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NARRATOR: A Russian
passenger jet

2
00:00:04,637 --> 00:00:08,341
crashes into the Volga River.

3
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Rescuers are
stunned to discover

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00:00:10,343 --> 00:00:12,379
that the plane was carrying
some of the country's

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most famous athletes.

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I'm Galimov.

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NARRATOR: The
Lokomotiv Yaroslavl

8
00:00:17,150 --> 00:00:19,052
hockey team is decimated.

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Nearly the entire team is dead.

10
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How can that
happen to a team of

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such young, talented,
healthy guys

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that had so much to offer?

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NARRATOR: The president
of Russia demands answers.

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The Russian
government was putting

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pressure on the investigators
trying to get results.

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Why didn't they lift off?

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NARRATOR: Investigators
need to know--

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Rotate.

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NARRATOR: --why
the jet struggled

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to get off the ground.

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That can be the moment, the
split second when you might

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have chosen life versus death.

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Look what happened here.

24
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NARRATOR: The reason is
almost too simple to believe.

25
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What are you doing?

26
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Ladies and gentlemen, we
are starting our approach.

27
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We lost both engines.

28
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Put the mask over your nose.

29
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Emergency descent.

30
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Brace for impact!

31
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NARRATOR: September 7th, 2011.

32
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A Yak-42 jet descends
towards a Russian airport

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on its way to pick up some
very important passengers.

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VICTOR ERMOLAEV: They were
reliable, Soviet-built

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00:01:31,758 --> 00:01:34,227
airplanes that could
land on shorter runways

36
00:01:34,294 --> 00:01:39,499
and extend that airline
service to smaller airports.

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NARRATOR: This charter
flight is operated

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by Yak Service Airlines.

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Only the crew is on board.

40
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Flaps, 30.

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NARRATOR: First
Officer Igor Zhivelov

42
00:01:49,876 --> 00:01:53,213
is the airline's vice
president of flight operations.

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In his nearly 30
years of flying,

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he's racked up more than
13,000 hours in the air.

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Flaps are 30.

46
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NARRATOR: Beside him is
Captain Andrei Solomentsev,

47
00:02:04,691 --> 00:02:07,594
one of his closest friends.

48
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NARRATOR: Flight engineer
Vladimir Matyushin rounds out

49
00:02:12,966 --> 00:02:15,902
the three-man cockpit crew.

50
00:02:15,969 --> 00:02:18,705
Get down 3 green.

51
00:02:18,771 --> 00:02:20,740
NARRATOR: Mechanic
Alexander Sizov

52
00:02:20,807 --> 00:02:23,243
flies with the plane to make
sure it's in good working

53
00:02:23,309 --> 00:02:25,545
order at all times.

54
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VICTOR ERMOLAEV: It's
important to get people

55
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from A to B with,
obviously, safe operation

56
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and in good service.

57
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In the charter world, maybe
more so, because this is

58
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the reputation of the company.

59
00:02:38,458 --> 00:02:40,994
Will they call us again?

60
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NARRATOR: The plane
is just moments

61
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from landing in
Yaroslavl, a city

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155 miles northeast of Moscow.

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VICTOR ERMOLAEV: Touch
down into Yaroslavl.

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And it was a little
bit rough touch down,

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a bounced landing followed.

66
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Whoa.

67
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Little hairy there.

68
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I must be nervous.

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The president may be watching.

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NARRATOR: Yaroslavl's airport
is under tight security.

71
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Some of Russia's
top politicians

72
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are attending an
Economic Forum in town.

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But it's not politicians
who are preparing

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to board the plane, it's
another prestigious group

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00:03:25,705 --> 00:03:29,809
of passengers, the Lokomotiv
Yaroslavl hockey team,

76
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one of the most beloved
sports teams in all of Russia.

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MIKE FOUNTAIN: Their
fans were fantastic.

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They were loud in
support of their team,

79
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and they let you know when
you were the opposing team.

80
00:03:41,554 --> 00:03:43,356
NARRATOR: Mike Fountain
is a former National

81
00:03:43,423 --> 00:03:44,991
Hockey League goalie
who was played

82
00:03:45,058 --> 00:03:47,260
against Lokomotiv in Russia.

83
00:03:47,327 --> 00:03:48,661
It created quite
the atmosphere.

84
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Whenever you went to that city,
it was-- it's a hockey town.

85
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They loved it.

86
00:03:52,565 --> 00:03:54,801
VICTOR ERMOLAEV: Hockey
is a religion in Russia.

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People love hockey.

88
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People love hockey players.

89
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They are celebrities.

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They are stars.

91
00:04:00,673 --> 00:04:01,975
NARRATOR: Alexander
Galimov off is

92
00:04:02,041 --> 00:04:03,910
a right winger who has
played for Lokomotiv

93
00:04:03,977 --> 00:04:05,445
his entire career.

94
00:04:05,511 --> 00:04:09,248
Born in Yaroslavl,
he's a local hero.

95
00:04:09,315 --> 00:04:10,350
Hey, coach.

96
00:04:10,416 --> 00:04:12,485
This guy's like me
on the forecheck.

97
00:04:12,552 --> 00:04:13,786
NARRATOR: Canadian
Brad McCrimmon

98
00:04:13,853 --> 00:04:17,490
was an all-star NHL defenseman
and assistant coach.

99
00:04:17,557 --> 00:04:20,126
Now at age 52, he's
looking forward

100
00:04:20,193 --> 00:04:21,861
to his first
regular season game

101
00:04:21,928 --> 00:04:23,730
as a head coach in Russia.

102
00:04:23,796 --> 00:04:25,865
For a coach like Brad
McCrimmon with his record

103
00:04:25,932 --> 00:04:28,067
of being an assistant
coach with the Red Wings

104
00:04:28,134 --> 00:04:30,236
and his playing career,
for him to go over

105
00:04:30,303 --> 00:04:33,740
to a team like Yaroslav with
the passion those fans have,

106
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I guarantee you, he
was so excited to have

107
00:04:36,743 --> 00:04:43,750
that opportunity to go
and win that first game.

108
00:04:46,519 --> 00:04:47,987
NARRATOR: Some of
Russia's best players

109
00:04:48,054 --> 00:04:54,727
are on this team, including
team captain Ivan Tkachenko.

110
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I had the opportunity
to play against Ivan

111
00:04:56,996 --> 00:04:58,531
Tkachenko for many years.

112
00:04:58,598 --> 00:05:00,099
He was a fantastic
hockey player.

113
00:05:00,166 --> 00:05:01,968
And he is one of those
guys that was always

114
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in front of you in the
game, always getting

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00:05:03,936 --> 00:05:05,571
an opportunity to score.

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00:05:05,638 --> 00:05:07,340
NARRATOR: In the
pre-season, Lokomotiv

117
00:05:07,407 --> 00:05:08,708
has been on a hot streak--

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winning seven of nine
pre-season games.

119
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Fans believe this year,
they have a very good shot

120
00:05:14,080 --> 00:05:16,416
at winning the Gagarin Cup.

121
00:05:16,482 --> 00:05:18,751
MIKE FOUNTAIN: They want you to
win the championship that cup,

122
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it's a big deal.

123
00:05:23,189 --> 00:05:26,592
Hungry?

124
00:05:26,659 --> 00:05:28,428
This year, we win it all.

125
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Really?

126
00:05:29,495 --> 00:05:31,898
Yeah.

127
00:05:31,964 --> 00:05:33,599
NARRATOR: As a VP
with the airline,

128
00:05:33,666 --> 00:05:35,601
first officer
Zhivelov has managed

129
00:05:35,668 --> 00:05:42,075
to pull rank in order to
fly with some of his heroes.

130
00:05:42,141 --> 00:05:44,310
For this flight,
captain Solomentsev

131
00:05:44,377 --> 00:05:46,579
will take the controls
while Zhivelov

132
00:05:46,646 --> 00:05:49,148
handles the radio calls.

133
00:05:49,215 --> 00:05:50,850
Is the call sign Tunoshna?

134
00:05:50,917 --> 00:05:52,452
Yaroslavl.

135
00:05:52,518 --> 00:05:56,355
Yaroslavl 42434
request engine start.

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00:05:56,422 --> 00:05:59,792
AIR TRAFFIC CONTROL:
42434 cleared to start.

137
00:05:59,859 --> 00:06:02,562
NARRATOR: The crew
starts the axe 3 engines.

138
00:06:02,628 --> 00:06:07,800
Start number 3.

139
00:06:07,867 --> 00:06:11,003
NARRATOR: And adjust the
plane stabilizer for takeoff.

140
00:06:11,070 --> 00:06:13,339
How much for you, 9?

141
00:06:13,406 --> 00:06:14,807
Maybe 8, I think.

142
00:06:14,874 --> 00:06:18,244
8 and 1/2.

143
00:06:18,311 --> 00:06:20,947
Lops and slots in position.

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00:06:21,013 --> 00:06:22,482
NARRATOR: The flight
is bound for Minsk,

145
00:06:22,548 --> 00:06:24,717
two hours away in Belarus.

146
00:06:24,784 --> 00:06:27,019
For the players, it's
the first of many flights

147
00:06:27,086 --> 00:06:29,255
they will have to
make this season.

148
00:06:29,322 --> 00:06:30,389
MIKE FOUNTAIN:
The hockey players

149
00:06:30,456 --> 00:06:32,859
are the same over in
Russia as North America.

150
00:06:32,925 --> 00:06:34,827
We've got the
jokesters on the team.

151
00:06:34,894 --> 00:06:37,330
You've got the guys that
will maybe sit in the corner,

152
00:06:37,396 --> 00:06:38,631
be a little more quiet.

153
00:06:38,698 --> 00:06:40,032
You've got the guys
that maybe went

154
00:06:40,099 --> 00:06:41,701
out a little too
much the night before

155
00:06:41,768 --> 00:06:43,102
and has a story for you.

156
00:06:43,169 --> 00:06:48,508
And it's kind of funny how
that is an international thing.

157
00:06:48,574 --> 00:06:51,611
Checking the
flight's controls.

158
00:06:51,677 --> 00:06:57,517
Start complete.

159
00:06:57,583 --> 00:06:59,185
Thrust set.

160
00:06:59,252 --> 00:07:01,487
NARRATOR: On
September 7th, 2011,

161
00:07:01,554 --> 00:07:03,689
just before 4:00
in the afternoon,

162
00:07:03,756 --> 00:07:07,059
the plane starts
down the runway.

163
00:07:07,126 --> 00:07:08,294
Crew, we're taking off.

164
00:07:08,361 --> 00:07:15,234
V1 is 190.

165
00:07:15,301 --> 00:07:18,304
NARRATOR: The flight
engineer watches the gauges.

166
00:07:18,371 --> 00:07:20,640
It's his job to advise
the captain when the plane

167
00:07:20,706 --> 00:07:22,809
reaches takeoff speed.

168
00:07:22,875 --> 00:07:24,110
The engine power
should determine

169
00:07:24,177 --> 00:07:25,511
just how fast you get.

170
00:07:25,578 --> 00:07:28,047
And if it's done properly, and
the flaps and slats are set

171
00:07:28,114 --> 00:07:31,651
right, you will have the right
lift generated by the speed

172
00:07:31,717 --> 00:07:33,085
to get you off
the ground safely,

173
00:07:33,152 --> 00:07:35,688
as almost always happens.

174
00:07:35,755 --> 00:07:38,057
Rotate.

175
00:07:38,124 --> 00:07:40,459
The flight engineer
called rotate,

176
00:07:40,526 --> 00:07:44,564
and the captain displace the
yoke to rotate the elevators

177
00:07:44,630 --> 00:07:46,165
up to about 10 degrees.

178
00:07:46,232 --> 00:07:49,101
This would have been
sufficient for creating

179
00:07:49,168 --> 00:07:55,641
that takeoff attitude and
the airplane lifting off.

180
00:07:55,708 --> 00:07:58,744
NARRATOR: But the plane
stays on the ground.

181
00:07:58,811 --> 00:08:00,079
VICTOR ERMOLAEV:
Nothing happened.

182
00:08:00,146 --> 00:08:02,748
The airplane did
not react in any way

183
00:08:02,815 --> 00:08:04,884
to the displacement
of the yoke.

184
00:08:04,951 --> 00:08:07,820
210.

185
00:08:07,887 --> 00:08:10,356
Full power.

186
00:08:10,423 --> 00:08:12,792
VICTOR ERMOLAEV: The captain
calls for full power.

187
00:08:12,859 --> 00:08:15,928
And again, nothing
happens to the aircraft.

188
00:08:15,995 --> 00:08:18,598
NARRATOR: Some of the
passengers sense trouble.

189
00:08:18,664 --> 00:08:19,899
MIKE FOUNTAIN: Planes
in Russia are not

190
00:08:19,966 --> 00:08:22,768
up to European and North
American standards,

191
00:08:22,835 --> 00:08:25,438
and it's a little
bit scary for North

192
00:08:25,504 --> 00:08:27,940
American and European
players going over there.

193
00:08:28,007 --> 00:08:31,077
NARRATOR: The runway
is 3,280 yards long.

194
00:08:31,143 --> 00:08:34,547
The crew must lift off
before the 2,800 yard mark

195
00:08:34,614 --> 00:08:36,616
or they won't be
able to stop safely.

196
00:08:36,682 --> 00:08:39,619
You probably set
stabilizer too low.

197
00:08:39,685 --> 00:08:46,692
Add some.

198
00:08:48,494 --> 00:08:55,468
NARRATOR: Adjusting the
stabilizer doesn't help.

199
00:09:04,377 --> 00:09:05,745
What's happening?

200
00:09:05,811 --> 00:09:07,847
You'll be fine.

201
00:09:07,914 --> 00:09:11,217
NARRATOR: The plane has enough
speed and should get airborne.

202
00:09:11,284 --> 00:09:13,319
220.

203
00:09:13,386 --> 00:09:15,187
NARRATOR: But instead
of lifting off,

204
00:09:15,254 --> 00:09:20,660
the Yak-42 keeps going
past the end of the runway.

205
00:09:20,726 --> 00:09:22,895
JAMES OBERG: Going off the
runway at the end of a takeoff

206
00:09:22,962 --> 00:09:25,698
roll is always dangerous--
full tank of gas,

207
00:09:25,765 --> 00:09:28,000
people are still confused,
you don't know how

208
00:09:28,067 --> 00:09:30,836
far the clear spacing goes.

209
00:09:30,903 --> 00:09:33,005
VICTOR ERMOLAEV: This is a
nightmare for every pilot

210
00:09:33,072 --> 00:09:35,908
because now they are
plane is not flying,

211
00:09:35,975 --> 00:09:38,477
and yet you're moving
across the ground

212
00:09:38,544 --> 00:09:45,351
at 142 miles an hour.

213
00:09:46,352 --> 00:09:47,920
What are you doing?

214
00:09:47,987 --> 00:09:49,655
NARRATOR: The crew
struggles desperately to get

215
00:09:49,722 --> 00:09:55,661
the plane of the ground.

216
00:09:55,728 --> 00:10:02,735
Finally, they succeed.

217
00:10:04,003 --> 00:10:10,309
The plane is airborne
but not out of trouble.

218
00:10:10,376 --> 00:10:17,216
Yak service flight 9633
isn't able to climb.

219
00:10:18,217 --> 00:10:25,057
And the pilots lose control.

220
00:10:34,934 --> 00:10:41,907
It crashes 500 yards from
the end of the runway.

221
00:10:45,678 --> 00:10:47,446
Local police
patrolling the Volga

222
00:10:47,513 --> 00:10:54,520
River are the first to reach
the wreckage of the Yak-42.

223
00:10:57,123 --> 00:11:01,660
Star player Alexander Galimov
has survived the crash.

224
00:11:01,727 --> 00:11:03,029
No, it's OK.

225
00:11:03,095 --> 00:11:05,464
Help the others.

226
00:11:05,531 --> 00:11:08,601
NARRATOR: Mechanic Alexander
Sizov is also alive.

227
00:11:08,667 --> 00:11:09,602
Over here.

228
00:11:09,668 --> 00:11:10,603
Help!

229
00:11:10,669 --> 00:11:13,372
Please!

230
00:11:13,439 --> 00:11:15,041
NARRATOR: Rescuers
are shocked to learn

231
00:11:15,107 --> 00:11:18,477
the plane was carrying some of
Russia's most famous athletes.

232
00:11:18,544 --> 00:11:19,712
Thank you.

233
00:11:19,779 --> 00:11:21,247
I'm Galimov.

234
00:11:21,313 --> 00:11:26,252
NARRATOR: Twisted wreckage
burns near the river's edge.

235
00:11:28,788 --> 00:11:30,823
NARRATOR: Witness is
record the horrific scene

236
00:11:30,890 --> 00:11:33,159
minutes after impact.

237
00:11:33,225 --> 00:11:35,494
Onlookers see no sign
of more survivors

238
00:11:35,561 --> 00:11:41,700
through the thick black smoke.

239
00:11:41,767 --> 00:11:45,404
Dmitry Pushkov is a
hospital pathologist

240
00:11:45,471 --> 00:11:47,306
who rushes to the scene.

241
00:11:48,808 --> 00:11:50,342
INTERPRETER: When we
arrived at the crash site,

242
00:11:50,409 --> 00:11:55,548
the ground was burned black.

243
00:11:55,614 --> 00:11:58,551
Small pieces of wreckage
and clothing fragments

244
00:11:58,617 --> 00:12:01,220
were everywhere.

245
00:12:01,287 --> 00:12:04,523
And in the middle of the field,
the bodies of the dead hockey

246
00:12:04,590 --> 00:12:08,294
players were stacked.

247
00:12:08,360 --> 00:12:11,097
The smell of kerosene
was very strong.

248
00:12:11,163 --> 00:12:12,998
It tastes sweet.

249
00:12:13,065 --> 00:12:17,636
I'll remember it forever.

250
00:12:17,703 --> 00:12:19,705
NARRATOR: Within hours,
Russian investigators

251
00:12:19,772 --> 00:12:21,707
are also at the scene.

252
00:12:21,774 --> 00:12:24,677
They must figure out what
caused this accident.

253
00:12:24,743 --> 00:12:26,479
Excuse me.

254
00:12:26,545 --> 00:12:31,450
We'll be taking
charge here now.

255
00:12:31,517 --> 00:12:33,752
NARRATOR: James Oberg is
an aviation consultant

256
00:12:33,819 --> 00:12:36,755
and former NASA engineer.

257
00:12:36,822 --> 00:12:39,992
The investigation team
had a lot of experience,

258
00:12:40,059 --> 00:12:41,961
sadly because there have
been many accidents.

259
00:12:42,027 --> 00:12:43,762
But that experience,
as it turned out,

260
00:12:43,829 --> 00:12:46,198
turned out to be critical to
actually finding the cause

261
00:12:46,265 --> 00:12:48,234
of this particular accident.

262
00:12:48,300 --> 00:12:50,569
NARRATOR: Their first challenge
is to secure the site.

263
00:12:50,636 --> 00:12:52,538
Get these people out of here.

264
00:12:55,274 --> 00:12:56,342
INTERPRETER: News
of the tragedy

265
00:12:56,408 --> 00:12:59,345
spread through the city,
and fans, as well as

266
00:12:59,411 --> 00:13:02,081
regular people, wanted to see.

267
00:13:02,148 --> 00:13:03,349
Few could believe it.

268
00:13:03,415 --> 00:13:05,618
So they wanted to see
what happened and say

269
00:13:05,684 --> 00:13:12,691
goodbye to the hockey players.

270
00:13:14,026 --> 00:13:16,762
NARRATOR: Of the 45 people
who boarded the flight,

271
00:13:16,829 --> 00:13:20,499
43 are dead,
including the pilots.

272
00:13:20,566 --> 00:13:24,837
The Lokomotiv hockey team
has been all but wiped out.

273
00:13:27,239 --> 00:13:30,609
INTERPRETER: This was a tragedy
for everyone in Yaroslavl.

274
00:13:30,676 --> 00:13:34,013
Lots of people knew these guys,
not just as hockey players

275
00:13:34,079 --> 00:13:35,014
but personally.

276
00:13:36,949 --> 00:13:43,956
That's why everybody
took this loss very hard.

277
00:13:46,091 --> 00:13:47,459
Hungry?

278
00:13:47,526 --> 00:13:50,796
NARRATOR: Alexander Galimov and
the mechanic Alexander Sizov

279
00:13:50,863 --> 00:13:53,299
are the only two survivors.

280
00:13:53,365 --> 00:13:57,303
They are both put into
medically induced comas.

281
00:13:57,369 --> 00:14:00,639
I knew that once I
checked the players list,

282
00:14:00,706 --> 00:14:03,676
I knew I would know players
on that team, and it was-- it

283
00:14:03,742 --> 00:14:05,678
was a, it was a tough feeling.

284
00:14:05,744 --> 00:14:08,614
NARRATOR: The tragedy
is felt around the world

285
00:14:08,681 --> 00:14:12,351
and is among the worst
in sports history.

286
00:14:12,418 --> 00:14:14,920
I think the reaction
across the world

287
00:14:14,987 --> 00:14:18,557
was first of shock, disbelief.

288
00:14:18,624 --> 00:14:20,859
You know, how can
that happen to a team

289
00:14:20,926 --> 00:14:25,064
of such young, talented,
healthy, good family guys

290
00:14:25,130 --> 00:14:27,032
that had so much to offer.

291
00:14:27,099 --> 00:14:28,867
NARRATOR: In Moscow,
fans are stunned

292
00:14:28,934 --> 00:14:30,369
when a grim
announcement interrupts

293
00:14:30,436 --> 00:14:37,443
the Kontinental Hockey
League season opening game.

294
00:14:46,552 --> 00:14:47,786
MIKE FOUNTAIN: The
president of the KHL

295
00:14:47,853 --> 00:14:50,122
actually stopped a game
that was in progress

296
00:14:50,189 --> 00:14:52,091
after he heard about
the accident, which

297
00:14:52,157 --> 00:14:54,860
was a very touching move.

298
00:14:54,927 --> 00:14:56,929
NARRATOR: More than 20
people saw the plane's

299
00:14:56,996 --> 00:14:59,064
failed takeoff attempt.

300
00:14:59,131 --> 00:15:00,266
So, what happened?

301
00:15:00,332 --> 00:15:02,401
NARRATOR: Because the
team is so well loved,

302
00:15:02,468 --> 00:15:04,403
everyone wants answers.

303
00:15:04,470 --> 00:15:07,172
Investigators focus
in on a key question,

304
00:15:07,239 --> 00:15:11,944
why couldn't the Yak-42
lift off the runway?

305
00:15:12,011 --> 00:15:15,381
Three factors are essential
for takeoff, first

306
00:15:15,447 --> 00:15:17,383
is engine power.

307
00:15:17,449 --> 00:15:20,886
You need enough thrust
to reach takeoff speed.

308
00:15:20,953 --> 00:15:22,521
Second is lift.

309
00:15:22,588 --> 00:15:24,623
The wing flaps must
be properly extended

310
00:15:24,690 --> 00:15:27,192
to increase aerodynamic lift.

311
00:15:27,259 --> 00:15:30,462
And finally, to achieve the
proper angle, the plane's

312
00:15:30,529 --> 00:15:32,464
horizontal stabilizer
must be angled,

313
00:15:32,531 --> 00:15:39,305
putting downward force on the
tail and lifting the nose.

314
00:15:39,371 --> 00:15:41,206
Investigators
examined the wreckage,

315
00:15:41,273 --> 00:15:43,609
trying to determine if
the plane was properly

316
00:15:43,676 --> 00:15:47,446
configured for takeoff.

317
00:15:47,513 --> 00:15:50,549
Well, it looks like
flaps were set at 20.

318
00:15:50,616 --> 00:15:51,917
JAMES OBERG: On your
way down the runway,

319
00:15:51,984 --> 00:15:54,053
if your flaps and slats
aren't set properly,

320
00:15:54,119 --> 00:15:55,587
you may get too much drag.

321
00:15:55,654 --> 00:15:57,890
It's a sweet spot
of the settings,

322
00:15:57,956 --> 00:16:00,292
and they have to
be in that region.

323
00:16:00,359 --> 00:16:02,361
If they are beyond
that region, they

324
00:16:02,428 --> 00:16:03,829
will not do what you want.

325
00:16:03,896 --> 00:16:06,031
In fact, they'll do
things you don't want.

326
00:16:06,098 --> 00:16:08,167
NARRATOR: The flaps on the
wing seem to be correctly

327
00:16:08,233 --> 00:16:11,804
extended for takeoff.

328
00:16:11,870 --> 00:16:14,573
On the tail, the horizontal
stabilizer also appears

329
00:16:14,640 --> 00:16:16,608
to be properly deflected.

330
00:16:16,675 --> 00:16:18,610
It looks fine.

331
00:16:18,677 --> 00:16:22,948
Everything appeared to be
normal in terms of the lift.

332
00:16:23,015 --> 00:16:24,483
NARRATOR: Investigators
find nothing

333
00:16:24,550 --> 00:16:27,319
to suggest the engines were
providing enough thrust to get

334
00:16:27,386 --> 00:16:30,222
the plane of the ground.

335
00:16:30,289 --> 00:16:32,224
JAMES OBERG: You would look at
the settings of the engines,

336
00:16:32,291 --> 00:16:33,692
the quality of the jet fuel.

337
00:16:33,759 --> 00:16:36,095
And those are the things
you would look at first,

338
00:16:36,161 --> 00:16:41,266
and they did look
at them first.

339
00:16:41,333 --> 00:16:42,868
NARRATOR: But the
team can't confirm

340
00:16:42,935 --> 00:16:45,070
proper engine performance
until they have

341
00:16:45,137 --> 00:16:47,172
the flight data recorder--

342
00:16:47,239 --> 00:16:53,445
one of two black boxes that
records flight details.

343
00:16:53,512 --> 00:16:57,149
But they've been submerged
in the Volga River,

344
00:16:57,216 --> 00:16:58,951
and before they
can be analyzed,

345
00:16:59,017 --> 00:17:04,089
they must be slowly and
carefully dried out.

346
00:17:04,156 --> 00:17:11,130
OK, take them to
Moscow immediately.

347
00:17:16,101 --> 00:17:17,903
NARRATOR: As investigators
try to determine

348
00:17:17,970 --> 00:17:21,306
what caused the crash, they
have another big question--

349
00:17:21,373 --> 00:17:25,511
why didn't pilots stop at
the first sign of trouble?

350
00:17:25,577 --> 00:17:28,714
The question then
is, what decisions

351
00:17:28,781 --> 00:17:30,215
should the crew have made?

352
00:17:30,282 --> 00:17:33,185
When would they have
known enough to choose

353
00:17:33,252 --> 00:17:35,921
to abort the takeoff?

354
00:17:35,988 --> 00:17:37,656
NARRATOR: Meanwhile,
a day after one

355
00:17:37,723 --> 00:17:39,591
of his nation's
worst tragedies,

356
00:17:39,658 --> 00:17:41,894
Russian President
Dmitry Medvedev

357
00:17:41,960 --> 00:17:45,030
visits the crash site.

358
00:17:45,097 --> 00:17:46,532
VICTOR ERMOLAEV: It was
high profile because,

359
00:17:46,598 --> 00:17:48,200
obviously, very famous club.

360
00:17:48,267 --> 00:17:54,139
And any loss of life is
tragic, in aviation especially.

361
00:17:54,206 --> 00:17:57,976
And as I mentioned before,
hockey is a main sport

362
00:17:58,043 --> 00:17:59,511
in Russia, if you will.

363
00:17:59,578 --> 00:18:02,347
And if you talk to Russian
people, they would tell you,

364
00:18:02,414 --> 00:18:05,684
we lost we lost
part of a family.

365
00:18:05,751 --> 00:18:08,253
NARRATOR: 2011 had
already been a dismal year

366
00:18:08,320 --> 00:18:10,022
for Russian aviation--

367
00:18:10,088 --> 00:18:15,194
the Yaroslavl accident was the
country's eighth fatal crash.

368
00:18:15,260 --> 00:18:18,964
Less than three months earlier,
47 people died near an airport

369
00:18:19,031 --> 00:18:22,534
403 miles north of Moscow.

370
00:18:22,601 --> 00:18:25,904
RusAir flight 9605
slammed into a highway

371
00:18:25,971 --> 00:18:32,911
while coming in for a
landing late at night.

372
00:18:32,978 --> 00:18:35,647
The Yaroslavl disaster has
drawn critical attention

373
00:18:35,714 --> 00:18:37,883
from around the world.

374
00:18:40,252 --> 00:18:42,120
NARRATOR: President
Medvedev announces

375
00:18:42,187 --> 00:18:47,726
that radical changes are
needed in Russian aviation.

376
00:18:47,793 --> 00:18:49,862
The pressure on the team
to investigate this and find

377
00:18:49,928 --> 00:18:52,064
the correct answer
to it is always high,

378
00:18:52,130 --> 00:18:53,599
but when the president
of the country

379
00:18:53,665 --> 00:18:55,868
comes out and says you're
going to do it right

380
00:18:55,934 --> 00:18:58,437
because the country
needs an answer,

381
00:18:58,504 --> 00:19:00,606
I'm sure they felt the whole
weight of their whole country

382
00:19:00,672 --> 00:19:05,277
and of the families of all
the victims looming over them.

383
00:19:05,344 --> 00:19:12,017
We need to work faster.

384
00:19:12,084 --> 00:19:13,485
NARRATOR: Investigators
desperately

385
00:19:13,552 --> 00:19:15,754
need to know what happened
during the final moments

386
00:19:15,821 --> 00:19:18,690
of flight 9633.

387
00:19:18,757 --> 00:19:21,326
They catch a break when they
learn that an airport security

388
00:19:21,393 --> 00:19:23,262
camera off the
end of the runway

389
00:19:23,328 --> 00:19:28,033
recorded the Yak-42 as
it finally lifted off.

390
00:19:28,100 --> 00:19:31,803
The grainy image could
provide a crucial lead.

391
00:19:31,870 --> 00:19:32,804
Whoa.

392
00:19:32,871 --> 00:19:34,306
Whoa.

393
00:19:34,373 --> 00:19:37,042
Can you play that again?

394
00:19:37,109 --> 00:19:39,511
NARRATOR: The video shows
that the plane was properly

395
00:19:39,578 --> 00:19:41,113
configured for takeoff.

396
00:19:41,179 --> 00:19:44,283
But beyond that, it
holds no new information,

397
00:19:44,349 --> 00:19:47,252
no clue as to what went wrong.

398
00:19:47,319 --> 00:19:50,289
OK, they started here.

399
00:19:50,355 --> 00:19:52,324
They lift it off here.

400
00:19:52,391 --> 00:19:54,326
NARRATOR: The airport
runway wasn't the issue.

401
00:19:54,393 --> 00:19:57,162
They had plenty of
room to take off.

402
00:19:57,229 --> 00:20:03,268
They had about 2,800 plus
meters of runway available.

403
00:20:03,335 --> 00:20:08,473
That's more than twice the
distance they should need.

404
00:20:08,540 --> 00:20:11,476
NARRATOR: Something kept
the plane on the ground.

405
00:20:11,543 --> 00:20:16,848
The question is, what.

406
00:20:16,915 --> 00:20:21,520
They suspect the plane might
simply have been too heavy.

407
00:20:21,587 --> 00:20:23,722
JAMES OBERG: Aside from being
harder to get in the air

408
00:20:23,789 --> 00:20:26,124
if you weigh more,
anything that weighs more

409
00:20:26,191 --> 00:20:29,194
is going to be
harder to accelerate.

410
00:20:29,261 --> 00:20:30,262
NARRATOR: It's a
lesson that was

411
00:20:30,329 --> 00:20:32,064
learned nearly
nine years earlier

412
00:20:32,130 --> 00:20:35,867
in Charlotte, North Carolina.

413
00:20:35,934 --> 00:20:38,136
All 21 people aboard
a commuter plane

414
00:20:38,203 --> 00:20:42,074
died when it crashed and
burst into flames less

415
00:20:42,140 --> 00:20:44,676
than a minute after takeoff.

416
00:20:44,743 --> 00:20:51,717
The plane was 579 pounds
above the allowed maximum.

417
00:20:53,085 --> 00:20:56,254
Weight was also considered a
key factor in the US Army's

418
00:20:56,321 --> 00:20:58,724
deadliest peacetime crash.

419
00:20:58,790 --> 00:21:01,727
On Arrow Air Flight
1285, the weight

420
00:21:01,793 --> 00:21:06,898
of 248 soldiers equipped with
heavy gear was underestimated.

421
00:21:06,965 --> 00:21:09,935
Their DC-8 fell
from the sky 2,900

422
00:21:10,002 --> 00:21:11,637
feet beyond the
end of the runway

423
00:21:11,703 --> 00:21:14,406
in Gander, Newfoundland.

424
00:21:14,473 --> 00:21:19,478
Everyone on board was killed.

425
00:21:19,544 --> 00:21:22,514
If the weight is
underestimated or not

426
00:21:22,581 --> 00:21:24,850
calculated at all, you
don't-- you just don't have

427
00:21:24,916 --> 00:21:27,252
that clear picture
of what exactly

428
00:21:27,319 --> 00:21:32,157
to expect from the airplane.

429
00:21:32,224 --> 00:21:36,528
They didn't
know their weight.

430
00:21:36,595 --> 00:21:38,830
NARRATOR: Concerns mount
when investigators learned

431
00:21:38,897 --> 00:21:40,632
that Yak's service
didn't have baggage

432
00:21:40,699 --> 00:21:43,735
scales at Yaroslavl's airport.

433
00:21:43,802 --> 00:21:45,037
VICTOR ERMOLAEV:
There was no way

434
00:21:45,103 --> 00:21:48,440
to weigh the gear, the luggage,
and the cargo that would

435
00:21:48,507 --> 00:21:49,508
be loaded in the airplane.

436
00:21:49,574 --> 00:21:51,143
So it was estimated.

437
00:21:51,209 --> 00:21:52,611
NARRATOR:
Investigators estimate

438
00:21:52,678 --> 00:21:55,580
the weight of the team
and their hockey gear.

439
00:21:55,647 --> 00:21:58,850
Ultimately, they find the
plane was not overloaded.

440
00:21:58,917 --> 00:22:02,554
The weight is
under the limit.

441
00:22:02,621 --> 00:22:04,523
NARRATOR: It may
not be the answer,

442
00:22:04,589 --> 00:22:08,226
but it provides
an important clue.

443
00:22:08,293 --> 00:22:10,228
It does not appear
that was a contributing

444
00:22:10,295 --> 00:22:13,699
issue in this case, but it
shows that the crew was not

445
00:22:13,765 --> 00:22:16,868
properly preparing the
information they would

446
00:22:16,935 --> 00:22:20,138
need during the takeoff roll.

447
00:22:20,205 --> 00:22:22,274
NARRATOR: Next, investigators
focus on the plane's

448
00:22:22,340 --> 00:22:24,876
speed in the engines.

449
00:22:24,943 --> 00:22:27,179
They determine the
speed needed for takeoff

450
00:22:27,245 --> 00:22:34,219
was 133 miles per hour or
215 kilometers per hour.

451
00:22:35,954 --> 00:22:39,791
Didn't they ever get to 215?

452
00:22:39,858 --> 00:22:42,160
NARRATOR: If the engines
weren't working properly,

453
00:22:42,227 --> 00:22:44,730
it could explain the disaster.

454
00:22:44,796 --> 00:22:47,132
It's very fortunate that
the flight data recorders were

455
00:22:47,199 --> 00:22:49,668
both recovered and
functional, and that

456
00:22:49,735 --> 00:22:52,938
isn't a universal factor
in modern Russian aviation.

457
00:22:53,004 --> 00:22:55,540
NARRATOR: The speed question
is resolved when investigators

458
00:22:55,607 --> 00:22:57,075
check the FDR data.

459
00:22:57,142 --> 00:22:59,377
They find that the engines
had powered the plane

460
00:22:59,444 --> 00:23:01,546
well beyond takeoff speed.

461
00:23:01,613 --> 00:23:04,015
Engines are working.

462
00:23:04,082 --> 00:23:05,917
NARRATOR: Investigators
are baffled.

463
00:23:05,984 --> 00:23:09,421
They can find no reason
for the failed takeoff.

464
00:23:09,488 --> 00:23:12,057
And why didn't they lift off?

465
00:23:12,124 --> 00:23:13,525
The airplane should fly.

466
00:23:13,592 --> 00:23:15,093
The plane wants to fly.

467
00:23:15,160 --> 00:23:18,663
In fact, at 210
kilometers per hour

468
00:23:18,730 --> 00:23:21,366
with the stabilizers
set at 7 degrees,

469
00:23:21,433 --> 00:23:28,006
the Yak-42 will
rotate on its own.

470
00:23:29,007 --> 00:23:31,376
NARRATOR: On
September 10th, 2011,

471
00:23:31,443 --> 00:23:33,512
Russian prime minister
Vladimir Putin

472
00:23:33,578 --> 00:23:36,915
attends a memorial for
the Lokomotiv players,

473
00:23:36,982 --> 00:23:43,889
along with 40,000
grieving fans.

474
00:23:44,890 --> 00:23:47,726
Two days later,
Alexander Galimov,

475
00:23:47,793 --> 00:23:50,695
the only team member
to survive the crash,

476
00:23:50,762 --> 00:23:54,266
dies from his injuries.

477
00:23:54,332 --> 00:24:00,839
The Yaroslavl tragedy
has now claimed 44 lives.

478
00:24:01,973 --> 00:24:03,942
As the nation mourns
their young athletes,

479
00:24:04,009 --> 00:24:10,482
all eyes are on the air
crash investigation team.

480
00:24:10,549 --> 00:24:13,518
The Russian government
was putting pressure

481
00:24:13,585 --> 00:24:16,321
on the investigators
trying to get results,

482
00:24:16,388 --> 00:24:20,826
to get to the truth, what
exactly was happening.

483
00:24:20,892 --> 00:24:22,661
NARRATOR: Investigators
scour the flight data

484
00:24:22,727 --> 00:24:26,998
recording, again, for clues.

485
00:24:27,065 --> 00:24:29,634
Finally, they spot
something unusual.

486
00:24:29,701 --> 00:24:31,870
Look at the acceleration.

487
00:24:31,937 --> 00:24:34,172
NARRATOR: Despite full
power from the engines,

488
00:24:34,239 --> 00:24:38,310
the Yak-42 did not accelerate
as quickly as it should.

489
00:24:38,376 --> 00:24:40,745
During the takeoff roll
when the aircraft should

490
00:24:40,812 --> 00:24:44,916
be continuously accelerating,
it was actually slowing down

491
00:24:44,983 --> 00:24:46,218
toward the end of the roll.

492
00:24:46,284 --> 00:24:50,856
And slowing down is a bizarre,
unusual, and potentially

493
00:24:50,922 --> 00:24:52,991
fatal development.

494
00:24:53,058 --> 00:24:55,360
NARRATOR: A strange
deceleration.

495
00:24:55,427 --> 00:24:57,796
It could finally be
the lead investigators

496
00:24:57,863 --> 00:25:06,872
need to explain the crash
to their grieving country.

497
00:25:08,874 --> 00:25:11,042
The team pores over
the possible cause

498
00:25:11,109 --> 00:25:14,679
of the Russian
plane's deceleration.

499
00:25:14,746 --> 00:25:16,915
Suddenly, an idea.

500
00:25:16,982 --> 00:25:18,617
Could the brakes be on?

501
00:25:18,683 --> 00:25:20,652
Crew, we're taking off.

502
00:25:20,719 --> 00:25:22,087
NARRATOR: It's a
bizarre possibility

503
00:25:22,153 --> 00:25:25,490
but could explain the
plane's unusual behavior.

504
00:25:25,557 --> 00:25:27,425
Something was
breaking the aircraft

505
00:25:27,492 --> 00:25:31,196
at a time when everything else
was trying to speed it up.

506
00:25:31,263 --> 00:25:33,265
NARRATOR: To test their
theory, investigators

507
00:25:33,331 --> 00:25:35,000
head to the Gromov
flight Research

508
00:25:35,066 --> 00:25:38,270
Institute near Moscow.

509
00:25:38,336 --> 00:25:40,105
The length of the
runway at Gromov

510
00:25:40,171 --> 00:25:43,842
is probably around
5,000 meters or so.

511
00:25:43,909 --> 00:25:45,110
It's very long.

512
00:25:45,176 --> 00:25:48,246
It is suited for test flying.

513
00:25:48,313 --> 00:25:51,049
NARRATOR: A test pilot will
recreate the flight exactly

514
00:25:51,116 --> 00:25:53,852
using data from the FDR.

515
00:25:53,919 --> 00:25:56,855
First, they tried the flight
with no brakes applied.

516
00:25:56,922 --> 00:26:00,158
We have rotation speed.

517
00:26:00,225 --> 00:26:02,928
NARRATOR: The test plane
lifts off easily using just

518
00:26:02,994 --> 00:26:09,367
a quarter of the long runway.

519
00:26:09,434 --> 00:26:13,238
Then they try the flight again.

520
00:26:13,305 --> 00:26:15,807
This time put the brake on.

521
00:26:15,874 --> 00:26:19,444
They gradually
applied the wheel brakes

522
00:26:19,511 --> 00:26:21,146
to slow the
aircraft down as you

523
00:26:21,212 --> 00:26:22,914
are attempting to take off.

524
00:26:22,981 --> 00:26:25,183
NARRATOR: With the brakes
on, the plane still

525
00:26:25,250 --> 00:26:27,852
has enough power to take
off, but the distance

526
00:26:27,919 --> 00:26:33,224
needed to reach takeoff
speed more than doubles.

527
00:26:33,291 --> 00:26:34,659
JAMES OBERG: What the
flight test indicated

528
00:26:34,726 --> 00:26:37,062
was that the four sets of
brakes in the landing gear

529
00:26:37,128 --> 00:26:39,664
were activated
and were actively

530
00:26:39,731 --> 00:26:43,201
slowing down the aircraft as
it's rolling down the runway.

531
00:26:43,268 --> 00:26:44,336
NARRATOR: The test
flight evidence

532
00:26:44,402 --> 00:26:46,705
is compelling it
now seems almost

533
00:26:46,771 --> 00:26:49,274
certain that the
Yak-42 powered down

534
00:26:49,341 --> 00:26:52,410
the runway with its brakes on.

535
00:26:52,477 --> 00:26:54,546
Rotate.

536
00:26:54,612 --> 00:26:57,882
NARRATOR: The puzzling
question is why.

537
00:26:57,949 --> 00:26:59,384
A bizarre situation.

538
00:26:59,451 --> 00:27:05,056
And explaining it
was a real challenge.

539
00:27:05,123 --> 00:27:07,258
NARRATOR: Investigators
listened to the cockpit voice

540
00:27:07,325 --> 00:27:10,662
recording from flight 9633.

541
00:27:10,729 --> 00:27:12,097
OK, go ahead.

542
00:27:12,163 --> 00:27:14,632
NARRATOR: They hope the crew's
conversation can help explain

543
00:27:14,699 --> 00:27:19,904
how and why the plane's brakes
were activated during takeoff.

544
00:27:19,971 --> 00:27:23,241
Brakes.

545
00:27:23,308 --> 00:27:26,011
Check on the
left, functional.

546
00:27:26,077 --> 00:27:28,246
Check on the left, functional.

547
00:27:28,313 --> 00:27:29,381
NARRATOR: They
hear the crew check

548
00:27:29,447 --> 00:27:31,516
the brakes before takeoff.

549
00:27:31,583 --> 00:27:33,618
The brake test was fine.

550
00:27:33,685 --> 00:27:34,819
NARRATOR: It appears
that the crew

551
00:27:34,886 --> 00:27:36,554
had no concerns
about their brakes

552
00:27:36,621 --> 00:27:38,723
at the start of the flight.

553
00:27:38,790 --> 00:27:42,527
Investigators now wonder if the
braking system malfunctioned

554
00:27:42,594 --> 00:27:45,230
and activated the brakes
in error after the plane

555
00:27:45,296 --> 00:27:46,631
began to move.

556
00:27:46,698 --> 00:27:51,036
From the media coverage, we
know that there were problems

557
00:27:51,102 --> 00:27:52,337
with the braking system.

558
00:27:52,404 --> 00:27:54,506
It's definitely
a possibility.

559
00:27:54,572 --> 00:27:56,941
NARRATOR: Digging into the
history of brake malfunction

560
00:27:57,008 --> 00:27:59,544
on the Yak-42, the
investigative team

561
00:27:59,611 --> 00:28:01,546
makes a disturbing find.

562
00:28:01,613 --> 00:28:04,149
There have been at least
five previous incidents

563
00:28:04,215 --> 00:28:06,451
involving faulty brakes.

564
00:28:06,518 --> 00:28:08,953
But things got
really, really south

565
00:28:09,020 --> 00:28:10,722
after the collapse
of the Soviet Union,

566
00:28:10,789 --> 00:28:13,258
and a lot of safety
measures and normal training

567
00:28:13,324 --> 00:28:17,228
and talented people all
went by the wayside.

568
00:28:17,295 --> 00:28:18,897
NARRATOR: To better
understand what went wrong

569
00:28:18,963 --> 00:28:21,633
with the brakes,
investigators send the wheel

570
00:28:21,699 --> 00:28:25,870
assemblies out for testing.

571
00:28:25,937 --> 00:28:27,872
While they wait
for results, they

572
00:28:27,939 --> 00:28:31,142
shift their focus to another
unanswered question--

573
00:28:31,209 --> 00:28:34,712
Why they keep trying to
get in the air long after?

574
00:28:34,779 --> 00:28:38,116
In hindsight, it was clear
they should not have.

575
00:28:38,183 --> 00:28:39,784
NARRATOR: Perhaps
the cockpit recording

576
00:28:39,851 --> 00:28:42,187
will explain the crew's
decision to continue

577
00:28:42,253 --> 00:28:47,592
their troubled takeoff.

578
00:28:47,659 --> 00:28:50,662
Full power.

579
00:28:50,728 --> 00:28:52,630
NARRATOR: Investigators
listen for the captain

580
00:28:52,697 --> 00:28:57,368
to announce their abort
speed, also known as V1.

581
00:28:57,435 --> 00:29:00,371
Once the airplane
approaches a V1 speed,

582
00:29:00,438 --> 00:29:03,274
a captain of the
aircraft needs to make

583
00:29:03,341 --> 00:29:07,912
a decision to either continue
takeoff or abort takeoff.

584
00:29:07,979 --> 00:29:11,082
NARRATOR: But as they
approach the critical speed.

585
00:29:11,149 --> 00:29:12,550
Crew, we're taking off.

586
00:29:12,617 --> 00:29:14,752
V1 is 119.

587
00:29:14,819 --> 00:29:18,089
NARRATOR: The recording
reveals a disturbing exchange.

588
00:29:18,156 --> 00:29:19,657
We need 200 for V1.

589
00:29:19,724 --> 00:29:20,892
No, Vr is 200.

590
00:29:20,959 --> 00:29:25,130
We hear the captain
announcing 190 kilometers

591
00:29:25,196 --> 00:29:28,867
per hour as a V1 speed,
and he's corrected

592
00:29:28,933 --> 00:29:31,069
by the flight engineer.

593
00:29:31,136 --> 00:29:33,805
NARRATOR: No air crew should
be debating critical speeds

594
00:29:33,872 --> 00:29:36,875
during a takeoff run.

595
00:29:36,941 --> 00:29:39,077
They didn't know
the abort speed.

596
00:29:39,144 --> 00:29:40,478
NARRATOR: The
abort speed should

597
00:29:40,545 --> 00:29:43,815
have been determined before
the plane even started to move.

598
00:29:43,882 --> 00:29:45,850
OK, let me hear the briefing.

599
00:29:45,917 --> 00:29:47,418
VICTOR ERMOLAEV: The
departure briefing is very

600
00:29:47,485 --> 00:29:49,120
important part of the flight.

601
00:29:49,187 --> 00:29:52,857
It is done and conducted
by the captain.

602
00:29:52,924 --> 00:29:56,494
It has to be recorded on
the cockpit voice recorder.

603
00:29:56,561 --> 00:29:59,764
The   heading 300.

604
00:29:59,831 --> 00:30:02,901
Transition altitude
is 700 meters take--

605
00:30:02,967 --> 00:30:04,502
NARRATOR: A captain
typically informs

606
00:30:04,569 --> 00:30:07,105
his crew of the proper
abort speed in a briefing

607
00:30:07,172 --> 00:30:08,706
before takeoff.

608
00:30:08,773 --> 00:30:11,409
Prior to reaching
we

609
00:30:11,476 --> 00:30:13,244
will   the takeoff.

610
00:30:13,311 --> 00:30:17,182
VICTOR ERMOLAEV: When he
comes down to the V1 speed,

611
00:30:17,248 --> 00:30:21,119
it's impossible to distinguish
what exactly he's saying.

612
00:30:21,186 --> 00:30:23,288
NARRATOR: Investigators
suspect the crew did

613
00:30:23,354 --> 00:30:25,723
not hear a V1 speed either.

614
00:30:25,790 --> 00:30:28,993
Prior to reaching a
speed of  ..

615
00:30:29,060 --> 00:30:30,628
NARRATOR: The three
men never agreed

616
00:30:30,695 --> 00:30:32,096
on the speed at
which they could no

617
00:30:32,163 --> 00:30:33,965
longer safely abort takeoff.

618
00:30:34,032 --> 00:30:37,502
If you don't have your
pre-planned criteria set up,

619
00:30:37,569 --> 00:30:40,104
like the V speed, like other
factors in the aircraft,

620
00:30:40,171 --> 00:30:44,142
you don't have a
one measurable gate

621
00:30:44,209 --> 00:30:47,645
that can tell you at this point
that you're good or not good.

622
00:30:47,712 --> 00:30:54,719
Rotate.

623
00:30:55,820 --> 00:30:59,123
Had they rejected
takeoff 3 to 5 seconds

624
00:30:59,190 --> 00:31:00,692
after attempting
to rotate, they

625
00:31:00,758 --> 00:31:02,994
would have still stopped
in the clear way,

626
00:31:03,061 --> 00:31:06,030
and everybody would
have just walked away.

627
00:31:06,097 --> 00:31:09,601
NARRATOR: Instead, they tried
to troubleshoot the problem--

628
00:31:09,667 --> 00:31:12,337
You probably set
the stabilizer to low.

629
00:31:12,403 --> 00:31:13,438
Add some.

630
00:31:13,504 --> 00:31:15,974
NARRATOR: --until they
run out of runway.

631
00:31:16,040 --> 00:31:18,076
Calculations show
that from the time

632
00:31:18,142 --> 00:31:20,411
the pilots first
attempted to lift off,

633
00:31:20,478 --> 00:31:23,948
they had five seconds to
decide whether to stop.

634
00:31:24,015 --> 00:31:25,850
They had time to stop.

635
00:31:25,917 --> 00:31:27,652
They allowed themselves
to get to the point

636
00:31:27,719 --> 00:31:29,754
where they no longer
wanted to abort

637
00:31:29,821 --> 00:31:31,990
and would rather have
continued on, which they did.

638
00:31:32,056 --> 00:31:33,057
VICTOR ERMOLAEV:
In the cockpit,

639
00:31:33,124 --> 00:31:34,425
there was a feel
that the airplane

640
00:31:34,492 --> 00:31:38,029
is going to get airborne
any second now, any second.

641
00:31:38,096 --> 00:31:39,364
A little bit more,
a little bit more

642
00:31:39,430 --> 00:31:41,666
speed, a little more speed
and we're going to lift off.

643
00:31:41,733 --> 00:31:43,167
NARRATOR:
Investigators conclude

644
00:31:43,234 --> 00:31:47,438
that continuing the takeoff
was a fatal error by the crew.

645
00:31:47,505 --> 00:31:50,608
They can only
speculate why they did.

646
00:31:50,675 --> 00:31:52,277
Perhaps the pilots
felt pressure

647
00:31:52,343 --> 00:31:53,911
to get their
prestigious passengers

648
00:31:53,978 --> 00:31:56,714
to their destination on time.

649
00:31:56,781 --> 00:31:58,416
VICTOR ERMOLAEV:
The crew, of course,

650
00:31:58,483 --> 00:32:02,020
was trying to do
their best and preform

651
00:32:02,086 --> 00:32:04,255
this mission-- take
them for their opening

652
00:32:04,322 --> 00:32:06,324
game of the season.

653
00:32:06,391 --> 00:32:08,426
If you have a
maintenance delay,

654
00:32:08,493 --> 00:32:10,361
doesn't quite look good.

655
00:32:10,428 --> 00:32:12,563
And your company, will
they call you again?

656
00:32:12,630 --> 00:32:15,033
I don't know, maybe not.

657
00:32:15,099 --> 00:32:17,568
NARRATOR: Meanwhile, results
from the brake system analysis

658
00:32:17,635 --> 00:32:18,703
are in.

659
00:32:18,770 --> 00:32:21,839
There's no evidence
of mechanical failure.

660
00:32:21,906 --> 00:32:23,941
The brakes were fine.

661
00:32:24,008 --> 00:32:26,377
They calculated that
having them actually

662
00:32:26,444 --> 00:32:30,281
fail independently,
accidentally, all together,

663
00:32:30,348 --> 00:32:32,317
the odds were literally
a billion to one,

664
00:32:32,383 --> 00:32:34,152
which will never happen.

665
00:32:34,218 --> 00:32:36,421
NARRATOR: The finding moves
the investigation closer

666
00:32:36,487 --> 00:32:38,923
to a disturbing conclusion--

667
00:32:38,990 --> 00:32:42,527
one of the pilots must have
applied the brakes himself.

668
00:32:42,593 --> 00:32:46,164
We need to take a
closer look at the crew.

669
00:32:46,230 --> 00:32:48,466
NARRATOR: Investigators
are in a tough position.

670
00:32:48,533 --> 00:32:50,668
The public will not want
to hear that the crew

671
00:32:50,735 --> 00:32:53,304
could have been at fault.

672
00:32:53,371 --> 00:32:55,606
JAMES OBERG: There is a
very common cultural thread

673
00:32:55,673 --> 00:32:58,776
in Russia of blaming the
people present for something

674
00:32:58,843 --> 00:33:00,345
that goes wrong.

675
00:33:00,411 --> 00:33:02,947
It helps to insulate
those who put them there

676
00:33:03,014 --> 00:33:09,954
or those decisions put them
there, keeps them blameless.

677
00:33:11,322 --> 00:33:13,524
NARRATOR: The Russian flight
crew had a solid reputation.

678
00:33:13,591 --> 00:33:16,027
It would be hard for people
to believe one of them

679
00:33:16,094 --> 00:33:18,162
accidentally hit the brakes.

680
00:33:18,229 --> 00:33:21,933
Many eyebrows got raised
within the Russian

681
00:33:21,999 --> 00:33:23,601
airline industry.

682
00:33:23,668 --> 00:33:27,438
We know that the first officer
was very distinguished pilot,

683
00:33:27,505 --> 00:33:31,542
and he had almost 13,000
hours as a first officer

684
00:33:31,609 --> 00:33:33,578
and a captain.

685
00:33:33,644 --> 00:33:35,780
NARRATOR: A review of the
crew's flight records offers

686
00:33:35,847 --> 00:33:37,382
up a clue--

687
00:33:37,448 --> 00:33:39,450
both pilots
routinely trained on

688
00:33:39,517 --> 00:33:43,821
and flew two different
versions of the Yak plane.

689
00:33:43,888 --> 00:33:46,824
The Yak-40 is a much
older regional jet that

690
00:33:46,891 --> 00:33:50,161
carries up to 32 passengers.

691
00:33:50,228 --> 00:33:53,197
The larger Yak-42, which
the hockey team was on,

692
00:33:53,264 --> 00:33:57,335
debuted in 1980.

693
00:33:57,402 --> 00:33:59,804
With more powerful
turbofan engines,

694
00:33:59,871 --> 00:34:03,141
it can carry three
times as many passengers

695
00:34:03,207 --> 00:34:06,544
and fly longer routes.

696
00:34:06,611 --> 00:34:08,379
Both pilots were
more experienced

697
00:34:08,446 --> 00:34:11,482
on the older Yak-40,
but they also regularly

698
00:34:11,549 --> 00:34:13,885
flew the newer Yak-42.

699
00:34:13,951 --> 00:34:17,221
At most airlines, pilots are
not allowed to switch from one

700
00:34:17,288 --> 00:34:19,524
type of plane to another.

701
00:34:19,590 --> 00:34:26,597
It is improper and incorrect
to train a pilot to fly two

702
00:34:28,633 --> 00:34:31,235
airplanes at the same time.

703
00:34:31,302 --> 00:34:33,571
NARRATOR: It's beginning to
look like the crew's habit

704
00:34:33,638 --> 00:34:36,841
of flying two different but
similar planes may have led

705
00:34:36,908 --> 00:34:39,143
to confusion in the cockpit.

706
00:34:39,210 --> 00:34:41,045
Focusing in on
the brake pedals,

707
00:34:41,112 --> 00:34:43,548
investigators spot a small
but potentially

708
00:34:43,614 --> 00:34:45,917
significant difference.

709
00:34:45,983 --> 00:34:50,755
I want to see those pedals.

710
00:34:50,822 --> 00:34:53,191
NARRATOR: On the
older Yak-40, a pilot

711
00:34:53,257 --> 00:34:55,493
rests his foot on the brake.

712
00:34:55,560 --> 00:35:01,265
On the newer Yak-42, he must
put his heel on the floor.

713
00:35:01,332 --> 00:35:03,000
JAMES OBERG: They are flying
back and forth these two

714
00:35:03,067 --> 00:35:04,969
different kinds of
aircraft which happened

715
00:35:05,036 --> 00:35:06,938
to have different
ways of putting

716
00:35:07,004 --> 00:35:09,106
their feet on the brake pedal.

717
00:35:09,173 --> 00:35:13,144
And that was when the
a-ha started to appear.

718
00:35:13,211 --> 00:35:16,147
NARRATOR: A pilot accustomed
to flying the older Yak might

719
00:35:16,214 --> 00:35:19,016
have placed his whole foot on
the pedal, and as a result,

720
00:35:19,083 --> 00:35:21,219
could have activated
the brakes.

721
00:35:21,285 --> 00:35:25,823
If you rest your feet on the
Yak-42 pedals just like you

722
00:35:25,890 --> 00:35:29,093
would in Yak-40, it
is possible to create

723
00:35:29,160 --> 00:35:32,396
a pressure on the
top part of the pedal

724
00:35:32,463 --> 00:35:34,198
and activate the wheel brakes.

725
00:35:34,265 --> 00:35:38,503
It is possible.

726
00:35:38,569 --> 00:35:42,507
NARRATOR: It's a promising
theory, but questions remain.

727
00:35:42,573 --> 00:35:45,710
Investigators can't understand
why a pilot wouldn't

728
00:35:45,776 --> 00:35:48,179
notice his mistake right away.

729
00:35:48,246 --> 00:35:52,483
You would have to put about
10, 15, 20 pounds of pressure

730
00:35:52,550 --> 00:35:56,521
onto the pedals, and that
is a significant weight.

731
00:35:56,587 --> 00:36:00,091
You would think a
person would feel that.

732
00:36:00,157 --> 00:36:04,395
NARRATOR: They find a clue in
the crew's medical records.

733
00:36:04,462 --> 00:36:07,331
First officer Igor
Zhivelov had secretly been

734
00:36:07,398 --> 00:36:10,134
treated for a nerve condition.

735
00:36:10,201 --> 00:36:13,804
He should not have
been certified to fly.

736
00:36:13,871 --> 00:36:15,072
VICTOR ERMOLAEV:
The first officer

737
00:36:15,139 --> 00:36:19,277
had a neurological condition
where the extremities

738
00:36:19,343 --> 00:36:23,648
sort of lose sensitivity.

739
00:36:23,714 --> 00:36:26,651
He was losing the
sensations in his legs.

740
00:36:26,717 --> 00:36:28,519
It was a medical development.

741
00:36:28,586 --> 00:36:29,654
It was a slow development.

742
00:36:29,720 --> 00:36:32,189
It didn't make him
fall down, but it

743
00:36:32,256 --> 00:36:37,461
made him less aware of feedback
from feelings in his feet.

744
00:36:37,528 --> 00:36:38,529
VICTOR ERMOLAEV:
So the argument

745
00:36:38,596 --> 00:36:40,665
was made that the
first officer could

746
00:36:40,731 --> 00:36:45,670
have been pressing
on the brake pedals

747
00:36:45,736 --> 00:36:48,573
without even realizing it.

748
00:36:48,639 --> 00:36:50,041
Look.

749
00:36:50,107 --> 00:36:52,677
Look what happened here.

750
00:36:52,743 --> 00:36:54,045
NARRATOR: Then,
investigators make

751
00:36:54,111 --> 00:36:57,448
another startling discovery.

752
00:36:57,515 --> 00:36:58,783
Full power.

753
00:36:58,849 --> 00:37:00,851
NARRATOR: The brakes didn't
just slow the plane down,

754
00:37:00,918 --> 00:37:03,221
they also prevented lift off.

755
00:37:03,287 --> 00:37:04,989
It's going to pitch
you down because you

756
00:37:05,056 --> 00:37:08,326
are being pushed by engines
that are above the brakes.

757
00:37:08,392 --> 00:37:11,195
It's going to give the
aircraft a nose down pitch.

758
00:37:11,262 --> 00:37:12,663
NARRATOR: By
engaging the brakes

759
00:37:12,730 --> 00:37:15,433
and the rotating wheels,
the crew was actually

760
00:37:15,499 --> 00:37:17,535
forcing the nose down.

761
00:37:17,602 --> 00:37:19,770
The effect was
like glue, sticking

762
00:37:19,837 --> 00:37:21,639
the plane to the runway.

763
00:37:21,706 --> 00:37:24,642
You probably set
stabilizer too low.

764
00:37:24,709 --> 00:37:26,043
Add some.

765
00:37:26,110 --> 00:37:28,879
NARRATOR: The combined errors
meant the plane was doomed--

766
00:37:28,946 --> 00:37:29,981
Full power.

767
00:37:30,047 --> 00:37:33,684
NARRATOR: --as soon
as it was airborne.

768
00:37:33,751 --> 00:37:37,455
At that point, the braking
force of contact of the tires

769
00:37:37,521 --> 00:37:39,457
with the runway now stops.

770
00:37:39,523 --> 00:37:41,292
And all the other
forces that you've

771
00:37:41,359 --> 00:37:42,893
been putting into the
aircraft-- pulling back

772
00:37:42,960 --> 00:37:47,298
on the yoke, elevator trim,
flaps just to get the nose up,

773
00:37:47,365 --> 00:37:51,068
they are now no longer
counteracted by the nose

774
00:37:51,135 --> 00:37:52,737
down force of the braking.

775
00:37:52,803 --> 00:37:56,407
The aircraft immediately
goes into to nose up,

776
00:37:56,474 --> 00:38:00,444
a high pitch rate, 20 degrees
up in about two seconds.

777
00:38:00,511 --> 00:38:02,780
And you can't stay in the air.

778
00:38:02,847 --> 00:38:04,582
NARRATOR: The sudden
nose up attitude

779
00:38:04,649 --> 00:38:07,051
causes the wings to
quickly lose lift.

780
00:38:07,118 --> 00:38:08,419
Drag increases.

781
00:38:08,486 --> 00:38:09,687
The speed drops.

782
00:38:09,754 --> 00:38:12,790
The plane goes into a stall.

783
00:38:12,857 --> 00:38:15,726
And you're just a big hunk
of metal, and fuel, and flesh

784
00:38:15,793 --> 00:38:21,365
just falling through the air.

785
00:38:21,432 --> 00:38:23,801
NARRATOR: Digging further
into the pilot's records,

786
00:38:23,868 --> 00:38:27,104
investigators make another
astonishing discovery.

787
00:38:27,171 --> 00:38:28,139
Oh, whoa.

788
00:38:28,205 --> 00:38:32,209
So he didn't complete
the training?

789
00:38:32,276 --> 00:38:34,412
JAMES OBERG: In the training
reports of the two pilots,

790
00:38:34,478 --> 00:38:36,881
it was discovered
that, in many cases,

791
00:38:36,947 --> 00:38:39,583
they had been certified as
having accomplished certain

792
00:38:39,650 --> 00:38:41,352
flight tasks and
flight challenges

793
00:38:41,419 --> 00:38:43,721
such as poor visibility,
bad weather flying,

794
00:38:43,788 --> 00:38:44,755
when they hadn't.

795
00:38:44,822 --> 00:38:46,957
When the captain
went through training,

796
00:38:47,024 --> 00:38:49,226
then it was sort
of put on hold,

797
00:38:49,293 --> 00:38:51,128
and then went through
training again,

798
00:38:51,195 --> 00:38:53,097
and then switched employers.

799
00:38:53,164 --> 00:38:57,034
But the training was
done inconsistently

800
00:38:57,101 --> 00:38:58,869
with breaks in between.

801
00:38:58,936 --> 00:39:00,671
Some of the training
documentation

802
00:39:00,738 --> 00:39:03,908
for the first officer
was not even available.

803
00:39:03,974 --> 00:39:06,010
How much for you

804
00:39:06,077 --> 00:39:07,645
Maybe 8 I think.

805
00:39:07,712 --> 00:39:09,080
8.5?

806
00:39:09,146 --> 00:39:11,382
NARRATOR: The crew
while highly experienced

807
00:39:11,449 --> 00:39:14,852
lacked the correct
training to fly the Yak-42.

808
00:39:14,919 --> 00:39:16,821
The federal air
transport agency

809
00:39:16,887 --> 00:39:19,123
immediately suspends
the operating license

810
00:39:19,190 --> 00:39:21,025
of Yak Service Airlines.

811
00:39:21,092 --> 00:39:24,195
The fleet was grounded, and
Yak Service, as a company,

812
00:39:24,261 --> 00:39:25,529
was closed.

813
00:39:25,596 --> 00:39:30,534
It was the people who had
set up that disaster by not

814
00:39:30,601 --> 00:39:33,904
properly training them, by
not properly assigning them,

815
00:39:33,971 --> 00:39:37,742
and by a whole series
of regulatory failures

816
00:39:37,808 --> 00:39:43,047
and procedural failures
that set up this accident.

817
00:39:43,114 --> 00:39:44,281
NARRATOR: There
is one last thing

818
00:39:44,348 --> 00:39:49,386
investigators want to examine.

819
00:39:49,453 --> 00:39:52,189
The flight recorders
reveal a puzzling exchange

820
00:39:52,256 --> 00:39:55,126
between the captain and
first officer just seconds

821
00:39:55,192 --> 00:39:57,795
before impact.

822
00:39:57,862 --> 00:39:59,864
What are you doing?

823
00:39:59,930 --> 00:40:04,268
Full power!

824
00:40:04,335 --> 00:40:06,437
NARRATOR: The team pores
over this exchange,

825
00:40:06,504 --> 00:40:11,408
trying to make sense of it.

826
00:40:11,475 --> 00:40:12,743
What you're doing?

827
00:40:12,810 --> 00:40:15,146
Full power!

828
00:40:15,212 --> 00:40:16,981
NARRATOR: They know from
the flight data there was

829
00:40:17,047 --> 00:40:19,316
a momentary drop
in engine thrust,

830
00:40:19,383 --> 00:40:24,522
along with a brief
deflection in the elevators.

831
00:40:24,588 --> 00:40:26,524
Investigators
synchronize the data

832
00:40:26,590 --> 00:40:31,896
with the cockpit recording,
and a tragic picture emerges.

833
00:40:31,962 --> 00:40:35,533
After rolling off the runway,
the captain moves his controls

834
00:40:35,599 --> 00:40:37,868
to abort the takeoff.

835
00:40:37,935 --> 00:40:39,770
The flight engineer
follows his lead

836
00:40:39,837 --> 00:40:42,006
and decreases engine power.

837
00:40:42,072 --> 00:40:44,108
The flight engineer
thinks they have aborted,

838
00:40:44,175 --> 00:40:45,409
they are going to abort.

839
00:40:45,476 --> 00:40:49,814
He sees a clue from the action
of the pilot on the yoke

840
00:40:49,880 --> 00:40:52,283
and puts the engines
to neutral, actually

841
00:40:52,349 --> 00:40:54,618
powers down the engines.

842
00:40:54,685 --> 00:40:55,986
What are you doing?

843
00:40:56,053 --> 00:40:59,290
NARRATOR: But the first officer
disagrees, and the captain

844
00:40:59,356 --> 00:41:00,825
reverses his decision.

845
00:41:00,891 --> 00:41:02,693
Full power!

846
00:41:02,760 --> 00:41:04,094
NARRATOR: He
orders the engineer

847
00:41:04,161 --> 00:41:07,832
to put the engines back at full
power and tries to take off.

848
00:41:07,898 --> 00:41:09,466
Running a safe
cockpit requires there

849
00:41:09,533 --> 00:41:11,001
to be a distinct
chain of command,

850
00:41:11,068 --> 00:41:12,603
and the captain is in charge.

851
00:41:12,670 --> 00:41:15,206
But the problem
with Yak Services

852
00:41:15,272 --> 00:41:19,376
was that the first officer was
actually, bureaucratically,

853
00:41:19,443 --> 00:41:24,081
his boss because he was the
director of flight services.

854
00:41:24,148 --> 00:41:25,749
It was their last chance.

855
00:41:25,816 --> 00:41:27,251
JAMES OBERG: Even a
momentary hesitation

856
00:41:27,318 --> 00:41:30,788
as to who's in charge
and whose word goes,

857
00:41:30,855 --> 00:41:34,658
that, in a case like
this, can be the moment,

858
00:41:34,725 --> 00:41:39,363
the split second when you might
have chosen life versus death.

859
00:41:39,430 --> 00:41:41,065
NARRATOR: Two months
after the crash,

860
00:41:41,131 --> 00:41:43,500
investigators release
an initial report

861
00:41:43,567 --> 00:41:45,469
outlining the causes.

862
00:41:45,536 --> 00:41:47,872
The pilot's inadvertent
braking is listed

863
00:41:47,938 --> 00:41:51,508
as a main factor in the crash.

864
00:41:51,575 --> 00:41:54,211
But the real blame, as the
accident investigation came

865
00:41:54,278 --> 00:41:56,113
to conclusion
properly in my mind,

866
00:41:56,180 --> 00:41:58,716
was that the people who put
the crew in that position

867
00:41:58,782 --> 00:42:00,551
were the ones to blame.

868
00:42:00,618 --> 00:42:02,152
NARRATOR: The charter
airline Yak Service

869
00:42:02,219 --> 00:42:04,822
is also severely criticized.

870
00:42:04,889 --> 00:42:06,957
The crew is doing things
that you could have predicted

871
00:42:07,024 --> 00:42:09,159
in advance they
would have done,

872
00:42:09,226 --> 00:42:11,161
and they were not doing things
you could have predicted they

873
00:42:11,228 --> 00:42:14,598
wouldn't have done because
of the nature of the crew

874
00:42:14,665 --> 00:42:17,868
training, their background,
their experience, everything

875
00:42:17,935 --> 00:42:22,306
that you could expect the pilot
to do under those conditions.

876
00:42:22,373 --> 00:42:24,074
NARRATOR: The sole
survivor of the crash,

877
00:42:24,141 --> 00:42:28,579
mechanic Alexander Sizov,
requires ongoing treatment.

878
00:42:28,646 --> 00:42:35,619
He no longer flies.

879
00:42:39,256 --> 00:42:41,759
After suffering one of the
worst tragedies in sports

880
00:42:41,825 --> 00:42:44,795
history, Lokomotiv
Yaroslavl cancels

881
00:42:44,862 --> 00:42:46,630
their entire 2011 season.

882
00:42:52,202 --> 00:42:54,972
The beauty of the Russian
hockey system, I would say,

883
00:42:55,039 --> 00:42:57,474
is that they do
have a great feeder

884
00:42:57,541 --> 00:43:00,144
program with those
younger kids coming up.

885
00:43:00,210 --> 00:43:02,813
They have a team
called Yaroslavl Two

886
00:43:02,880 --> 00:43:04,715
that is the next
generation that would

887
00:43:04,782 --> 00:43:07,151
be ready to make the step.

888
00:43:07,217 --> 00:43:08,419
NARRATOR: The next
year, the team

889
00:43:08,485 --> 00:43:10,988
makes a triumphant return.

890
00:43:11,055 --> 00:43:13,023
Once again, the
city of Yaroslavl

891
00:43:13,090 --> 00:43:16,860
has hopes of winning the cup.

892
00:43:16,927 --> 00:43:18,929
The Lokomotiv fans
would also come

893
00:43:18,996 --> 00:43:21,565
to understand the true
character of their late team

894
00:43:21,632 --> 00:43:24,668
captain, Ivan Tkachenko.

895
00:43:24,735 --> 00:43:27,037
For years, Ivan had
been anonymously

896
00:43:27,104 --> 00:43:32,142
donating millions of rubles
to seriously ill children.

897
00:43:32,209 --> 00:43:35,245
Minutes before takeoff, he
made his last donation to

898
00:43:35,312 --> 00:43:41,051
a 16-year-old cancer patient.

899
00:43:41,118 --> 00:43:44,355
For some, there's hope that the
Yaroslavl disaster will lead

900
00:43:44,421 --> 00:43:47,224
to safer air travel in Russia.

901
00:43:47,291 --> 00:43:49,126
MIKE FOUNTAIN: Through my
years of playing there,

902
00:43:49,193 --> 00:43:53,998
plane crashes were just,
oh, Mike, it's Russia.

903
00:43:54,064 --> 00:43:55,599
That was the attitude
of the players I played

904
00:43:55,666 --> 00:43:56,967
with in the organization.

905
00:43:57,034 --> 00:43:58,235
It's just Russia.

906
00:43:58,302 --> 00:44:01,138
And hopefully, unfortunately,
a tragedy like this

907
00:44:01,205 --> 00:44:04,008
can hopefully maybe
wake some people up.

908
00:44:04,074 --> 00:44:05,843
There is a push
from the government

909
00:44:05,909 --> 00:44:11,215
to clean up the industry
from the small operators that

910
00:44:11,281 --> 00:44:17,721
are not quite being controlled,
if you will, or inspected

911
00:44:17,788 --> 00:44:20,157
properly on a regular basis.

912
00:44:20,224 --> 00:44:22,493
NARRATOR: The crash
of flight 9633

913
00:44:22,559 --> 00:44:26,196
shed a harsh light on
commercial aviation in Russia.

914
00:44:26,263 --> 00:44:28,766
Many believe that
what's required now

915
00:44:28,832 --> 00:44:31,869
is a strong effort to
maintain a culture of safety

916
00:44:31,935 --> 00:44:34,972
throughout the nation's
aviation industry.

917
00:44:35,039 --> 00:44:36,940
JAMES OBERG: There's hope
we can establish control,

918
00:44:37,007 --> 00:44:39,043
but it requires
constant vigilance.

919
00:44:39,109 --> 00:44:41,879
That's not something
that procedures can fix.

920
00:44:41,945 --> 00:44:44,681
Only a cultural
change can fix it.

921
00:44:44,748 --> 00:44:47,217
And getting it, getting
that cultural change

922
00:44:47,284 --> 00:44:51,021
is devilishly difficult.
But if you don't do it,

923
00:44:51,088 --> 00:44:52,189
then you pay--

924
00:44:52,256 --> 00:44:53,257
you pay a devil's ransom.


