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After declaring an emergency...
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00:00:19,518 --> 00:00:22,521
- Injured passengers due
to severe turbulence.
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00:00:22,646 --> 00:00:25,859
...China Eastern
Airlines Flight 583
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00:00:26,024 --> 00:00:28,152
seeks permission
to land at a restricted
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00:00:28,277 --> 00:00:30,864
US military base
in the Bering Sea.
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00:00:30,989 --> 00:00:32,156
- 300 feet.
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00:00:32,531 --> 00:00:33,991
- The Pentagon would have
to take a look
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00:00:34,116 --> 00:00:35,243
at what's happening.
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00:00:35,409 --> 00:00:38,871
Is this a ruse to take
a look at our radar site?
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00:00:39,581 --> 00:00:41,624
Once the plane is examined,
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00:00:41,750 --> 00:00:45,545
officials discount
the possibility of espionage.
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00:00:47,171 --> 00:00:48,840
- I've never seen anything
like it before.
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00:00:49,548 --> 00:00:51,718
This accident was definitely
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00:00:51,884 --> 00:00:53,552
a catastrophic event.
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00:00:54,679 --> 00:00:56,472
Two passengers died.
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00:00:57,265 --> 00:00:58,807
The flight data
recorder shows
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00:00:58,932 --> 00:01:00,476
an erratic flight path.
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00:01:01,101 --> 00:01:02,228
- Wow.
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00:01:02,395 --> 00:01:04,647
Being on this airplane was like
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00:01:04,772 --> 00:01:06,191
being on a rollercoaster.
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00:01:08,484 --> 00:01:12,362
Only the cause is
not what the pilots reported.
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00:01:12,781 --> 00:01:14,072
- The weather was clear.
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00:01:14,198 --> 00:01:15,909
It's unlikely there
was any turbulence.
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00:01:16,450 --> 00:01:18,161
- That changes everything.
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00:01:42,727 --> 00:01:46,063
The crew of China
Eastern Airlines Flight 583
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00:01:46,188 --> 00:01:50,150
is on an overnight flight
from Beijing to Los Angeles.
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00:01:50,652 --> 00:01:54,864
- Approaching 39 degrees north,
1-72 degrees east.
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00:01:54,989 --> 00:01:56,533
- All good back there?
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00:02:02,329 --> 00:02:03,665
In 1993,
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00:02:03,831 --> 00:02:06,876
China Eastern Airlines was
a fairly new company.
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00:02:07,626 --> 00:02:10,379
It had only been around
a couple of years.
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00:02:13,091 --> 00:02:17,512
The entire China aviation
market was rapidly changing.
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00:02:20,098 --> 00:02:24,477
China Eastern Airlines
began operation in 1988.
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00:02:26,270 --> 00:02:28,313
It was an exciting time
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00:02:28,438 --> 00:02:32,151
with people finding that
they suddenly had the ability
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00:02:32,276 --> 00:02:34,486
to start travelling overseas.
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00:02:37,365 --> 00:02:40,158
235 passengers
have just finished
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00:02:40,325 --> 00:02:41,786
their meal service.
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00:02:42,370 --> 00:02:45,539
Some rest while others
watch a movie.
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00:02:49,252 --> 00:02:50,961
You press this switch
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00:02:51,545 --> 00:02:53,506
and the air conditioning
pops up.
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00:02:54,591 --> 00:02:56,592
The captain
is a veteran pilot
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00:02:56,717 --> 00:02:59,512
with more than 8,000
flying hours.
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00:03:00,263 --> 00:03:01,598
- You try.
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00:03:03,807 --> 00:03:05,935
The captain
was flying the airplane
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00:03:06,060 --> 00:03:10,230
from the right seat because
he was training the person
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00:03:10,397 --> 00:03:12,609
who was in the left seat
to be a new captain.
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00:03:14,860 --> 00:03:17,405
His first officer
is a seasoned pilot,
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00:03:17,572 --> 00:03:20,699
but new to this plane,
an MD-11.
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00:03:24,996 --> 00:03:27,581
McDonnell Douglas
developed the MD-11
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00:03:27,748 --> 00:03:31,294
as a fuel-efficient option
for long-haul flights.
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00:03:32,961 --> 00:03:34,588
In the early 1990s,
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00:03:34,756 --> 00:03:38,759
approximately 100 of them
were in service worldwide.
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00:03:40,802 --> 00:03:42,889
The MD-11 was
an upgraded version
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00:03:43,014 --> 00:03:44,348
of the DC-10.
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00:03:45,015 --> 00:03:47,685
It was more efficient flying
at cruise speeds.
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00:03:47,810 --> 00:03:51,188
Although it had an automated
system for flying the aircraft,
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00:03:51,313 --> 00:03:53,483
it was also changed
in such a way
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00:03:53,608 --> 00:03:56,110
that it was very responsive
to pilot input
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00:03:56,276 --> 00:03:57,736
if they were flying it manually.
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00:04:03,450 --> 00:04:04,953
This plane is one of five
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00:04:05,118 --> 00:04:08,872
the airline bought to grow
its international service.
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00:04:09,456 --> 00:04:10,917
- Fuel check numbers look good.
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00:04:11,042 --> 00:04:12,710
- Copy that.
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00:04:17,173 --> 00:04:19,259
During the cruise portion
of the flight,
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00:04:19,384 --> 00:04:21,552
things are fairly routine.
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00:04:22,302 --> 00:04:24,764
Flying at 33,000 feet,
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00:04:24,930 --> 00:04:26,598
the autopilot's on.
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00:04:29,769 --> 00:04:32,105
They've completed
the first leg of the flight
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00:04:32,230 --> 00:04:33,773
from Beijing to Shanghai
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00:04:33,939 --> 00:04:36,358
and are now flying over
the North Pacific,
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00:04:36,483 --> 00:04:38,528
bound for Los Angeles.
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00:04:42,322 --> 00:04:43,865
- Ladies and gentlemen.
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00:04:43,992 --> 00:04:47,704
The cabin crew is now passing
out Customs Declaration Cards,
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00:04:47,829 --> 00:04:51,833
which must be completed before
entering the United States.
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00:04:58,880 --> 00:05:00,216
For many passengers,
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00:05:00,341 --> 00:05:02,552
this is their first
overseas flight.
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00:05:02,677 --> 00:05:04,803
The process is unfamiliar.
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00:05:04,928 --> 00:05:07,098
- We're still good at the hotel
we're staying?
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00:05:07,223 --> 00:05:08,641
- Yeah.
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00:05:12,644 --> 00:05:15,023
- Something's going on
with the speed indicator.
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00:05:15,189 --> 00:05:17,149
The crew has pre-programmed
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00:05:17,317 --> 00:05:19,151
a cruising speed
into the computer,
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00:05:19,319 --> 00:05:22,822
which is now telling them
to fly at a different speed.
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00:05:23,740 --> 00:05:26,492
The flight control computer
is making numerous checks
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00:05:26,617 --> 00:05:29,495
of various systems including
air temperature, airspeed,
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00:05:29,620 --> 00:05:30,913
fuel burn, etc.
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00:05:31,038 --> 00:05:33,415
And it sometimes gives
suggestions to the pilots
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00:05:33,540 --> 00:05:35,168
of how they can fly
more efficiently,
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00:05:35,334 --> 00:05:37,836
in this case,
fly more slowly.
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00:05:38,920 --> 00:05:40,298
- Hmm.
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00:05:40,423 --> 00:05:42,007
That didn't fix it.
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00:05:42,466 --> 00:05:44,009
The Captain tries to clear
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00:05:44,177 --> 00:05:46,137
the computer's suggested speed.
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00:05:48,430 --> 00:05:50,016
It's not a big concern,
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00:05:50,182 --> 00:05:52,100
the airplane's flying fine.
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00:05:52,225 --> 00:05:53,685
But it's just odd.
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00:05:53,853 --> 00:05:56,980
And the captain tries
to sort it out.
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00:05:57,105 --> 00:05:58,440
- I'm gonna try this.
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00:06:03,571 --> 00:06:04,697
- What's that?
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00:06:05,072 --> 00:06:07,699
While they're
sorting out the speed issue...
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00:06:09,076 --> 00:06:11,536
the plane seems to hit
some turbulence.
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00:06:12,954 --> 00:06:15,040
They start
feeling this buffeting
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00:06:15,583 --> 00:06:17,752
and the airplane's
shaking around.
105
00:06:18,211 --> 00:06:21,047
It's definitely something that
will get any pilot's attention.
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00:06:21,755 --> 00:06:23,841
Suddenly...
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00:06:23,966 --> 00:06:26,886
...one of the worst things
a pilot can hear:
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00:06:27,052 --> 00:06:28,721
a stall warning alarm.
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00:06:28,846 --> 00:06:30,555
I'm taking control.
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00:06:31,223 --> 00:06:33,517
The nose
of the plane is pitching up,
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00:06:33,642 --> 00:06:35,685
which shouldn't happen
while cruising
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00:06:35,812 --> 00:06:38,064
at altitude with
the autopilot on.
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00:06:38,730 --> 00:06:40,315
He needs
to get the nose down
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00:06:40,440 --> 00:06:42,567
because if the airplane
truly stalls,
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00:06:42,735 --> 00:06:44,862
it no longer has enough
lift to stay flying.
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00:06:44,987 --> 00:06:46,863
It's gonna start dropping
from the sky.
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00:06:48,031 --> 00:06:49,449
The captain pushes the yoke
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00:06:49,617 --> 00:06:52,120
with enough force to override
the autopilot...
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00:06:52,286 --> 00:06:54,372
- Autopilot off.
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00:06:56,165 --> 00:06:57,875
...and to avoid a stall.
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00:07:02,129 --> 00:07:04,757
But now the nose pitches
too far down.
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00:07:08,970 --> 00:07:13,098
The effects of the dive are felt
even more severely in the cabin.
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00:07:19,271 --> 00:07:20,939
You're trying
to gain control of the airplane,
124
00:07:21,107 --> 00:07:22,983
trying to understand
what's going on.
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00:07:23,151 --> 00:07:26,612
The adrenalin level goes
dramatic real quick.
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00:07:27,572 --> 00:07:29,615
The captain
uses all of his strength
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00:07:29,781 --> 00:07:32,117
to keep the plane from diving,
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00:07:33,702 --> 00:07:37,331
but the aircraft pitches up
steeper than expected
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00:07:37,497 --> 00:07:39,750
exerting massive G-forces
on everyone
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00:07:39,875 --> 00:07:41,418
and everything in the cabin.
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00:07:41,543 --> 00:07:43,463
- Turbulence!
Seat belts everyone!
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00:07:47,591 --> 00:07:49,302
- What's going on?
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00:07:49,843 --> 00:07:52,471
In essence,
this airplane was pitching up
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00:07:52,596 --> 00:07:53,805
then pitching down.
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00:07:53,973 --> 00:07:57,310
It's almost like being
on a rollercoaster.
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00:07:59,478 --> 00:08:01,814
The captain
attempts to level the plane,
137
00:08:01,939 --> 00:08:05,942
but it goes into an even
more extreme dive.
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00:08:12,074 --> 00:08:13,658
It happened so fast,
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00:08:14,701 --> 00:08:15,911
the forces are so great,
140
00:08:17,370 --> 00:08:19,165
you wouldn't have time
to even think of trying
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00:08:19,290 --> 00:08:20,500
to get your seat belt on.
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00:08:22,250 --> 00:08:24,336
- 8 degrees nose down...
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00:08:24,920 --> 00:08:26,838
9... 10.
144
00:08:29,007 --> 00:08:32,177
The captain halts
the terrifying dive,
145
00:08:32,302 --> 00:08:36,599
with severe consequences
for unbuckled passengers.
146
00:08:37,307 --> 00:08:39,519
You're being slammed
back into your seat,
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00:08:39,684 --> 00:08:43,022
and then thrown back
onto whatever might be
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00:08:43,188 --> 00:08:44,815
below you at the time.
149
00:08:46,192 --> 00:08:48,778
As the plane
is tossed up and down,
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00:08:48,903 --> 00:08:51,614
the crew avoids a stall
by keeping the nose
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00:08:51,739 --> 00:08:53,533
from pitching up too much.
152
00:08:53,698 --> 00:08:56,118
But the nose downs
are a problem.
153
00:08:57,077 --> 00:08:59,871
- The pitch downs were more
extreme than the pitch ups
154
00:09:00,581 --> 00:09:02,500
and the aircraft was
losing altitude.
155
00:09:05,211 --> 00:09:06,836
On the next oscillation,
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00:09:06,962 --> 00:09:11,341
the plane pitches down
an astonishing 24 degrees.
157
00:09:21,101 --> 00:09:25,063
The captain battles to stop
the plane from diving,
158
00:09:25,188 --> 00:09:28,400
while passengers struggle
for their lives.
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00:09:33,530 --> 00:09:34,907
A lot's going on.
160
00:09:35,032 --> 00:09:37,576
It's a dark night.
He's using his instruments.
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00:09:38,119 --> 00:09:40,955
Forces are nothing like
he's ever seen before
162
00:09:41,121 --> 00:09:44,166
and so it takes several of
these cycles of this porpoising
163
00:09:44,292 --> 00:09:48,296
until finally he is able to get
the airplane back to level.
164
00:09:53,009 --> 00:09:54,677
30 seconds in,
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00:09:54,802 --> 00:09:56,721
the oscillations lessen
166
00:09:56,846 --> 00:09:59,347
and the plane begins
to stabilize.
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00:09:59,472 --> 00:10:01,225
- Level at 0 degrees.
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00:10:03,311 --> 00:10:04,729
To the crew,
the event probably felt
169
00:10:04,854 --> 00:10:08,065
like it lasted,
you know, an hour.
170
00:10:08,190 --> 00:10:11,485
In reality, it lasted a little
less than a minute.
171
00:10:16,782 --> 00:10:18,491
What just happened?
172
00:10:20,535 --> 00:10:21,828
- No idea.
173
00:10:21,995 --> 00:10:23,788
Even with the autopilot on,
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00:10:23,956 --> 00:10:25,499
there's no time to relax.
175
00:10:25,666 --> 00:10:29,836
There's no guarantee that what
happened won't happen again.
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00:10:31,339 --> 00:10:34,508
They're flying over
the vast Pacific Ocean,
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00:10:34,674 --> 00:10:36,469
nowhere near an airport.
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00:10:36,594 --> 00:10:40,014
And several passengers
are seriously wounded.
179
00:10:40,889 --> 00:10:42,975
We have many injuries.
180
00:10:45,352 --> 00:10:47,480
- We need to get this plane
on the ground.
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00:10:52,942 --> 00:10:55,488
Airlines Flight 583): Chn
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00:10:55,613 --> 00:10:57,657
is back at 33,000 feet.
183
00:10:57,782 --> 00:11:00,576
Now it needs a place to land.
184
00:11:00,701 --> 00:11:03,995
- 235 passengers on board,
unknown number injured.
185
00:11:05,288 --> 00:11:06,874
- Call it in now.
186
00:11:07,625 --> 00:11:10,418
- Flight 583, requesting
the nearest airport,
187
00:11:10,543 --> 00:11:12,171
this is an emergency.
188
00:11:13,339 --> 00:11:14,631
- Airspeed?
189
00:11:15,508 --> 00:11:17,342
298 knots.
190
00:11:17,509 --> 00:11:18,969
- Angle of attack.
191
00:11:19,886 --> 00:11:20,971
- 0.
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00:11:21,096 --> 00:11:24,350
For now,
everything seems to be working.
193
00:11:25,142 --> 00:11:27,102
All they know
at the moment is the airplane's
194
00:11:27,227 --> 00:11:29,355
flying what appears
to be fine
195
00:11:29,480 --> 00:11:30,855
but, then again,
196
00:11:31,023 --> 00:11:33,984
until we land and get out
and look at it, we don't know.
197
00:11:37,071 --> 00:11:38,864
With injured
passengers on board,
198
00:11:38,989 --> 00:11:42,534
the captain can't take the risk
of flying 37,000 miles
199
00:11:42,701 --> 00:11:45,328
to their destination:
Los Angeles.
200
00:11:45,830 --> 00:11:49,250
- We're 39 degrees North,
1-76 East.
201
00:11:49,750 --> 00:11:52,001
Copy.
Please stand by.
202
00:11:52,128 --> 00:11:55,505
The crew considers
where they might land.
203
00:11:55,630 --> 00:11:58,049
- Are we closer to Russia
or to the US?
204
00:12:01,010 --> 00:12:02,888
This far out
over the Pacific,
205
00:12:03,054 --> 00:12:07,268
mainland Russia is 22,000 miles
to the northwest.
206
00:12:07,434 --> 00:12:11,480
Anchorage, Alaska is the same
distance to the northeast.
207
00:12:12,398 --> 00:12:14,399
They're in one
of the few places in the world
208
00:12:14,524 --> 00:12:17,153
where there's nothing
really close by.
209
00:12:18,278 --> 00:12:19,529
- Ladies and gentlemen.
210
00:12:19,654 --> 00:12:21,657
The plane encountered
severe turbulence
211
00:12:21,782 --> 00:12:23,868
and the damage is
being assessed.
212
00:12:23,993 --> 00:12:26,412
Please cooperate
and be patient.
213
00:12:26,537 --> 00:12:29,081
We are planning for
an emergency landing.
214
00:12:30,416 --> 00:12:32,500
Flight 583 is overseen
215
00:12:32,625 --> 00:12:35,086
by air traffic control
in Honolulu,
216
00:12:35,211 --> 00:12:37,298
2,000 miles away.
217
00:12:38,131 --> 00:12:39,716
What is your emergency?
218
00:12:40,176 --> 00:12:43,386
- Injured passengers due
to severe turbulence.
219
00:12:44,053 --> 00:12:45,639
Stand by please.
220
00:12:46,222 --> 00:12:48,433
It's an unusual situation:
221
00:12:48,558 --> 00:12:50,351
A civilian Chinese airplane
222
00:12:50,477 --> 00:12:54,148
in international airspace
in urgent need of an airport.
223
00:12:54,315 --> 00:12:57,150
Looks like it's
either Anchorage or Shemya.
224
00:12:57,902 --> 00:12:59,403
Waiting for clearance.
225
00:13:01,447 --> 00:13:04,866
Shemya, a tiny
island on the western tip
226
00:13:04,991 --> 00:13:07,285
of Alaska's Aleutian
Island chain,
227
00:13:07,452 --> 00:13:09,580
is about 1,000 miles away.
228
00:13:09,705 --> 00:13:12,081
Anchorage is twice as far.
229
00:13:13,458 --> 00:13:15,085
Because it's an Air Force base,
230
00:13:15,211 --> 00:13:17,671
Shemya has medical staff
and equipment
231
00:13:17,837 --> 00:13:19,798
to treat injured passengers.
232
00:13:20,548 --> 00:13:22,342
Shemya is
basically an island
233
00:13:22,509 --> 00:13:23,969
in the middle of nowhere,
234
00:13:25,428 --> 00:13:27,389
operated by the US Air Force.
235
00:13:27,514 --> 00:13:30,058
It's strictly for
military operation.
236
00:13:30,643 --> 00:13:32,644
There are no commercial flights.
237
00:13:33,812 --> 00:13:34,980
The decision to allow
238
00:13:35,105 --> 00:13:37,316
the China Eastern Airlines
Flight to land
239
00:13:37,441 --> 00:13:39,652
is taken to the highest levels.
240
00:13:41,903 --> 00:13:43,447
The Pentagon
would have to take a look
241
00:13:43,572 --> 00:13:45,115
at what's happening here.
242
00:13:45,240 --> 00:13:49,285
Is this a real emergency,
or is this a ruse
243
00:13:49,410 --> 00:13:52,748
to take a look at our big
radar site we have there?
244
00:13:53,374 --> 00:13:56,335
I imagine there was a lot
of discussion going on
245
00:13:56,501 --> 00:13:58,504
from a security point of view.
246
00:13:59,212 --> 00:14:01,340
Cleared to divert to Shemya.
247
00:14:01,966 --> 00:14:04,051
- We're cleared to divert
to Shemya.
248
00:14:06,052 --> 00:14:07,971
The captain
had a choice to make:
249
00:14:08,096 --> 00:14:10,099
Do I go to the closest
available runway,
250
00:14:10,224 --> 00:14:13,601
which was Shemya, or do I go
further on to Anchorage,
251
00:14:13,726 --> 00:14:15,144
which might be catastrophic
252
00:14:15,270 --> 00:14:17,898
had there been damage
to the aircraft.
253
00:14:19,024 --> 00:14:21,985
- Okay, we're going to Shemya.
254
00:14:22,945 --> 00:14:26,990
We have received permission to
land at Shemya Air Force Base.
255
00:14:27,115 --> 00:14:30,034
Damage to our aircraft
is unknown.
256
00:14:31,703 --> 00:14:33,371
Can we get a weather report?
257
00:14:34,414 --> 00:14:37,750
The crew prepares
for a difficult night landing
258
00:14:37,918 --> 00:14:40,129
on an airstrip they've
never seen before
259
00:14:40,254 --> 00:14:43,215
with unknown damage
to their airplane.
260
00:14:43,923 --> 00:14:45,842
Shemya has extreme weather,
261
00:14:45,967 --> 00:14:49,763
heavy cloud cover, fog
and high winds is the norm.
262
00:14:50,681 --> 00:14:53,725
After a nerve-wracking
two hours in the air,
263
00:14:53,893 --> 00:14:56,769
the plane is now only
40 miles from the air base.
264
00:14:56,937 --> 00:14:58,938
- Altimeters.
- Set.
265
00:14:59,606 --> 00:15:01,232
They really don't know
266
00:15:01,357 --> 00:15:03,903
what's gonna happen
when they slow up.
267
00:15:05,446 --> 00:15:07,405
Did the elevators get damaged?
268
00:15:07,530 --> 00:15:09,240
Will the landing gear come down?
269
00:15:09,408 --> 00:15:12,035
There's a lot of things they've
gotta be concerned about.
270
00:15:13,245 --> 00:15:16,749
As they get closer,
the weather intensifies.
271
00:15:17,499 --> 00:15:18,833
- ILS armed.
272
00:15:19,250 --> 00:15:20,293
Runway 28.
273
00:15:20,711 --> 00:15:23,880
The crew connects
to an Instrument Landing System
274
00:15:24,005 --> 00:15:26,549
that uses radio signals
to guide them in.
275
00:15:26,674 --> 00:15:28,177
- 3,000 feet.
276
00:15:29,636 --> 00:15:33,389
- The crew at this point
is going to be under a good
amount of stress
277
00:15:33,514 --> 00:15:36,601
and pressure to make sure that
they do it right the first time,
278
00:15:37,226 --> 00:15:41,230
wanting to get the people
to help as quickly as possible.
279
00:15:45,152 --> 00:15:46,778
- Autopilot off.
280
00:15:47,654 --> 00:15:48,739
Taking control.
281
00:15:49,239 --> 00:15:52,201
They're now only
6 miles from the runway.
282
00:15:52,326 --> 00:15:53,451
- Gear down.
283
00:16:02,043 --> 00:16:04,171
Landing gear is down.
284
00:16:15,264 --> 00:16:16,808
500 feet.
285
00:16:18,434 --> 00:16:19,979
400 feet.
286
00:16:21,688 --> 00:16:23,190
300 feet.
287
00:16:24,232 --> 00:16:26,442
The ILS gets the plane as far
288
00:16:26,567 --> 00:16:28,946
as 200 feet above the ground.
289
00:16:29,071 --> 00:16:32,240
Then the captain has
to fly by sight.
290
00:16:41,667 --> 00:16:43,210
- We have touchdown.
291
00:16:59,183 --> 00:17:01,562
The emergency is over.
292
00:17:04,230 --> 00:17:07,108
The plane is safely
on the ground.
293
00:17:11,696 --> 00:17:15,366
Medical teams immediately
assess passengers.
294
00:17:16,076 --> 00:17:17,952
The findings are grim.
295
00:17:18,578 --> 00:17:21,414
149 people are injured.
296
00:17:21,582 --> 00:17:25,501
Dozens of passengers and crew
are taken to hospital.
297
00:17:25,626 --> 00:17:27,503
One passenger is dead,
298
00:17:27,628 --> 00:17:30,007
another is fatally wounded.
299
00:17:31,258 --> 00:17:35,220
- This accident was definitely
a catastrophic event.
300
00:17:39,098 --> 00:17:42,728
Many, many passengers
and flight attendants
301
00:17:42,853 --> 00:17:45,230
were seriously injured.
302
00:17:49,734 --> 00:17:51,903
Passengers who are
well enough to travel
303
00:17:52,069 --> 00:17:54,364
are flown to Anchorage
International Airport
304
00:17:54,490 --> 00:17:57,241
and transferred to hospital
for treatment there.
305
00:17:57,409 --> 00:18:00,871
- At that time,
I think I would die.
306
00:18:00,996 --> 00:18:03,915
Of course, surely I would die.
307
00:18:06,542 --> 00:18:08,127
A team of investigators
308
00:18:08,295 --> 00:18:10,422
from the National Transportation
Safety Board,
309
00:18:10,547 --> 00:18:14,009
or NTSB, flies in
from Washington.
310
00:18:17,386 --> 00:18:20,390
Greg Feith leads
the investigation.
311
00:18:23,894 --> 00:18:27,271
You'd never know anything
was wrong with it from here.
312
00:18:29,148 --> 00:18:31,442
They did land on US territory
313
00:18:31,609 --> 00:18:34,988
and so we were gonna conduct
the investigation.
314
00:18:35,154 --> 00:18:36,865
And because it was an MD-11,
315
00:18:36,990 --> 00:18:38,909
it was a relatively
new airplane.
316
00:18:39,034 --> 00:18:40,451
I'll go check inside.
317
00:18:41,161 --> 00:18:43,579
We needed to find out
what really happened.
318
00:18:50,503 --> 00:18:53,798
As soon as
investigators arrive at Shemya,
319
00:18:53,965 --> 00:18:57,426
they inspect the aircraft
for signs of damage.
320
00:19:00,763 --> 00:19:02,766
- I'll go check out the cockpit.
321
00:19:08,730 --> 00:19:10,147
We didn't have a lot
of information.
322
00:19:10,273 --> 00:19:12,733
We knew that there had been
an emergency landing,
323
00:19:12,859 --> 00:19:15,737
that the airplane had
encountered severe turbulence.
324
00:19:15,863 --> 00:19:17,865
With that kind of information,
you can build
325
00:19:18,030 --> 00:19:19,991
a lot of different storylines.
326
00:19:23,703 --> 00:19:25,705
The cockpit looked normal.
327
00:19:28,165 --> 00:19:30,751
But as soon as you looked
down the aisle,
328
00:19:30,877 --> 00:19:33,005
it looked like a bomb
had gone off.
329
00:19:39,219 --> 00:19:41,346
- I've never seen anything
like it before.
330
00:19:43,723 --> 00:19:47,978
- Row 15, bin down
on seats B and C.
331
00:19:49,896 --> 00:19:53,775
Seat 23B,
signs of impact damage.
332
00:19:54,692 --> 00:19:57,528
The cabin gives them
a glimpse into the tragedy
333
00:19:57,695 --> 00:20:00,031
that unfolded during the flight.
334
00:20:01,240 --> 00:20:02,659
There was a lot of baggage
335
00:20:02,784 --> 00:20:04,411
that had come out
of the overheads.
336
00:20:04,577 --> 00:20:06,997
Broken glasses, broken dishes,
337
00:20:07,122 --> 00:20:09,458
they are basically
lethal weapons
338
00:20:09,583 --> 00:20:11,375
if they are flying
through the air.
339
00:20:12,920 --> 00:20:15,212
- Hey.
Check out those marks.
340
00:20:16,131 --> 00:20:18,842
- Likely scuff marks from shoes.
341
00:20:22,887 --> 00:20:26,307
That was really disturbing
because passengers,
342
00:20:26,432 --> 00:20:29,435
they had to have been floating
not only in space
343
00:20:29,603 --> 00:20:31,313
but they had to have rotated
344
00:20:31,438 --> 00:20:34,273
so that their feet
were above their head.
345
00:20:36,401 --> 00:20:39,028
- It seems like there was
a sudden pitch down.
346
00:20:49,288 --> 00:20:51,875
- The damage is worse
in the aft section.
347
00:20:53,876 --> 00:20:55,586
Someone got badly hurt here.
348
00:20:58,632 --> 00:21:01,884
People in the back are more
likely to get injured.
349
00:21:02,009 --> 00:21:05,388
That tail of the airplane
tends to get whipped about
350
00:21:05,513 --> 00:21:07,307
almost like a fishtail.
351
00:21:08,517 --> 00:21:10,018
- Let's see if we can find
some passengers
352
00:21:10,143 --> 00:21:12,019
that are well enough
to talk to us.
353
00:21:15,398 --> 00:21:17,567
We really needed statements
from passengers
354
00:21:17,692 --> 00:21:21,529
and flight attendants who had
experienced the violence.
355
00:21:22,321 --> 00:21:24,950
They were gonna give us
a first-hand account
356
00:21:25,075 --> 00:21:27,201
of what really took place.
357
00:21:29,997 --> 00:21:32,039
Thanks for coming in today.
358
00:21:39,338 --> 00:21:40,464
Okay.
359
00:21:41,173 --> 00:21:42,675
When the incident happened,
360
00:21:42,843 --> 00:21:44,635
what's the first thing
you remember?
361
00:21:47,013 --> 00:21:48,848
- The plane started to shake.
362
00:21:49,391 --> 00:21:51,977
Then it went up and down
like this.
363
00:21:52,685 --> 00:21:55,939
The shaking could be
the result of turbulence.
364
00:21:56,064 --> 00:21:58,150
- How quickly did this happen?
365
00:21:58,733 --> 00:22:00,192
- So fast.
366
00:22:00,902 --> 00:22:03,113
I think I'm lucky to be alive.
367
00:22:15,459 --> 00:22:17,210
- When the plane started
shaking,
368
00:22:17,376 --> 00:22:19,336
did the crew give
a turbulence warning?
369
00:22:25,551 --> 00:22:27,721
- One of the common causes
of turbulence
370
00:22:27,887 --> 00:22:32,058
tends to be bad weather
such as rain or hailstorms.
371
00:22:33,143 --> 00:22:35,436
If the turbulence is unforeseen,
372
00:22:35,561 --> 00:22:37,814
passengers who don't have
their seat belts on
373
00:22:37,939 --> 00:22:41,401
are at much greater
risk for injury.
374
00:22:47,949 --> 00:22:49,534
- Did you see out a window?
375
00:22:49,701 --> 00:22:51,286
Was there any bad weather?
376
00:22:53,079 --> 00:22:55,207
- Not that I could see.
377
00:22:59,169 --> 00:23:00,252
- Thank you.
378
00:23:00,878 --> 00:23:04,215
They described that the flight
was actually relatively smooth.
379
00:23:04,340 --> 00:23:06,884
They didn't notice
any kind of turbulence.
380
00:23:07,551 --> 00:23:10,888
There was nothing unusual
about the flight
381
00:23:11,056 --> 00:23:13,392
leading up to the main event.
382
00:23:16,769 --> 00:23:19,146
Investigators turn
to the weather reports
383
00:23:19,271 --> 00:23:21,023
from the day of the incident.
384
00:23:21,148 --> 00:23:23,234
- This isn't what I expected.
385
00:23:24,111 --> 00:23:25,820
The weather was clear.
386
00:23:25,945 --> 00:23:28,240
It's unlikely there
was any turbulence.
387
00:23:29,699 --> 00:23:31,576
- That changes everything.
388
00:23:33,202 --> 00:23:35,288
- What about the elevators?
389
00:23:39,416 --> 00:23:41,211
- Definitely worth a look.
390
00:23:43,838 --> 00:23:48,259
A damaged elevator could have
led to a loss of control.
391
00:23:48,384 --> 00:23:51,762
We had to determine whether
or not there was a problem.
392
00:23:53,807 --> 00:23:55,724
Elevators are hinged flaps
393
00:23:55,851 --> 00:23:59,104
on the trailing edge of
the horizontal stabilizer.
394
00:23:59,813 --> 00:24:03,150
When the pilot pushes or pulls
on the control column,
395
00:24:03,316 --> 00:24:06,736
the elevators respond
by rising or lowering,
396
00:24:06,862 --> 00:24:08,571
creating pitch.
397
00:24:10,615 --> 00:24:13,617
Investigators look for
any exterior signs
398
00:24:13,742 --> 00:24:15,202
of elevator damage.
399
00:24:15,703 --> 00:24:17,830
Everything looks
good on the outside.
400
00:24:17,998 --> 00:24:20,125
I'll check for internal damage.
401
00:24:21,500 --> 00:24:23,920
We use what's called
the tap test.
402
00:24:24,045 --> 00:24:25,797
And it's a very simple test
403
00:24:25,963 --> 00:24:28,383
and in fact,
it's done with a quarter.
404
00:24:29,509 --> 00:24:31,760
It should sound solid.
405
00:24:34,096 --> 00:24:37,308
If you hear
a hollow type of sound,
406
00:24:37,433 --> 00:24:40,769
that's a very good indication
that there is a delamination
407
00:24:40,895 --> 00:24:45,066
in one or multiple layers
of that composite material.
408
00:24:45,608 --> 00:24:47,693
I'm hearing nothing out
of the ordinary.
409
00:24:50,070 --> 00:24:51,740
After we cleared the elevators,
410
00:24:51,865 --> 00:24:54,241
we still had to understand
what may have caused
411
00:24:54,366 --> 00:24:55,618
this airframe buffet.
412
00:24:55,743 --> 00:25:00,164
No substructure failures
or anomalies were found.
413
00:25:01,583 --> 00:25:03,292
Nothing wrong with
the elevators.
414
00:25:05,002 --> 00:25:06,505
- Then what else?
415
00:25:11,509 --> 00:25:13,678
- What did the captain
have to say?
416
00:25:14,221 --> 00:25:16,222
- I'll check the status
of his interview.
417
00:25:21,810 --> 00:25:23,145
We wanted to know
418
00:25:23,270 --> 00:25:25,648
what he was doing as far
as his duties
419
00:25:25,773 --> 00:25:29,193
and responsibilities
leading up to the upset.
420
00:25:32,321 --> 00:25:34,490
- I'm taking control.
421
00:25:43,415 --> 00:25:45,460
- Hey. You're not
gonna believe this.
422
00:25:46,211 --> 00:25:47,461
Page 22.
423
00:25:48,837 --> 00:25:52,259
NTSB investigators
turn to the captain's account
424
00:25:52,424 --> 00:25:57,137
of China Eastern Airlines Flight
583's high-altitude incident.
425
00:25:57,263 --> 00:25:59,974
- He mentions turbulence before
the onset of the incident.
426
00:26:00,432 --> 00:26:03,353
We knew there wasn't any.
- That's not all. Keep reading.
427
00:26:06,397 --> 00:26:08,817
- He noticed the slats
were extended?
428
00:26:08,942 --> 00:26:10,402
- Yup.
429
00:26:14,614 --> 00:26:16,865
The MD-11 has eight slats
430
00:26:16,991 --> 00:26:19,035
on the leading edge
of each wing.
431
00:26:19,160 --> 00:26:22,622
When extended, they change
the curvature of the wing,
432
00:26:22,788 --> 00:26:24,915
creating more surface area.
433
00:26:25,040 --> 00:26:27,085
Used in tandem with the flaps,
434
00:26:27,210 --> 00:26:30,337
they provide extra lift
during takeoff.
435
00:26:30,462 --> 00:26:31,588
- That's weird.
436
00:26:31,714 --> 00:26:33,967
Why would the slats be
extended during cruise?
437
00:26:40,265 --> 00:26:43,476
Investigators now
have a very promising lead.
438
00:26:45,644 --> 00:26:49,065
There's no reason
to place slats at 33,000 feet.
439
00:26:49,648 --> 00:26:51,859
As soon as you would see that
the slats had extended
440
00:26:51,984 --> 00:26:53,944
at that altitude in cruise,
441
00:26:54,112 --> 00:26:56,030
that would be an alarm bell.
442
00:26:59,284 --> 00:27:00,868
- If the slats were out,
443
00:27:01,536 --> 00:27:04,580
that would explain the pitch up
described by the passengers.
444
00:27:05,957 --> 00:27:08,292
- They're controlled
by this handle here.
445
00:27:10,127 --> 00:27:12,422
- We should check
the entire slat system.
446
00:27:15,258 --> 00:27:18,720
We had to determine whether
one or more of the components
447
00:27:18,845 --> 00:27:22,557
in that slat system had either
malfunctioned or failed.
448
00:27:31,775 --> 00:27:33,484
The first look is clean.
449
00:27:33,984 --> 00:27:35,819
No obvious signs of damage.
450
00:27:36,363 --> 00:27:39,406
We had to access all
the mechanical linkages.
451
00:27:39,531 --> 00:27:43,161
There's hydraulic valves,
electrical mechanical systems,
452
00:27:43,327 --> 00:27:45,288
so we had to make
the determination
453
00:27:45,413 --> 00:27:48,500
whether or not they were
functioning as designed.
454
00:27:49,041 --> 00:27:50,417
Okay, let's test them.
455
00:27:50,542 --> 00:27:52,211
Extend the slats.
456
00:27:55,548 --> 00:27:57,342
There's one handle
in the cockpit
457
00:27:57,509 --> 00:28:00,178
that controls both
the slats and the flaps.
458
00:28:04,598 --> 00:28:07,018
Typically, the slats
are deployed first
459
00:28:07,143 --> 00:28:08,853
so when you pull it back
to the first notch,
460
00:28:09,019 --> 00:28:10,855
the slats get deployed.
461
00:28:11,439 --> 00:28:14,275
You pull it back further;
the flaps get deployed.
462
00:28:16,653 --> 00:28:18,488
- It all seems
to be working fine.
463
00:28:18,613 --> 00:28:21,199
I'm not seeing any mechanical
issues at all.
464
00:28:22,659 --> 00:28:24,701
They examined
the whole system
465
00:28:24,868 --> 00:28:27,622
and they extended normally,
they retracted normally.
466
00:28:27,747 --> 00:28:30,625
There was no obvious damage
to the aircraft.
467
00:28:33,502 --> 00:28:35,838
- I still think the slats
are part of the problem.
468
00:28:37,548 --> 00:28:39,634
- Maybe it wasn't mechanical?
469
00:28:41,885 --> 00:28:43,387
- Good thought.
470
00:28:43,555 --> 00:28:45,306
Maybe it wasn't.
471
00:28:47,599 --> 00:28:49,685
Everything showed
that the airplane
472
00:28:49,810 --> 00:28:52,020
was perfectly fine to fly.
473
00:28:52,146 --> 00:28:54,315
And so the investigation
would focus
474
00:28:54,441 --> 00:28:57,777
to what the pilots did
or did not do
475
00:28:57,943 --> 00:28:59,820
that caused the upset.
476
00:29:00,779 --> 00:29:03,657
Did the pilots
somehow deploy the slats
477
00:29:03,782 --> 00:29:05,410
at high altitude?
478
00:29:07,494 --> 00:29:09,038
- Now we had to determine
whether or not
479
00:29:09,163 --> 00:29:12,291
those slats had been
deployed inadvertently.
480
00:29:13,960 --> 00:29:15,586
You got all the reports?
481
00:29:15,752 --> 00:29:17,172
- Yup.
482
00:29:18,548 --> 00:29:20,424
Have any pilots accidentally
483
00:29:20,592 --> 00:29:23,803
deployed the slat handle
in an MD-11?
484
00:29:24,429 --> 00:29:27,265
They review old
incident reports.
485
00:29:30,309 --> 00:29:32,436
We do what's called
"a look back,"
486
00:29:32,561 --> 00:29:36,065
so we're looking at whether
or not this is an isolated event
487
00:29:36,191 --> 00:29:37,525
or a systemic problem.
488
00:29:40,194 --> 00:29:42,321
- Hey, look at this.
489
00:29:43,071 --> 00:29:44,281
- What have you got?
490
00:29:45,909 --> 00:29:47,868
- 10 incidents in two years.
491
00:29:52,164 --> 00:29:54,125
- Clipboard fell on the handle.
492
00:29:54,250 --> 00:29:56,711
First officer rested
his arm on the handle.
493
00:29:57,252 --> 00:29:59,672
"Slats extended
in cruise flight."
494
00:30:03,009 --> 00:30:06,846
There had been other events
with this particular system,
495
00:30:07,012 --> 00:30:08,222
either an uncommanded
496
00:30:08,347 --> 00:30:10,266
or inadvertent deployment
of the slats.
497
00:30:10,391 --> 00:30:13,435
50% were due to some sort
498
00:30:13,560 --> 00:30:16,605
of pilot contact
with the slat handle.
499
00:30:17,690 --> 00:30:20,151
If the pilot didn't know
he knocked the handle,
500
00:30:20,317 --> 00:30:21,986
he probably didn't
hit it that hard.
501
00:30:24,154 --> 00:30:25,865
- So it could've moved
502
00:30:26,490 --> 00:30:28,367
to the slats only position.
503
00:30:30,411 --> 00:30:32,247
- And deploying the slats
at high speed
504
00:30:32,372 --> 00:30:33,664
would trigger the buffeting,
505
00:30:33,789 --> 00:30:35,916
which was likely misconstrued
as turbulence.
506
00:30:43,799 --> 00:30:45,551
What was happening
in the cockpit
507
00:30:45,718 --> 00:30:48,054
right before the buffeting
started?
508
00:30:49,137 --> 00:30:50,932
- The captain said
he was using
509
00:30:51,057 --> 00:30:53,308
the control keypad,
here.
510
00:30:55,394 --> 00:30:57,480
- They are really close
together.
511
00:30:59,106 --> 00:31:01,858
Investigators
have a new theory;
512
00:31:02,026 --> 00:31:04,362
a simple movement
could have triggered
513
00:31:04,487 --> 00:31:06,865
the entire chain of events.
514
00:31:07,740 --> 00:31:09,241
- We've gotta see how easy it is
515
00:31:09,409 --> 00:31:11,368
to knock this handle
out of place.
516
00:31:17,250 --> 00:31:19,501
Investigators test
whether the crew
517
00:31:19,626 --> 00:31:22,337
of China Eastern
Airlines Flight 583
518
00:31:22,462 --> 00:31:25,215
could have inadvertently
knocked the slat handle
519
00:31:25,383 --> 00:31:27,551
out of position during flight.
520
00:31:27,676 --> 00:31:29,345
- Ready?
- Ready.
521
00:31:31,638 --> 00:31:32,932
It moved.
522
00:31:33,557 --> 00:31:35,226
- Now the first officer was
sitting in the left seat
523
00:31:35,393 --> 00:31:36,560
so he could have knocked it.
524
00:31:36,728 --> 00:31:40,064
But the captain said he was
playing with the keypad.
525
00:31:41,732 --> 00:31:44,943
- They tried different
techniques about, okay,
526
00:31:45,111 --> 00:31:48,155
if you hit the handle
from the right side back,
527
00:31:48,280 --> 00:31:50,240
you hit the handle
from the front side back,
528
00:31:50,365 --> 00:31:52,326
what would it take to jar
529
00:31:52,451 --> 00:31:54,412
the handle out of position?
530
00:31:55,038 --> 00:31:56,580
- Hang on, let me try something.
531
00:32:00,292 --> 00:32:02,420
Bingo. That's what
the captain was doing
532
00:32:02,545 --> 00:32:04,172
when the buffeting started.
533
00:32:05,006 --> 00:32:06,758
- It didn't take
much force either.
534
00:32:08,384 --> 00:32:10,553
It's a major breakthrough.
535
00:32:10,678 --> 00:32:14,057
Proof that the handle could
have been accidentally moved
536
00:32:14,182 --> 00:32:16,808
while the captain reached
for the keypad.
537
00:32:18,353 --> 00:32:21,064
- It was real easy during
normal movement
538
00:32:21,189 --> 00:32:24,232
using the keypad
on the centre pedestal
539
00:32:24,358 --> 00:32:26,277
to inadvertently strike
the handle
540
00:32:26,402 --> 00:32:29,529
and cause an uncommanded
slat deployment.
541
00:32:34,661 --> 00:32:36,371
Investigators
have uncovered
542
00:32:36,496 --> 00:32:39,414
a dangerous design flaw
in the MD-11.
543
00:32:39,539 --> 00:32:42,751
- So the handle probably
moved in flight.
544
00:32:44,503 --> 00:32:46,881
And then the captain
retracted the slats.
545
00:32:49,342 --> 00:32:52,260
The captain said that he saw
that the slat handle
546
00:32:52,386 --> 00:32:55,056
had been out of position
at about the same time
547
00:32:55,181 --> 00:32:56,973
the stall warning system
triggered.
548
00:32:57,141 --> 00:32:59,477
He immediately moved
the slat handle
549
00:32:59,644 --> 00:33:01,895
back into the retract position.
550
00:33:03,855 --> 00:33:07,652
The slats were
fully extended for just seconds.
551
00:33:08,528 --> 00:33:11,029
- Now, that explains
the initial pitch up.
552
00:33:11,196 --> 00:33:13,782
But... there has to be
more to it than that.
553
00:33:13,907 --> 00:33:16,618
I mean, the plane went up
and down several times.
554
00:33:16,743 --> 00:33:18,663
The slats wouldn't
have caused that.
555
00:33:27,046 --> 00:33:29,298
Investigators
still don't understand
556
00:33:29,423 --> 00:33:31,509
why Flight 583 experienced
557
00:33:31,634 --> 00:33:34,095
so many extreme oscillations.
558
00:33:35,137 --> 00:33:39,224
- The cockpit voice recorder
would record for 30 minutes
559
00:33:39,392 --> 00:33:41,019
and overwrite itself,
560
00:33:41,144 --> 00:33:43,104
so we didn't have
that information.
561
00:33:43,229 --> 00:33:45,189
However, with the flight
data recorder,
562
00:33:45,314 --> 00:33:47,357
we could see control positions,
563
00:33:47,482 --> 00:33:49,277
we could gain other information.
564
00:33:51,863 --> 00:33:53,865
Okay, first up,
let's look at pitch.
565
00:33:55,115 --> 00:33:58,536
So we have five big oscillations
in roughly 20 seconds.
566
00:33:59,077 --> 00:34:01,163
The biggest pitch up is here,
567
00:34:01,288 --> 00:34:04,125
oscillation 1,
9.5 degrees.
568
00:34:04,709 --> 00:34:07,002
The biggest pitch down
happens here,
569
00:34:07,127 --> 00:34:10,213
-24 degrees,
oscillation #4.
570
00:34:10,672 --> 00:34:13,550
For the first time,
they can see the severity
571
00:34:13,717 --> 00:34:16,471
of the oscillations
passengers described.
572
00:34:16,596 --> 00:34:19,931
- And it starts
to stabilize... here.
573
00:34:22,726 --> 00:34:25,896
The team launches into
a second-by-second analysis
574
00:34:26,021 --> 00:34:27,606
of the first pitch up.
575
00:34:31,693 --> 00:34:33,695
- The slats were extended here,
576
00:34:33,820 --> 00:34:35,697
during the beginning
of the first pitch up.
577
00:34:37,115 --> 00:34:39,242
- It's gradual at first.
578
00:34:40,911 --> 00:34:42,163
Is the autopilot on?
579
00:34:46,458 --> 00:34:48,753
So it's on for the first
few seconds.
580
00:34:49,461 --> 00:34:51,755
And it would have been fighting
to bring the nose down.
581
00:34:52,672 --> 00:34:54,634
When the slats deploy,
the airplane will have
582
00:34:54,800 --> 00:34:57,512
a natural nose or pitch up
tendency.
583
00:34:57,637 --> 00:34:59,429
With the autopilot engaged,
584
00:34:59,597 --> 00:35:02,182
it will actually correct
for that pitch up
585
00:35:02,307 --> 00:35:05,436
and return the airplane
to a level attitude.
586
00:35:07,480 --> 00:35:10,983
But the autopilot is
losing the battle.
587
00:35:11,150 --> 00:35:13,277
The pitch keeps increasing.
588
00:35:13,402 --> 00:35:15,445
And that would trigger
the stall warning.
589
00:35:20,159 --> 00:35:23,036
Yup, the stall warning
turns on here.
590
00:35:23,996 --> 00:35:26,706
A few seconds later,
the autopilot disengages.
591
00:35:26,833 --> 00:35:29,668
And now the nose dives
down sharply.
592
00:35:31,170 --> 00:35:32,797
- I'm taking control.
593
00:35:34,257 --> 00:35:37,175
Autopilot... off.
594
00:35:43,891 --> 00:35:45,184
- So the captain's
at the controls
595
00:35:45,351 --> 00:35:46,978
when this big drop happens.
596
00:35:48,478 --> 00:35:49,981
Show me the elevator data.
597
00:35:55,652 --> 00:35:56,653
Wow.
598
00:35:57,780 --> 00:35:59,990
So the captain made
some elevator inputs
599
00:36:00,157 --> 00:36:01,701
starting right here.
600
00:36:02,284 --> 00:36:04,829
- That is a huge
nose down command.
601
00:36:09,125 --> 00:36:11,793
- It's an overcorrection.
And I think I know why.
602
00:36:15,213 --> 00:36:16,507
- I'm taking control.
603
00:36:18,885 --> 00:36:20,344
Autopilots are designed
604
00:36:20,469 --> 00:36:23,556
so they won't just
let go easily.
605
00:36:23,722 --> 00:36:25,599
You don't want somebody
just accidentally bumping
606
00:36:25,724 --> 00:36:29,353
against the controls to suddenly
knock the autopilot off.
607
00:36:32,356 --> 00:36:34,192
He felt a resistance
608
00:36:34,358 --> 00:36:36,235
and pushed against
that resistance
609
00:36:36,402 --> 00:36:38,737
of the autopilot,
disengaging it.
610
00:36:40,697 --> 00:36:44,202
Unfortunately, that led
to an excessive amount
611
00:36:44,367 --> 00:36:46,661
of nose down elevator command.
612
00:36:50,081 --> 00:36:52,626
He started a chain reaction
of pushing
613
00:36:52,751 --> 00:36:54,795
and pulling too hard
on the yoke.
614
00:36:56,713 --> 00:36:58,048
At high altitude,
615
00:36:58,173 --> 00:37:01,052
the pitch forces are
very light on the yoke.
616
00:37:02,929 --> 00:37:05,264
So when he pulls back
to get the nose up...
617
00:37:06,974 --> 00:37:09,684
...he's putting in
too much up force.
618
00:37:11,603 --> 00:37:13,271
It goes up too high...
619
00:37:17,568 --> 00:37:20,195
he pitches down,
it goes down too low...
620
00:37:27,954 --> 00:37:31,414
...and he puts in several cycles
on the control yoke
621
00:37:31,581 --> 00:37:33,583
trying to get back to normal.
622
00:37:37,128 --> 00:37:40,675
It's called
a "pilot-induced oscillation,"
623
00:37:40,800 --> 00:37:42,342
or PIO.
624
00:37:42,467 --> 00:37:44,262
The pilot overcorrects,
625
00:37:44,387 --> 00:37:45,679
and the plane responds,
626
00:37:45,804 --> 00:37:49,099
creating increasingly
uncontrollable movements.
627
00:37:53,311 --> 00:37:56,190
Once you get
into the oscillations,
it's hard to stop.
628
00:37:59,818 --> 00:38:01,112
Everything is happening fast.
629
00:38:04,907 --> 00:38:06,032
We were able
to calculate
630
00:38:06,157 --> 00:38:09,286
that the occupants of
the airplane experienced
631
00:38:09,411 --> 00:38:12,123
1.24 negative Gs
632
00:38:12,248 --> 00:38:14,500
and 2 positive Gs.
633
00:38:15,376 --> 00:38:17,378
No wonder there were
so many injuries,
634
00:38:17,503 --> 00:38:19,755
including two fatalities.
635
00:38:22,382 --> 00:38:24,342
He did get the plane
back under control.
636
00:38:24,510 --> 00:38:25,969
It just took a while.
637
00:38:27,804 --> 00:38:29,639
Pilot-induced oscillations
638
00:38:29,806 --> 00:38:32,601
can cause extreme stresses
on the aircraft.
639
00:38:33,518 --> 00:38:35,313
Usually, the best
course of action
640
00:38:35,478 --> 00:38:37,231
is to put in less control force.
641
00:38:37,815 --> 00:38:40,900
Once that happens, you can
have a nice, stable flight.
642
00:38:41,652 --> 00:38:44,405
- So why would an experienced
captain struggle so long
643
00:38:44,530 --> 00:38:46,614
to get a plane
back under control?
644
00:38:56,208 --> 00:38:57,501
Long day ahead.
645
00:38:57,626 --> 00:38:59,378
You're gonna need this.
646
00:39:00,378 --> 00:39:02,005
- I pulled the captain's files.
647
00:39:03,048 --> 00:39:05,842
Investigators turn
their attention to the captain
648
00:39:06,010 --> 00:39:08,346
of Flight 583's training
649
00:39:08,471 --> 00:39:11,431
to determine why he repeatedly
overcorrected
650
00:39:11,556 --> 00:39:13,266
with his control column.
651
00:39:13,893 --> 00:39:16,811
- He had over 13,000 hours
on the MD-11.
652
00:39:16,936 --> 00:39:18,313
That should be plenty.
653
00:39:19,731 --> 00:39:21,733
He flew other passenger
jets too.
654
00:39:24,402 --> 00:39:26,197
The captain
had flown Ilyushins,
655
00:39:26,364 --> 00:39:28,740
he had flown Airbus 300s.
656
00:39:29,657 --> 00:39:31,659
He had experience
on big aircraft,
657
00:39:31,786 --> 00:39:34,746
he had experience with
high-altitude flight.
658
00:39:35,581 --> 00:39:38,708
Everything would indicate
that he was well qualified
659
00:39:38,833 --> 00:39:40,418
to fly the airplane.
660
00:39:40,920 --> 00:39:42,713
- No complaints,
661
00:39:43,255 --> 00:39:44,923
no prior accidents.
662
00:39:46,592 --> 00:39:48,052
He's clean as a whistle.
663
00:39:48,719 --> 00:39:49,887
The captain passed all
664
00:39:50,054 --> 00:39:52,847
of his MD-11 training
without incident.
665
00:39:52,972 --> 00:39:54,891
- Even took a refresher course
a few weeks
666
00:39:55,016 --> 00:39:56,976
before the accident flight.
667
00:39:57,936 --> 00:39:58,978
- Hmm.
668
00:40:00,231 --> 00:40:01,898
Let me see the training manual.
669
00:40:06,612 --> 00:40:08,739
Investigators
take a closer look
670
00:40:08,864 --> 00:40:11,574
at the training
the captain received.
671
00:40:12,701 --> 00:40:15,413
- A critical aspect of
accident investigation
672
00:40:15,579 --> 00:40:17,373
when you're looking at
an event like this
673
00:40:17,498 --> 00:40:19,291
is pilot training.
674
00:40:20,333 --> 00:40:23,920
The captain did go through
a very comprehensive textbook
675
00:40:24,088 --> 00:40:25,880
or classroom training.
676
00:40:27,132 --> 00:40:28,759
- Find anything?
677
00:40:29,510 --> 00:40:31,469
Actually...
678
00:40:32,972 --> 00:40:35,014
it's what I didn't find
that interests me.
679
00:40:36,349 --> 00:40:37,851
No simulator training.
680
00:40:38,393 --> 00:40:40,563
- None?
- Nope.
681
00:40:41,563 --> 00:40:44,150
Not for an inadvertent slat
deployment during cruise
682
00:40:44,315 --> 00:40:46,443
or an upset at high altitude.
683
00:40:48,320 --> 00:40:49,612
- Hmm.
684
00:40:49,737 --> 00:40:51,574
Just giving
them something to read
685
00:40:51,699 --> 00:40:54,659
is sort of like trying
to learn to ride a bicycle
686
00:40:54,827 --> 00:40:56,494
if you've only read a manual.
687
00:40:57,954 --> 00:40:59,623
- What's going on?
688
00:41:01,750 --> 00:41:03,626
With simulator training,
689
00:41:03,751 --> 00:41:05,463
you get some hands-on training
690
00:41:05,588 --> 00:41:09,132
and you have a good idea
of what to expect.
691
00:41:10,925 --> 00:41:12,719
He did not
have that training.
692
00:41:12,844 --> 00:41:15,556
So in fact, he was
really a test pilot
693
00:41:15,681 --> 00:41:18,893
trying to get this airplane
back under control
694
00:41:19,018 --> 00:41:21,519
after this uncommanded
slat deployment.
695
00:41:24,815 --> 00:41:26,650
Was there something
about the design
696
00:41:26,817 --> 00:41:30,778
of the aircraft that made it
difficult to regain control?
697
00:41:31,822 --> 00:41:35,492
- This is the Airbus A300
here, and the DC-10.
698
00:41:35,659 --> 00:41:37,869
Here is our MD-11.
699
00:41:38,369 --> 00:41:41,623
When compared
to other large passenger jets,
700
00:41:41,748 --> 00:41:44,210
one design feature stands out.
701
00:41:44,376 --> 00:41:45,920
- Look at the centre
of gravity.
702
00:41:47,128 --> 00:41:48,297
It's so far aft.
703
00:41:48,422 --> 00:41:50,798
Most planes have
their centre of gravity
704
00:41:50,925 --> 00:41:53,385
further forward,
in the midsection.
705
00:41:53,802 --> 00:41:56,012
- That would make the MD-11
706
00:41:56,179 --> 00:41:58,097
less stable.
707
00:41:59,724 --> 00:42:01,351
The MD-11 was designed
708
00:42:01,476 --> 00:42:04,021
to increase fuel efficiency.
709
00:42:04,146 --> 00:42:07,358
And to do that, you move
the centre of gravity
710
00:42:07,525 --> 00:42:09,360
back fairly far aft.
711
00:42:10,068 --> 00:42:13,030
The airplane becomes
more pitch sensitive.
712
00:42:15,824 --> 00:42:17,367
I found the airplane
713
00:42:17,492 --> 00:42:18,827
to be very maneuverable.
714
00:42:18,952 --> 00:42:22,289
But some people would get
a little bit behind it
715
00:42:22,414 --> 00:42:24,541
and you could end up in cases
716
00:42:24,666 --> 00:42:26,501
where the airplane
would overshoot
717
00:42:26,626 --> 00:42:28,503
what you were expecting.
718
00:42:31,130 --> 00:42:33,467
Investigators
conclude that the captain
719
00:42:33,592 --> 00:42:36,010
could have stabilized
the oscillations sooner
720
00:42:36,135 --> 00:42:39,597
with faster, less forceful
control inputs.
721
00:42:42,101 --> 00:42:45,061
But the design of the aircraft
m
722
00:42:46,230 --> 00:42:48,690
made that difficult to do.
723
00:42:53,445 --> 00:42:54,905
In their final report,
724
00:42:55,030 --> 00:42:58,617
NTSB investigators found that
an unintended movement
725
00:42:58,784 --> 00:43:01,494
of the slat handle likely
caused the slats
726
00:43:01,619 --> 00:43:04,831
to extend and the airplane
to pitch up.
727
00:43:09,210 --> 00:43:12,463
The probable cause,
as determined by the NTSB,
728
00:43:12,630 --> 00:43:15,634
did not place any kind of blame,
729
00:43:15,800 --> 00:43:17,927
or even talk about
the flight crew
730
00:43:18,052 --> 00:43:20,556
actually causing this event.
731
00:43:21,389 --> 00:43:24,934
This was a strict
design issue that,
732
00:43:25,101 --> 00:43:28,896
unfortunately,
the crew became a victim of.
733
00:43:32,650 --> 00:43:34,612
The report
also notes that many
734
00:43:34,777 --> 00:43:37,489
of the severely injured
passengers either had
735
00:43:37,655 --> 00:43:39,782
their seat belts unfastened
736
00:43:39,907 --> 00:43:42,119
or were standing in the aisle.
737
00:43:45,664 --> 00:43:47,416
The flight
attendants had made
738
00:43:47,541 --> 00:43:49,626
an announcement
about seat belts,
739
00:43:49,793 --> 00:43:51,253
but as is often the case,
740
00:43:51,378 --> 00:43:54,672
passengers may have ignored
that announcement.
741
00:43:56,007 --> 00:43:59,637
And that left
many passengers vulnerable.
742
00:44:01,722 --> 00:44:04,599
When you are in an airplane,
743
00:44:04,724 --> 00:44:07,268
not just for takeoff,
not just for landing,
744
00:44:07,393 --> 00:44:11,356
it is critical that you keep
your seat belt on.
745
00:44:12,523 --> 00:44:16,070
You never know what can
happen in flight.
746
00:44:37,715 --> 00:44:41,929
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