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1
00:00:09,876 --> 00:00:12,278
Three risky runways.
2
00:00:09,876 --> 00:00:12,278
Three risky runways.
3
00:00:12,345 --> 00:00:15,348
Line green manual flight.
4
00:00:15,415 --> 00:00:16,750
One in Sao Paulo.
5
00:00:16,816 --> 00:00:19,386
TAM 3054, clear to land.
6
00:00:16,816 --> 00:00:19,386
TAM 3054, clear to land.
7
00:00:19,452 --> 00:00:20,487
Another in the Himalayas.
8
00:00:20,553 --> 00:00:22,555
Pakistan 268 report position.
9
00:00:22,622 --> 00:00:24,724
And a third
on the coast of Norway.
10
00:00:22,622 --> 00:00:24,724
And a third
on the coast of Norway.
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00:00:24,791 --> 00:00:26,493
You are cleared for
a visual approach.
12
00:00:26,559 --> 00:00:28,294
Runway 33.
13
00:00:28,361 --> 00:00:30,163
Each one
pushing pilots...
14
00:00:28,361 --> 00:00:30,163
Each one
pushing pilots...
15
00:00:30,230 --> 00:00:31,564
Down to 11,500.
16
00:00:31,631 --> 00:00:33,466
...to call
on all their training.
17
00:00:33,533 --> 00:00:35,568
You have mountains
to get over,
18
00:00:35,635 --> 00:00:38,204
and then you have to
drop down to land.
19
00:00:35,635 --> 00:00:38,204
and then you have to
drop down to land.
20
00:00:38,271 --> 00:00:39,606
And there's still...
21
00:00:39,672 --> 00:00:41,141
No spoilers.
22
00:00:42,208 --> 00:00:43,443
Full brakes.
23
00:00:43,510 --> 00:00:44,844
...to pull off...
24
00:00:44,911 --> 00:00:46,346
Decelerate
25
00:00:46,413 --> 00:00:48,181
...notoriously
difficult landings.
26
00:00:46,413 --> 00:00:48,181
...notoriously
difficult landings.
27
00:00:48,248 --> 00:00:48,815
It can't!
28
00:00:48,882 --> 00:00:51,618
Decelerate.
29
00:00:51,684 --> 00:00:52,485
Stop!
30
00:00:52,552 --> 00:00:53,620
Stop!
31
00:00:53,686 --> 00:00:54,487
What's happening?
32
00:00:53,686 --> 00:00:54,487
What's happening?
33
00:00:54,554 --> 00:00:55,388
No, no, no!
34
00:00:57,490 --> 00:00:58,558
Ladies and gentlemen,
35
00:00:58,625 --> 00:01:00,193
we are starting our approach.
36
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we are starting our approach.
37
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We lost both engines!
38
00:01:01,594 --> 00:01:02,562
Put the mask over your nose.
39
00:01:02,629 --> 00:01:03,396
Emergency.
40
00:01:03,463 --> 00:01:03,830
Mayday!
41
00:01:03,897 --> 00:01:05,498
Mayday!
42
00:01:05,565 --> 00:01:06,499
Brace for impact!
43
00:01:05,565 --> 00:01:06,499
Brace for impact!
44
00:01:10,570 --> 00:01:11,738
It's going to crash!
45
00:01:20,580 --> 00:01:22,882
TAM Airlines, Flight 3054
46
00:01:22,949 --> 00:01:27,854
is en route from the Brazilian
city of Porto Alegre.
47
00:01:22,949 --> 00:01:27,854
is en route from the Brazilian
city of Porto Alegre.
48
00:01:27,921 --> 00:01:31,424
The Airbus A320 is headed
for Sao Paulo's Congonhas
49
00:01:27,921 --> 00:01:31,424
The Airbus A320 is headed
for Sao Paulo's Congonhas
50
00:01:31,491 --> 00:01:35,161
Airport 90 minutes away.
51
00:01:35,228 --> 00:01:38,398
There are 181 passengers
aboard the evening flight.
52
00:01:35,228 --> 00:01:38,398
There are 181 passengers
aboard the evening flight.
53
00:01:41,935 --> 00:01:46,306
Captain Enrique Stefanini Di
Sacco and First Officer Kleyber
54
00:01:41,935 --> 00:01:46,306
Captain Enrique Stefanini Di
Sacco and First Officer Kleyber
55
00:01:46,372 --> 00:01:51,878
Lima learn that heavy
rain in Sao Paulo
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00:01:46,372 --> 00:01:51,878
Lima learn that heavy
rain in Sao Paulo
57
00:01:51,945 --> 00:01:56,216
has temporarily shut
down 35L, the main runway
58
00:01:51,945 --> 00:01:56,216
has temporarily shut
down 35L, the main runway
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00:01:56,282 --> 00:01:57,617
at their destination.
60
00:01:57,684 --> 00:01:59,185
Did they say when
it would reopen?
61
00:01:59,252 --> 00:02:01,554
No.
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00:01:59,252 --> 00:02:01,554
No.
63
00:02:01,621 --> 00:02:03,223
For now,
the crew remains
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00:02:03,289 --> 00:02:06,626
on course, waiting for weather
updates from Sao Paulo.
65
00:02:03,289 --> 00:02:06,626
on course, waiting for weather
updates from Sao Paulo.
66
00:02:10,563 --> 00:02:12,632
Congonhas Airport
lies at the center
67
00:02:10,563 --> 00:02:12,632
Congonhas Airport
lies at the center
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00:02:12,699 --> 00:02:15,869
of Brazil's most populous city.
69
00:02:15,935 --> 00:02:18,438
When pilots begin
landing at Congonhas.
70
00:02:15,935 --> 00:02:18,438
When pilots begin
landing at Congonhas.
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00:02:18,505 --> 00:02:20,406
They're more worried
that when operating
72
00:02:20,473 --> 00:02:21,741
at any other national airport.
73
00:02:24,911 --> 00:02:29,315
At its heart, is
35L, runway built on a hilltop
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00:02:29,382 --> 00:02:30,683
and surrounded by urban sprawl.
75
00:02:29,382 --> 00:02:30,683
and surrounded by urban sprawl.
76
00:02:33,987 --> 00:02:38,291
To make matters worse,
it's just over 6,000 long,
77
00:02:33,987 --> 00:02:38,291
To make matters worse,
it's just over 6,000 long,
78
00:02:38,358 --> 00:02:40,293
which is short for large jets.
79
00:02:42,762 --> 00:02:45,431
This makes 35L of
the most treacherous
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00:02:45,498 --> 00:02:47,800
runways in the world.
81
00:02:47,867 --> 00:02:50,303
As you approach the
runway, your adrenaline
82
00:02:47,867 --> 00:02:50,303
As you approach the
runway, your adrenaline
83
00:02:50,370 --> 00:02:51,971
is really pumping.
84
00:02:52,038 --> 00:02:55,375
For us pilots, it's like
landing on an aircraft carrier.
85
00:02:52,038 --> 00:02:55,375
For us pilots, it's like
landing on an aircraft carrier.
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00:02:58,811 --> 00:03:02,348
As flight
354 nears Sao Paulo,
87
00:02:58,811 --> 00:03:02,348
As flight
354 nears Sao Paulo,
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00:03:02,415 --> 00:03:04,851
the crew gets an update.
89
00:03:04,918 --> 00:03:08,321
3054 35L is the active runway.
90
00:03:04,918 --> 00:03:08,321
3054 35L is the active runway.
91
00:03:08,388 --> 00:03:11,224
Runway 35L has reopened.
92
00:03:11,291 --> 00:03:14,861
But Stefanini has an additional
challenge to landing.
93
00:03:11,291 --> 00:03:14,861
But Stefanini has an additional
challenge to landing.
94
00:03:14,928 --> 00:03:18,531
Remember, we only
have one reverse, sir.
95
00:03:14,928 --> 00:03:18,531
Remember, we only
have one reverse, sir.
96
00:03:18,598 --> 00:03:22,802
Yes, only the left.
97
00:03:22,869 --> 00:03:24,704
The right thrust
reverser, one of two
98
00:03:22,869 --> 00:03:24,704
The right thrust
reverser, one of two
99
00:03:24,771 --> 00:03:28,875
on the Airbus, isn't working.
100
00:03:28,942 --> 00:03:30,743
That reduces the
plane's stopping power.
101
00:03:28,942 --> 00:03:30,743
That reduces the
plane's stopping power.
102
00:03:35,715 --> 00:03:37,984
The devices are designed
to slow the aircraft
103
00:03:35,715 --> 00:03:37,984
The devices are designed
to slow the aircraft
104
00:03:38,051 --> 00:03:40,787
by reversing the direction of
the engine's forward thrust.
105
00:03:43,890 --> 00:03:46,025
Thrust reversers,
they act like brakes
106
00:03:46,092 --> 00:03:47,760
when you land the aircraft.
107
00:03:47,827 --> 00:03:50,964
You deploy them only after
the aircraft is on the ground.
108
00:03:47,827 --> 00:03:50,964
You deploy them only after
the aircraft is on the ground.
109
00:03:51,030 --> 00:03:56,836
TAM 3054 35L clear to land.
110
00:03:51,030 --> 00:03:56,836
TAM 3054 35L clear to land.
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00:03:56,903 --> 00:03:58,638
The runway
is wet and it's slippery.
112
00:03:58,705 --> 00:04:00,873
The wind is 330 at 8 knots.
113
00:03:58,705 --> 00:04:00,873
The wind is 330 at 8 knots.
114
00:04:06,079 --> 00:04:09,449
On final approach,
the captain decides to take over
115
00:04:09,515 --> 00:04:11,517
from the autopilot.
116
00:04:11,584 --> 00:04:13,386
Line green manual flight.
117
00:04:11,584 --> 00:04:13,386
Line green manual flight.
118
00:04:15,922 --> 00:04:18,691
The concern was that
after touching down
119
00:04:15,922 --> 00:04:18,691
The concern was that
after touching down
120
00:04:18,758 --> 00:04:20,693
the pilots needed
to be sure that they
121
00:04:20,760 --> 00:04:22,428
would be able to
stop their plane
122
00:04:22,495 --> 00:04:23,896
before the end of the runway.
123
00:04:26,599 --> 00:04:28,835
100, 100.
124
00:04:28,901 --> 00:04:29,669
One dot now.
125
00:04:29,736 --> 00:04:30,637
OK.
126
00:04:29,736 --> 00:04:30,637
OK.
127
00:04:30,703 --> 00:04:31,671
20 retard.
128
00:04:40,413 --> 00:04:41,714
Middle.
129
00:04:41,781 --> 00:04:45,585
The plane
is not slowing.
130
00:04:41,781 --> 00:04:45,585
The plane
is not slowing.
131
00:04:45,652 --> 00:04:47,654
Reverse number one only.
132
00:04:47,720 --> 00:04:49,722
And it's
hurdling dangerously fast
133
00:04:47,720 --> 00:04:49,722
And it's
hurdling dangerously fast
134
00:04:49,789 --> 00:04:50,923
toward the end of the runway.
135
00:04:54,460 --> 00:04:55,862
Decelerate.
136
00:04:55,928 --> 00:04:57,964
It can't!
137
00:04:58,031 --> 00:04:59,432
Look at this!
138
00:04:59,499 --> 00:04:59,932
Look at this!
139
00:05:02,969 --> 00:05:04,070
Turn!
140
00:05:04,137 --> 00:05:04,971
Turn!
141
00:05:20,486 --> 00:05:22,455
Flight 3054 has slammed
142
00:05:22,522 --> 00:05:26,059
into a TAM Airlines office
building and a gas station
143
00:05:22,522 --> 00:05:26,059
into a TAM Airlines office
building and a gas station
144
00:05:26,125 --> 00:05:26,959
beside it.
145
00:05:29,829 --> 00:05:32,799
All 187 passengers
and crew are dead.
146
00:05:29,829 --> 00:05:32,799
All 187 passengers
and crew are dead.
147
00:05:36,069 --> 00:05:37,970
A dozen people on the
ground are also killed.
148
00:05:41,541 --> 00:05:44,577
It's the worst aviation accident
in South American history.
149
00:05:41,541 --> 00:05:44,577
It's the worst aviation accident
in South American history.
150
00:05:51,951 --> 00:05:53,853
Lieutenant Colonel
Fernando Camargo
151
00:05:53,920 --> 00:05:58,524
is an accident investigator
with CENIPA, Brazil's aviation
152
00:05:53,920 --> 00:05:58,524
is an accident investigator
with CENIPA, Brazil's aviation
153
00:05:58,591 --> 00:05:59,959
safety agency.
154
00:06:00,026 --> 00:06:04,864
The Black boxes will not
last long and the heat!
155
00:06:04,931 --> 00:06:06,933
His first concern
is to recover the plane's
156
00:06:04,931 --> 00:06:06,933
His first concern
is to recover the plane's
157
00:06:06,999 --> 00:06:09,836
black boxes, and
send them to experts
158
00:06:09,902 --> 00:06:13,639
in Washington DC for scrutiny.
159
00:06:09,902 --> 00:06:13,639
in Washington DC for scrutiny.
160
00:06:13,706 --> 00:06:17,477
While they wait for results,
investigators focus on runway
161
00:06:17,543 --> 00:06:19,746
35L, looking for clues.
162
00:06:17,543 --> 00:06:19,746
35L, looking for clues.
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00:06:22,582 --> 00:06:27,453
We knew that we would have
to run a complete investigation
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00:06:22,582 --> 00:06:27,453
We knew that we would have
to run a complete investigation
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00:06:27,520 --> 00:06:30,690
on the runway.
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00:06:27,520 --> 00:06:30,690
on the runway.
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00:06:30,757 --> 00:06:33,626
They soon make
an important discovery.
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It's still wet!
169
00:06:33,693 --> 00:06:36,496
It's still wet!
170
00:06:36,562 --> 00:06:40,733
Rainwater is pooling,
creating puddles on the tarmac,
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00:06:40,800 --> 00:06:44,504
something that shouldn't happen.
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00:06:40,800 --> 00:06:44,504
something that shouldn't happen.
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00:06:44,570 --> 00:06:45,972
When this water
gets in contact
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00:06:46,038 --> 00:06:48,107
with the landing
gear, the tires,
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00:06:46,038 --> 00:06:48,107
with the landing
gear, the tires,
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00:06:48,174 --> 00:06:50,510
it can generate what
we call hydroplaning.
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00:06:50,576 --> 00:06:53,146
And this is a problem because
a pilot will have little
178
00:06:53,212 --> 00:06:54,914
or no control of his aircraft.
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00:06:53,212 --> 00:06:54,914
or no control of his aircraft.
180
00:07:00,653 --> 00:07:03,089
How can water be
pooling on one of the busiest
181
00:07:03,156 --> 00:07:04,924
runways in Brazil?
182
00:07:04,991 --> 00:07:07,126
To find out, the
team studies files
183
00:07:04,991 --> 00:07:07,126
To find out, the
team studies files
184
00:07:07,193 --> 00:07:09,996
from the government agency
that runs Congonhas Airport.
185
00:07:13,766 --> 00:07:16,903
They learn that runway
35L was resurfaced
186
00:07:16,969 --> 00:07:18,604
one month before the accident.
187
00:07:16,969 --> 00:07:18,604
one month before the accident.
188
00:07:23,943 --> 00:07:27,547
In 2007, the runway at
Congonhas underwent repairs.
189
00:07:23,943 --> 00:07:27,547
In 2007, the runway at
Congonhas underwent repairs.
190
00:07:27,613 --> 00:07:30,616
It had been offering a
very low level of traction.
191
00:07:27,613 --> 00:07:30,616
It had been offering a
very low level of traction.
192
00:07:30,683 --> 00:07:33,719
There were many
reports of skids.
193
00:07:33,786 --> 00:07:34,921
But the
resurfacing work
194
00:07:34,987 --> 00:07:37,056
on the busiest
runway at Congonhas
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00:07:34,987 --> 00:07:37,056
on the busiest
runway at Congonhas
196
00:07:37,123 --> 00:07:39,091
lacked a critical
safety feature.
197
00:07:42,128 --> 00:07:44,664
The runway
is wet and it's slippery.
198
00:07:44,730 --> 00:07:49,068
Proving to be done at a later
date, no wonder it was wet.
199
00:07:44,730 --> 00:07:49,068
Proving to be done at a later
date, no wonder it was wet.
200
00:07:54,307 --> 00:07:58,144
Channels cut into the
tarmac carry away rainwater.
201
00:07:58,211 --> 00:08:01,781
Without them, rain
collects in puddles.
202
00:07:58,211 --> 00:08:01,781
Without them, rain
collects in puddles.
203
00:08:01,848 --> 00:08:04,584
But even with a wet runway
and only one operating
204
00:08:04,650 --> 00:08:09,789
thrust reverser, the A320
should have been able to stop.
205
00:08:04,650 --> 00:08:09,789
thrust reverser, the A320
should have been able to stop.
206
00:08:15,161 --> 00:08:18,064
To figure out why it
didn't, investigators
207
00:08:15,161 --> 00:08:18,064
To figure out why it
didn't, investigators
208
00:08:18,130 --> 00:08:20,666
examine the plane's
maintenance records.
209
00:08:20,733 --> 00:08:24,170
They learn that the right
thrust reverser was deactivated
210
00:08:20,733 --> 00:08:24,170
They learn that the right
thrust reverser was deactivated
211
00:08:24,237 --> 00:08:25,838
because it was jamming.
212
00:08:25,905 --> 00:08:28,674
But the aircraft was then
flown without incident
213
00:08:28,741 --> 00:08:30,142
for four consecutive days.
214
00:08:28,741 --> 00:08:30,142
for four consecutive days.
215
00:08:30,209 --> 00:08:32,311
This plane landed
on the same runway
216
00:08:32,378 --> 00:08:35,781
that day with the same
problems had only one thrust
217
00:08:35,848 --> 00:08:39,285
reverser, no issues whatsoever.
218
00:08:35,848 --> 00:08:39,285
reverser, no issues whatsoever.
219
00:08:39,352 --> 00:08:41,787
Not only had the
plane landed repeatedly
220
00:08:41,854 --> 00:08:43,155
with one thrust reverser.
221
00:08:41,854 --> 00:08:43,155
with one thrust reverser.
222
00:08:43,222 --> 00:08:45,992
It even touched down
safely on runway 35L.
223
00:08:49,095 --> 00:08:52,899
So why did this
landing go so wrong?
224
00:08:52,965 --> 00:08:55,001
The data from the badly
burned flight recorders
225
00:08:52,965 --> 00:08:55,001
The data from the badly
burned flight recorders
226
00:08:55,067 --> 00:08:58,771
has been retrieved by experts.
227
00:08:58,838 --> 00:09:00,573
Here we go.
228
00:08:58,838 --> 00:09:00,573
Here we go.
229
00:09:00,640 --> 00:09:01,841
Investigators hope it will finally explain
230
00:09:01,908 --> 00:09:03,843
what led to the disaster.
231
00:09:03,910 --> 00:09:05,645
The speed is fine.
232
00:09:05,711 --> 00:09:07,847
100, 100.
233
00:09:05,711 --> 00:09:07,847
100, 100.
234
00:09:07,914 --> 00:09:09,282
It came down fine.
235
00:09:09,348 --> 00:09:12,118
The data confirms
the brakes were working.
236
00:09:09,348 --> 00:09:12,118
The data confirms
the brakes were working.
237
00:09:12,184 --> 00:09:13,119
Brakes were engaged.
238
00:09:13,185 --> 00:09:16,923
And the plane
didn't skid or slide.
239
00:09:16,989 --> 00:09:19,292
But it also reveals
a puzzling fact.
240
00:09:16,989 --> 00:09:19,292
But it also reveals
a puzzling fact.
241
00:09:19,358 --> 00:09:22,161
It can't!
242
00:09:22,228 --> 00:09:24,230
On landing,
the plane's two engines
243
00:09:22,228 --> 00:09:24,230
On landing,
the plane's two engines
244
00:09:24,297 --> 00:09:27,733
seemed to be working
against each other.
245
00:09:27,800 --> 00:09:28,234
Engine one.
246
00:09:31,337 --> 00:09:33,005
The left
engine was in reverse
247
00:09:33,072 --> 00:09:35,741
to help slow the aircraft down.
248
00:09:35,808 --> 00:09:38,978
But the right engine, the
one with the disabled thrust
249
00:09:35,808 --> 00:09:38,978
But the right engine, the
one with the disabled thrust
250
00:09:39,045 --> 00:09:40,313
reverser...
251
00:09:40,379 --> 00:09:43,015
It's powering up.
252
00:09:40,379 --> 00:09:43,015
It's powering up.
253
00:09:43,082 --> 00:09:46,352
...was
accelerating to climb power.
254
00:09:46,419 --> 00:09:47,320
Decelerate!
255
00:09:47,386 --> 00:09:48,154
It can't!
256
00:09:47,386 --> 00:09:48,154
It can't!
257
00:09:48,220 --> 00:09:48,955
Decelerate!
258
00:09:49,021 --> 00:09:50,923
So engine two
was thrusting when
259
00:09:50,990 --> 00:09:52,358
it should have been idling.
260
00:09:52,425 --> 00:09:53,893
That would explain the veer
off to the left, right?
261
00:09:57,129 --> 00:09:58,864
The question is, why would
262
00:09:58,931 --> 00:10:02,902
this experienced crew touch down
with one engine at climb power?
263
00:09:58,931 --> 00:10:02,902
this experienced crew touch down
with one engine at climb power?
264
00:10:08,975 --> 00:10:10,977
They would have known
it could doom the flight
265
00:10:11,043 --> 00:10:14,180
and everyone on board.
266
00:10:11,043 --> 00:10:14,180
and everyone on board.
267
00:10:18,317 --> 00:10:22,121
Why flight 3054 engines were
working against each other
268
00:10:22,188 --> 00:10:24,090
is now the team's main focus.
269
00:10:22,188 --> 00:10:24,090
is now the team's main focus.
270
00:10:27,326 --> 00:10:33,299
We could establish
roughly two main lines
271
00:10:27,326 --> 00:10:33,299
We could establish
roughly two main lines
272
00:10:33,366 --> 00:10:39,739
of investigation, one,
mechanical failure,
273
00:10:33,366 --> 00:10:39,739
of investigation, one,
mechanical failure,
274
00:10:39,805 --> 00:10:43,309
and the other one, pilot error.
275
00:10:39,805 --> 00:10:43,309
and the other one, pilot error.
276
00:10:46,746 --> 00:10:48,914
The flight data
and physical evidence shows
277
00:10:48,981 --> 00:10:52,318
the engines were functioning.
278
00:10:52,385 --> 00:10:54,987
Investigators turn their
attention to the pilots.
279
00:10:52,385 --> 00:10:54,987
Investigators turn their
attention to the pilots.
280
00:10:58,357 --> 00:11:00,159
They start with a
captain's landing
281
00:10:58,357 --> 00:11:00,159
They start with a
captain's landing
282
00:11:00,226 --> 00:11:03,129
prior to the one at Congonhas.
283
00:11:03,195 --> 00:11:07,433
First, how did they
land in Porto Alegre?
284
00:11:03,195 --> 00:11:07,433
First, how did they
land in Porto Alegre?
285
00:11:07,500 --> 00:11:09,468
They learned that
during the previous landing
286
00:11:09,535 --> 00:11:12,838
in Porto Alegre, Captain
Stefanini pulled back
287
00:11:09,535 --> 00:11:12,838
in Porto Alegre, Captain
Stefanini pulled back
288
00:11:12,905 --> 00:11:18,811
both thrust levers, exactly
the right procedure for landing
289
00:11:12,905 --> 00:11:18,811
both thrust levers, exactly
the right procedure for landing
290
00:11:18,878 --> 00:11:21,213
with only one reverser.
291
00:11:21,280 --> 00:11:24,884
And now both
levers to reverse.
292
00:11:21,280 --> 00:11:24,884
And now both
levers to reverse.
293
00:11:24,950 --> 00:11:28,354
That a captain
knew the procedure,
294
00:11:28,421 --> 00:11:34,126
he performed the
correct procedure hours
295
00:11:28,421 --> 00:11:34,126
he performed the
correct procedure hours
296
00:11:34,193 --> 00:11:37,296
before in the previous landing.
297
00:11:34,193 --> 00:11:37,296
before in the previous landing.
298
00:11:37,363 --> 00:11:41,000
So what did he do
differently in Sao Paulo?
299
00:11:37,363 --> 00:11:41,000
So what did he do
differently in Sao Paulo?
300
00:11:41,067 --> 00:11:41,834
OK.
301
00:11:41,901 --> 00:11:44,136
OK, now Congonhas.
302
00:11:44,203 --> 00:11:49,008
Left lever to
idle, then reverse.
303
00:11:44,203 --> 00:11:49,008
Left lever to
idle, then reverse.
304
00:11:51,944 --> 00:11:53,779
20 retard.
305
00:11:51,944 --> 00:11:53,779
20 retard.
306
00:11:53,846 --> 00:11:55,347
Retard.
307
00:11:55,414 --> 00:11:57,316
Instead of
throttling back both levers,
308
00:11:57,383 --> 00:11:59,351
he only brought the
left engine to idle,
309
00:11:57,383 --> 00:11:59,351
he only brought the
left engine to idle,
310
00:11:59,418 --> 00:12:01,854
leaving the right
one at full power.
311
00:12:05,157 --> 00:12:08,527
Then once the
aircraft touched down,
312
00:12:08,594 --> 00:12:12,932
he activated the left thrust
reverser to slow the plane,
313
00:12:08,594 --> 00:12:12,932
he activated the left thrust
reverser to slow the plane,
314
00:12:12,998 --> 00:12:15,367
but kept the right
engine at climb power.
315
00:12:18,404 --> 00:12:20,539
That is quite different.
316
00:12:20,606 --> 00:12:22,174
I don't get it.
317
00:12:22,241 --> 00:12:25,978
How could a guy that knew
the aircraft, that knew
318
00:12:22,241 --> 00:12:25,978
How could a guy that knew
the aircraft, that knew
319
00:12:26,045 --> 00:12:32,184
the correct procedure, that
executed a correct procedure,
320
00:12:26,045 --> 00:12:32,184
the correct procedure, that
executed a correct procedure,
321
00:12:32,251 --> 00:12:37,156
how could he do
something different?
322
00:12:32,251 --> 00:12:37,156
how could he do
something different?
323
00:12:37,223 --> 00:12:39,391
It doesn't make sense.
324
00:12:39,458 --> 00:12:41,927
We could really use
your help on this.
325
00:12:39,458 --> 00:12:41,927
We could really use
your help on this.
326
00:12:41,994 --> 00:12:45,364
Investigators enlist
the help of another pilot.
327
00:12:45,431 --> 00:12:46,632
OK.
328
00:12:46,699 --> 00:12:49,535
He shares an outdated
procedure for landing an A320
329
00:12:49,602 --> 00:12:52,805
with a single thrust
reverser that pilots find
330
00:12:49,602 --> 00:12:52,805
with a single thrust
reverser that pilots find
331
00:12:52,872 --> 00:12:55,274
useful on wet short runways.
332
00:12:55,341 --> 00:12:57,543
It brings the plane
to a quicker stop.
333
00:12:57,610 --> 00:13:05,584
The former procedure was
taking both levers to idle,
334
00:12:57,610 --> 00:13:05,584
The former procedure was
taking both levers to idle,
335
00:12:57,610 --> 00:13:05,584
The former procedure was
taking both levers to idle,
336
00:13:05,651 --> 00:13:10,422
and then just the lever
corresponding to the engine
337
00:13:10,489 --> 00:13:13,225
with the reverser operating
normally that would
338
00:13:10,489 --> 00:13:13,225
with the reverser operating
normally that would
339
00:13:13,292 --> 00:13:17,563
be taken to reverse position.
340
00:13:13,292 --> 00:13:17,563
be taken to reverse position.
341
00:13:17,630 --> 00:13:19,565
But Captain
Stefanini never brought
342
00:13:19,632 --> 00:13:22,434
the right engine to idle.
343
00:13:22,501 --> 00:13:24,570
Did they get it wrong?
344
00:13:22,501 --> 00:13:24,570
Did they get it wrong?
345
00:13:24,637 --> 00:13:26,906
Investigators learn of previous accidents
346
00:13:26,972 --> 00:13:32,244
caused by pilots mishandling
thrust levers on landing.
347
00:13:26,972 --> 00:13:32,244
caused by pilots mishandling
thrust levers on landing.
348
00:13:32,311 --> 00:13:37,917
That old procedure
led pilots to error.
349
00:13:32,311 --> 00:13:37,917
That old procedure
led pilots to error.
350
00:13:37,983 --> 00:13:42,955
To reduce the risk
of pilots making that mistake,
351
00:13:37,983 --> 00:13:42,955
To reduce the risk
of pilots making that mistake,
352
00:13:43,022 --> 00:13:44,990
Airbus modified the procedure.
353
00:13:49,061 --> 00:13:52,598
The team now speculates that
Captain Stefanini, hoping
354
00:13:52,665 --> 00:13:55,367
to bring the A320 to a
quicker stop on a rain
355
00:13:52,665 --> 00:13:55,367
to bring the A320 to a
quicker stop on a rain
356
00:13:55,434 --> 00:14:00,472
slicked 35L opted for
the old procedure.
357
00:13:55,434 --> 00:14:00,472
slicked 35L opted for
the old procedure.
358
00:14:00,539 --> 00:14:04,009
But in doing so made
a critical error.
359
00:14:04,076 --> 00:14:06,979
It is completely
understandable
360
00:14:04,076 --> 00:14:06,979
It is completely
understandable
361
00:14:07,046 --> 00:14:11,217
that he had tried
a former procedure
362
00:14:07,046 --> 00:14:11,217
that he had tried
a former procedure
363
00:14:11,283 --> 00:14:16,522
and under such pressure
made a mistake.
364
00:14:23,462 --> 00:14:25,664
To test their
theory, investigators
365
00:14:25,731 --> 00:14:29,168
recreate the final moments
of the flight in a simulator.
366
00:14:25,731 --> 00:14:29,168
recreate the final moments
of the flight in a simulator.
367
00:14:29,235 --> 00:14:30,002
OK.
368
00:14:30,069 --> 00:14:30,970
Engine one to idle.
369
00:14:31,036 --> 00:14:32,538
Engine two stays at climb.
370
00:14:32,605 --> 00:14:35,474
Right away,
Lieutenant Vanessa Dias notices
371
00:14:32,605 --> 00:14:35,474
Right away,
Lieutenant Vanessa Dias notices
372
00:14:35,541 --> 00:14:37,309
how difficult it
is to distinguish
373
00:14:37,376 --> 00:14:40,980
the position of the thrust
levers inside a dark cockpit.
374
00:14:37,376 --> 00:14:40,980
the position of the thrust
levers inside a dark cockpit.
375
00:14:41,046 --> 00:14:42,248
20 retard, retard.
376
00:14:42,314 --> 00:14:43,215
Engine one to reverse.
377
00:14:43,282 --> 00:14:45,284
Don't touch number two.
378
00:14:45,351 --> 00:14:46,185
Brakes.
379
00:14:55,394 --> 00:14:57,630
In the simulator we
were able to program
380
00:14:57,696 --> 00:15:00,499
in every known factor.
381
00:14:57,696 --> 00:15:00,499
in every known factor.
382
00:15:00,566 --> 00:15:03,235
The chronology of
events, the wet surface,
383
00:15:03,302 --> 00:15:04,503
position of the levers.
384
00:15:07,573 --> 00:15:09,341
We also went off
the runway and had
385
00:15:09,408 --> 00:15:10,542
an accident in the simulator.
386
00:15:15,481 --> 00:15:18,384
The team now
understands why TAM Airlines
387
00:15:15,481 --> 00:15:18,384
The team now
understands why TAM Airlines
388
00:15:18,450 --> 00:15:25,024
Flight 3054 ended in tragedy.
389
00:15:18,450 --> 00:15:25,024
Flight 3054 ended in tragedy.
390
00:15:25,090 --> 00:15:29,695
To increase the plane stopping
power on a short, slick runway,
391
00:15:25,090 --> 00:15:29,695
To increase the plane stopping
power on a short, slick runway,
392
00:15:29,762 --> 00:15:33,399
Captain Stefanini tried an
old procedure for landing
393
00:15:33,465 --> 00:15:36,268
with a disabled thrust reverser.
394
00:15:33,465 --> 00:15:36,268
with a disabled thrust reverser.
395
00:15:36,335 --> 00:15:38,370
Line green, manual flight.
396
00:15:38,437 --> 00:15:40,205
But he
was out of practice,
397
00:15:40,272 --> 00:15:45,044
and combined with the stress of
touching down in rainy weather,
398
00:15:40,272 --> 00:15:45,044
and combined with the stress of
touching down in rainy weather,
399
00:15:45,110 --> 00:15:47,346
the captain became
so unnerved he
400
00:15:45,110 --> 00:15:47,346
the captain became
so unnerved he
401
00:15:47,413 --> 00:15:49,415
botched the simple procedure.
402
00:15:52,284 --> 00:15:54,086
It's possible
that tension might
403
00:15:52,284 --> 00:15:54,086
It's possible
that tension might
404
00:15:54,153 --> 00:15:55,688
block a crucial motor response.
405
00:15:55,754 --> 00:15:58,424
It can affect the
pilot's ability to react.
406
00:16:04,296 --> 00:16:06,098
There was no
alarm to warn the crew
407
00:16:04,296 --> 00:16:06,098
There was no
alarm to warn the crew
408
00:16:06,165 --> 00:16:08,067
that one engine
was revving forward
409
00:16:08,133 --> 00:16:09,268
while the other was in reverse.
410
00:16:13,539 --> 00:16:15,274
First Officer Lima
tried to figure
411
00:16:15,341 --> 00:16:18,110
out what was going wrong.
412
00:16:15,341 --> 00:16:18,110
out what was going wrong.
413
00:16:18,177 --> 00:16:19,645
Decelerate!
414
00:16:19,712 --> 00:16:20,879
Decelerate!
415
00:16:20,946 --> 00:16:23,716
But in a dark cockpit
overwhelmed by a landing going
416
00:16:20,946 --> 00:16:23,716
But in a dark cockpit
overwhelmed by a landing going
417
00:16:23,782 --> 00:16:26,719
badly, he didn't catch
the faulty thrust
418
00:16:26,785 --> 00:16:28,153
lever settings either.
419
00:16:31,223 --> 00:16:33,125
Look at this!
420
00:16:33,192 --> 00:16:36,195
A runway with a
dangerous reputation so worried
421
00:16:33,192 --> 00:16:36,195
A runway with a
dangerous reputation so worried
422
00:16:36,261 --> 00:16:39,431
the pilots they made
a deadly mistake.
423
00:16:42,234 --> 00:16:44,470
It cost 199 lives.
424
00:16:58,183 --> 00:17:01,520
In the wake of the accident
the runways at Congonhas
425
00:16:58,183 --> 00:17:01,520
In the wake of the accident
the runways at Congonhas
426
00:17:01,587 --> 00:17:06,225
have been grooved for runoff,
and are regularly inspected.
427
00:17:01,587 --> 00:17:06,225
have been grooved for runoff,
and are regularly inspected.
428
00:17:06,291 --> 00:17:09,628
New rules are in place dictating
wet weather landing procedures.
429
00:17:14,133 --> 00:17:16,568
Pakistan 268 is at 1-6 miles.
430
00:17:16,635 --> 00:17:18,771
And when a difficult
approach into an airport
431
00:17:16,635 --> 00:17:18,771
And when a difficult
approach into an airport
432
00:17:18,837 --> 00:17:23,075
in the Himalayas leads to
an error in the cockpit,
433
00:17:18,837 --> 00:17:23,075
in the Himalayas leads to
an error in the cockpit,
434
00:17:23,142 --> 00:17:24,710
the landing takes a tragic turn.
435
00:17:27,246 --> 00:17:28,280
No, no, no!
436
00:17:33,786 --> 00:17:35,621
Pakistan International Airlines
437
00:17:33,786 --> 00:17:35,621
Pakistan International Airlines
438
00:17:35,687 --> 00:17:39,191
Flight 268 is
heading to Kathmandu,
439
00:17:39,258 --> 00:17:42,394
the capital of Nepal.
440
00:17:39,258 --> 00:17:42,394
the capital of Nepal.
441
00:17:42,461 --> 00:17:44,329
The country is home to
eight of the world's
442
00:17:44,396 --> 00:17:45,464
tallest mountain peaks.
443
00:17:50,269 --> 00:17:54,740
Captain Iftikhar Janjua is in
command of the Airbus A300.
444
00:17:50,269 --> 00:17:54,740
Captain Iftikhar Janjua is in
command of the Airbus A300.
445
00:17:54,807 --> 00:17:59,611
He's a former officer in
the Pakistani Air Force.
446
00:17:54,807 --> 00:17:59,611
He's a former officer in
the Pakistani Air Force.
447
00:17:59,678 --> 00:18:03,215
His first officer is Hassan
Akhtar, a junior pilot
448
00:18:03,282 --> 00:18:05,584
with the airline.
449
00:18:03,282 --> 00:18:05,584
with the airline.
450
00:18:05,651 --> 00:18:07,186
I'll take over
from here, Akhtar.
451
00:18:07,252 --> 00:18:09,655
Yes, commander.
452
00:18:09,721 --> 00:18:10,155
I have control.
453
00:18:10,222 --> 00:18:13,559
You have control.
454
00:18:10,222 --> 00:18:13,559
You have control.
455
00:18:13,625 --> 00:18:16,762
Flight 268 begins
the approach into Kathmandu.
456
00:18:13,625 --> 00:18:16,762
Flight 268 begins
the approach into Kathmandu.
457
00:18:20,399 --> 00:18:22,201
It could get bumpy.
458
00:18:22,267 --> 00:18:23,335
Let's keep them seated.
459
00:18:22,267 --> 00:18:23,335
Let's keep them seated.
460
00:18:23,402 --> 00:18:26,839
Agreed, commander.
461
00:18:26,905 --> 00:18:28,907
Fasten seat belt sign is on.
462
00:18:26,905 --> 00:18:28,907
Fasten seat belt sign is on.
463
00:18:30,709 --> 00:18:31,910
To clear
the mountains,
464
00:18:31,977 --> 00:18:35,681
pilots must reduce the plane's
altitude at specific distances
465
00:18:31,977 --> 00:18:35,681
pilots must reduce the plane's
altitude at specific distances
466
00:18:35,747 --> 00:18:37,749
from the airport.
467
00:18:37,816 --> 00:18:39,418
Pakistan 268 approaching
468
00:18:39,485 --> 00:18:42,421
overhead, Cimarron 150.
469
00:18:39,485 --> 00:18:42,421
overhead, Cimarron 150.
470
00:18:42,488 --> 00:18:43,722
And report
their positions
471
00:18:43,789 --> 00:18:46,391
to air traffic control.
472
00:18:46,458 --> 00:18:49,161
Pakistan 268
descend to 11,500.
473
00:18:46,458 --> 00:18:49,161
Pakistan 268
descend to 11,500.
474
00:18:49,228 --> 00:18:51,597
No delay expected.
475
00:18:51,663 --> 00:18:54,566
Roger, Sir, down to 11,500.
476
00:18:51,663 --> 00:18:54,566
Roger, Sir, down to 11,500.
477
00:18:54,633 --> 00:18:56,735
You have a range of
mountains to the South
478
00:18:56,802 --> 00:18:59,271
that you have to get
over, and then you
479
00:18:56,802 --> 00:18:59,271
that you have to get
over, and then you
480
00:18:59,338 --> 00:19:03,575
have to drop down quite steeply
in order to be able to land
481
00:19:03,642 --> 00:19:06,478
at the threshold of the runway.
482
00:19:03,642 --> 00:19:06,478
at the threshold of the runway.
483
00:19:06,545 --> 00:19:08,280
Sierra approach, commander.
484
00:19:10,816 --> 00:19:12,317
Here it is.
485
00:19:12,384 --> 00:19:14,720
Watch my levels.
486
00:19:14,786 --> 00:19:16,755
At 10
miles out, Pakistan
487
00:19:14,786 --> 00:19:16,755
At 10
miles out, Pakistan
488
00:19:16,822 --> 00:19:19,591
Airlines 268 should
take approximately
489
00:19:19,658 --> 00:19:20,826
four minutes to touch down.
490
00:19:25,697 --> 00:19:28,901
Pakistan 268 is at 10 miles.
491
00:19:25,697 --> 00:19:28,901
Pakistan 268 is at 10 miles.
492
00:19:28,967 --> 00:19:29,868
Report your level.
493
00:19:34,506 --> 00:19:37,242
We crossed out of 8,500...
494
00:19:34,506 --> 00:19:37,242
We crossed out of 8,500...
495
00:19:37,309 --> 00:19:38,977
200 now.
496
00:19:39,044 --> 00:19:39,811
Roger.
497
00:19:39,878 --> 00:19:40,979
Clear for final.
498
00:19:39,878 --> 00:19:40,979
Clear for final.
499
00:19:41,046 --> 00:19:44,516
Report four miles runway 0-2.
500
00:19:44,583 --> 00:19:46,985
We'll call you at four
miles, Pakistan 268.
501
00:19:44,583 --> 00:19:46,985
We'll call you at four
miles, Pakistan 268.
502
00:19:47,052 --> 00:19:47,853
Clear for final.
503
00:19:47,920 --> 00:19:48,921
Runway 0-2.
504
00:19:48,987 --> 00:19:49,888
Runway 0-2.
505
00:19:58,730 --> 00:20:00,632
Air traffic
control waits for the flight
506
00:20:00,699 --> 00:20:01,800
crew's next position report.
507
00:20:08,006 --> 00:20:09,374
Three minutes go by.
508
00:20:14,379 --> 00:20:15,847
Pakistan 268 report position.
509
00:20:15,914 --> 00:20:18,517
But there's
no word from Flight 268.
510
00:20:15,914 --> 00:20:18,517
But there's
no word from Flight 268.
511
00:20:18,584 --> 00:20:22,521
Pakistan 268, report position.
512
00:20:22,588 --> 00:20:23,889
Pakistan 268 tower.
513
00:20:22,588 --> 00:20:23,889
Pakistan 268 tower.
514
00:20:26,658 --> 00:20:33,832
Pakistan 268, this is tower.
515
00:20:26,658 --> 00:20:33,832
Pakistan 268, this is tower.
516
00:20:33,899 --> 00:20:36,602
PIA Flight
268 has crashed
517
00:20:33,899 --> 00:20:36,602
PIA Flight
268 has crashed
518
00:20:36,668 --> 00:20:37,903
somewhere in the Himalayas.
519
00:20:40,772 --> 00:20:42,674
By nightfall, the
plane's wreckage
520
00:20:42,741 --> 00:20:44,610
is found on a mountainside.
521
00:20:47,613 --> 00:20:50,549
All 167 people were
killed on impact.
522
00:20:59,057 --> 00:21:01,660
The Nepalese government
launches an investigation
523
00:21:01,727 --> 00:21:05,030
into the crash of Flight 268.
524
00:21:01,727 --> 00:21:05,030
into the crash of Flight 268.
525
00:21:05,097 --> 00:21:06,431
Thanks for coming, Andrew.
526
00:21:06,498 --> 00:21:08,433
Andrew Robinson from Britain's
527
00:21:08,500 --> 00:21:10,369
Air Accidents
Investigation branch,
528
00:21:10,435 --> 00:21:11,737
joins the Nepalese team.
529
00:21:10,435 --> 00:21:11,737
joins the Nepalese team.
530
00:21:14,006 --> 00:21:16,675
The crash site is more
than 7,000 feet up
531
00:21:16,742 --> 00:21:17,843
the side of a mountain.
532
00:21:17,909 --> 00:21:20,412
Reaching it is not
the only problem.
533
00:21:20,479 --> 00:21:22,547
In this case, it
was just the aircraft
534
00:21:22,614 --> 00:21:23,949
was just totally destroyed.
535
00:21:22,614 --> 00:21:23,949
was just totally destroyed.
536
00:21:24,016 --> 00:21:25,917
It was just complete
obliteration of the aircraft.
537
00:21:30,555 --> 00:21:34,359
This is the location of the
crash site, nine miles south
538
00:21:34,426 --> 00:21:35,961
of the airport.
539
00:21:34,426 --> 00:21:35,961
of the airport.
540
00:21:36,028 --> 00:21:40,565
The aircraft collided
with a mountain
541
00:21:40,632 --> 00:21:44,069
at an elevation of 7,280 feet.
542
00:21:40,632 --> 00:21:44,069
at an elevation of 7,280 feet.
543
00:21:44,136 --> 00:21:45,671
Where should they have been?
544
00:21:45,737 --> 00:21:47,806
Can you pass me that
approach chart, please?
545
00:21:45,737 --> 00:21:47,806
Can you pass me that
approach chart, please?
546
00:21:47,873 --> 00:21:49,808
Thank you.
547
00:21:49,875 --> 00:21:59,117
At 10 miles out, he should
have been at 8,200 feet.
548
00:21:49,875 --> 00:21:59,117
At 10 miles out, he should
have been at 8,200 feet.
549
00:21:49,875 --> 00:21:59,117
At 10 miles out, he should
have been at 8,200 feet.
550
00:21:59,184 --> 00:22:02,454
Flight 268's crew
should have been following
551
00:22:02,521 --> 00:22:04,923
the standard approach chart
to get past the mountains
552
00:22:02,521 --> 00:22:04,923
the standard approach chart
to get past the mountains
553
00:22:04,990 --> 00:22:06,425
and into Kathmandu.
554
00:22:06,491 --> 00:22:06,958
Watch my levels.
555
00:22:10,529 --> 00:22:13,999
The approach chart is designed
to keep you clear of terrain,
556
00:22:10,529 --> 00:22:13,999
The approach chart is designed
to keep you clear of terrain,
557
00:22:14,066 --> 00:22:17,035
so you had to follow
the approach chart.
558
00:22:14,066 --> 00:22:17,035
so you had to follow
the approach chart.
559
00:22:17,102 --> 00:22:23,809
It requires a stepped
approach in which pilots
560
00:22:17,102 --> 00:22:23,809
It requires a stepped
approach in which pilots
561
00:22:23,875 --> 00:22:26,645
descend to lower altitudes
at specific distances
562
00:22:26,712 --> 00:22:29,014
from the airport.
563
00:22:26,712 --> 00:22:29,014
from the airport.
564
00:22:29,081 --> 00:22:30,682
How do you hit a
mountain you're supposed
565
00:22:30,749 --> 00:22:36,888
to clear by 1,000 feet?
566
00:22:30,749 --> 00:22:36,888
to clear by 1,000 feet?
567
00:22:36,955 --> 00:22:37,923
to clear by 1,000 feet?
568
00:22:36,955 --> 00:22:37,923
to clear by 1,000 feet?
569
00:22:37,989 --> 00:22:38,857
OK.
570
00:22:38,924 --> 00:22:41,460
Let's see what the
wreckage can tell us.
571
00:22:41,526 --> 00:22:44,696
The team pours over
evidence from Pakistan Airways
572
00:22:41,526 --> 00:22:44,696
The team pours over
evidence from Pakistan Airways
573
00:22:44,763 --> 00:22:47,466
Flight 268's crash site.
574
00:22:47,532 --> 00:22:49,501
Look at this.
575
00:22:47,532 --> 00:22:49,501
Look at this.
576
00:22:49,568 --> 00:22:52,003
The right wing impacts up here.
577
00:22:55,240 --> 00:22:57,642
Robinson notices
something about 4 feet
578
00:22:57,709 --> 00:22:59,644
below the impact scar.
579
00:22:59,711 --> 00:23:02,647
The top of a tree
has been cut cleanly.
580
00:22:59,711 --> 00:23:02,647
The top of a tree
has been cut cleanly.
581
00:23:02,714 --> 00:23:05,117
The wing couldn't
have cut that tree.
582
00:23:05,183 --> 00:23:07,586
So what did?
583
00:23:05,183 --> 00:23:07,586
So what did?
584
00:23:07,652 --> 00:23:13,558
What about the flaps?
585
00:23:07,652 --> 00:23:13,558
What about the flaps?
586
00:23:16,995 --> 00:23:21,800
Fully extended, exactly
1.3m below the wing.
587
00:23:16,995 --> 00:23:21,800
Fully extended, exactly
1.3m below the wing.
588
00:23:21,867 --> 00:23:24,102
For the team,
it's a critical clue.
589
00:23:27,005 --> 00:23:30,242
As the Airbus A300
slows for landing,
590
00:23:30,308 --> 00:23:34,746
its wing flaps extend by
as much as 25 degrees.
591
00:23:30,308 --> 00:23:34,746
its wing flaps extend by
as much as 25 degrees.
592
00:23:34,813 --> 00:23:37,716
Hanging below the wings,
the extended flaps
593
00:23:34,813 --> 00:23:37,716
Hanging below the wings,
the extended flaps
594
00:23:37,783 --> 00:23:42,154
shaved a tree top as the
plane hit the mountain.
595
00:23:42,220 --> 00:23:46,892
Wings level no pitch
down, flaps extended.
596
00:23:42,220 --> 00:23:46,892
Wings level no pitch
down, flaps extended.
597
00:23:46,958 --> 00:23:50,262
In other words, the exact
landing configuration.
598
00:23:46,958 --> 00:23:50,262
In other words, the exact
landing configuration.
599
00:23:50,328 --> 00:23:54,699
This plane was absolutely
not out of control.
600
00:23:54,766 --> 00:23:57,769
The question is, if
the pilots had the plane under
601
00:23:54,766 --> 00:23:57,769
The question is, if
the pilots had the plane under
602
00:23:57,836 --> 00:24:00,272
control, why were they too low?
603
00:24:00,338 --> 00:24:02,574
Flaps 10.
604
00:24:00,338 --> 00:24:02,574
Flaps 10.
605
00:24:02,641 --> 00:24:03,675
Flaps 10.
606
00:24:08,280 --> 00:24:09,714
All right.
607
00:24:09,781 --> 00:24:11,149
Let's look at this.
608
00:24:11,216 --> 00:24:13,251
Investigators turn to the flight
609
00:24:11,216 --> 00:24:13,251
Investigators turn to the flight
610
00:24:13,318 --> 00:24:15,086
data recorder for an answer.
611
00:24:15,153 --> 00:24:17,756
They started their
descent at 16 miles out.
612
00:24:17,823 --> 00:24:19,825
They're at 10,500 feet.
613
00:24:17,823 --> 00:24:19,825
They're at 10,500 feet.
614
00:24:19,891 --> 00:24:23,662
Then down to 9,500 at 13 miles.
615
00:24:23,728 --> 00:24:25,263
8,200 at 10 miles.
616
00:24:23,728 --> 00:24:25,263
8,200 at 10 miles.
617
00:24:25,330 --> 00:24:31,136
Then quickly down to 7,500
until impact at 7280.
618
00:24:25,330 --> 00:24:31,136
Then quickly down to 7,500
until impact at 7280.
619
00:24:31,203 --> 00:24:34,272
So 1,000 feet too low,
right from the get go.
620
00:24:34,339 --> 00:24:38,009
What the aircraft flew
was pretty much what
621
00:24:34,339 --> 00:24:38,009
What the aircraft flew
was pretty much what
622
00:24:38,076 --> 00:24:40,979
the chart said, except
that the pilot had
623
00:24:41,046 --> 00:24:43,014
got one step ahead of himself.
624
00:24:43,081 --> 00:24:46,885
So he's flying the correct
altitude for the next position.
625
00:24:49,788 --> 00:24:54,059
What if the problem is the
actual approach chart itself?
626
00:24:54,125 --> 00:24:56,628
Investigators scrutinize the approach chart
627
00:24:54,125 --> 00:24:56,628
Investigators scrutinize the approach chart
628
00:24:56,695 --> 00:24:57,662
for Kathmandu.
629
00:25:01,032 --> 00:25:05,670
So is, let's say, 8,200
feet the right altitude
630
00:25:05,737 --> 00:25:09,207
for 10 miles, or 8 miles?
631
00:25:05,737 --> 00:25:09,207
for 10 miles, or 8 miles?
632
00:25:09,274 --> 00:25:10,208
It's hard to say.
633
00:25:12,711 --> 00:25:17,983
They realize the
chart was difficult to read.
634
00:25:12,711 --> 00:25:17,983
They realize the
chart was difficult to read.
635
00:25:18,049 --> 00:25:19,918
There was a large amount
of information on it.
636
00:25:18,049 --> 00:25:19,918
There was a large amount
of information on it.
637
00:25:19,985 --> 00:25:24,256
It was... there was
a lot of clutter.
638
00:25:24,322 --> 00:25:26,324
But that's not
enough to explain why
639
00:25:24,322 --> 00:25:26,324
But that's not
enough to explain why
640
00:25:26,391 --> 00:25:29,661
the crew was one step ahead.
641
00:25:29,728 --> 00:25:33,331
Both pilots had made the
descent into Kathmandu before,
642
00:25:29,728 --> 00:25:33,331
Both pilots had made the
descent into Kathmandu before,
643
00:25:33,398 --> 00:25:35,233
using the exact same chart.
644
00:25:38,236 --> 00:25:41,907
Inside the cockpit of
another Airbus A300,
645
00:25:41,973 --> 00:25:44,843
the team looks for answers.
646
00:25:41,973 --> 00:25:44,843
the team looks for answers.
647
00:25:44,910 --> 00:25:47,178
There's no place to clip
an approach chart here.
648
00:25:47,245 --> 00:25:49,180
Robinson notices that the pilots
649
00:25:47,245 --> 00:25:49,180
Robinson notices that the pilots
650
00:25:49,247 --> 00:25:51,783
would have had to
repeatedly pick up the chart
651
00:25:51,850 --> 00:25:54,719
to set their altitude.
652
00:25:54,786 --> 00:25:56,688
Then quite by accident...
653
00:25:54,786 --> 00:25:56,688
Then quite by accident...
654
00:25:56,755 --> 00:25:59,124
Could it be?
655
00:25:59,190 --> 00:26:02,193
...investigators find
a key clue about the handling
656
00:25:59,190 --> 00:26:02,193
...investigators find
a key clue about the handling
657
00:26:02,260 --> 00:26:04,162
of the chart.
658
00:26:04,229 --> 00:26:06,331
If you pick up
the chart and happen
659
00:26:06,398 --> 00:26:11,336
to put your thumb over the
11,500 foot mark for 16
660
00:26:06,398 --> 00:26:11,336
to put your thumb over the
11,500 foot mark for 16
661
00:26:11,403 --> 00:26:13,805
nautical mile marker.
662
00:26:11,403 --> 00:26:13,805
nautical mile marker.
663
00:26:13,872 --> 00:26:16,708
In that case, it might
have guided his eye
664
00:26:16,775 --> 00:26:19,044
to the next height
fix, and he might
665
00:26:16,775 --> 00:26:19,044
to the next height
fix, and he might
666
00:26:19,110 --> 00:26:21,046
have assumed that that
was the correct height
667
00:26:21,112 --> 00:26:23,281
for the 16-mile marker point.
668
00:26:25,951 --> 00:26:28,753
This definitely makes
it look like 10,500
669
00:26:28,820 --> 00:26:31,222
is the correct
altitude at 16 miles.
670
00:26:28,820 --> 00:26:31,222
is the correct
altitude at 16 miles.
671
00:26:31,289 --> 00:26:34,125
It's an important
lead the team now believes
672
00:26:34,192 --> 00:26:36,261
the captain misread the chart.
673
00:26:38,897 --> 00:26:40,131
Kathmandu tower,
good afternoon.
674
00:26:40,198 --> 00:26:44,302
Pakistan 268 2-5
miles at 11,500.
675
00:26:40,198 --> 00:26:44,302
Pakistan 268 2-5
miles at 11,500.
676
00:26:44,369 --> 00:26:46,771
Just a few
minutes before impact,
677
00:26:46,838 --> 00:26:48,740
the first officer
reports being 25
678
00:26:48,807 --> 00:26:52,077
miles from the airport at the
correct altitude of 11,500
679
00:26:48,807 --> 00:26:52,077
miles from the airport at the
correct altitude of 11,500
680
00:26:52,143 --> 00:26:52,978
feet.
681
00:26:55,447 --> 00:26:59,284
But then when the
captain takes the chart,
682
00:26:59,351 --> 00:27:02,854
his thumb may have
obscured the next altitude.
683
00:26:59,351 --> 00:27:02,854
his thumb may have
obscured the next altitude.
684
00:27:02,921 --> 00:27:03,755
There it is.
685
00:27:03,822 --> 00:27:05,090
Watch my levels.
686
00:27:05,156 --> 00:27:08,159
So instead of
maintaining 11,500 feet,
687
00:27:05,156 --> 00:27:08,159
So instead of
maintaining 11,500 feet,
688
00:27:08,226 --> 00:27:10,929
Captain Janjua dials
in the altitude
689
00:27:10,996 --> 00:27:12,697
he sees next on the chart.
690
00:27:12,764 --> 00:27:14,933
Descending to 10,500.
691
00:27:12,764 --> 00:27:14,933
Descending to 10,500.
692
00:27:15,000 --> 00:27:18,103
Oblivious to the fact
that that altitude is actually
693
00:27:18,169 --> 00:27:19,804
for the next step
of the approach.
694
00:27:18,169 --> 00:27:19,804
for the next step
of the approach.
695
00:27:32,083 --> 00:27:35,120
As investigators
pursue their theory...
696
00:27:35,186 --> 00:27:38,123
At 16 miles, they
should be at 11,500.
697
00:27:35,186 --> 00:27:38,123
At 16 miles, they
should be at 11,500.
698
00:27:38,189 --> 00:27:40,825
But they've descended to 10,500.
699
00:27:40,892 --> 00:27:43,294
They uncover a new mystery.
700
00:27:40,892 --> 00:27:43,294
They uncover a new mystery.
701
00:27:43,361 --> 00:27:46,331
But then they report
being at 11,500.
702
00:27:46,398 --> 00:27:48,366
How could
a misread chart
703
00:27:48,433 --> 00:27:53,071
cause the crew to misreport
their actual altitude?
704
00:27:48,433 --> 00:27:53,071
cause the crew to misreport
their actual altitude?
705
00:27:53,138 --> 00:27:55,306
It's a fast and
steep approach,
706
00:27:53,138 --> 00:27:55,306
It's a fast and
steep approach,
707
00:27:55,373 --> 00:27:57,442
and unless you're a pilot
with considerable experience
708
00:27:57,509 --> 00:28:00,211
flying this route maybe
several times in a week,
709
00:28:00,278 --> 00:28:02,347
it's going to be very testing.
710
00:28:00,278 --> 00:28:02,347
it's going to be very testing.
711
00:28:02,414 --> 00:28:03,081
Flaps 15.
712
00:28:03,148 --> 00:28:04,849
At the
16 mile marker...
713
00:28:04,916 --> 00:28:06,384
Landing gear down.
714
00:28:06,451 --> 00:28:08,019
...the captain has
already dialed the flight's
715
00:28:06,451 --> 00:28:08,019
...the captain has
already dialed the flight's
716
00:28:08,086 --> 00:28:11,022
descent 1,000 feet too low.
717
00:28:11,089 --> 00:28:12,457
Gear down, three green.
718
00:28:12,524 --> 00:28:14,926
But the first
officer reports the altitude
719
00:28:12,524 --> 00:28:14,926
But the first
officer reports the altitude
720
00:28:14,993 --> 00:28:16,828
listed on the approach chart...
721
00:28:16,895 --> 00:28:18,997
11,500.
722
00:28:19,064 --> 00:28:20,165
...without
double checking
723
00:28:20,231 --> 00:28:23,168
the data on his altimeter.
724
00:28:23,234 --> 00:28:25,537
Captain Janjua doesn't
notice the discrepancy
725
00:28:23,234 --> 00:28:25,537
Captain Janjua doesn't
notice the discrepancy
726
00:28:25,603 --> 00:28:30,308
between the reported and
the actual altitudes.
727
00:28:30,375 --> 00:28:32,844
In quite a
stressful environment,
728
00:28:30,375 --> 00:28:32,844
In quite a
stressful environment,
729
00:28:32,911 --> 00:28:35,246
such as the arrival
at this airport,
730
00:28:35,313 --> 00:28:38,483
the build-up of pressure
inside the pilot
731
00:28:35,313 --> 00:28:38,483
the build-up of pressure
inside the pilot
732
00:28:38,550 --> 00:28:40,351
must be quite considerable.
733
00:28:40,418 --> 00:28:41,553
Runway 0-2.
734
00:28:41,619 --> 00:28:44,456
Both pilots appear
to have made fatal mistakes.
735
00:28:41,619 --> 00:28:44,456
Both pilots appear
to have made fatal mistakes.
736
00:28:47,592 --> 00:28:51,096
Air traffic control would
normally spot the danger.
737
00:28:47,592 --> 00:28:51,096
Air traffic control would
normally spot the danger.
738
00:28:51,162 --> 00:28:53,264
But without radar,
the controller
739
00:28:53,331 --> 00:28:56,801
couldn't warn the pilots
they were flying too low.
740
00:28:53,331 --> 00:28:56,801
couldn't warn the pilots
they were flying too low.
741
00:28:56,868 --> 00:28:59,404
In this case, without radar,
it's really the responsibility
742
00:28:59,471 --> 00:29:02,107
of the crew to make sure
of where they are flying
743
00:28:59,471 --> 00:29:02,107
of the crew to make sure
of where they are flying
744
00:29:02,173 --> 00:29:05,043
and their approach.
745
00:29:05,110 --> 00:29:06,578
Investigators believe they
746
00:29:06,644 --> 00:29:09,314
have discovered the chain of
events that led to the crash.
747
00:29:06,644 --> 00:29:09,314
have discovered the chain of
events that led to the crash.
748
00:29:12,617 --> 00:29:16,254
The first mistake happened
before the 16-mile marker
749
00:29:12,617 --> 00:29:16,254
The first mistake happened
before the 16-mile marker
750
00:29:16,321 --> 00:29:19,290
where the captain misread
the approach chart.
751
00:29:16,321 --> 00:29:19,290
where the captain misread
the approach chart.
752
00:29:19,357 --> 00:29:20,558
Here it is.
753
00:29:20,625 --> 00:29:24,896
Watch my levels, and entered the
altitude for the 13-mile marker
754
00:29:24,963 --> 00:29:26,431
one step ahead.
755
00:29:24,963 --> 00:29:26,431
one step ahead.
756
00:29:26,498 --> 00:29:29,467
Descending to 10,500.
757
00:29:29,534 --> 00:29:32,303
Landing gear down.
758
00:29:29,534 --> 00:29:32,303
Landing gear down.
759
00:29:32,370 --> 00:29:36,174
Then the first officer
misreported the altitude.
760
00:29:36,241 --> 00:29:39,277
Pakistan 268 is at 1-6 miles.
761
00:29:36,241 --> 00:29:39,277
Pakistan 268 is at 1-6 miles.
762
00:29:39,344 --> 00:29:41,846
Relaying where they should be...
763
00:29:41,913 --> 00:29:43,181
11,500.
764
00:29:41,913 --> 00:29:43,181
11,500.
765
00:29:43,248 --> 00:29:45,483
...not where
they actually were.
766
00:29:45,550 --> 00:29:48,920
Shrouded in clouds,
flight 268 remained
767
00:29:48,987 --> 00:29:52,423
1,000 feet below the recommended
safe altitude for descent.
768
00:29:48,987 --> 00:29:52,423
1,000 feet below the recommended
safe altitude for descent.
769
00:29:55,260 --> 00:29:58,630
We crossed out of 8,500...
770
00:29:58,696 --> 00:30:01,432
200 now.
771
00:29:58,696 --> 00:30:01,432
200 now.
772
00:30:01,499 --> 00:30:05,303
Next altitude 6,800
at eight miles.
773
00:30:05,370 --> 00:30:12,076
Now crossing through
7,500, 7,400.
774
00:30:05,370 --> 00:30:12,076
Now crossing through
7,500, 7,400.
775
00:30:12,143 --> 00:30:12,911
What's happening?
776
00:30:12,977 --> 00:30:16,047
No, no, no, no!
777
00:30:12,977 --> 00:30:16,047
No, no, no, no!
778
00:30:16,114 --> 00:30:17,949
In the
aftermath of the tragedy,
779
00:30:18,016 --> 00:30:21,119
investigators recommend
simplifying and clarifying
780
00:30:18,016 --> 00:30:21,119
investigators recommend
simplifying and clarifying
781
00:30:21,186 --> 00:30:23,955
the approach to Kathmandu.
782
00:30:24,022 --> 00:30:26,124
They also urge
installing air traffic
783
00:30:24,022 --> 00:30:26,124
They also urge
installing air traffic
784
00:30:26,191 --> 00:30:27,992
radar at Kathmandu airport.
785
00:30:31,696 --> 00:30:35,500
But what happens when critical
equipment fails pilots...
786
00:30:35,567 --> 00:30:36,367
Stop!
787
00:30:36,434 --> 00:30:37,468
Just stop!
788
00:30:36,434 --> 00:30:37,468
Just stop!
789
00:30:37,535 --> 00:30:40,572
...on a notoriously
difficult landing strip?
790
00:30:48,313 --> 00:30:52,150
High above the Norwegian
coast, Atlantic Airways 670
791
00:30:48,313 --> 00:30:52,150
High above the Norwegian
coast, Atlantic Airways 670
792
00:30:52,217 --> 00:30:54,519
is flying a short
15-minute commuter flight.
793
00:30:58,223 --> 00:31:00,258
We're all the way up.
794
00:31:00,325 --> 00:31:03,661
It must be time to get
ready to go down again.
795
00:31:00,325 --> 00:31:03,661
It must be time to get
ready to go down again.
796
00:31:03,728 --> 00:31:06,364
The plane is
making several stops.
797
00:31:06,431 --> 00:31:09,534
Next is the island of
Stord before flying
798
00:31:06,431 --> 00:31:09,534
Next is the island of
Stord before flying
799
00:31:09,601 --> 00:31:14,572
to its final destination at
Molde on the mainland's coast.
800
00:31:09,601 --> 00:31:14,572
to its final destination at
Molde on the mainland's coast.
801
00:31:14,639 --> 00:31:18,142
The crew is flying a
British Aerospace 146,
802
00:31:18,209 --> 00:31:21,145
a four-engine commuter plane
designed for steep approaches
803
00:31:18,209 --> 00:31:21,145
a four-engine commuter plane
designed for steep approaches
804
00:31:21,212 --> 00:31:24,215
to shorter runways.
805
00:31:24,282 --> 00:31:25,550
The runway is going
to be in sight soon.
806
00:31:24,282 --> 00:31:25,550
The runway is going
to be in sight soon.
807
00:31:25,617 --> 00:31:27,418
Why don't you see what
the weather's doing?
808
00:31:27,485 --> 00:31:29,354
34-year-old
Captain Niklas
809
00:31:29,420 --> 00:31:32,357
Djurhuus is at the controls.
810
00:31:29,420 --> 00:31:32,357
Djurhuus is at the controls.
811
00:31:32,423 --> 00:31:37,028
He's been a commercial pilot
for more than a decade.
812
00:31:37,095 --> 00:31:40,198
Control, Atlantic
6-7-0, can you
813
00:31:40,265 --> 00:31:41,733
advise on current conditions?
814
00:31:41,799 --> 00:31:45,536
The first officer,
38-year-old Jakob Evald,
815
00:31:41,799 --> 00:31:45,536
The first officer,
38-year-old Jakob Evald,
816
00:31:45,603 --> 00:31:49,707
joined Atlantic Airways
just a few months ago.
817
00:31:45,603 --> 00:31:49,707
joined Atlantic Airways
just a few months ago.
818
00:31:49,774 --> 00:31:53,044
Stord Airport is positioned
on the edge of a rugged island
819
00:31:53,111 --> 00:31:58,449
above rocky cliffs that border
the runway on three sides.
820
00:31:53,111 --> 00:31:58,449
above rocky cliffs that border
the runway on three sides.
821
00:31:58,516 --> 00:32:00,718
There is no margin for error.
822
00:32:00,785 --> 00:32:04,255
Planes that overshoot the
runway can end up in the sea.
823
00:32:00,785 --> 00:32:04,255
Planes that overshoot the
runway can end up in the sea.
824
00:32:07,825 --> 00:32:10,228
Control Atlantic
6-7-0, we'd like
825
00:32:10,295 --> 00:32:12,096
to do a visual onto runway 3-3.
826
00:32:14,599 --> 00:32:17,268
Affirmative, 6-7-0,
the runway is free.
827
00:32:17,335 --> 00:32:19,437
You are cleared for
a visual approach.
828
00:32:17,335 --> 00:32:19,437
You are cleared for
a visual approach.
829
00:32:19,504 --> 00:32:20,571
Runway 3-3.
830
00:32:28,780 --> 00:32:31,349
We are stable.
831
00:32:28,780 --> 00:32:31,349
We are stable.
832
00:32:31,416 --> 00:32:32,450
We have landing speed.
833
00:32:37,622 --> 00:32:38,589
And spoilers.
834
00:32:43,628 --> 00:32:44,462
No spoilers.
835
00:32:47,532 --> 00:32:49,233
Full brakes.
836
00:32:47,532 --> 00:32:49,233
Full brakes.
837
00:32:49,300 --> 00:32:50,335
We're not stopping!
838
00:32:52,770 --> 00:32:53,604
Speed!
839
00:32:56,708 --> 00:32:59,544
Flight 670 hurtles
toward the edge of a cliff.
840
00:33:04,682 --> 00:33:07,418
Captain Djurhuus
uses all his might...
841
00:33:04,682 --> 00:33:07,418
Captain Djurhuus
uses all his might...
842
00:33:07,485 --> 00:33:09,654
Hang on!
843
00:33:09,721 --> 00:33:12,490
...trying
to stop the plane.
844
00:33:12,557 --> 00:33:13,124
Stop!
845
00:33:12,557 --> 00:33:13,124
Stop!
846
00:33:13,191 --> 00:33:14,092
Stop!
847
00:33:14,158 --> 00:33:15,226
Just stop!
848
00:33:22,233 --> 00:33:22,700
We're going over!
849
00:33:39,283 --> 00:33:40,818
The door!
850
00:33:40,885 --> 00:33:42,353
The door is stuck!
851
00:33:46,257 --> 00:33:51,396
All 16 people aboard
fight to save their lives.
852
00:33:46,257 --> 00:33:51,396
All 16 people aboard
fight to save their lives.
853
00:33:51,462 --> 00:33:53,398
We have to get out of here.
854
00:33:53,464 --> 00:33:55,299
The pilots escape
through a side window.
855
00:33:53,464 --> 00:33:55,299
The pilots escape
through a side window.
856
00:33:59,737 --> 00:34:02,240
Nearly all the passengers
get out before the jet
857
00:33:59,737 --> 00:34:02,240
Nearly all the passengers
get out before the jet
858
00:34:02,306 --> 00:34:03,541
is engulfed in flames.
859
00:34:14,585 --> 00:34:18,356
Four people die in the accident.
860
00:34:18,423 --> 00:34:19,557
Both pilots survive.
861
00:34:18,423 --> 00:34:19,557
Both pilots survive.
862
00:34:22,360 --> 00:34:26,764
Within hours, Norway's accident
investigation board, the AIBN,
863
00:34:22,360 --> 00:34:26,764
Within hours, Norway's accident
investigation board, the AIBN,
864
00:34:26,831 --> 00:34:29,500
is at the scene.
865
00:34:29,567 --> 00:34:32,870
Watch your step, guys.
866
00:34:29,567 --> 00:34:32,870
Watch your step, guys.
867
00:34:32,937 --> 00:34:35,373
Investigators realized the wreckage
868
00:34:35,440 --> 00:34:37,275
will give them few leads.
869
00:34:35,440 --> 00:34:37,275
will give them few leads.
870
00:34:37,341 --> 00:34:39,410
Fire destroyed
most of the plane.
871
00:34:43,748 --> 00:34:46,417
The team locates
the black boxes.
872
00:34:46,484 --> 00:34:48,553
But they've been
exposed to intense heat
873
00:34:48,619 --> 00:34:51,389
for two hours, more
than twice what
874
00:34:48,619 --> 00:34:51,389
for two hours, more
than twice what
875
00:34:51,456 --> 00:34:52,457
they're designed to endure.
876
00:34:55,626 --> 00:34:57,462
Investigators hunt
for the spoilers
877
00:34:57,528 --> 00:34:59,764
from the plane's wings.
878
00:34:59,831 --> 00:35:02,600
They're critical devices
for landing the aircraft.
879
00:34:59,831 --> 00:35:02,600
They're critical devices
for landing the aircraft.
880
00:35:04,969 --> 00:35:09,340
The BAE-146 has six spoilers
that should have deployed
881
00:35:04,969 --> 00:35:09,340
The BAE-146 has six spoilers
that should have deployed
882
00:35:09,407 --> 00:35:11,742
on touchdown to
disrupt lift, which
883
00:35:11,809 --> 00:35:15,947
helps the plane grip the
runway and come to a safe stop.
884
00:35:11,809 --> 00:35:15,947
helps the plane grip the
runway and come to a safe stop.
885
00:35:16,013 --> 00:35:19,717
So did the spoilers on
flight 670 fail to deploy?
886
00:35:16,013 --> 00:35:19,717
So did the spoilers on
flight 670 fail to deploy?
887
00:35:22,587 --> 00:35:27,225
It may be a difficult question
for the team to answer.
888
00:35:22,587 --> 00:35:27,225
It may be a difficult question
for the team to answer.
889
00:35:27,291 --> 00:35:31,762
All six of the plane spoilers
were destroyed by fire.
890
00:35:27,291 --> 00:35:31,762
All six of the plane spoilers
were destroyed by fire.
891
00:35:31,829 --> 00:35:33,898
Digging into this
wreckage, we saw
892
00:35:33,965 --> 00:35:37,435
that it was no switches,
no wires, nothing
893
00:35:33,965 --> 00:35:37,435
that it was no switches,
no wires, nothing
894
00:35:37,502 --> 00:35:39,670
that could be useful for us.
895
00:35:39,737 --> 00:35:42,440
But we knew that the
actuators possibly
896
00:35:42,507 --> 00:35:44,609
could tell us something.
897
00:35:42,507 --> 00:35:44,609
could tell us something.
898
00:35:44,675 --> 00:35:46,344
Investigators are in luck.
899
00:35:46,410 --> 00:35:49,814
The actuators that move the
spoilers into place survived.
900
00:35:46,410 --> 00:35:49,814
The actuators that move the
spoilers into place survived.
901
00:35:53,985 --> 00:35:55,219
OK, then.
902
00:35:53,985 --> 00:35:55,219
OK, then.
903
00:35:55,286 --> 00:35:55,853
Let's see what
these can tell us.
904
00:35:59,056 --> 00:36:01,859
The actuator is the one
moving the spoilers up and down.
905
00:35:59,056 --> 00:36:01,859
The actuator is the one
moving the spoilers up and down.
906
00:36:01,926 --> 00:36:05,863
The actuators is a sort
of a jack, you see?
907
00:36:05,930 --> 00:36:11,736
So it pushes the spoilers
up and it locks them.
908
00:36:05,930 --> 00:36:11,736
So it pushes the spoilers
up and it locks them.
909
00:36:11,802 --> 00:36:14,939
X-rays of the
actuators confirm suspicions.
910
00:36:11,802 --> 00:36:14,939
X-rays of the
actuators confirm suspicions.
911
00:36:15,006 --> 00:36:16,841
The spoilers never deployed.
912
00:36:19,877 --> 00:36:23,481
Without them, flight 670
didn't have the usual amount
913
00:36:23,548 --> 00:36:24,882
of stopping power.
914
00:36:24,949 --> 00:36:28,653
But as a safety feature,
the British Aerospace 146
915
00:36:24,949 --> 00:36:28,653
But as a safety feature,
the British Aerospace 146
916
00:36:28,719 --> 00:36:31,656
can stop without
spoilers, as long
917
00:36:28,719 --> 00:36:31,656
can stop without
spoilers, as long
918
00:36:31,722 --> 00:36:32,890
as the speed is under control.
919
00:36:38,496 --> 00:36:41,566
The last part of the runway,
for instance, the speed should
920
00:36:41,632 --> 00:36:44,435
have been so low, so
spoilers or no spoilers,
921
00:36:41,632 --> 00:36:44,435
have been so low, so
spoilers or no spoilers,
922
00:36:44,502 --> 00:36:47,505
shouldn't be that important.
923
00:36:47,572 --> 00:36:52,810
So we knew early on that it must
be something else in addition
924
00:36:47,572 --> 00:36:52,810
So we knew early on that it must
be something else in addition
925
00:36:52,877 --> 00:36:54,412
to the spoilers.
926
00:36:54,478 --> 00:36:55,646
But what?
927
00:36:54,478 --> 00:36:55,646
But what?
928
00:36:55,713 --> 00:36:57,715
That's the question now.
929
00:36:57,782 --> 00:36:58,349
Stop!
930
00:36:58,416 --> 00:36:59,383
Stop!
931
00:36:59,450 --> 00:37:00,718
Just stop!
932
00:37:05,590 --> 00:37:06,991
Investigators interview the captain
933
00:37:07,058 --> 00:37:10,528
to find out what compounded
the spoiler malfunction
934
00:37:07,058 --> 00:37:10,528
to find out what compounded
the spoiler malfunction
935
00:37:10,595 --> 00:37:13,831
and led to the
crash of Flight 670.
936
00:37:13,898 --> 00:37:17,335
What happened when
you first touched down?
937
00:37:13,898 --> 00:37:17,335
What happened when
you first touched down?
938
00:37:17,401 --> 00:37:18,402
No spoilers.
939
00:37:18,469 --> 00:37:19,070
Full brakes.
940
00:37:19,136 --> 00:37:21,405
We were slowing down.
941
00:37:21,472 --> 00:37:23,040
The plane
was decelerating,
942
00:37:21,472 --> 00:37:23,040
The plane
was decelerating,
943
00:37:23,107 --> 00:37:25,876
but not nearly quickly enough.
944
00:37:25,943 --> 00:37:29,513
Talking to the crew, we got
indications that the brake
945
00:37:25,943 --> 00:37:29,513
Talking to the crew, we got
indications that the brake
946
00:37:29,580 --> 00:37:33,317
possibly was not working.
947
00:37:33,384 --> 00:37:36,420
Investigators need
to know how well the brakes
948
00:37:33,384 --> 00:37:36,420
Investigators need
to know how well the brakes
949
00:37:36,487 --> 00:37:39,624
were working on the landing.
950
00:37:39,690 --> 00:37:41,926
They pinned their hopes
on the plane's skid marks.
951
00:37:39,690 --> 00:37:41,926
They pinned their hopes
on the plane's skid marks.
952
00:37:45,963 --> 00:37:48,966
Close scrutiny
reveals something odd.
953
00:37:45,963 --> 00:37:48,966
Close scrutiny
reveals something odd.
954
00:37:49,033 --> 00:37:51,969
Anyone seen skid marks
this color before?
955
00:37:52,036 --> 00:37:55,973
Normal skid marks,
they're like black lines
956
00:37:52,036 --> 00:37:55,973
Normal skid marks,
they're like black lines
957
00:37:56,040 --> 00:37:57,241
along the runway.
958
00:37:57,308 --> 00:38:05,082
But this was more like a lightly
colored brownish type of marks.
959
00:37:57,308 --> 00:38:05,082
But this was more like a lightly
colored brownish type of marks.
960
00:37:57,308 --> 00:38:05,082
But this was more like a lightly
colored brownish type of marks.
961
00:38:05,149 --> 00:38:07,818
Equally strange,
the skid marks were dotted
962
00:38:07,885 --> 00:38:09,954
with unusual pieces of debris.
963
00:38:13,157 --> 00:38:16,627
It smelled like rubber,
and it felt like rubber,
964
00:38:13,157 --> 00:38:16,627
It smelled like rubber,
and it felt like rubber,
965
00:38:16,694 --> 00:38:20,665
but soft and sticky.
966
00:38:20,731 --> 00:38:23,634
The debris seems
to be from the tires.
967
00:38:20,731 --> 00:38:23,634
The debris seems
to be from the tires.
968
00:38:23,701 --> 00:38:25,636
But investigators
have no idea why they
969
00:38:25,703 --> 00:38:27,638
disintegrated so completely.
970
00:38:30,107 --> 00:38:34,779
I have personally
never seen such rubber
971
00:38:30,107 --> 00:38:34,779
I have personally
never seen such rubber
972
00:38:34,845 --> 00:38:36,580
grains on the runway before.
973
00:38:36,647 --> 00:38:39,383
So that was new to me.
974
00:38:49,226 --> 00:38:51,796
Digging through the
remains of the burnt fuselage
975
00:38:51,862 --> 00:38:54,832
turns up an unexpected lead.
976
00:38:51,862 --> 00:38:54,832
turns up an unexpected lead.
977
00:38:54,899 --> 00:38:57,735
A kind of breakthrough
came when we
978
00:38:57,802 --> 00:38:59,737
started to remove the wreckage.
979
00:38:57,802 --> 00:38:59,737
started to remove the wreckage.
980
00:39:02,239 --> 00:39:05,176
One of the tires
from Flight 670's landing gear
981
00:39:02,239 --> 00:39:05,176
One of the tires
from Flight 670's landing gear
982
00:39:05,242 --> 00:39:07,545
survived the fire.
983
00:39:07,611 --> 00:39:08,879
It's a lucky break.
984
00:39:11,649 --> 00:39:15,553
Right away, the edges attract
investigators' attention.
985
00:39:15,619 --> 00:39:18,956
The rubber has a peculiar
texture, just like the pieces
986
00:39:15,619 --> 00:39:18,956
The rubber has a peculiar
texture, just like the pieces
987
00:39:19,023 --> 00:39:21,058
found on the runway.
988
00:39:21,125 --> 00:39:24,161
More sticky rubber.
989
00:39:21,125 --> 00:39:24,161
More sticky rubber.
990
00:39:24,228 --> 00:39:27,965
The inner left-hand main
landing gear had a flat spot
991
00:39:28,032 --> 00:39:30,201
which indicates
that the tire had
992
00:39:28,032 --> 00:39:30,201
which indicates
that the tire had
993
00:39:30,267 --> 00:39:32,036
been skidding along the runway.
994
00:39:34,572 --> 00:39:37,441
The tire manufacturer
provides investigators
995
00:39:37,508 --> 00:39:39,844
with an intriguing explanation.
996
00:39:39,910 --> 00:39:42,012
Reverted rubber hydroplaning.
997
00:39:39,910 --> 00:39:42,012
Reverted rubber hydroplaning.
998
00:39:47,284 --> 00:39:51,021
If a rubber tire is
skidding along a damp runway,
999
00:39:51,088 --> 00:39:54,024
the extreme friction
generates so much heat,
1000
00:39:51,088 --> 00:39:54,024
the extreme friction
generates so much heat,
1001
00:39:54,091 --> 00:39:56,227
it turns the water
into a cushion
1002
00:39:56,293 --> 00:39:59,930
of steam that can lift the
tire off the runway surface.
1003
00:39:56,293 --> 00:39:59,930
of steam that can lift the
tire off the runway surface.
1004
00:40:03,601 --> 00:40:05,102
And basically
making it a lot more
1005
00:40:03,601 --> 00:40:05,102
And basically
making it a lot more
1006
00:40:05,169 --> 00:40:08,172
difficult to get the
required retardation
1007
00:40:08,239 --> 00:40:11,575
from the wheel brakes.
1008
00:40:08,239 --> 00:40:11,575
from the wheel brakes.
1009
00:40:11,642 --> 00:40:14,211
The extreme heat
also breaks down the rubber
1010
00:40:14,278 --> 00:40:17,915
into sticky fragments, just
like those found on the runway.
1011
00:40:14,278 --> 00:40:17,915
into sticky fragments, just
like those found on the runway.
1012
00:40:20,785 --> 00:40:21,786
It looks like we got a match.
1013
00:40:24,955 --> 00:40:27,224
But reverted
rubber hydroplaning only
1014
00:40:27,291 --> 00:40:31,262
occurs if the wheels
lock, and the BAE-146 is
1015
00:40:27,291 --> 00:40:31,262
occurs if the wheels
lock, and the BAE-146 is
1016
00:40:31,328 --> 00:40:32,863
equipped with anti-lock brakes.
1017
00:40:36,567 --> 00:40:37,668
And spoilers.
1018
00:40:41,205 --> 00:40:42,039
No spoilers.
1019
00:40:42,106 --> 00:40:42,940
Full breaks.
1020
00:40:43,007 --> 00:40:44,842
They're
not supposed to lock
1021
00:40:44,909 --> 00:40:47,745
up and cause the plane to skid.
1022
00:40:44,909 --> 00:40:47,745
up and cause the plane to skid.
1023
00:40:47,812 --> 00:40:49,814
But that's exactly
what happened.
1024
00:40:49,880 --> 00:40:51,782
Investigators need to know why.
1025
00:40:56,720 --> 00:40:59,089
OK, go ahead please.
1026
00:40:56,720 --> 00:40:59,089
OK, go ahead please.
1027
00:40:59,156 --> 00:41:01,225
They turned to
the cockpit voice recorder
1028
00:41:01,292 --> 00:41:02,092
for leads.
1029
00:41:02,159 --> 00:41:03,027
Reducing thrust.
1030
00:41:05,830 --> 00:41:07,231
Listening closely, they
1031
00:41:07,298 --> 00:41:08,999
soon hear a distinctive chime...
1032
00:41:12,670 --> 00:41:14,271
We're not stopping!
1033
00:41:14,338 --> 00:41:17,274
...and compare
it to a library of sounds.
1034
00:41:14,338 --> 00:41:17,274
...and compare
it to a library of sounds.
1035
00:41:17,341 --> 00:41:18,175
Can you match that?
1036
00:41:21,912 --> 00:41:23,781
The chime
indicates the plane's
1037
00:41:21,912 --> 00:41:23,781
The chime
indicates the plane's
1038
00:41:23,848 --> 00:41:26,750
emergency brake has engaged.
1039
00:41:26,817 --> 00:41:27,852
We're not stopping!
1040
00:41:30,888 --> 00:41:32,122
Listen to those tires.
1041
00:41:32,189 --> 00:41:33,791
First, the chime of
the emergency brake,
1042
00:41:33,858 --> 00:41:35,159
then they start skidding.
1043
00:41:33,858 --> 00:41:35,159
then they start skidding.
1044
00:41:39,029 --> 00:41:42,066
I think we found
our smoking gun.
1045
00:41:39,029 --> 00:41:42,066
I think we found
our smoking gun.
1046
00:41:46,070 --> 00:41:48,639
Anti-skid and
touch-down protection
1047
00:41:46,070 --> 00:41:48,639
Anti-skid and
touch-down protection
1048
00:41:48,706 --> 00:41:50,207
may not be available.
1049
00:41:50,274 --> 00:41:53,177
Investigators check the aircraft manual.
1050
00:41:50,274 --> 00:41:53,177
Investigators check the aircraft manual.
1051
00:41:53,244 --> 00:41:55,980
If the emergency
brake is switched on,
1052
00:41:56,046 --> 00:41:59,216
anti-skid protection
automatically turns off.
1053
00:41:56,046 --> 00:41:59,216
anti-skid protection
automatically turns off.
1054
00:41:59,283 --> 00:42:03,621
This means the wheels can lock
and the aircraft could skid.
1055
00:42:03,687 --> 00:42:07,658
That was the last piece in
the puzzle that told us more
1056
00:42:03,687 --> 00:42:07,658
That was the last piece in
the puzzle that told us more
1057
00:42:07,725 --> 00:42:09,226
about this braking situation.
1058
00:42:14,698 --> 00:42:16,066
Reducing thrust.
1059
00:42:16,133 --> 00:42:17,735
Investigators finally know
1060
00:42:16,133 --> 00:42:17,735
Investigators finally know
1061
00:42:17,801 --> 00:42:19,737
what led to flight 670's crash.
1062
00:42:23,173 --> 00:42:25,676
Once the spoilers
didn't deploy...
1063
00:42:25,743 --> 00:42:26,310
No spoilers.
1064
00:42:26,377 --> 00:42:28,045
Full brakes.
1065
00:42:28,112 --> 00:42:30,881
Here, he switches on
the emergency brake.
1066
00:42:28,112 --> 00:42:30,881
Here, he switches on
the emergency brake.
1067
00:42:30,948 --> 00:42:31,815
We're not stopping!
1068
00:42:36,120 --> 00:42:39,089
And that's the final
straw, which means
1069
00:42:39,156 --> 00:42:41,992
basically that the
wheels locked as on a car
1070
00:42:39,156 --> 00:42:41,992
basically that the
wheels locked as on a car
1071
00:42:42,059 --> 00:42:44,862
with no anti-skid brakes.
1072
00:42:44,929 --> 00:42:48,232
The plane's
fate was sealed.
1073
00:42:44,929 --> 00:42:48,232
The plane's
fate was sealed.
1074
00:42:48,299 --> 00:42:49,266
We're going over!
1075
00:42:59,009 --> 00:43:00,778
If you have a failure
at a critical time,
1076
00:43:00,844 --> 00:43:04,281
like just after touchdown in
a case like this, and the...
1077
00:43:04,348 --> 00:43:08,652
the normal systems for
deceleration do not work,
1078
00:43:04,348 --> 00:43:08,652
the normal systems for
deceleration do not work,
1079
00:43:08,719 --> 00:43:12,656
then you automatically go
to the emergency brakes.
1080
00:43:08,719 --> 00:43:12,656
then you automatically go
to the emergency brakes.
1081
00:43:12,723 --> 00:43:13,157
Hang on!
1082
00:43:18,128 --> 00:43:20,397
In their
final report, the AIBN
1083
00:43:20,464 --> 00:43:26,136
urged improved pilot training
for similar situations.
1084
00:43:20,464 --> 00:43:26,136
urged improved pilot training
for similar situations.
1085
00:43:26,203 --> 00:43:28,405
They also called for
longer safety areas
1086
00:43:28,472 --> 00:43:32,943
around runways, especially at
airports like Stord that are
1087
00:43:33,010 --> 00:43:36,180
surrounded by steep terrain.
1088
00:43:33,010 --> 00:43:36,180
surrounded by steep terrain.
1089
00:43:36,246 --> 00:43:41,752
Three challenging landing
attempts with tragic endings.
1090
00:43:36,246 --> 00:43:41,752
Three challenging landing
attempts with tragic endings.
1091
00:43:41,819 --> 00:43:43,320
We're going over!
1092
00:43:43,387 --> 00:43:46,090
Each one a
lesson in how pilots
1093
00:43:46,156 --> 00:43:47,891
should tackle risky landings.
1094
00:43:46,156 --> 00:43:47,891
should tackle risky landings.
1095
00:43:52,162 --> 00:43:54,932
The main task is
to improve safety.
1096
00:43:52,162 --> 00:43:54,932
The main task is
to improve safety.
1097
00:43:54,999 --> 00:43:57,935
And the other is telling
the story so others
1098
00:43:58,002 --> 00:43:59,737
can learn from failures.
1099
00:43:58,002 --> 00:43:59,737
can learn from failures.
82167
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