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A 737 vanishes from radar
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over one of the most remote jungles on earth
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The crash pushes investigators to the limit.
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On the first day, we had 8 snake-bites,
3 broken legs and one cardiac arrest
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00:00:18,443 --> 00:00:21,980
It is the worst accident in history of Panama.
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A commercial aircraft
just don't fall out of the sky
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Dark theories emerge
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00:00:30,259 --> 00:00:32,584
Drug runner airplanes out there?
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What about a bomb
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They saw a big ball of fire
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It was highly suspicious
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00:00:38,854 --> 00:00:41,463
An entire nation is demanding answers
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00:00:41,487 --> 00:00:45,574
With this massive spreads of parts
that made no logical sense
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Only one stunning conclusion can explain it
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It was a big surprise to everybody
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Air Crash Investigation
Season 14, Edition 04
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This is a true story
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It is based on official reports
and eyewitness accounts
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SIDESWIPED
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Tocumen International Airport in Panama City
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V1
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Copa Airlines Flight 201
takes off for a short flight to Cali, Colombia
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Gear up
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Captain Rafael Chial is Copa's most senior pilot
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Today, he is monitoring the instruments
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First Officer Cesareo Tejada is flying the plane.
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40 passengers are on board,
mostly business travellers heading to Colombia
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The flight usually takes about an hour.
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But tonight,
there is a hitch that could add some time.
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We got some heavy weather
moving in from the Gulf.
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Flight 201 is heading straight for a storm
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In Panama, out over the water 8 or 10 miles out
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because over the Gulf, there is a lot of
convective activity and thunderstorms.
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The weather was unusually terrible
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It was a big big storm,
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It looks like we have to take the long way around
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If you fly through a powerful thunderstorm,
there are up and downdrafts
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They can overcome the airplane
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so, you don't fly through them.
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The pilots need to find a way
to fly around the bad weather
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you look at the weather
and you decide if you can do it
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If you can't,
you ask for a vector around the thunderstorms,
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Panama CENTER
Copa 201,
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we'd like to get around these weather,
requesting a new heading for 090
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Copa 201, copy that
we are clear to heading 090
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Cleared to heading 090.
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Ladies and gentlemen, we are going to take
a short detour to avoid some bumpy weather
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It may delay our arrival in Cali,
I will keep you posted.
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The new flightpath will take the 737 East
around the storm
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before heading South again to Cali.
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Panama CENTER, Copa 201.
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It has been 12 minutes since take off
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The Captain tells controllers
he has reached cruising altitude, 25.000 ft.
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Minutes later,
the plane disappears from radar.
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The Controller tries the radio,
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but gets no response.
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If you are close to thunderstorms
a lot of rain will be static on the radio
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and sometimes
you may not be able to talk for a few minutes.
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Garcia Orcana is one of the Controllers on duty.
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The flight was leaving Panama airspace,
entering Colombian airspace.
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When the signal disappeared from the radar,
I was worrying what happened
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The plane's last known location
was over Panama's remote Darién Gap
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The plane has vanished
over an almost impenetrable jungle
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If Copa 201 crashed here,
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just getting to the crash site
will be a huge struggle.
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Graciela Ocana reports the missing flight
to aviation authorities
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Then comes the news she has been dreading.
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Early in the morning,
I received a call from a radio station in Darién
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Witnesses on the ground
have reported a terrifying site.
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During the night,
they saw a big ball of fire
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falling from the sky.
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We had to find out where the aircraft was
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and if there was any one alive
they could save.
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The next day,
searchers make their way to the crash site,
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but all 47 people on board
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are dead.
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Even if it is one person,
it is a big loss
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and it is a plane full of passengers.
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It is really terrible
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In Panama City, air-crash investigators
set up a command post at a local flight school.
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Panama's Deputy Director of civil aviation,
Jorge Rodriguez,
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is under enormous pressure
to figure out what happened.
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The loss of such a large aircraft
has left his country in shock.
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At that time, it was the first big accident
of an air carrier of Panama.
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We lost 47 people on board,
all dead.
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The bad weather leads to
immediate speculation
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that the Copa pilots may have been overcome
by a deadly storm.
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They reported nasty weather
in the Gulf of Panama that time.
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I want any weather-data
for this entire area.
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In the Darien Province,
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Panamanian firemen say a prayer
for the 47 people who died aboard flight 201.
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The search to understand why they died
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brings NTSB investigator Tom Haueter
to Panama City.
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It is a lot of pressure in all investigations
in terms of the cause of the accident
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We want to know what happened, and why
and we want to prevent another accident
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That is our main mission.
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Tom Haueter, NTSB
How do you do?
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But there is added pressure on Haueter,
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because of the type of plane
involved in the tragedy
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a Boeing 737.
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I'd really like
to get a look at the rudder on this one.
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00:08:07,701 --> 00:08:10,868
The rudder
is a critical control surface in the tail
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that helps to turn the plane.
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00:08:13,154 --> 00:08:18,360
The NTSB suspects a rudder failure
caused a recent crash of another 737
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00:08:18,385 --> 00:08:21,352
United Airlines Flight 585.
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There had previously been an accident
with a 737 at Colorado Springs
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It was on approach, when it suddenly rolled over
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and dove into the ground at high speed
killing all aboard.
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A possible connection
between the two crashes
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makes it critical to figure out
what brought down Flight 201.
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Because that was an unsolved accident
we were very anxious to know
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Is there other evidence out there
that will help us solve that case?
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If rudder failure brought down both flights
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there could be a fatal flaw in every 737,
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the most popular airliner in the sky.
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Passengers all over the world could be at risk.
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In Panama's Darien Province,
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investigators begin the painstaking task
of try to find all the wreckage of Copa Flight 201
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00:09:22,684 --> 00:09:28,453
The dense vegetation makes it almost impossible
to spot small pieces from the air
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00:09:28,818 --> 00:09:32,723
The team must search on foot
with the help of local guides.
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It wasn't laid out as we
normally see in a crash
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where the airplane
comes in and you know:
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here is the nose, here is the
CENTER section, here is the tail
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it turned out there were parts all over.
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we were trying to determine where they were
and so it became a major search
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They need to find as much of the plane as they can
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but they quickly realize
it is going to be a daunting task.
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The Darien jungle is probably the remotest
section of Latin America you can think of
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The Pan American highway does not go through there
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There are no roads, nothing.
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It is like one of the worst jungles in the world
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I probably saw insects
that National Geographic hasn't even seen yet
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00:10:15,742 --> 00:10:17,742
It was just very tough.
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00:10:17,766 --> 00:10:24,072
On the first day, we had 8 snake bites,
3 broken legs and one cardiac arrest.
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00:10:27,072 --> 00:10:28,170
As they work,
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they map the location of
every fragment of the plane
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Tracking where the pieces landed
could hold clues about why the plane crashed.
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Most of the pieces are small
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but a trail of scorched vegetation
leads to the first large piece of the plane.
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There was a large cleared area
there was a fire that took place from the fuel
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This is the CENTER section of the wing
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the main landing gear is right there below you
feet down the hill
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It is an important find
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but many more parts are still missing,
including the rudder, and the cockpit.
145
00:11:08,185 --> 00:11:11,502
The wreckage is spread across
more than a 100 mile²
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For investigators,
the large area is a critical clue
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There had been some type of high speed event
where the airplane had broken up
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it rained parts down on the jungle
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Because the break up, we didn't know,
so we did take a look at the wreckage
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and tried to determine
how all these pieces of the puzzle fit.
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The crash site's proximity to the Colombian border
suggests an obvious theory
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It is an air-corridor for drugs
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It is a busy one.
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The Darien jungle is right on the
border between Panama and Columbia
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and there is a fair amount of drug activity
coming back and forth across the jungle.
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The remote jungle of the Darien Gap
is a haven for drug-cartels
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flying illicit merchandise,
North from secret air-strips
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In that gap, we don't have no radar
to patrol the route of the drug-smuggle
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00:12:04,548 --> 00:12:09,476
Drug-runners usually fly at night
when they are less likely to be spotted.
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00:12:17,000 --> 00:12:20,785
Unlike commercial crews,
smuggles avoid radar detection
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by switching OFF their radar transponder
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00:12:23,874 --> 00:12:26,912
and they never check in with Air Traffic Control.
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If he does not report,
who will know that they are there?
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It is really dangerous,
especially if there is not good visibility.
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Cleared heading 090
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We will let you know
when we are getting clear from this weather
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Perhaps the unsuspecting pilots
suddenly crossed paths with drugs runners
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It would have been
the last thing they ever saw.
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We thought at drug running
who were going out there
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Everything was open for consideration.
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If Flight 201 did hit another aircraft,
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investigators should be able to find some trace
of the 2nd plane among the wreckage.
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If a red airplane hits a blue airplane,
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the paint is going to transfer
from the one to the other
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They scrutinize each piece carefully
176
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hunting for any speck of paint
that could have come from a covert drug plane,
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But they come up empty.
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Even more telling,
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there is no wreckage that
could have come a 2nd plane
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We didn't find any other wreckages ,
old or new
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and looking at the wreckage we found
from the Copa airplane
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we didn't find any evidence
of a mid air collision.
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00:14:03,123 --> 00:14:05,631
There is another possibility:
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What about a bomb?
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00:14:09,909 --> 00:14:13,592
Flight 201 was bound for Cali, Colombia,
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home of a violent drug cartel.
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00:14:17,186 --> 00:14:24,568
Investigators know that a bomb on board could
explain the eye-witness reports of fire in the sky
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Certainly, we were interested in
the possibility of an explosion
189
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we brought an FAA explosive expert with us
190
00:14:35,913 --> 00:14:40,547
a possible bomb went off
and caused to break up of the airplane
191
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We needed to take a look at everything.
192
00:14:44,539 --> 00:14:47,674
Commercial aircraft just don't fall out of the sky
193
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so those individuals put in a team together
194
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felt that it was highly suspicious
and might be something in my area of expertise
195
00:14:56,484 --> 00:15:01,870
Explosive expert Calvin Walbert begins his
search for evidence of an on board bomb
196
00:15:02,290 --> 00:15:07,155
There is a tremendous amount of pressure
because everybody wants that answer yesterday
197
00:15:07,179 --> 00:15:12,877
He is looking for signature blast marks,
caused by the superheated gasses from an explosion
198
00:15:12,901 --> 00:15:14,916
There are indicators that you look for,
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00:15:14,941 --> 00:15:18,940
that will tell you that this is
caused from an explosive event
200
00:15:18,964 --> 00:15:25,558
it is not caused from just a fire
or fuel erupting or something like that
201
00:15:25,582 --> 00:15:32,210
If there were a bomb, the tell tale marks
will most likely be found on metal debris.
202
00:15:32,868 --> 00:15:37,726
On something like aircraft aluminium, you
would be looking for pitting and cratering
203
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like the surface of the moon
204
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He carefully examines each piece.
205
00:15:44,843 --> 00:15:48,209
He finds burn marks , evidence of a fire
206
00:15:48,233 --> 00:15:51,796
but there is no sign of an explosive detonation.
207
00:15:52,168 --> 00:15:54,666
The bomb theory is looking less likely
208
00:15:54,707 --> 00:15:59,446
but it cannot be ruled out completely
until they carry out one final test.
209
00:16:00,787 --> 00:16:05,327
Transport to Panama city
where the bodies will be X Rayed
210
00:16:05,351 --> 00:16:07,351
to check for embedded shrapnel
211
00:16:09,288 --> 00:16:14,128
I am looking for something
that would be foreign to human remains
212
00:16:14,152 --> 00:16:19,479
that is not part of the aircraft
that is not part of the personal facts
213
00:16:19,503 --> 00:16:23,312
that is something
that would indicate that it was a bomb.
214
00:16:30,453 --> 00:16:32,453
Base camp, come in, please
215
00:16:32,477 --> 00:16:36,175
A call from the jungle search team
brings some much needed good news
216
00:16:36,199 --> 00:16:37,699
We got the black boxes.
217
00:16:37,723 --> 00:16:39,723
The exhausting effort has paid off:
218
00:16:39,747 --> 00:16:42,421
they found Flight 201's Black boxes
219
00:16:42,445 --> 00:16:45,405
This could be the break through
investigators need.
220
00:16:45,429 --> 00:16:51,719
At least we got something to analyze
what was the cause of the accident
221
00:16:51,743 --> 00:16:56,140
Without those Black boxes
you are blind, you don't get nothing.
222
00:16:58,100 --> 00:17:01,979
There is no lab in Panama,
equipped to analyze the recorders.
223
00:17:02,003 --> 00:17:05,822
They need to go to the NTSB in Washington DC.
224
00:17:05,846 --> 00:17:09,058
We were anxious to look at the FDR
225
00:17:09,082 --> 00:17:15,650
The Flight Data Recorder is the only data we have
from the flight up to the time of the break up.
226
00:17:21,054 --> 00:17:26,307
NTSB technicians work quickly to download
the information, stored on the two recorders.
227
00:17:26,577 --> 00:17:30,522
The FDR tracks information
like airspeed and heading.
228
00:17:31,251 --> 00:17:35,879
The CVR captures the sound
of the pilots' conversation in the cockpit.
229
00:17:35,926 --> 00:17:37,977
We are hoping with the CVR
230
00:17:38,002 --> 00:17:42,024
we get more information in terms of what
the crew was saying, what was happening
231
00:17:42,049 --> 00:17:44,140
right at the time of impact
232
00:17:45,401 --> 00:17:48,429
The FDR is in good condition...
233
00:17:49,572 --> 00:17:52,429
...but the same can not be said for the CVR.
234
00:17:52,453 --> 00:17:55,532
It was a big surprise to everybody
235
00:17:55,556 --> 00:17:59,445
Somehow, the tape has snapped
and come unspooled
236
00:18:00,428 --> 00:18:02,245
My God, what a mess.
237
00:18:02,270 --> 00:18:07,666
the tape was broken completely
like black spaghetti.
238
00:18:07,935 --> 00:18:11,205
Jorge had a ball of Mylar tape.
239
00:18:12,030 --> 00:18:15,657
Investigators won't know
what answers the tape holds
240
00:18:15,682 --> 00:18:18,038
unless they can somehow repair it.
241
00:18:18,063 --> 00:18:24,165
If the people of the NTSB
can not put that tape to work
242
00:18:24,189 --> 00:18:26,189
there was no way.
243
00:18:29,974 --> 00:18:34,292
Battling a 120° F heat in the Panamanian jungle
244
00:18:34,316 --> 00:18:39,895
investigators struggle to learn what they can
from the wreckage of Copa Flight 201.
245
00:18:41,069 --> 00:18:45,053
Another big find could be a crucial lead
in two investigations
246
00:18:45,077 --> 00:18:49,465
They have recovered a key part from the rudder:
the PCU
247
00:18:50,083 --> 00:18:55,852
The PCU is a hydraulic ram
that moves the rudder back and forth.
248
00:18:55,979 --> 00:19:02,638
It is the same part investigators suspect may have
failed during the recent crash of a UA 737
249
00:19:02,662 --> 00:19:06,550
If there is a failure mode out there
that is affecting thousands of airplanes
250
00:19:06,574 --> 00:19:08,886
we want to document
what happened
251
00:19:08,911 --> 00:19:13,490
work with the FAA, the main factories to correct
the problem, so the accident cannot happen again.
252
00:19:13,514 --> 00:19:16,902
If they find evidence
that the critical component malfunctioned
253
00:19:16,926 --> 00:19:20,640
it will send shock-waves
through the entire industry
254
00:19:20,782 --> 00:19:24,425
The Boeing company will stop all those airplanes
255
00:19:24,464 --> 00:19:28,242
They will not be flying.
256
00:19:28,441 --> 00:19:31,655
Investigators test the mechanism.
257
00:19:31,679 --> 00:19:34,393
They need to know if it jammed in flight
258
00:19:34,417 --> 00:19:38,663
a failure
that could easily put a 737 into a sudden dive,
259
00:19:40,330 --> 00:19:42,330
but it is another dead end.
260
00:19:43,083 --> 00:19:48,734
There is no evidence of pre existing damage
it appeared to be working normally
261
00:19:50,044 --> 00:19:53,988
The team hopes
the engines will provide a better lead
262
00:19:54,860 --> 00:19:56,098
In rare cases,
263
00:19:56,123 --> 00:20:01,027
turbine engines have been known to overheat
and catch fire.
264
00:20:01,059 --> 00:20:06,320
If you got a fire in the engine,
there is a lot of things that you can do about it
265
00:20:06,344 --> 00:20:09,566
If there was an engine fire on Flight 201
266
00:20:09,597 --> 00:20:15,359
investigators should be able to find scorch-marks
on fan blades and other internal parts.
267
00:20:16,692 --> 00:20:20,350
But again, their inspection turns up nothing.
268
00:20:20,374 --> 00:20:24,763
There wasn't a problem at all with the engines
that flight
269
00:20:25,135 --> 00:20:28,906
The engines were working normally
when the plane broke apart.
270
00:20:29,073 --> 00:20:35,421
Investigators are still no closer to understand
what happened in the skies over Panama
271
00:20:38,278 --> 00:20:42,164
Medical X Rays eliminate yet another theory
272
00:20:42,465 --> 00:20:48,481
All of the victim's remains were X Rayed
to see if there is any evidence of an explosion.
273
00:20:48,505 --> 00:20:54,465
The images show no sign of any foreign debris
that could have come from an explosion on board
274
00:20:54,489 --> 00:20:57,289
There is nothing that I saw or that I observed
275
00:20:57,314 --> 00:21:02,997
that would indicate to me
that there was a device on board Copa flight 201.
276
00:21:06,291 --> 00:21:12,283
Investigators now believe the flames witnesses saw
ignited after the plane broke apart.
277
00:21:13,775 --> 00:21:15,775
It wasn't a bomb.
278
00:21:17,924 --> 00:21:20,775
There is enormous pressure on the investigation.
279
00:21:20,800 --> 00:21:26,141
Panamanians want to know what caused
their nations deadliest air disaster.
280
00:21:26,165 --> 00:21:29,907
How could that happen, we could not imagine
281
00:21:29,932 --> 00:21:32,089
We needed an answer.
282
00:21:37,660 --> 00:21:43,175
In Washington, there is renewed hope
of finding answers in the CVR
283
00:21:44,262 --> 00:21:47,794
Technicians have managed
to repair the broken tape
284
00:21:47,943 --> 00:21:49,499
Well, it took a lot of effort,
285
00:21:49,524 --> 00:21:56,262
but they slowly found an end and straight it out
rolled it back up, get it on a reel
286
00:21:56,286 --> 00:22:00,619
Rodriguez can finally listen to the sounds,
captured in the cockpit.
287
00:22:01,015 --> 00:22:04,229
Copa 4129, you are cleared for take off
288
00:22:05,063 --> 00:22:08,150
But what he hears reveals a stunning new problem
289
00:22:08,174 --> 00:22:10,174
Cleared for take off, 4129
290
00:22:11,117 --> 00:22:12,220
OKAY, here we go
291
00:22:12,245 --> 00:22:15,285
The recording is not from flight 201
292
00:22:15,309 --> 00:22:17,388
It is from a flight, days earlier.
293
00:22:17,412 --> 00:22:21,818
It seems that the tape was already broken
when Flight 201 took off.
294
00:22:21,919 --> 00:22:26,673
The tape was broken 7 days before that accident.
295
00:22:27,157 --> 00:22:31,356
and that was the reason
that the recorder wasn't working at all.
296
00:22:33,211 --> 00:22:35,485
It is very unusual that it does not operate.
297
00:22:35,509 --> 00:22:41,675
I flew the airplane for many years
I don't recall ever having a CVR not working
298
00:22:43,643 --> 00:22:47,468
The first funeral
is for one of the 5 flight attendants
299
00:22:47,492 --> 00:22:51,063
Many mourners are asking
the same questions as investigators:
300
00:22:51,087 --> 00:22:53,904
'Why did this tragedy happen?'
301
00:22:53,928 --> 00:22:59,229
It was like a nightmare that you wish
you could wake up
302
00:22:59,253 --> 00:23:04,641
You do not expect that to happen
at least not in your country
303
00:23:05,569 --> 00:23:09,092
The flight data
is finally in the hands of investigators
304
00:23:09,116 --> 00:23:11,775
It paints a terrifying picture
305
00:23:11,799 --> 00:23:15,156
Flight 201 suddenly went into a catastrophic dive.
306
00:23:18,640 --> 00:23:22,645
The airplane coming from 25,000 ft
307
00:23:26,399 --> 00:23:30,494
until it disintegrate at 9,195 ft
308
00:23:33,359 --> 00:23:35,359
10,000 ft /min
309
00:23:38,359 --> 00:23:42,533
The extreme speed of the dive
solves the mystery of the mid-air break up
310
00:23:42,557 --> 00:23:47,834
It is not designed for flying inverted
with speeds approaching the speed of sound
311
00:23:47,858 --> 00:23:52,889
And so, we were trying to understand
how it got from a level flight to be inverted
312
00:23:52,913 --> 00:23:54,913
coming down at high speeds.
313
00:23:54,937 --> 00:23:59,429
That few seconds
is really the focus of the investigation.
314
00:23:59,453 --> 00:24:03,421
The fierce weather over the Gulf of Panama
may have been a factor
315
00:24:03,445 --> 00:24:13,603
We had reports that the storm extended
more than 100 miles from East to West.
316
00:24:14,524 --> 00:24:17,500
If the Copa crew flew into a severe storm
317
00:24:17,524 --> 00:24:23,293
there is a chance that the pilots were confused
by what experts call spatial disorientation.
318
00:24:30,289 --> 00:24:35,463
Flying in bad weather at night, thunderstorms
can be disorienting.
319
00:24:36,344 --> 00:24:38,828
You can't really trust your own senses
320
00:24:38,853 --> 00:24:43,408
The inner ear will not lead you
to the right conclusion
321
00:24:43,433 --> 00:24:48,861
the G-forces you are feeling may lead you think
you are turning left while you are turning right.
322
00:25:01,241 --> 00:25:06,893
Investigators use radar information,
captured in the tower to plot Flight 201's path.
323
00:25:07,686 --> 00:25:10,528
They want to compare it
to the path of the storm.
324
00:25:11,234 --> 00:25:15,107
We could go back and look at the weather data
and the long range radar data
325
00:25:15,131 --> 00:25:19,162
We knew where the storm was
we knew where the airplane was, by the impact
326
00:25:19,582 --> 00:25:23,518
and so we could piece together their flight path
and where they were going.
327
00:25:23,542 --> 00:25:25,542
The results are conclusive:
328
00:25:25,566 --> 00:25:28,828
Flight 201 wasn't anywhere near the storm.
329
00:25:28,852 --> 00:25:32,582
I said that the weather wasn't an issue
in that accident.
330
00:25:34,621 --> 00:25:39,779
Investigators still can't explain
what happened to Copa Flight 201.
331
00:25:39,803 --> 00:25:41,803
They need a better approach.
332
00:25:42,223 --> 00:25:45,041
The data we had, the take off,
the climb out, the cruise,
333
00:25:45,066 --> 00:25:47,780
everything looked like a normal flight
334
00:25:47,804 --> 00:25:50,843
They delved deeper
into the last 2 minutes of flight data
335
00:25:50,868 --> 00:25:53,804
and discover some very unusual flight manoeuvres
336
00:25:53,828 --> 00:25:58,454
Tom Haueter:
OKAY, it looks like it turned right, and then left
337
00:25:58,478 --> 00:26:02,034
and then right again
until they spiralled into a dive.
338
00:26:03,359 --> 00:26:04,864
It doesn't make any sense.
339
00:26:04,888 --> 00:26:07,896
The flight data seems completely baffling.
340
00:26:07,943 --> 00:26:13,221
Could it hold the key to explaining
why 47 people died?
341
00:26:18,828 --> 00:26:22,923
Investigators zero in on the final 2 minutes
342
00:26:24,422 --> 00:26:26,811
They create an animation of the flight data...
343
00:26:26,836 --> 00:26:29,153
That was normal,
That was abrupt
344
00:26:29,177 --> 00:26:34,851
...hoping it will shed some light on how the 737
could have made such strange manoeuvres...
345
00:26:34,875 --> 00:26:37,716
Tom H.
It should be correcting, it is not correcting
346
00:26:37,763 --> 00:26:39,375
What the heck is going on?
347
00:26:39,399 --> 00:26:41,762
...but it only adds to the mystery.
348
00:26:41,786 --> 00:26:49,008
We saw the aircraft roll over into a bank angle
then a sudden snap back to level vice versa.
349
00:26:49,065 --> 00:26:53,624
The strange motion is unlike anything
an airliner usually does during flight
350
00:26:53,648 --> 00:26:57,782
It is strange to understand
how can the airplane manoeuvre the way it is doing
351
00:26:57,806 --> 00:27:02,184
That was causing quite a bit of problems,
because we couldn't make a fit.
352
00:27:02,209 --> 00:27:06,189
The aircraft is normally flown very gentle
353
00:27:06,213 --> 00:27:09,701
As if your grandmother is in the back
and she does not like to fly
354
00:27:09,725 --> 00:27:16,201
because you are trying to make a happy customer
and make them come back and fly with you again.
355
00:27:16,257 --> 00:27:21,641
Could the pilots have been incapacitated
by drugs or a medical emergency?
356
00:27:21,835 --> 00:27:24,133
We've got to find that cockpit.
357
00:27:24,271 --> 00:27:28,390
There is no way to answer that question
unless they can find the pilots' bodies
358
00:27:28,415 --> 00:27:30,808
and carry out forensic tests.
359
00:27:32,653 --> 00:27:36,716
That was one of the main parts
of the investigation
360
00:27:36,785 --> 00:27:39,398
We have to get the cockpit.
361
00:27:40,207 --> 00:27:42,393
Investigators are prepared for the hunt.
362
00:27:42,417 --> 00:27:47,591
Before going into the jungle, they examine the 737
just like the one that crashed.
363
00:27:47,615 --> 00:27:50,813
We hurry and go to the jungle
looking for parts and pieces
364
00:27:50,838 --> 00:27:53,662
it might be nice to see
what they look like intact
365
00:27:53,686 --> 00:27:58,812
So, we came across in the jungle
we had an idea what we were really seeing.
366
00:28:00,715 --> 00:28:03,876
The meticulous search finally pays off.
367
00:28:07,780 --> 00:28:11,694
We found the cockpit in the base of the big tree.
368
00:28:11,718 --> 00:28:15,868
Like it hit the tree
and stopped there.
369
00:28:21,096 --> 00:28:24,429
In Panama City, pathologists examine the bodies.
370
00:28:24,454 --> 00:28:29,414
During the autopsies,
we found no evidence of heart seizure at that time
371
00:28:29,438 --> 00:28:32,827
or any medical event with eyes of the pilots
at the time of the impact
372
00:28:33,056 --> 00:28:37,857
Toxicology tests also confirm
that neither pilot was impaired by drugs
373
00:28:37,881 --> 00:28:41,405
There must be another explanation
for the bizarre manoeuvres
374
00:28:41,429 --> 00:28:45,206
We are trying to understand what happened here,
the cause of the upset
375
00:28:45,230 --> 00:28:48,262
It was quite a mystery for a long time.
376
00:28:48,286 --> 00:28:52,460
With little else to go on
investigators focus on the cockpit debris.
377
00:28:52,484 --> 00:28:56,642
It provides some intriguing details
about the last moments of the flight
378
00:28:56,666 --> 00:29:01,666
We certainly did piece together what may have
been going on in the cockpit at the time
379
00:29:01,768 --> 00:29:05,531
The delicious food makes up for the long hours.
380
00:29:05,555 --> 00:29:07,848
The First Officer is flying the airplane,
381
00:29:07,872 --> 00:29:10,459
the Captain is back from the controls
382
00:29:10,483 --> 00:29:15,606
He is having his meal,
everything seems like a very normal flight.
383
00:29:18,070 --> 00:29:24,450
Investigators study the flight instruments
and cockpit controls that pilots rely on.
384
00:29:27,608 --> 00:29:31,442
The position of a switch
raises an immediate red flag.
385
00:29:34,815 --> 00:29:40,045
The vertical GYRO-switch affects
the most important flight instrument:
386
00:29:40,069 --> 00:29:42,069
The attitude indicator
387
00:29:49,783 --> 00:29:52,402
Each pilot has his own attitude indicator.
388
00:29:52,426 --> 00:29:56,964
It shows him how the plane is positioned
with respect to the horizon
389
00:29:56,988 --> 00:30:00,734
The attitude indicator is like a ball
390
00:30:00,758 --> 00:30:03,639
It shows bank angle, it shows pitch
391
00:30:03,663 --> 00:30:06,464
It is the sole control of the aircraft
392
00:30:06,488 --> 00:30:10,702
And without it, it would be very,
very difficult to fly the airplane.
393
00:30:10,726 --> 00:30:15,932
Each attitude indicator is connected
to its own sensor, called a vertical gyro
394
00:30:15,956 --> 00:30:17,543
Or VG
395
00:30:17,567 --> 00:30:20,630
The gyros constantly measure the plane's attitude
396
00:30:20,654 --> 00:30:24,177
If the gyro's don't match,
the pilots get a warning.
397
00:30:24,201 --> 00:30:29,058
Normally, you will have the captain's
attitude indicator powered by one gyro,
398
00:30:29,082 --> 00:30:33,478
and the First Officer's attitude indicator
powered by another gyro.
399
00:30:33,795 --> 00:30:36,002
If there is a problem with one gyro,
400
00:30:36,027 --> 00:30:39,367
the pilots can switch both
indicators onto the other one.
401
00:30:40,231 --> 00:30:44,262
If one gyro goes bad, you don't want to have
a pilot looking at bad data
402
00:30:44,286 --> 00:30:47,635
So you switch them both over to the good data.
403
00:30:47,659 --> 00:30:49,968
It appears that is what happened:
404
00:30:49,992 --> 00:30:54,508
the gyro control switch has been positioned
to feed both indicators from VG1,
405
00:30:54,532 --> 00:30:56,142
the Captain's gyro.
406
00:30:56,166 --> 00:30:59,983
It is like
they are having troubles with the FO's gyro
407
00:31:00,007 --> 00:31:03,245
Both of them
are reading data from the same gyro source
408
00:31:03,269 --> 00:31:06,356
which make you think that at some point
409
00:31:06,380 --> 00:31:10,443
either it was selected that way
or they didn't realize it was selected that way
410
00:31:10,467 --> 00:31:14,967
but they are both feeding data
from the same source, which is unusual.
411
00:31:14,991 --> 00:31:19,338
Investigators could be on the verge
of an important break-through
412
00:31:19,363 --> 00:31:20,937
but they won't know for sure,
413
00:31:20,962 --> 00:31:25,910
until they can test the flight-instruments
for any kind of malfunction.
414
00:31:27,132 --> 00:31:33,703
We removed all the components from the cockpit
and shipped those back to the U.S. for examination
415
00:31:34,742 --> 00:31:40,051
This could be their last chance
to understand what happened to Flight 201.
416
00:31:45,622 --> 00:31:50,415
Investigators need to know if a faulty
cockpit instrument was giving the crew
417
00:31:50,440 --> 00:31:53,971
misleading data about the position of their plane.
418
00:31:55,353 --> 00:31:57,231
What we were going to look at:
419
00:31:57,256 --> 00:32:01,082
Is there anything here
that would show us what happened
420
00:32:01,114 --> 00:32:05,415
Is there a failure on one of the gyros
or the failure is added to the indicator
421
00:32:05,439 --> 00:32:08,955
They test the displays
and the gyros that feed them.
422
00:32:08,979 --> 00:32:10,439
This one seems to work fine.
423
00:32:10,463 --> 00:32:15,145
There is nothing wrong
with the First Officer's instrument.
424
00:32:15,169 --> 00:32:18,875
They run the same test
on the Captain's attitude indicator.
425
00:32:19,573 --> 00:32:22,955
At first,
the Captain's instrument seems fine, too
426
00:32:22,979 --> 00:32:27,959
We put them on a bench, we powered them up
they actually worked quite well.
427
00:32:28,034 --> 00:32:30,788
Then, they notice something odd.
428
00:32:30,813 --> 00:32:32,542
Hang on, it seems to be stuck
429
00:32:32,567 --> 00:32:36,424
Occasionally,
the display momentarily freezes in place.
430
00:32:36,448 --> 00:32:43,035
The attitude indicator stops moving
even though the gyro is still in motion
431
00:32:43,749 --> 00:32:47,399
Yeah, there it goes,
now it is circling.
432
00:32:50,177 --> 00:32:53,756
Investigators need to know
what is causing the failure.
433
00:32:55,312 --> 00:32:59,687
They test every wire,
connecting the display to the gyro.
434
00:33:03,917 --> 00:33:06,913
Finally, they find the culprit.
435
00:33:08,421 --> 00:33:10,873
This wire is hanging by a thread
436
00:33:10,897 --> 00:33:13,333
We found a break in the wire
437
00:33:13,358 --> 00:33:17,795
Intermittent, it was close enough:
Sometimes it touches and sometimes it won't.
438
00:33:17,819 --> 00:33:23,452
The discovery gives new meaning to
the bizarre rolling motion, captured by the FDR
439
00:33:23,476 --> 00:33:28,480
The Captain's instrument and the Flight recorder
are both fed by the same gyro.
440
00:33:28,504 --> 00:33:30,504
The way the airplane is wired is:
441
00:33:30,544 --> 00:33:36,567
what the Captain is seeing on his indicator
is what is been recorded on the FDR
442
00:33:36,797 --> 00:33:42,305
Since the Captain's gyro was broken,
it was sending faulty roll data to the recorder.
443
00:33:42,329 --> 00:33:46,725
Copa 201 didn't really make
any quick rolling manoeuvres at all.
444
00:33:46,749 --> 00:33:49,725
OKAY, let us see what the plane is really doing.
445
00:33:49,749 --> 00:33:53,598
By carefully analyzing
other parameters on the FDR,
446
00:33:53,622 --> 00:34:00,010
they managed to calculate its actual movements
and reveal the plane's true motion.
447
00:34:01,137 --> 00:34:06,463
Making it visual, we could see
what the data is showing and the plane is doing.
448
00:34:06,487 --> 00:34:09,820
That is extraordinary helpful.
449
00:34:09,844 --> 00:34:14,296
The red image shows the bad data
the pilots were seeing,
450
00:34:14,320 --> 00:34:18,756
while the solid image shows
how the Copa 201 was actually flying.
451
00:34:18,780 --> 00:34:23,214
They were trying to level the plane,
but they are making it worse.
452
00:34:24,325 --> 00:34:27,121
You have the attitude indicator here, stuck
453
00:34:27,145 --> 00:34:32,486
Now, the airplane is going in the other direction
and sends suddenly
454
00:34:32,511 --> 00:34:37,843
the attitude indicator is powered to unstuck
it goes back and moves the airplane again
455
00:34:37,883 --> 00:34:40,630
The pilots' ability to troubleshoot the problem
456
00:34:40,655 --> 00:34:45,708
was likely complicated by
the intermittent nature of the failure.
457
00:34:49,629 --> 00:34:53,303
If they are totally confused
by their attitude indicator
458
00:34:53,327 --> 00:34:56,041
they are making improper control inputs.
459
00:34:56,065 --> 00:34:59,641
When it sticks,
the pilot is trying to correct that problem
460
00:34:59,665 --> 00:35:02,046
so, he is trying to get
that airplane 'level' again
461
00:35:02,070 --> 00:35:06,792
and he doesn't realize
that he is going in the wrong direction
462
00:35:06,816 --> 00:35:09,736
He is looking at an instrument providing bad data,
463
00:35:09,760 --> 00:35:14,299
and unfortunately in the period of time,
he lost control of the aircraft.
464
00:35:15,298 --> 00:35:19,061
The plane rolls so far to the right,
it becomes unrecoverable.
465
00:35:19,085 --> 00:35:21,202
Though the pilots don't know it,
466
00:35:21,226 --> 00:35:24,424
they are now falling from the sky.
467
00:35:24,972 --> 00:35:28,511
When they got to this point,
they didn't have a chance.
468
00:35:28,764 --> 00:35:30,948
But a puzzling question remains
469
00:35:30,972 --> 00:35:33,481
It was the Captain's gyro
that failed in flight
470
00:35:33,506 --> 00:35:35,749
and started sending bad data.
471
00:35:35,773 --> 00:35:38,077
So, why did the pilots select it?
472
00:35:38,101 --> 00:35:39,400
The question is:
473
00:35:39,425 --> 00:35:43,320
why they believed
the Captain's gyro is the good one?
474
00:35:43,344 --> 00:35:46,114
Why is it switched to that position?
475
00:35:46,138 --> 00:35:50,558
Because of that mistake,
both pilots were seeing the wrong information.
476
00:35:50,724 --> 00:35:55,081
The accident wouldn't have happened
had they've been on VG-2
477
00:35:55,342 --> 00:36:00,200
What could have led the pilots
to make such a lethal error?
478
00:36:03,239 --> 00:36:06,913
You want to know,
how are they trained for unusual events?
479
00:36:06,938 --> 00:36:08,938
What is their level of skill?
480
00:36:09,319 --> 00:36:14,692
How would they handle an unusual situation?
are they trained for gyro failures?
481
00:36:16,985 --> 00:36:18,500
OKAY, let us start
482
00:36:18,524 --> 00:36:24,143
Investigators go into the type of flight-simulator
the Copa crew used for their 737 training.
483
00:36:24,167 --> 00:36:27,182
Climb to 25,000 ft and turn right.
484
00:36:30,904 --> 00:36:34,167
They recreate the flight of Copa 201
485
00:36:34,191 --> 00:36:37,167
Now, trigger the failure.
486
00:36:38,736 --> 00:36:42,688
Including the malfunction
of the Captain's attitude indicator.
487
00:36:42,713 --> 00:36:44,713
Tom Haueter:
How do you make the switch?
488
00:36:46,920 --> 00:36:48,920
Wait a minute, let me see that
489
00:36:48,944 --> 00:36:52,046
That is not the same switch that was on Copa 201
490
00:36:56,085 --> 00:36:59,696
Two different configurations
for one small control-switch
491
00:36:59,721 --> 00:37:02,585
has overwhelming implications
for the investigation.
492
00:37:02,609 --> 00:37:07,291
This is the gyro switch from the simulator
where the Captain was trained
493
00:37:07,315 --> 00:37:09,315
Next slide, please
494
00:37:10,640 --> 00:37:15,298
And this is the gyro-switch from Copa 201
495
00:37:15,323 --> 00:37:17,323
Can we get it closer, please?
496
00:37:19,870 --> 00:37:21,870
Alright, now let's see both
497
00:37:22,663 --> 00:37:24,663
Well, that is completely different
498
00:37:24,688 --> 00:37:29,562
The cockpit and the simulator weren't similar
and so it is possible to get confused
499
00:37:29,587 --> 00:37:33,980
thinking you are going to independent gyro-source
when you weren't.
500
00:37:34,004 --> 00:37:40,011
In the simulator, flipping the toggle to the left
switches the Captain's instrument to an AUX gyro,
501
00:37:40,035 --> 00:37:42,035
independent of the other two.
502
00:37:42,915 --> 00:37:44,464
On Flight 201,
503
00:37:44,489 --> 00:37:50,240
flipping the switch to the left puts both
instruments on the Captain's malfunctioning gyro.
504
00:37:59,756 --> 00:38:03,207
With no CVR from the cockpit of Copa 201
505
00:38:03,239 --> 00:38:08,533
investigators will never know for certain
who flipped the switch the wrong way.
506
00:38:09,652 --> 00:38:11,589
But they finally collected
enough evidence
507
00:38:11,614 --> 00:38:16,358
to build a compelling theory of
how the flight went so horribly wrong
508
00:38:26,184 --> 00:38:28,299
After diverting around the storm,
509
00:38:28,324 --> 00:38:33,850
the crew of Copa Flight 201
needs to turn right to get back on course.
510
00:38:38,374 --> 00:38:41,810
The delicious food makes up for the long hours.
511
00:38:52,496 --> 00:38:54,292
As the plane levels out,
512
00:38:54,317 --> 00:38:59,503
an error flag warns there is a problem
with the Captain's attitude indicator.
513
00:39:00,503 --> 00:39:04,741
They fall back on their training
and flip the gyro switch to the left,
514
00:39:04,765 --> 00:39:07,876
thinking they are switching to the AUX gyro.
515
00:39:07,900 --> 00:39:11,987
You may revert to your training
and do something inappropriate
516
00:39:12,011 --> 00:39:14,895
because, that is what you are trained to do.
517
00:39:15,892 --> 00:39:19,574
Now, they are both on the bad gyro,
neither of them knows about it.
518
00:39:22,217 --> 00:39:25,804
The gyro malfunction
causes the AUTOPILOT to switch off.
519
00:39:25,828 --> 00:39:29,145
First Officer Tejada must now fly by hand.
520
00:39:29,169 --> 00:39:31,764
He turns his wheel to level the wings.
521
00:39:31,788 --> 00:39:34,986
His frozen instrument makes it look
like the plane isn't responding.
522
00:39:35,010 --> 00:39:40,446
So, he continues to turn the controls
sending the plane further and further to the left.
523
00:39:41,580 --> 00:39:44,905
He is trying to correct the problem
524
00:39:47,635 --> 00:39:50,699
He is actually making the problem a lot worse.
525
00:39:51,238 --> 00:39:54,151
The pilots have no way of sensing their error.
526
00:39:54,183 --> 00:39:58,341
It is too dark to see anything outside
that could help orient them.
527
00:39:58,864 --> 00:40:02,262
In the middle of the night,
you don't have the horizon.
528
00:40:02,286 --> 00:40:05,912
You loose the horizon,
you don't know where you are.
529
00:40:05,936 --> 00:40:08,268
As the short circuit cuts in and out,
530
00:40:08,293 --> 00:40:12,563
the instruments start working
then suddenly stops again.
531
00:40:17,245 --> 00:40:22,594
Now, he thinks they are banking left
he is trying to correct it by banking right
532
00:40:23,435 --> 00:40:26,522
In the cabin, there is little sign of trouble.
533
00:40:26,855 --> 00:40:30,823
The barrel move manoeuvre was fairly smooth
with 1 G
534
00:40:30,847 --> 00:40:35,067
I doubt the passengers really
realized the impending danger
535
00:40:35,092 --> 00:40:38,238
until the airplane inverted
and started to come through
536
00:40:38,263 --> 00:40:41,985
and then it would have happened very quickly.
537
00:40:44,390 --> 00:40:46,390
Altitude
538
00:40:48,017 --> 00:40:50,017
Pull up, pull up!
539
00:40:50,907 --> 00:40:55,533
In-between the two pilots,
there is a 3rd standby attitude indicator,
540
00:40:55,557 --> 00:40:58,502
fed by its own independent gyro.
541
00:40:58,526 --> 00:41:01,764
By comparing the 2 main indicators
to the standby
542
00:41:01,788 --> 00:41:06,557
pilots can quickly determine
which one of the main indicators is faulty.
543
00:41:06,581 --> 00:41:11,311
The standby indicator
should have giving them the correct indication.
544
00:41:11,335 --> 00:41:15,327
Why the pilots didn't use the standby,
remains a mystery.
545
00:41:15,351 --> 00:41:20,977
Had they looked at the standby,
they knew there was something really wrong here
546
00:41:21,778 --> 00:41:24,317
By the time
the pilots realized they were in a dive...
547
00:41:24,342 --> 00:41:25,659
Left, left, left!
548
00:41:25,683 --> 00:41:27,014
I am trying, Captain
549
00:41:27,015 --> 00:41:28,619
...it is too late.
550
00:41:28,643 --> 00:41:33,833
It is extraordinary dis-concerning
you've gone from a few degrees to the left
551
00:41:33,857 --> 00:41:37,610
to multiple degrees to the right.
552
00:41:37,634 --> 00:41:42,507
Once a usual attitude get out of hand
it is much more difficult to recover.
553
00:41:42,531 --> 00:41:45,411
This airplane got so much nose low
554
00:41:45,435 --> 00:41:47,308
and at such a high speed
555
00:41:47,333 --> 00:41:50,490
I can imagine in the cockpit what is going on.
556
00:41:50,514 --> 00:41:55,650
In seconds,
massive G forces incapacitated passengers and crew
557
00:42:01,355 --> 00:42:05,564
As the airplane gets faster,
components are being over-stressed
558
00:42:05,588 --> 00:42:09,246
and you will start breaking off
parts of the aircraft.
559
00:42:11,579 --> 00:42:17,848
In the dive, the airplane got fire
because that rupture of the tank...
560
00:42:17,872 --> 00:42:19,872
...and exploded.
561
00:42:28,621 --> 00:42:32,487
We were so sorry...
562
00:42:32,512 --> 00:42:36,907
...that the end was the worst.
563
00:42:37,644 --> 00:42:41,200
It is the worst accident in the history of Panama,
564
00:42:41,486 --> 00:42:44,629
and I hope I never run through one again.
565
00:42:46,494 --> 00:42:51,629
Jorge Rodriguez spends months,
helping prepare the final report on Copa 201
566
00:42:51,653 --> 00:42:54,335
for Panama Civil Aviation Authority.
567
00:42:54,549 --> 00:43:01,620
It is very important that you analyze
and find out what was the cause of the accident.
568
00:43:01,644 --> 00:43:05,596
Copa Airlines responds
with a major overhaul of its fleet,
569
00:43:05,620 --> 00:43:08,794
standardizing the layout of cockpit controls.
570
00:43:08,818 --> 00:43:10,818
Their fleet is fully harmonized,
571
00:43:10,842 --> 00:43:13,794
it is a completely different airline
that it was at that time.
572
00:43:13,818 --> 00:43:16,286
Copa also revamps pilot training
573
00:43:16,310 --> 00:43:20,071
to make sure its crews are prepared
for any instrument malfunction.
574
00:43:20,095 --> 00:43:25,134
I have been 4.5 years with them
and their training is the best I've seen
575
00:43:25,158 --> 00:43:26,666
We will respect them for that.
576
00:43:26,690 --> 00:43:31,396
For the airline industry,
Copa 201 is a reminder of how even small problems
577
00:43:31,420 --> 00:43:33,832
can result in catastrophe.
578
00:43:33,856 --> 00:43:36,991
A minor flaw can result in a tragedy,
579
00:43:37,015 --> 00:43:39,578
and so we always have to look for these flaws
580
00:43:39,603 --> 00:43:44,753
we have to train for them
we have to challenge ourselves to be the best
581
00:43:44,777 --> 00:43:47,928
whether it is the guy
who makes the component on the bench
582
00:43:47,952 --> 00:43:50,610
to the people who maintain the aircraft
to the pilots
583
00:43:50,634 --> 00:43:53,697
It takes everybody working together.
584
00:44:03,621 --> 00:44:05,621
Narrator
Jonathan Aris
585
00:44:05,645 --> 00:44:07,645
Subtitles
Rein Croonen
54107
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