flight 1-85. 163 00:10:33,381 --> 00:10:35,509 - So, what have we got so far? 164 00:10:35,634 --> 00:10:38,011 - Both black boxes have been sent to Washington for analysis. 165 00:10:38,136 --> 00:10:40,514 - Good. Structural failure? 166 00:10:40,639 --> 00:10:41,849 - Take a look. 167 00:10:43,058 --> 00:10:49,273 - When we first arrived what we typically do is to look for the four corners of the airplane, 168 00:10:49,356 --> 00:10:52,567 to be able to rule out some sort of structural failure 169 00:10:52,692 --> 00:10:55,153 or a part or piece of the airplane 170 00:10:55,236 --> 00:10:58,032 departing prior to impact with the ground. 171 00:11:00,868 --> 00:11:03,245 - We found all four corners of the plane. 172 00:11:03,703 --> 00:11:04,830 We found the tail here. 173 00:11:04,955 --> 00:11:07,832 We located both wing tips, here and here. 174 00:11:07,917 --> 00:11:10,293 And the nose was essentially split in half 175 00:11:10,378 --> 00:11:12,129 and fractured into small pieces. 176 00:11:12,212 --> 00:11:15,131 - If it wasn't structural failure then what? 177 00:11:15,216 --> 00:11:16,634 What did the captain have to say? 178 00:11:16,716 --> 00:11:18,594 - He's still recovering in hospital, 179 00:11:18,719 --> 00:11:20,428 but I did speak with the air traffic controller. 180 00:11:20,553 --> 00:11:21,764 - And? 181 00:11:21,889 --> 00:11:23,724 - She says the crew reported having engine problems 182 00:11:23,849 --> 00:11:25,350 just before crashing. 183 00:11:34,402 --> 00:11:37,738 - When we heard that the crew had reported engine problems, 184 00:11:37,863 --> 00:11:40,115 it made us think, as investigators, 185 00:11:40,240 --> 00:11:42,158 whether it was one engine or two engines. 186 00:11:42,243 --> 00:11:44,245 And that would be a big difference. 187 00:11:45,287 --> 00:11:48,874 With one engine they would still be able to make the airfield. 188 00:11:50,042 --> 00:11:54,504 - Tahoma 1-85, we're having engine problems. 189 00:11:59,719 --> 00:12:03,264 If the engines were operating before the crash, 190 00:12:03,389 --> 00:12:08,018 investigators expect to find burnt debris inside the engine. 191 00:12:08,101 --> 00:12:10,270 - There's no evidence of burning or charring. 192 00:12:11,938 --> 00:12:14,316 I don't think we had combustion on this engine. 193 00:12:14,442 --> 00:12:16,485 - Ditto with engine two. 194 00:12:18,403 --> 00:12:21,240 - So both engines flamed out before the crash. 195 00:12:23,116 --> 00:12:26,202 - With a dual engine failure, that's not common, 196 00:12:26,287 --> 00:12:30,374 so we would think immediately about something with the fuel, 197 00:12:30,457 --> 00:12:32,000 either the loss of fuel 198 00:12:32,125 --> 00:12:34,836 or maybe even contamination within the fuel. 199 00:12:35,754 --> 00:12:40,301 Was the fuel onboard Flight 1-85 contaminated? 200 00:12:41,092 --> 00:12:44,179 - Fuel contamination is a danger to flight safety 201 00:12:44,304 --> 00:12:47,307 because it can affect both engines at the same time. 202 00:12:48,267 --> 00:12:50,477 - Do we have the results of that fuel testing? 203 00:12:50,602 --> 00:12:52,104 - Yeah, right here. 204 00:12:53,980 --> 00:12:56,066 Fuel checks out. 205 00:12:57,234 --> 00:12:59,486 - Well, maybe they ran out of fuel? 206 00:12:59,611 --> 00:13:01,113 - Well, it's possible. 207 00:13:02,155 --> 00:13:07,327 In 1978, pilots of United Airlines Flight 1-73 208 00:13:07,452 --> 00:13:09,913 ran out of fuel while troubleshooting 209 00:13:09,996 --> 00:13:12,041 a landing gear issue. 210 00:13:13,417 --> 00:13:15,753 The DC-8 crashed into a neighborhood 211 00:13:15,836 --> 00:13:16,836 in Portland, Oregon. 212 00:13:20,508 --> 00:13:24,845 Ten of the 189 people onboard were killed. 213 00:13:25,929 --> 00:13:30,308 - To explore the possibility of whether the airplane ran out of fuel, 214 00:13:30,433 --> 00:13:32,937 we wanted to look initially at the fuel quantity indicators 215 00:13:33,019 --> 00:13:34,687 in the flight deck. 216 00:13:34,812 --> 00:13:38,567 Investigators recover Flight 1-85's instrument panel. 217 00:13:38,692 --> 00:13:42,278 They focus on the left and right fuel tank indicators. 218 00:13:42,904 --> 00:13:46,366 - Zero and 56-hundred pounds. 219 00:13:49,787 --> 00:13:51,663 That's odd. 220 00:13:51,788 --> 00:13:53,206 - The expectation would be 221 00:13:53,331 --> 00:13:56,376 that both would be approximately the same value. 222 00:13:56,501 --> 00:14:00,172 That one of them was at zero wasn't surprising, I suppose, 223 00:14:00,255 --> 00:14:02,383 but the other one being so much different 224 00:14:02,508 --> 00:14:05,510 was certainly something that I had not seen before. 225 00:14:05,635 --> 00:14:08,681 - Okay, so they didn't exactly run out of fuel, 226 00:14:08,764 --> 00:14:10,515 but why are the tanks so uneven? 227 00:14:11,225 --> 00:14:13,351 - Maybe some kind of problem in the fuel system 228 00:14:13,476 --> 00:14:15,937 stopped fuel from flowing to the engines. 229 00:14:16,062 --> 00:14:18,065 - See what you can salvage in terms of fuel pumps 230 00:14:18,190 --> 00:14:21,360 and piping from the wreckage, and we'll have a look. 231 00:14:24,321 --> 00:14:26,282 - While looking at all the different elements 232 00:14:26,407 --> 00:14:31,035 of the fuel system, the hope was that you would be able to document something going wrong, 233 00:14:31,160 --> 00:14:34,248 either loss of fuel or fuel starvation. 234 00:14:35,081 --> 00:14:37,710 Investigators slowly piece together 235 00:14:37,835 --> 00:14:39,879 elements of the plane's fuel system. 236 00:14:40,004 --> 00:14:41,922 - So these are the crossfeed pipe and valves? 237 00:14:43,673 --> 00:14:45,216 - Check it out. 238 00:14:49,429 --> 00:14:51,889 The crossfeed valves allow the pilot 239 00:14:52,015 --> 00:14:54,058 to provide both engines with fuel 240 00:14:54,183 --> 00:14:57,605 from only one tank when there's a fuel imbalance. 241 00:15:01,692 --> 00:15:03,318 - Both valves are open. 242 00:15:03,443 --> 00:15:05,278 That means they were crossfeeding fuel 243 00:15:05,403 --> 00:15:07,239 before the crash. 244 00:15:07,364 --> 00:15:10,116 - When we found that the crossfeed valves were open, 245 00:15:10,241 --> 00:15:12,244 that was a huge discovery. 246 00:15:12,369 --> 00:15:15,831 We wondered if that may have some sort of connection 247 00:15:15,956 --> 00:15:18,417 between the left tank having no fuel 248 00:15:18,500 --> 00:15:21,253 and the right tank having excessive fuel. 249 00:15:21,961 --> 00:15:24,340 - But why would the crew be crossfeeding fuel 250 00:15:24,465 --> 00:15:25,633 so close to landing? 251 00:15:25,758 --> 00:15:27,967 Did they make a mistake? 252 00:15:28,092 --> 00:15:29,761 - Only one person knows. 253 00:15:30,553 --> 00:15:33,057 Let's see if the captain can talk to us yet. 254 00:15:34,932 --> 00:15:36,309 - The good thing in this accident 255 00:15:36,434 --> 00:15:38,187 was that the captain did survive. 256 00:15:38,312 --> 00:15:40,773 He was able to talk with us in the hospital 257 00:15:40,898 --> 00:15:43,024 because he only had minor injuries. 258 00:15:43,817 --> 00:15:45,568 - How are you feeling? 259 00:15:46,445 --> 00:15:48,447 - Okay. Thanks. 260 00:15:52,201 --> 00:15:55,037 - Can you tell me what you remember of the flight? 261 00:15:55,620 --> 00:15:57,413 Every detail counts. 262 00:16:00,750 --> 00:16:02,461 What is wrong with this plane? 263 00:16:02,586 --> 00:16:03,796 It is really funny. 264 00:16:03,921 --> 00:16:05,798 - I remember... 265 00:16:06,673 --> 00:16:09,634 - Visual approach. 36 right. Keep the speed up. 266 00:16:09,759 --> 00:16:12,846 I remember talking on the radio. 267 00:16:12,971 --> 00:16:15,640 - Tahoma 1-85, you're cleared for visual approach. 268 00:16:15,765 --> 00:16:19,311 Keep your speed up. - I saw the approach lights. 269 00:16:19,394 --> 00:16:21,647 Then we weren't getting power. 270 00:16:27,277 --> 00:16:29,654 Then the next thing I remember is the impact. 271 00:16:29,738 --> 00:16:31,155 - Keep it steady. 272 00:16:37,705 --> 00:16:39,498 - And then... 273 00:16:41,750 --> 00:16:43,668 I was standing outside. 274 00:16:49,716 --> 00:16:51,427 - One more thing. 275 00:16:51,552 --> 00:16:55,096 We found the crossfeed valves open. 276 00:16:56,597 --> 00:16:59,559 Do you remember crossfeeding fuel during the flight? 277 00:16:59,684 --> 00:17:03,355 - I'm... I'm sorry. 278 00:17:03,480 --> 00:17:05,106 I don't. 279 00:17:08,484 --> 00:17:10,988 - He did not remember much of the flight 280 00:17:11,070 --> 00:17:13,990 because when you have a tragic event happen, 281 00:17:14,074 --> 00:17:16,410 the memories are not there. 282 00:17:19,328 --> 00:17:22,540 Investigators search the wreckage for clues 283 00:17:22,624 --> 00:17:26,252 that could explain why the two crossfeed valves were open. 284 00:17:28,422 --> 00:17:30,715 - It's the weight and balance form for the flight. 285 00:17:30,840 --> 00:17:32,175 - Hm. 286 00:17:32,259 --> 00:17:34,219 - The weight and balance form reflects 287 00:17:34,344 --> 00:17:36,137 where the cargo pallets are located, 288 00:17:36,262 --> 00:17:37,847 whether they're towards the front of the airplane 289 00:17:37,931 --> 00:17:39,266 or towards the back of the airplane, 290 00:17:39,391 --> 00:17:42,810 and that determines whether the airplane is nose heavy, 291 00:17:42,935 --> 00:17:45,730 or tail heavy, or right where it should be in the middle. 292 00:17:47,273 --> 00:17:48,567 - That's strange. 293 00:17:48,650 --> 00:17:52,153 It looks like the captain was revising his calculations, 294 00:17:52,278 --> 00:17:53,363 possibly during the flight. 295 00:17:53,446 --> 00:17:55,740 - Well, this is stranger. 296 00:17:55,824 --> 00:17:57,742 Here's a second one. 297 00:17:59,368 --> 00:18:02,789 - This one has no corrections and the captain signed it. 298 00:18:03,499 --> 00:18:06,167 - Finding two weight and balance sheets for the same flight 299 00:18:06,292 --> 00:18:08,796 with different data on it at the accident site 300 00:18:08,921 --> 00:18:10,923 raised lots of questions for us. 301 00:18:11,548 --> 00:18:13,800 What was the captain doing during the fight? 302 00:18:14,926 --> 00:18:17,762 - So it looks like the captain was revising his numbers 303 00:18:17,887 --> 00:18:20,891 on this first form almost using it like a working copy. 304 00:18:20,973 --> 00:18:22,934 And this was his hard copy to hand in. 305 00:18:23,977 --> 00:18:27,230 Did the captain's weight and balance calculations 306 00:18:27,314 --> 00:18:29,398 play a role in the crash? 307 00:18:29,900 --> 00:18:32,861 - Well, the center of gravity limits were within the envelope. 308 00:18:32,986 --> 00:18:35,696 - So a mistake in his weight and balance calculations 309 00:18:35,823 --> 00:18:37,281 didn't bring down the plane. 310 00:18:37,406 --> 00:18:38,616 - Well, whatever his process, 311 00:18:38,700 --> 00:18:40,911 he was supposed to hand this in before departure. 312 00:18:43,497 --> 00:18:44,957 - Check with the airline. 313 00:18:45,082 --> 00:18:48,626 See if the captain handed in his numbers before takeoff. 314 00:18:50,378 --> 00:18:52,588 - Taking off without having computed the weight 315 00:18:52,673 --> 00:18:56,801 and balance limits is against procedures. 316 00:18:56,884 --> 00:18:58,804 It cuts the safety margin. 317 00:18:59,721 --> 00:19:01,097 - You're sure? 318 00:19:01,181 --> 00:19:02,641 Okay, thanks. 319 00:19:03,182 --> 00:19:04,977 - The airline just confirmed, 320 00:19:05,059 --> 00:19:07,229 the plane departed without the captain leaving a weight 321 00:19:07,354 --> 00:19:08,939 and balance form behind in Memphis. 322 00:19:09,021 --> 00:19:14,778 - So... why did our captain depart before completing his paperwork? 323 00:19:23,369 --> 00:19:25,663 - Would you like coffee? - I'm fine, thanks. 324 00:19:25,747 --> 00:19:29,625 Investigators reinterview Captain Bruno Pichelli 325 00:19:29,710 --> 00:19:32,546 to find out why he didn't follow proper procedure 326 00:19:32,671 --> 00:19:35,007 before Flight 1-85's departure. 327 00:19:35,089 --> 00:19:39,845 - So, we found some weight and balance forms in the wreckage. 328 00:19:39,928 --> 00:19:43,015 Why didn't you complete them before taking off? 329 00:19:44,974 --> 00:19:49,104 - What can I say? I ran out of time. 330 00:19:50,230 --> 00:19:54,358 Normally I fill out the form using their handheld computer. 331 00:19:54,442 --> 00:19:58,446 It had been acting up, now it was just dead. 332 00:19:59,280 --> 00:20:01,700 I'm not used to filling out that form manually. 333 00:20:01,825 --> 00:20:05,037 Frankly, I'd never been trained to. 334 00:20:05,119 --> 00:20:08,164 So, I thought I'd finish it en route. 335 00:20:10,250 --> 00:20:13,336 Captain Pichelli explains how he determined 336 00:20:13,420 --> 00:20:16,506 that Flight 1-85 was safe to take off. 337 00:20:17,633 --> 00:20:19,468 - I did my own assessment. 338 00:20:21,053 --> 00:20:24,431 I checked that the plane's maximum weight was acceptable. 339 00:20:24,556 --> 00:20:27,893 I saw that the position of the cargo pallets 340 00:20:28,018 --> 00:20:30,061 were evenly balanced. 341 00:20:30,938 --> 00:20:34,523 I also looked at the nose landing gear strut. 342 00:20:36,067 --> 00:20:38,069 And the plane sat properly on it. 343 00:20:39,779 --> 00:20:41,490 - If the nose wheel strut was compressed, 344 00:20:41,615 --> 00:20:44,034 that would be nose heavy, and if it were extended, 345 00:20:44,116 --> 00:20:46,536 it would be tail heavy. But it was in a normal position. 346 00:20:46,619 --> 00:20:50,249 So on that basis, he decided that the airplane 347 00:20:50,332 --> 00:20:52,834 was actually within its weight and balance limits. 348 00:20:52,960 --> 00:20:55,503 - From your corrections, 349 00:20:55,628 --> 00:20:58,048 it looks like your numbers weren't adding up. 350 00:20:59,508 --> 00:21:04,136 - That's true. Yeah. At first they didn't. 351 00:21:04,261 --> 00:21:06,472 So I had to keep working on them. 352 00:21:08,016 --> 00:21:10,143 Yeah, it took me a while to get them right. 353 00:21:15,606 --> 00:21:17,276 - How long did it take? 354 00:21:17,401 --> 00:21:18,818 - I don't know. 355 00:21:18,943 --> 00:21:20,653 - Did it interfere with your workflow? 356 00:21:20,778 --> 00:21:25,450 - It was stressful. I mean, I was buried in paperwork. 357 00:21:26,410 --> 00:21:27,952 - Right. 358 00:21:30,329 --> 00:21:33,040 - So even though the weight and balance was not an issue 359 00:21:33,165 --> 00:21:34,584 with the operation of the engines, 360 00:21:34,667 --> 00:21:38,462 it did raise questions with regard to the crew activity. 361 00:21:40,464 --> 00:21:42,049 - Hey. Any news? 362 00:21:42,174 --> 00:21:44,260 With no explanation for the cause 363 00:21:44,344 --> 00:21:46,555 of Flight 185's engine failure, 364 00:21:46,680 --> 00:21:49,307 the investigation finally gets a break. 365 00:21:49,391 --> 00:21:51,684 - Great. Send it to us right away. 366 00:21:53,060 --> 00:21:55,814 The lab just finished transcribing the CVR. 367 00:21:55,896 --> 00:21:57,732 We've got good data. 368 00:21:57,857 --> 00:22:00,986 But we don't have impact. 369 00:22:01,068 --> 00:22:03,989 The recording stops just before the crash. 370 00:22:04,114 --> 00:22:05,324 - Well, if the recording stopped, 371 00:22:05,449 --> 00:22:07,034 that means the plane must have lost power. 372 00:22:07,159 --> 00:22:08,160 - It looks like it. 373 00:22:08,285 --> 00:22:11,371 And it supports a dual engine flameout. 374 00:22:18,336 --> 00:22:21,673 - Having the CVR stop about two minutes prior to impact 375 00:22:21,798 --> 00:22:25,009 is another indication that we lost both engines 376 00:22:25,134 --> 00:22:28,387 because we likely had a rollback of both engines 377 00:22:28,512 --> 00:22:31,391 and therefore a change in electrical configuration. 378 00:22:31,892 --> 00:22:33,352 - When you're ready. 379 00:22:33,434 --> 00:22:36,730 Investigators listen to the cockpit voice recording, 380 00:22:36,855 --> 00:22:40,776 or CVR, to determine why the engines flamed out 381 00:22:40,901 --> 00:22:43,987 even though the plane still had plenty of fuel. 382 00:22:44,070 --> 00:22:46,198 How's the paperwork? 383 00:22:47,531 --> 00:22:48,700 - Almost done. 384 00:22:52,953 --> 00:22:54,830 Okay. 385 00:22:56,833 --> 00:22:58,542 You know what? 386 00:22:59,544 --> 00:23:02,381 I'm just gonna balance out the fuel here. 387 00:23:09,930 --> 00:23:12,557 - The captain wanted to balance his fuel tanks. 388 00:23:12,682 --> 00:23:15,309 But he didn't remember that at his interview. 389 00:23:15,434 --> 00:23:20,565 That must be when he opened the crossfeed valves at 12:17 a.m. 390 00:23:23,442 --> 00:23:27,655 - Question is: Did he forget to close them? 391 00:23:27,780 --> 00:23:29,406 - Let's find out. 392 00:23:32,285 --> 00:23:36,205 Okay ten degrees left to Cincinnati when able. 393 00:23:36,288 --> 00:23:38,458 1-85, thank you. 394 00:23:38,583 --> 00:23:40,210 I already had it. 395 00:23:40,292 --> 00:23:42,253 Right on the money. 396 00:23:42,336 --> 00:23:45,173 The team pays close attention to any mention 397 00:23:45,298 --> 00:23:47,550 of the crossfeed valves being closed. 398 00:23:47,634 --> 00:23:51,887 - The captain doesn't indicate that he's stopping the crossfeed 399 00:23:51,971 --> 00:23:53,347 or even mention it. 400 00:23:53,472 --> 00:23:56,143 It made me wonder if they had forgotten 401 00:23:56,268 --> 00:23:58,603 that the crossfeeding operation was going on. 402 00:23:59,770 --> 00:24:03,191 Then, just minutes before the flight's scheduled arrival. 403 00:24:03,316 --> 00:24:06,111 - AC pump is on. Green light. 404 00:24:06,236 --> 00:24:08,738 Boost pumps on. 405 00:24:09,530 --> 00:24:10,906 Man, I'm telling you, 406 00:24:10,990 --> 00:24:15,162 what is wrong with this plane? It is really funny. 407 00:24:25,337 --> 00:24:27,548 - Yeah. - Can you feel it? 408 00:24:27,673 --> 00:24:30,719 It feels like it's swinging back and forth. 409 00:24:34,597 --> 00:24:37,142 - Yeah, we've got an imbalance 410 00:24:37,267 --> 00:24:39,685 on this darn crossfeed I left open. 411 00:24:41,104 --> 00:24:44,607 The captain finally realizes he forgot to stop 412 00:24:44,691 --> 00:24:47,193 crossfeeding fuel from the left tank. 413 00:24:47,318 --> 00:24:48,653 - Is that what it is? 414 00:24:49,863 --> 00:24:51,280 - Yeah. 415 00:24:51,990 --> 00:24:53,490 - Oh, damn. 416 00:24:53,575 --> 00:24:55,326 I see. 417 00:24:58,538 --> 00:25:01,875 - The crossfeed's been going on for almost half an hour. 418 00:25:02,709 --> 00:25:05,170 - It looks like he never shut the crossfeed valves. 419 00:25:05,295 --> 00:25:06,837 - He forgot to close it. 420 00:25:06,922 --> 00:25:09,673 That explains why the plane was so hard to handle. 421 00:25:14,011 --> 00:25:17,848 With the crossfeed valves open for 29 minutes, 422 00:25:17,973 --> 00:25:20,852 only the left fuel tank fed both engines. 423 00:25:20,977 --> 00:25:24,230 As the tank emptied, it created an imbalance, 424 00:25:24,355 --> 00:25:26,816 which made it difficult to control the aircraft. 425 00:25:26,900 --> 00:25:29,818 - That also explains why the left tank was empty. 426 00:25:30,487 --> 00:25:33,365 - Yeah, but if there was still 56-hundred pounds of fuel 427 00:25:33,448 --> 00:25:37,493 in the right tank, why didn't that fuel feed the engines? 428 00:25:42,249 --> 00:25:44,875 - Do you have the list? Thanks. 429 00:25:48,087 --> 00:25:50,339 - Alright, let's figure this out. 430 00:25:50,423 --> 00:25:54,301 Did the pilots of Air Tahoma Flight 1-85 431 00:25:54,426 --> 00:25:58,597 follow the correct procedure for balancing their fuel? 432 00:25:58,722 --> 00:26:02,184 - The question that it raised, for me in the investigation is: 433 00:26:02,269 --> 00:26:04,563 If there is ample fuel in the right tank, 434 00:26:04,645 --> 00:26:06,897 why did both engines fail? 435 00:26:07,022 --> 00:26:10,067 - Alright, to crossfeed fuel from the left tank 436 00:26:10,192 --> 00:26:12,112 to both engines first the crew has to open 437 00:26:12,237 --> 00:26:15,073 the crossfeed valves here and here. 438 00:26:15,155 --> 00:26:18,826 Investigators consult the wreckage inventory. 439 00:26:18,951 --> 00:26:20,036 - And we know from the wreckage 440 00:26:20,119 --> 00:26:21,663 the crew did the first step correctly. 441 00:26:21,788 --> 00:26:23,539 The valves were open. 442 00:26:23,623 --> 00:26:28,086 - Second, they're supposed to close the right fuel pump here. 443 00:26:28,169 --> 00:26:31,798 - Got it. It was turned off at the time of the crash. 444 00:26:33,340 --> 00:26:34,593 - Step three: 445 00:26:34,718 --> 00:26:35,926 they were supposed to close 446 00:26:36,010 --> 00:26:39,055 the right tank fuel shutoff valve here. 447 00:26:40,472 --> 00:26:42,474 - It looks like the right one was left open. 448 00:26:42,601 --> 00:26:44,394 - They didn't shut the valve. 449 00:26:44,477 --> 00:26:47,021 - So they did the procedure incorrectly. 450 00:26:48,772 --> 00:26:50,357 - So the question we had was, 451 00:26:50,482 --> 00:26:52,777 by leaving the right fuel tank valve open, 452 00:26:52,902 --> 00:26:55,904 did that somehow lead to the engine failure? 453 00:26:55,989 --> 00:26:58,782 - I know they made a mistake, but I'm still confused. 454 00:26:58,866 --> 00:27:00,993 If they didn't close the valve 455 00:27:01,118 --> 00:27:03,872 why wasn't fuel flowing from the right tank 456 00:27:03,997 --> 00:27:06,374 all the way to both engines? 457 00:27:07,334 --> 00:27:09,501 And why would the engines flame out? 458 00:27:12,130 --> 00:27:14,465 - There's only one way to find out. 459 00:27:18,345 --> 00:27:20,805 - As the investigation progressed, 460 00:27:20,888 --> 00:27:23,057 we decided to run a test to determine 461 00:27:23,182 --> 00:27:26,269 what occurred during the accident flight. 462 00:27:27,228 --> 00:27:29,396 Investigators build a replica 463 00:27:29,521 --> 00:27:33,151 of Flight 1-85's fuel system to better understand 464 00:27:33,276 --> 00:27:35,778 how both engines could have failed. 465 00:27:35,862 --> 00:27:37,489 - Lets simulate what the captain did. 466 00:27:38,365 --> 00:27:42,160 Step one: open the crossfeed valves. 467 00:27:47,164 --> 00:27:48,665 - Crossfeed valves open. 468 00:27:48,750 --> 00:27:52,753 - Alright. Step two: turn off the right fuel pump. 469 00:27:52,878 --> 00:27:54,963 - Right fuel pump off. 470 00:27:55,673 --> 00:27:57,884 - Step three: 471 00:27:58,009 --> 00:28:00,804 he didn't close the right fuel tank shutoff valve. 472 00:28:00,886 --> 00:28:03,347 - So we've got this in the open position. 473 00:28:05,642 --> 00:28:06,893 - Let's see what happens. 474 00:28:15,067 --> 00:28:16,693 - Okay. 475 00:28:17,487 --> 00:28:20,073 It looks like the left fuel pump is sending fuel 476 00:28:20,198 --> 00:28:22,701 from the left fuel tank to both engines. 477 00:28:22,826 --> 00:28:25,119 So that part's working out just fine. 478 00:28:28,373 --> 00:28:31,792 - Yeah, but fuel from the left fuel tank 479 00:28:31,917 --> 00:28:34,211 is also flowing to the right tank. 480 00:28:39,049 --> 00:28:41,635 With the right shut off valve open, 481 00:28:41,760 --> 00:28:45,722 the left pump supplied fuel not only to both engines 482 00:28:45,848 --> 00:28:48,393 but also to the right fuel tank. 483 00:28:53,940 --> 00:28:56,483 - Look how quickly the left fuel tank emptied. 484 00:28:57,777 --> 00:28:59,278 - This was new to me. 485 00:28:59,403 --> 00:29:04,075 I had never seen a case where fuel is transferred to the point 486 00:29:04,159 --> 00:29:06,286 of the one tank being emptied. 487 00:29:07,287 --> 00:29:10,248 - So the left tank ran dry. 488 00:29:10,330 --> 00:29:12,959 And with that pump still running, 489 00:29:13,084 --> 00:29:14,836 that means that air was likely being pumped 490 00:29:14,961 --> 00:29:16,503 through the whole system. 491 00:29:17,672 --> 00:29:20,174 Investigators now understand 492 00:29:20,299 --> 00:29:24,554 why the plane's engines flamed out just before the crash. 493 00:29:28,474 --> 00:29:30,852 Once the left tank was empty, 494 00:29:30,977 --> 00:29:33,229 air was pumped into the fuel system, 495 00:29:33,313 --> 00:29:36,607 causing both engines to flame out. 496 00:29:36,732 --> 00:29:40,236 - Turbine engines require a steady flow of fuel. 497 00:29:41,653 --> 00:29:44,281 When you start entering air into the system, 498 00:29:44,406 --> 00:29:47,576 the air bubbles then cause the interruption 499 00:29:47,660 --> 00:29:49,621 of the ignition of the fuel, 500 00:29:49,746 --> 00:29:53,790 and that will cause the engines to roll back and stop. 501 00:29:55,167 --> 00:29:57,170 - So if the captain had just followed procedure 502 00:29:57,295 --> 00:29:59,130 and shut off that valve... 503 00:29:59,213 --> 00:30:02,217 - If he had, there would have been enough fuel 504 00:30:02,342 --> 00:30:05,135 in the left fuel tank to power both engines to the airport. 505 00:30:06,512 --> 00:30:09,265 - I'm just gonna balance out the fuel here. 506 00:30:10,682 --> 00:30:12,977 The captain's failure to close 507 00:30:13,060 --> 00:30:17,315 the right fuel tank shutoff valve, sealed their fate. 508 00:30:17,941 --> 00:30:20,527 - So, why didn't he follow procedure? 509 00:30:25,990 --> 00:30:28,034 - As the investigation progressed 510 00:30:28,159 --> 00:30:30,537 and new information came to light, 511 00:30:30,662 --> 00:30:32,538 it was helpful to go back to the captain 512 00:30:32,663 --> 00:30:34,874 to discuss his recall of what happened. 513 00:30:36,000 --> 00:30:38,795 - In your airline's handbook, they instruct pilots 514 00:30:38,877 --> 00:30:44,299 to shut the right tank valve during the crossfeed procedure. 515 00:30:44,384 --> 00:30:46,760 You didn't shut the valve. 516 00:30:46,885 --> 00:30:51,932 - I don't... I don't remember doing a crossfeed on the day, 517 00:30:52,892 --> 00:30:56,604 but, uh, typically when I do the procedure, 518 00:30:57,313 --> 00:30:59,856 I leave the tank valve open. 519 00:31:01,108 --> 00:31:02,777 - Really? 520 00:31:03,736 --> 00:31:07,531 - This was a surprise because that is totally contrary 521 00:31:07,656 --> 00:31:09,616 to the flight operating manual. 522 00:31:09,741 --> 00:31:13,413 - I heard if you shut that valve it might fail. 523 00:31:13,538 --> 00:31:15,789 Then you have no access to your fuel. 524 00:31:16,457 --> 00:31:18,459 - So you've heard the valve is faulty? 525 00:31:18,585 --> 00:31:19,626 - I sure have. 526 00:31:19,751 --> 00:31:23,381 And my old employer allowed me to do it this way. 527 00:31:27,175 --> 00:31:29,095 - Previous employers had told him 528 00:31:29,220 --> 00:31:31,931 it was the captain's discretion whether he closes 529 00:31:32,056 --> 00:31:33,516 the shutoff valve or not. 530 00:31:33,599 --> 00:31:37,394 And we confirmed that that was their position. 531 00:31:38,938 --> 00:31:40,480 Was there a history 532 00:31:40,606 --> 00:31:43,233 of fuel tank shutoff valves failing? 533 00:31:44,109 --> 00:31:49,406 - I've gone through the FAA's Service Difficulty Reports database and I found nothing. 534 00:31:49,490 --> 00:31:51,409 - I can't find anything either. 535 00:31:51,534 --> 00:31:54,703 - I don't think that valve has ever failed. 536 00:31:58,499 --> 00:32:02,336 - There was no evidence of the valve getting stuck. 537 00:32:02,461 --> 00:32:06,089 This was a fiction that had somehow spread 538 00:32:06,214 --> 00:32:07,717 among the pilot community 539 00:32:07,799 --> 00:32:10,636 that simply did not have an accurate basis. 540 00:32:10,761 --> 00:32:12,721 - This is the part I don't get. 541 00:32:13,681 --> 00:32:16,433 So, what were they doing for 29 minutes? 542 00:32:18,894 --> 00:32:22,898 - Twenty-nine minutes is a long time to miss 543 00:32:22,981 --> 00:32:25,401 that there's a crossfeed problem, 544 00:32:25,484 --> 00:32:27,694 especially when the first officer reports 545 00:32:27,819 --> 00:32:30,073 that there are handling difficulties as well. 546 00:32:30,656 --> 00:32:33,116 And so it was very important to look into 547 00:32:33,201 --> 00:32:34,868 what might have caused this. 548 00:32:34,993 --> 00:32:36,244 - Keep it steady. 549 00:32:42,376 --> 00:32:47,048 - Alright, the captain started the crossfeed at 12:17 a.m. 550 00:32:47,173 --> 00:32:50,801 He didn't notice the mistake until 29 minutes later. 551 00:32:50,926 --> 00:32:52,886 What happened in between? 552 00:32:53,011 --> 00:32:57,099 Investigators return to Flight 1-85's CVR 553 00:32:57,182 --> 00:32:59,810 to determine why the pilots didn't notice 554 00:32:59,935 --> 00:33:02,605 that there was a growing fuel imbalance. 555 00:33:03,855 --> 00:33:07,151 - It looks like the captain finished his paperwork at 12:26 a.m., 556 00:33:07,276 --> 00:33:10,320 but he kept talking about it. 557 00:33:13,281 --> 00:33:15,076 - All this time I couldn't figure out why 558 00:33:15,201 --> 00:33:16,243 on the landing I was out, 559 00:33:16,368 --> 00:33:18,371 and I was okay on the takeoff. 560 00:33:18,496 --> 00:33:20,914 And it was my chicken scratch. - Ah. 561 00:33:21,039 --> 00:33:24,210 - Yeah. The momentum is 1-6-6-7, 562 00:33:24,335 --> 00:33:28,839 but I thought my chicken scratch I put 1-0-6-7. 563 00:33:28,964 --> 00:33:30,717 I couldn't work it out. - Ah. 564 00:33:30,842 --> 00:33:33,803 - It was my own doing. - Ah damn. 565 00:33:33,885 --> 00:33:36,722 I had it all along. 566 00:33:36,847 --> 00:33:39,683 We were okay all along. 567 00:33:39,767 --> 00:33:41,477 - Is that right? - Yeah. 568 00:33:41,560 --> 00:33:43,186 - Oh, man. 569 00:33:44,521 --> 00:33:46,982 - Okay, first he's distracted by his paperwork 570 00:33:47,066 --> 00:33:48,734 and then he keeps talking about it. 571 00:33:49,568 --> 00:33:53,364 - Yeah. The captain's focus is on his paperwork for a while 572 00:33:53,448 --> 00:33:55,741 instead of monitoring the flight. 573 00:33:55,866 --> 00:33:58,536 - What about after that? Any mention of the fuel gauges? 574 00:34:04,959 --> 00:34:06,376 - What about the first officer? 575 00:34:06,501 --> 00:34:08,295 How come he didn't pick up on this? 576 00:34:10,130 --> 00:34:12,215 - Twenty minutes after the crossfeed was opened, 577 00:34:12,300 --> 00:34:14,802 the first officer knew something was wrong. 578 00:34:14,927 --> 00:34:16,387 - The yoke feels funny. 579 00:34:16,512 --> 00:34:18,056 - Say again? 580 00:34:18,556 --> 00:34:21,016 - It feels like I need a lot of force. 581 00:34:22,851 --> 00:34:26,731 It's pushing to the right for some reason, I don't know why. 582 00:34:26,813 --> 00:34:29,150 I'm trying to... 583 00:34:29,275 --> 00:34:31,235 I'm not sure what's going on. 584 00:34:33,570 --> 00:34:37,699 - Alright, the first officer reports a problem with the flight controls, 585 00:34:37,784 --> 00:34:41,244 but he doesn't check his fuel gauges for an imbalance. Why? 586 00:34:42,288 --> 00:34:43,581 - Well, according to his work record, 587 00:34:43,706 --> 00:34:46,458 he was still pretty new at flying the plane. 588 00:34:46,583 --> 00:34:49,545 Plus he'd only been with the airline three months. 589 00:34:52,340 --> 00:34:55,592 - To his credit, he was assertive 590 00:34:55,675 --> 00:34:58,512 that he was having difficulty in the handling characteristics. 591 00:34:58,637 --> 00:35:01,516 So he was completely appropriate in asking for help. 592 00:35:01,641 --> 00:35:04,434 And unfortunately, the captain did not respond 593 00:35:04,518 --> 00:35:07,355 as a pilot in command would be expected. 594 00:35:09,023 --> 00:35:10,775 - It feels like I need a lot of force. 595 00:35:10,858 --> 00:35:16,030 - Tahoma 1-85, fly heading 0-9-0 maintain 4,000. 596 00:35:16,155 --> 00:35:20,284 - 0-9-0, 4,000, 1-85. Thank you. 597 00:35:21,869 --> 00:35:24,121 0-9-9, 4,000. 598 00:35:27,333 --> 00:35:30,503 - How many times did he alert the captain to the problem? 599 00:35:31,295 --> 00:35:36,467 - He repeated his concerns at least seven times. 600 00:35:38,344 --> 00:35:40,972 Finally, the captain replied. 601 00:35:41,847 --> 00:35:44,224 - We'll do a full-control check on the ground then. 602 00:35:52,023 --> 00:35:54,735 - He missed the cues from his co-pilot. 603 00:35:55,527 --> 00:35:57,280 - How long has he been a captain? 604 00:35:57,362 --> 00:35:58,739 - Here's the thing. 605 00:35:59,532 --> 00:36:01,992 He's been in a cockpit for over 20 years, 606 00:36:02,117 --> 00:36:04,661 but only 100 hours or so as a captain. 607 00:36:06,956 --> 00:36:10,251 - As captain, we would expect him to actually help 608 00:36:10,376 --> 00:36:16,007 the first officer troubleshoot why the aircraft was flying 609 00:36:16,090 --> 00:36:17,592 in a non-normal state. 610 00:36:17,717 --> 00:36:22,262 - Still, wouldn't they have caught this mistake 611 00:36:22,387 --> 00:36:24,181 during the in-range checklist? 612 00:36:24,306 --> 00:36:25,849 - That's a good point. 613 00:36:27,226 --> 00:36:31,521 - The purpose of the in-range checklist is to prepare the airplane for landing. 614 00:36:31,646 --> 00:36:34,733 And that includes a review of the cockpit instruments, 615 00:36:34,858 --> 00:36:36,693 including the fuel gauges. 616 00:36:37,737 --> 00:36:40,447 - So, did they perform the in-range checklist? 617 00:36:41,532 --> 00:36:45,202 - Yup. They started the checklist at 12:45 a.m. 618 00:36:45,327 --> 00:36:47,829 - I'll give you the in-range. 619 00:36:48,496 --> 00:36:52,626 AC pump is on. Green light. Fuel panel. 620 00:36:52,751 --> 00:36:54,711 Boost pumps on. 621 00:36:54,836 --> 00:36:58,798 - Man, I'm telling you what is wrong with this plane? 622 00:36:58,925 --> 00:37:01,302 It is really funny. 623 00:37:08,768 --> 00:37:09,893 - Yeah. 624 00:37:09,976 --> 00:37:13,856 We have an imbalance on this darn crossfeed I left open. 625 00:37:16,483 --> 00:37:17,860 - Is that what it is? 626 00:37:18,985 --> 00:37:20,445 - Yeah. 627 00:37:21,864 --> 00:37:23,074 - Oh damn. 628 00:37:23,199 --> 00:37:24,909 I see. - Yeah. 629 00:37:25,701 --> 00:37:29,454 - We're gonna flameout if we don't, aren't we? 630 00:37:36,170 --> 00:37:38,797 - Ten seconds later, the engines flamed out. 631 00:37:39,798 --> 00:37:41,300 - Wow. 632 00:37:41,425 --> 00:37:43,969 The plane had become one gigantic glider 633 00:37:44,094 --> 00:37:45,679 about to hit the ground. 634 00:37:47,264 --> 00:37:49,432 - They were too late to save it. 635 00:37:50,476 --> 00:37:53,521 - They found out about the crossfeed issue 636 00:37:53,646 --> 00:37:56,398 at the same time they lost their engines. 637 00:38:00,568 --> 00:38:02,822 - Did they start the checklist too late? 638 00:38:03,822 --> 00:38:06,909 - They were at about 3,000 feet when they started. 639 00:38:13,581 --> 00:38:16,793 - According to the airline's operating manual, 640 00:38:16,876 --> 00:38:18,920 they should have started the checklist at 12,000 feet. 641 00:38:23,134 --> 00:38:25,469 - They should have started at least 10 minutes earlier. 642 00:38:25,594 --> 00:38:27,471 - If they had, they would have caught their mistake 643 00:38:27,554 --> 00:38:29,514 with enough time to save the plane. 644 00:38:33,351 --> 00:38:35,646 - If you're not monitoring the fuel gauges, 645 00:38:35,730 --> 00:38:39,025 when you run the in-range checklist that will remind you. 646 00:38:39,150 --> 00:38:40,650 But they waited until it was so late, 647 00:38:40,775 --> 00:38:44,822 they didn't have time to prevent the engines from flaming out. 648 00:38:48,159 --> 00:38:49,952 - It still bugs me. 649 00:38:50,744 --> 00:38:54,081 Even with all the distractions and the inexperience, 650 00:38:54,206 --> 00:38:56,375 all professional pilots 651 00:38:56,500 --> 00:38:58,585 are trained to scan their instruments. 652 00:38:59,878 --> 00:39:01,380 Why didn't they? 653 00:39:02,715 --> 00:39:05,760 - Maybe the fuel gauges are hard to see? 654 00:39:09,637 --> 00:39:12,849 - Could the pilots actually see the fuel gauges 655 00:39:12,974 --> 00:39:15,603 from the seating positions that they were at? 656 00:39:20,565 --> 00:39:24,527 - Alright, so both our seats are fully forward. 657 00:39:24,612 --> 00:39:28,657 Investigators now visit a Convair 5-80 cockpit 658 00:39:28,740 --> 00:39:32,702 to determine if its layout somehow prevented the pilots 659 00:39:32,827 --> 00:39:34,914 from monitoring their fuel gauges. 660 00:39:35,039 --> 00:39:37,333 - So both fuel gauges are visible. 661 00:39:38,708 --> 00:39:42,003 But is that the case for every seat position? 662 00:39:42,088 --> 00:39:44,590 - Let's make an adjustment. 663 00:39:54,641 --> 00:39:56,018 - Wow. 664 00:39:56,684 --> 00:39:59,730 From this angle, the fuel gauges are much harder to see. 665 00:40:04,068 --> 00:40:06,570 The throttle control console is in the way. 666 00:40:12,242 --> 00:40:15,036 - It depended on what position the seat was in. 667 00:40:15,121 --> 00:40:16,996 When the seat was aft it was more difficult to see 668 00:40:17,123 --> 00:40:19,333 the fuel gauges. 669 00:40:19,458 --> 00:40:22,253 - So the degree to which the fuel gauges are obscured changes 670 00:40:22,335 --> 00:40:24,380 depending on the seat position. 671 00:40:26,047 --> 00:40:28,342 Hard to say if it played a role. 672 00:40:29,844 --> 00:40:33,179 - Unfortunately, because of the destruction of the aircraft, 673 00:40:33,304 --> 00:40:36,266 the wreckage did not allow us to determine 674 00:40:36,391 --> 00:40:40,271 whether the captain's seat was forward or aft. 675 00:40:41,021 --> 00:40:43,898 - What in the world is going on with this plane? 676 00:40:43,983 --> 00:40:46,360 This sucker is acting so funny. 677 00:40:47,610 --> 00:40:50,947 - In this case there was a concern about the fuel gauges 678 00:40:51,030 --> 00:40:52,407 and their location 679 00:40:52,490 --> 00:40:54,452 and whether they could be seen by the pilots. 680 00:40:58,414 --> 00:41:00,708 - Yes, he would have to rise up just a little bit 681 00:41:00,833 --> 00:41:03,751 to look over the thrust levers to be able to see the gauges, 682 00:41:03,835 --> 00:41:07,422 but it's your job to know what those instruments are saying at all times. 683 00:41:09,550 --> 00:41:12,887 - I've been told some pilots put this sign up 684 00:41:13,012 --> 00:41:15,639 during a crossfeed as a reminder. 685 00:41:17,849 --> 00:41:19,976 Investigators have pieced together 686 00:41:20,059 --> 00:41:23,063 what led to the crash of Flight 1-85. 687 00:41:29,945 --> 00:41:31,237 - You know what? 688 00:41:31,362 --> 00:41:32,614 I'm just gonna balance out the fuel here. 689 00:41:32,697 --> 00:41:35,826 When the captain decides to even out 690 00:41:35,951 --> 00:41:39,788 the fuel in the tanks, he skips a key step in the procedure 691 00:41:39,871 --> 00:41:43,333 and leaves the right fuel tank shutoff valve open. 692 00:41:43,416 --> 00:41:46,211 - If the captain had shut the right fuel tank valve, 693 00:41:46,336 --> 00:41:50,007 there may have been enough fuel to complete the flight. 694 00:41:50,090 --> 00:41:52,760 It's my chicken scratch. 695 00:41:52,885 --> 00:41:54,302 I had it all along. 696 00:41:54,385 --> 00:41:57,056 Then, he forgets to close the crossfeed valves. 697 00:41:57,181 --> 00:42:00,518 - It was my own doing. - Oh, man. 698 00:42:00,643 --> 00:42:03,311 - There are priorities when you're flying 699 00:42:03,394 --> 00:42:05,356 and you don't wanna be distracted 700 00:42:05,438 --> 00:42:08,192 by something like doing paperwork that's overdue. 701 00:42:09,193 --> 00:42:10,527 - Yoke feels funny. 702 00:42:10,652 --> 00:42:13,155 As fuel drained out of the left fuel tank... 703 00:42:13,239 --> 00:42:14,907 - Say again? 704 00:42:15,574 --> 00:42:17,451 - It feels like I need a lot of force. 705 00:42:17,576 --> 00:42:20,621 ...the plane became unbalanced. 706 00:42:20,746 --> 00:42:22,831 - It's pushing to the right for some reason. 707 00:42:22,914 --> 00:42:25,041 I don't know why. 708 00:42:28,586 --> 00:42:30,672 - When you have a flight control problem, 709 00:42:30,755 --> 00:42:32,967 that's an urgent problem. 710 00:42:33,092 --> 00:42:35,094 You have to deal with it immediately. 711 00:42:35,219 --> 00:42:37,096 - The runway's in sight. 712 00:42:37,221 --> 00:42:39,472 - I'll give you the in-range. 713 00:42:39,597 --> 00:42:42,893 Then the pilots started the in-range checklist 714 00:42:43,018 --> 00:42:44,811 later than required. 715 00:42:51,777 --> 00:42:52,945 - Yeah. 716 00:42:53,070 --> 00:42:57,032 We've got an imbalance on that darn crossfeed I left open. 717 00:42:58,659 --> 00:43:03,831 When the captain finally realized there was a fuel problem, it was too late. 718 00:43:12,463 --> 00:43:15,884 - Fuel is life in an airplane. 719 00:43:15,967 --> 00:43:17,469 You have no more fuel, 720 00:43:17,594 --> 00:43:20,097 there's only one way you're gonna go and it's down. 721 00:43:20,179 --> 00:43:23,851 - Pull up. - Keep it steady. 722 00:43:23,976 --> 00:43:25,686 - Pull up. Pull up. 723 00:43:31,483 --> 00:43:34,027 - I think the lesson to be learned is that 724 00:43:34,152 --> 00:43:37,072 regardless of the airplane that you're flying 725 00:43:37,155 --> 00:43:41,909 and the conditions, that you should adhere to the procedures 726 00:43:41,994 --> 00:43:43,786 as they're provided to you. 727 00:43:53,297 --> 00:43:56,007 In its report on Flight 1-85, 728 00:43:56,132 --> 00:44:01,847 the NTSB makes a recommendation to all Convair 5-80 operators. 729 00:44:03,181 --> 00:44:04,766 - One of the main recommendations 730 00:44:04,849 --> 00:44:07,143 was to inform pilots that they should shut off 731 00:44:07,268 --> 00:44:10,648 the fuel shutoff valves if they are crossfeeding. 732 00:44:10,773 --> 00:44:13,733 Ultimately, if flight crews follow the procedures 733 00:44:13,858 --> 00:44:18,237 that they are given, they will get on the ground safely. 734 00:44:23,327 --> 00:44:25,496 Subtitling: difuze 57492

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