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Zurich airport,
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00:00:02,690 --> 00:00:05,089
November 2001.
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00:00:05,090 --> 00:00:08,379
Crossair flight 3597 is
one of the few planes
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00:00:08,380 --> 00:00:09,959
left to land.
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00:00:09,960 --> 00:00:12,809
The commander was flying out of Zurich
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00:00:12,810 --> 00:00:15,279
for the last 20 years.
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00:00:15,280 --> 00:00:17,143
He was really used to this airport.
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00:00:18,290 --> 00:00:19,669
The lone
controller in the tower
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00:00:19,670 --> 00:00:21,349
tracks the approach.
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00:00:21,350 --> 00:00:23,913
Approach runway 28 for you.
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00:00:24,790 --> 00:00:26,009
I have ground contact.
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00:00:26,010 --> 00:00:27,759
We're continuing on.
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00:00:27,760 --> 00:00:29,209
Crossair 3597,
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00:00:29,210 --> 00:00:31,186
continue speed reduction
to final approach speed.
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00:00:31,187 --> 00:00:32,189
But for some reason
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00:00:32,190 --> 00:00:34,409
the crew can't find the runway.
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00:00:34,410 --> 00:00:35,389
Damn.
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00:00:35,390 --> 00:00:37,693
He said he saw the runway 1.3 miles.
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00:00:38,910 --> 00:00:41,160
And the
flight ends in disaster.
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00:00:44,215 --> 00:00:45,419
Crossair 3597,
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this is Zurich tower.
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Do you copy?
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We have a possible emergency...
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He collided with a hill,
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so obviously he was too low.
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A terrible
mistake sent a passenger jet
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dangerously off course,
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00:00:55,990 --> 00:00:58,269
killing 24 people.
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00:00:58,270 --> 00:01:01,519
The clues will lead investigators
to a trained professional
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00:01:01,520 --> 00:01:03,884
with an astonishing past.
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Mayday mayday
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Crossair flight 3597
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is cruising at 27,000 feet above Germany.
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As the autopilot flies the plane,
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the crew begins reviewing
procedures for their landing.
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According to the report,
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the apron and taxi ways are wet.
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Breaking action's not specified.
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00:01:57,870 --> 00:02:00,259
So the friction report is missing?
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00:02:00,260 --> 00:02:01,569
Indeed.
41
00:02:01,570 --> 00:02:04,849
That usually means they
haven't been out to check lately.
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00:02:04,850 --> 00:02:05,683
Indeed.
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00:02:14,060 --> 00:02:15,509
It's the
last flight of the day
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on this busy European route.
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The 660 kilometer journey
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from Berlin south to Zurich
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takes only an hour and a half.
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There are many empty seats on board.
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A group of 21 passengers never
showed up for the flight.
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Internet entrepreneur, Peter Hogenkamp,
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is returning from a
business trip in Germany
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with his partner, Jacqueline Badran.
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On that day, we wanted
to take the train,
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but we had to be in Zurich
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for the opening ceremony
of the trade show,
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so we decided okay,
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00:02:53,170 --> 00:02:55,133
so we need to go by plane.
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I have got to get some sleep.
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It had been a very busy day,
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so we were very tired when
we arrived at the airport.
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Among the passengers
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is the girl band Passion Fruit,
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Germany's answer to The Spice Girls.
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00:03:11,120 --> 00:03:13,049
They're on their way to
perform the last show
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of a concert tour.
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00:03:15,810 --> 00:03:18,589
I was shocked when suddenly
all the Passion Fruits,
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all the three of them are coming over,
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and they were sitting
right in front of us.
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Just what I need.
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00:03:27,570 --> 00:03:32,489
Flight 3597
is an Avro 146 airliner.
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00:03:32,490 --> 00:03:34,379
It's a British-made jet popular
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with regional airlines like Crossair.
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00:03:38,910 --> 00:03:41,779
Captain Hans Ulrich Lutz is in command.
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He's been with the airline
for more than 22 years,
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00:03:44,650 --> 00:03:47,249
having served as a pilot
and as an instructor.
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00:03:47,250 --> 00:03:49,769
So, tell me about the runway
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00:03:49,770 --> 00:03:51,053
and the conditions.
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00:03:52,130 --> 00:03:54,079
Overcast with light snowfall,
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visibility...
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00:03:54,913 --> 00:03:56,589
First Officer Stefan Lohrer
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00:03:56,590 --> 00:03:58,719
is a newcomer to the airline.
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00:03:58,720 --> 00:04:02,469
He's had his pilot's license
for just a year and a half.
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00:04:02,470 --> 00:04:05,243
He was hired by Crossair
right out of flight school.
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00:04:13,280 --> 00:04:15,929
The Passion Fruits
were being quite noisy.
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They were excited,
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00:04:16,763 --> 00:04:18,749
I think they went from
one gig to the other.
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00:04:18,750 --> 00:04:20,949
So they were still in their stage clothes.
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I said oh my god,
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00:04:22,660 --> 00:04:24,479
do I really need this?
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00:04:24,480 --> 00:04:26,557
Can't I just sleep?
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00:04:29,130 --> 00:04:30,580
It's probably okay to move.
92
00:04:32,750 --> 00:04:34,939
We decided
to move back a few rows
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00:04:34,940 --> 00:04:37,679
and change the side where we were sitting,
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so we were in a very quiet area then.
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Crossair 3597,
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00:04:48,339 --> 00:04:51,219
clear to flight level 160.
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00:04:51,220 --> 00:04:53,859
The flight is
slightly behind schedule.
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00:04:53,860 --> 00:04:57,209
It's due to land in Zurich
in less than half an hour.
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00:04:57,210 --> 00:04:58,369
According to the latest information,
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00:04:58,370 --> 00:04:59,933
we'll be using runway 14.
101
00:05:02,000 --> 00:05:03,483
What kind of approach?
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00:05:05,342 --> 00:05:07,370
ILS approach.
103
00:05:07,371 --> 00:05:08,204
Okay.
104
00:05:09,653 --> 00:05:12,469
An ILS, or instrument
landing system approach,
105
00:05:12,470 --> 00:05:14,519
means the pilots will
be guided to the runway
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00:05:14,520 --> 00:05:17,419
by radio signals beamed from the airport.
107
00:05:17,420 --> 00:05:22,209
And a decision
altitude of 1602 feet.
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00:05:22,210 --> 00:05:25,119
Call me 100 above minimums.
109
00:05:25,120 --> 00:05:27,153
Okay, I'll call 100 above minimums.
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00:05:29,110 --> 00:05:31,039
The plane's
sophisticated computers
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00:05:31,040 --> 00:05:33,213
will do most of the
work getting them down.
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00:05:36,570 --> 00:05:39,719
At Zurich airport, the
weather is getting worse.
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00:05:39,720 --> 00:05:40,829
It's snowing,
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00:05:40,830 --> 00:05:42,992
and visibility is dropping.
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00:05:42,993 --> 00:05:44,169
Crossair 3191,
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00:05:44,170 --> 00:05:46,709
turn left heading 150.
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00:05:46,710 --> 00:05:47,589
In the tower,
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00:05:47,590 --> 00:05:50,143
controllers have started
a nightly routine.
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A supervisor sends out a message
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00:05:53,640 --> 00:05:55,999
notifying crews that runway 14
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is being taken out of service
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because of a controversial new law.
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00:06:03,620 --> 00:06:06,419
Planes landing on runway 14 must fly over
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00:06:06,420 --> 00:06:08,429
Germany on their approach.
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00:06:08,430 --> 00:06:10,629
But people in Germany have long complained
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00:06:10,630 --> 00:06:11,673
about the noise.
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00:06:13,210 --> 00:06:15,279
Because of the political issue,
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00:06:15,280 --> 00:06:19,419
airplanes had to fly over Switzerland
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00:06:19,420 --> 00:06:22,709
in their final descent
to the airport of Zurich
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00:06:22,710 --> 00:06:23,733
for noise reasons.
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00:06:30,130 --> 00:06:31,879
There was no other operational
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00:06:31,880 --> 00:06:33,673
or weather reasons whatsoever.
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00:06:34,806 --> 00:06:36,103
It was purely political.
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00:06:37,310 --> 00:06:39,429
Switzerland
has agreed to shut down
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00:06:39,430 --> 00:06:41,689
runway 14 after 10 pm
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00:06:41,690 --> 00:06:44,549
to keep landing planes
out of German airspace,
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00:06:44,550 --> 00:06:46,623
and use runway 28 instead.
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00:06:50,740 --> 00:06:53,163
The crew hasn't received
this information yet.
139
00:06:54,340 --> 00:06:57,403
But First Officer Lohrer is
familiar with the new rule.
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00:06:59,140 --> 00:07:01,173
Should I ask if it's still runway 14?
141
00:07:04,521 --> 00:07:05,923
It's almost 10 o'clock.
142
00:07:07,320 --> 00:07:09,683
Yes, I'm pretty sure it's still 14.
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00:07:13,830 --> 00:07:15,016
Zurich approach.
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00:07:15,017 --> 00:07:16,779
Crossair 3597.
145
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Please confirm the approach in use
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00:07:18,610 --> 00:07:19,707
is the ILS 14.
147
00:07:21,886 --> 00:07:24,489
Crossair 3597, you're identified.
148
00:07:24,490 --> 00:07:27,009
It will be a V-O-R-D-M-E.
149
00:07:27,010 --> 00:07:29,293
Approach runway 28 for you.
150
00:07:31,070 --> 00:07:32,719
Hell.
151
00:07:32,720 --> 00:07:33,903
What next?
152
00:07:35,030 --> 00:07:36,763
Okay, fine.
153
00:07:38,910 --> 00:07:40,399
Unlike runway 14,
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00:07:40,400 --> 00:07:43,039
with its sophisticated
instrument landing system,
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00:07:43,040 --> 00:07:46,503
runway 28 is not equipped
for ILS landings.
156
00:07:47,810 --> 00:07:50,923
Instead it has a less
accurate navigational system.
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00:07:52,060 --> 00:07:53,123
It's called VORDME.
158
00:07:55,508 --> 00:07:58,059
A radio beacon sends
information to an aircraft
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about its distance from the runway,
160
00:08:00,070 --> 00:08:02,039
and whether it's left or right of it.
161
00:08:02,040 --> 00:08:04,883
It provides no guidance
on the planes altitude.
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00:08:07,320 --> 00:08:09,969
Pilots would rather not
make VOR approaches,
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00:08:09,970 --> 00:08:12,770
because the place a greater
workload on the flight crew.
164
00:08:15,990 --> 00:08:18,349
He would
always prefer an ILS approach
165
00:08:18,350 --> 00:08:23,279
because he gets guidance
on the approach slope.
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00:08:23,280 --> 00:08:26,999
He can also use his
autopilot to guide him down
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literally on ground to the runway.
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00:08:29,780 --> 00:08:32,529
Because of its
less precise technology,
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runway 28 was rarely used for landings
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00:08:35,130 --> 00:08:36,723
before the new noise law.
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00:08:41,510 --> 00:08:45,179
Okay then, re briefing for runway 28.
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00:08:45,180 --> 00:08:48,329
That will be chart 13-2.
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00:08:48,330 --> 00:08:49,929
Now Captain Lutz abandons
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the ILS approach he was planning,
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00:08:52,470 --> 00:08:54,069
and prepares his first officer
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for the new non precision approach.
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00:08:57,972 --> 00:09:00,689
Are you familiar with the 28 approach?
178
00:09:00,690 --> 00:09:02,590
Yes, I've done it a couple of times.
179
00:09:03,690 --> 00:09:05,799
The crew
goes over every detail
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00:09:05,800 --> 00:09:08,220
of how they will approach Zurich airport.
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East 6000 feet.
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There are only a few planes
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00:09:17,430 --> 00:09:19,643
left to land tonight.
- 3597.
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00:09:20,570 --> 00:09:22,849
Including flight 3597
185
00:09:22,850 --> 00:09:25,443
and two other Crossair
flights just ahead of it.
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00:09:27,240 --> 00:09:29,029
As the aircraft approach the runway,
187
00:09:29,030 --> 00:09:31,053
controllers need to keep them apart.
188
00:09:33,100 --> 00:09:34,509
Crossair 3597,
189
00:09:34,510 --> 00:09:38,149
reduce speed to 180 or less.
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00:09:38,150 --> 00:09:41,323
Speed 180 or less, Crossair 3597.
191
00:09:42,320 --> 00:09:44,339
Captain
Lutz makes the final turn
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00:09:44,340 --> 00:09:46,689
to line his jet up with the runway.
193
00:09:46,690 --> 00:09:48,813
160 knots.
194
00:09:52,330 --> 00:09:53,959
The plane is now in the thick
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00:09:53,960 --> 00:09:56,073
of the heavy weather surrounding Zurich.
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00:09:59,280 --> 00:10:00,129
At the airport,
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00:10:00,130 --> 00:10:01,949
the second last Crossair flight
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touches down on runway 28.
199
00:10:05,150 --> 00:10:08,499
Now with only flight 3597 to land,
200
00:10:08,500 --> 00:10:11,163
the supervisor decides to head home early.
201
00:10:13,220 --> 00:10:15,049
The controller handling the aircraft
202
00:10:15,050 --> 00:10:17,393
is the only controller left in the tower.
203
00:10:20,689 --> 00:10:22,009
Crossair 3597,
204
00:10:22,010 --> 00:10:24,643
continue speed reduction
to final approach speed.
205
00:10:27,630 --> 00:10:30,949
Zurich tower
this is Crossair 3891.
206
00:10:30,950 --> 00:10:32,529
She gets
a report from the plane
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00:10:32,530 --> 00:10:33,889
that just landed.
208
00:10:33,890 --> 00:10:36,349
Visibility
approaching 28 was borderline.
209
00:10:36,350 --> 00:10:39,363
We could only see the
runway from 1.3 miles out.
210
00:10:40,260 --> 00:10:43,689
But Captain Lutz
knows Zurich airport well.
211
00:10:43,690 --> 00:10:46,339
He continues towards the runway.
212
00:10:46,340 --> 00:10:47,539
Gear down.
213
00:10:47,540 --> 00:10:49,449
The plane
begins the final stage
214
00:10:49,450 --> 00:10:50,373
of its approach.
215
00:10:51,540 --> 00:10:52,809
Cab and crew,
216
00:10:52,810 --> 00:10:53,810
prepare for landing.
217
00:10:58,290 --> 00:11:00,909
Captain Lutz
begins slowing the jet,
218
00:11:00,910 --> 00:11:02,833
and puts it into a steep descent.
219
00:11:10,700 --> 00:11:12,033
Six miles is checked.
220
00:11:13,350 --> 00:11:14,509
Yes.
221
00:11:14,510 --> 00:11:15,803
Flaps three three.
222
00:11:18,870 --> 00:11:20,320
Flaps three three selected.
223
00:11:21,730 --> 00:11:23,703
Final check.
224
00:11:24,670 --> 00:11:25,883
Confirm three greens.
225
00:11:27,370 --> 00:11:28,843
Is checked.
226
00:11:29,740 --> 00:11:32,623
116 knots.
227
00:11:34,600 --> 00:11:36,750
The descent
gets even steeper.
228
00:11:40,050 --> 00:11:41,723
Full flaps set.
229
00:11:42,970 --> 00:11:43,803
Checked.
230
00:11:44,780 --> 00:11:47,559
Flight 3597
is about three minutes
231
00:11:47,560 --> 00:11:48,393
from the runway.
232
00:11:50,920 --> 00:11:54,333
Captain Lutz expects it to
come into view any second now.
233
00:12:01,100 --> 00:12:02,219
100 above.
234
00:12:02,220 --> 00:12:03,620
Do we have ground contact?
235
00:12:06,420 --> 00:12:07,253
Yes.
236
00:12:12,680 --> 00:12:15,430
Passengers
prepare themselves for landing.
237
00:12:16,370 --> 00:12:19,029
We were pretty
close to the airport,
238
00:12:19,030 --> 00:12:22,529
so we think okay, this is going smoothly.
239
00:12:22,530 --> 00:12:24,299
But it was dark and it was snowing,
240
00:12:24,300 --> 00:12:26,053
so we couldn't see anything.
241
00:12:28,320 --> 00:12:29,152
In the tower,
242
00:12:29,153 --> 00:12:30,759
the controller monitors the flight
243
00:12:30,760 --> 00:12:32,910
to make sure it's lined
up with the runway.
244
00:12:34,410 --> 00:12:37,433
Crossair 3597, clear to land runway 28.
245
00:12:43,040 --> 00:12:45,049
Two four the minimum.
246
00:12:45,050 --> 00:12:46,069
Two four.
247
00:12:46,070 --> 00:12:48,229
The flight
has hit decision height
248
00:12:48,230 --> 00:12:50,689
2400 feet above sea level,
249
00:12:50,690 --> 00:12:53,483
1000 feet above the ground near Zurich.
250
00:12:54,910 --> 00:12:59,549
Decision height is the minimum height
251
00:12:59,550 --> 00:13:03,309
you can descend before you need to decide
252
00:13:03,310 --> 00:13:05,689
whether you can see the runway
253
00:13:05,690 --> 00:13:08,179
and continue the approach visually,
254
00:13:08,180 --> 00:13:11,189
or you have to make a
decision to go around.
255
00:13:11,190 --> 00:13:12,439
I have ground contact.
256
00:13:12,440 --> 00:13:13,543
We're continuing on.
257
00:13:17,978 --> 00:13:20,739
500.
258
00:13:20,740 --> 00:13:23,539
Captain Lutz still
can't see the runway lights,
259
00:13:23,540 --> 00:13:25,149
but knows that the flight ahead of him
260
00:13:25,150 --> 00:13:26,882
had the same problem.
261
00:13:26,883 --> 00:13:28,179
Damn.
262
00:13:28,180 --> 00:13:30,399
He said he saw the runway 1.3 miles.
263
00:13:30,400 --> 00:13:31,309
They should almost be
264
00:13:31,310 --> 00:13:33,679
on top of the runway by now.
265
00:13:33,680 --> 00:13:36,473
But for some reason
they still can't see it.
266
00:13:37,764 --> 00:13:39,492
Make it go around?
267
00:13:39,493 --> 00:13:40,428
Yeah.
268
00:13:40,429 --> 00:13:41,839
Crossair 3597...
269
00:13:41,840 --> 00:13:44,929
The crew
decides to abort the landing.
270
00:13:44,930 --> 00:13:47,019
Go around.
271
00:13:47,020 --> 00:13:48,949
And pushes
the plane to its limits
272
00:13:48,950 --> 00:13:51,083
in an effort to get it to climb.
273
00:13:54,680 --> 00:13:57,719
Captain Lutz throttles up
his plane's four jet engines
274
00:13:57,720 --> 00:14:00,441
as he aborts his landing
at Zurich airport.
275
00:14:05,000 --> 00:14:06,569
But it's too late.
276
00:14:06,570 --> 00:14:08,339
There's not enough time for the engines
277
00:14:08,340 --> 00:14:11,729
to get to full power and
clear a tree-covered hill
278
00:14:11,730 --> 00:14:13,373
suddenly looming dead ahead.
279
00:14:15,730 --> 00:14:17,349
Residents of a nearby village
280
00:14:17,350 --> 00:14:20,693
witness flight 3597's final moments.
281
00:14:22,810 --> 00:14:24,609
I was walking down with my dog.
282
00:14:24,610 --> 00:14:25,442
All of a sudden,
283
00:14:25,443 --> 00:14:28,199
I saw that aircraft coming from behind
284
00:14:28,200 --> 00:14:29,913
the forest, the little hill.
285
00:14:30,959 --> 00:14:33,809
I thought oh, it's very low,
286
00:14:33,810 --> 00:14:35,519
and it's not on the same route
287
00:14:35,520 --> 00:14:37,519
as the aircraft normally are
288
00:14:37,520 --> 00:14:40,769
coming to land the airport of Zurich.
289
00:14:40,770 --> 00:14:43,342
The jet clips the treetops.
290
00:14:49,320 --> 00:14:52,643
Suddenly, it was shaking very hard.
291
00:14:53,870 --> 00:14:55,793
What's happening, something is wrong.
292
00:15:05,475 --> 00:15:06,549
Moments later,
293
00:15:06,550 --> 00:15:08,804
the aircraft plunges into the hillside.
294
00:15:08,805 --> 00:15:09,638
Damn!
295
00:15:16,965 --> 00:15:18,179
Crossair 3597,
296
00:15:18,180 --> 00:15:19,199
this is Zurich tower.
297
00:15:19,200 --> 00:15:20,032
Do you copy?
298
00:15:20,033 --> 00:15:21,419
Crossair 3597,
299
00:15:21,420 --> 00:15:22,349
this is Zurich tower.
300
00:15:22,350 --> 00:15:23,183
Do you copy?
301
00:15:24,350 --> 00:15:25,559
All of a sudden,
302
00:15:25,560 --> 00:15:28,799
the whole sky in the west
was getting really orange,
303
00:15:28,800 --> 00:15:30,173
like a big fire.
304
00:15:31,040 --> 00:15:32,203
Like an explosion.
305
00:15:34,170 --> 00:15:37,069
The impact
tears the aircraft apart.
306
00:15:37,070 --> 00:15:38,309
The wings broke off,
307
00:15:38,310 --> 00:15:40,309
and the fuel is in the wings,
308
00:15:40,310 --> 00:15:44,907
so the flames really sort
of shot inside the plane.
309
00:15:50,776 --> 00:15:52,039
Flight 3597,
310
00:15:52,040 --> 00:15:53,059
this is Zurich tower.
311
00:15:53,060 --> 00:15:53,923
Do you copy?
312
00:15:57,410 --> 00:15:58,949
This is Zurich tower.
313
00:15:58,950 --> 00:16:01,379
We have a possible emergency
in approach sector east.
314
00:16:01,380 --> 00:16:03,693
I repeat, approach sector east.
315
00:16:09,389 --> 00:16:12,209
Crossair
flight 3597 has crashed
316
00:16:12,210 --> 00:16:13,779
near the village of Bassersdorf,
317
00:16:13,780 --> 00:16:15,103
northeast of Zurich.
318
00:16:16,820 --> 00:16:19,349
Some people have survived the accident,
319
00:16:19,350 --> 00:16:21,229
including Peter Hogenkamp
320
00:16:21,230 --> 00:16:22,583
and Jacqueline Badran.
321
00:16:26,167 --> 00:16:29,179
I don't have any memory
of how we really walked out.
322
00:16:29,180 --> 00:16:32,409
Because the back was cut off,
323
00:16:32,410 --> 00:16:35,509
and we were just able to walk out there.
324
00:16:35,510 --> 00:16:38,289
One member of
Passion Fruit also survives.
325
00:16:38,290 --> 00:16:41,649
But her two band mates seated
just one row ahead of her
326
00:16:41,650 --> 00:16:42,533
have been killed.
327
00:16:46,440 --> 00:16:49,039
When they give you these instructions
328
00:16:49,040 --> 00:16:51,449
in the beginning when
you get on the plane,
329
00:16:51,450 --> 00:16:53,459
how come they never tell you how far
330
00:16:53,460 --> 00:16:55,739
you have to run away from a burning plane.
331
00:16:55,740 --> 00:16:57,506
Because they never tell you.
332
00:16:58,968 --> 00:17:00,009
Let's get away from here.
333
00:17:00,010 --> 00:17:02,523
So we thought, I don't know 100 meters.
334
00:17:06,000 --> 00:17:06,919
Within minutes,
335
00:17:06,920 --> 00:17:09,569
emergency workers get to the crash site.
336
00:17:13,347 --> 00:17:14,400
Hey.
337
00:17:14,401 --> 00:17:15,874
Over here.
338
00:17:15,875 --> 00:17:16,708
Over here!
339
00:17:17,731 --> 00:17:19,148
Over here!
340
00:17:19,149 --> 00:17:21,239
24 of the 33 people
341
00:17:21,240 --> 00:17:24,083
on board flight 3597 are dead,
342
00:17:25,530 --> 00:17:27,359
including Captain Lutz
343
00:17:27,360 --> 00:17:29,343
and First Officer Stefan Lohrer.
344
00:17:34,900 --> 00:17:36,069
Daniel Knecht,
345
00:17:36,070 --> 00:17:37,799
an investigator from Switzerland's
346
00:17:37,800 --> 00:17:40,159
aircraft investigation bureau,
347
00:17:40,160 --> 00:17:41,483
arrives at the scene.
348
00:17:42,840 --> 00:17:46,759
I got the call
from our rescue service
349
00:17:46,760 --> 00:17:48,889
about half past ten in the evening.
350
00:17:48,890 --> 00:17:51,549
Half an hour later, I
was on the accident site.
351
00:17:51,550 --> 00:17:54,409
The rear part of the
fuselage was quite intact.
352
00:17:54,410 --> 00:17:56,349
It was also the region where
353
00:17:56,350 --> 00:18:00,263
most of the survivors
step out without injury.
354
00:18:02,250 --> 00:18:04,649
For Peter
Hogenkamp and his partner,
355
00:18:04,650 --> 00:18:07,029
it appears that moving
to the rear of the plane
356
00:18:07,030 --> 00:18:08,373
saved their lives.
357
00:18:09,250 --> 00:18:11,069
I think it was just good luck.
358
00:18:11,070 --> 00:18:13,539
I think it would've been
a whole different story
359
00:18:13,540 --> 00:18:15,633
if we wouldn't have changed seats.
360
00:18:17,930 --> 00:18:20,663
So the Passion Fruits
may have saved our lives.
361
00:18:21,830 --> 00:18:24,539
While rescuers
care for the survivors,
362
00:18:24,540 --> 00:18:27,003
Knecht and his team survey the crash site.
363
00:18:29,890 --> 00:18:32,329
The location of the wreckage
far from the airport
364
00:18:32,330 --> 00:18:34,293
is of interest to the investigators.
365
00:18:36,450 --> 00:18:39,686
4 kilometers and 50
meters from the runway.
366
00:18:39,687 --> 00:18:43,969
The aircraft was not
where it was intended to be.
367
00:18:43,970 --> 00:18:46,889
He collided with a hill east of runway 28,
368
00:18:46,890 --> 00:18:49,403
so obviously he was too low.
369
00:18:50,510 --> 00:18:51,763
The first question was,
370
00:18:52,600 --> 00:18:54,793
why was this aircraft too low?
371
00:18:55,670 --> 00:18:57,369
The black
box flight recorders
372
00:18:57,370 --> 00:18:58,693
are found in the wreckage.
373
00:19:00,950 --> 00:19:02,250
They're in good condition.
374
00:19:11,020 --> 00:19:12,829
Investigators are well aware
375
00:19:12,830 --> 00:19:14,989
that this is the worst aviation disaster
376
00:19:14,990 --> 00:19:17,363
on Swiss territory in over a decade.
377
00:19:20,180 --> 00:19:22,653
They're under pressure
to find answers fast.
378
00:19:25,920 --> 00:19:27,759
While work continues at the crash,
379
00:19:27,760 --> 00:19:30,053
a command post is established nearby.
380
00:19:34,450 --> 00:19:37,619
Jean Overney heads the
Swiss investigation bureau.
381
00:19:37,620 --> 00:19:39,963
He takes charge of the Crossair file.
382
00:19:42,083 --> 00:19:45,199
The public was
very anxious about this crash.
383
00:19:45,200 --> 00:19:47,299
The media were raising many questions,
384
00:19:47,300 --> 00:19:50,533
so we naturally had to open a
more in-depth investigation.
385
00:19:52,760 --> 00:19:54,299
The accident
happened at the end
386
00:19:54,300 --> 00:19:56,429
of a long day for Captain Lutz.
387
00:19:56,430 --> 00:19:57,809
But given his background,
388
00:19:57,810 --> 00:20:00,513
investigators must consider other causes.
389
00:20:01,480 --> 00:20:04,029
We knew that the
captain was very experienced.
390
00:20:04,030 --> 00:20:09,030
He had about 17,000 flight
hours during his whole career.
391
00:20:09,560 --> 00:20:11,539
Flight instructor, flight examiner.
392
00:20:11,540 --> 00:20:14,533
Within the company for more than 20 years.
393
00:20:15,630 --> 00:20:16,759
The flight recorders
394
00:20:16,760 --> 00:20:19,653
are sent to a lab in Paris
to extract their data.
395
00:20:21,820 --> 00:20:22,719
At the same time,
396
00:20:22,720 --> 00:20:24,989
investigators have begun
retrieving fragments
397
00:20:24,990 --> 00:20:26,623
of wreckage from the crash site.
398
00:20:28,440 --> 00:20:30,833
They look for tell-tale signs of trouble.
399
00:20:31,690 --> 00:20:34,269
The position of
switches is very important.
400
00:20:34,270 --> 00:20:36,569
Also, if you have some indication panels,
401
00:20:36,570 --> 00:20:38,333
for example, with bulbs in it,
402
00:20:39,590 --> 00:20:42,279
after a crash you can analyze
403
00:20:42,280 --> 00:20:44,819
the different wires in the bulbs
404
00:20:44,820 --> 00:20:49,820
and then you can determine
which indications
405
00:20:50,190 --> 00:20:54,053
or even warnings were active
at the moment of the impact.
406
00:20:59,200 --> 00:21:00,829
An investigator comes across
407
00:21:00,830 --> 00:21:02,989
an intriguing piece of wreckage.
408
00:21:02,990 --> 00:21:05,719
Oil gauges provide
information about the oil
409
00:21:05,720 --> 00:21:08,453
flowing to the plane's
four turbo fan engines.
410
00:21:10,320 --> 00:21:13,563
Curiously, one of them
is installed upside down.
411
00:21:17,010 --> 00:21:19,089
This raised
a lot of questions for us
412
00:21:19,090 --> 00:21:20,389
and for the media.
413
00:21:20,390 --> 00:21:22,849
Everyone wanted to know
how you could fly a plane
414
00:21:22,850 --> 00:21:25,233
with an instrument installed upside down.
415
00:21:27,230 --> 00:21:29,339
It wasn't a very important instrument.
416
00:21:29,340 --> 00:21:30,529
You could still read it,
417
00:21:30,530 --> 00:21:32,653
even if it was installed upside down.
418
00:21:34,550 --> 00:21:37,449
But if this
obvious problem was never fixed,
419
00:21:37,450 --> 00:21:39,450
what else could be wrong with the plane?
420
00:21:42,180 --> 00:21:43,012
Obviously,
421
00:21:43,013 --> 00:21:44,740
there were maintenance issues here.
422
00:21:45,650 --> 00:21:46,849
We looked at how the company
423
00:21:46,850 --> 00:21:48,850
was doing the maintenance of the planes.
424
00:21:53,830 --> 00:21:55,939
While this
review is being launched,
425
00:21:55,940 --> 00:21:58,139
investigators study the plane's engines
426
00:21:58,140 --> 00:21:59,579
to determine if they were running
427
00:21:59,580 --> 00:22:00,883
at the time of the crash.
428
00:22:04,220 --> 00:22:06,769
Soil, tree branches, and other debris
429
00:22:06,770 --> 00:22:09,473
lodged inside the engines
suggest they were.
430
00:22:11,130 --> 00:22:13,209
We checked them out visually,
431
00:22:13,210 --> 00:22:16,339
and we saw that the four
engines were turning
432
00:22:16,340 --> 00:22:17,840
in the moment of the accident.
433
00:22:19,120 --> 00:22:21,099
Authorities need to be sure.
434
00:22:21,100 --> 00:22:22,739
They will have to check their findings
435
00:22:22,740 --> 00:22:24,853
against data from the flight recorders.
436
00:22:28,110 --> 00:22:28,942
In the meantime,
437
00:22:28,943 --> 00:22:31,389
the location of the
crash suggests something
438
00:22:31,390 --> 00:22:33,229
may have tragically mislead the crew
439
00:22:33,230 --> 00:22:35,959
on their descent towards Zurich airport.
440
00:22:35,960 --> 00:22:37,589
Knecht focuses on the flight charts
441
00:22:37,590 --> 00:22:39,393
they used to plan their approach.
442
00:22:40,980 --> 00:22:42,299
Is the
problem with the approach
443
00:22:42,300 --> 00:22:44,309
or is the problem with the aircraft?
444
00:22:44,310 --> 00:22:47,315
This kind of question was dominant
445
00:22:47,316 --> 00:22:49,613
when we started the investigation.
446
00:22:51,240 --> 00:22:53,619
Are you familiar with the 28 approach?
447
00:22:53,620 --> 00:22:55,109
Yes, I've done it a couple of times.
448
00:22:55,110 --> 00:22:57,029
The approach
chart provides pilots
449
00:22:57,030 --> 00:22:58,709
with directions to the runway.
450
00:22:58,710 --> 00:23:00,379
Trasadingen Zurich.
451
00:23:00,380 --> 00:23:02,619
Details
about radio frequencies
452
00:23:02,620 --> 00:23:04,469
as well as altitudes and speed
453
00:23:04,470 --> 00:23:06,170
for various stages of the landing.
454
00:23:07,910 --> 00:23:10,139
When investigators study an approach chart
455
00:23:10,140 --> 00:23:12,179
like the one the crew used,
456
00:23:12,180 --> 00:23:14,489
they make a shocking discovery.
457
00:23:14,490 --> 00:23:17,663
The chart does not show the
hill that the plane hit.
458
00:23:18,930 --> 00:23:21,259
An approach chart
is a very important thing
459
00:23:21,260 --> 00:23:23,679
because an indication which is not correct
460
00:23:23,680 --> 00:23:27,159
on this approach chart
could mislead a crew,
461
00:23:27,160 --> 00:23:31,339
and so easily make them
do something wrong.
462
00:23:31,340 --> 00:23:35,063
So, tell me about the
runway and the conditions.
463
00:23:36,404 --> 00:23:38,789
Overcast with light snowfall.
464
00:23:38,790 --> 00:23:40,499
A faulty
chart would certainly
465
00:23:40,500 --> 00:23:42,839
have been a danger to a crew unfamiliar
466
00:23:42,840 --> 00:23:44,469
with Zurich airport.
467
00:23:44,470 --> 00:23:47,763
But Lutz had flown in and out
of Zurich countless times.
468
00:23:48,970 --> 00:23:51,883
He and his first officer
were both based in the city.
469
00:23:53,100 --> 00:23:57,149
The commander was flying out of Zurich,
470
00:23:57,150 --> 00:24:00,829
I think for the last 15 to 20 years,
471
00:24:00,830 --> 00:24:03,163
so he was really used to this airport.
472
00:24:04,860 --> 00:24:06,249
Investigators conclude
473
00:24:06,250 --> 00:24:08,479
that the approach chart, while faulty,
474
00:24:08,480 --> 00:24:10,299
could have tripped up some crews,
475
00:24:10,300 --> 00:24:11,413
but not this one.
476
00:24:16,770 --> 00:24:19,353
Some definitive news finally arrives.
477
00:24:20,870 --> 00:24:22,779
The engine data from the black box
478
00:24:22,780 --> 00:24:25,233
confirms the observations
at the crash site.
479
00:24:26,260 --> 00:24:28,606
We could see quite
easily that the engines
480
00:24:28,607 --> 00:24:30,833
worked absolutely normally.
481
00:24:31,750 --> 00:24:33,129
Another potential cause
482
00:24:33,130 --> 00:24:35,829
of the accident is
eliminated from the list.
483
00:24:35,830 --> 00:24:37,063
Mechanical failure.
484
00:24:39,060 --> 00:24:42,143
Investigators now consider
a different possibility.
485
00:24:43,260 --> 00:24:44,909
I was covering the
approach west position
486
00:24:44,910 --> 00:24:46,009
on the night of the accident.
487
00:24:46,010 --> 00:24:47,619
Could air traffic control
488
00:24:47,620 --> 00:24:49,623
have somehow mishandled the plane?
489
00:24:50,600 --> 00:24:52,349
Investigators study records
490
00:24:52,350 --> 00:24:54,069
from the night of the accident,
491
00:24:54,070 --> 00:24:56,183
and make a disconcerting find.
492
00:24:57,020 --> 00:24:58,779
Zurich airport's control tower
493
00:24:58,780 --> 00:25:01,193
was understaffed at the
time of the accident.
494
00:25:02,367 --> 00:25:04,149
He left before his shift ended.
495
00:25:04,150 --> 00:25:05,669
The supervisor in the tower
496
00:25:05,670 --> 00:25:06,949
went home early,
497
00:25:06,950 --> 00:25:10,359
leaving a lone controller
to guide flight 3597
498
00:25:10,360 --> 00:25:11,423
in for its landing.
499
00:25:13,860 --> 00:25:15,599
She was relatively young,
500
00:25:15,600 --> 00:25:18,203
and let's say she didn't
have that much experience.
501
00:25:19,950 --> 00:25:22,149
Investigators
now study transcripts
502
00:25:22,150 --> 00:25:25,009
of conversations between
that air traffic controller
503
00:25:25,010 --> 00:25:26,109
and the flight crew,
504
00:25:26,110 --> 00:25:28,313
looking for signs she made a mistake.
505
00:25:29,480 --> 00:25:31,623
Crossair 3597, you're identified.
506
00:25:33,286 --> 00:25:35,779
Speed 180 or less.
507
00:25:35,780 --> 00:25:38,829
- Crossair 3597
- Zurich approach
508
00:25:38,830 --> 00:25:40,149
Crossair 3597.
509
00:25:40,150 --> 00:25:40,982
Clear to land.
510
00:25:40,983 --> 00:25:42,159
They find no indication
511
00:25:42,160 --> 00:25:45,149
the controller gave the
crew faulty instructions.
512
00:25:45,150 --> 00:25:47,189
But they do come across the radio call
513
00:25:47,190 --> 00:25:48,969
by the pilot of the Crossair flight
514
00:25:48,970 --> 00:25:50,229
that landed minutes earlier.
515
00:25:50,230 --> 00:25:53,819
Zurich tower
this is Crossair 3891.
516
00:25:53,820 --> 00:25:56,239
Visibility approaching 28 was borderline.
517
00:25:56,240 --> 00:25:59,759
We could only see the
runway from 1.3 miles out.
518
00:25:59,760 --> 00:26:01,699
That pilot
warned of poor conditions
519
00:26:01,700 --> 00:26:03,699
on the approach to runway 28.
520
00:26:03,700 --> 00:26:05,589
She had options.
521
00:26:05,590 --> 00:26:07,039
They wonder
why the controller
522
00:26:07,040 --> 00:26:09,199
didn't shut the runway down.
523
00:26:09,200 --> 00:26:10,579
Because of poor visibility,
524
00:26:10,580 --> 00:26:12,769
she could've reopened runway 14
525
00:26:12,770 --> 00:26:14,543
in spite of the noise by law.
526
00:26:15,430 --> 00:26:16,739
This would've allowed the crews
527
00:26:16,740 --> 00:26:18,343
to make an instrument approach.
528
00:26:19,510 --> 00:26:20,719
But she didn't do that.
529
00:26:20,720 --> 00:26:23,289
Thank you, Crossair 3891.
530
00:26:23,290 --> 00:26:25,032
Have a good evening.
531
00:26:25,033 --> 00:26:27,329
It would have been much
easier to fly ILS approach
532
00:26:27,330 --> 00:26:28,599
in this kind of weather,
533
00:26:28,600 --> 00:26:32,259
regardless of this political issue.
534
00:26:32,260 --> 00:26:33,259
It's suspected that
535
00:26:33,260 --> 00:26:34,989
without her supervisor present,
536
00:26:34,990 --> 00:26:36,869
the controller lacked the experience
537
00:26:36,870 --> 00:26:38,633
to make such an important call.
538
00:26:41,610 --> 00:26:43,489
So it's clear
that to make the decision
539
00:26:43,490 --> 00:26:45,869
not to allow an approach on runway 28,
540
00:26:45,870 --> 00:26:48,029
and instead make it on runway 14
541
00:26:48,030 --> 00:26:50,369
demanded a certain kind of confidence,
542
00:26:50,370 --> 00:26:51,883
a certain kind of courage.
543
00:26:54,530 --> 00:26:56,849
However,
Captain Lutz also heard
544
00:26:56,850 --> 00:26:58,024
the same warning.
545
00:26:58,025 --> 00:26:59,282
28 was borderline.
546
00:26:59,283 --> 00:27:02,759
We could only see the
runway from 1.3 miles out.
547
00:27:02,760 --> 00:27:03,759
Gear down.
548
00:27:03,760 --> 00:27:05,860
He kept going in spite of it.
549
00:27:07,660 --> 00:27:09,279
Investigators are now certain
550
00:27:09,280 --> 00:27:12,023
that the controller was
in no way responsible.
551
00:27:14,370 --> 00:27:16,729
The
pilot can always say no.
552
00:27:16,730 --> 00:27:19,839
He can always recheck the clearance.
553
00:27:19,840 --> 00:27:23,579
If he thinks that landing
is probably not possible,
554
00:27:23,580 --> 00:27:26,099
he's free to retract
an approach clearance,
555
00:27:26,100 --> 00:27:28,289
and ask for a different one.
556
00:27:28,290 --> 00:27:30,279
Jean Overney can't understand
557
00:27:30,280 --> 00:27:33,239
why Captain Lutz didn't do exactly that.
558
00:27:33,240 --> 00:27:35,309
He should've known that
he didn't have to make
559
00:27:35,310 --> 00:27:37,473
a non precision approach in bad weather.
560
00:27:41,670 --> 00:27:44,039
When we saw the
mistake the pilot had made,
561
00:27:44,040 --> 00:27:45,839
we immediately asked ourselves,
562
00:27:45,840 --> 00:27:47,453
well, how is it possible?
563
00:27:49,370 --> 00:27:51,939
Because for an experienced
pilot who was an instructor,
564
00:27:51,940 --> 00:27:53,943
this was a really basic mistake.
565
00:27:57,300 --> 00:27:59,029
Overney
is beginning to wonder
566
00:27:59,030 --> 00:28:01,199
if something in Lutz's long career
567
00:28:01,200 --> 00:28:03,769
is hiding clues about his behavior
568
00:28:03,770 --> 00:28:05,220
on the night of the accident.
569
00:28:09,400 --> 00:28:10,499
One by one,
570
00:28:10,500 --> 00:28:13,209
investigators are ruling
out the possible causes
571
00:28:13,210 --> 00:28:16,243
of the crash of Crossair flight 3597.
572
00:28:20,800 --> 00:28:23,689
They hope the answer lies in
the cockpit voice recorder,
573
00:28:23,690 --> 00:28:25,973
or CVR, of the doomed jet.
574
00:28:27,480 --> 00:28:29,489
After waiting many days for its data
575
00:28:29,490 --> 00:28:31,143
to be sent back from France,
576
00:28:32,260 --> 00:28:34,439
they now paw over it carefully,
577
00:28:34,440 --> 00:28:36,929
listening for any clues that might explain
578
00:28:36,930 --> 00:28:39,629
why the plane was flying
so close to the ground
579
00:28:39,630 --> 00:28:41,323
so far from the airport.
580
00:28:43,150 --> 00:28:45,089
L nav is engaged.
581
00:28:45,090 --> 00:28:47,889
Authorities
get more than they expected.
582
00:28:47,890 --> 00:28:50,499
Not only is the CVR complete,
583
00:28:50,500 --> 00:28:52,619
but Captain Lutz offers
a running commentary
584
00:28:52,620 --> 00:28:54,329
on everything he does.
585
00:28:54,330 --> 00:28:56,587
And on inbound track 275.
586
00:28:59,260 --> 00:29:02,459
Speed is checked, flaps 18.
587
00:29:02,460 --> 00:29:03,949
It's practically a road map
588
00:29:03,950 --> 00:29:06,353
to understanding what
went on in the cockpit.
589
00:29:08,820 --> 00:29:12,339
That's not usual that the pilot flying
590
00:29:12,340 --> 00:29:15,789
is talking so much about what he is doing
591
00:29:15,790 --> 00:29:17,053
or what he is seeing.
592
00:29:18,120 --> 00:29:20,120
For the investigation this helped a lot.
593
00:29:21,320 --> 00:29:22,789
100 above.
594
00:29:22,790 --> 00:29:24,729
Do we have ground contact?
595
00:29:24,730 --> 00:29:25,562
Yes.
596
00:29:25,563 --> 00:29:26,529
Investigators learn
597
00:29:26,530 --> 00:29:28,789
that the crew of flight 3597
598
00:29:28,790 --> 00:29:30,409
was looking for the runway,
599
00:29:30,410 --> 00:29:33,249
and believed it would soon come into view.
600
00:29:33,250 --> 00:29:34,649
From the CVR,
601
00:29:34,650 --> 00:29:39,650
we saw that the commander
and also his co-pilot
602
00:29:39,800 --> 00:29:42,979
were not feeling some fear or feeling
603
00:29:42,980 --> 00:29:47,159
that something was not
going as they planned.
604
00:29:47,160 --> 00:29:48,479
But what they didn't know,
605
00:29:48,480 --> 00:29:49,889
was that the plane was actually
606
00:29:49,890 --> 00:29:51,913
four miles shy of its target.
607
00:29:53,640 --> 00:29:54,472
Damn.
608
00:29:54,473 --> 00:29:57,379
He said he saw the runway 1.3 miles.
609
00:29:57,380 --> 00:29:58,269
300.
610
00:29:58,270 --> 00:30:00,199
Captain Lutz
obviously thought his jet
611
00:30:00,200 --> 00:30:02,117
was closer to the runway than it was.
612
00:30:03,780 --> 00:30:05,959
Investigators consider the possibility
613
00:30:05,960 --> 00:30:08,879
he was mislead by his
distance measuring equipment,
614
00:30:08,880 --> 00:30:09,713
or DME.
615
00:30:11,550 --> 00:30:13,799
It's supposed to tell
pilots how far they are
616
00:30:13,800 --> 00:30:14,650
from the airport.
617
00:30:16,150 --> 00:30:20,059
The DME indication would
have given this distance,
618
00:30:20,060 --> 00:30:23,460
and then he would have
detected immediately
619
00:30:24,950 --> 00:30:27,000
that he was below the approach (mumbles).
620
00:30:28,210 --> 00:30:31,763
Perhaps the DME
from flight 3597 was faulty.
621
00:30:33,270 --> 00:30:35,109
It's been recovered from the wreckage,
622
00:30:35,110 --> 00:30:37,279
but it's impossible to
tell what information
623
00:30:37,280 --> 00:30:38,533
it gave the pilots.
624
00:30:40,620 --> 00:30:42,709
However, there is another way to check
625
00:30:42,710 --> 00:30:45,010
whether the instrument
was functioning or not.
626
00:30:46,460 --> 00:30:49,629
The DME distance is
not recorded on the FDR.
627
00:30:49,630 --> 00:30:51,879
But on two occasions,
628
00:30:51,880 --> 00:30:54,263
the pilots mentioned the distance.
629
00:30:55,520 --> 00:30:57,439
Six miles is checked.
630
00:30:57,440 --> 00:30:58,669
Yes.
631
00:30:58,670 --> 00:31:01,149
But was Captain
Lutz really six miles out
632
00:31:01,150 --> 00:31:03,213
from the runway when he made that report?
633
00:31:04,770 --> 00:31:07,759
Investigators compare the
time Lutz checked his DME
634
00:31:07,760 --> 00:31:10,239
with radar data on the aircraft's location
635
00:31:10,240 --> 00:31:11,823
at that exact same time.
636
00:31:13,210 --> 00:31:15,089
They can see that when Lutz's instruments
637
00:31:15,090 --> 00:31:17,013
were telling him he was six miles out,
638
00:31:18,870 --> 00:31:20,763
that's precisely where he was.
639
00:31:22,350 --> 00:31:25,529
We knew that the
pilots had an indication
640
00:31:25,530 --> 00:31:27,763
for the distance available at that time.
641
00:31:28,860 --> 00:31:30,019
An instrument problem
642
00:31:30,020 --> 00:31:31,499
can now be crossed off the list
643
00:31:31,500 --> 00:31:33,033
as a factor in the crash,
644
00:31:34,940 --> 00:31:37,579
which only heightens the mystery.
645
00:31:37,580 --> 00:31:38,839
I have ground contact.
646
00:31:38,840 --> 00:31:40,309
We're continuing on.
647
00:31:40,310 --> 00:31:42,529
If the
instrument was working,
648
00:31:42,530 --> 00:31:44,879
why did Lutz think he
was closer to the runway
649
00:31:44,880 --> 00:31:45,983
than he actually was?
650
00:31:47,910 --> 00:31:50,059
The answer lies not in what investigators
651
00:31:50,060 --> 00:31:52,439
hear on the cockpit voice recorder,
652
00:31:52,440 --> 00:31:53,773
but what they don't hear.
653
00:31:54,992 --> 00:31:56,942
I don't see anything after six miles.
654
00:31:58,620 --> 00:32:00,019
Do we have ground contact?
655
00:32:00,020 --> 00:32:02,549
Neither
pilot read out a DME check
656
00:32:02,550 --> 00:32:04,939
after the six mile reading.
657
00:32:04,940 --> 00:32:05,772
Yes.
658
00:32:05,773 --> 00:32:06,879
It tells investigators
659
00:32:06,880 --> 00:32:09,579
that Lutz wasn't monitoring
his vital instrument
660
00:32:09,580 --> 00:32:11,713
during the final minutes of his approach.
661
00:32:13,430 --> 00:32:15,499
Instead, he was preoccupied with spotting
662
00:32:15,500 --> 00:32:16,773
the lights of the runway.
663
00:32:18,020 --> 00:32:20,303
That's not what pilots are supposed to do.
664
00:32:23,660 --> 00:32:24,579
The pilot flying
665
00:32:24,580 --> 00:32:26,779
is supposed to keep his
eyes on the instruments,
666
00:32:26,780 --> 00:32:29,309
because all the information
he needs is there.
667
00:32:29,310 --> 00:32:31,499
He only switches to flying by sight
668
00:32:31,500 --> 00:32:33,393
when the non-flying pilot says,
669
00:32:35,410 --> 00:32:37,169
runway in sight.
670
00:32:37,170 --> 00:32:39,139
Only then can the captain take his eyes
671
00:32:39,140 --> 00:32:41,619
off the instruments and fly by sight.
672
00:32:41,620 --> 00:32:43,773
Because the landing is performed visually.
673
00:32:50,500 --> 00:32:52,559
If Lutz had
checked his instruments,
674
00:32:52,560 --> 00:32:54,659
he would've known how far from the runway
675
00:32:54,660 --> 00:32:55,923
he actually was.
676
00:32:56,950 --> 00:32:59,743
But how had he ended up such
a long distance from it?
677
00:33:01,030 --> 00:33:02,223
Confirm three greens.
678
00:33:03,740 --> 00:33:05,173
Is checked.
679
00:33:06,340 --> 00:33:08,453
116 knots.
680
00:33:09,330 --> 00:33:11,439
Further analysis
of the black box data
681
00:33:11,440 --> 00:33:14,499
reveals that Lutz put his
plane into a steep descent
682
00:33:14,500 --> 00:33:18,943
as it began its final
approach to Zurich airport.
683
00:33:19,840 --> 00:33:22,669
But it's readily apparent
his approach profile
684
00:33:22,670 --> 00:33:24,469
was out of sync with the trajectory
685
00:33:24,470 --> 00:33:25,793
laid out in his chart.
686
00:33:29,430 --> 00:33:31,719
The approach profile for runway 28
687
00:33:31,720 --> 00:33:35,279
calls for pilots to make a
gradual and steady descent,
688
00:33:35,280 --> 00:33:37,439
which would bring them to 2400 feet
689
00:33:37,440 --> 00:33:39,883
after they've cleared
the hills around Zurich.
690
00:33:41,300 --> 00:33:42,869
Then pilots have to level off
691
00:33:42,870 --> 00:33:44,363
until the spot the runway.
692
00:33:47,630 --> 00:33:49,579
When investigators compare the approach
693
00:33:49,580 --> 00:33:51,409
Lutz made with the approach profile
694
00:33:51,410 --> 00:33:52,773
he was supposed to follow,
695
00:33:54,120 --> 00:33:56,259
they find that his overly steep descent
696
00:33:56,260 --> 00:33:58,839
brought him to 2400 feet
697
00:33:58,840 --> 00:34:01,063
well before he cleared the hills.
698
00:34:02,400 --> 00:34:04,379
Then he continued to descend
699
00:34:04,380 --> 00:34:05,783
until he hit the ground.
700
00:34:09,540 --> 00:34:11,469
It's beginning to look like Lutz
701
00:34:11,470 --> 00:34:14,603
had violated one of the
cardinal rules of flying.
702
00:34:17,800 --> 00:34:20,419
Aircraft making non precision approaches
703
00:34:20,420 --> 00:34:22,099
are supposed to level off
704
00:34:22,100 --> 00:34:24,849
at minimum descent
altitude, or safe height,
705
00:34:24,850 --> 00:34:26,883
until they have the runway in view.
706
00:34:28,370 --> 00:34:31,039
This safe height is intended
to keep the aircraft
707
00:34:31,040 --> 00:34:32,893
above any potential hazards.
708
00:34:37,600 --> 00:34:39,450
It's really a basic error.
709
00:34:40,360 --> 00:34:44,453
Every pilot is trained
to respect such minimums.
710
00:34:45,316 --> 00:34:48,319
Not only with VORDME approaches,
711
00:34:48,320 --> 00:34:50,739
but also with ILS approaches.
712
00:34:50,740 --> 00:34:52,819
But Captain
Lutz kept his aircraft
713
00:34:52,820 --> 00:34:55,019
in a steep descent without even pausing
714
00:34:55,020 --> 00:34:56,523
at 2400 feet.
715
00:34:57,440 --> 00:35:00,069
The logical next question
for investigators,
716
00:35:00,070 --> 00:35:02,919
could he see the runway or not?
717
00:35:02,920 --> 00:35:04,529
I have ground contact.
718
00:35:04,530 --> 00:35:05,919
We're continuing on.
719
00:35:05,920 --> 00:35:08,777
What does he mean by ground contact?
720
00:35:10,350 --> 00:35:12,419
They need to
know if it was even possible
721
00:35:12,420 --> 00:35:15,623
for Lutz to see the runway when
he reported ground contact.
722
00:35:19,330 --> 00:35:21,369
They retrace his steps in a simulator
723
00:35:21,370 --> 00:35:24,153
programmed with the weather
he was facing that night.
724
00:35:25,800 --> 00:35:27,839
Six miles from runway.
725
00:35:27,840 --> 00:35:29,973
Altitude 3300 feet.
726
00:35:32,480 --> 00:35:34,499
4.8 miles.
727
00:35:34,500 --> 00:35:36,509
2400 feet.
728
00:35:36,510 --> 00:35:38,293
Still no runway in sight.
729
00:35:41,720 --> 00:35:43,439
No, he
couldn't see the runway
730
00:35:43,440 --> 00:35:46,029
because there was a hill
between him and the runway.
731
00:35:46,030 --> 00:35:47,269
And at that altitude,
732
00:35:47,270 --> 00:35:48,820
there's no way he could see it.
733
00:35:51,070 --> 00:35:52,259
The conclusion,
734
00:35:52,260 --> 00:35:54,509
Captain Lutz had clearly violated
735
00:35:54,510 --> 00:35:56,233
his minimum descent altitude.
736
00:35:57,230 --> 00:36:00,049
Whether there is flat terrain or hills,
737
00:36:00,050 --> 00:36:03,569
minimums are set accordingly,
738
00:36:03,570 --> 00:36:06,079
and in no way you can
just bust the minimums
739
00:36:06,080 --> 00:36:08,159
whether there's hills or not.
740
00:36:08,160 --> 00:36:09,989
This
discovery raises questions
741
00:36:09,990 --> 00:36:12,159
not just about Lutz's actions,
742
00:36:12,160 --> 00:36:14,283
but his young first officer's as well.
743
00:36:15,240 --> 00:36:16,403
Two four the minimum.
744
00:36:17,260 --> 00:36:18,093
Two four.
745
00:36:19,510 --> 00:36:20,673
We're continuing on.
746
00:36:21,560 --> 00:36:24,009
A first officer should
not let his captain
747
00:36:24,010 --> 00:36:26,023
breach minimum descent altitudes.
748
00:36:29,460 --> 00:36:31,899
The co-pilot
could've said no, stop,
749
00:36:31,900 --> 00:36:33,099
we can't see the runway.
750
00:36:33,100 --> 00:36:34,283
We're not descending.
751
00:36:36,441 --> 00:36:38,519
He considered his captain
752
00:36:38,520 --> 00:36:42,009
an old pilot with a lot of experience.
753
00:36:42,010 --> 00:36:44,323
Not making any mistakes.
754
00:36:44,324 --> 00:36:46,613
He was trusting him to much.
755
00:36:48,570 --> 00:36:52,139
Also by being submissive.
756
00:36:52,140 --> 00:36:54,729
Maybe he won't speak up on time
757
00:36:54,730 --> 00:36:57,193
just to keep harmony in the cockpit.
758
00:36:58,390 --> 00:37:00,189
There were
no mechanical failures
759
00:37:00,190 --> 00:37:02,133
or instrument problems with the plane,
760
00:37:04,560 --> 00:37:07,743
nor was the air traffic
controller negligent in any way.
761
00:37:09,300 --> 00:37:11,479
But it is now clear that Captan Lutz
762
00:37:11,480 --> 00:37:14,509
made a series of
catastrophic piloting errors
763
00:37:14,510 --> 00:37:17,049
that doomed flight 3597
764
00:37:17,050 --> 00:37:19,653
and claimed the lives of 24 people.
765
00:37:22,740 --> 00:37:24,479
Investigators dig deeper
766
00:37:24,480 --> 00:37:27,399
into Captain Hans Ulrich
Lutz'z flying record
767
00:37:27,400 --> 00:37:29,549
to see if there's anything
in his long background
768
00:37:29,550 --> 00:37:33,083
that could explain why
he crashed flight 3597.
769
00:37:35,190 --> 00:37:37,593
What they discover is truly alarming.
770
00:37:38,710 --> 00:37:42,279
Lutz applied to flight school
when he was 17 years old.
771
00:37:42,280 --> 00:37:44,049
He was rejected three times
772
00:37:44,050 --> 00:37:45,763
because of his lack of education.
773
00:37:46,700 --> 00:37:49,393
He finally got his
license at the age of 20.
774
00:37:50,340 --> 00:37:53,349
But continually failed exams to upgrade
775
00:37:53,350 --> 00:37:56,563
due to his inadequate comprehension
of navigation systems.
776
00:37:57,490 --> 00:37:59,999
Captain Lutz may have had a long career,
777
00:38:00,000 --> 00:38:02,329
but it was not a stellar one.
778
00:38:02,330 --> 00:38:05,500
Years of flying and flying hours
779
00:38:06,520 --> 00:38:10,189
don't say anything about competence.
780
00:38:10,190 --> 00:38:11,759
For some reason though,
781
00:38:11,760 --> 00:38:14,339
his record as a below average pilot
782
00:38:14,340 --> 00:38:18,569
didn't prevent Crossair
from hiring him in 1979.
783
00:38:18,570 --> 00:38:22,113
There was a red line through his career
784
00:38:22,114 --> 00:38:25,569
where several incidents happened before
785
00:38:25,570 --> 00:38:28,943
and he had missed several checks.
786
00:38:31,970 --> 00:38:33,563
He had some limits.
787
00:38:35,160 --> 00:38:36,719
What's hard to understand for me
788
00:38:36,720 --> 00:38:39,239
is that they were identified
789
00:38:39,240 --> 00:38:43,173
and the decision was
made to keep him flying.
790
00:38:45,200 --> 00:38:46,989
Captain
Lutz's limited abilities
791
00:38:46,990 --> 00:38:48,733
continued in his new job.
792
00:38:51,380 --> 00:38:53,129
While commanding a sight seeing tour
793
00:38:53,130 --> 00:38:54,319
of the Swiss Alps,
794
00:38:54,320 --> 00:38:55,939
he made a navigation error,
795
00:38:55,940 --> 00:38:57,223
and ended up in Italy.
796
00:38:58,900 --> 00:39:00,579
He only realized his mistake
797
00:39:00,580 --> 00:39:03,433
when his passengers spotted
road signs in Italian.
798
00:39:07,150 --> 00:39:08,149
In another incident,
799
00:39:08,150 --> 00:39:11,289
he wrecked a 1.5 million dollar aircraft
800
00:39:11,290 --> 00:39:13,879
after inadvertently
retracting the landing gear
801
00:39:13,880 --> 00:39:16,063
while the plane was still one the tarmac.
802
00:39:19,875 --> 00:39:21,709
Lutz's failures forced Crossair
803
00:39:21,710 --> 00:39:23,799
to fire him as in instructor.
804
00:39:23,800 --> 00:39:26,853
But they allowed him to continue
flying passenger planes.
805
00:39:28,950 --> 00:39:32,049
I personally do pilot assessments.
806
00:39:32,050 --> 00:39:35,099
And he would never have
gone through my assessment
807
00:39:35,100 --> 00:39:37,023
with a positive recommendation.
808
00:39:38,750 --> 00:39:40,009
Okay.
809
00:39:40,010 --> 00:39:42,209
Approach course 1, 3...
810
00:39:42,210 --> 00:39:44,349
Investigators
wonder why Crossair
811
00:39:44,350 --> 00:39:46,319
allowed Lutz to stay on as a pilot
812
00:39:46,320 --> 00:39:48,133
if he was not entirely competent.
813
00:39:49,030 --> 00:39:52,373
The answer appears to be they
may have had little choice.
814
00:40:01,110 --> 00:40:02,649
Investigators' first glimpse
815
00:40:02,650 --> 00:40:04,339
into the problems at Crossair
816
00:40:04,340 --> 00:40:06,719
came after they found
the upside down gauge
817
00:40:06,720 --> 00:40:07,693
at the crash site.
818
00:40:10,200 --> 00:40:11,659
We had to
check if the employees
819
00:40:11,660 --> 00:40:13,519
had received the proper training,
820
00:40:13,520 --> 00:40:15,529
if they had the qualifications required
821
00:40:15,530 --> 00:40:16,733
for this kind of work.
822
00:40:18,660 --> 00:40:21,399
No glaring
maintenance issues were found.
823
00:40:21,400 --> 00:40:23,869
But a closer look at
Crossair's hiring practices
824
00:40:23,870 --> 00:40:27,059
explains why Captain Lutz
was allowed to keep flying.
825
00:40:27,060 --> 00:40:29,259
The airline may have grown too fast
826
00:40:29,260 --> 00:40:31,690
throughout the 80s and 90s.
827
00:40:35,370 --> 00:40:37,649
The company
expanded very rapidly,
828
00:40:37,650 --> 00:40:38,729
and with that success,
829
00:40:38,730 --> 00:40:41,480
it's clear that you have to
quickly increase the staff.
830
00:40:42,420 --> 00:40:44,139
Office workers, mechanics,
831
00:40:44,140 --> 00:40:45,049
that's one thing.
832
00:40:45,050 --> 00:40:47,683
But pilots, you have to
go out and find them.
833
00:40:50,440 --> 00:40:51,879
In those days,
834
00:40:51,880 --> 00:40:54,129
they were desperate for pilots.
835
00:40:54,130 --> 00:40:57,919
And somehow no decision
was made to lay him off
836
00:40:57,920 --> 00:41:00,559
because of his questionable performance
837
00:41:00,560 --> 00:41:01,653
during his career.
838
00:41:02,770 --> 00:41:04,089
Captain Lutz's failings
839
00:41:04,090 --> 00:41:08,219
caught up with him on
November the 24th 2001.
840
00:41:08,220 --> 00:41:10,579
Make it go around?
841
00:41:10,580 --> 00:41:11,413
Go around.
842
00:41:14,830 --> 00:41:17,363
24 people
paid with their lives.
843
00:41:29,123 --> 00:41:30,939
After the accident report was issued,
844
00:41:30,940 --> 00:41:33,489
sweeping changes were made.
845
00:41:33,490 --> 00:41:35,839
Swiss aviation authorities had Crossair
846
00:41:35,840 --> 00:41:39,529
increase the number of
employees overseeing pilots.
847
00:41:39,530 --> 00:41:41,679
They also scrutinized other airlines
848
00:41:41,680 --> 00:41:43,029
to determine if there were other
849
00:41:43,030 --> 00:41:45,203
substandard performers like Lutz.
850
00:41:52,547 --> 00:41:54,189
One thing is for sure,
851
00:41:54,190 --> 00:41:58,453
that selection process
has improved considerably.
852
00:41:59,860 --> 00:42:03,739
Of course, awareness
of people's performance
853
00:42:03,740 --> 00:42:06,573
during their career was
increased considerably.
854
00:42:08,530 --> 00:42:11,939
Crossair went
out of existence in 2002.
855
00:42:11,940 --> 00:42:14,473
It was folded into the
Swiss National Carrier.
856
00:42:17,300 --> 00:42:19,979
Once Crossair became Swiss,
857
00:42:19,980 --> 00:42:24,980
they adopted the previous
Swiss Air selection process.
858
00:42:27,230 --> 00:42:30,019
And I can say today,
859
00:42:30,020 --> 00:42:32,599
which is already nine years since,
860
00:42:32,600 --> 00:42:35,669
that safety has improved considerably,
861
00:42:35,670 --> 00:42:38,959
and also quality of the pilots
862
00:42:38,960 --> 00:42:42,213
that are hired by companies like Swiss.
863
00:42:48,130 --> 00:42:51,239
Since the
crash of flight 3597,
864
00:42:51,240 --> 00:42:53,759
Zurich's runway 28 has been upgraded
865
00:42:53,760 --> 00:42:55,699
with both an instrument landing system
866
00:42:55,700 --> 00:42:58,239
and an automatic warning
that alerts controllers
867
00:42:58,240 --> 00:43:00,083
when a plane's approach is too low.
868
00:43:01,200 --> 00:43:02,999
There has never been another accident
869
00:43:03,000 --> 00:43:04,413
involving that runway.
870
00:43:05,901 --> 00:43:07,349
But the Crossair tragedy,
871
00:43:07,350 --> 00:43:09,529
and the circumstances that spawned it
872
00:43:09,530 --> 00:43:11,253
isn't an isolated case.
873
00:43:12,280 --> 00:43:16,409
Regional airlines have boomed
worldwide since the 1980s,
874
00:43:16,410 --> 00:43:18,209
particularly in the United States,
875
00:43:18,210 --> 00:43:20,439
where they account for half of all flights
876
00:43:20,440 --> 00:43:23,263
and carry 100 million passengers a year.
877
00:43:24,370 --> 00:43:26,799
In the rush to fulfill consumer demand
878
00:43:26,800 --> 00:43:28,429
for cheap air travel,
879
00:43:28,430 --> 00:43:31,869
these airlines often hire
less experienced pilots,
880
00:43:31,870 --> 00:43:33,699
and pay them far lower salaries
881
00:43:33,700 --> 00:43:35,933
than their counterparts at major carriers.
882
00:43:36,970 --> 00:43:40,823
Some even neglect to test
their pilots for basic skills.
883
00:43:43,160 --> 00:43:47,689
There is no such thing as
compulsory pilot assessment
884
00:43:47,690 --> 00:43:48,999
before they get hired.
885
00:43:49,000 --> 00:43:50,796
Does not exist.
886
00:43:54,280 --> 00:43:57,869
Colgan Air
in February of 2009,
887
00:43:57,870 --> 00:44:00,779
one of its planes crashed
in Buffalo, New York,
888
00:44:00,780 --> 00:44:01,993
killing 50 people.
889
00:44:04,490 --> 00:44:06,369
The accident was blamed on the actions
890
00:44:06,370 --> 00:44:07,893
of an inexperienced crew,
891
00:44:08,820 --> 00:44:12,149
an eerie reminder of
the Crossair disaster.
892
00:44:12,150 --> 00:44:14,659
It underlined the urgency
of improving oversight
893
00:44:14,660 --> 00:44:16,003
of smaller carriers.
894
00:44:19,540 --> 00:44:20,599
If you're making a product
895
00:44:20,600 --> 00:44:21,659
for a large company,
896
00:44:21,660 --> 00:44:23,099
you make a mistake,
897
00:44:23,100 --> 00:44:25,089
you may lose part of the market.
898
00:44:25,090 --> 00:44:27,179
You may lose some clients.
899
00:44:27,180 --> 00:44:29,259
But an airline company can lose a plane,
900
00:44:29,260 --> 00:44:31,779
its crew, and passengers.
901
00:44:31,780 --> 00:44:33,293
The stakes are very different.
65212
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