1
00:00:05,171 --> 00:00:06,940
No, no no no no no.

2
00:00:11,945 --> 00:00:15,048
NARRATOR: Security footage
of Flydubai Flight 981

3
00:00:15,115 --> 00:00:17,684
captures its final moments.

4
00:00:17,751 --> 00:00:19,619
Oh, it's diving hard.

5
00:00:19,686 --> 00:00:21,354
JOHN NANCE: The level of
violence of the impact

6
00:00:21,421 --> 00:00:22,889
was catastrophic.

7
00:00:22,956 --> 00:00:26,493
NARRATOR: 62 people are
killed in a fatal dive.

8
00:00:26,559 --> 00:00:29,229
Investigators soon
discover the pilots

9
00:00:29,295 --> 00:00:31,364
had aborted two landings.

10
00:00:31,431 --> 00:00:33,500
We're going around.

11
00:00:33,566 --> 00:00:34,801
PHIL DERNER: A go-around
is done just when

12
00:00:34,868 --> 00:00:36,736
conditions are not perfect.

13
00:00:36,803 --> 00:00:39,205
Did they say why they were
going around the second time?

14
00:00:39,272 --> 00:00:40,640
They just said going around.

15
00:00:40,707 --> 00:00:41,908
Check your speed.

16
00:00:43,977 --> 00:00:45,512
CONTROLLER: The next
thing I knew, the plane

17
00:00:45,578 --> 00:00:47,080
was diving towards the runway.

18
00:00:47,147 --> 00:00:49,749
Investigators needed
to find out how the two

19
00:00:49,816 --> 00:00:51,351
go-arounds were different.

20
00:00:51,418 --> 00:00:54,254
One turns to disaster.

21
00:00:54,320 --> 00:00:56,055
Why?

22
00:00:56,122 --> 00:00:57,857
PILOT (ON RADIO): Mayday!

23
00:00:57,924 --> 00:00:58,758
Mayday!

24
00:01:02,328 --> 00:01:04,330
Go up!

25
00:01:21,648 --> 00:01:24,451
NARRATOR: Flydubai
Flight 981 closes

26
00:01:24,517 --> 00:01:26,753
in on Rostov-on-Don
International

27
00:01:26,820 --> 00:01:28,621
Airport in Southwest Russia.

28
00:01:31,858 --> 00:01:36,763
Rostov tower, Skydubao
981, we're at 2,600 feet.

29
00:01:36,830 --> 00:01:40,300
2,300 feet is our
next target altitude.

30
00:01:40,366 --> 00:01:44,637
NARRATOR: 11 miles out, Captain
Aristos Sokratous and First

31
00:01:44,704 --> 00:01:49,476
Officer Alejandro Alava Cruz
prepare the Boeing 737-800

32
00:01:49,542 --> 00:01:50,844
for touchdown.

33
00:01:53,112 --> 00:01:55,215
PHIL DERNER: Both pilots had
a pretty good amount of flying

34
00:01:55,281 --> 00:01:57,817
hours in the 737, specifically.

35
00:01:57,884 --> 00:02:01,488
These were experienced pilots.

36
00:02:01,554 --> 00:02:04,491
CONTROLLER: Flight
981, Rostov Tower.

37
00:02:04,557 --> 00:02:06,659
Wind, 240 degrees.

38
00:02:06,726 --> 00:02:08,328
Gusts, 30 knots.

39
00:02:08,394 --> 00:02:12,065
You're cleared to
land on Runway 22.

40
00:02:12,131 --> 00:02:13,800
NARRATOR: The controller
reports the weather

41
00:02:13,867 --> 00:02:17,337
conditions at the airport.

42
00:02:17,403 --> 00:02:20,006
Thick clouds cover
Rostov-on-Don.

43
00:02:20,073 --> 00:02:23,142
High winds are
battering the runways.

44
00:02:23,209 --> 00:02:28,181
The weather in Rostov at
that time was pretty low

45
00:02:28,248 --> 00:02:30,917
cloud with wind gusts.

46
00:02:30,984 --> 00:02:34,854
It was typical for that
time of year for Rostov.

47
00:02:34,921 --> 00:02:38,658
If you look at the geography,
with the sea and the hills

48
00:02:38,725 --> 00:02:42,428
around it, then yes, you
can expect some challenges.

49
00:02:42,495 --> 00:02:46,432
NARRATOR: Flydubai Flight 981
departed Dubai International

50
00:02:46,499 --> 00:02:49,302
Airport at 10.37 PM.

51
00:02:49,369 --> 00:02:55,208
It's a four hour flight
Northwest to Rostov-on-Don.

52
00:02:55,275 --> 00:03:00,179
It's a bumpy ride for the
55 passengers on board.

53
00:03:00,246 --> 00:03:02,849
The flight is expected
to land in minutes.

54
00:03:06,085 --> 00:03:08,154
150 knots.

55
00:03:08,221 --> 00:03:11,558
NARRATOR: Eight miles out, the
pilots reduce speed as they

56
00:03:11,624 --> 00:03:14,727
begin the final descent.

57
00:03:14,794 --> 00:03:16,696
PHIL DERNER: On approach,
pilots know exactly

58
00:03:16,763 --> 00:03:18,031
what the airplane is doing.

59
00:03:18,097 --> 00:03:20,533
They know the conditions
that they're flying in.

60
00:03:20,600 --> 00:03:21,901
Flaps 30.

61
00:03:21,968 --> 00:03:23,570
Flaps 30.

62
00:03:23,636 --> 00:03:25,838
PHIL DERNER: They're going to
drop the flaps bit by bit, when

63
00:03:25,905 --> 00:03:27,574
to drop their landing gear.

64
00:03:27,640 --> 00:03:30,843
It's a very gradual process.

65
00:03:30,910 --> 00:03:34,314
It should be a bit bumpy and
then later it should be calm.

66
00:03:34,380 --> 00:03:36,916
NARRATOR: The pilots expect
turbulence on approach,

67
00:03:36,983 --> 00:03:42,989
but anticipate a smooth
landing, The runway

68
00:03:43,056 --> 00:03:47,260
is just four miles away,
but there's a threat ahead.

69
00:03:47,327 --> 00:03:48,227
AUTOMATED VOICE: Go around.

70
00:03:48,294 --> 00:03:50,263
Wind shear ahead.

71
00:03:50,330 --> 00:03:54,400
NARRATOR: The onboard radar
has detected dangerous winds.

72
00:03:54,467 --> 00:03:55,501
AUTOMATED VOICE:
Wind shear ahead.

73
00:03:55,568 --> 00:03:57,437
Wind shear ahead.

74
00:03:57,503 --> 00:04:01,441
NARRATOR: Wind shear is a rapid
change in direction and speed

75
00:04:01,507 --> 00:04:03,109
of wind.

76
00:04:03,176 --> 00:04:06,846
If a pilot experiences a strong
headwind that suddenly changes

77
00:04:06,913 --> 00:04:09,716
to a tailwind, the
aircraft might not

78
00:04:09,782 --> 00:04:12,452
have enough lift to remain
airborne, especially

79
00:04:12,518 --> 00:04:14,253
at low altitude.

80
00:04:14,320 --> 00:04:17,256
The wind shear alert is built
into the aircraft's avionics

81
00:04:17,323 --> 00:04:20,026
to tell you you're
going into wind currents

82
00:04:20,093 --> 00:04:21,961
that could be problematic.

83
00:04:22,028 --> 00:04:23,296
AUTOMATED VOICE:
Wind shear ahead.

84
00:04:23,363 --> 00:04:25,031
Wind shear, go-around.

85
00:04:25,098 --> 00:04:27,934
NARRATOR: Just 1,000
feet above the ground,

86
00:04:28,001 --> 00:04:30,937
landing at Rostov-on-Don
becomes too risky.

87
00:04:34,440 --> 00:04:36,309
ALEJANDRO ALAVA CRUZ:
Rostov Tower, this is 981.

88
00:04:36,376 --> 00:04:39,646
We are conducting a
go-around due to wind shear.

89
00:04:39,712 --> 00:04:41,714
NARRATOR: The pilots
abort their approach.

90
00:04:43,983 --> 00:04:46,586
Every pilot is
prepared to make

91
00:04:46,653 --> 00:04:48,488
a go-around on every approach.

92
00:04:48,554 --> 00:04:51,891
It's something that pilots do
off the top of their heads.

93
00:04:51,958 --> 00:04:54,927
There's no manual involved.

94
00:04:54,994 --> 00:04:56,896
PHIL DERNER: They have no limit
to the amount of approaches

95
00:04:56,963 --> 00:04:58,931
that they can try as long
as they have enough fuel.

96
00:04:58,998 --> 00:05:02,468
So why not go around
and just try it again?

97
00:05:02,535 --> 00:05:05,171
Flight 981, copy.

98
00:05:05,238 --> 00:05:07,674
NARRATOR: Flight
981 is one of four

99
00:05:07,740 --> 00:05:09,942
incoming flights
controllers are managing

100
00:05:10,009 --> 00:05:13,746
as high winds delay landings.

101
00:05:13,813 --> 00:05:18,351
Aeroflot 1166, be advised
Skydubai 981 reports

102
00:05:18,418 --> 00:05:20,486
wind shear on landing.

103
00:05:20,553 --> 00:05:22,188
PHIL DERNER: The air traffic
controller's workload

104
00:05:22,255 --> 00:05:24,190
was definitely increased
in this environment,

105
00:05:24,257 --> 00:05:27,527
and they have to start juggling
all of those cards in the air.

106
00:05:27,593 --> 00:05:31,864
NARRATOR: As Flight 981 climbs--

107
00:05:31,931 --> 00:05:36,836
Aeroflot 1166, you're
cleared to land on runway 22.

108
00:05:36,903 --> 00:05:39,872
NARRATOR: --an Aeroflot
flight prepares to land.

109
00:05:43,710 --> 00:05:45,778
Captain Sokratous
pays close attention

110
00:05:45,845 --> 00:05:47,814
to its communications.

111
00:05:47,880 --> 00:05:50,116
I want to see what
this guy will do.

112
00:05:50,183 --> 00:05:51,384
PHIL DERNER: The
crew, at this point,

113
00:05:51,451 --> 00:05:53,653
is hoping that the
crews of other flights

114
00:05:53,720 --> 00:05:55,121
are able to give
them some information

115
00:05:55,188 --> 00:05:56,989
that they might be able to
use to make some decisions

116
00:05:57,056 --> 00:05:58,191
about what to do next.

117
00:06:00,760 --> 00:06:04,731
NARRATOR: That flight can't
land at Rostov-on-Dov either.

118
00:06:04,797 --> 00:06:07,333
PILOT (ON RADIO): Aeroflot 1156.

119
00:06:07,400 --> 00:06:10,036
We're going around,
due to wind shear.

120
00:06:10,103 --> 00:06:12,705
NARRATOR: The Aeroflot
pilots also encounter

121
00:06:12,772 --> 00:06:15,074
wind shear on final approach.

122
00:06:15,141 --> 00:06:17,744
They're forced to abort.

123
00:06:17,810 --> 00:06:19,378
That kind of seals the deal.

124
00:06:19,445 --> 00:06:21,314
Flydubai is going to
have to either wait

125
00:06:21,380 --> 00:06:25,351
or they're going to have to
go to an alternate airport.

126
00:06:25,418 --> 00:06:28,020
NARRATOR: High over
Rostov-on-Don, passengers

127
00:06:28,087 --> 00:06:29,989
on Flight 981 are restless.

128
00:06:32,658 --> 00:06:35,194
The pilots are holding
at 15,000 feet,

129
00:06:35,261 --> 00:06:38,498
circling near the airport,
waiting for a chance to land.

130
00:06:40,600 --> 00:06:42,602
PHIL DERNER: The pilots sit in a
holding pattern, since they had

131
00:06:42,668 --> 00:06:45,605
enough fuel to be able to do so,
to wait for weather conditions

132
00:06:45,671 --> 00:06:47,206
to improve.

133
00:06:47,273 --> 00:06:50,409
NARRATOR: Three other planes
are also in a holding pattern.

134
00:06:50,476 --> 00:06:53,846
The storm pounding
Rostov-on-Don isn't passing.

135
00:07:00,253 --> 00:07:02,388
PILOT (ON RADIO): Aeroflot 1166.

136
00:07:02,455 --> 00:07:03,856
We're diverting.

137
00:07:06,926 --> 00:07:08,094
CONTROLLER (ON
RADIO): Skydubai 981,

138
00:07:08,161 --> 00:07:10,129
for your information,
previous traffic

139
00:07:10,196 --> 00:07:11,798
went to alternate airports.

140
00:07:11,864 --> 00:07:14,267
NARRATOR: All the other
flights decide to divert

141
00:07:14,333 --> 00:07:16,269
to alternate airports instead.

142
00:07:19,705 --> 00:07:21,374
DAVID KAMINSKI-MORROW:
The problem with diverting

143
00:07:21,440 --> 00:07:25,244
is that it's expensive and,
yes, it's inconvenient.

144
00:07:25,311 --> 00:07:27,814
The passengers don't end
up at their destination.

145
00:07:27,880 --> 00:07:29,816
They have to be
put up in hotels.

146
00:07:29,882 --> 00:07:35,221
And with a low cost airline,
it's the last thing it wants.

147
00:07:35,288 --> 00:07:36,956
NARRATOR: Captain
Sokratous continues

148
00:07:37,023 --> 00:07:39,091
monitoring the weather radar.

149
00:07:39,158 --> 00:07:41,327
Finally, he spots a clearing.

150
00:07:41,394 --> 00:07:43,329
I think I'd like
to give it a try.

151
00:07:43,396 --> 00:07:44,163
I agree.

152
00:07:44,230 --> 00:07:45,998
Let's try.

153
00:07:46,065 --> 00:07:47,667
DAVID KAMINSKI-MORROW:
It's not unusual for crews

154
00:07:47,733 --> 00:07:50,002
to take advantage
if there happens

155
00:07:50,069 --> 00:07:52,338
to be a break in
the weather pattern

156
00:07:52,405 --> 00:07:56,576
that provides safe conditions
to land the aircraft.

157
00:07:56,642 --> 00:08:00,613
Skydubai 981 request
descent for another approach.

158
00:08:00,680 --> 00:08:04,750
NARRATOR: 15,000 feet over
Rostov-on-Don, the pilots

159
00:08:04,817 --> 00:08:06,352
again prepare to land.

160
00:08:08,988 --> 00:08:11,324
Skydubai 981, Rosoff Tower.

161
00:08:11,390 --> 00:08:13,392
You're cleared to
land on runway 22.

162
00:08:15,428 --> 00:08:16,829
ALEJANDRO ALAVA
CRUZ (ON INTERCOM):

163
00:08:16,896 --> 00:08:18,764
Good evening, your
first officer here.

164
00:08:18,831 --> 00:08:20,032
We will be learning shortly.

165
00:08:20,099 --> 00:08:24,203
Once again, we
apologize for the delay.

166
00:08:24,270 --> 00:08:26,472
NARRATOR: 13 miles
from runway 22,

167
00:08:26,539 --> 00:08:28,941
the pilots line up
for a second approach.

168
00:08:32,044 --> 00:08:33,546
CONTROLLER: Be advised,
low altitude head

169
00:08:33,613 --> 00:08:36,816
wind 53 knots, light icing.

170
00:08:36,883 --> 00:08:38,484
NARRATOR: Even though
winds are strong,

171
00:08:38,551 --> 00:08:41,554
controllers aren't reporting
wind shear at the runway.

172
00:08:46,058 --> 00:08:47,226
Flaps 30.

173
00:08:47,293 --> 00:08:49,161
Flaps 30.

174
00:08:49,228 --> 00:08:51,030
NARRATOR: But as they
approach, they soon

175
00:08:51,097 --> 00:08:54,500
realize something's not right.

176
00:08:54,567 --> 00:08:55,401
Check your speed.

177
00:09:00,640 --> 00:09:01,407
OK.

178
00:09:01,474 --> 00:09:03,576
Go-around.

179
00:09:03,643 --> 00:09:06,579
NARRATOR: The pilots
execute another go-around.

180
00:09:17,056 --> 00:09:17,990
Keep it at 15 degrees.

181
00:09:18,057 --> 00:09:19,158
Nose up.

182
00:09:19,225 --> 00:09:20,693
NARRATOR: Just 2,000
feet in the air,

183
00:09:20,760 --> 00:09:29,435
Captain Sokratous kratos is
wrestling with the Boeing 737.

184
00:09:29,502 --> 00:09:30,903
Seconds later--

185
00:09:37,743 --> 00:09:40,780
NARRATOR: --Flight 981 is
diving straight at the runway.

186
00:09:48,454 --> 00:09:49,455
Oh, my god.

187
00:09:59,532 --> 00:10:00,800
NARRATOR: Fire and
emergency crews

188
00:10:00,866 --> 00:10:02,601
rush to the end of Runway 22.

189
00:10:05,438 --> 00:10:06,806
DAVID KAMINSKI-MORROW:
The aircraft punched

190
00:10:06,872 --> 00:10:10,609
a crater in the runway about
a meter and a half deep,

191
00:10:10,676 --> 00:10:12,278
with wreckage--

192
00:10:12,345 --> 00:10:16,382
wreckage thrown everywhere.

193
00:10:16,449 --> 00:10:22,288
NARRATOR: Firefighters battle
the flames through the night,

194
00:10:22,355 --> 00:10:25,491
but there's no
one to be rescued.

195
00:10:25,558 --> 00:10:29,829
All 62 people on board Flight
981 are killed in the crash.

196
00:10:33,232 --> 00:10:36,936
Grieving families and
the world demand answers.

197
00:10:45,644 --> 00:10:47,646
NARRATOR: Hours
after Flydubai Flight

198
00:10:47,713 --> 00:10:51,350
981 crashes on the
runway at Rostov-on-Don,

199
00:10:51,417 --> 00:10:55,321
investigators from the IAC, the
Interstate Aviation Committee,

200
00:10:55,388 --> 00:10:56,322
arrive on the scene.

201
00:10:59,492 --> 00:11:05,097
The IAC is the lead air
accident investigation agency,

202
00:11:05,164 --> 00:11:07,333
not just for Russia,
but for several

203
00:11:07,400 --> 00:11:09,268
of the former Soviet states.

204
00:11:09,335 --> 00:11:13,339
NARRATOR: The IAC must find the
cause for the horrific tragedy.

205
00:11:16,342 --> 00:11:17,176
OK.

206
00:11:17,243 --> 00:11:19,278
That's great.

207
00:11:19,345 --> 00:11:21,547
That belongs over here.

208
00:11:21,614 --> 00:11:23,749
NARRATOR: Wreckage
from Flight 981

209
00:11:23,816 --> 00:11:27,853
is laid out in a nearby
hangar for closer inspection.

210
00:11:27,920 --> 00:11:29,855
A team from the
United Arab Emirates

211
00:11:29,922 --> 00:11:32,391
assists in the investigation.

212
00:11:32,458 --> 00:11:37,696
So how fast did
the plane hit the ground?

213
00:11:45,171 --> 00:11:46,872
DAVID KAMINSKI-MORROW:
The size of the debris

214
00:11:46,939 --> 00:11:48,908
would tell whether it was a
high speed impact, whether it

215
00:11:48,974 --> 00:11:50,309
was a low speed impact.

216
00:11:50,376 --> 00:11:53,979
There are clues in the
pieces of wreckage.

217
00:11:54,046 --> 00:11:56,782
There's
not much left of it.

218
00:12:00,286 --> 00:12:02,221
GERRY SOEJATMAN: It
was all small pieces.

219
00:12:02,288 --> 00:12:06,392
It describes a very high
speed and violent impact

220
00:12:06,459 --> 00:12:07,293
with the ground.

221
00:12:10,329 --> 00:12:12,398
it makes us question
what really happened.

222
00:12:16,235 --> 00:12:17,069
Let's see it.

223
00:12:19,538 --> 00:12:20,940
NARRATOR: Investigators
wonder how

224
00:12:21,006 --> 00:12:23,342
the plane could have
gathered so much speed

225
00:12:23,409 --> 00:12:25,978
during an attempted landing.

226
00:12:26,045 --> 00:12:27,613
Oh, it's diving hard.

227
00:12:27,680 --> 00:12:30,683
NARRATOR: Security footage gives
them a look at the last moments

228
00:12:30,749 --> 00:12:33,185
of Flight 981.

229
00:12:38,591 --> 00:12:42,328
Flight 981's angle of
descent leads investigators

230
00:12:42,394 --> 00:12:44,797
to wonder if the pilots
were having problems

231
00:12:44,864 --> 00:12:46,098
controlling their plane.

232
00:12:46,165 --> 00:12:49,034
Maybe it's their
flight controls.

233
00:12:49,101 --> 00:12:51,437
Mm-hmm.

234
00:12:51,504 --> 00:12:53,272
Never I've seen it before.

235
00:12:53,339 --> 00:12:55,975
NARRATOR: Boeing
737 flight controls

236
00:12:56,041 --> 00:12:58,177
have a problematic history.

237
00:13:02,348 --> 00:13:04,884
March 3, 1991--

238
00:13:04,950 --> 00:13:08,387
United Airlines Flight
585 banks hard right

239
00:13:08,454 --> 00:13:13,726
and crashes while attempting
to land, killing all on board.

240
00:13:13,792 --> 00:13:16,295
Three years later,
it happens again.

241
00:13:16,362 --> 00:13:20,966
US Air Flight 427 rolls left
and crashes near Pittsburgh.

242
00:13:22,902 --> 00:13:24,236
DAVID KAMINSKI-MORROW:
Investigators

243
00:13:24,303 --> 00:13:26,906
were tearing their hair out
trying to figure it out.

244
00:13:26,972 --> 00:13:30,075
NARRATOR: Two years
passed without incident.

245
00:13:30,142 --> 00:13:34,413
Then, while on approach to land,
the pilots of Eastwind Airlines

246
00:13:34,480 --> 00:13:37,750
Flight 517 lose control.

247
00:13:37,816 --> 00:13:41,220
This time, the pilots regain
control of their plane and land

248
00:13:41,287 --> 00:13:43,122
safely in Richmond, Virginia.

249
00:13:46,892 --> 00:13:48,260
The plane is intact.

250
00:13:48,327 --> 00:13:51,931
Investigators get
their best lead yet.

251
00:13:51,997 --> 00:13:53,933
DAVID KAMINSKI-MORROW: After
a five year investigation,

252
00:13:53,999 --> 00:13:56,202
the National
Transportation Safety Board

253
00:13:56,268 --> 00:14:00,606
concluded that a power
unit in the rudder

254
00:14:00,673 --> 00:14:04,944
had been responsible for what's
called a rudder hard over.

255
00:14:05,010 --> 00:14:07,947
The rudder had
moved to one side,

256
00:14:08,013 --> 00:14:12,117
and that caused the
aircraft to roll over

257
00:14:12,184 --> 00:14:14,386
and then dive into the ground.

258
00:14:14,453 --> 00:14:17,189
NARRATOR: Movements of rudder
and other control surfaces

259
00:14:17,256 --> 00:14:22,094
occur when pilots push their
rudder pedal or pull the yoke.

260
00:14:22,161 --> 00:14:25,531
Power control units turn those
commands into actual movements

261
00:14:25,598 --> 00:14:27,766
of the control surfaces.

262
00:14:27,833 --> 00:14:30,035
It's similar to the
power steering on a car.

263
00:14:34,373 --> 00:14:35,975
Hey, there.

264
00:14:36,041 --> 00:14:37,610
Did you recover the PCUs?

265
00:14:37,676 --> 00:14:40,746
NARRATOR: Investigators want
to know if any of Flight

266
00:14:40,813 --> 00:14:44,883
981's control units failed.

267
00:14:44,950 --> 00:14:46,285
Yep, they're here.

268
00:14:46,352 --> 00:14:46,986
Great.

269
00:14:47,052 --> 00:14:48,320
We need to test them.

270
00:14:48,387 --> 00:14:50,990
NARRATOR: Much of the
Boeing 737 was destroyed

271
00:14:51,056 --> 00:14:52,558
during high speed impact.

272
00:14:52,625 --> 00:14:55,928
But two of the power
control units have survived.

273
00:14:55,995 --> 00:15:00,099
They could provide
crucial information.

274
00:15:00,165 --> 00:15:02,501
JOHN NANCE: PCUs are the
heart and soul of the flight

275
00:15:02,568 --> 00:15:04,069
controls of the airplane.

276
00:15:04,136 --> 00:15:05,604
And one of the first questions
if you have an airplane that

277
00:15:05,671 --> 00:15:08,340
came screaming out of the sky
they had a 50 degree angle

278
00:15:08,407 --> 00:15:12,077
is did we have a PCU problem
in the flight controls.

279
00:15:14,413 --> 00:15:15,814
NARRATOR:
Investigators carefully

280
00:15:15,881 --> 00:15:20,286
examine the PCUs of Flight 981.

281
00:15:20,352 --> 00:15:23,155
They look for signs
of a malfunction.

282
00:15:30,929 --> 00:15:33,432
Nothing wrong with the PCUs.

283
00:15:33,499 --> 00:15:36,001
JOHN NANCE: They were
extensively examined and found

284
00:15:36,068 --> 00:15:39,338
to have had absolutely no
connection to what brought

285
00:15:39,405 --> 00:15:41,507
this airplane out of the sky.

286
00:15:41,573 --> 00:15:44,343
NARRATOR: With flight
control issues ruled out,

287
00:15:44,410 --> 00:15:48,547
the team turns to the
controller for insight.

288
00:15:48,614 --> 00:15:50,883
Take me through what you saw.

289
00:15:50,949 --> 00:15:52,384
They were on final approach.

290
00:15:56,455 --> 00:15:58,223
CONTROLLER (ON RADIO):
Flight 081, Rostov Tower.

291
00:15:58,290 --> 00:16:00,225
You're clear to
land on runway 22.

292
00:16:03,529 --> 00:16:05,631
Then they aborted their
first attempt to land.

293
00:16:08,133 --> 00:16:10,703
They reported wind shear.

294
00:16:10,769 --> 00:16:13,205
ALEJANDRO ALAVA CRUZ:
Rostov Tower, this is 981.

295
00:16:13,272 --> 00:16:16,742
We're conducting a
go-around due to wind shear.

296
00:16:16,809 --> 00:16:22,047
Skydubai 981, make holding
pattern at your convenience.

297
00:16:22,114 --> 00:16:24,750
They climbed
and began holding.

298
00:16:24,817 --> 00:16:26,919
How long were they holding?

299
00:16:26,985 --> 00:16:28,420
For a long time.

300
00:16:28,487 --> 00:16:30,389
NARRATOR: Investigators
learn that the pilots

301
00:16:30,456 --> 00:16:32,691
held for almost
two hours waiting

302
00:16:32,758 --> 00:16:33,992
for the weather to improve.

303
00:16:36,662 --> 00:16:41,033
Skydubai 981, request
descent for another approach.

304
00:16:41,100 --> 00:16:43,268
CONTROLLER: Then
they asked to land.

305
00:16:43,335 --> 00:16:45,371
NARRATOR: But something
went wrong when the pilots

306
00:16:45,437 --> 00:16:48,273
made their second approach.

307
00:16:48,340 --> 00:16:51,176
ALEJANDRO ALAVA CRUZ: Rostov
Tower, this is Skydubai 981.

308
00:16:51,243 --> 00:16:53,912
We're going around.

309
00:16:53,979 --> 00:16:56,949
Did they say why they were
going around the second time?

310
00:16:57,015 --> 00:16:58,217
No.

311
00:16:58,283 --> 00:17:01,854
They just said going
around, that's all.

312
00:17:01,920 --> 00:17:04,523
The next thing I knew, the plane
was diving towards the runway.

313
00:17:10,662 --> 00:17:13,432
Did they report any
problems with the plane?

314
00:17:13,499 --> 00:17:15,801
No, nothing.

315
00:17:15,868 --> 00:17:18,070
NARRATOR: IAC
investigators still

316
00:17:18,137 --> 00:17:21,774
can't explain why Flight
981 suddenly banked

317
00:17:21,840 --> 00:17:24,810
and then dived into runway 22.

318
00:17:24,877 --> 00:17:27,246
Something had gone wrong
on the second go-around,

319
00:17:27,312 --> 00:17:29,048
but investigators
didn't know what.

320
00:17:29,114 --> 00:17:31,283
Was there a problem
with the airplane?

321
00:17:31,350 --> 00:17:33,152
Did the pilots make a mistake?

322
00:17:33,218 --> 00:17:34,553
There was no knowing it yet.

323
00:17:41,527 --> 00:17:42,828
OK.

324
00:17:42,895 --> 00:17:47,299
Two go-arounds, one
turns to disaster.

325
00:17:47,366 --> 00:17:48,500
Why?

326
00:17:48,567 --> 00:17:49,902
Let's take a look
at the first one.

327
00:17:49,968 --> 00:17:52,738
NARRATOR: Investigators
turn to FDR data

328
00:17:52,805 --> 00:17:55,541
to better understand
why Flydubai Flight

329
00:17:55,607 --> 00:17:59,378
981 performed one
successful go-around

330
00:17:59,445 --> 00:18:01,313
but crashed during the second.

331
00:18:01,380 --> 00:18:04,016
Investigators need to figure
out how the two go-arounds

332
00:18:04,082 --> 00:18:06,185
were different from each other.

333
00:18:06,251 --> 00:18:07,319
Zoom in a bit.

334
00:18:11,957 --> 00:18:13,559
Look.

335
00:18:13,625 --> 00:18:15,227
NARRATOR: They
confirm the pilots

336
00:18:15,294 --> 00:18:20,766
reacted to a wind shear alarm
during the first approach.

337
00:18:20,833 --> 00:18:22,901
And how did they respond?

338
00:18:22,968 --> 00:18:32,444
Thruster jumps up to 102.

339
00:18:32,511 --> 00:18:33,946
So he applied max power.

340
00:18:34,012 --> 00:18:34,680
Mm-hmm.

341
00:18:34,746 --> 00:18:36,515
What about the flaps?

342
00:18:36,582 --> 00:18:42,754
Flaps at 30, and
gear remained down.

343
00:18:50,696 --> 00:18:52,231
Textbook wind shear go-around.

344
00:18:52,297 --> 00:18:53,966
Yeah.

345
00:18:54,032 --> 00:18:55,801
If a pilot
encounters wind shear,

346
00:18:55,868 --> 00:18:57,803
he'll typically perform
a-- what's called

347
00:18:57,870 --> 00:19:00,272
a wind shear escape maneuver.

348
00:19:00,339 --> 00:19:03,475
And that involves increasing
the engine power to a maximum.

349
00:19:03,542 --> 00:19:04,810
You leave the flaps down.

350
00:19:04,877 --> 00:19:06,812
You leave the gear down.

351
00:19:06,879 --> 00:19:08,413
AUTOMATED VOICE:
Wind shear ahead.

352
00:19:08,480 --> 00:19:10,949
Wind shear, go-around.

353
00:19:11,016 --> 00:19:13,585
PHIL DERNER: The first go
round was pretty routine.

354
00:19:13,652 --> 00:19:14,953
They responded appropriately.

355
00:19:15,020 --> 00:19:17,055
They did exactly what
they should have done.

356
00:19:21,393 --> 00:19:24,997
This is the second go-around.

357
00:19:25,063 --> 00:19:27,666
NARRATOR: Investigators
analyze the second attempt

358
00:19:27,733 --> 00:19:32,304
at landing, focusing in on the
last moments before the crash.

359
00:19:32,371 --> 00:19:36,508
Now, did they get another wind
shear warning the second time?

360
00:19:36,575 --> 00:19:37,743
No, nothing.

361
00:19:45,050 --> 00:19:46,318
Look.

362
00:19:46,385 --> 00:19:51,823
There's a leap in air speed,
from 153 to 176 in seconds.

363
00:19:51,890 --> 00:19:53,425
NARRATOR: 10 seconds
before the pilots

364
00:19:53,492 --> 00:19:57,296
abort, a sudden increase in the
plane's airspeed was recorded.

365
00:19:57,362 --> 00:20:02,367
Investigators saw the airspeed
fluctuating for more than 20

366
00:20:02,434 --> 00:20:04,536
knots within a few seconds.

367
00:20:04,603 --> 00:20:06,371
It's a pretty
strong gust of wind.

368
00:20:06,438 --> 00:20:10,042
Now, they can see that on
the flight data recorder.

369
00:20:10,108 --> 00:20:12,878
NARRATOR: Investigators
determined that a strong gust

370
00:20:12,945 --> 00:20:16,048
of wind struck the plane.

371
00:20:16,114 --> 00:20:18,050
JOHN NANCE: You can
feel the wind increase

372
00:20:18,116 --> 00:20:19,518
on the nose of the airplane.

373
00:20:19,585 --> 00:20:21,853
It's probably also moving
the airplane a little bit

374
00:20:21,920 --> 00:20:23,055
left to right.

375
00:20:23,121 --> 00:20:27,159
It's not a pleasant
position to be in.

376
00:20:27,225 --> 00:20:28,694
How did the pilots
respond this time?

377
00:20:28,760 --> 00:20:29,795
Let me see.

378
00:20:32,798 --> 00:20:35,367
They added max power.

379
00:20:35,434 --> 00:20:36,201
OK.

380
00:20:36,268 --> 00:20:37,636
Go around.

381
00:20:43,442 --> 00:20:46,244
And what about the
flaps and landing gear?

382
00:20:46,311 --> 00:20:46,912
Hmm.

383
00:20:46,979 --> 00:20:50,849
Flaps are retracted.

384
00:20:50,916 --> 00:20:53,385
Gear, retracted.

385
00:20:55,621 --> 00:20:58,423
NARRATOR: The data reveals
that on the second go-around

386
00:20:58,490 --> 00:21:02,027
the pilots performed
a different procedure.

387
00:21:02,094 --> 00:21:03,095
DAVID KAMINSKI-MORROW:
They didn't

388
00:21:03,161 --> 00:21:04,930
fly the wind shear
escape maneuver

389
00:21:04,997 --> 00:21:06,598
during the second go-around.

390
00:21:06,665 --> 00:21:11,737
Well, it looks like they were
doing a standard go-around.

391
00:21:11,803 --> 00:21:13,071
NARRATOR: On a
standard go-around,

392
00:21:13,138 --> 00:21:17,676
the flaps and landing
gear are retracted.

393
00:21:17,743 --> 00:21:20,512
Except they did
it at max power.

394
00:21:20,579 --> 00:21:22,514
DAVID KAMINSKI-MORROW: Given
how streamlined the aircraft is

395
00:21:22,581 --> 00:21:26,418
with the landing gear up and
the flaps largely retracted,

396
00:21:26,485 --> 00:21:30,188
the use of maximum power
is very much overkill.

397
00:21:30,255 --> 00:21:33,925
NARRATOR: Investigators conclude
that on the second attempt

398
00:21:33,992 --> 00:21:36,962
the crew flew a hybrid
of two procedures.

399
00:21:40,599 --> 00:21:43,301
They used the power of a
wind shear escape maneuver

400
00:21:43,368 --> 00:21:47,139
with the gear and flap settings
of a traditional go-around.

401
00:21:53,145 --> 00:21:57,416
So what would that
do to the plane?

402
00:21:57,482 --> 00:21:59,518
We need to take a look
at all the factors at play.

403
00:22:05,624 --> 00:22:08,160
They were holding on
for nearly two hours.

404
00:22:08,226 --> 00:22:13,265
That's four tons of
fuel they burned.

405
00:22:13,331 --> 00:22:16,068
NARRATOR: The weight
of the Boeing 737

406
00:22:16,134 --> 00:22:20,005
is a critical factor in
the plane's performance.

407
00:22:20,072 --> 00:22:21,406
Adding the weight
of the plane--

408
00:22:25,911 --> 00:22:28,513
total weight, that's 54 tons.

409
00:22:32,217 --> 00:22:33,251
That's a light plane.

410
00:22:33,318 --> 00:22:34,152
Yeah.

411
00:22:36,555 --> 00:22:38,023
At this weight, you
know, the crew would

412
00:22:38,090 --> 00:22:40,292
feel a faster acceleration.

413
00:22:45,764 --> 00:22:50,602
Max power, no drag from flaps
or landing gear, low weight.

414
00:22:54,606 --> 00:22:58,844
This plane could have been
accelerating dangerously fast.

415
00:22:58,910 --> 00:23:01,980
This is really an
accelerated situation.

416
00:23:02,047 --> 00:23:03,615
This is a very
powerful airplane doing

417
00:23:03,682 --> 00:23:07,385
something that feels like you
just went into afterburner.

418
00:23:07,452 --> 00:23:09,054
How much quicker
did this plane pick up

419
00:23:09,121 --> 00:23:12,457
speed on the second go-around?

420
00:23:16,528 --> 00:23:20,198
We need to do
modeling on this.

421
00:23:20,265 --> 00:23:22,567
It was really incumbent
upon the investigators

422
00:23:22,634 --> 00:23:27,572
to look further into the
question of the acceleration.

423
00:23:27,639 --> 00:23:30,709
NARRATOR: Investigators
turn to computer modeling

424
00:23:30,776 --> 00:23:32,644
to answer a crucial question.

425
00:23:32,711 --> 00:23:34,913
Here's all the data for the
first and second go-around.

426
00:23:34,980 --> 00:23:36,414
Yeah.

427
00:23:36,481 --> 00:23:38,850
NARRATOR: How did the
rate of acceleration

428
00:23:38,917 --> 00:23:41,086
differ at the start
of the two attempts?

429
00:23:47,325 --> 00:23:53,865
First go-around, speed
increased by 17 knots.

430
00:23:53,932 --> 00:23:55,000
And the second?

431
00:24:02,007 --> 00:24:07,679
Second go-around,
25 knot increase.

432
00:24:07,746 --> 00:24:09,915
That's a difference of 8 knots
between the two go-arounds.

433
00:24:09,981 --> 00:24:10,849
Mm-hmm.

434
00:24:10,916 --> 00:24:12,450
Yeah.

435
00:24:12,517 --> 00:24:14,553
JOHN NANCE: It was a key part of
the findings when they realized

436
00:24:14,619 --> 00:24:18,390
that over 40% difference
existed between the acceleration

437
00:24:18,456 --> 00:24:22,093
from the first go-around
to the second go-around.

438
00:24:22,160 --> 00:24:24,262
NARRATOR: Could the increase
in acceleration have

439
00:24:24,329 --> 00:24:27,632
affected the pilots themselves?

440
00:24:27,699 --> 00:24:31,036
They calculate the impact
of the second go-around.

441
00:24:36,508 --> 00:24:37,709
Wow.

442
00:24:37,776 --> 00:24:41,479
Look at the backward force
experienced by the pilot.

443
00:24:41,546 --> 00:24:44,716
That faster acceleration on
the second go-around would have

444
00:24:44,783 --> 00:24:46,952
pushed him back into the seat.

445
00:24:47,018 --> 00:24:49,621
NARRATOR: The team also
examines the impact

446
00:24:49,688 --> 00:24:51,323
of vertical acceleration.

447
00:24:56,795 --> 00:24:59,397
The g-force would have
lifted the pilots upwards.

448
00:25:01,700 --> 00:25:04,302
BRADEN MCGRATH: The pilot would
have felt a slight unwaging.

449
00:25:04,369 --> 00:25:06,471
He would come up
out of the seat.

450
00:25:06,538 --> 00:25:10,275
So sudden
acceleration like this,

451
00:25:10,342 --> 00:25:15,413
both horizontal and vertical--

452
00:25:15,480 --> 00:25:18,149
that'll play tricks
on your mind.

453
00:25:18,216 --> 00:25:20,685
NARRATOR: Were Captain
Sokratous's senses

454
00:25:20,752 --> 00:25:22,687
his worst enemy?

455
00:25:22,754 --> 00:25:24,656
Maybe he experienced
a somatogravic illusion.

456
00:25:29,027 --> 00:25:30,328
Check your speed.

457
00:25:32,430 --> 00:25:32,998
OK.

458
00:25:33,064 --> 00:25:34,432
Go around.

459
00:25:34,499 --> 00:25:36,801
NARRATOR: A somatogravic
illusion is a dangerous form

460
00:25:36,868 --> 00:25:39,537
of spatial disorientation.

461
00:25:39,604 --> 00:25:42,607
When a plane accelerates
quickly with no visual reference

462
00:25:42,674 --> 00:25:45,710
of the horizon, the
gravitational forces

463
00:25:45,777 --> 00:25:49,347
cause a pitch up illusion
in the inner ear.

464
00:25:49,414 --> 00:25:52,350
The little hairs in the
inner ear bend backwards,

465
00:25:52,417 --> 00:25:57,455
tricking the brain into
thinking the head is tilting up.

466
00:25:57,522 --> 00:25:59,124
Well, you might
be going level.

467
00:25:59,190 --> 00:26:01,159
But if you cannot
see outside, that

468
00:26:01,226 --> 00:26:05,363
sensation on your vestibular
system is overwhelming.

469
00:26:05,430 --> 00:26:08,900
And, you know, you would really
feel that you're climbing up.

470
00:26:08,967 --> 00:26:10,735
DAVID KAMINSKI-MORROW: A
somatogravic graphic illusion

471
00:26:10,802 --> 00:26:14,239
is one of the most
lethal traps in aviation.

472
00:26:14,306 --> 00:26:16,908
Keep the nose up 15 degrees.

473
00:26:16,975 --> 00:26:19,411
DAVID KAMINSKI-MORROW: It's an
extremely convincing illusion.

474
00:26:27,152 --> 00:26:29,988
What was the actual pitch of
the plane after it accelerated

475
00:26:30,055 --> 00:26:33,091
during the second go-around?

476
00:26:33,158 --> 00:26:36,828
Almost 20 seconds
after the actual pitch

477
00:26:36,895 --> 00:26:41,232
was 8.8 degrees nose up.

478
00:26:41,299 --> 00:26:43,068
NARRATOR: Investigators
look for evidence

479
00:26:43,134 --> 00:26:46,404
that the pilots of Flight
981 became severely

480
00:26:46,471 --> 00:26:47,906
disoriented in the dark.

481
00:26:50,742 --> 00:26:51,843
DAVID KAMINSKI-MORROW:
If you imagine

482
00:26:51,910 --> 00:26:54,512
that this glass of
water represents

483
00:26:54,579 --> 00:26:56,348
the fluid in your ear--

484
00:26:56,414 --> 00:26:59,117
if you accelerated this
along a smooth surface,

485
00:26:59,184 --> 00:27:02,454
the water would be pushed up
against the back of the glass

486
00:27:02,520 --> 00:27:05,023
very much like this.

487
00:27:05,090 --> 00:27:08,460
In other words, it's the
same effect as if you'd

488
00:27:08,526 --> 00:27:11,162
simply tilted the glass.

489
00:27:11,229 --> 00:27:15,367
If you take visual information
away, what tends to happen

490
00:27:15,433 --> 00:27:19,204
is that the pilot forgets
about the acceleration

491
00:27:19,270 --> 00:27:24,876
and assumes that everything is
feeling is due to the pitch.

492
00:27:24,943 --> 00:27:28,279
And what was the
pilot's perceived pitch?

493
00:27:28,346 --> 00:27:30,882
BRADEN MCGRATH: Combining
the horizontal and vertical

494
00:27:30,949 --> 00:27:33,952
acceleration experienced
by the pilot,

495
00:27:34,019 --> 00:27:38,156
we can calculate the pH that
is perceived by the pilot.

496
00:27:38,223 --> 00:27:40,725
This is called the
illusionary pitch.

497
00:27:40,792 --> 00:27:46,231
Pilot's perceived
pitch was 21.6 degrees.

498
00:27:46,297 --> 00:27:48,500
NARRATOR: They compare
the plane's actual pitch

499
00:27:48,566 --> 00:27:54,139
to the pilot's illusionary pitch
during the second go-around.

500
00:27:54,205 --> 00:27:58,543
10 seconds later, the plane
is pitched up 3.9 degrees.

501
00:28:04,382 --> 00:28:18,696
And the pilot perceived it
to be 26.7 degrees, nose up.

502
00:28:18,763 --> 00:28:19,664
Wow.

503
00:28:19,731 --> 00:28:20,999
That's a huge difference.

504
00:28:27,105 --> 00:28:29,441
This puts the captain
into a situation

505
00:28:29,507 --> 00:28:31,676
that he potentially
will be experiencing

506
00:28:31,743 --> 00:28:32,944
as a somatogravic illusion.

507
00:28:33,011 --> 00:28:34,946
The captain is
feeling one thing,

508
00:28:35,013 --> 00:28:37,715
but the aircraft is
doing something else.

509
00:28:37,782 --> 00:28:39,284
Get this.

510
00:28:39,350 --> 00:28:48,460
Near the end of the flight, the
actual pitch is 7.6 degrees,

511
00:28:48,526 --> 00:28:54,265
and the perceived pitch
becomes, well over 40.

512
00:28:54,332 --> 00:28:58,036
NARRATOR: Investigators discover
three instances where there was

513
00:28:58,103 --> 00:29:00,972
a dramatic difference between
the plane's actual and

514
00:29:01,039 --> 00:29:02,974
the pilot's perceived pitch.

515
00:29:05,210 --> 00:29:07,145
Keep it at 16
degrees, nose up.

516
00:29:07,212 --> 00:29:09,714
NARRATOR: It's evidence
that the pilots may have

517
00:29:09,781 --> 00:29:11,950
experienced a
somatogravic illusion

518
00:29:12,016 --> 00:29:15,253
during the second go-around.

519
00:29:15,320 --> 00:29:17,822
Could the feeling of
the rapid acceleration

520
00:29:17,889 --> 00:29:21,159
have affected how the
pilots flew the plane?

521
00:29:21,226 --> 00:29:24,896
They dig deeper into
the flight data.

522
00:29:24,963 --> 00:29:28,399
When the captain push
forward on the yoke--

523
00:29:28,466 --> 00:29:30,568
He was trying to pitch
the plane downward.

524
00:29:30,635 --> 00:29:34,506
That's what his senses
were telling him to do.

525
00:29:34,572 --> 00:29:37,175
JOHN NANCE: The captain,
responding more to his feelings

526
00:29:37,242 --> 00:29:39,310
than to what he was seeing
on any instrumentation

527
00:29:39,377 --> 00:29:41,179
in front of him-- he
decides that he needs

528
00:29:41,246 --> 00:29:43,781
to push the airplane
forward and counteract

529
00:29:43,848 --> 00:29:45,150
this massive pitch up.

530
00:29:45,216 --> 00:29:48,853
He's trying to save
them by pitching down.

531
00:29:48,920 --> 00:29:49,687
Wow.

532
00:29:49,754 --> 00:29:51,022
Check this out.

533
00:29:51,089 --> 00:29:55,260
He pushed the
stabilizer trim down.

534
00:29:55,326 --> 00:29:58,596
NARRATOR: From the data,
investigators see the captain

535
00:29:58,663 --> 00:30:00,465
didn't just push the yoke.

536
00:30:00,532 --> 00:30:02,467
Be careful!

537
00:30:02,534 --> 00:30:04,269
DAVID KAMINSKI-MORROW:
Captain applies the stabilized

538
00:30:04,335 --> 00:30:07,472
trim because he's pushing--

539
00:30:07,539 --> 00:30:10,475
trying to push the nose
of the aircraft down.

540
00:30:10,542 --> 00:30:11,543
But for how long?

541
00:30:16,548 --> 00:30:17,482
Yeah.

542
00:30:17,549 --> 00:30:21,619
He held the trim
switch for 12 seconds.

543
00:30:21,686 --> 00:30:25,023
PHIL DERNER: Holding the switch
for 12 seconds is unheard of.

544
00:30:25,089 --> 00:30:28,059
That should never be held
for that amount of time.

545
00:30:28,126 --> 00:30:30,895
NARRATOR: The team discovers
that instead of pitching

546
00:30:30,962 --> 00:30:33,965
the plane up to climb,
the captain is pitching

547
00:30:34,032 --> 00:30:36,901
the plane towards the ground--

548
00:30:36,968 --> 00:30:38,469
No, no, no, no, no, no, no.

549
00:30:38,536 --> 00:30:41,306
NARRATOR: --eventually putting
the plane into a fatal dive.

550
00:30:44,475 --> 00:30:47,912
The sudden change in
direction is jarring.

551
00:30:47,979 --> 00:30:49,347
GERRY SOEJATMAN:
At that time you

552
00:30:49,414 --> 00:30:51,316
feel like you're in a
roller coaster, you know,

553
00:30:51,382 --> 00:30:53,351
when you're coming
up to the peak

554
00:30:53,418 --> 00:30:55,019
as you were diving at speed.

555
00:30:55,086 --> 00:30:57,655
It's similar to that sensation.

556
00:30:57,722 --> 00:31:00,091
NARRATOR: The pitch down
has another disorienting

557
00:31:00,158 --> 00:31:03,494
effect on the pilot's senses.

558
00:31:03,561 --> 00:31:06,097
Pitching down of the
aircraft would have caused both

559
00:31:06,164 --> 00:31:08,333
the captain and
the first officer

560
00:31:08,399 --> 00:31:10,868
to experience a dramatic
change in the g-forces.

561
00:31:10,935 --> 00:31:12,003
Oh, my god!

562
00:31:14,472 --> 00:31:16,941
That would increase the
confusion in the cockpit

563
00:31:17,008 --> 00:31:19,410
as to what's going on.

564
00:31:19,477 --> 00:31:23,081
NARRATOR: Investigators conclude
that the various g-forces

565
00:31:23,147 --> 00:31:25,783
on Captain Sokratous
caused his complete

566
00:31:25,850 --> 00:31:29,087
spatial disorientation.

567
00:31:29,153 --> 00:31:30,622
GERRY SOEJATMAN: The
captain pushing and pulling

568
00:31:30,688 --> 00:31:33,891
on the yoke, stomping on the
rudder, in the dive, you know,

569
00:31:33,958 --> 00:31:35,627
that shows confusion.

570
00:31:35,693 --> 00:31:37,962
He's probably disorientated.

571
00:31:38,029 --> 00:31:39,297
Oh, my god!

572
00:31:39,364 --> 00:31:40,898
GERRY SOEJATMAN: You
know, he's trying

573
00:31:40,965 --> 00:31:45,069
desperately to get out of that
sensation that he's feeling.

574
00:31:45,136 --> 00:31:46,871
NARRATOR: But there's
one question that

575
00:31:46,938 --> 00:31:49,207
still troubles investigators.

576
00:31:49,274 --> 00:31:53,544
Was the first officer
feeling the illusion, as well?

577
00:31:53,611 --> 00:31:56,281
BRADEN MCGRATH: Even though
the accelerations experienced

578
00:31:56,347 --> 00:32:02,453
by both pilots was the same, the
perception of what is happening

579
00:32:02,520 --> 00:32:03,588
can differ.

580
00:32:03,655 --> 00:32:05,990
And that can be due to
many different factors--

581
00:32:06,057 --> 00:32:09,327
expectation, what
are they looking at,

582
00:32:09,394 --> 00:32:12,063
their age, their experience.

583
00:32:12,130 --> 00:32:15,233
Start it at the second
go-around, please.

584
00:32:15,300 --> 00:32:16,501
NARRATOR: The cockpit
voice recorder

585
00:32:16,567 --> 00:32:19,003
could tell investigators
if the first officer

586
00:32:19,070 --> 00:32:22,373
was also under the influence
of the somatogravic illusion.

587
00:32:24,309 --> 00:32:25,109
ARISTOS SOKRATOUS: OK.

588
00:32:25,176 --> 00:32:26,210
Go around.

589
00:32:28,746 --> 00:32:29,647
Careful!

590
00:32:33,518 --> 00:32:36,921
No, no, no, no, no, no, no.

591
00:32:36,988 --> 00:32:39,190
Don't-- don't do that!

592
00:32:39,257 --> 00:32:41,526
He sees something wrong.

593
00:32:41,592 --> 00:32:42,360
No.

594
00:32:42,427 --> 00:32:43,027
Pull it!

595
00:32:43,094 --> 00:32:43,861
Pull it!

596
00:32:43,928 --> 00:32:45,163
Pull it!

597
00:32:45,229 --> 00:32:46,798
He's telling him to
pull back the yoke.

598
00:32:46,864 --> 00:32:48,700
ALEJANDRO ALAVA CRUZ: Pull it!

599
00:32:48,766 --> 00:32:51,703
If he's feeling the same
illusion as the captain,

600
00:32:51,769 --> 00:32:55,473
it sure doesn't seem like
he was affected by it.

601
00:32:55,540 --> 00:32:57,542
DAVID KAMINSKI-MORROW: The first
officer knew how much trouble

602
00:32:57,608 --> 00:32:59,944
the aircraft was in,
knew the captain wasn't

603
00:33:00,011 --> 00:33:01,946
responding the way he should.

604
00:33:02,013 --> 00:33:03,848
Oh, my god!

605
00:33:08,953 --> 00:33:12,323
NARRATOR: Investigators are left
wondering why the first officer

606
00:33:12,390 --> 00:33:13,791
didn't intervene.

607
00:33:17,795 --> 00:33:19,397
You look at this first
office you're trying his best

608
00:33:19,464 --> 00:33:21,299
and wonder why didn't
you just take control

609
00:33:21,366 --> 00:33:23,534
and say, I've got the airplane.

610
00:33:40,151 --> 00:33:43,454
He's been flying the
737-800 for nearly two years.

611
00:33:43,521 --> 00:33:44,889
He's fully certified.

612
00:33:44,956 --> 00:33:47,325
NARRATOR: Investigators look
into the first officer's

613
00:33:47,392 --> 00:33:50,128
background to understand
why he didn't take

614
00:33:50,194 --> 00:33:53,664
control of Flight 981
when he the captain

615
00:33:53,731 --> 00:33:56,601
was making grave mistakes.

616
00:33:56,667 --> 00:33:58,002
Look.

617
00:33:58,069 --> 00:34:01,439
His trainer wrote notes
on his assessment,

618
00:34:01,506 --> 00:34:02,907
and this one is telling.

619
00:34:02,974 --> 00:34:05,476
NARRATOR: They find notes
left by one of his flight

620
00:34:05,543 --> 00:34:07,478
instructors that alarm them.

621
00:34:07,545 --> 00:34:10,681
One thing that could have
possibly saved this aircraft

622
00:34:10,748 --> 00:34:13,418
was discovered in a
note that was left

623
00:34:13,484 --> 00:34:15,353
behind by a flight instructor.

624
00:34:15,420 --> 00:34:17,588
He needs to be a bit
more assertive in what

625
00:34:17,655 --> 00:34:19,457
is needed from the captain.

626
00:34:19,524 --> 00:34:21,259
And it continues.

627
00:34:21,325 --> 00:34:23,161
Tell him what you
want done, and do not

628
00:34:23,227 --> 00:34:25,463
wait for the captain
to inquire with you

629
00:34:25,530 --> 00:34:27,765
or direct you in this regard.

630
00:34:30,768 --> 00:34:32,270
He's not the type
to take control.

631
00:34:35,440 --> 00:34:36,674
No.
Pull it!

632
00:34:36,741 --> 00:34:37,508
Pull it!

633
00:34:37,575 --> 00:34:38,376
Pull it!

634
00:34:38,443 --> 00:34:39,544
Pull it!

635
00:34:39,610 --> 00:34:40,845
DAVID KAMINSKI-MORROW:
A first officer

636
00:34:40,912 --> 00:34:43,314
could see that the
captain was experiencing

637
00:34:43,381 --> 00:34:46,384
enormous problems trying
to control the go-around.

638
00:34:46,451 --> 00:34:50,354
He really should have taken some
decisive action and intervened.

639
00:34:50,421 --> 00:34:51,255
Oh, my god!

640
00:34:57,128 --> 00:34:59,397
I still don't
understand something.

641
00:34:59,464 --> 00:35:03,501
Why did they try to land the
plane in the first place?

642
00:35:03,568 --> 00:35:07,071
The big mystery was why was
this crew so determined to land

643
00:35:07,138 --> 00:35:10,975
at Rostov-onDon when every other
flight had already diverted.

644
00:35:11,042 --> 00:35:13,978
NARRATOR: A storm was pummeling
Rostov-on-Don Airport,

645
00:35:14,045 --> 00:35:18,249
as Flight 981 circled above.

646
00:35:18,316 --> 00:35:23,221
Why didn't the pilots
divert to another airport?

647
00:35:23,287 --> 00:35:26,991
Investigators look for answers
in the cockpit voice recording.

648
00:35:29,160 --> 00:35:30,394
CONTROLLER (ON
RECORDING): Skydubai 981,

649
00:35:30,461 --> 00:35:32,597
for your information,
previous traffic

650
00:35:32,663 --> 00:35:35,099
went to alternate airports.

651
00:35:35,166 --> 00:35:37,602
Two other flights diverted?

652
00:35:37,668 --> 00:35:39,403
There's no need.

653
00:35:39,470 --> 00:35:42,206
I'm gonna keep flying.

654
00:35:42,273 --> 00:35:45,076
Investigators just
couldn't understand

655
00:35:45,142 --> 00:35:48,779
why they wanted to fly in
circles for almost two hours.

656
00:35:48,846 --> 00:35:49,881
ARISTOS SOKRATOUS
(ON RECORDING):

657
00:35:49,947 --> 00:35:51,215
I'm gonna try this approach.

658
00:35:51,282 --> 00:35:54,285
And if I can't make it,
we'll have a go-around.

659
00:35:54,352 --> 00:35:56,621
And I will head to
Mineralyne Vody.

660
00:35:56,687 --> 00:35:57,855
OK?

661
00:35:57,922 --> 00:35:58,723
DISPATCHER (ON
RECORDING): OK, Captain.

662
00:35:58,789 --> 00:35:59,624
Understood.

663
00:35:59,690 --> 00:36:00,791
Who is he talking to?

664
00:36:00,858 --> 00:36:02,360
The dispatcher in Dubai.

665
00:36:02,426 --> 00:36:04,061
NARRATOR: Investigators
finally get

666
00:36:04,128 --> 00:36:06,264
an indication of the
captain's rationale

667
00:36:06,330 --> 00:36:08,933
for attempting another landing.

668
00:36:09,000 --> 00:36:11,802
As the captain decides
whether to divert,

669
00:36:11,869 --> 00:36:14,138
he contacts Flydubai's
flight dispatcher

670
00:36:14,205 --> 00:36:16,040
in the United Arab Emirates.

671
00:36:16,107 --> 00:36:17,742
DISPATCHER (ON RADIO): We
would like to recommend

672
00:36:17,808 --> 00:36:21,279
you hold max as possible.

673
00:36:21,345 --> 00:36:24,048
Dispatchers manage the
entire fleet's operation

674
00:36:24,115 --> 00:36:26,150
for a specific airline.

675
00:36:26,217 --> 00:36:27,652
JOHN NANCE: The
dispatcher and the captain

676
00:36:27,718 --> 00:36:30,821
are co-equally responsible
for the safety of the flight.

677
00:36:30,888 --> 00:36:33,157
There is a very
delicate dance that

678
00:36:33,224 --> 00:36:37,662
goes on between and among the
dispatchers and the captains.

679
00:36:37,728 --> 00:36:41,999
The captain follows with the
dispatchers recommendation.

680
00:36:42,066 --> 00:36:44,502
NARRATOR: Minutes turn
to hours as the pilots

681
00:36:44,569 --> 00:36:46,504
wait for a chance to land.

682
00:36:46,571 --> 00:36:47,939
I don't know, man.

683
00:36:48,005 --> 00:36:49,473
If we divert, we're gonna
exceed our flying hours.

684
00:36:54,579 --> 00:36:55,780
So what are you looking at?

685
00:36:55,846 --> 00:36:58,282
Maximum duty hours.

686
00:36:58,349 --> 00:37:01,953
He's calculating
his duty hours.

687
00:37:02,019 --> 00:37:04,288
NARRATOR: Regulations
limit how many hours pilots

688
00:37:04,355 --> 00:37:08,125
can fly during a duty period.

689
00:37:08,192 --> 00:37:11,128
Been in the air for
5 and 1/2 hours now.

690
00:37:11,195 --> 00:37:13,998
NARRATOR: The team learns that
the pilots were concerned they

691
00:37:14,065 --> 00:37:16,767
might exceed their duty hours.

692
00:37:16,834 --> 00:37:18,536
Stop.

693
00:37:18,603 --> 00:37:19,437
Roll the map.

694
00:37:22,440 --> 00:37:25,142
They've been flying for
at least five hours.

695
00:37:25,209 --> 00:37:27,878
It'll take another hour to
reach their alternate airport,

696
00:37:27,945 --> 00:37:29,280
wait out the storm.

697
00:37:29,347 --> 00:37:31,215
Then they still have to
get back to Rostov-on-Don

698
00:37:31,282 --> 00:37:32,850
before returning to Dubai.

699
00:37:32,917 --> 00:37:35,853
Diverting would put them over
their duty hours for the day.

700
00:37:35,920 --> 00:37:36,954
Right.

701
00:37:37,021 --> 00:37:38,556
Look.

702
00:37:38,623 --> 00:37:40,992
I think it'll be clear by the
time we do this approach now.

703
00:37:41,058 --> 00:37:45,563
And even if we start now,
I think we'll be good.

704
00:37:45,630 --> 00:37:47,565
We'll be good.

705
00:37:47,632 --> 00:37:49,233
OK.

706
00:37:49,300 --> 00:37:52,870
Is he landing because
it's clear or because he

707
00:37:52,937 --> 00:37:55,306
wants to get on the ground?

708
00:37:55,373 --> 00:37:56,974
PHIL DERNER: The conversation
in the flight deck

709
00:37:57,041 --> 00:38:00,244
before the second approach
clearly showed that they

710
00:38:00,311 --> 00:38:02,079
weren't really thinking
so much about the safety

711
00:38:02,146 --> 00:38:07,018
of the landing, just the fact
that they wanted to land.

712
00:38:07,084 --> 00:38:08,753
I think I'd like
to give it a try.

713
00:38:08,819 --> 00:38:09,587
I agree.

714
00:38:09,654 --> 00:38:11,088
Let's try.

715
00:38:11,155 --> 00:38:15,159
Stop the recording.

716
00:38:15,226 --> 00:38:18,496
So they decide to
circle for two hours

717
00:38:18,562 --> 00:38:21,399
after a four hour flight
in the middle of the night.

718
00:38:26,737 --> 00:38:29,874
NARRATOR: Did the long flight
affect the pilot's ability

719
00:38:29,940 --> 00:38:32,243
to land the plane safely?

720
00:38:32,309 --> 00:38:34,612
Two hours of hold,
six hours total time--

721
00:38:34,679 --> 00:38:37,248
aren't we seeing a decline
in the decision making

722
00:38:37,314 --> 00:38:39,016
capabilities because of fatigue?

723
00:38:39,083 --> 00:38:41,385
You tired?

724
00:38:41,452 --> 00:38:42,353
No.

725
00:38:47,525 --> 00:38:50,795
NARRATOR: As investigators
break down Flight 981's journey

726
00:38:50,861 --> 00:38:53,397
from Dubai to
Rostov-on-Don, they

727
00:38:53,464 --> 00:38:55,766
identify a glaring problem.

728
00:38:55,833 --> 00:38:58,769
They were actually in the
air for more than six hours.

729
00:38:58,836 --> 00:39:02,640
It's almost 5:00 AM their
time when they're landing.

730
00:39:02,707 --> 00:39:04,442
DAVID KAMINSKI-MORROW:
The circadian rhythm

731
00:39:04,508 --> 00:39:09,380
is the body's natural alignment
with the day and night cycle.

732
00:39:09,447 --> 00:39:11,782
A quiet period is
roughly for a four

733
00:39:11,849 --> 00:39:16,053
hour between 2:00 in the
morning and 6:00 in the morning.

734
00:39:16,120 --> 00:39:19,824
That's the point at
which your mental ability

735
00:39:19,890 --> 00:39:23,160
is pretty much at its lowest.

736
00:39:23,227 --> 00:39:24,829
I think I'd like
to give it a try.

737
00:39:24,895 --> 00:39:25,763
I agree.

738
00:39:25,830 --> 00:39:28,265
Let's try.

739
00:39:28,332 --> 00:39:30,835
NARRATOR: Investigators
determined the crew was

740
00:39:30,901 --> 00:39:33,003
suffering from
operational fatigue

741
00:39:33,070 --> 00:39:35,072
as they launched
their second approach.

742
00:39:37,408 --> 00:39:39,977
Good evening, your
first officer here.

743
00:39:40,044 --> 00:39:41,345
We will be landing shortly.

744
00:39:41,412 --> 00:39:44,515
Once again, we
apologize for the delay.

745
00:39:44,582 --> 00:39:46,517
NARRATOR: The decision
to make a second attempt

746
00:39:46,584 --> 00:39:50,187
to land at Rostov-on-Don
triggers a chain of events

747
00:39:50,254 --> 00:39:53,624
that ends in catastrophe.

748
00:39:53,691 --> 00:39:55,459
Check your speed.

749
00:39:55,526 --> 00:39:57,495
As the aircraft is
hit by this sudden wind,

750
00:39:57,561 --> 00:40:02,633
the crew is forced into
executing another go-around.

751
00:40:02,700 --> 00:40:03,768
OK, go around.

752
00:40:03,834 --> 00:40:06,370
And this time it was
all going to go wrong.

753
00:40:06,437 --> 00:40:08,305
NARRATOR: Captain
Sokratous executes

754
00:40:08,372 --> 00:40:12,810
a wind shear go-around, pushing
the throttle to maximum power.

755
00:40:12,877 --> 00:40:15,646
The first officer performs
a standard go-around,

756
00:40:15,713 --> 00:40:20,351
retracting the flaps and
raising the landing gear.

757
00:40:20,417 --> 00:40:22,453
Both pilots were
essentially flying two

758
00:40:22,520 --> 00:40:24,388
different airplanes from there.

759
00:40:24,455 --> 00:40:27,224
This blunder factors
heavily into the catastrophe

760
00:40:27,291 --> 00:40:28,793
that followed.

761
00:40:28,859 --> 00:40:33,864
NARRATOR: Flight 981 climbs from
Rostov-on-Don at high speed.

762
00:40:33,931 --> 00:40:36,333
When you're light on fuel
and you put the maximum thrust,

763
00:40:36,400 --> 00:40:38,135
you will accelerate.

764
00:40:40,237 --> 00:40:41,505
DAVID KAMINSKI-MORROW:
It's what happened

765
00:40:41,572 --> 00:40:47,478
in the last few seconds
that doomed Flight 981.

766
00:40:47,545 --> 00:40:49,413
Keep it at 15
degrees, nose up.

767
00:40:49,480 --> 00:40:51,749
NARRATOR: At this
moment, Captain Sokratous

768
00:40:51,816 --> 00:40:53,918
fights an inner battle.

769
00:40:53,984 --> 00:40:57,254
Acceleration of the aircraft
makes the captain feel as

770
00:40:57,321 --> 00:41:00,758
though the aircraft is
pitching up a lot more

771
00:41:00,825 --> 00:41:02,393
than it actually is.

772
00:41:02,459 --> 00:41:04,061
NARRATOR: His
spatial orientation

773
00:41:04,128 --> 00:41:07,565
deteriorates rapidly.

774
00:41:07,631 --> 00:41:09,667
JOHN NANCE: Your vestibular
senses and your middle ear

775
00:41:09,733 --> 00:41:12,570
are all telling you
the wrong thing.

776
00:41:12,636 --> 00:41:14,572
NARRATOR: The captain
counters the pitch up

777
00:41:14,638 --> 00:41:16,907
feeling of a
somatogravic illusion

778
00:41:16,974 --> 00:41:18,576
by pushing the yoke forward.

779
00:41:20,911 --> 00:41:24,415
The captain has lost touch
with the reality of what's

780
00:41:24,481 --> 00:41:26,050
happening to the airplane.

781
00:41:26,116 --> 00:41:28,419
NARRATOR: Then, the final blow.

782
00:41:28,485 --> 00:41:30,754
The captain holds that
stabilizer trim button

783
00:41:30,821 --> 00:41:33,958
down for about 12 seconds.

784
00:41:34,024 --> 00:41:37,294
With the sudden forcing of
the aircraft's nose down

785
00:41:37,361 --> 00:41:40,598
and stabilizer
trim, the aircraft

786
00:41:40,664 --> 00:41:46,237
transitions from a climb
very suddenly into a dive.

787
00:41:46,303 --> 00:41:47,638
BRADEN MCGRATH:
The aircraft is now

788
00:41:47,705 --> 00:41:49,974
in a very dangerous
situation which the captain

789
00:41:50,040 --> 00:41:51,942
is unable to overcome.

790
00:41:52,009 --> 00:41:52,776
My god!

791
00:41:54,511 --> 00:41:56,480
JOHN NANCE: They're
accelerating rapidly,

792
00:41:56,547 --> 00:42:00,050
and the first officer
finally gets on the yoke

793
00:42:00,117 --> 00:42:01,285
and tries to pull.

794
00:42:01,352 --> 00:42:03,487
But the controls
on the left side

795
00:42:03,554 --> 00:42:06,991
govern where the airplane is.

796
00:42:07,057 --> 00:42:11,495
And you get to a certain
point, and there's no recovery.

797
00:42:11,562 --> 00:42:13,264
NARRATOR: Nose diving
at full throttle

798
00:42:13,330 --> 00:42:15,499
towards the runway,
Captain Sokratous

799
00:42:15,566 --> 00:42:18,168
is completely disoriented.

800
00:42:18,235 --> 00:42:20,804
When he adds rudder
at the last moment,

801
00:42:20,871 --> 00:42:25,242
he's lost all awareness of
how the plane is flying.

802
00:42:31,582 --> 00:42:34,785
The pilots in this
case were conducting

803
00:42:34,852 --> 00:42:40,124
the flight very well right up
until those last few moments.

804
00:42:40,190 --> 00:42:43,093
And then it all really
just fell apart.

805
00:42:48,198 --> 00:42:52,336
NARRATOR: The IAC investigation
into the crash of Flight 981

806
00:42:52,403 --> 00:42:55,839
is a landmark case of how
spatial disorientation

807
00:42:55,906 --> 00:42:58,609
can end in disaster.

808
00:42:58,676 --> 00:43:00,177
GERRY SOEJATMAN: This
accident is a wake up

809
00:43:00,244 --> 00:43:01,312
call for the industry.

810
00:43:01,378 --> 00:43:02,513
This is one of
the accidents that

811
00:43:02,579 --> 00:43:05,215
pave the way into
increased training

812
00:43:05,282 --> 00:43:08,385
in spatial disorientation.

813
00:43:08,452 --> 00:43:11,288
NARRATOR: In their final
report, investigators

814
00:43:11,355 --> 00:43:13,624
blame the captain's
string of errors on his

815
00:43:13,691 --> 00:43:16,794
diminished psychological state.

816
00:43:16,860 --> 00:43:20,864
The IAC recommends that
Flydubai provide better training

817
00:43:20,931 --> 00:43:23,400
on the manual operation
of stabilizer trim,

818
00:43:23,467 --> 00:43:28,072
so their pilots don't make
the same mistake again.

819
00:43:28,138 --> 00:43:31,709
Research into human factors,
including situations like this

820
00:43:31,775 --> 00:43:33,844
where disorientation
likely occurred,

821
00:43:33,911 --> 00:43:37,414
is at the forefront of
aviation safety research.

822
00:43:37,481 --> 00:43:41,652
We are training our pilots
on simulators to experience

823
00:43:41,719 --> 00:43:43,921
these illusions before they
experience them in the air,

824
00:43:43,988 --> 00:43:46,490
so they can recognize
those situations.

825
00:43:49,593 --> 00:43:53,597
I think the Flydubai
accident shows how quickly

826
00:43:53,664 --> 00:43:56,567
your senses can overtake you.

827
00:43:56,633 --> 00:43:59,103
And one of the key
lessons is for pilots

828
00:43:59,169 --> 00:44:04,341
to trust in their instruments,
to take a step back from what

829
00:44:04,408 --> 00:44:06,944
they may think
they're experiencing,

830
00:44:07,011 --> 00:44:10,514
to actually understand
what the airplane is doing.

831
00:44:10,581 --> 00:44:13,450
You've got to keep
the aeroplane flying.


