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These are the user uploaded subtitles that are being translated: 1 00:00:01,726 --> 00:00:05,752 While landing at Dutch Harbor, Alaska, 2 00:00:05,836 --> 00:00:07,457 Hang on, I'm sliding. 3 00:00:07,540 --> 00:00:12,021 the pilots of PenAir flight 3296 run out of runway. 4 00:00:12,105 --> 00:00:13,807 All I could see is water. 5 00:00:13,891 --> 00:00:15,528 Everyone brace! 6 00:00:17,819 --> 00:00:19,512 We're gonna go in. 7 00:00:24,796 --> 00:00:26,903 Not everyone makes it out alive. 8 00:00:26,986 --> 00:00:29,714 You never want to lose a passenger, for any reason. 9 00:00:30,453 --> 00:00:31,816 These are pretty beat up. 10 00:00:31,900 --> 00:00:35,550 NTSB investigators must piece together the evidence. 11 00:00:35,634 --> 00:00:39,229 We've got a dark 170 foot long skid mark. 12 00:00:39,312 --> 00:00:40,691 So the tire blew. 13 00:00:40,774 --> 00:00:42,863 We needed to do a deeper dive. 14 00:00:42,947 --> 00:00:46,144 They soon discover a critical oversight. 15 00:00:46,227 --> 00:00:48,061 There's no numbering on these wires. 16 00:00:48,145 --> 00:00:49,845 That was really the "aha" moment. 17 00:00:55,924 --> 00:00:57,271 Mayday. Mayday. 18 00:01:00,218 --> 00:01:01,051 PULL UP! 19 00:01:02,998 --> 00:01:07,316 [indistinct radio chatter] 20 00:01:20,320 --> 00:01:25,980 {\an8}PenAir flight 3296 cruises over Alaska's Aleutian Islands. 21 00:01:28,600 --> 00:01:31,444 We should be getting directions here to descend soon. 22 00:01:31,527 --> 00:01:33,647 I'm gonna see if I can't get the weather. 23 00:01:33,730 --> 00:01:39,930 Yeah, it's changed. Weather's been updated. It's 310 at 11 knots. 24 00:01:40,575 --> 00:01:44,960 56 year old Captain Paul Wells is a new hire to PenAir, 25 00:01:45,044 --> 00:01:48,550 but has 25 years of experience with other airlines. 26 00:01:49,593 --> 00:01:51,014 Mm 'kay. 27 00:01:51,097 --> 00:01:55,563 Paul is, an amazing guy. I flew with him several times. 28 00:01:55,646 --> 00:01:59,456 He was, a true decision maker as a captain. 29 00:01:59,539 --> 00:02:03,162 Peninsula 3296, descend pilot's discretion. 30 00:02:03,246 --> 00:02:06,270 Maintain flight level 290. 31 00:02:06,359 --> 00:02:10,636 Pilot's discretion 290, Peninsula 3296. 32 00:02:11,757 --> 00:02:16,931 39 year old First Officer Justin Lunn has been with PenAir for five months. 33 00:02:17,870 --> 00:02:20,054 I couldn't have been with a better copilot. 34 00:02:20,137 --> 00:02:24,400 He's a very thorough individual, um, ex-military. 35 00:02:24,483 --> 00:02:27,314 There are 39 passengers on today's flight, 36 00:02:27,397 --> 00:02:31,330 including a high school swim team and their chaperones. 37 00:02:31,413 --> 00:02:35,562 Commercial pilot Steve Ranney is escorting his son, Jacob. 38 00:02:36,742 --> 00:02:39,995 We were on the flight, um, to go to a swim meet. 39 00:02:40,078 --> 00:02:43,828 We'd worked really hard raising the money for the trip. It was a big deal. 40 00:02:45,335 --> 00:02:51,738 It's a two hour flight from Anchorage to Unalaska Airport, also known as Dutch Harbor. 41 00:02:53,146 --> 00:02:57,966 The journey crosses some of the most rugged and isolated terrain in the world. 42 00:02:59,076 --> 00:03:01,997 The flight is over a spectacular part of Alaska. 43 00:03:02,080 --> 00:03:05,240 The entire, um, Alaska Peninsula is in view. 44 00:03:06,010 --> 00:03:09,423 It's a great view. You can go grab a window seat further back. 45 00:03:12,019 --> 00:03:17,553 My son did move to a couple of rows back so that he could get that view, too. 46 00:03:19,967 --> 00:03:23,571 The pilots are flying a Swedish made Saab 2000. 47 00:03:24,800 --> 00:03:31,636 Saab 2000 is a twin-engine turbojet aircraft. It seats approximately 50 people. 48 00:03:32,887 --> 00:03:37,227 It's a good aircraft for reaching remote communities in Alaska. 49 00:03:38,016 --> 00:03:40,186 Dutch Ops 3296. 50 00:03:40,269 --> 00:03:43,857 Thirty minutes before landing, the first officer contacts the weather 51 00:03:43,941 --> 00:03:47,153 observer at Unalaska Airport for the latest conditions. 52 00:03:48,016 --> 00:03:51,918 Hello, 3296. Right now, winds, 53 00:03:52,002 --> 00:03:55,960 210 at 6 knots, gusting to 14. 54 00:03:56,043 --> 00:03:57,986 Temperature 8, dew point 1. 55 00:03:58,070 --> 00:04:00,432 Altimeter 29.50. 56 00:04:00,759 --> 00:04:02,339 All right, copy the weather. 57 00:04:05,042 --> 00:04:07,950 The airport at Dutch Harbor has a short runway, 58 00:04:08,033 --> 00:04:11,417 vulnerable to severe and unpredictable weather. 59 00:04:11,500 --> 00:04:14,060 Pilots need special training to land here. 60 00:04:15,170 --> 00:04:19,012 The terrain around the area in Dutch Harbor is mountainous. 61 00:04:19,096 --> 00:04:22,325 The wind conditions can change in seconds. 62 00:04:22,409 --> 00:04:28,191 Turbulence can be bad. Icing can be bad. So we have dedicated weather observers. 63 00:04:28,275 --> 00:04:30,786 That is, invaluable. 64 00:04:31,348 --> 00:04:33,652 What did she say the wind was? 65 00:04:33,735 --> 00:04:35,275 Wind was 210. 66 00:04:35,981 --> 00:04:38,154 -Pretty much a direct crosswind. -Hm. 67 00:04:39,171 --> 00:04:41,702 I guess we can go ahead and start heading down. 68 00:04:41,786 --> 00:04:43,127 All right. 69 00:04:53,540 --> 00:04:58,569 Peninsula 3296, are you planning on RNAV runway 31? 70 00:04:58,652 --> 00:05:02,106 Twenty minutes before landing, Anchorage Air Traffic Control 71 00:05:02,190 --> 00:05:04,942 asks the pilots about their runway preference. 72 00:05:05,026 --> 00:05:07,083 Affirmative. Uh, uh, negative. 73 00:05:07,166 --> 00:05:10,792 We want the RNAV 13, Peninsula 3296. 74 00:05:12,947 --> 00:05:18,911 Unalaska Airport is on an island, tucked behind a 1,600 foot mountain. 75 00:05:18,994 --> 00:05:21,328 Planes can land in either direction, 76 00:05:21,411 --> 00:05:26,161 runway 13 from the west, or runway 31 from the east. 77 00:05:26,244 --> 00:05:31,741 Most pilots would prefer to use runway 13, basically because they have more room to 78 00:05:31,824 --> 00:05:36,833 maneuver, more room to escape if you've got to punch out, or you've got to go around. 79 00:05:36,916 --> 00:05:41,087 And just like the other day, if there's any major changes in the wind, 80 00:05:41,170 --> 00:05:42,996 -we'll just. -We'll switch. 81 00:05:44,813 --> 00:05:47,583 We always prepare for the worst and hope for the best. 82 00:05:47,666 --> 00:05:50,146 Minimize risk. That's what we do. 83 00:05:53,407 --> 00:05:55,347 Ladies and gentlemen, in order to… 84 00:05:55,431 --> 00:05:58,763 Twelve miles from the airport, passengers prepare for landing. 85 00:05:58,846 --> 00:06:01,898 …items are stowed completely beneath the seat in front of you. 86 00:06:05,086 --> 00:06:09,319 All right. Flaps 20. Flight attendant is secure. 87 00:06:10,046 --> 00:06:13,439 Flaps set 20. Indicating 20. 88 00:06:14,540 --> 00:06:15,732 Gear down. 89 00:06:17,059 --> 00:06:20,806 Four minutes from the airport, the crew begins the landing procedure. 90 00:06:22,026 --> 00:06:23,533 Down three green. 91 00:06:27,155 --> 00:06:29,056 At less than 1,000 feet, 92 00:06:31,029 --> 00:06:33,596 the plane is rocked by turbulence. 93 00:06:35,130 --> 00:06:36,792 Ah, bump. 94 00:06:37,470 --> 00:06:39,732 There's a bit of a bump there too. 95 00:06:39,816 --> 00:06:42,609 -Yeah. -Yeah, there you go. 96 00:06:42,693 --> 00:06:45,372 It's gonna be ugly in here, isn't it? 97 00:06:45,456 --> 00:06:46,933 Hmm. 98 00:06:47,017 --> 00:06:50,828 Paul was fighting the winds as we were coming in. 99 00:06:53,183 --> 00:06:58,408 Seconds from touchdown, Captain Wells notices he's too high for a safe landing. 100 00:06:59,586 --> 00:07:03,826 An updraft may cause you to balloon, so that causes you to go high. 101 00:07:03,910 --> 00:07:07,048 -What do you think? -Go around. 102 00:07:07,131 --> 00:07:12,257 At Dutch Harbor, I don't take chances. If we're high, we're going around. 103 00:07:13,463 --> 00:07:14,755 Max power. 104 00:07:25,274 --> 00:07:27,517 I would not have been able to safely, 105 00:07:27,600 --> 00:07:32,240 get back down, without, putting people at, horrible risk. 106 00:07:34,220 --> 00:07:36,243 The pilot pulled up and went around. 107 00:07:36,326 --> 00:07:41,711 I was assuming it was because of, uh, visibility issues. 108 00:07:41,794 --> 00:07:44,963 Dutch Harbor traffic, Peninsula 3296, going around. 109 00:07:45,046 --> 00:07:47,271 We're gonna come back around for a visual. 110 00:07:48,544 --> 00:07:50,361 We were contending with the terrain, 111 00:07:50,445 --> 00:07:55,429 a lower layer of clouds, and maintaining a safe airspeed. 112 00:07:55,513 --> 00:07:58,951 You're very busy scanning inside and outside of the airplane. 113 00:08:01,476 --> 00:08:06,170 It only takes three minutes before the pilots of PenAir flight 3296 114 00:08:06,253 --> 00:08:08,676 are ready to attempt another landing. 115 00:08:08,759 --> 00:08:12,790 If we couldn't land on this attempt, then we would go to our alternate airport. 116 00:08:12,873 --> 00:08:14,250 200. 117 00:08:14,333 --> 00:08:16,216 -Plus 10, you got it? -Got it. 118 00:08:16,832 --> 00:08:19,684 The pilots are seconds from touching down. 119 00:08:26,227 --> 00:08:28,440 -Sink rate. -Yeah, I know. 120 00:08:30,851 --> 00:08:36,523 Seemed like we floated down the runway quite a bit, which didn't alarm me too much. 121 00:08:43,370 --> 00:08:45,437 -Down. -Okay, you got the yoke. 122 00:08:45,520 --> 00:08:48,250 I got it yeah, we're down there, 80 knots. 123 00:08:48,339 --> 00:08:50,924 As the captain begins slowing the plane, 124 00:08:52,391 --> 00:08:53,899 something isn't right. 125 00:08:55,164 --> 00:08:57,150 I was pushing on the brakes harder, 126 00:08:57,234 --> 00:09:01,487 and noticing that I'm not getting any more effect from the brakes. 127 00:09:02,829 --> 00:09:06,309 When I saw the wind suck, the wind was definitely strong. 128 00:09:06,393 --> 00:09:11,570 And at that point, all alarm bells went off in me. 129 00:09:11,653 --> 00:09:15,986 -Brakes. -I got 'em all the way down. 130 00:09:16,956 --> 00:09:20,293 The pilots cannot reduce their plane's speed. 131 00:09:20,376 --> 00:09:24,786 I had to make a decision on whether to continue the landing or abort. 132 00:09:24,869 --> 00:09:26,711 In an instant, I realized that, 133 00:09:26,794 --> 00:09:30,533 no, there's not enough room to get the aircraft airborne again. 134 00:09:30,616 --> 00:09:33,704 In the cabin, Steve Ranney notices, too. 135 00:09:33,787 --> 00:09:34,620 Brace! 136 00:09:35,319 --> 00:09:36,717 Everyone brace! 137 00:09:37,953 --> 00:09:44,011 I actually went in the brace position and I told the passengers around me to brace. 138 00:09:45,167 --> 00:09:46,527 Hang on, I'm sliding. 139 00:09:49,053 --> 00:09:52,254 The plane is swerving back and forth. 140 00:09:52,337 --> 00:09:56,114 I thought I was going to be able to turn off into the taxi area, 141 00:09:56,197 --> 00:09:58,622 but I was going too fast. 142 00:09:58,706 --> 00:10:01,709 The pilots are running out of runway. 143 00:10:01,792 --> 00:10:03,412 All I could see is water. 144 00:10:06,873 --> 00:10:12,169 The pilots of PenAir flight 3296 are unable to stop their airplane. 145 00:10:13,066 --> 00:10:16,946 I saw the perimeter road and I told Paul, go right, go right! 146 00:10:17,646 --> 00:10:19,426 The only option was the road. 147 00:10:21,335 --> 00:10:23,444 The plane crashes through a fence, 148 00:10:23,527 --> 00:10:27,037 strikes a boulder and is propelled towards the water. 149 00:10:28,493 --> 00:10:30,310 That destroyed our exit plan. 150 00:10:31,184 --> 00:10:33,727 They have only a few seconds to stop. 151 00:10:33,811 --> 00:10:36,776 Now all I kept thinking was "We're going to go in." 152 00:10:36,860 --> 00:10:40,031 The left engine strikes a signal post and road sign, 153 00:10:40,114 --> 00:10:43,240 shattering the propellers into deadly fragments. 154 00:10:46,613 --> 00:10:47,923 Holy crap. 155 00:10:49,220 --> 00:10:50,560 We need to evacuate. 156 00:10:52,056 --> 00:10:55,610 Evacuate right-hand side. Get out and get away. 157 00:10:55,693 --> 00:10:58,209 In the cabin, it's eerily quiet. 158 00:10:59,540 --> 00:11:06,360 I could feel blood running down my face and my shoulder was sore and my head hurt. 159 00:11:07,933 --> 00:11:09,853 It was very, very surreal. 160 00:11:10,611 --> 00:11:15,042 a propeller blade has pierced the cabin and struck Steve Ranney. 161 00:11:15,125 --> 00:11:20,792 There was a propeller blade stuck, up in the ceiling right up against me. 162 00:11:22,419 --> 00:11:25,322 Jacob, get off the plane! Don't wait for me! 163 00:11:25,405 --> 00:11:29,459 Steve's son, Jacob, is lucky to walk away from the accident unharmed. 164 00:11:30,682 --> 00:11:33,700 He would not have survived, in the seat 165 00:11:33,784 --> 00:11:37,508 next to me because the blade was literally right there. 166 00:11:38,271 --> 00:11:41,126 But a passenger near him is severely injured. 167 00:11:42,567 --> 00:11:46,253 I had had a fair amount of training because of my job, 168 00:11:46,336 --> 00:11:51,457 and so it was more or less an automatic reflex to go over and, you know, 169 00:11:51,540 --> 00:11:54,157 check for his pulse see if he's still breathing. 170 00:11:55,637 --> 00:11:59,042 Within minutes emergency responders arrive and transport 171 00:11:59,125 --> 00:12:01,623 ten injured passengers to hospital. 172 00:12:02,933 --> 00:12:07,640 38 year old passenger David Altman later succumbs to his injuries. 173 00:12:08,810 --> 00:12:11,333 In ten years, he's one of only two people 174 00:12:11,416 --> 00:12:14,582 to be killed on a domestic flight in the United States. 175 00:12:15,909 --> 00:12:18,596 I was met in the hospital by a doctor. 176 00:12:18,680 --> 00:12:22,434 They told me he hadn't made it, and that was a, a crushing blow. 177 00:12:24,046 --> 00:12:28,337 Investigators from the NTSB, the National Transportation Safety Board 178 00:12:28,421 --> 00:12:31,006 are dispatched to the area as the plane is hoisted 179 00:12:31,089 --> 00:12:33,929 onto a barge and taken to a secure location. 180 00:12:34,013 --> 00:12:37,423 We weren't able to offload it the next day because of the weather, 181 00:12:37,506 --> 00:12:40,725 so it took a day, to get the airplane secured. 182 00:12:43,439 --> 00:12:45,959 We're on record at 5:46 p.m. 183 00:12:47,046 --> 00:12:50,099 Investigators are eager to interview the pilot. 184 00:12:50,930 --> 00:12:53,790 Memories tend to fade and they tend to change, 185 00:12:53,874 --> 00:12:57,196 so we want to get to the information as soon as possible. 186 00:12:57,280 --> 00:13:00,602 I didn't even have any sleep before I showed up for that interview. 187 00:13:00,686 --> 00:13:03,903 And so you're not, you know, you're not 100% clear. 188 00:13:03,986 --> 00:13:04,819 Okay. 189 00:13:06,239 --> 00:13:09,276 Take us through the events leading up to the accident. 190 00:13:09,360 --> 00:13:10,350 Um… 191 00:13:12,286 --> 00:13:16,439 Everything was, normal. Just a, nice flight. 192 00:13:17,420 --> 00:13:19,986 "Everything was going fine until it wasn't." 193 00:13:20,077 --> 00:13:25,406 And this is pretty common when we talk to pilots after accidents. 194 00:13:25,490 --> 00:13:29,930 When I went to turn off the anti-ice I, got out of position on final. 195 00:13:30,895 --> 00:13:33,778 Captain Wells explains that the plane was hit by 196 00:13:33,861 --> 00:13:37,628 an updraft just as he took his eyes off the gauges. 197 00:13:41,665 --> 00:13:44,034 -What do you think? -Go around. 198 00:13:45,512 --> 00:13:46,885 Max power. 199 00:13:50,863 --> 00:13:52,347 We were too high. 200 00:13:52,430 --> 00:13:56,014 And instead of doing the stabilized approach, 201 00:13:56,098 --> 00:14:00,156 and continue to the runway, we elected to go around. 202 00:14:00,970 --> 00:14:03,460 So you're now set up for a second landing. 203 00:14:04,580 --> 00:14:07,066 Do you remember your speed at touchdown? 204 00:14:08,116 --> 00:14:09,666 126. 205 00:14:13,933 --> 00:14:15,791 And where did you touch down? 206 00:14:15,875 --> 00:14:19,777 I planted it pretty much on the 1,000, right on the touchdown zone. 207 00:14:20,720 --> 00:14:25,301 Put it in reverse, and then I noticed it had stopped decelerating. 208 00:14:25,391 --> 00:14:27,538 I, pushed down as hard as I could. 209 00:14:28,733 --> 00:14:30,896 But there was no response from the brakes. 210 00:14:30,980 --> 00:14:32,072 Brakes! 211 00:14:33,573 --> 00:14:35,346 I got 'em all the way down. 212 00:14:36,726 --> 00:14:38,917 -No response? -Exactly. 213 00:14:39,000 --> 00:14:42,079 Zero braking. But like on ice. 214 00:14:44,209 --> 00:14:48,131 That was puzzling. We knew we had to look at the braking system to understand 215 00:14:48,214 --> 00:14:49,494 what was occurring there. 216 00:14:50,599 --> 00:14:53,097 Did you get an update from the weather observer? 217 00:14:53,201 --> 00:14:58,022 Yes they said, anywhere from 10 to 20 knots. 218 00:14:58,105 --> 00:14:59,750 The winds were changing. 219 00:14:59,833 --> 00:15:02,479 Any concerns at all on the second approach? 220 00:15:04,655 --> 00:15:10,263 The winds were dying down on the water. It looked like a direct crosswind. 221 00:15:10,347 --> 00:15:16,204 I, had no doubt that this was going to be a fine approach. 222 00:15:16,920 --> 00:15:19,740 The captain said that he believed that they were flying 223 00:15:19,836 --> 00:15:23,765 into a crosswind and was confident in that approach. 224 00:15:24,616 --> 00:15:27,040 Your FO did the pre-flight on the aircraft? 225 00:15:27,123 --> 00:15:28,019 He did. 226 00:15:28,936 --> 00:15:33,626 Did he bring anything to your attention at all that was out of the ordinary? 227 00:15:34,226 --> 00:15:35,520 He did, actually. 228 00:15:36,352 --> 00:15:39,093 He noticed something with one of the tires. 229 00:15:48,320 --> 00:15:51,133 -Pre-flight inspection complete. -Any issues? 230 00:15:51,840 --> 00:15:54,866 Bald spot on the left outboard. 231 00:15:54,950 --> 00:15:59,697 Investigators learn that a pre-flight inspection of flight 3296, 232 00:15:59,780 --> 00:16:03,416 revealed a worn tire on the left outboard wheel. 233 00:16:03,500 --> 00:16:07,120 It's not showing any cord. I'm not worried about it. 234 00:16:08,590 --> 00:16:11,444 It was not down past the red line on the tire 235 00:16:11,527 --> 00:16:14,177 and didn't, to me, appear to be of any concern. 236 00:16:14,640 --> 00:16:17,384 I've had maintenance come to look at tires, 237 00:16:17,467 --> 00:16:20,309 that are in very similar conditions to this tire. 238 00:16:20,392 --> 00:16:23,218 They've basically said "It's within serviceable limits, 239 00:16:23,302 --> 00:16:25,285 and you can continue your flight." 240 00:16:26,540 --> 00:16:30,101 Have you reached any conclusion, just in your own head, 241 00:16:30,184 --> 00:16:33,607 about what you think went wrong or may have happened? 242 00:16:35,033 --> 00:16:40,493 If I had to make my best guess, I don't think it was brake failure. 243 00:16:41,820 --> 00:16:46,849 I think more than likely, it was one of those showers that put down some sleet or 244 00:16:46,932 --> 00:16:51,032 hail on the runway and, I just couldn't see it. 245 00:16:53,887 --> 00:16:57,135 That's the, only thing I can think of. 246 00:16:59,440 --> 00:17:02,129 Anything else you'd like to add? 247 00:17:08,353 --> 00:17:10,399 I can't be more proud… 248 00:17:12,596 --> 00:17:14,390 I'm sorry. 249 00:17:14,473 --> 00:17:15,752 Take your time. 250 00:17:21,640 --> 00:17:23,925 I couldn't be more proud of my crew. 251 00:17:26,399 --> 00:17:31,418 The captain did get rather emotional, given his involvement in the accident. 252 00:17:38,279 --> 00:17:43,225 So, they came in on runway 13 and the pilot said his airspeed 253 00:17:43,308 --> 00:17:48,086 was 126 knots and they touched down at the 1,000 foot mark. 254 00:17:48,176 --> 00:17:52,026 Why did flight 3296 come off the runway? 255 00:17:53,266 --> 00:17:58,113 At that speed, they should have been able to stop well before the end of the runway. 256 00:17:58,197 --> 00:18:02,370 Specifically for runway overruns, we're looking at how the airplane was 257 00:18:02,453 --> 00:18:05,946 configured, what those runway lengths were, 258 00:18:06,029 --> 00:18:10,866 as well as what it takes operationally, to fly that airplane into the airport. 259 00:18:10,963 --> 00:18:12,794 What were the runway conditions? 260 00:18:15,267 --> 00:18:21,360 Was there rain, ice, snow, anything on that runway that would have prevented the 261 00:18:21,443 --> 00:18:24,440 airplane from stopping on its surface? 262 00:18:25,649 --> 00:18:27,692 No rain. Seven degrees. 263 00:18:28,465 --> 00:18:33,138 -So, hydroplaning is out of the question. -Too warm for ice to form. 264 00:18:33,876 --> 00:18:37,016 Investigators eliminate the captain's theory. 265 00:18:37,099 --> 00:18:40,436 Weather conditions did not make the runway slippery. 266 00:18:41,887 --> 00:18:44,672 In this case, the runway wasn't contaminated. 267 00:18:44,756 --> 00:18:48,376 But there was plenty of information that the runway can tell us. 268 00:18:48,460 --> 00:18:52,443 What about debris, skid marks? Where are we at with the runway survey? 269 00:18:52,527 --> 00:18:53,600 Got it here. 270 00:18:54,955 --> 00:18:58,826 The team looks for any evidence left behind on the runway. 271 00:19:00,132 --> 00:19:04,493 The runway evidence was critical. We walked the runway numerous times. 272 00:19:04,576 --> 00:19:07,179 We, documented the heck out of the runway. 273 00:19:08,080 --> 00:19:14,313 Starting at 1,835 feet past the threshold, we've got a dark 170 foot long skid mark. 274 00:19:14,396 --> 00:19:16,740 Then there's further skidding down the runway. 275 00:19:16,823 --> 00:19:20,253 Skid marks on the tarmac are made when the wheels lock. 276 00:19:21,389 --> 00:19:25,892 Then the plane crosses the center line to the right and then straightens out. 277 00:19:26,560 --> 00:19:28,192 Which tire skidded? 278 00:19:29,790 --> 00:19:34,911 Based on the position of the skid mark, it's outboard tire, left side. 279 00:19:36,068 --> 00:19:39,995 The Saab 2000 has four main wheels that brake. 280 00:19:40,078 --> 00:19:42,481 Why would only one of them skid? 281 00:19:47,690 --> 00:19:50,137 Wasn't that the one with the bald spot? 282 00:19:50,220 --> 00:19:51,657 Yup. 283 00:19:51,740 --> 00:19:55,877 The tire mark was a continuous black mark. It didn't have any tread marks on it. 284 00:19:55,960 --> 00:19:59,851 So we knew, right off the bat that the tire was 285 00:19:59,934 --> 00:20:02,777 skidding on the bald spot and not on the tread. 286 00:20:06,160 --> 00:20:11,013 We also found tire fragments, here. 287 00:20:12,510 --> 00:20:15,156 -So the tire blew? -Yeah. 288 00:20:19,385 --> 00:20:22,846 Hold on. That's one heck of a long skid. 289 00:20:22,930 --> 00:20:25,296 Even a brand new tire would have blown. 290 00:20:25,380 --> 00:20:29,383 The fact that the airplane was skidding on the bald spot, 291 00:20:29,467 --> 00:20:32,903 may have caused it to burst a fraction of a second earlier, 292 00:20:32,986 --> 00:20:36,655 but in the end, it wasn't a contributing factor. 293 00:20:36,739 --> 00:20:39,912 This shouldn't happen. The plane has an anti-skid system. 294 00:20:41,512 --> 00:20:44,329 The anti-skid system is activated when one of the 295 00:20:44,412 --> 00:20:47,985 sensors on the four main wheels detects a skid. 296 00:20:48,068 --> 00:20:52,897 The brake pressure is released, either on both inboard wheels or both outboard 297 00:20:52,980 --> 00:20:55,813 wheels, ensuring the plane remains stable 298 00:20:55,896 --> 00:20:58,687 while allowing the other two wheels to slow the plane. 299 00:21:00,259 --> 00:21:05,491 After we first noticed that there was a flat spot and a hole in the tire, 300 00:21:05,574 --> 00:21:08,408 we were immediately drawn to the anti-skid system because 301 00:21:08,491 --> 00:21:11,631 that's the purpose of the anti-skid system, to stop skids. 302 00:21:13,050 --> 00:21:18,351 Did the system fail, causing flight 3296 to run off the runway? 303 00:21:21,753 --> 00:21:23,063 Any news? 304 00:21:23,146 --> 00:21:25,559 It's going to take some time for the technicians 305 00:21:25,643 --> 00:21:27,477 to break down and test those brakes. 306 00:21:27,561 --> 00:21:30,926 Like you said, that is a long skid. 307 00:21:31,009 --> 00:21:34,543 Why would they need to brake so hard for so long? 308 00:21:34,626 --> 00:21:39,712 In the meantime, investigators consider other theories about the long skid marks. 309 00:21:41,180 --> 00:21:42,657 Overweight? 310 00:21:42,740 --> 00:21:46,571 Could the plane have exceeded its maximum allowable landing weight, 311 00:21:46,654 --> 00:21:50,108 requiring the pilot to brake harder than usual? 312 00:21:50,191 --> 00:21:53,556 A heavier airplane essentially has, more inertia. 313 00:21:53,640 --> 00:21:59,511 So, when a heavier airplane comes in to land, it would take longer to stop. 314 00:22:00,949 --> 00:22:05,256 According to the manifest, the captain calculated their landing weight at, 315 00:22:05,395 --> 00:22:07,994 45,213 pounds. 316 00:22:10,853 --> 00:22:12,673 And the maximum allowable? 317 00:22:14,055 --> 00:22:16,448 46,114. 318 00:22:21,993 --> 00:22:26,620 900 pounds under. Close, but, within the limits. 319 00:22:28,090 --> 00:22:32,733 The airplane was not overloaded, and we could rule out, 320 00:22:32,816 --> 00:22:37,376 an overweight airplane as a contributing factor for this event. 321 00:22:37,460 --> 00:22:41,686 What else might cause a pilot to brake so hard? 322 00:22:41,770 --> 00:22:44,585 The captain said that they had a crosswind, 323 00:22:44,668 --> 00:22:47,501 but, maybe the direction changed to a tailwind. 324 00:22:48,445 --> 00:22:51,274 A tailwind during landing essentially means that you are 325 00:22:51,358 --> 00:22:54,013 moving faster over the ground than you normally would. 326 00:22:54,096 --> 00:22:57,711 So you would take up more space on the runway to safely stop. 327 00:22:58,937 --> 00:23:02,354 The automated weather system only gives hourly reports. 328 00:23:02,437 --> 00:23:05,953 Real-time updates come from a weather observer at the airport. 329 00:23:06,036 --> 00:23:07,580 I'll deal with that. 330 00:23:07,663 --> 00:23:09,676 I'll go help with the anti-skid system. 331 00:23:11,707 --> 00:23:16,717 Could flight 3296 have been hit by an unexpected gust of wind, 332 00:23:16,800 --> 00:23:20,848 causing it to land too fast, and overshoot the runway? 333 00:23:26,679 --> 00:23:28,666 -Thanks for coming in. -You bet. 334 00:23:29,513 --> 00:23:34,480 Investigators question the on-site weather observer at Unalaska Airport, 335 00:23:34,563 --> 00:23:39,923 about the wind conditions when PenAir flight 3296 landed. 336 00:23:40,006 --> 00:23:44,940 So first, um, how early do you start providing crews with weather data? 337 00:23:45,023 --> 00:23:46,798 About 20 to 30 minutes out. 338 00:23:46,881 --> 00:23:49,872 -And up until when? -Two to three miles out. 339 00:23:49,955 --> 00:23:52,297 Dutch Harbor is a very unique airport. 340 00:23:52,380 --> 00:23:55,845 The topography around the runway actually lends 341 00:23:55,928 --> 00:23:59,116 to very rapidly changing weather conditions. 342 00:23:59,199 --> 00:24:03,160 And so a weather observer on the ground provides the ability 343 00:24:03,243 --> 00:24:07,787 to get updated information to pilots as it's happening. 344 00:24:08,665 --> 00:24:12,557 And what was the weather like at the airport when PenAir was on approach? 345 00:24:12,640 --> 00:24:16,797 There was a storm coming in, but at the time it was clear. 346 00:24:16,880 --> 00:24:19,420 And what about the wind on the first attempt? 347 00:24:23,317 --> 00:24:27,889 270 degrees at 10 knots. 348 00:24:27,972 --> 00:24:31,218 Looks like a crosswind. And second attempt? 349 00:24:31,301 --> 00:24:34,809 About three minutes out the wind shifted around to, 350 00:24:34,892 --> 00:24:40,061 290 at 16 knots, gusting to 30 knots. 351 00:24:40,830 --> 00:24:43,537 -30 knot tailwind? -Mm-hmm. 352 00:24:43,620 --> 00:24:45,426 That would be an excessive tailwind. 353 00:24:45,509 --> 00:24:48,926 If a pilot decides to land with that tailwind, 354 00:24:49,009 --> 00:24:51,023 they essentially become a test pilot. 355 00:24:51,880 --> 00:24:54,833 What about when they landed? What was the tailwind then? 356 00:24:55,889 --> 00:24:59,149 The winds were, 15 knots. 357 00:25:00,169 --> 00:25:05,228 Investigators confirm their suspicions about a tailwind on landing. 358 00:25:05,338 --> 00:25:07,478 -Thank you for your time. -My pleasure. 359 00:25:10,370 --> 00:25:16,407 One danger associated with landing in a tailwind is, excessive ground speed, 360 00:25:16,490 --> 00:25:19,234 which potentially puts you in a situation where 361 00:25:19,317 --> 00:25:22,641 you run out of runway to safely stop the airplane. 362 00:25:30,959 --> 00:25:34,477 What's the Saab 2000 max tailwind for landing? 363 00:25:34,560 --> 00:25:38,732 Was a 15 knot tailwind too much for the Saab to manage? 364 00:25:40,264 --> 00:25:42,169 15 knots. 365 00:25:42,252 --> 00:25:45,605 Right at the limit. Why would they risk it? 366 00:25:52,627 --> 00:25:55,090 -Down. -Okay, you got the yoke. 367 00:25:55,173 --> 00:25:56,826 I got it yeah, we're down there. 368 00:25:56,909 --> 00:26:02,844 Investigators now know the pilots of PenAir 3296 approached a difficult airport in 369 00:26:02,927 --> 00:26:08,736 tricky conditions, touching down with a tailwind nearing the plane's limits. 370 00:26:08,832 --> 00:26:12,484 -Brakes. -I got 'em all the way down. 371 00:26:19,112 --> 00:26:25,282 Okay. Weight roughly 45,000 pounds. Speed at touchdown 126 knots. 372 00:26:25,365 --> 00:26:31,194 Investigators calculate how a 15 knot tailwind affects the pilot's ability to stop. 373 00:26:32,174 --> 00:26:37,214 Our aircraft performance group developed several scenarios, to understand whether 374 00:26:37,297 --> 00:26:40,790 an aircraft would be able to stop given those circumstances. 375 00:26:40,873 --> 00:26:44,710 Tailwind 15 knots, flaps 20. 376 00:26:44,793 --> 00:26:48,636 And let's do a loss of half of the braking power because of the skid. 377 00:26:49,597 --> 00:26:55,115 When the left outboard tire began to skid, the Saab's anti-skid system would have 378 00:26:55,198 --> 00:27:01,243 released brake pressure to both outboard wheels, drastically reducing braking power. 379 00:27:07,890 --> 00:27:09,379 They had room to spare. 380 00:27:10,219 --> 00:27:13,490 With a tailwind of 15 knots and two working brakes, 381 00:27:13,620 --> 00:27:15,272 the plane could have stopped. 382 00:27:17,484 --> 00:27:18,898 What are we missing? 383 00:27:21,507 --> 00:27:23,433 Let's look at the FDR data. 384 00:27:30,801 --> 00:27:32,838 Hold on a sec. 385 00:27:32,921 --> 00:27:36,142 Just after touchdown, there's an anti-skid fault caution. 386 00:27:39,124 --> 00:27:43,361 This supports investigators' earlier suspicions that an anti-skid failure 387 00:27:43,444 --> 00:27:45,564 played a part in the accident. 388 00:27:47,758 --> 00:27:49,271 Hang on, I'm sliding. 389 00:27:59,354 --> 00:28:01,623 We gotta get to the bottom of that warning. 390 00:28:03,214 --> 00:28:07,530 In this case we did have a fault, on the flight data recorder, 391 00:28:07,614 --> 00:28:11,042 related to this system that we couldn't explain. 392 00:28:11,125 --> 00:28:17,618 And so, with that information, uh, we needed to do a deeper dive, in a lab. 393 00:28:22,704 --> 00:28:26,600 No issues with the control unit. Wheel sensors. 394 00:28:28,984 --> 00:28:30,434 Same with the control valves. 395 00:28:31,532 --> 00:28:34,939 We tested all the components, of the anti-skid system. 396 00:28:35,022 --> 00:28:38,855 There were no significant faults. So, it was a mystery. 397 00:28:40,663 --> 00:28:43,489 There's still the cables that connect the components. 398 00:28:44,374 --> 00:28:49,113 Investigators focus on the wires that carry signals from the wheels. 399 00:28:50,002 --> 00:28:53,242 Right here. Let's take a look at the wiring. 400 00:28:53,325 --> 00:28:56,958 They request that the cables be removed from the left landing gear, 401 00:28:57,041 --> 00:28:58,865 as that was the side that locked. 402 00:28:58,948 --> 00:29:02,635 Hey there. Can we get those wire harnesses sent up to the lab? 403 00:29:04,054 --> 00:29:08,934 When the airplane departed the runway, it hit a ditch and some larger boulders. 404 00:29:09,018 --> 00:29:14,118 And, it collapsed the left main gear, which caused the wiring to fracture. 405 00:29:17,424 --> 00:29:18,674 These are pretty beat up. 406 00:29:20,837 --> 00:29:25,333 Investigators examine where the cables were connected to the wheels. 407 00:29:30,861 --> 00:29:34,908 These are identical. Can't tell the left one from the right. 408 00:29:34,991 --> 00:29:39,648 The team discovers a potential design flaw within the anti-skid system. 409 00:29:40,611 --> 00:29:44,078 The connectors at the wheels didn't have any distinguishing features. 410 00:29:44,161 --> 00:29:46,758 So this created potential for miswiring. 411 00:29:46,864 --> 00:29:50,705 Could the brake cables have been connected to the wrong wheels? 412 00:29:50,788 --> 00:29:54,585 Investigators examine the wires inside the cables. 413 00:29:54,668 --> 00:30:00,816 Normally, we're able to open up a wiring bundle and look at the wire numbers on the 414 00:30:00,899 --> 00:30:03,963 wires and compare it to an electrical diagram 415 00:30:04,047 --> 00:30:06,586 and determine if it's connected properly. 416 00:30:06,670 --> 00:30:08,576 There's no numbering on these wires. 417 00:30:10,499 --> 00:30:15,050 We found the wires were so small, the manufacturer didn't put wire numbers on them. 418 00:30:15,133 --> 00:30:18,499 So we were concerned about not being able to 419 00:30:18,582 --> 00:30:21,406 determine if they're correctly connected. 420 00:30:21,489 --> 00:30:25,175 There should be three wires inside the anti-skid cables. 421 00:30:25,259 --> 00:30:27,143 So we got three here. 422 00:30:27,226 --> 00:30:30,981 Then investigators notice something out of the ordinary. 423 00:30:31,064 --> 00:30:32,448 There's four wires here. 424 00:30:33,327 --> 00:30:36,120 There's an extra wire on the top half of this cable. 425 00:30:36,203 --> 00:30:41,585 The wiring inside the top and bottom half of the outboard cable, doesn't match. 426 00:30:45,648 --> 00:30:47,351 There's four in each of these. 427 00:30:47,434 --> 00:30:53,039 The top outboard cable and the bottom inboard cable each had an extra wire, 428 00:30:53,122 --> 00:30:55,325 which means only one thing. 429 00:30:57,340 --> 00:31:01,744 They're crossed. No wonder the anti-skid system failed. 430 00:31:04,674 --> 00:31:07,610 When the left outboard wheel began to skid, 431 00:31:07,693 --> 00:31:12,504 the anti-skid system mistakenly released pressure to the inboard brakes. 432 00:31:12,588 --> 00:31:17,225 As a result, the skid continued and the left outboard tire burst. 433 00:31:17,308 --> 00:31:19,385 That was really the "aha" moment. 434 00:31:20,331 --> 00:31:25,487 When you have crossed wires, the airplane is then dumping the brake pressure to the 435 00:31:25,583 --> 00:31:30,214 two, perfectly good wheels, and allowing the other tire to skid. 436 00:31:33,933 --> 00:31:38,085 -Brakes. -I got 'em all the way down. 437 00:31:38,168 --> 00:31:43,827 Without braking power to the two inboard wheels, and a blown left outboard tire, 438 00:31:43,911 --> 00:31:47,540 the pilots had a massively reduced ability to brake. 439 00:31:48,721 --> 00:31:52,669 You're reducing the effective braking capacity by 75% 440 00:31:52,764 --> 00:31:56,200 and now only the right outboard tire is providing braking. 441 00:32:10,174 --> 00:32:12,898 The cables have to go through the entire landing gear. 442 00:32:12,982 --> 00:32:17,354 How did maintenance workers mistakenly cross the wires of the braking system, 443 00:32:17,437 --> 00:32:21,195 leaving the pilots of PenAir flight 3296 with only one 444 00:32:21,278 --> 00:32:24,184 of four main landing gear brakes to stop their plane? 445 00:32:24,268 --> 00:32:26,948 See? It's not a straight line. 446 00:32:27,032 --> 00:32:29,472 And the wheel attachments are identical. 447 00:32:29,555 --> 00:32:31,937 So imagine trying to feed two wires through 448 00:32:32,021 --> 00:32:34,230 a small hole at the base of the landing gear. 449 00:32:34,314 --> 00:32:38,097 How do you know which one went to the left and which one went to the right? 450 00:32:38,181 --> 00:32:40,992 It would just be so easy to confuse the two. 451 00:32:41,075 --> 00:32:43,404 How long could these have been crossed? 452 00:32:43,488 --> 00:32:49,125 According to the records, there was a full overhaul of the left main landing gear. 453 00:32:49,208 --> 00:32:53,316 -When? -January, 2017. 454 00:32:55,274 --> 00:32:59,752 The wires were crossed two and a half years prior to the accident. 455 00:33:01,275 --> 00:33:04,654 We found out that the aircraft had been sitting, 456 00:33:04,737 --> 00:33:08,242 uh, for a couple of years, in overhaul. 457 00:33:08,326 --> 00:33:14,352 And there wasn't any sort of procedure, to check to see if there was any cross wiring. 458 00:33:15,428 --> 00:33:19,431 So how many flights did it make once it was back in service? 459 00:33:22,122 --> 00:33:23,614 About 500. 460 00:33:24,741 --> 00:33:30,657 They learned that the misrouted anti-skid wiring went undetected for nearly four months. 461 00:33:31,688 --> 00:33:35,704 So why did 500 flights manage to stop but not these guys? 462 00:33:37,402 --> 00:33:41,274 Maybe the malfunction was happening just, on a smaller scale. 463 00:33:41,988 --> 00:33:43,526 The balding tire? 464 00:33:44,477 --> 00:33:46,983 Was the worn left outboard tire, 465 00:33:47,080 --> 00:33:50,326 an indication of the malfunctioning anti-skid system? 466 00:33:51,230 --> 00:33:55,258 We suspected that there were events of skidding. 467 00:33:55,341 --> 00:34:00,188 But the difficult thing is, it would have to skid more than a second and a half, 468 00:34:00,272 --> 00:34:05,170 for the airplane, to display a fault, that the s-system was malfunctioning. 469 00:34:05,254 --> 00:34:07,417 So this could have been happening gradually, 470 00:34:07,500 --> 00:34:11,270 with repeated small skids creating the bald spot on the tire. 471 00:34:11,353 --> 00:34:14,746 Yeah. But when they landed at that speed with that tailwind, 472 00:34:14,830 --> 00:34:17,833 they braked longer and harder than in previous flights. 473 00:34:20,023 --> 00:34:24,432 -Brakes! -I got 'em all the way down. 474 00:34:25,871 --> 00:34:28,858 That's really the insidious nature of this fault. 475 00:34:28,941 --> 00:34:31,839 You're not going to find out about this cross wiring until 476 00:34:31,922 --> 00:34:34,624 you really need it when you're slamming on the brakes. 477 00:34:34,708 --> 00:34:37,441 Ah! Hang on. I'm sliding. 478 00:34:39,163 --> 00:34:41,386 With the hidden anti-skid fault, 479 00:34:41,469 --> 00:34:45,980 investigators conclude the pilots of PenAir flight 3296 480 00:34:46,063 --> 00:34:49,895 could not have stopped their plane on runway 13. 481 00:34:53,175 --> 00:34:55,059 There's one thing I'm curious about. 482 00:34:58,961 --> 00:35:03,278 Could they have stopped if they landed into the wind on runway 31 instead? 483 00:35:08,741 --> 00:35:10,623 It's possible. 484 00:35:10,706 --> 00:35:13,838 Their landing speeds would have been slower and the drag 485 00:35:13,921 --> 00:35:17,578 caused by the extra wind, would have stopped it in time. 486 00:35:19,521 --> 00:35:23,784 Then why did they choose runway 13 and the tailwind? 487 00:35:23,867 --> 00:35:30,151 Did the pilots of PenAir flight 3296, ignore crucial information about the wind 488 00:35:30,234 --> 00:35:32,293 and execute a risky landing? 489 00:35:32,377 --> 00:35:39,080 The decision to land on runway 13 with the reported tailwind was an inappropriate decision. 490 00:35:39,163 --> 00:35:44,359 This was an experienced crew and, we weren't sure what exactly had happened. 491 00:35:44,442 --> 00:35:48,362 Investigators turn to the cockpit voice recorder for answers. 492 00:35:49,474 --> 00:35:51,601 Pull up from the go around onward. 493 00:35:54,711 --> 00:35:57,317 -What do you think? -Go around. 494 00:35:58,623 --> 00:36:00,016 Max power. 495 00:36:02,578 --> 00:36:05,818 Dutch Harbor traffic, Peninsula 3296, going around. 496 00:36:05,902 --> 00:36:08,575 We're going to come back around for a visual. 497 00:36:08,658 --> 00:36:13,728 Yeah, we're just going to get out of here, do a 180, and come back in. 498 00:36:13,811 --> 00:36:16,391 Roger, all right. You're at 1,000 feet. 499 00:36:16,475 --> 00:36:17,931 Pause for a second. 500 00:36:18,848 --> 00:36:24,443 So the captain says that he's doing a 180, which would line him up with 31. 501 00:36:24,526 --> 00:36:26,302 But that's not what he does. 502 00:36:26,385 --> 00:36:31,754 He takes a sweeping 360 degree turn around the mountain to 13. 503 00:36:36,604 --> 00:36:37,705 Why? 504 00:36:41,691 --> 00:36:47,255 We're at 1,200, coming back around for a one, uh, for a visual 13. 505 00:36:47,338 --> 00:36:50,148 31. 31. 506 00:36:50,238 --> 00:36:52,104 31? I thought we were doing 13. 507 00:36:52,187 --> 00:36:57,735 Uh, okay. Sure. I'll try it again. 508 00:36:57,818 --> 00:36:59,313 Stop the tape. 509 00:37:00,971 --> 00:37:05,357 So the captain wants to go to 31, but the first officer questions it. 510 00:37:06,997 --> 00:37:11,591 There was a back and forth between the captain and first officer in terms of 511 00:37:11,675 --> 00:37:12,992 which runway to use. 512 00:37:13,076 --> 00:37:16,809 I would categorize the captain's leadership, as poor. 513 00:37:16,910 --> 00:37:19,158 Okay. Get a wind check from her again. 514 00:37:19,248 --> 00:37:24,061 As the crew finalizes the second approach, the captain stays on top of the wind reports. 515 00:37:24,145 --> 00:37:26,864 Dutch weather 3296, another wind check. 516 00:37:28,020 --> 00:37:34,394 Right now, midfield winds at 300 at 24 knots. 517 00:37:34,477 --> 00:37:37,095 -Oh, God. -Oh, crap. 518 00:37:37,178 --> 00:37:38,428 Stop the tape. 519 00:37:39,718 --> 00:37:42,279 Sounds like they're not happy with that tailwind. 520 00:37:42,362 --> 00:37:44,508 And yet, they kept going. 521 00:37:44,591 --> 00:37:49,844 The CVR raises questions about the captain's report of a crosswind. 522 00:37:49,927 --> 00:37:54,202 They were surprised of the, wind direction and speed, 523 00:37:54,314 --> 00:38:01,130 but the interesting thing is is that, they were aware of the tailwind limitation, 524 00:38:01,213 --> 00:38:03,494 for that particular aircraft. 525 00:38:03,578 --> 00:38:06,196 But they continued on with the decision to land. 526 00:38:10,237 --> 00:38:13,315 -Try it again? -Keep talking to weather. 527 00:38:13,398 --> 00:38:17,041 Why would the pilots of PenAir flight 3296 528 00:38:17,124 --> 00:38:22,304 decide to land with a tailwind on a short runway in Dutch Harbor, Alaska? 529 00:38:22,387 --> 00:38:23,781 …at 24 knots. 530 00:38:23,865 --> 00:38:26,322 -All right, we'll try it again. -All right. 531 00:38:26,405 --> 00:38:28,371 -Last try. -Rog. 532 00:38:30,911 --> 00:38:35,138 It's like the captain's just going along with what his first officer's saying. 533 00:38:35,221 --> 00:38:37,482 He needs to take on more leadership. 534 00:38:37,565 --> 00:38:43,156 The captain suspected 31 was the better option, but he never stated his preference. 535 00:38:44,304 --> 00:38:51,020 The captain's capitulation to land on 13 does show ineffective leadership, 536 00:38:51,104 --> 00:38:57,949 and, that he did not fully, evaluate the circumstances at hand in order to make, 537 00:38:58,032 --> 00:38:59,947 a-an objective decision. 538 00:39:01,163 --> 00:39:03,297 Maybe he was fixated on landing. 539 00:39:10,911 --> 00:39:15,393 Instead of communicating their options, they continue their approach. 540 00:39:16,538 --> 00:39:18,877 -Give me speed. -Plus 15. 541 00:39:19,930 --> 00:39:24,537 Investigators conclude the pilot's decision to land on runway 13, 542 00:39:24,621 --> 00:39:27,362 was intentional, and inappropriate. 543 00:39:28,884 --> 00:39:33,531 By making that decision, they put themselves at risk, 544 00:39:33,614 --> 00:39:36,032 but they also put the passengers at risk. 545 00:39:36,115 --> 00:39:42,529 Crossed wires, tailwind, some poor leadership, it all added up. 546 00:39:42,612 --> 00:39:45,463 And very little margin for error at such a tricky airport. 547 00:39:50,391 --> 00:39:57,065 The pilots of PenAir flight 3296 defend their decision to land on runway 13. 548 00:39:58,531 --> 00:40:03,515 We're at 1,200, coming back around for a one, uh, the visual 13. 549 00:40:03,598 --> 00:40:06,197 31. 31. 550 00:40:06,281 --> 00:40:08,508 31? I thought we were doing 13. 551 00:40:08,591 --> 00:40:12,414 Uh, okay, sure. We'll try again. 552 00:40:12,497 --> 00:40:16,602 After the first landing attempt, the captain claims his first officer saw 553 00:40:16,685 --> 00:40:19,570 no change in wind conditions on the runway. 554 00:40:20,795 --> 00:40:24,534 He called my attention to it, so I looked again to evaluate the situation. 555 00:40:24,618 --> 00:40:27,335 He was correct, it was a crosswind. 556 00:40:27,418 --> 00:40:31,418 If the conditions hadn't changed, I didn't see a reason to change the plan. 557 00:40:31,502 --> 00:40:34,321 Dutch weather 3296 another wind check. 558 00:40:35,511 --> 00:40:41,331 Right now, midfield winds at 300 at 24 knots. 559 00:40:42,057 --> 00:40:44,331 -Oh God. -Oh crap. 560 00:40:45,418 --> 00:40:50,888 What we were seeing, was not what she was, uh, reporting at that point in time. 561 00:40:50,972 --> 00:40:53,977 Those winds were clearly a crosswind. 562 00:40:54,884 --> 00:40:58,997 We could see the white caps, and then the windsock itself was showing a crosswind. 563 00:41:00,084 --> 00:41:04,654 Commercial pilot and passenger Steve Ranney saw something different. 564 00:41:06,385 --> 00:41:09,561 I saw a direct tailwind, 20 to 30 knots. 565 00:41:09,644 --> 00:41:13,673 As a commercial pilot, that is something that I would not have attempted. 566 00:41:13,790 --> 00:41:16,059 When you get conflicting information from what 567 00:41:16,142 --> 00:41:19,674 you're seeing, that is a tough call for a pilot. 568 00:41:25,884 --> 00:41:26,788 Down. 569 00:41:26,871 --> 00:41:30,381 -Okay, you got the yoke. -I got it yeah, we're down there, 80 knots. 570 00:41:30,464 --> 00:41:34,587 When the brakes malfunction, the captain is unable to slow the plane. 571 00:41:35,704 --> 00:41:38,681 -Brakes. -I got 'em all the way down. 572 00:41:38,764 --> 00:41:40,564 We had no braking power at all. 573 00:41:40,648 --> 00:41:45,031 If we had one operational brake still, it would have locked up and blown as well. 574 00:41:45,115 --> 00:41:48,038 This particular aircraft didn't have an emergency brake. 575 00:41:48,121 --> 00:41:50,709 So in the event that the main system failed, 576 00:41:50,792 --> 00:41:54,254 there's no way to bring this aircraft to a brake stop. 577 00:41:55,405 --> 00:41:57,401 Hang on. I'm sliding. 578 00:41:57,485 --> 00:42:00,468 Quick thinking and turning the plane towards a road, 579 00:42:00,551 --> 00:42:03,595 avoids a full plunge into Dutch Harbor. 580 00:42:03,678 --> 00:42:04,858 Go right. Go right. 581 00:42:06,317 --> 00:42:10,165 The key to not go into the water was our decision to land on 13. 582 00:42:10,248 --> 00:42:14,717 We had the perimeter road. There was a lot more room on the 13 side. 583 00:42:19,935 --> 00:42:24,185 Tragically, fragments of the left propeller ripped through the fuselage, 584 00:42:24,268 --> 00:42:25,928 killing a passenger. 585 00:42:28,171 --> 00:42:31,510 You never want to lose a passenger, for any reason. 586 00:42:31,593 --> 00:42:33,165 Um… 587 00:42:33,267 --> 00:42:35,351 That's, that's been very hard for me. 588 00:42:37,221 --> 00:42:40,827 Investigators conclude the probable cause of the accident, 589 00:42:40,910 --> 00:42:44,544 is incorrect wiring of the anti-skid system. 590 00:42:44,627 --> 00:42:48,974 Contributing to the accident is the pilot's inappropriate decision to land on 591 00:42:49,057 --> 00:42:52,026 a runway with a powerful reported tailwind. 592 00:42:57,153 --> 00:42:59,439 That, troubles me because, 593 00:42:59,523 --> 00:43:02,660 are we supposed to just blindly rely on our weather observers? 594 00:43:02,743 --> 00:43:05,029 Or are we supposed to make a decision as the 595 00:43:05,112 --> 00:43:08,898 pilots on what the best course of action is, based on what we see? 596 00:43:08,981 --> 00:43:13,479 Saab released a service bulletin, advising operators to inspect 597 00:43:13,562 --> 00:43:16,301 the anti-skid system for crossed wiring. 598 00:43:17,308 --> 00:43:23,371 You know you can't afford for human error, to be, allowed in connecting wires. 599 00:43:23,455 --> 00:43:29,224 That's a very basic thing, especially on a critical safety system such as the brakes. 600 00:43:30,221 --> 00:43:34,538 For Steve Ranney, the ordeal changed his attitude about flying. 601 00:43:35,607 --> 00:43:38,247 It took quite a while for myself to be comfortable 602 00:43:38,330 --> 00:43:42,347 again, but we live in a place where we have to fly. 603 00:43:42,430 --> 00:43:44,845 There's no choices about it. 604 00:43:44,928 --> 00:43:50,496 I would hope that there are lessons here as far as, uh, weather and maintenance 605 00:43:50,579 --> 00:43:54,002 that can keep accidents like this from happening, again. 606 00:43:55,920 --> 00:43:57,600 UNOFFICIAL SUBS BY STER 54324

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