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1
00:00:03,172 --> 00:00:05,517
Sundance 518,
taxi across Runway 24 Left.
2
00:00:05,586 --> 00:00:07,517
Contact Ground,. 65...
3
00:00:07,586 --> 00:00:10,344
February the 1st, 1991.
4
00:00:10,413 --> 00:00:13,413
Los Angeles International
Airport, LAX.
5
00:00:13,482 --> 00:00:15,827
246 heading 270,
6
00:00:15,896 --> 00:00:17,344
contact Los Angeles Departure.
7
00:00:17,413 --> 00:00:21,172
Thank you. USAir 1493,
you're cleared to land, 24 Left.
8
00:00:21,241 --> 00:00:24,344
Cleared to land,
24 Left, 1493.
9
00:00:25,344 --> 00:00:28,068
Travelling at 240 kph,
10
00:00:28,137 --> 00:00:32,758
USAir Flight 1493 descends
towards Runway 24 Left.
11
00:00:34,862 --> 00:00:36,758
What the hell?!
12
00:00:40,241 --> 00:00:42,827
I pointed to the aircraft
and yelled: "USAir's crashing."
13
00:00:43,724 --> 00:00:46,517
The aircraft was fully engulfed
in flames.
14
00:00:49,103 --> 00:00:53,206
But the full scope
of this tragedy is far greater
than anyone can imagine.
15
00:00:57,724 --> 00:01:00,103
Mayday, mayday.
16
00:01:18,241 --> 00:01:19,793
We need more pressure!
17
00:01:20,965 --> 00:01:23,689
At one of the busiest airports
in the world,
18
00:01:23,758 --> 00:01:27,137
a Boeing 737 has just exploded
in flames upon landing.
19
00:01:29,448 --> 00:01:32,275
I think the thought process
in the tower was... It was 1991,
20
00:01:32,344 --> 00:01:35,275
it was one of the first nights
of the first Gulf War,
21
00:01:35,344 --> 00:01:38,862
and I think the thing
that was foremost in our mind
22
00:01:38,931 --> 00:01:41,517
was maybe it was a bomb
that went off in the aircraft.
23
00:01:42,965 --> 00:01:45,862
As firefighters
bring the blaze under control,
24
00:01:45,931 --> 00:01:48,206
rescuers begin searching
for survivors.
25
00:01:49,068 --> 00:01:51,827
About five minutes
after the incident occurred,
26
00:01:51,896 --> 00:01:54,172
we got a call
from an emergency vehicle.
27
00:01:55,206 --> 00:01:58,241
Amid the wreckage,
they have made
an alarming discovery,
28
00:01:58,310 --> 00:02:00,793
one that forces
everyone involved
29
00:02:00,862 --> 00:02:03,965
to re-examine every detail
of the last 15 minutes.
30
00:02:19,379 --> 00:02:23,413
USAir Flight 1493 cruises
towards Los Angeles
International Airport.
31
00:02:27,275 --> 00:02:30,448
LAX is a central hub
for international travellers.
32
00:02:34,379 --> 00:02:39,724
Just confirm
the visual approach
for USAir 1493 is 24 Left.
33
00:02:40,758 --> 00:02:43,379
That's correct,
USAir 1493.
34
00:02:43,448 --> 00:02:47,689
For the approach,
Captain Colin Shaw is managing
radio communications.
35
00:02:49,758 --> 00:02:52,517
First Officer David Kelly
is at the controls.
36
00:02:57,896 --> 00:03:00,379
With 89 passengers on board,
37
00:03:00,448 --> 00:03:02,344
the flight isn't quite full.
38
00:03:06,172 --> 00:03:09,000
Well, I'd been on a business
trip to Columbus, Ohio.
39
00:03:10,103 --> 00:03:13,379
I went
from the business meetings
to Columbus Airport,
40
00:03:13,448 --> 00:03:17,448
and got on a USAir flight
that was nonstop to Los Angeles.
41
00:03:19,241 --> 00:03:23,034
I planned a lot of good things
and good times for that weekend.
42
00:03:24,517 --> 00:03:26,931
USAir 1493,
43
00:03:27,000 --> 00:03:30,758
expedite your descent through
4,000 as much as practical,
if you would.
44
00:03:30,827 --> 00:03:33,689
There will be traffic
pass above you
on the south side.
45
00:03:33,758 --> 00:03:37,068
As the Boeing 737
nears Los Angeles,
46
00:03:37,137 --> 00:03:40,275
the approach controller
tells the pilots
to make a quick descent.
47
00:03:41,758 --> 00:03:44,827
They will need to stay clear
of a flight passing above them.
48
00:03:45,758 --> 00:03:49,241
Okay,
I'll expedite through four.
USAir 1493.
49
00:03:53,413 --> 00:03:56,241
Landing at LAX
can be a challenge for pilots.
50
00:03:57,034 --> 00:04:00,620
The airspace around the airport
is often thick with traffic.
51
00:04:02,034 --> 00:04:05,551
On average, a plane arrives
or departs every 50 seconds.
52
00:04:08,482 --> 00:04:12,000
Each of its four runways
handles both takeoffs
and landings.
53
00:04:13,482 --> 00:04:16,551
Taxiways intersect the runways
at dozens of locations.
54
00:04:18,724 --> 00:04:20,758
The airport can be a maze
of stops and starts
55
00:04:20,827 --> 00:04:23,275
for pilots
following instructions
issued by controllers.
56
00:04:26,551 --> 00:04:28,724
You got the left side
in sight?
57
00:04:30,000 --> 00:04:31,344
Yeah.
58
00:04:32,827 --> 00:04:34,310
We're out of four.
59
00:04:55,517 --> 00:04:58,379
USAir 1493,
thanks for your help.
60
00:04:58,448 --> 00:05:01,758
Contact Los Angeles Tower,
133.9. Good night.
61
00:05:02,482 --> 00:05:03,793
Good night.
62
00:05:05,482 --> 00:05:07,103
Gear down.
63
00:05:07,172 --> 00:05:10,000
- Alright. You gave three bells?
- Yes, I did.
64
00:05:17,206 --> 00:05:19,310
Perched 12 storeys
above the ground,
65
00:05:19,379 --> 00:05:23,103
tower controllers have
a hawk's eye view of traffic
66
00:05:23,172 --> 00:05:25,137
coming and going
from the airport.
67
00:05:26,034 --> 00:05:28,965
It was a busy night,
there was a lot of airplanes.
68
00:05:29,034 --> 00:05:32,586
We had numerous arrivals
and departures, uh,
during that time of the night.
69
00:05:32,655 --> 00:05:34,448
So it was a typical day.
70
00:05:34,965 --> 00:05:37,827
Elliot Brann is the clearance
delivery controller.
71
00:05:39,103 --> 00:05:42,137
The primary duties
of the clearance delivery
controller
72
00:05:42,206 --> 00:05:45,931
is issuing the routes of flight
and the flight plans
to the pilots
73
00:05:46,000 --> 00:05:47,965
as they come out
of the computer.
74
00:05:48,758 --> 00:05:52,137
A flight strip is printed out,
so you get a piece of paper
with the call sign,
75
00:05:52,206 --> 00:05:53,689
type of aircraft,
route of flight.
76
00:05:53,758 --> 00:05:57,000
I issue the clearance
to the pilot and then...
77
00:05:57,068 --> 00:06:00,000
I pass the strips,
the flight information,
to the next controller.
78
00:06:01,310 --> 00:06:04,344
Brann shares flight information
with four other controllers.
79
00:06:05,620 --> 00:06:09,931
Two ground controllers,
who handle planes moving between
the gates and the runways;
80
00:06:11,206 --> 00:06:15,551
and two local controllers,
who are responsible for planes
taking off and landing.
81
00:06:18,413 --> 00:06:20,413
Tonight,
local controller Robin Wascher
82
00:06:20,482 --> 00:06:23,586
is overseeing
the two north runways at LAX:
83
00:06:23,655 --> 00:06:25,482
24 Left and 24 Right.
84
00:06:27,931 --> 00:06:32,344
She uses the flight strips
to keep track of flights
departing and arriving.
85
00:06:32,413 --> 00:06:36,000
USAir 23,
taxi into position and hold,
Runway 24 Left.
86
00:06:36,620 --> 00:06:39,413
Position and hold,
24 Left, USAir 23.
87
00:06:39,482 --> 00:06:41,896
4974 Zero Echo.
88
00:06:41,965 --> 00:06:45,724
- 246, you still holding short
of 47?
- 246. Affirmative.
89
00:06:45,793 --> 00:06:47,344
Alright, you're next.
90
00:06:48,206 --> 00:06:51,586
SkyWest 569,
taxi up and hold short
of Runway 24 Left.
91
00:06:51,655 --> 00:06:53,344
Roger. Hold short.
92
00:07:00,689 --> 00:07:03,482
2785.
93
00:07:03,551 --> 00:07:05,551
Good night, ma'am.
94
00:07:07,758 --> 00:07:11,689
USAir Flight 1493
is about 13 kilometres from LAX.
95
00:07:14,448 --> 00:07:17,206
The pilots configure their plane
for landing.
96
00:07:17,275 --> 00:07:22,000
Speed brakes.
♪ Still workin' for a livin' ♪
97
00:07:22,068 --> 00:07:23,758
Alright.
98
00:07:24,689 --> 00:07:26,172
Flaps a-goin': 1.
99
00:07:29,586 --> 00:07:31,206
Flaps.
100
00:07:31,275 --> 00:07:34,896
Now the pilots radio
the LAX tower
for landing instructions.
101
00:07:35,827 --> 00:07:38,862
USAir 1493... inside Roman.
102
00:07:40,517 --> 00:07:43,689
Wings 5006,
Ground, uh, Tower.
103
00:07:46,482 --> 00:07:49,310
Robin Wascher
is busy with other planes.
104
00:07:49,379 --> 00:07:52,620
She doesn't respond
to their radio call.
105
00:07:52,689 --> 00:07:57,000
SkyWest 569,
taxi into position and hold,
Runway 24 Left.
106
00:07:57,068 --> 00:07:58,758
Traffic will cross downfield.
107
00:07:59,448 --> 00:08:02,931
Okay, 24 Left,
position and hold. SkyWest 569.
108
00:08:04,448 --> 00:08:06,655
Wings West 5006, Tower.
109
00:08:06,724 --> 00:08:09,793
Nav 2166... approach, 164.5.
110
00:08:13,586 --> 00:08:14,689
Thirty.
111
00:08:14,758 --> 00:08:17,448
Green light. Detent.
112
00:08:17,517 --> 00:08:19,551
Gear. Flaps.
113
00:08:19,620 --> 00:08:21,862
Landing clearance remains.
114
00:08:24,655 --> 00:08:26,931
Just six kilometres
from the airport,
115
00:08:27,000 --> 00:08:30,137
the USAir jet still doesn't have
the okay to land.
116
00:08:41,344 --> 00:08:44,413
Sundance 518,
taxi across Runway 24 Left.
117
00:08:44,482 --> 00:08:47,793
Contact Ground,. 65,
when you're off the runway.
Good night.
118
00:08:52,241 --> 00:08:55,482
Captain Shaw contacts the tower
for the second time
119
00:08:55,551 --> 00:08:57,344
in less than a minute.
120
00:08:57,413 --> 00:08:59,517
He needs Wascher's permission
to land.
121
00:08:59,586 --> 00:09:02,551
USAir 1493 for the left side,
122
00:09:02,620 --> 00:09:04,172
24 Left.
123
00:09:04,931 --> 00:09:09,517
246 heading 270,
contact Los Angeles Departure.
Good night.
124
00:09:09,586 --> 00:09:12,068
But she's still
focused on other planes.
125
00:09:16,758 --> 00:09:18,275
Out of 1,000 feet.
126
00:09:19,482 --> 00:09:22,758
Flight 1493 is now one minute
from the runway.
127
00:09:22,827 --> 00:09:25,413
It's what pilots call
"short final."
128
00:09:31,103 --> 00:09:33,379
Sometimes due to other
priorities that take place,
129
00:09:33,448 --> 00:09:36,620
an aircraft might not get
a landing clearance
until short final.
130
00:09:42,344 --> 00:09:44,931
Thank you, USAir 1493,
you're cleared to land,
131
00:09:45,000 --> 00:09:46,931
24 Left.
- Cleared to land,
132
00:09:47,000 --> 00:09:49,517
24 Left, 1493.
133
00:10:02,862 --> 00:10:04,310
Looks real good.
134
00:10:05,172 --> 00:10:06,413
Ah...
135
00:10:08,586 --> 00:10:10,482
You're coming out of 500.
136
00:10:27,482 --> 00:10:28,793
What the hell?!
137
00:10:38,448 --> 00:10:40,827
The USAir 737
has barely touched down.
138
00:10:41,724 --> 00:10:43,551
It erupts in flames and crashes
139
00:10:43,620 --> 00:10:45,931
through Los Angeles
International Airport.
140
00:10:47,620 --> 00:10:52,034
I saw USAir touch down
and as he got about mid...
141
00:10:52,103 --> 00:10:54,896
about third-way down
the runway at taxiway 45,
142
00:10:54,965 --> 00:10:57,482
the aircraft was fully engulfed
in flames.
143
00:10:59,689 --> 00:11:03,827
The supervisor ran past me
to pick up the crash phone
144
00:11:03,896 --> 00:11:06,586
and alert the emergency vehicles
to respond.
145
00:11:07,896 --> 00:11:10,379
Aboard the flight,
sheer terror.
146
00:11:12,931 --> 00:11:16,655
There was a tremendous, uh,
crunching sensation.
147
00:11:18,034 --> 00:11:21,172
And there was this
extraordinary shower of sparks
148
00:11:21,241 --> 00:11:23,034
that shot by my window.
149
00:11:34,172 --> 00:11:35,413
Good God.
150
00:11:37,689 --> 00:11:40,724
Rosa Reynoso
is a plainclothes officer
with the Airport Police.
151
00:11:41,275 --> 00:11:43,793
We see the aircraft
engulfed in fire.
152
00:11:44,862 --> 00:11:48,344
My partner and I were probably
about 500 yards from it.
153
00:11:48,413 --> 00:11:50,379
Alert 33, Runway 24L.
154
00:11:50,448 --> 00:11:52,620
Affirmative. Alert 33.
155
00:11:55,517 --> 00:11:58,137
The initial moments
were very scary,
156
00:11:58,206 --> 00:12:00,034
um, very chaotic.
157
00:12:00,103 --> 00:12:02,379
I remember just thinking
to myself: Oh, God,
158
00:12:02,448 --> 00:12:04,448
please get some more people
out here.
159
00:12:04,517 --> 00:12:08,103
Get me fire, get me officers,
get me somebody,
160
00:12:08,172 --> 00:12:10,310
'cause this is not good.
161
00:12:14,034 --> 00:12:17,000
In the tower,
there's no time to dwell
on what's happened.
162
00:12:17,068 --> 00:12:19,482
Other aircraft
are still coming in to land.
163
00:12:20,482 --> 00:12:22,724
Controllers must direct them
to safety.
164
00:12:22,793 --> 00:12:24,724
Wings West 5212,
165
00:12:24,793 --> 00:12:26,275
wind 240 at 8.
166
00:12:26,344 --> 00:12:28,000
You are cleared to land,
167
00:12:28,068 --> 00:12:29,793
Runway 24 Right.
168
00:12:29,862 --> 00:12:31,724
Use caution.
169
00:12:31,793 --> 00:12:34,655
We just had an aircraft
go off the runway in flames.
170
00:12:43,379 --> 00:12:46,896
The cabin of Flight 1493
is filling with toxic smoke.
171
00:12:50,172 --> 00:12:53,206
Some passengers rush to a door
at the rear of the plane.
172
00:12:55,965 --> 00:12:59,689
I probably got seven
or eight rows down the aisle,
and, uh,
173
00:12:59,758 --> 00:13:04,172
and then I encountered a cluster
of passengers standing in the...
174
00:13:04,241 --> 00:13:06,137
in the aisle, not moving.
175
00:13:06,206 --> 00:13:09,137
I thought to myself:
176
00:13:09,206 --> 00:13:11,689
There must be an opening
in the front of the plane
177
00:13:11,758 --> 00:13:14,758
that allowed
for this tremendous quantity
of smoke
178
00:13:14,827 --> 00:13:16,551
to roll into the plane
so quickly.
179
00:13:18,241 --> 00:13:22,827
And so I stumbled forward
to the... the cockpit area,
180
00:13:22,896 --> 00:13:26,620
and there was tremendous fire
on both sides of the plane.
181
00:13:27,862 --> 00:13:30,517
I said to myself: My gosh,
182
00:13:30,586 --> 00:13:33,827
there's no way you're gonna get
out of this airplane, David;
you're trapped.
183
00:13:35,068 --> 00:13:37,482
Outside,
some have escaped the plane.
184
00:13:40,862 --> 00:13:44,448
Rosa Reynoso is the first
emergency responder
to arrive at the scene.
185
00:13:46,413 --> 00:13:50,068
The fire was intense,
uh, it was very, very hot.
186
00:13:50,137 --> 00:13:51,655
I mean, almost singeing us.
187
00:13:53,482 --> 00:13:55,413
She needs to act fast
188
00:13:55,482 --> 00:13:57,965
to help passengers away
from the burning wreckage.
189
00:13:59,103 --> 00:14:04,206
The passengers were trying
to escape the plane, uh,
from the emergency-exit doors.
190
00:14:04,275 --> 00:14:06,827
However, the fire had engulfed
the doors,
191
00:14:06,896 --> 00:14:09,655
so some of the people
that were fine
192
00:14:09,724 --> 00:14:12,206
jumped out of the plane
and into the fire.
193
00:14:13,379 --> 00:14:16,413
More emergency personnel arrive
within minutes.
194
00:14:16,482 --> 00:14:19,000
Most passengers are jumping
out of that door.
195
00:14:19,068 --> 00:14:20,758
Some people were on fire.
196
00:14:21,896 --> 00:14:24,586
Some of them were scratched,
cut up.
197
00:14:25,310 --> 00:14:27,482
Some of them had broken legs.
198
00:14:28,793 --> 00:14:30,413
It was pretty traumatic.
199
00:14:32,689 --> 00:14:36,862
And I think you just start
operating on knowing
you have to do the right thing
200
00:14:36,931 --> 00:14:38,689
and try and save these people.
201
00:14:43,310 --> 00:14:45,034
David Koch is still inside.
202
00:14:47,103 --> 00:14:49,137
I suddenly saw
a crack of light.
203
00:14:49,758 --> 00:14:52,827
And my god...
it was a miracle.
204
00:14:52,896 --> 00:14:54,482
The crack opened up,
205
00:14:54,551 --> 00:14:56,655
and I suddenly realized
206
00:14:56,724 --> 00:15:00,103
that I had opened
the galley door.
207
00:15:01,379 --> 00:15:03,551
But now he faces another hurdle.
208
00:15:05,172 --> 00:15:08,068
He can't even see the ground
through the fire and smoke.
209
00:15:09,000 --> 00:15:11,551
And I said to myself:
210
00:15:11,620 --> 00:15:13,482
What the hell.
And jumped out.
211
00:15:16,827 --> 00:15:19,034
I landed on the ground,
212
00:15:19,103 --> 00:15:21,896
and then started crawling
on my hands and knees
213
00:15:21,965 --> 00:15:23,689
away from the airplane.
214
00:15:26,379 --> 00:15:29,206
I had a great sense of guilt.
215
00:15:30,000 --> 00:15:34,103
Why did I not go back
into the airplane
and say "follow me"?
216
00:15:36,586 --> 00:15:38,758
And I think if I'd gone back
into the cabin,
217
00:15:38,827 --> 00:15:43,137
I might've passed out and fallen
on the floor and died.
218
00:15:45,517 --> 00:15:48,034
And that's how I've come
to terms with the fact that, uh,
219
00:15:48,103 --> 00:15:51,517
I... I got out, but didn't help
anybody else out.
220
00:15:59,275 --> 00:16:01,482
As the search
for survivors continues,
221
00:16:01,551 --> 00:16:03,482
firefighters make
a stunning find.
222
00:16:07,413 --> 00:16:10,586
This is Rescue 1.
We've got a propeller down here
in the wreckage.
223
00:16:14,862 --> 00:16:18,103
The discovery of a propeller
has horrifying implications.
224
00:16:19,241 --> 00:16:21,206
There's two planes down here.
225
00:16:26,344 --> 00:16:28,793
As soon as we found out
that information,
we started actively...
226
00:16:28,862 --> 00:16:32,862
looking to see,
uh, what aircraft, if any,
were missing.
227
00:16:35,103 --> 00:16:38,103
So we started looking
at the flight strips
that were already departed,
228
00:16:38,172 --> 00:16:41,206
and then we looked at the ones
that were still pending.
229
00:16:41,275 --> 00:16:44,137
And then we called
the Departure Control,
radar controller,
230
00:16:44,206 --> 00:16:47,551
to find out which ones
they've talked to in the last
five, six minutes.
231
00:16:49,413 --> 00:16:51,241
What about SkyWest 5569?
232
00:16:52,000 --> 00:16:53,689
No, we haven't heard
from them.
233
00:16:54,620 --> 00:16:58,379
SkyWest 5569,
taxi into position, hold,
Runway 24 Left.
234
00:16:58,448 --> 00:17:00,413
Okay, 24 Left,
position and hold.
235
00:17:00,482 --> 00:17:02,206
SkyWest 569.
236
00:17:08,689 --> 00:17:12,551
Staff can account
for all of the aircraft
except for SkyWest 5569,
237
00:17:12,620 --> 00:17:16,620
a Fairchild Metroliner bound
for Palmdale, California.
238
00:17:25,655 --> 00:17:30,551
Emergency personnel find parts
of the smaller plane
strewn across Runway 24 Left.
239
00:17:32,517 --> 00:17:34,862
There were 20 people
on board the flight.
240
00:17:36,000 --> 00:17:37,551
None have survived.
241
00:17:39,793 --> 00:17:43,896
What's left of their plane
is crushed between USAir 1493...
242
00:17:44,827 --> 00:17:47,068
...and an abandoned building
near the runway.
243
00:17:47,137 --> 00:17:50,620
My first thought was:
Oh, my God...
244
00:17:50,689 --> 00:17:53,862
there's someone else
under there,
and we didn't even realize it.
245
00:17:56,379 --> 00:17:59,758
There's even more loss of life
on board the larger plane.
246
00:17:59,827 --> 00:18:02,896
Twenty are dead.
Two others are mortally wounded.
247
00:18:04,103 --> 00:18:06,275
First Officer Kelly
has survived,
248
00:18:06,344 --> 00:18:07,965
but Captain Shaw has not.
249
00:18:08,620 --> 00:18:11,724
The disaster thrusts LAX
into the media spotlight.
250
00:18:14,310 --> 00:18:16,827
America's runways,
according to the nation's
pilots:
251
00:18:16,896 --> 00:18:19,137
The most dangerous part
of the flight.
252
00:18:19,931 --> 00:18:22,517
In the months and years
leading up to the crash,
253
00:18:22,586 --> 00:18:25,103
increasing traffic
was becoming a safety concern
254
00:18:25,172 --> 00:18:26,896
at Los Angeles
International Airport.
255
00:18:30,448 --> 00:18:33,655
The most close calls:
Los Angeles
International Airport.
256
00:18:33,724 --> 00:18:37,000
Thirty-three near-collisions
over the last four years.
257
00:18:37,586 --> 00:18:39,517
That's one
every month and a half.
258
00:18:39,586 --> 00:18:42,862
The accident confirms safety
issues need to be addressed.
259
00:18:47,379 --> 00:18:51,965
The National Transportation
Safety Board sends its Go Team
to LAX to investigate.
260
00:18:53,931 --> 00:18:56,000
It was kind
of a horrific scene.
261
00:18:57,172 --> 00:18:59,413
The front end of the airplane
was, uh,
262
00:18:59,482 --> 00:19:03,551
was impaled on the captain's
side against the building.
263
00:19:04,068 --> 00:19:06,517
And with close inspection,
264
00:19:06,586 --> 00:19:09,758
we could see parts
of another aircraft underneath.
265
00:19:13,137 --> 00:19:15,862
Investigators can
see that the two planes collided
266
00:19:15,931 --> 00:19:18,413
at an intersection
on Runway 24 Left.
267
00:19:21,275 --> 00:19:24,103
The scenario of the accident,
uh...
268
00:19:24,172 --> 00:19:27,379
resulted in two planes
being on the runway
at the same time.
269
00:19:28,344 --> 00:19:29,965
The runway was occupied.
270
00:19:30,965 --> 00:19:32,793
And that's something
that should never happen
271
00:19:32,862 --> 00:19:34,931
when a landing clearance
is granted.
272
00:19:37,344 --> 00:19:43,000
Reducing collisions
on U.S. runways is a priority
for investigators from the NTSB.
273
00:19:43,068 --> 00:19:47,620
We had runway incursions
on the Most Wanted List
from 1990,
274
00:19:47,689 --> 00:19:49,862
here at the Safety Board,
275
00:19:49,931 --> 00:19:52,827
and it's a major concern
for, uh...
276
00:19:52,896 --> 00:19:54,413
the whole industry.
277
00:19:55,482 --> 00:19:59,931
A runway incursion is simply
when an inappropriate object
278
00:20:00,000 --> 00:20:05,379
is out on a runway
that's gonna be used
for a takeoff or landing.
279
00:20:07,965 --> 00:20:11,862
Some of the world's
worst airline disasters
have taken place on runways.
280
00:20:15,413 --> 00:20:17,275
In March 1977,
281
00:20:17,344 --> 00:20:19,620
on the island of Tenerife,
282
00:20:19,689 --> 00:20:24,931
583 people died
when two Boeing 747s collided
on the runway.
283
00:20:28,241 --> 00:20:30,137
In January 1990,
284
00:20:30,206 --> 00:20:35,758
a Beechcraft King Air 100
was struck by a Boeing 727
attempting to land in Atlanta.
285
00:20:39,827 --> 00:20:41,517
Later that year in Detroit,
286
00:20:41,586 --> 00:20:46,724
another Boeing 727 smashed
straight into a DC-9
carrying 44 people.
287
00:20:51,103 --> 00:20:53,068
Runway incursions, uh...
288
00:20:54,000 --> 00:20:59,206
...occur due to some failure
in the existing system.
289
00:21:00,931 --> 00:21:03,137
Something has happened.
290
00:21:03,206 --> 00:21:05,896
Some directive
has not been followed,
291
00:21:05,965 --> 00:21:11,344
some inattention is present
in the scenario
of a runway incursion.
292
00:21:13,689 --> 00:21:16,172
Which one of these planes
was cleared for 24 Left?
293
00:21:19,758 --> 00:21:22,724
Investigators need to find out
why there were two planes
294
00:21:22,793 --> 00:21:25,448
on Runway 24 Left
at the same time.
295
00:21:26,206 --> 00:21:28,310
One of the principal
objectives was to, uh,
296
00:21:28,379 --> 00:21:32,448
immediately see
if we could find out
what error had taken place
297
00:21:32,517 --> 00:21:34,655
that would allow
that situation to occur.
298
00:21:35,413 --> 00:21:37,862
Part of that answer
may lie in the wreckage.
299
00:21:38,551 --> 00:21:43,448
But 24 hours after the crash,
the investigation
is at a near standstill.
300
00:21:43,517 --> 00:21:46,827
There's too much fuel
on board the 737.
301
00:21:47,344 --> 00:21:49,620
Crawling through the wreckage
would be dangerous.
302
00:21:50,586 --> 00:21:52,034
The aircraft had, uh,
303
00:21:52,103 --> 00:21:53,758
about, uh...
304
00:21:53,827 --> 00:21:55,724
6,000 pounds,
305
00:21:55,793 --> 00:21:57,862
maybe 1,000 gallons of fuel
on board.
306
00:21:57,931 --> 00:21:59,931
How long is this going to take?
307
00:22:01,068 --> 00:22:05,758
The, uh, the Saturday was spent
defueling the aircraft,
308
00:22:05,827 --> 00:22:08,413
and that's a very slow process.
309
00:22:09,068 --> 00:22:12,827
That took almost all day, uh,
before, uh...
310
00:22:12,896 --> 00:22:17,655
the fire department
could declare that the, uh,
the scene was safe.
311
00:22:19,517 --> 00:22:22,000
With airplane parts
littering the airport,
312
00:22:22,068 --> 00:22:24,206
LAX is running at half-capacity.
313
00:22:24,689 --> 00:22:26,724
Two of the four runways
are shut down.
314
00:22:27,793 --> 00:22:29,724
That's causing chaos
for travellers.
315
00:22:37,172 --> 00:22:40,137
When the NTSB team finally gets
access to the wreckage,
316
00:22:40,206 --> 00:22:43,034
they're under enormous pressure
to act quickly.
317
00:22:43,931 --> 00:22:46,379
They must gather
all the information they need
318
00:22:46,448 --> 00:22:48,448
so the airport
can be fully reopened.
319
00:22:52,965 --> 00:22:54,862
Their investigation
has a dual purpose.
320
00:22:56,689 --> 00:22:59,172
They must figure out
what caused the collision.
321
00:22:59,931 --> 00:23:02,448
They also want to know
why so many passengers
got trapped
322
00:23:02,517 --> 00:23:04,758
and died
in the burning aircraft.
323
00:23:09,310 --> 00:23:13,448
We're not sure what went on,
we don't have a recording of it,
but, uh,
324
00:23:13,517 --> 00:23:17,413
there were some altercations
with people trying to get ahead
of other people.
325
00:23:18,275 --> 00:23:20,586
Making matters worse,
326
00:23:20,655 --> 00:23:23,793
one of the emergency-exit doors
is inside the plane,
327
00:23:23,862 --> 00:23:26,103
partially blocking the exit.
328
00:23:26,172 --> 00:23:28,689
If you follow the instructions
on the card,
329
00:23:28,758 --> 00:23:32,379
the exit card, it will tell you
to throw that exit out.
330
00:23:33,620 --> 00:23:37,448
This did not take place,
so the right over-the-wing exit
331
00:23:37,517 --> 00:23:41,724
was, uh,
I would say partially obstructed
by that large hatch.
332
00:23:45,758 --> 00:23:49,034
The NTSB concludes
that a reduced number
of exit doors
333
00:23:49,103 --> 00:23:52,000
made it impossible for many
of the passengers to escape.
334
00:23:54,724 --> 00:23:56,724
With no way out,
335
00:23:56,793 --> 00:23:59,586
they were overcome
by toxic smoke
as it filled the cabin.
336
00:24:03,344 --> 00:24:07,275
While some investigators analyze
wreckage at the crash site,
337
00:24:07,344 --> 00:24:09,655
others focus
on Air Traffic Control.
338
00:24:11,827 --> 00:24:14,827
Well, first and foremost,
we look at the communications.
339
00:24:15,862 --> 00:24:18,724
Then we also look
at the procedures
within the facility,
340
00:24:18,793 --> 00:24:22,000
and how those were applied,
and were they indeed followed?
341
00:24:23,896 --> 00:24:25,620
To learn more,
342
00:24:25,689 --> 00:24:30,103
the NTSB collects the audiotapes
of the controllers'
communications with the planes.
343
00:24:31,586 --> 00:24:34,793
Investigators wonder
what instructions were given
to the pilots
344
00:24:34,862 --> 00:24:36,827
in the moments leading up
to the crash.
345
00:24:38,517 --> 00:24:40,758
They also want to know
what the flight crews
were saying
346
00:24:40,827 --> 00:24:42,793
during those crucial seconds.
347
00:24:44,931 --> 00:24:47,068
Did the pilots follow
their instructions?
348
00:24:52,241 --> 00:24:56,206
The cockpit voice recorders
should provide investigators
with the answer.
349
00:25:02,689 --> 00:25:07,000
But then,
Bob McIntosh gets some bad news
about the SkyWest Metroliner.
350
00:25:08,241 --> 00:25:09,724
No voice recorder?
351
00:25:10,896 --> 00:25:12,793
Great.
352
00:25:14,517 --> 00:25:17,448
We recognized, looking
at the onboard equipment,
353
00:25:17,517 --> 00:25:23,344
that SkyWest 569 did not have
a CVR flight recorder installed.
354
00:25:23,413 --> 00:25:25,931
And that was disappointing
to us.
355
00:25:29,551 --> 00:25:31,034
At the time of the crash,
356
00:25:31,103 --> 00:25:34,931
commuter planes
were not required to carry
cockpit voice recorders.
357
00:25:36,931 --> 00:25:40,586
This means the only SkyWest
conversations caught on tape
358
00:25:40,655 --> 00:25:44,241
are radio communications
recorded in the control tower.
359
00:25:44,310 --> 00:25:46,310
Okay, 24 Left,
position and hold,
360
00:25:46,379 --> 00:25:48,172
SkyWest 569.
361
00:25:48,241 --> 00:25:52,310
The two cockpit crew members
would have exchanged words,
362
00:25:52,379 --> 00:25:55,034
would've been listening
to the air-traffic information
363
00:25:55,103 --> 00:25:58,310
that was coming
into their cockpit all the time.
364
00:25:58,379 --> 00:26:02,586
And we recognized
that was a valuable piece
of data that we had lost.
365
00:26:05,620 --> 00:26:09,655
Using the Air Traffic Control
tapes and just one CVR,
366
00:26:09,724 --> 00:26:13,655
investigators try to find out
which of the two aircraft
in the collision
367
00:26:13,724 --> 00:26:16,827
was actually cleared
to use Runway 24 Left.
368
00:26:21,379 --> 00:26:24,413
The answer will raise
alarming questions
about the safety
369
00:26:24,482 --> 00:26:27,517
of all passengers
flying to and from LAX.
370
00:26:31,000 --> 00:26:33,517
246 East,
holding short of 47.
371
00:26:34,034 --> 00:26:37,241
The investigation
into the deadly collision
on Runway 24 Left
372
00:26:37,310 --> 00:26:41,758
focuses on Robin Wascher's conversations
with the two planes involved.
373
00:26:43,862 --> 00:26:47,206
Investigators begin
with the smaller plane.
374
00:26:47,275 --> 00:26:48,758
Minutes before the accident,
375
00:26:48,827 --> 00:26:52,551
the pilots of the Metroliner
waited for permission
to take off.
376
00:26:52,620 --> 00:26:54,275
SkyWest 569,
377
00:26:54,344 --> 00:26:58,103
taxi into position and hold,
Runway 24 Left.
378
00:26:58,172 --> 00:26:59,862
Traffic will be crossing
downfield.
379
00:27:01,034 --> 00:27:05,517
We use the tapes
to try to visualize,
like a local controller would,
380
00:27:05,586 --> 00:27:08,551
where the aircraft would be
on the runway.
381
00:27:09,827 --> 00:27:13,655
The pilots
of the SkyWest Metroliner turned
their plane onto the runway
382
00:27:13,724 --> 00:27:16,137
and stopped at intersection 45.
383
00:27:17,655 --> 00:27:20,965
They had to wait
for another plane
to cross the runway downfield.
384
00:27:22,172 --> 00:27:25,482
Okay, 24 Left,
position and hold.
SkyWest 569.
385
00:27:25,551 --> 00:27:27,413
Okay, stop it right there.
386
00:27:28,275 --> 00:27:30,103
From the Air Traffic
Control tapes,
387
00:27:30,172 --> 00:27:33,344
the NTSB can tell
that the pilots
of the Metroliner
388
00:27:33,413 --> 00:27:35,586
followed all their instructions
correctly.
389
00:27:38,413 --> 00:27:40,206
Alright, let's keep going.
390
00:27:40,931 --> 00:27:43,827
Responsibility for the accident
must lie elsewhere.
391
00:27:46,137 --> 00:27:48,310
Investigators probe the tapes
further.
392
00:27:53,448 --> 00:27:56,620
They look
at Wascher's communications
with the USAir pilots.
393
00:27:58,482 --> 00:28:00,379
USAir 1493,
394
00:28:00,448 --> 00:28:02,931
for the left side, 24 Left.
395
00:28:04,310 --> 00:28:07,379
Thank you, USAir 1493.
You're cleared to land, 24 Left.
396
00:28:08,620 --> 00:28:11,103
USAir 1493 was cleared to land
397
00:28:11,172 --> 00:28:12,931
on the same runway
during the time
398
00:28:13,000 --> 00:28:17,620
that SkyWest 5569
was still sitting in position
on that same runway.
399
00:28:18,758 --> 00:28:20,724
Cleared to land, 24 Left,
400
00:28:20,793 --> 00:28:22,482
1493.
401
00:28:24,000 --> 00:28:27,241
SkyWest 569,
right at intersection 45.
402
00:28:29,172 --> 00:28:31,793
- How long's it been there?
- Uh...
403
00:28:33,896 --> 00:28:36,482
One minute... seven seconds.
404
00:28:38,034 --> 00:28:40,241
The Air Traffic
Control tapes reveal
405
00:28:40,310 --> 00:28:44,896
that Robin Wascher instructed
both the SkyWest Metroliner
and the USAir flight
406
00:28:44,965 --> 00:28:47,172
to use Runway 24 Left
at the same time.
407
00:28:47,241 --> 00:28:49,068
...contact Ground,
408
00:28:49,137 --> 00:28:51,137
...65, when you're...
409
00:28:57,310 --> 00:28:59,034
What the hell?!
410
00:29:09,517 --> 00:29:12,896
When we're examining
the recorded voice
communications,
411
00:29:12,965 --> 00:29:15,172
what we try to do...
412
00:29:15,241 --> 00:29:18,517
is to put ourselves
in the position
of the controller.
413
00:29:20,172 --> 00:29:23,034
What would she have seen?
What would she have heard?
414
00:29:23,103 --> 00:29:24,620
What would she have done?
415
00:29:26,620 --> 00:29:29,517
Investigators need to know
what Robin Wascher was doing
416
00:29:29,586 --> 00:29:31,551
at the time of the crash.
417
00:29:32,068 --> 00:29:35,000
They look at the other flights
that she had under her control.
418
00:29:35,965 --> 00:29:39,241
Wings West 5006,
taxi across Runway 24 Left.
419
00:29:40,034 --> 00:29:42,793
They learn that in the moments
before the collision,
420
00:29:42,862 --> 00:29:46,068
Wascher began to lose track
of some of those flights.
421
00:29:46,137 --> 00:29:49,310
- Is that for Philippine 102?
- No, sir. Hold short.
422
00:29:49,379 --> 00:29:53,310
Wings West 5006,
taxi across Runway 24 Left.
423
00:29:55,206 --> 00:29:57,448
Wings West 5006...
424
00:29:57,862 --> 00:30:01,724
...was an aircraft
that was on the north side
of Runway 24 Left...
425
00:30:02,482 --> 00:30:05,344
...who wanted to cross
to the south side.
426
00:30:06,413 --> 00:30:09,137
Wings West 5006,
Ground, uh, Tower.
427
00:30:10,379 --> 00:30:12,827
And when she was ready
to cross the aircraft,
428
00:30:12,896 --> 00:30:14,655
the crew did not respond.
429
00:30:18,206 --> 00:30:20,758
Wascher spent
nearly a full minute of her time
430
00:30:20,827 --> 00:30:24,620
trying to re-establish
radio contact with the flight
crossing the runway.
431
00:30:26,965 --> 00:30:28,655
Can I hear the rest
of that exchange?
432
00:30:33,758 --> 00:30:36,827
Wings West 5006
on frequency again.
433
00:30:36,896 --> 00:30:39,275
Changed radios.
Sorry about that.
434
00:30:41,068 --> 00:30:45,758
They advised her
they had inadvertently been
on another frequency.
435
00:30:45,827 --> 00:30:47,793
5006, you're back with me.
436
00:30:48,344 --> 00:30:50,827
Yeah, we didn't mean
to switch radios.
We're on now.
437
00:30:51,586 --> 00:30:54,862
And that created a distraction
for the local controller.
438
00:30:55,413 --> 00:30:57,068
Okay, I thought I lost you.
439
00:30:58,241 --> 00:31:00,793
Sorry. We thought we lost you.
We apologize.
440
00:31:01,931 --> 00:31:03,931
Not a problem.
441
00:31:05,862 --> 00:31:09,551
But investigators
discover that flight
wasn't the only aircraft
442
00:31:09,620 --> 00:31:13,344
Robin Wascher was fixated on
in the moments before the crash.
443
00:31:14,862 --> 00:31:17,862
Tower, Wings West 5072
is ready for takeoff.
444
00:31:19,241 --> 00:31:20,793
Wings West 5072?
445
00:31:23,000 --> 00:31:27,275
With USAir 1493 less
than a minute from touchdown,
446
00:31:27,344 --> 00:31:31,793
Wascher hears from another
Wings West aircraft,
Flight 5072.
447
00:31:33,068 --> 00:31:38,241
When Wings West 5702 called
to say that he was ready
for departure,
448
00:31:38,310 --> 00:31:42,413
it was obvious to us
that she didn't understand
who this aircraft was.
449
00:31:43,586 --> 00:31:46,586
Wings West 5072,
are you at 47 or full length?
450
00:31:46,655 --> 00:31:49,137
- We're at full length.
- Okay, hold short.
451
00:31:50,241 --> 00:31:52,379
Roger. Holding short.
452
00:31:58,068 --> 00:32:00,793
Investigators need to hear
from Wascher herself.
453
00:32:02,965 --> 00:32:05,310
I couldn't find
the flight-progress strip.
454
00:32:06,206 --> 00:32:08,068
They hope to learn
why she didn't recognize
455
00:32:08,137 --> 00:32:10,413
a flight
that was under her control.
456
00:32:11,896 --> 00:32:15,379
I couldn't find the strip,
so I asked my supervisor
to help me.
457
00:32:15,448 --> 00:32:16,827
Francita?
458
00:32:18,655 --> 00:32:20,931
I need a strip
for Wings West 5072.
459
00:32:24,620 --> 00:32:27,310
She explains that as the pilots
of the Metroliner
460
00:32:27,379 --> 00:32:30,137
waited on the runway
for permission to take off,
461
00:32:30,206 --> 00:32:33,000
she was searching for another
flight's progress strip.
462
00:32:36,620 --> 00:32:38,620
Before she could get
back on track,
463
00:32:38,689 --> 00:32:42,344
USAir Flight 1493 crashed
into the back of the Metroliner.
464
00:32:46,655 --> 00:32:48,275
What the hell?!
465
00:32:53,655 --> 00:32:55,793
NTSB investigators now know
466
00:32:55,862 --> 00:32:59,448
that human error
played a major role
in the collision at LAX.
467
00:33:02,517 --> 00:33:06,551
Remarkably, when she cleared
the USAir flight to land,
468
00:33:06,620 --> 00:33:10,344
Robin Wascher simply forgot
about the Metroliner
waiting on the runway.
469
00:33:13,068 --> 00:33:14,965
This situation that occurred
470
00:33:15,034 --> 00:33:18,000
is a situation
that no controller wants
to go through.
471
00:33:19,275 --> 00:33:23,448
You train your whole career
for this not to happen,
472
00:33:23,517 --> 00:33:25,517
and when it does happen,
it's...
473
00:33:25,586 --> 00:33:28,379
you can't even describe
the feelings
that you go through.
474
00:33:30,413 --> 00:33:32,482
A situation like this...
475
00:33:32,551 --> 00:33:34,793
could potentially happen
to anybody.
476
00:33:34,862 --> 00:33:36,379
We are all human.
477
00:33:38,000 --> 00:33:40,931
After the accident,
Wascher left her job at LAX,
478
00:33:41,000 --> 00:33:43,620
and never worked as
an air-traffic controller again.
479
00:33:45,620 --> 00:33:49,034
But investigators believe
there are likely more causes
to this accident
480
00:33:49,103 --> 00:33:50,965
than one person's fatal error.
481
00:33:52,896 --> 00:33:55,172
Any time that you do
an investigation,
482
00:33:55,241 --> 00:33:58,793
it's easy to point the blame
at one individual.
483
00:33:58,862 --> 00:34:01,655
What you want to do is to say:
484
00:34:01,724 --> 00:34:03,310
"Why did this occur,
485
00:34:03,379 --> 00:34:06,482
and what can we do
to prevent a reoccurrence?"
486
00:34:07,689 --> 00:34:10,241
Answers to those questions
begin to emerge
487
00:34:10,310 --> 00:34:13,758
as the NTSB examines
the daily routine
in the control tower
488
00:34:13,827 --> 00:34:15,758
in the weeks
before the accident.
489
00:34:18,000 --> 00:34:21,586
It was one of those "you don't
know you have a problem
until you have a problem."
490
00:34:24,310 --> 00:34:27,586
It turns out another disaster
was narrowly averted
491
00:34:27,655 --> 00:34:29,931
seven months
before the collision.
492
00:34:30,000 --> 00:34:33,689
A landing DC-10
flew just over an Airbus
waiting on the runway
493
00:34:33,758 --> 00:34:35,620
to take off at LAX.
494
00:34:36,689 --> 00:34:38,620
Los Angeles Airport
has always been known
495
00:34:38,689 --> 00:34:42,103
as one of the number-one
runway-incursion airports
in the system,
496
00:34:42,172 --> 00:34:44,724
and changes were overdue.
497
00:34:46,827 --> 00:34:49,241
Controllers at LAX
produced documentation
498
00:34:49,310 --> 00:34:51,517
showing that immediately
after that close call,
499
00:34:51,586 --> 00:34:55,655
they alerted officials
that the control tower
was understaffed.
500
00:34:59,275 --> 00:35:04,241
They also explained that regions
around the northern runways
were invisible to controllers,
501
00:35:04,310 --> 00:35:06,793
because their view was blocked
by a light tower.
502
00:35:24,103 --> 00:35:26,517
We went up in the tower,
climbed the stairs,
503
00:35:26,586 --> 00:35:29,655
and asked
the air-traffic controllers
to step aside
504
00:35:29,724 --> 00:35:32,551
while we sat in their chairs
and looked out the window.
505
00:35:34,000 --> 00:35:39,310
The view that the, uh,
air-traffic controller
was presented with had...
506
00:35:39,379 --> 00:35:41,137
an obstruction,
507
00:35:41,206 --> 00:35:44,965
a light pole that, uh,
produced a... a glare.
508
00:35:45,034 --> 00:35:48,034
And it was a light that lit up
the airport ramp.
509
00:35:51,931 --> 00:35:55,724
Robin Wascher
may not have been able to see
the SkyWest Metroliner
510
00:35:55,793 --> 00:35:57,551
as it sat out on the runway.
511
00:36:02,241 --> 00:36:04,931
NTSB investigators look
at other tools
512
00:36:05,000 --> 00:36:08,103
she could've used to detect
the forgotten plane.
513
00:36:08,172 --> 00:36:12,620
Surface radar is generally
used during periods
of low visibility.
514
00:36:13,241 --> 00:36:16,413
It is a tool
by which the local controller,
515
00:36:16,482 --> 00:36:18,827
should they so choose,
516
00:36:18,896 --> 00:36:22,172
be able to visually confirm
on that scope
517
00:36:22,241 --> 00:36:25,034
that an aircraft
is indeed where it says it is.
518
00:36:26,862 --> 00:36:30,103
Ground radar displays
all aircraft and ground vehicles
519
00:36:30,172 --> 00:36:31,862
moving around the airport.
520
00:36:36,344 --> 00:36:40,000
But on the night
of the accident,
that system wasn't working.
521
00:36:41,620 --> 00:36:43,551
You're holding short.
Is that correct, sir?
522
00:36:43,620 --> 00:36:45,724
Yes, ma'am,
we're holding short.
523
00:36:45,793 --> 00:36:51,551
It was in constant, uh,
out-of-service, in-service,
out-of-service, in-service,
524
00:36:51,620 --> 00:36:55,000
and gave the management, uh,
a lot of trouble.
525
00:36:59,379 --> 00:37:03,068
The system
was not very reliable
and we did lodge complaints
526
00:37:03,137 --> 00:37:07,275
to have it fixed
and to upgrade the system
as soon as we could.
527
00:37:08,620 --> 00:37:12,034
Investigators learn
that just four days
before the accident,
528
00:37:12,103 --> 00:37:15,000
officials at LAX
had formally asked the FAA
529
00:37:15,068 --> 00:37:18,448
to treat
the failing ground radar
with the highest priority.
530
00:37:22,689 --> 00:37:26,551
The radar drive
and some of the drive mechanism
531
00:37:26,620 --> 00:37:30,034
had some rings gears
and spur gears
532
00:37:30,103 --> 00:37:34,310
that they had to
go to machine shops
and literally make that part,
533
00:37:34,379 --> 00:37:37,310
because it would wear out
on a regular basis,
534
00:37:37,379 --> 00:37:39,034
trying to rotate the antenna.
535
00:37:40,344 --> 00:37:43,379
We looked
into this particular problem
536
00:37:43,448 --> 00:37:49,275
and learned that Los Angeles
had been slated to receive
a new system in 1988.
537
00:37:50,862 --> 00:37:52,758
However, that date had slipped,
538
00:37:52,827 --> 00:37:54,620
and at that time,
539
00:37:54,689 --> 00:37:57,620
they were not sure
when they were going to get
a new radar system.
540
00:37:59,793 --> 00:38:02,586
With the ground-radar system
out of commission,
541
00:38:02,655 --> 00:38:06,517
and with her view of the runway
impeded by blinding lights,
542
00:38:06,586 --> 00:38:10,000
Robin Wascher's chances
of discovering her error
were slim.
543
00:38:13,241 --> 00:38:16,965
Investigators turn
their attention to the cockpit
of the USAir flight.
544
00:38:18,103 --> 00:38:22,275
They wonder why the pilots
didn't see the Metroliner
out on the runway
545
00:38:22,344 --> 00:38:24,172
and abort their landing.
546
00:38:25,551 --> 00:38:28,620
Well, most of us
in the pilot community
would recognize
547
00:38:28,689 --> 00:38:32,517
that it's our job
to scan that runway
and find aircraft
548
00:38:32,586 --> 00:38:35,517
that might be out there
or anything else prior
to landing.
549
00:38:37,137 --> 00:38:39,793
Like all planes,
the Metroliner is equipped
with lights
550
00:38:39,862 --> 00:38:41,586
to make it more visible
at night.
551
00:38:43,172 --> 00:38:45,758
There are strobe lights
on the wingtips and the tail,
552
00:38:45,827 --> 00:38:48,034
navigation lights on the wings
553
00:38:48,103 --> 00:38:51,758
and a coloured
anti-collision beacon on top
of the vertical stabilizer.
554
00:38:52,724 --> 00:38:55,551
We were concerned
about the SkyWest lighting,
555
00:38:55,620 --> 00:38:58,551
and had to look
at the flight-operations manual.
556
00:38:58,620 --> 00:39:02,344
And we found
that the operating procedure
for that company
557
00:39:02,413 --> 00:39:06,000
was to turn on the strobe lights
only after clearance
for takeoff.
558
00:39:07,620 --> 00:39:09,448
So no other lights
were required?
559
00:39:11,344 --> 00:39:12,827
Okay, thank you.
560
00:39:15,827 --> 00:39:18,586
The Metroliner
wasn't yet cleared for takeoff.
561
00:39:19,344 --> 00:39:22,655
So the only lights
that would've been lit
while it waited on the runway
562
00:39:22,724 --> 00:39:25,482
were the navigation lights
on the wings and tail,
563
00:39:25,551 --> 00:39:27,931
and the anti-collision beacon
on the tail.
564
00:39:29,827 --> 00:39:32,689
NTSB investigators
then use a helicopter
565
00:39:32,758 --> 00:39:35,517
to put themselves
in the position
of the USAir pilots
566
00:39:35,586 --> 00:39:38,517
as they were making the approach
to Runway 24 Left.
567
00:39:40,517 --> 00:39:43,413
We went up
and we actually flew
that final approach
568
00:39:43,482 --> 00:39:46,724
in order to verify what we, uh,
569
00:39:46,793 --> 00:39:50,724
what we thought might be
the condition of obscuration.
570
00:39:53,413 --> 00:39:55,689
They positioned a Metroliner
on the runway
571
00:39:55,758 --> 00:39:58,068
in the same spot
where the collision occurred.
572
00:40:01,275 --> 00:40:04,724
And sure enough,
we could not see that, uh,
573
00:40:04,793 --> 00:40:08,379
that aircraft parked out there
at spot 45 and 47.
574
00:40:08,448 --> 00:40:10,000
You just couldn't see it.
575
00:40:13,586 --> 00:40:15,206
Looks real good.
576
00:40:15,827 --> 00:40:17,103
Ah...
577
00:40:18,586 --> 00:40:21,379
The investigation determines
the lights on the Metroliner
578
00:40:21,448 --> 00:40:24,034
were the same colour
and brightness
as the runway lights.
579
00:40:26,034 --> 00:40:30,000
The plane may have been
all but invisible
to the pilots of USAir 1493.
580
00:40:31,482 --> 00:40:33,413
You're coming out of 500.
581
00:40:35,206 --> 00:40:38,310
The anti-collision beacon
in particular
582
00:40:38,379 --> 00:40:40,793
would've been lost
in a sea of lights.
583
00:40:59,551 --> 00:41:04,275
When the National
Transportation Safety Board
releases its report,
584
00:41:04,344 --> 00:41:08,620
controller error is determined
to be a cause
of the runway collision.
585
00:41:13,827 --> 00:41:17,137
We're in the business
of determining, uh,
586
00:41:17,206 --> 00:41:18,689
why something happened.
587
00:41:18,758 --> 00:41:22,862
You may call it a cause
or causes
or contributing factors,
588
00:41:22,931 --> 00:41:27,000
but our job ends
when the next accident
is prevented.
589
00:41:28,586 --> 00:41:30,172
Preventing accidents
on the runways of LAX
590
00:41:30,241 --> 00:41:32,724
would prove to be
a much greater challenge
591
00:41:32,793 --> 00:41:34,517
than investigators
could imagine.
592
00:41:42,482 --> 00:41:45,758
The collision
between USAir Flight 1493
and a SkyWest Metroliner
593
00:41:45,827 --> 00:41:47,310
alarms the public.
594
00:41:51,172 --> 00:41:53,931
The accident seems to prove
that controllers
cannot safely handle
595
00:41:54,000 --> 00:41:56,965
the increasing traffic
at Los Angeles
International Airport.
596
00:42:00,206 --> 00:42:04,413
The NTSB investigation points
to Robin Wascher's failure
to maintain awareness
597
00:42:04,482 --> 00:42:08,137
of the flights under her control
as one cause of the accident.
598
00:42:12,137 --> 00:42:14,620
But the report also points
to a failing system
599
00:42:14,689 --> 00:42:17,344
in the Air Traffic Control
facilities at LAX.
600
00:42:18,689 --> 00:42:21,034
In the months and years
following the accident,
601
00:42:21,103 --> 00:42:24,068
improvements are made
to air-traffic facilities
602
00:42:24,137 --> 00:42:27,137
in an attempt to make
the airport a safer place.
603
00:42:27,965 --> 00:42:32,896
The failing ground-radar system
is finally replaced
with a newer model.
604
00:42:32,965 --> 00:42:36,241
Today, at Los Angeles Tower,
we have the newest system
out there.
605
00:42:36,310 --> 00:42:41,172
Each arrival or departure
taxiing on the taxiways
or on the runways
606
00:42:41,241 --> 00:42:43,655
have a call sign and type
aircraft associated with it,
607
00:42:43,724 --> 00:42:46,862
so you have positive
identification of all aircraft
at all times.
608
00:42:48,103 --> 00:42:50,344
New policies
governing the way
flight-progress strips
609
00:42:50,413 --> 00:42:52,931
are handled in the tower
are put in place.
610
00:42:54,931 --> 00:42:57,068
Ground controllers
now organize the strips
611
00:42:57,137 --> 00:43:00,793
before they make their way
to the local controller.
612
00:43:02,448 --> 00:43:05,448
The extra set of eyes reduces
the local controller's workload.
613
00:43:09,172 --> 00:43:14,275
Five years after the crash,
a new Air Traffic Control tower
is built at LAX.
614
00:43:15,172 --> 00:43:19,103
The tower is 16 storeys higher,
three times larger,
615
00:43:19,172 --> 00:43:22,689
and offers controllers clear,
unobstructed sightlines.
616
00:43:25,310 --> 00:43:28,862
New regulations
concerning aircraft lighting
are also put in place.
617
00:43:30,517 --> 00:43:34,103
It becomes mandatory for pilots
to turn on all their lights
618
00:43:34,172 --> 00:43:36,344
before they move out
onto a runway.
619
00:43:47,586 --> 00:43:49,344
But despite the improvements,
620
00:43:49,413 --> 00:43:53,068
the rate of runway incursions
at LAX only goes up.
621
00:43:54,000 --> 00:43:57,000
Throughout the '90s
and even into the 2000s...
622
00:43:58,137 --> 00:44:00,413
...I would describe it
as a common event.
623
00:44:00,482 --> 00:44:04,379
LAX certainly was one
of the worst airports we had
624
00:44:04,448 --> 00:44:06,275
for a number of incursions.
625
00:44:06,344 --> 00:44:08,758
Ten years after the accident,
626
00:44:08,827 --> 00:44:12,827
more serious runway incursions
were happening at LAX
627
00:44:12,896 --> 00:44:15,379
than at any other airport
in the United States.
628
00:44:16,862 --> 00:44:19,275
They had double-digit
runway incursions
629
00:44:19,344 --> 00:44:22,206
and serious runway incursions
almost every year.
630
00:44:22,275 --> 00:44:24,517
And, in fact, in 2007,
631
00:44:24,586 --> 00:44:26,931
they actually had
21 runway incursions.
632
00:44:29,931 --> 00:44:32,896
In an attempt
to reduce the problem
once and for all,
633
00:44:32,965 --> 00:44:37,413
the Federal Aviation
Administration begins work
on a new system of runway lights
634
00:44:37,482 --> 00:44:39,413
to keep planes apart
on the ground.
635
00:44:40,344 --> 00:44:44,000
The Runway Status Light System
is a series of...
636
00:44:44,068 --> 00:44:47,310
runway-entrance lighting
that we put at taxiways,
637
00:44:47,379 --> 00:44:50,758
or takeoff hold lighting
that we actually put
on the runway itself.
638
00:44:53,413 --> 00:44:55,448
The system is fully automatic.
639
00:44:56,103 --> 00:45:00,448
It uses a series of red lights
embedded in the runways
and taxiways.
640
00:45:01,620 --> 00:45:04,896
The lights warn pilots
if there is conflicting traffic.
641
00:45:04,965 --> 00:45:07,758
If the runway status lights
illuminate red,
642
00:45:07,827 --> 00:45:10,793
it tells a pilot
that it is unsafe,
or a vehicle driver,
643
00:45:10,862 --> 00:45:14,793
that it is unsafe to either
cross or enter that runway.
644
00:45:14,862 --> 00:45:18,275
And it triggers
because there is an aircraft
landing or departing,
645
00:45:18,344 --> 00:45:20,413
there's some other traffic
on the runway.
646
00:45:22,620 --> 00:45:26,172
The runway status lights seems
to be one of the most effective
systems we have
647
00:45:26,241 --> 00:45:28,000
for preventing runway incursions
648
00:45:28,068 --> 00:45:30,137
and certainly
the serious runway incursions.
649
00:45:31,758 --> 00:45:33,517
In April 2009,
650
00:45:33,586 --> 00:45:37,000
the technology was installed
at Los Angeles
International Airport.
651
00:45:37,655 --> 00:45:40,068
Prototypes of the system
have also been installed
652
00:45:40,137 --> 00:45:42,689
at Dallas-Fort Worth
and San Diego.
653
00:45:45,241 --> 00:45:49,068
By 2011, runway status lights
will be a key feature
654
00:45:49,137 --> 00:45:51,896
at dozens of airports
across the United States.
655
00:45:53,103 --> 00:45:55,482
The equipment we're using
at Los Angeles Tower today
656
00:45:55,551 --> 00:45:58,551
is much better
than the equipment we used
back in 1991.
657
00:45:58,620 --> 00:46:01,724
It's been upgraded,
it's much more reliable,
658
00:46:01,793 --> 00:46:05,000
and it gives the controllers
the tools they need
659
00:46:05,068 --> 00:46:09,517
to make sure
that the runways are clear
and to keep the aircraft moving.
660
00:46:11,000 --> 00:46:15,172
Though new technology
can never guarantee 100% safety,
661
00:46:15,241 --> 00:46:19,068
the improvements at LAX
have restored public confidence
in the airport,
662
00:46:19,137 --> 00:46:22,793
even among those who survived
Flight 1493.
663
00:46:25,103 --> 00:46:29,344
I spent a couple of days
in intensive care
at the local hospital and...
664
00:46:29,413 --> 00:46:31,517
I had nightmares, by the way,
665
00:46:31,586 --> 00:46:33,551
following, uh, uh...
666
00:46:33,620 --> 00:46:37,862
my release from the hospital
for quite a number of days.
667
00:46:37,931 --> 00:46:41,448
Uh, but I'm doing fine now.
I have no problem, uh,
668
00:46:41,517 --> 00:46:44,103
with getting on airplanes
and flying,
669
00:46:44,172 --> 00:46:47,172
and I've got great confidence
in the airline system.
670
00:47:00,068 --> 00:47:02,137
difuze
59264
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