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NARRATOR: Dramatic video
captures a scene of chaos.

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GEOFFREY THOMAS: You've
got this trail of people

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coming away from the airplane.

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It was raw, unedited.

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NARRATOR: A crash
survivor records

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the desperate escape from the
wreckage of Garuda flight 200.

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Huge explosions going off,
big plumes of black smoke.

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NARRATOR: What sent
the Indonesian airliner

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careening off the runway?

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ALAN STRAY: We don't
deal in speculation.

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We want facts.

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There was intense
pressure to deliver.

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NARRATOR: Investigators must
accept a shocking explanation

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for the crash.

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It's very hard to understand.

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Go around,
captain, go around.

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I never heard
anything like this.

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FLIGHT ATTENDANT (ON INTERCOM):
Ladies and gentlemen,

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we are starting our approach.

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PILOT: We lost both engines.

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PILOT: Mayday!
Mayday!

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WOMAN: Brace for impact!

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MAN: I think I lost one.

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MAN: Investigation
started in traffic.

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MAN: He's gonna crash!

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NARRATOR: It's early morning on
the Indonesian island of Java.

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Garuda 200, cleared for
descent, runway zero niner.

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Surface wind is calm.

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Visibility is eight kilometers.

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NARRATOR: A Boeing 737
flies high overhead.

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Copy that.

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Runway zero niner.

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Winds calm, visibility eight
kilometers, 27,000 feet.

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27,000.

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NARRATOR: The crew
of Garuda flight 200

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is getting ready to land.

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All right, you can
go ahead and proceed

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with the landing checklist.

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COPILOT: Landing lights.

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PILOT: On.

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Approach frequencies.

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Check.

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Indonesia is made
up of 18,300 islands,

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so air travel is
incredibly important.

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Garuda is critical to the
aviation infrastructure.

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Fasten seat belt light is on.

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NARRATOR: There are 133
passengers in the cabin.

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They're nearing the
end of a short flight

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from the Indonesian
capital of Jakarta,

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265 miles Southeast of
the city of Yogyakarta.

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Most of the passengers
are Indonesian,

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but there's also a group
of Australian journalists.

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They're covering a state
visit by Australia's

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foreign minister who's
traveling on another plane.

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Relationship between
Australia and Indonesia

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are often strained.

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So whenever a minister
or a head of state

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visits that country,
there's a heightened

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interest from the media.

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And so we had a large
media contingent following.

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NARRATOR: Kyle Quinlan is
also headed to Yogyakarta.

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He's an Air Force
security officer,

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part of the foreign minister's
advanced security team.

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I was working for
34 VRP Squadron.

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They're the guys who
look after the security

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for Prime Minister,
heads of government,

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and stuff like that.

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We had to travel internally
on civilian aircraft.

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NARRATOR: The plane is about
15 minutes from touchdown.

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Speed is 320 knots.

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OK, when we're cleared,
we approach runway nine,

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course 088.

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NARRATOR: Captain
Mohammed Marwoto Komar has

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been with Garuda for 21 years.

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Approach flaps 40.

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Auto brake two.

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With air speed
approximately 141 knots,

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on landing, parking
stand to the left.

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NARRATOR: As they
near the airport,

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he briefs first
officer Gagam Rohmana

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on the first steps needed to
get their plane on the ground.

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Understood?

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Approach briefing complete.

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This was a typical day
out for these pilots.

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Captain was very experienced.

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The copilot, a little bit less
experienced but certainly just

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another day at the office.

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A short flight, easy.

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Enough slacking.

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It's time to get back at it.

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Yes, sir.

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No life like it.

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NARRATOR: For Quinlan, the
flight's been a welcome break

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from a hectic schedule.

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We just come off a 16
hour shift the night before.

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We had probably about
three hours sleep,

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and so it was kick back and
just relax and just enjoy

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this time before we
get on the ground

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and before we have to work.

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NARRATOR: The plane
is less than 15

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miles from the airport.

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Whoa, strong wind.

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NARRATOR: They hit
some slight turbulence.

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What will challenge
you in tropical latitudes

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close to the
equator is the fact

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that the weather there has
a greater exchange of heat.

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And therefore, you're going
to get more wild winds.

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And you've got to be on
your toes as a pilot.

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Garuda 200, you're cleared
to approach runway zero niner.

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Let me know when you
have the runway in sight.

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Copy that.

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NARRATOR: The
bumpy ride doesn't

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alarm the experienced captain.

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Flaps one.

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NARRATOR: He continues
with a landing approach.

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Flaps one.

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NARRATOR: And calls for
the flaps to be extended.

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Flaps increase the
wing surface area

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adding the crucial extra
lift needed at slower speeds.

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Gear down.

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Gear down.

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NARRATOR: They're now less than
3,000 feet above the runway.

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Flaps 15.

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JOHN NANCE: You're
in this position

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of taking this big
bird and putting it

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into a slow enough air speed
with enough configuration

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on flaps and landing gear
and so on that you're

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a little bit vulnerable.

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NARRATOR: As the
plane descends,

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Quinlan begins to feel uneasy.

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His Air Force training tells
him something's not right.

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When you travel on
aircraft so frequent,

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you become aware of
your surroundings.

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And, for me, it was when we
were standing and looking out

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the window and
thinking, we're not

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supposed to be at this height
for how fast we were going.

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Something's off, huh?

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Clear to land two miles out.

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NARRATOR: Quinlan
can't shake the feeling

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the plane's dropping too fast.

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When I realized
something really bad

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was going to happen, I
turned to my boss and I said,

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we're going in.

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OK then.

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KYLE QUINLAN: What can you do?

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You're stuck here.

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There's nothing that you can do
except for tighten up the seat

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belt and just hang on
and just ride this out,

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and hopefully, we make it.

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AI: Pull up.

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Whoa!
Go around, captain!

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Go around!

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AI: Pull up.

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We landed, and we bounced.

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NARRATOR: It's chaos as the
plane bounces a second time.

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KYLE QUINLAN: And I just
remember thinking, just hang

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on, hang on, bud, hang on.

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NARRATOR: Then a third impact
and the plane isn't stopping.

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We're scraping on the belly.

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I can hear the wings,
the engines, everything.

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Then probably
the biggest impact

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I've ever had on my life was
when we hit that embankment.

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NARRATOR: Emergency crews
race towards the crash site,

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but the 737 has
careened off the runway

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into a swampy rice field.

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Getting vehicles to
the site won't be easy.

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When you've got
a crash that occurs

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in the middle of an airport
where there's plenty

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of access, it's one thing.

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But when it's out
off the airport site,

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in this particular
case in a rice

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paddy, very limited
access, it gets almost

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exponentially more

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difficult.

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NARRATOR: Many passengers
are badly injured,

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and the fire is spreading fast.

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Kyle Quinlan realizes there's
no time to wait for rescue.

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KYLE QUINLAN: Once we pulled
up, I could still operate.

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And to see so many
people who were busted up

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and couldn't do anything--

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I needed to do something and
to help these people out.

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NARRATOR: Inside the burning
fuselage of Garuda flight 200,

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Kyle Quinlan
struggles to get out.

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Fire is blocking
the nearest exits.

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KYLE QUINLAN: The
whole plan is--

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there's just the
glow and the heat

187
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coming from the right
side of the aircraft.

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NARRATOR: If the
fuel tanks ignite,

189
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the plane could explode.

190
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But firefighters
can't reach the crash.

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Any time you've got
the possibility of fuel,

192
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you need fire
suppression right there

193
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right now because you've
got massive flames

194
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at 1,800 degrees.

195
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You've got a lethal situation.

196
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Give me a hand with this.

197
00:10:32,131 --> 00:10:34,000
NARRATOR: Quinlan
still can't get out.

198
00:10:35,234 --> 00:10:37,069
KYLE QUINLAN: Turn to
my left, jump across,

199
00:10:37,136 --> 00:10:39,271
grab the emergency exit
with another Indonesian guy

200
00:10:39,338 --> 00:10:43,142
and crack the emergency exit.

201
00:10:43,209 --> 00:10:45,878
NARRATOR: Passengers
scramble out of the door.

202
00:10:45,945 --> 00:10:47,546
KYLE QUINLAN: People are
climbing over each other,

203
00:10:47,613 --> 00:10:51,584
and it was a pretty wild scene.

204
00:10:53,786 --> 00:10:56,989
Sir, I've got to get
you out of here now.

205
00:10:57,056 --> 00:10:58,391
NARRATOR: Quinlan's
Sergeant Michael

206
00:10:58,457 --> 00:11:02,228
Hatton is too badly hurt to
get off the plane without help.

207
00:11:02,294 --> 00:11:04,330
KYLE QUINLAN: He was
unconscious and falling

208
00:11:04,397 --> 00:11:05,798
in and out of consciousness.

209
00:11:05,865 --> 00:11:08,634
So I carried him out,
jumped off the left wing

210
00:11:08,701 --> 00:11:10,736
tip into a rice paddy.

211
00:11:10,803 --> 00:11:14,640
And then sunk up to
knee deep in water.

212
00:11:14,707 --> 00:11:19,045
About 100 meters away from
the aircraft there's a hut.

213
00:11:19,111 --> 00:11:21,514
I just grabbed my boss
and carried him there.

214
00:11:21,580 --> 00:11:22,581
I'm all right.

215
00:11:22,648 --> 00:11:23,582
I'm all right.

216
00:11:23,649 --> 00:11:25,718
I just can't move my arm.

217
00:11:25,785 --> 00:11:26,819
You'll be all right here.

218
00:11:26,886 --> 00:11:28,087
I can see his injuries.

219
00:11:28,154 --> 00:11:29,255
They're not life threatening.

220
00:11:31,257 --> 00:11:32,591
Said look, you'll
be all right here.

221
00:11:32,658 --> 00:11:33,592
I'm coming back for you.

222
00:11:33,659 --> 00:11:36,195
You be all right.

223
00:11:36,262 --> 00:11:41,100
I'm coming back.

224
00:11:41,167 --> 00:11:43,269
Off I went and went
back to the plane.

225
00:11:44,737 --> 00:11:47,273
NARRATOR: Freelance
cameraman Wayan Suricata also

226
00:11:47,339 --> 00:11:50,342
makes his way off the plane.

227
00:11:50,409 --> 00:11:52,845
He soon begins capturing
dramatic images

228
00:11:52,912 --> 00:11:55,648
of the aftermath.

229
00:11:55,714 --> 00:11:58,050
GEOFFREY THOMAS: We've got the
cameraman gasping for breath.

230
00:11:58,117 --> 00:12:01,587
We've got him staggering
around away from the aeroplane

231
00:12:01,654 --> 00:12:02,855
filming as he went.

232
00:12:05,424 --> 00:12:07,893
And you've got this
trail of people coming

233
00:12:07,960 --> 00:12:09,528
away from the aeroplane.

234
00:12:09,595 --> 00:12:12,865
It was raw, unedited.

235
00:12:12,932 --> 00:12:15,101
And it was a real
sense of being there.

236
00:12:21,273 --> 00:12:25,010
KYLE QUINLAN: The fire and the
intensity, it was a massive.

237
00:12:25,077 --> 00:12:29,381
It was like this thing was
huge explosions going off,

238
00:12:29,448 --> 00:12:32,418
big plumes of black smoke.

239
00:12:32,485 --> 00:12:34,520
Just how the
aircraft was burning,

240
00:12:34,587 --> 00:12:36,388
it was just phenomenal.

241
00:12:36,455 --> 00:12:38,924
I've never seen
anything like it.

242
00:12:38,991 --> 00:12:40,459
NARRATOR: Back on
board the plane,

243
00:12:40,526 --> 00:12:43,429
Quinlan helps more passengers
escape a cabin that's

244
00:12:43,496 --> 00:12:45,498
fast becoming an inferno.

245
00:12:47,066 --> 00:12:48,901
KYLE QUINLAN: A lot of people
were not in a condition

246
00:12:48,968 --> 00:12:50,069
to be able to do anything.

247
00:12:50,136 --> 00:12:52,605
So I'm in a condition
where I can assist,

248
00:12:52,671 --> 00:12:53,706
I'm going to assist.

249
00:12:53,772 --> 00:12:55,975
I'm going to do the
best I can and help.

250
00:12:58,444 --> 00:13:00,045
GEOFFREY THOMAS: The
scene was one of chaos.

251
00:13:00,112 --> 00:13:02,381
On one hand, you've
got lots of officials

252
00:13:02,448 --> 00:13:04,183
not knowing what to do.

253
00:13:04,250 --> 00:13:06,385
On the other side
you've got passengers

254
00:13:06,452 --> 00:13:09,889
almost looking after themselves
and rescuing each other coming

255
00:13:09,955 --> 00:13:11,090
away from the wreck.

256
00:13:11,157 --> 00:13:12,958
You've got emergency
services who

257
00:13:13,025 --> 00:13:15,628
can't get to the aeroplane
because of the terrain,

258
00:13:15,694 --> 00:13:18,063
because of the ditches
and the rice paddies.

259
00:13:18,130 --> 00:13:22,501
It really was chaotic.

260
00:13:22,568 --> 00:13:25,571
NARRATOR: Of the 140
passengers and crew on board,

261
00:13:25,638 --> 00:13:29,008
21 people have been killed.

262
00:13:29,074 --> 00:13:31,143
GEOFFREY THOMAS: Clearly,
you knew that people were

263
00:13:31,210 --> 00:13:32,444
not going to survive this.

264
00:13:32,511 --> 00:13:34,780
It's almost a miracle
that so many did survive.

265
00:13:40,085 --> 00:13:42,922
NARRATOR: Suricata keeps
rolling as crash survivors,

266
00:13:42,988 --> 00:13:45,024
including Kyle Quinlan
and Michael Hatton,

267
00:13:45,090 --> 00:13:46,292
arrive at a nearby hospital.

268
00:13:49,562 --> 00:13:51,931
Australian Air
Force, Air Force.

269
00:13:51,997 --> 00:13:54,200
There was the stretchers
and everyone over the floor,

270
00:13:54,266 --> 00:13:55,568
you know?

271
00:13:55,634 --> 00:14:01,840
And it was just a big shock
to me, just so many people.

272
00:14:03,108 --> 00:14:05,044
NARRATOR: Within hours,
Suricata's dramatic footage

273
00:14:05,110 --> 00:14:06,645
is broadcast around the world.

274
00:14:11,016 --> 00:14:12,418
The public response
to that footage

275
00:14:12,484 --> 00:14:15,888
was overwhelming, millions and
millions of hits on YouTube.

276
00:14:15,955 --> 00:14:18,691
Television stations around
the globe picked it up,

277
00:14:18,757 --> 00:14:21,260
and it was repeated
continuously for four days

278
00:14:21,327 --> 00:14:22,261
after the crash.

279
00:14:26,365 --> 00:14:29,134
NARRATOR: At the crash site,
investigators from Indonesia's

280
00:14:29,201 --> 00:14:32,838
National Transportation
Safety Committee, or NTSC,

281
00:14:32,905 --> 00:14:35,007
faced the enormous
task of piecing

282
00:14:35,074 --> 00:14:38,344
together what went wrong.

283
00:14:38,410 --> 00:14:41,046
Aircraft debris is spread
all along the plane's

284
00:14:41,113 --> 00:14:43,649
deadly trajectory
from the runway

285
00:14:43,716 --> 00:14:46,518
to where it came to
rest in the rice field.

286
00:14:46,585 --> 00:14:49,355
JOHN NANCE: An
airplane is basically

287
00:14:49,421 --> 00:14:51,423
an aluminum egg shell.

288
00:14:51,490 --> 00:14:54,426
It is incredibly strong
when is used the way

289
00:14:54,493 --> 00:14:55,894
it's designed to be used.

290
00:14:55,961 --> 00:14:58,631
But if you skidded off
a runway at high speed,

291
00:14:58,697 --> 00:15:02,001
it's not going
to stay together.

292
00:15:02,067 --> 00:15:04,536
NARRATOR: Alan Stray of the
Australian Transport Safety

293
00:15:04,603 --> 00:15:07,740
Bureau joins the investigation.

294
00:15:07,806 --> 00:15:09,608
What do you got so far?

295
00:15:09,675 --> 00:15:12,244
We have to establish
where did it touch down?

296
00:15:12,311 --> 00:15:14,079
Were there any runway marks?

297
00:15:14,146 --> 00:15:15,080
Did it bounce?

298
00:15:15,147 --> 00:15:16,849
Did it skid?

299
00:15:16,915 --> 00:15:19,718
What are the distinguishing
features on the runway that

300
00:15:19,785 --> 00:15:23,422
may help us build a picture
of what was happening

301
00:15:23,489 --> 00:15:25,224
at the time of the accident.

302
00:15:25,291 --> 00:15:28,627
Let's get the full team
out to runway nine.

303
00:15:28,694 --> 00:15:31,163
NARRATOR: Stray knows that
the relatives of the dead

304
00:15:31,230 --> 00:15:35,267
are already demanding answers.

305
00:15:35,334 --> 00:15:36,535
GEOFFREY THOMAS:
Because there were so

306
00:15:36,602 --> 00:15:38,504
many international
people on board

307
00:15:38,570 --> 00:15:41,240
this aircraft, some
of whom had died,

308
00:15:41,307 --> 00:15:46,011
there was intense
pressure to deliver.

309
00:15:46,078 --> 00:15:47,813
NARRATOR: Investigators
search for clues

310
00:15:47,880 --> 00:15:51,617
to explain why Garuda flight
200 bounced off the runway

311
00:15:51,684 --> 00:15:52,885
and crashed.

312
00:15:52,951 --> 00:15:57,323
It looks like they
hit pretty hard.

313
00:15:57,389 --> 00:15:59,491
NARRATOR: They discovered
gouges and shattered pieces

314
00:15:59,558 --> 00:16:02,294
of landing gear on the
runway, clear signs

315
00:16:02,361 --> 00:16:08,067
that the plane slammed
down with unusual force.

316
00:16:08,133 --> 00:16:12,538
The nose wheel digging
in and fracturing

317
00:16:12,604 --> 00:16:19,111
was indicative of a very
hard G-Force on that impact.

318
00:16:20,112 --> 00:16:21,180
NARRATOR: It's also
clear the plane

319
00:16:21,246 --> 00:16:23,916
hit the runway more than once.

320
00:16:23,982 --> 00:16:25,818
More skid marks here.

321
00:16:25,884 --> 00:16:29,221
The idea of walking the
site is to establish

322
00:16:29,288 --> 00:16:31,957
a sequence of the events.

323
00:16:32,024 --> 00:16:33,559
First impact here.

324
00:16:33,625 --> 00:16:35,728
Being very careful
not to disturb

325
00:16:35,794 --> 00:16:37,396
any perishable evidence.

326
00:16:37,463 --> 00:16:44,436
So 1, 2, 3, then off
the end of the runway.

327
00:16:45,738 --> 00:16:50,109
There was a lot of questioning
and trying to establish

328
00:16:50,175 --> 00:16:55,047
why did the aircraft bounce?

329
00:16:55,114 --> 00:16:56,815
Hang on a minute.

330
00:16:56,882 --> 00:16:58,851
NARRATOR: The location
of the first skid mark

331
00:16:58,917 --> 00:17:03,021
gives investigators
a crucial lead.

332
00:17:03,088 --> 00:17:07,326
ALAN STRAY: How far are we from
the threshold of the runway?

333
00:17:07,393 --> 00:17:10,028
860 meters.

334
00:17:10,095 --> 00:17:12,264
Yikes, that's more than
a third of the runway.

335
00:17:12,331 --> 00:17:13,599
It landed long.

336
00:17:13,665 --> 00:17:16,568
It didn't touch down till
a long way into the runway.

337
00:17:16,635 --> 00:17:19,905
The distance of the
touchdown from the threshold

338
00:17:19,972 --> 00:17:25,277
raised serious questions in
the minds of the investigators.

339
00:17:25,344 --> 00:17:27,446
So it comes in long.

340
00:17:27,513 --> 00:17:32,718
He hits hard, and bounce.

341
00:17:32,785 --> 00:17:35,287
Let's gather up as much
weather data as we can.

342
00:17:35,354 --> 00:17:39,458
We're very keen to
establish was there

343
00:17:39,525 --> 00:17:42,661
a weather situation,
a wind or a downdraft,

344
00:17:42,728 --> 00:17:44,730
a strong tail wind.

345
00:17:44,797 --> 00:17:46,632
NARRATOR: Stray
suspects wind shear

346
00:17:46,698 --> 00:17:48,767
might explain what he sees.

347
00:17:48,834 --> 00:17:52,070
ALAN STRAY: Like
this and like this.

348
00:17:52,137 --> 00:17:53,605
NARRATOR: Wind
shear can produce

349
00:17:53,672 --> 00:17:56,041
violent updrafts
and downdrafts that

350
00:17:56,108 --> 00:17:58,010
are impossible to fly through.

351
00:17:58,076 --> 00:18:00,179
Close to the ground,
it can be deadly.

352
00:18:02,281 --> 00:18:04,349
JOHN NANCE: Especially in
the age of climate change,

353
00:18:04,416 --> 00:18:07,586
we've got more and more
violent winds, gust fronts,

354
00:18:07,653 --> 00:18:09,455
downdrafts, things
of this nature,

355
00:18:09,521 --> 00:18:11,824
and sometimes, microbursts.

356
00:18:11,890 --> 00:18:14,193
NARRATOR: Investigators
check with tower controllers

357
00:18:14,259 --> 00:18:15,761
to find out what
kind of weather

358
00:18:15,828 --> 00:18:18,997
the pilots were facing as they
descended toward the airport.

359
00:18:19,064 --> 00:18:21,300
Here, take a look.

360
00:18:21,366 --> 00:18:24,670
Surface winds were
completely calm.

361
00:18:24,736 --> 00:18:26,872
NARRATOR: The weather data
shows there were strong winds

362
00:18:26,939 --> 00:18:31,243
at high altitudes.

363
00:18:31,310 --> 00:18:34,079
But the winds near
the runway were calm.

364
00:18:34,146 --> 00:18:36,548
There's no sign of the kind
of downdrafts that could

365
00:18:36,615 --> 00:18:38,951
force a plane to the ground.

366
00:18:39,017 --> 00:18:42,221
That wind tapered right
off, and there was ample time

367
00:18:42,287 --> 00:18:45,557
for the crew to
establish the aircraft

368
00:18:45,624 --> 00:18:51,330
in a stabilized approach
from 1,000 feet.

369
00:18:51,396 --> 00:18:52,965
NARRATOR: Indonesian
police launch

370
00:18:53,031 --> 00:18:58,303
a criminal investigation
into the accident.

371
00:18:58,370 --> 00:19:01,373
They bring the captain
in for questioning.

372
00:19:01,440 --> 00:19:03,208
For crash
investigators, the move

373
00:19:03,275 --> 00:19:07,145
has unfortunate consequences.

374
00:19:07,212 --> 00:19:09,715
I really have
nothing more to say.

375
00:19:09,781 --> 00:19:11,083
I'm sorry.

376
00:19:11,149 --> 00:19:13,685
BRENT HAYWARD: In cases where
the investigation becomes

377
00:19:13,752 --> 00:19:15,220
criminalized, and
particularly when

378
00:19:15,287 --> 00:19:17,890
that happens early
on, if we have police

379
00:19:17,956 --> 00:19:20,492
involved or lawyers involved--

380
00:19:20,559 --> 00:19:22,594
We did everything
by the book.

381
00:19:22,661 --> 00:19:24,096
BRENT HAYWARD: --that
can intimidate people.

382
00:19:24,162 --> 00:19:27,366
And it can lead to them
not cooperating effectively

383
00:19:27,432 --> 00:19:29,535
with investigators.

384
00:19:29,601 --> 00:19:31,970
NARRATOR: With the flight
crew under criminal suspicion

385
00:19:32,037 --> 00:19:34,406
and reluctant to
talk, investigators

386
00:19:34,473 --> 00:19:38,310
must look for other leads.

387
00:19:38,377 --> 00:19:41,513
Downloading the plane's black
boxes, or flight recorders,

388
00:19:41,580 --> 00:19:44,016
is now a top priority.

389
00:19:44,082 --> 00:19:46,585
Investigators quickly recover
them from the wreckage

390
00:19:46,652 --> 00:19:48,820
and send them for analysis.

391
00:19:48,887 --> 00:19:51,523
All right, let's
get these to the lab.

392
00:19:51,590 --> 00:19:53,992
Now, the flight recorders
are vitally important.

393
00:19:54,059 --> 00:19:56,361
It's important to get
as much information

394
00:19:56,428 --> 00:19:58,530
from them, early
information, so

395
00:19:58,597 --> 00:20:03,502
that it may direct the
thrust of the investigation.

396
00:20:03,569 --> 00:20:06,338
Without that data,
we're screwed.

397
00:20:06,405 --> 00:20:07,773
NARRATOR: Meanwhile,
investigators

398
00:20:07,839 --> 00:20:10,709
focus their attention
on the crash site.

399
00:20:10,776 --> 00:20:13,045
Every detail is
a possible clue.

400
00:20:13,111 --> 00:20:16,214
What I want to know
is why they didn't stop

401
00:20:16,281 --> 00:20:18,784
at the end of this runway.

402
00:20:18,850 --> 00:20:20,586
The investigation was
initially concerned

403
00:20:20,652 --> 00:20:24,022
about the touchdown
point and the remaining

404
00:20:24,089 --> 00:20:26,925
distance on the runway.

405
00:20:26,992 --> 00:20:28,160
Is that the runway map?

406
00:20:28,226 --> 00:20:30,529
NARRATOR: They wonder
if, after coming in long,

407
00:20:30,596 --> 00:20:32,631
the plane simply didn't
have enough runway

408
00:20:32,698 --> 00:20:35,734
left to stop safely.

409
00:20:35,801 --> 00:20:37,970
JOHN NANCE: Even with a
two or three mile runway,

410
00:20:38,036 --> 00:20:40,839
you've got a finite
patch of concrete

411
00:20:40,906 --> 00:20:42,441
on which to land an airplane.

412
00:20:42,507 --> 00:20:48,513
They touched down here, 860
meters from the threshold.

413
00:20:48,580 --> 00:20:52,851
Now, that gives him just
over 1,300 meters to stop.

414
00:20:52,918 --> 00:20:54,553
NARRATOR: The
runway in Yogyakarta

415
00:20:54,620 --> 00:20:56,355
is shorter than
the runways at many

416
00:20:56,421 --> 00:20:58,490
other international airports.

417
00:20:58,557 --> 00:21:00,926
But even though the
pilots touched down late,

418
00:21:00,993 --> 00:21:03,428
Stray calculates they
still had enough room

419
00:21:03,495 --> 00:21:05,597
to stop their plane.

420
00:21:05,664 --> 00:21:08,900
He had more than
enough runway.

421
00:21:08,967 --> 00:21:11,937
The length of the runway
was completely adequate

422
00:21:12,004 --> 00:21:15,540
for a Boeing 737 landing.

423
00:21:15,607 --> 00:21:18,410
NARRATOR: Investigators
need to dig deeper.

424
00:21:18,477 --> 00:21:21,113
We need to know why this
plane didn't slow down

425
00:21:21,179 --> 00:21:23,248
once it was on the ground.

426
00:21:23,315 --> 00:21:26,985
I want to take a close
look at everything.

427
00:21:27,052 --> 00:21:28,920
NARRATOR: They begin
a painstaking analysis

428
00:21:28,987 --> 00:21:32,958
of the major mechanical
systems on the 737,

429
00:21:33,025 --> 00:21:35,694
especially those designed
to help the plane slow down

430
00:21:35,761 --> 00:21:39,264
and stop on landing,
brakes, spoilers,

431
00:21:39,331 --> 00:21:42,200
and thrust reversers.

432
00:21:42,267 --> 00:21:44,569
ALAN STRAY: Was there
a mechanical failure?

433
00:21:44,636 --> 00:21:47,339
Looking at the performance
of the aircraft,

434
00:21:47,406 --> 00:21:52,711
was it physically possible
for the aircraft to stop?

435
00:21:52,778 --> 00:21:54,479
NARRATOR: The careful
analysis of the plane's

436
00:21:54,546 --> 00:21:58,450
mechanical systems provides
a potential breakthrough.

437
00:21:58,517 --> 00:22:03,955
I think we got
something here.

438
00:22:07,893 --> 00:22:09,194
NARRATOR: A review
of the maintenance

439
00:22:09,261 --> 00:22:14,266
log for Garuda flight 200
turns up an intriguing lead.

440
00:22:14,332 --> 00:22:16,435
ALAN STRAY: There had been
a write up on a couple

441
00:22:16,501 --> 00:22:18,804
of occasions of thrust
reversal failure

442
00:22:18,870 --> 00:22:20,038
on one thrust reverser.

443
00:22:21,339 --> 00:22:23,008
NARRATOR: The thrust
reversers redirect

444
00:22:23,075 --> 00:22:25,544
the jet's engine exhaust
forward to help the plane

445
00:22:25,610 --> 00:22:26,545
slow down on the runway.

446
00:22:28,747 --> 00:22:29,848
JOHN NANCE: You've
got to remember,

447
00:22:29,915 --> 00:22:31,083
it's not just a
matter of kissing

448
00:22:31,149 --> 00:22:32,317
the wheels onto the ground.

449
00:22:32,384 --> 00:22:34,686
It's a matter of dissipating
a tremendous amount

450
00:22:34,753 --> 00:22:37,022
of energy, a tremendous
amount of kinetic energy.

451
00:22:37,089 --> 00:22:38,023
How do you do that?

452
00:22:38,090 --> 00:22:39,224
Well, you do it
with the friction

453
00:22:39,291 --> 00:22:40,625
between the tires
and the runway,

454
00:22:40,692 --> 00:22:41,993
hopefully, using antiskid.

455
00:22:42,060 --> 00:22:43,028
You do it with reverse thrust.

456
00:22:44,096 --> 00:22:45,997
AI: Pull up.

457
00:22:48,066 --> 00:22:49,968
We're not stopping!

458
00:22:50,035 --> 00:22:51,436
No thrust reverser.

459
00:22:54,372 --> 00:22:57,042
NARRATOR: Investigators wonder
if a malfunctioning thrust

460
00:22:57,109 --> 00:22:59,745
reverser explains why
the crew couldn't stop

461
00:22:59,811 --> 00:23:01,713
before they ran out of runway.

462
00:23:01,780 --> 00:23:02,981
Full brakes!

463
00:23:03,048 --> 00:23:05,417
But at the end of the
day, you still have

464
00:23:05,484 --> 00:23:07,285
to dissipate all that energy.

465
00:23:07,352 --> 00:23:08,787
And if you don't have
enough room to do it,

466
00:23:08,854 --> 00:23:10,021
you're off the end.

467
00:23:17,496 --> 00:23:19,431
NARRATOR: But it's
another dead end.

468
00:23:19,498 --> 00:23:21,133
According to the
maintenance records,

469
00:23:21,199 --> 00:23:23,101
the faulty thrust
reverser was repaired

470
00:23:23,168 --> 00:23:26,004
before flight 200 took off.

471
00:23:26,071 --> 00:23:29,508
Looks like they fixed it.

472
00:23:29,574 --> 00:23:32,911
That had been rectified
prior to this flight

473
00:23:32,978 --> 00:23:34,579
departing from Jakarta.

474
00:23:34,646 --> 00:23:41,653
And so there was no paperwork
evidence of a failure.

475
00:23:45,423 --> 00:23:47,459
NARRATOR: Investigators are
going to need another lead.

476
00:23:47,526 --> 00:23:50,295
NARRATOR:

477
00:23:50,362 --> 00:23:52,831
We don't deal in speculation.

478
00:23:52,898 --> 00:23:53,832
We want facts.

479
00:23:55,667 --> 00:23:59,571
NARRATOR: The facts
so far are limited.

480
00:23:59,638 --> 00:24:02,440
The 737 careened
into a rice field

481
00:24:02,507 --> 00:24:04,776
after slamming to the
ground almost a third

482
00:24:04,843 --> 00:24:06,178
of the way down the runway.

483
00:24:09,314 --> 00:24:12,083
The question is, why?

484
00:24:12,150 --> 00:24:15,220
Was the plane
configured properly?

485
00:24:15,287 --> 00:24:17,722
Perhaps there was something
wrong with the wing flaps

486
00:24:17,789 --> 00:24:20,425
pilots rely on for landing.

487
00:24:20,492 --> 00:24:24,396
The flap system on a
modern jetliner like a 737

488
00:24:24,462 --> 00:24:26,731
create greater
lift, and that means

489
00:24:26,798 --> 00:24:28,133
that we can approach
an airport or we

490
00:24:28,200 --> 00:24:29,801
can take off from an
airport with a much

491
00:24:29,868 --> 00:24:31,570
lower and safer airspeed.

492
00:24:33,138 --> 00:24:36,308
NARRATOR: The team scrutinizes
the mechanical rods or screw

493
00:24:36,374 --> 00:24:39,411
jacks that move the flaps.

494
00:24:39,477 --> 00:24:41,346
ALAN STRAY: We needed to
look at the flap setting.

495
00:24:41,413 --> 00:24:47,419
What flap setting can we
establish from the wreckage?

496
00:24:47,485 --> 00:24:51,923
We measured the screw jack
extension to establish

497
00:24:51,990 --> 00:24:54,860
what the flap setting was.

498
00:24:54,926 --> 00:24:57,863
NARRATOR: What they
find is astonishing.

499
00:24:57,929 --> 00:25:00,098
It doesn't look like the
flaps are all the way out.

500
00:25:00,165 --> 00:25:01,700
NARRATOR: The screw
jacks show a flap

501
00:25:01,766 --> 00:25:04,269
setting of just five
degrees, not nearly

502
00:25:04,336 --> 00:25:06,371
enough for a safe landing.

503
00:25:06,438 --> 00:25:07,772
ALAN STRAY: We just
could not believe

504
00:25:07,839 --> 00:25:12,110
that the aircraft would have
landed with only five degrees.

505
00:25:12,177 --> 00:25:14,145
NARRATOR: To provide
enough lift on landing,

506
00:25:14,212 --> 00:25:17,449
the flaps of a 737 are
usually extended step

507
00:25:17,515 --> 00:25:20,585
by step from zero all
the way to 40 degrees

508
00:25:20,652 --> 00:25:25,390
as the plane slows and
descends towards the runway.

509
00:25:25,457 --> 00:25:29,261
It's hard to overstate the
value of the flap systems

510
00:25:29,327 --> 00:25:31,796
on a modern jetliner.

511
00:25:31,863 --> 00:25:34,132
NARRATOR: Investigators
aren't sure how the flaps

512
00:25:34,199 --> 00:25:36,835
ended up at only five degrees.

513
00:25:36,902 --> 00:25:39,371
The flap mechanism was
damaged in the crash

514
00:25:39,437 --> 00:25:42,474
and may have moved on impact.

515
00:25:42,540 --> 00:25:44,743
To be certain of how
the flaps were set,

516
00:25:44,809 --> 00:25:47,646
they need to know what's
on the flight recorders.

517
00:25:47,712 --> 00:25:50,181
We need that data
from the black boxes.

518
00:25:54,085 --> 00:25:57,889
NARRATOR: Some of that
data is proving elusive.

519
00:25:57,956 --> 00:26:00,592
Australian technicians have
been unable to download

520
00:26:00,659 --> 00:26:02,260
the cockpit voice recording.

521
00:26:02,327 --> 00:26:04,062
It's a huge blow.

522
00:26:04,129 --> 00:26:06,564
BRENT HAYWARD: If you don't
have access to the CVR,

523
00:26:06,631 --> 00:26:10,502
for whatever reason, then it's
very difficult to understand

524
00:26:10,568 --> 00:26:13,104
what went on in the cockpit.

525
00:26:13,171 --> 00:26:15,407
NARRATOR: Desperate to
hear what's on the device,

526
00:26:15,473 --> 00:26:18,209
investigators send it
to the US manufacturer

527
00:26:18,276 --> 00:26:21,746
hoping experts there can
recover the recording.

528
00:26:21,813 --> 00:26:24,749
ALAN STRAY: So steps
were taken to hand carry

529
00:26:24,816 --> 00:26:28,253
the recorder to the
factory so that the data

530
00:26:28,320 --> 00:26:30,822
could be downloaded.

531
00:26:30,889 --> 00:26:32,357
NARRATOR: Crash
investigators are having

532
00:26:32,424 --> 00:26:34,326
better luck with the
second black box,

533
00:26:34,392 --> 00:26:37,128
the flight data recorder.

534
00:26:37,195 --> 00:26:40,832
They've managed to download
all of its stored information.

535
00:26:40,899 --> 00:26:42,400
ALAN STRAY: We were
able to get information

536
00:26:42,467 --> 00:26:45,103
about the flaps settings,
the speed on the approach,

537
00:26:45,170 --> 00:26:49,474
the thrust reverser deployment,
the dynamics of the approach

538
00:26:49,541 --> 00:26:51,543
and landing itself.

539
00:26:51,609 --> 00:26:53,945
NARRATOR: The data
reveals the 737

540
00:26:54,012 --> 00:26:56,681
was coming in for its
landing blazingly fast.

541
00:26:56,748 --> 00:26:58,116
AI: Pull up.
- Too low.

542
00:26:58,183 --> 00:26:59,417
Terrain.

543
00:26:59,484 --> 00:27:01,052
NARRATOR: Flight
200 hit the ground

544
00:27:01,119 --> 00:27:03,321
at over 250 miles an hour--

545
00:27:04,622 --> 00:27:07,692
--more than 100 miles an
hour faster than normal.

546
00:27:07,759 --> 00:27:08,960
We're not stopping!

547
00:27:09,027 --> 00:27:10,395
JOHN NANCE: This is
a ridiculous amount

548
00:27:10,462 --> 00:27:13,798
of speed to approach an airport
with the intent of landing.

549
00:27:15,100 --> 00:27:16,968
NARRATOR: The plane's
speed at impact

550
00:27:17,035 --> 00:27:19,871
is so fast it bounces
twice before skidding

551
00:27:19,938 --> 00:27:20,872
into the rice field.

552
00:27:23,575 --> 00:27:27,112
ALAN STRAY: The speed of
the aircraft on short final

553
00:27:27,178 --> 00:27:33,351
and on touchdown is
so excessive there was

554
00:27:33,418 --> 00:27:34,352
no way it was going to stop.

555
00:27:36,521 --> 00:27:37,789
NARRATOR: But why
did the pilots

556
00:27:37,856 --> 00:27:39,657
touch down on the
runway at such

557
00:27:39,724 --> 00:27:42,727
a catastrophically high speed?

558
00:27:44,195 --> 00:27:45,530
Pull up the data
for the flaps.

559
00:27:45,597 --> 00:27:48,533
Would you, please?

560
00:27:48,600 --> 00:27:55,040
There, the flaps were
set for five degrees.

561
00:27:55,106 --> 00:27:58,676
Never more than five degrees.

562
00:27:58,743 --> 00:28:00,712
NARRATOR: The data confirms
what the screw jack

563
00:28:00,779 --> 00:28:02,847
suggested to investigators.

564
00:28:02,914 --> 00:28:05,483
The flaps on flight
200's wings were

565
00:28:05,550 --> 00:28:10,121
in a bizarre position, one that
is never used during landing.

566
00:28:10,188 --> 00:28:13,425
It's not operational
procedure to land with flaps

567
00:28:13,491 --> 00:28:17,562
five unless there
is a jammed flap

568
00:28:17,629 --> 00:28:19,864
and it cannot be extended.

569
00:28:19,931 --> 00:28:21,966
NARRATOR: Investigators
are left with an alarming

570
00:28:22,033 --> 00:28:25,470
possibility, that the plane
crashed because the pilots

571
00:28:25,537 --> 00:28:28,306
touched down without performing
one of the most critical

572
00:28:28,373 --> 00:28:31,309
steps needed for any landing.

573
00:28:31,376 --> 00:28:34,012
To hear an airplane that
has been in an accident

574
00:28:34,079 --> 00:28:35,847
because of
overrunning the runway

575
00:28:35,914 --> 00:28:40,718
had a flap setting of only five
in a 737 is very disturbing.

576
00:28:40,785 --> 00:28:42,754
NARRATOR: Why the crew
failed to set their flaps

577
00:28:42,821 --> 00:28:45,056
properly remains a
troubling question.

578
00:28:47,926 --> 00:28:51,262
Meanwhile, media reports
erode public confidence

579
00:28:51,329 --> 00:28:54,899
in Garuda Indonesia airways.

580
00:28:54,966 --> 00:28:57,635
The accident
affected, negatively,

581
00:28:57,702 --> 00:28:59,571
Garuda's reputation,
but they had had

582
00:28:59,637 --> 00:29:02,340
other problems in the past.

583
00:29:02,407 --> 00:29:05,677
NARRATOR: In 2002,
Garuda flight 421

584
00:29:05,743 --> 00:29:07,846
was forced to ditch
in a small river

585
00:29:07,912 --> 00:29:09,581
after both engines flamed out.

586
00:29:11,616 --> 00:29:17,055
And in 1997, Garuda flight 152
slammed into a ravine killing

587
00:29:17,122 --> 00:29:20,558
all 234 people on board.

588
00:29:20,625 --> 00:29:25,296
Garuda's record at that stage
was just a series of accidents

589
00:29:25,363 --> 00:29:28,967
and incidents
with large numbers

590
00:29:29,033 --> 00:29:32,237
of people losing their lives.

591
00:29:32,303 --> 00:29:34,339
NARRATOR: In the wake
of this latest disaster,

592
00:29:34,405 --> 00:29:37,142
Garuda is banned from
landing at any airport

593
00:29:37,208 --> 00:29:38,176
in the European Union.

594
00:29:42,714 --> 00:29:44,949
The fate of Indonesia's
national airline

595
00:29:45,016 --> 00:29:47,285
could be at stake
if investigators

596
00:29:47,352 --> 00:29:50,155
can't figure out what went
wrong on board Garuda

597
00:29:50,221 --> 00:29:57,462
flight 200.

598
00:29:59,864 --> 00:30:01,099
Finally.

599
00:30:01,166 --> 00:30:03,668
NARRATOR: After a painstaking
data recovery process,

600
00:30:03,735 --> 00:30:05,670
investigators can
finally listen

601
00:30:05,737 --> 00:30:09,574
to the cockpit voice recording
from Garuda flight 200.

602
00:30:09,641 --> 00:30:12,143
ALAN STRAY: Fortunately,
the recorder specialists

603
00:30:12,210 --> 00:30:15,180
at the laboratories
are a tenacious breed,

604
00:30:15,246 --> 00:30:17,682
and they do not give up easily.

605
00:30:17,749 --> 00:30:19,217
NARRATOR: But while
the sounds captured

606
00:30:19,284 --> 00:30:22,387
in the cockpit shed light
on the decisions and actions

607
00:30:22,453 --> 00:30:24,589
of the flight crew?

608
00:30:24,656 --> 00:30:29,093
OK, let's hear it.

609
00:30:29,160 --> 00:30:30,862
PILOT (ON RECORDING): When
we're cleared, we approach

610
00:30:30,929 --> 00:30:33,631
runway nine, course 088.

611
00:30:33,698 --> 00:30:36,267
NARRATOR: Investigators
listen as the crew discusses

612
00:30:36,334 --> 00:30:37,502
their plans for landing.

613
00:30:37,569 --> 00:30:38,903
BRENT HAYWARD:
What you're doing

614
00:30:38,970 --> 00:30:42,507
is listening for the atmosphere
and the tone, the ambience,

615
00:30:42,574 --> 00:30:44,943
if you like, in the cockpit.

616
00:30:45,009 --> 00:30:47,879
Approach flaps
40, auto brake two,

617
00:30:47,946 --> 00:30:51,349
with air speed
approximately 141 knots.

618
00:30:51,416 --> 00:30:55,687
On landing, park in
the stand to the left.

619
00:30:55,753 --> 00:30:58,389
Now, they know
they need 40 to land,

620
00:30:58,456 --> 00:31:00,825
but they only get five.

621
00:31:00,892 --> 00:31:03,761
What's going on?

622
00:31:03,828 --> 00:31:04,996
Approach briefing complete.

623
00:31:08,733 --> 00:31:11,169
NARRATOR: At first, there's
no sign the crew is worried.

624
00:31:11,236 --> 00:31:13,238
PILOT (ON RECORDING):

625
00:31:13,304 --> 00:31:16,274
The captain certainly
doesn't sound stressed.

626
00:31:16,341 --> 00:31:20,845
NARRATOR: Then, the first hint
that something is going wrong.

627
00:31:20,912 --> 00:31:22,847
Looks like we're not going
to hit the glide slope.

628
00:31:22,914 --> 00:31:24,949
NARRATOR: The plane is
too high for this distance

629
00:31:25,016 --> 00:31:26,618
from the airport.

630
00:31:26,684 --> 00:31:27,752
Better get down
a little faster.

631
00:31:34,125 --> 00:31:35,727
NARRATOR: To land
smoothly, planes

632
00:31:35,793 --> 00:31:37,962
need to lose enough
speed and altitude

633
00:31:38,029 --> 00:31:42,367
to descend gradually and meet
the runway at a shallow angle.

634
00:31:44,802 --> 00:31:48,072
Flight 200 is much too high.

635
00:31:48,139 --> 00:31:54,012
OK, he's a bit behind, but
it shouldn't be a problem yet.

636
00:31:54,078 --> 00:31:56,681
NARRATOR: Stray compares
the descent of flight 200

637
00:31:56,748 --> 00:32:00,785
with the flight path they
should have been flying.

638
00:32:00,852 --> 00:32:02,987
It is not unusual
to be a little behind

639
00:32:03,054 --> 00:32:04,956
in terms of slowing
down and especially

640
00:32:05,023 --> 00:32:06,124
in terms of descending.

641
00:32:06,190 --> 00:32:08,326
And sometimes, you find
yourself high and fast,

642
00:32:08,393 --> 00:32:10,595
and you've got to
make a decision.

643
00:32:10,662 --> 00:32:12,430
He definitely
has some work to do

644
00:32:12,497 --> 00:32:14,232
if he hopes to get on track.

645
00:32:14,299 --> 00:32:18,102
Check speed, flaps 15.

646
00:32:18,169 --> 00:32:21,506
Flaps five.

647
00:32:21,572 --> 00:32:24,642
Captain is calling
for flaps 15.

648
00:32:24,709 --> 00:32:27,011
Why is he saying flaps five?

649
00:32:27,078 --> 00:32:28,279
Flaps 15.

650
00:32:28,346 --> 00:32:31,049
NARRATOR: Something is
very wrong in this cockpit.

651
00:32:31,115 --> 00:32:33,084
Check speed, flaps 15.

652
00:32:33,151 --> 00:32:34,519
NARRATOR: The
captain repeatedly

653
00:32:34,585 --> 00:32:36,387
tells the first
officer to increase

654
00:32:36,454 --> 00:32:38,323
the flaps to 15 degrees.

655
00:32:38,389 --> 00:32:42,760
But the first officer never
moves them past five degrees.

656
00:32:42,827 --> 00:32:43,761
Flaps 15.

657
00:32:47,398 --> 00:32:50,702
It's like they're not
even in the same cockpit.

658
00:32:50,768 --> 00:32:53,771
NARRATOR: Landing demands
precise crew coordination.

659
00:32:53,838 --> 00:32:55,940
But as they speed
towards the runway,

660
00:32:56,007 --> 00:32:57,742
the captain and
his first officer

661
00:32:57,809 --> 00:33:00,445
seem to be ignoring each other.

662
00:33:00,511 --> 00:33:02,146
There's a lot of
evidence that this crew

663
00:33:02,213 --> 00:33:03,181
was not thinking it through.

664
00:33:03,247 --> 00:33:04,749
They weren't
situationally aware.

665
00:33:04,816 --> 00:33:05,750
They weren't communicating.

666
00:33:10,722 --> 00:33:13,891
OK, first things first.

667
00:33:13,958 --> 00:33:16,327
Why did the first officer
ignore the captain

668
00:33:16,394 --> 00:33:18,629
and leave the plane
at flaps five?

669
00:33:18,696 --> 00:33:19,997
JOHN NANCE: It's
very perplexing.

670
00:33:20,064 --> 00:33:22,767
If you've got professional
pilots, we can make mistakes.

671
00:33:22,834 --> 00:33:25,269
But usually, that's why we've
got two people up there so

672
00:33:25,336 --> 00:33:26,537
one catches the other.

673
00:33:26,604 --> 00:33:27,538
AI: Pull up!

674
00:33:29,507 --> 00:33:32,543
NARRATOR: Investigators suspect
the high speed at landing

675
00:33:32,610 --> 00:33:34,912
explains the first
officer's decision not

676
00:33:34,979 --> 00:33:37,715
to increase the flap setting.

677
00:33:37,782 --> 00:33:41,886
Way too fast for flaps 15.

678
00:33:41,953 --> 00:33:44,689
NARRATOR: Flaps can be
damaged by excessive drag.

679
00:33:44,756 --> 00:33:47,358
And when the captain
calls for flaps 15,

680
00:33:47,425 --> 00:33:50,995
the plane is speeding at
over 250 miles an hour,

681
00:33:51,062 --> 00:33:55,032
much too fast to safely
extend the flaps any further.

682
00:33:55,099 --> 00:33:56,033
Flaps 15.

683
00:33:59,237 --> 00:34:01,806
NARRATOR: The plane is moving
so quickly that wind drag

684
00:34:01,873 --> 00:34:03,908
could tear the flaps
right off the wings

685
00:34:03,975 --> 00:34:06,844
if the flaps are extended
past five degrees.

686
00:34:09,213 --> 00:34:12,250
I can very well understand
why the first officer did not

687
00:34:12,316 --> 00:34:14,285
comply on going to flaps 15.

688
00:34:14,352 --> 00:34:17,889
They're grossly over
speeding flaps five.

689
00:34:17,955 --> 00:34:19,957
The first officer was
exactly right in not

690
00:34:20,024 --> 00:34:21,692
putting them down.

691
00:34:21,759 --> 00:34:26,097
All right, they were moving
too fast to deploy the flaps.

692
00:34:26,164 --> 00:34:29,133
But why didn't the first
officer say something,

693
00:34:29,200 --> 00:34:32,737
tell the captain to slow down?

694
00:34:32,804 --> 00:34:35,506
One of the issues was
that he didn't communicate

695
00:34:35,573 --> 00:34:38,643
his reasoning for
not responding

696
00:34:38,709 --> 00:34:41,512
to those commands for flap 15.

697
00:34:41,579 --> 00:34:44,582
He didn't communicate
that to the captain.

698
00:34:44,649 --> 00:34:47,285
When you take a pristine
Monday morning quarterback,

699
00:34:47,351 --> 00:34:49,053
look at this,
regardless of airline,

700
00:34:49,120 --> 00:34:50,755
regardless of culture,
it's very clear

701
00:34:50,822 --> 00:34:52,723
that the copilot should
have said, captain,

702
00:34:52,790 --> 00:34:53,958
I got the airplane.

703
00:34:54,025 --> 00:34:56,761
But what it tells me here
is that this co-pilot

704
00:34:56,828 --> 00:34:59,397
did not feel that he could
speak up one way or another.

705
00:35:00,832 --> 00:35:03,768
NARRATOR: Even more bizarre,
why didn't the captain react

706
00:35:03,835 --> 00:35:06,170
to the loud alarm
sounding in the cockpit

707
00:35:06,237 --> 00:35:07,505
just moments before
the first impact?

708
00:35:07,572 --> 00:35:08,739
- Go around, captain!

709
00:35:08,806 --> 00:35:09,707
Go around!

710
00:35:10,842 --> 00:35:11,809
AI: Pull up.

711
00:35:11,876 --> 00:35:13,211
Landing checklist
completed, right?

712
00:35:13,277 --> 00:35:14,212
AI: Pull up.

713
00:35:14,278 --> 00:35:15,680
Too low.
Terrain.

714
00:35:15,746 --> 00:35:17,582
Pull up.

715
00:35:17,648 --> 00:35:20,384
It's a tough one to ignore.

716
00:35:20,451 --> 00:35:22,086
There's nothing
subtle about it.

717
00:35:22,153 --> 00:35:23,654
NARRATOR: The ground
proximity warning

718
00:35:23,721 --> 00:35:25,923
is a clear signal
to a pilot that he's

719
00:35:25,990 --> 00:35:26,924
flying dangerously low.

720
00:35:27,992 --> 00:35:29,026
AI: Airspeed low.

721
00:35:29,093 --> 00:35:31,963
There were 15 ground
proximity alerts

722
00:35:32,029 --> 00:35:35,633
and warnings during that
final stage of the approach.

723
00:35:35,700 --> 00:35:38,236
When a crew member
hears that, there

724
00:35:38,302 --> 00:35:39,670
should be instant action.

725
00:35:39,737 --> 00:35:41,172
AI: Pull up.

726
00:35:41,239 --> 00:35:42,974
NARRATOR: Instead of
aborting the landing,

727
00:35:43,040 --> 00:35:46,611
the captain does something
that baffles investigators.

728
00:35:46,677 --> 00:35:47,745
Go round, captain!

729
00:35:47,812 --> 00:35:48,746
Go around!

730
00:35:50,014 --> 00:35:51,883
Landing checklist
completed, right?

731
00:35:51,949 --> 00:35:54,252
NARRATOR: He asks the first
officer if the landing

732
00:35:54,318 --> 00:35:56,621
checklist is complete.

733
00:35:56,687 --> 00:35:58,723
Landing checklist?

734
00:35:58,789 --> 00:36:00,091
I never heard
anything like this.

735
00:36:01,158 --> 00:36:02,727
AI: Pull up.

736
00:36:02,793 --> 00:36:05,863
When the copilot called
for the captain to go around

737
00:36:05,930 --> 00:36:09,033
and the captain responded
landing checklist complete,

738
00:36:09,100 --> 00:36:13,604
it was just something that
we could not understand.

739
00:36:13,671 --> 00:36:15,039
I was appalled.

740
00:36:15,106 --> 00:36:17,441
This was industry
worst practice

741
00:36:17,508 --> 00:36:21,946
for crew resource management,
a pilot ignoring 15 warnings?

742
00:36:22,013 --> 00:36:25,349
Ignoring two pleas by
a copilot to go around,

743
00:36:25,416 --> 00:36:28,419
and landing 79 knots too fast?

744
00:36:28,486 --> 00:36:29,420
This was atrocious.

745
00:36:31,055 --> 00:36:32,590
NARRATOR: For
investigators, the question

746
00:36:32,657 --> 00:36:35,059
remains, why did
the crew continue

747
00:36:35,126 --> 00:36:37,662
with the landing that was
clearly heading for disaster?

748
00:36:42,099 --> 00:36:45,002
Personnel files reveal
both Garuda pilots are

749
00:36:45,069 --> 00:36:48,773
fully licensed and certified.

750
00:36:48,839 --> 00:36:53,544
The captain, in particular,
has many years of experience.

751
00:36:53,611 --> 00:36:55,947
But his dangerously
fast landing attempt

752
00:36:56,013 --> 00:36:58,215
and the poor communication
in the cockpit

753
00:36:58,282 --> 00:37:00,651
lead investigators to
question the quality

754
00:37:00,718 --> 00:37:03,621
of the crew's training.

755
00:37:03,688 --> 00:37:07,658
There was a much deeper
look at what training

756
00:37:07,725 --> 00:37:11,596
had been provided to the crew.

757
00:37:11,662 --> 00:37:15,566
Weak situational
awareness and coordination,

758
00:37:15,633 --> 00:37:20,004
poor communication,
unstabilized approaches.

759
00:37:20,071 --> 00:37:23,074
NARRATOR: A review of training
records for the entire airline

760
00:37:23,140 --> 00:37:25,943
uncovers a disturbing detail.

761
00:37:26,010 --> 00:37:28,779
This is not the first
Garuda crew to have problems

762
00:37:28,846 --> 00:37:31,549
with a routine landing.

763
00:37:31,616 --> 00:37:36,854
We noted that in 2001 an
analysis had been conducted,

764
00:37:36,921 --> 00:37:40,024
and there was a
number of instances

765
00:37:40,091 --> 00:37:45,429
of unstablized approaches
or fast approaches by crews.

766
00:37:45,496 --> 00:37:47,598
NARRATOR: The finding
shines new light on what

767
00:37:47,665 --> 00:37:50,334
happened in Yogyakarta.

768
00:37:50,401 --> 00:37:53,571
Investigators may finally
be zeroing in on the cause

769
00:37:53,638 --> 00:38:01,379
of the Garuda 200 disaster.

770
00:38:01,445 --> 00:38:02,780
Play that last
bit again for me.

771
00:38:02,847 --> 00:38:04,015
Would you, please?

772
00:38:04,081 --> 00:38:06,017
NARRATOR: Investigators
believe Garuda's

773
00:38:06,083 --> 00:38:08,719
poor training record helps
explain the deadly landing

774
00:38:08,786 --> 00:38:09,720
in Yogyakarta.

775
00:38:11,222 --> 00:38:13,624
AI: Pull up.

776
00:38:13,691 --> 00:38:15,559
NARRATOR: High-quality
training for pilots

777
00:38:15,626 --> 00:38:17,828
is absolutely
critical, especially

778
00:38:17,895 --> 00:38:19,030
when they face a crisis.

779
00:38:19,096 --> 00:38:20,164
AI: Pull up.

780
00:38:20,231 --> 00:38:21,599
NARRATOR: It's one of
the few things that

781
00:38:21,666 --> 00:38:24,435
can help a pilot avoid
a strange psychological

782
00:38:24,502 --> 00:38:27,738
phenomenon known as fixation.

783
00:38:27,805 --> 00:38:34,111
Fixation is when we are
focused on completing a task

784
00:38:34,178 --> 00:38:35,980
to the exclusion
of other things

785
00:38:36,047 --> 00:38:38,115
that may be going on around us.

786
00:38:38,182 --> 00:38:42,019
JOHN NANCE: When you see
people as egregiously ignoring

787
00:38:42,086 --> 00:38:44,055
all the warnings
and the systems

788
00:38:44,121 --> 00:38:47,124
and the bells and the air
speed and everything else here,

789
00:38:47,191 --> 00:38:48,659
you've got people
who are fixated.

790
00:38:48,726 --> 00:38:49,760
AI: Pull up.

791
00:38:49,827 --> 00:38:51,762
Nothing was getting
through to this guy.

792
00:38:51,829 --> 00:38:54,365
NARRATOR: Investigators
theorize that the captain was

793
00:38:54,432 --> 00:38:57,468
so fixated on descending
to the proper altitude

794
00:38:57,535 --> 00:38:59,770
that he didn't
notice his speed.

795
00:38:59,837 --> 00:39:01,939
And even when the
alarm sounded,

796
00:39:02,006 --> 00:39:05,076
he failed to realize that his
plane was in grave danger.

797
00:39:07,111 --> 00:39:08,312
JOHN NANCE: It's
hard to imagine

798
00:39:08,379 --> 00:39:10,047
how somebody could
get to that point,

799
00:39:10,114 --> 00:39:11,682
but we have a lot of flaws.

800
00:39:11,749 --> 00:39:14,919
And part of the flaw in the
case of a pilot fixating

801
00:39:14,985 --> 00:39:17,688
on a runway is that he
or she can blank out

802
00:39:17,755 --> 00:39:19,957
the rest of the advice, the
ground proximity warning

803
00:39:20,024 --> 00:39:20,958
system, everything.

804
00:39:23,027 --> 00:39:25,162
NARRATOR: Training
helps combat fixation

805
00:39:25,229 --> 00:39:28,666
by reinforcing standard
procedures designed to ensure

806
00:39:28,733 --> 00:39:31,035
pilots can break
the spell and take

807
00:39:31,102 --> 00:39:32,369
in the information they need.

808
00:39:32,436 --> 00:39:33,370
AI: Pull up.

809
00:39:35,005 --> 00:39:36,741
Go round, captain!
Go round!

810
00:39:36,807 --> 00:39:37,742
AI: Pull up.

811
00:39:41,045 --> 00:39:41,979
Go around!

812
00:39:42,046 --> 00:39:43,581
AI: Pull up.

813
00:39:43,647 --> 00:39:45,583
Landing checklist
completed, right?

814
00:39:45,649 --> 00:39:46,951
NARRATOR: Better
training might also

815
00:39:47,017 --> 00:39:48,753
have helped the first
officer overcome

816
00:39:48,819 --> 00:39:52,189
his reluctance to correct
the captain's mistake.

817
00:39:52,256 --> 00:39:54,492
JOHN NANCE: Without question,
if the captain wasn't going

818
00:39:54,558 --> 00:39:56,660
to respond by going around,
which is what he should have

819
00:39:56,727 --> 00:39:59,597
done instantly on hearing,
whoop, whoop, pull up,

820
00:39:59,663 --> 00:40:01,198
the copilot should
have said I've got

821
00:40:01,265 --> 00:40:02,399
it and done the same thing.

822
00:40:08,072 --> 00:40:10,775
NARRATOR: Digging further
into the airlines operations,

823
00:40:10,841 --> 00:40:14,311
investigators discover another
factor that could help explain

824
00:40:14,378 --> 00:40:15,980
the disastrous landing.

825
00:40:16,046 --> 00:40:19,116
Fuel efficiency incentive?

826
00:40:19,183 --> 00:40:20,818
NARRATOR: Garuda
recently introduced

827
00:40:20,885 --> 00:40:25,055
a policy that rewards
pilots for saving fuel.

828
00:40:25,122 --> 00:40:27,992
BRENT HAYWARD: In this
case, it was a bonus

829
00:40:28,058 --> 00:40:31,562
that would be applied
if people minimized

830
00:40:31,629 --> 00:40:33,564
the fuel that they used.

831
00:40:36,634 --> 00:40:38,769
NARRATOR: Aborting a
landing and going around

832
00:40:38,836 --> 00:40:41,272
burns more fuel.

833
00:40:41,338 --> 00:40:43,140
But the captain
denies he was trying

834
00:40:43,207 --> 00:40:46,544
to save fuel at the expense
of his passenger's safety.

835
00:40:46,610 --> 00:40:50,381
He did not, at any time,
seek to excuse his actions by

836
00:40:50,447 --> 00:40:52,216
blaming the company's policy.

837
00:40:52,283 --> 00:40:53,851
JOHN NANCE: We
learned, in the 80s,

838
00:40:53,918 --> 00:40:55,953
that we had to get
inside a pilot's head.

839
00:40:56,020 --> 00:40:58,322
We had to try to figure
out what the state of mind

840
00:40:58,389 --> 00:41:00,391
was, whether he
survived or not.

841
00:41:00,457 --> 00:41:02,293
In this particular
case, the state of mind

842
00:41:02,359 --> 00:41:05,196
it has to be so bizarre
in terms of the fixation

843
00:41:05,262 --> 00:41:06,964
on getting this
airplane on the ground

844
00:41:07,031 --> 00:41:08,532
that it's really
hard to understand

845
00:41:08,599 --> 00:41:10,601
how any professional
airman could get there.

846
00:41:12,036 --> 00:41:14,672
NARRATOR: In 2008,
Captain Marwoto Komar

847
00:41:14,738 --> 00:41:18,742
faced charges and was
found guilty of negligence.

848
00:41:18,809 --> 00:41:21,545
But the conviction was
overturned on appeal

849
00:41:21,612 --> 00:41:23,914
when the Indonesian
high court ruled

850
00:41:23,981 --> 00:41:29,453
that prosecutors failed to
convincingly prove their case.

851
00:41:29,520 --> 00:41:33,190
The public reaction was
one of horror to this crash--

852
00:41:36,060 --> 00:41:38,028
--particularly as
the details came out

853
00:41:38,095 --> 00:41:40,030
about what the pilot
had been doing,

854
00:41:40,097 --> 00:41:43,901
the fact that he had
ignored 15 warnings.

855
00:41:43,968 --> 00:41:47,972
He'd ignored two pleas to
go around by the copilot.

856
00:41:48,038 --> 00:41:52,943
He was approximately 80
knots too fast on touchdown.

857
00:41:53,010 --> 00:41:57,414
These elements just
really portrayed

858
00:41:57,481 --> 00:42:00,184
this as a cowboy operation.

859
00:42:00,251 --> 00:42:01,785
NARRATOR: In their
final report,

860
00:42:01,852 --> 00:42:04,388
investigators urged
the airline to scrap

861
00:42:04,455 --> 00:42:07,224
the fuel incentive policy.

862
00:42:07,291 --> 00:42:08,959
BRENT HAYWARD: It's
just not a good idea

863
00:42:09,026 --> 00:42:13,063
to introduce a scheme
that may compromise

864
00:42:13,130 --> 00:42:16,667
safety in order to save costs.

865
00:42:16,734 --> 00:42:20,537
NARRATOR: The report also calls
for improved pilot training.

866
00:42:20,604 --> 00:42:22,106
BRENT HAYWARD: We can't
change their behavior.

867
00:42:22,172 --> 00:42:23,474
It's already happened.

868
00:42:23,540 --> 00:42:27,478
What we can do is to try to
change those conditions that

869
00:42:27,544 --> 00:42:29,747
influence their behavior so
that we can try to prevent

870
00:42:29,813 --> 00:42:31,382
this from happening again.

871
00:42:34,852 --> 00:42:37,588
NARRATOR: In the aftermath
of the Garuda 200 disaster,

872
00:42:37,655 --> 00:42:42,927
the airline overhauled its
training and safety protocols.

873
00:42:42,993 --> 00:42:45,462
The European ban on
Garuda was lifted

874
00:42:45,529 --> 00:42:46,964
two years after the crash.

875
00:42:47,031 --> 00:42:51,902
And today, it is a safer
airline than it has ever been.

876
00:42:51,969 --> 00:42:56,340
The impact this crash had
on Garuda was a watershed.

877
00:42:56,407 --> 00:42:58,909
They completely went through
the operations department,

878
00:42:58,976 --> 00:43:00,144
the flight department.

879
00:43:00,210 --> 00:43:02,680
That changed everything
about the airline.

880
00:43:02,746 --> 00:43:05,749
It went from a pariah
in the industry

881
00:43:05,816 --> 00:43:10,521
to a well-respected
airline today.

882
00:43:10,587 --> 00:43:14,325
NARRATOR: But for the survivors
of Garuda airways flight 200,

883
00:43:14,391 --> 00:43:16,527
difficult memories remain.

884
00:43:16,593 --> 00:43:19,930
It took me three days
before it caught up with me.

885
00:43:19,997 --> 00:43:21,899
The adrenaline, everything
in your body, everything

886
00:43:21,966 --> 00:43:23,300
was racing.

887
00:43:23,367 --> 00:43:26,136
And then, it would get back
up and the dust sort of thing.

888
00:43:26,203 --> 00:43:30,541
And I just broke
down in a heap.

889
00:43:30,607 --> 00:43:32,376
NARRATOR: In recognition
of his heroism,

890
00:43:32,443 --> 00:43:36,380
Quinlan is honored with one
of Australia's highest awards,

891
00:43:36,447 --> 00:43:37,982
the bravery medal.

892
00:43:38,048 --> 00:43:41,618
I was blessed that I can
still walk, I can help people.

893
00:43:41,685 --> 00:43:45,522
And I just tried to help
people as best I could.

894
00:43:45,589 --> 00:43:46,824
You always want
to do more though.

895
00:43:46,890 --> 00:43:47,825
That's the thing.

896
00:43:51,495 --> 00:43:52,830
A lot of people lost
their lives that day

897
00:43:52,896 --> 00:43:56,233
and some amazing
remarkable people.

898
00:43:56,300 --> 00:43:59,236
They'll never be forgotten,
but I hope never to see

899
00:43:59,303 --> 00:44:00,237
anything like that again.


