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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:01,034 --> 00:00:02,936 NARRATOR: In northern Minnesota, a commuter crash 2 00:00:02,936 --> 00:00:05,172 kills everyone on board. 3 00:00:05,172 --> 00:00:06,640 NEWSCASTER (Archive): The deadliest US plane crash 4 00:00:06,640 --> 00:00:08,575 in more than a year and a half now. 5 00:00:08,575 --> 00:00:12,546 NARRATOR: Investigators face intense pressure to find the cause. 6 00:00:12,546 --> 00:00:15,182 JOHN DELISI: The tragedy that has occurred puts a real focus 7 00:00:15,182 --> 00:00:16,917 on what we need to do. 8 00:00:16,917 --> 00:00:20,053 FO. ERICKSON: One to go. CAPT. FALITZ: 2040? Okay. 9 00:00:20,053 --> 00:00:21,788 NARRATOR: The cockpit voice recording raises 10 00:00:21,788 --> 00:00:25,359 disturbing questions about an inexperienced pilot. 11 00:00:25,359 --> 00:00:28,629 JOHN DELISI: Why isn't the First Officer making his altitude callouts? 12 00:00:28,629 --> 00:00:31,365 MALCOLM: What had happened here? What was his role? 13 00:00:31,365 --> 00:00:32,633 NARRATOR: But when investigators dig deeper... 14 00:00:32,633 --> 00:00:33,634 JOHN DELISI: Wow. 15 00:00:33,634 --> 00:00:35,802 NARRATOR: They uncover a darker truth. 16 00:00:35,802 --> 00:00:38,105 CSA: I checked twice, sir. We don't have your authorization. 17 00:00:38,105 --> 00:00:40,440 AL: I was amazed when I read that. 18 00:00:40,440 --> 00:00:43,210 NARRATOR: A deadly sequence of events that began months 19 00:00:43,210 --> 00:00:46,546 before the plane ever left the ground. 20 00:01:04,164 --> 00:01:17,911 ♪ ♪ 21 00:01:17,911 --> 00:01:20,714 NARRATOR: Northwest Airlink Flight 5719 22 00:01:20,714 --> 00:01:27,054 cruises across the skies of Minnesota. 23 00:01:27,054 --> 00:01:29,256 First Officer Chad Erickson is two months 24 00:01:29,256 --> 00:01:33,427 into his first airline job. 25 00:01:33,427 --> 00:01:35,562 CRAIG: I'm sure that Chad was excited. 26 00:01:35,562 --> 00:01:37,965 That was the first step in getting the job 27 00:01:37,965 --> 00:01:39,633 that would lead you to the big job 28 00:01:39,633 --> 00:01:43,837 to fly the big iron at big airlines. 29 00:01:43,837 --> 00:01:45,839 NARRATOR: This is the first time he's flown a route 30 00:01:45,839 --> 00:01:50,644 with an overnight stay. 31 00:01:50,644 --> 00:01:54,748 FO. ERICKSON: Do we get our own room? 32 00:01:54,748 --> 00:01:56,717 CAPT. FALITZ: No. You're gonna have to room with me. 33 00:01:56,717 --> 00:01:58,385 And it's only a single bed, 34 00:01:58,385 --> 00:02:02,956 so you'll have to curl up at my feet. 35 00:02:02,956 --> 00:02:08,028 Of course you get your own room. You're on a contract now. 36 00:02:08,028 --> 00:02:11,264 NARRATOR: Erickson's captain is Marvin Falitz. 37 00:02:11,264 --> 00:02:13,166 MALCOLM: Well, the Captain grew up in New York City. 38 00:02:13,166 --> 00:02:15,068 He was described as having a personality 39 00:02:15,068 --> 00:02:18,338 that was somewhat at odds with a Midwestern personality. 40 00:02:18,338 --> 00:02:20,674 It was a very outgoing personality 41 00:02:20,674 --> 00:02:25,679 and a sarcastic sense of humor. 42 00:02:25,679 --> 00:02:28,515 CAPT. FALITZ: Freakin' coffee tastes like piss. 43 00:02:28,515 --> 00:02:30,550 MALCOLM: The First Officer had a different background 44 00:02:30,550 --> 00:02:32,686 and upbringing than the Captain did. 45 00:02:32,686 --> 00:02:35,122 He grew up around Minneapolis, 46 00:02:35,122 --> 00:02:37,724 and the Midwest sense of humor I think 47 00:02:37,724 --> 00:02:39,960 is perhaps more understated. 48 00:02:39,960 --> 00:02:44,031 FO. ERICKSON: Oh, uh, see that falling star? 49 00:02:44,031 --> 00:02:52,706 CAPT. FALITZ: Either that or a plane falling out of the sky. 50 00:02:52,706 --> 00:02:54,674 NARRATOR: Captain Falitz and First Officer Erickson 51 00:02:54,674 --> 00:03:02,315 are flying a Jetstream BA-3100, a small twin-engine turboprop. 52 00:03:02,315 --> 00:03:04,251 CRAIG: The Jetstream was a handful to fly. 53 00:03:04,251 --> 00:03:07,254 And we had to fly it by hand all the time. 54 00:03:07,254 --> 00:03:10,123 NARRATOR: Craig Railsback is a former Northwest Airlink pilot 55 00:03:10,123 --> 00:03:14,194 who also flew the BA-3100. 56 00:03:14,194 --> 00:03:15,996 CRAIG: It was fairly unstable. 57 00:03:15,996 --> 00:03:20,400 It was like balancing a beach ball on top of a Coke bottle. 58 00:03:20,400 --> 00:03:21,902 The upside of flying an airplane like that 59 00:03:21,902 --> 00:03:23,837 was you were incredibly proficient. I mean you... 60 00:03:23,837 --> 00:03:25,972 We got to be really good at instrument flying, 61 00:03:25,972 --> 00:03:29,209 and we flew in some really, really difficult, 62 00:03:29,209 --> 00:03:31,545 challenging conditions which, you know, for a young guy 63 00:03:31,545 --> 00:03:33,080 was great fun. 64 00:03:39,686 --> 00:03:41,655 NARRATOR: It's the start of the Christmas season, 65 00:03:41,655 --> 00:03:44,124 and many of the sixteen passengers are flying home 66 00:03:44,124 --> 00:03:48,862 to spend time with their families. 67 00:03:48,862 --> 00:03:55,368 Flight 5719 took off from Minneapolis shortly before 7 pm. 68 00:03:55,368 --> 00:03:57,838 Its first destination is Hibbing, Minnesota, 69 00:03:57,838 --> 00:03:59,606 about an hour away. 70 00:03:59,606 --> 00:04:02,509 After that, it's scheduled to continue on to a final stop 71 00:04:02,509 --> 00:04:05,178 in International Falls. 72 00:04:12,619 --> 00:04:14,187 AIR TRAFFIC CONTROLLER: Twin City 7-19. 73 00:04:14,187 --> 00:04:18,692 Hibbing weather: Sky partially obscured. Freezing drizzle. 74 00:04:18,692 --> 00:04:20,060 JOHN COX: Hibbing's a small airport. 75 00:04:20,060 --> 00:04:21,995 It does not have a control tower. 76 00:04:21,995 --> 00:04:24,798 At about the twenty miles from the airport, 77 00:04:24,798 --> 00:04:26,933 they'll clear you for the instrument approach 78 00:04:26,933 --> 00:04:29,603 if the weather is below visual limits. 79 00:04:29,603 --> 00:04:31,771 And at that point once you're cleared for the approach 80 00:04:31,771 --> 00:04:33,673 you're pretty much on your own. 81 00:04:33,673 --> 00:04:35,509 AIR TRAFFIC CONTROLLER: Expect vector for the ILS 82 00:04:35,509 --> 00:04:37,944 final approach course at Hibbing. 83 00:04:37,944 --> 00:04:41,381 FO. ERICKSON: Okay. Thanks a lot. Twin City 7-19. 84 00:04:41,381 --> 00:04:44,584 CAPT. FALITZ: We can't take the ILS-3-1. 85 00:04:44,584 --> 00:04:46,553 FO. ERICKSON: Because of the snow on the runway? 86 00:04:46,553 --> 00:04:48,121 CAPT. FALITZ: What? 87 00:04:48,121 --> 00:04:51,358 FO. ERICKSON: Because of the snow on the, uh, the runway? 88 00:04:51,358 --> 00:04:52,893 I mean that's why, right? 89 00:04:52,893 --> 00:04:56,429 Because you can't land on a tail wind with a snowy runway? 90 00:04:56,429 --> 00:04:59,466 CAPT. FALITZ: I don't like to land with a tail wind anyway. 91 00:04:59,466 --> 00:05:03,436 Tell them we'll take the localizer back course to 1-3. 92 00:05:03,436 --> 00:05:05,739 NARRATOR: The Captain decides to approach Hibbing's runway 93 00:05:05,739 --> 00:05:07,507 from the other side. 94 00:05:07,507 --> 00:05:10,143 This approach is not equipped with the instruments needed 95 00:05:10,143 --> 00:05:13,914 to fully guide the pilots to the runway. 96 00:05:13,914 --> 00:05:19,686 It is known as a non-precision approach. 97 00:05:19,686 --> 00:05:21,922 FO. ERICKSON: We'd like to back course up to 1-3. 98 00:05:21,922 --> 00:05:27,794 AIR TRAFFIC CONTROLLER: Roger. Proceed, but you're on your own. 99 00:05:27,794 --> 00:05:31,064 JOHN COX: Non-precision approaches are in fact more demanding 100 00:05:31,064 --> 00:05:34,034 than the precision ones for the reason that 101 00:05:34,034 --> 00:05:37,537 you have to monitor the descent rate, the descent altitude, 102 00:05:37,537 --> 00:05:41,374 the navigation where you are laterally across the ground -- 103 00:05:41,374 --> 00:05:43,944 so there's actually quite a bit more going on. 104 00:05:43,944 --> 00:05:46,613 FO. ERICKSON: We're cleared for the localizer back course approach. 105 00:05:46,613 --> 00:05:51,585 Twin City 7-19. 106 00:05:51,585 --> 00:05:54,688 JOHN COX: Non-precision approaches are more challenging, 107 00:05:54,688 --> 00:05:58,525 and as a result they have a higher rate of accidents 108 00:05:58,525 --> 00:06:00,827 than precision approaches. 109 00:06:00,827 --> 00:06:05,432 CAPT. FALITZ: Call the company and tell them we're gonna have to fuel up. 110 00:06:05,432 --> 00:06:08,068 FO. ERICKSON: Ops, 7-19... CAPT. FALITZ: Say Hibbing. 111 00:06:08,068 --> 00:06:09,469 HIBBING OPS: Hibbing. Go ahead. 112 00:06:09,469 --> 00:06:12,539 FO. ERICKSON: Uh, yeah, uh, Hibbing, this is, uh, 7-19 in range. 113 00:06:12,539 --> 00:06:14,374 We're gonna need some more fuel. 114 00:06:14,374 --> 00:06:16,876 AIR TRAFFIC CONTROLLER: Okay. In range. Positive fuel. 115 00:06:16,876 --> 00:06:20,113 See you in a bit. 116 00:06:20,113 --> 00:06:21,414 FO. ERICKSON: Ladies and gentlemen, we've begun 117 00:06:21,414 --> 00:06:24,517 our final descent for landing at Hibbing. 118 00:06:24,517 --> 00:06:26,620 For passengers continuing on to International Falls, 119 00:06:26,620 --> 00:06:27,988 it will be a few minutes on the ground 120 00:06:27,988 --> 00:06:31,658 and we'll be off shortly. Thanks. 121 00:06:31,658 --> 00:06:34,060 CAPT. FALITZ: Okay. In range checklist. 122 00:06:34,060 --> 00:06:39,633 FO. ERICKSON: Okay. Uh, pressurization... set. 123 00:06:39,633 --> 00:06:42,969 The pilots make their final preparations for landing. 124 00:06:42,969 --> 00:06:47,107 FO. ERICKSON: Uh, altimeter is 2-9er-8-6 set right. 125 00:06:47,107 --> 00:06:49,175 CAPT. FALITZ: Set left. 126 00:06:49,175 --> 00:06:51,778 JOHN COX: The accuracy of altimeters is something 127 00:06:51,778 --> 00:06:53,813 that has to be checked very carefully. 128 00:06:53,813 --> 00:06:56,449 If you believe you're at a thousand feet when in fact 129 00:06:56,449 --> 00:06:58,518 you're at eight hundred, you're much closer 130 00:06:58,518 --> 00:07:00,887 to an obstacle or the ground than you anticipate, 131 00:07:00,887 --> 00:07:04,057 and so there's a constant cross-check that goes on 132 00:07:04,057 --> 00:07:09,896 for a faulty altimeter. 133 00:07:09,896 --> 00:07:13,400 NARRATOR: Just before 7:50 pm, Flight 5719 134 00:07:13,400 --> 00:07:16,569 starts descending into the clouds and the blowing snow 135 00:07:16,569 --> 00:07:18,838 of a cold Minnesota night. 136 00:07:18,838 --> 00:07:23,510 ♪ ♪ 137 00:07:23,510 --> 00:07:27,013 CAPT. FALITZ: Gear down. FO. ERICKSON: Gear down. 138 00:07:32,352 --> 00:07:34,754 CAPT. FALITZ: Did you click the airport lights? 139 00:07:34,754 --> 00:07:37,557 JOHN COX: An airport like Hibbing that does not have 140 00:07:37,557 --> 00:07:40,760 a lot of traffic, in an effort to save money, 141 00:07:40,760 --> 00:07:42,962 because the light bulbs are very expensive, 142 00:07:42,962 --> 00:07:46,466 they are what's called pilot controlled lighting. 143 00:07:46,466 --> 00:07:49,035 CAPT. FALITZ: Did you click it? FO. ERICKSON: Uh. I, um... 144 00:07:49,035 --> 00:07:51,037 JOHN COX: The pilots, with a series of clicks 145 00:07:51,037 --> 00:07:54,140 from their radios, can turn the lights up and down. 146 00:07:54,140 --> 00:07:57,510 FO. ERICKSON: Uh... CAPT. FALITZ: Clicked it seven times. 147 00:07:57,510 --> 00:08:01,548 FO. ERICKSON: Uh, I got it now. 148 00:08:01,548 --> 00:08:04,617 NARRATOR: The runway lights are not what the pilots see next. 149 00:08:19,366 --> 00:08:31,444 ♪ ♪ 150 00:08:50,563 --> 00:08:52,065 NARRATOR: Twenty minutes pass. 151 00:08:52,065 --> 00:08:55,502 AIR TRAFFIC CONTROLLER: Twin City 7-19, have you landed yet? 152 00:08:55,502 --> 00:08:57,070 NARRATOR: By now, air traffic controllers 153 00:08:57,070 --> 00:09:00,540 should have received confirmation from Flight 5719 154 00:09:00,540 --> 00:09:02,776 that it has landed. 155 00:09:02,776 --> 00:09:06,212 AIR TRAFFIC CONTROLLER: Twin City 7-19, please come in. 156 00:09:18,024 --> 00:09:21,861 ♪ ♪ 157 00:09:21,861 --> 00:09:25,432 NARRATOR: An hour later, emergency responders locate the crash site 158 00:09:25,432 --> 00:09:35,074 two miles northwest of the airport at Hibbing, Minnesota. 159 00:09:35,074 --> 00:09:38,678 There are no survivors. 160 00:09:38,678 --> 00:09:42,715 FAMILY MEMBER (Archive): They just said that there had been a plane crash 161 00:09:42,715 --> 00:09:46,920 on Vic Powers Park and that one of our family members 162 00:09:46,920 --> 00:09:50,256 was on the plane. 163 00:09:50,256 --> 00:09:52,425 NARRATOR: Many of the passengers were from Hibbing, 164 00:09:52,425 --> 00:09:56,663 a town now devastated by grief. 165 00:09:56,663 --> 00:09:59,833 The community is left desperate for answers. 166 00:10:02,735 --> 00:10:04,070 NEWSCASTER (Archive): In northern Minnesota tonight, 167 00:10:04,070 --> 00:10:05,638 investigators are looking into the cause 168 00:10:05,638 --> 00:10:07,307 of the deadliest US plane crash 169 00:10:07,307 --> 00:10:10,143 in more than a year and a half now. 170 00:10:10,143 --> 00:10:13,913 NARRATOR: The fatal crash of Flight 5719 mobilizes experts 171 00:10:13,913 --> 00:10:17,116 from the National Transportation Safety Board. 172 00:10:17,116 --> 00:10:19,719 JOHN DELISI: Well, I got a call from the, uh, comm center, 173 00:10:19,719 --> 00:10:22,655 and the plan was for the go team to mobilize 174 00:10:22,655 --> 00:10:25,492 in the early morning hours to arrive at the accident scene 175 00:10:25,492 --> 00:10:32,031 by dawn the next morning. 176 00:10:32,031 --> 00:10:34,601 NARRATOR: Systems investigator John DeLisi has been with 177 00:10:34,601 --> 00:10:39,339 the NTSB for just over a year. 178 00:10:39,339 --> 00:10:41,241 The snowy hillside outside Hibbing 179 00:10:41,241 --> 00:10:46,412 is one of the most gruesome crash sites he's ever seen. 180 00:10:46,412 --> 00:10:48,214 JOHN DELISI: The wreckage was up on a hill, 181 00:10:48,214 --> 00:10:51,417 so it was in a precarious position, 182 00:10:51,417 --> 00:10:53,987 and some of the bodies had been ejected. 183 00:10:53,987 --> 00:10:57,423 Many were still inside the fuselage. 184 00:10:57,423 --> 00:11:07,200 ♪ ♪ 185 00:11:07,200 --> 00:11:08,201 It was the holiday season, 186 00:11:08,201 --> 00:11:10,069 so many folks that were traveling 187 00:11:10,069 --> 00:11:11,337 had brought Christmas presents. 188 00:11:11,337 --> 00:11:17,110 They were scattered in the debris. 189 00:11:17,110 --> 00:11:20,813 There was blood in the snow. 190 00:11:20,813 --> 00:11:23,016 It really was one of the most difficult accident sites 191 00:11:23,016 --> 00:11:24,684 I'd ever been to. 192 00:11:24,684 --> 00:11:26,252 NARRATOR: The task now is to figure out 193 00:11:26,252 --> 00:11:29,722 what brought down Flight 5719 194 00:11:29,722 --> 00:11:33,459 so that that deadly crash is never repeated. 195 00:11:33,459 --> 00:11:34,994 JOHN DELISI: The tragedy that has occurred 196 00:11:34,994 --> 00:11:37,764 puts a real focus on what we need to do 197 00:11:37,764 --> 00:11:42,835 bringing pieces of the puzzle together quickly. 198 00:11:42,835 --> 00:11:45,538 JOHN DELISI: The flight recorders should be back there. 199 00:11:45,538 --> 00:11:48,841 Come on. 200 00:11:48,841 --> 00:11:55,815 NARRATOR: DeLisi searches for the plane's recording devices. 201 00:11:55,815 --> 00:11:58,651 JOHN DELISI: I was stepping over some of the victims 202 00:11:58,651 --> 00:12:02,555 to get to the aft cargo compartment. 203 00:12:02,555 --> 00:12:04,591 NARRATOR: He knows that on a plane of this size 204 00:12:04,591 --> 00:12:07,093 he'll likely find only one of the black boxes, 205 00:12:07,093 --> 00:12:11,064 the cockpit voice recorder. 206 00:12:11,064 --> 00:12:13,566 JOHN DELISI: Here's the CVR. 207 00:12:13,566 --> 00:12:15,034 JOHN DELISI: At the time, a commuter airplane 208 00:12:15,034 --> 00:12:17,437 with nineteen or less seats, only a requirement 209 00:12:17,437 --> 00:12:21,174 for a cockpit voice recorder, not a flight data recorder. 210 00:12:25,211 --> 00:12:28,715 JOHN DELISI: Like I thought. No data recorder. 211 00:12:28,715 --> 00:12:32,085 All right. Let's go. 212 00:12:32,085 --> 00:12:34,153 NARRATOR: With no FDR, the difficult job 213 00:12:34,153 --> 00:12:38,625 of understanding the crash just got harder. 214 00:12:38,625 --> 00:12:40,693 AL: An FDR is very helpful. 215 00:12:40,693 --> 00:12:42,762 It can give you speeds and altitudes 216 00:12:42,762 --> 00:12:44,664 and all the flight controls. 217 00:12:44,664 --> 00:12:47,133 You can check and see if anything malfunctioned 218 00:12:47,133 --> 00:12:49,836 by looking at the data. 219 00:12:49,836 --> 00:12:51,638 JOHN DELISI: When there's no flight data recorder, 220 00:12:51,638 --> 00:12:55,141 it puts us in a bit of an old school type of investigation 221 00:12:55,141 --> 00:12:58,244 where the analysis of the physical evidence 222 00:12:58,244 --> 00:13:00,680 becomes so much more critical. 223 00:13:07,954 --> 00:13:11,124 JOHN DELISI: All right. Let's see what the data tells us. 224 00:13:11,124 --> 00:13:13,393 NARRATOR: As the team waits for the CVR, 225 00:13:13,393 --> 00:13:17,363 DeLisi turns to radar data from approach control. 226 00:13:17,363 --> 00:13:21,868 He tracks Flight 5719's descent path. 227 00:13:21,868 --> 00:13:25,405 JOHN DELISI: The radar data itself was very valuable for us. 228 00:13:25,405 --> 00:13:28,174 It showed the profile, the flight path 229 00:13:28,174 --> 00:13:31,544 that the airplane took to get to the accident site. 230 00:13:31,544 --> 00:13:35,882 So we quickly began to analyze that. 231 00:13:35,882 --> 00:13:39,152 NARRATOR: Immediately he spots something highly unusual. 232 00:13:39,152 --> 00:13:42,922 JOHN DELISI: Look at this rate of descent. It's ridiculous. 233 00:13:42,922 --> 00:13:46,359 AL: The rate of descent was double what we'd normally see. 234 00:13:46,359 --> 00:13:48,861 It should be about a thousand feet per minute. 235 00:13:48,861 --> 00:13:52,098 Now in this case it was over two thousand, 236 00:13:52,098 --> 00:13:55,334 sometimes up at two thousand, two hundred. 237 00:13:55,334 --> 00:13:56,569 JOHN DELISI: They're supposed to be over here, 238 00:13:56,569 --> 00:14:04,444 but they're all the way up here. What are they doing? 239 00:14:04,444 --> 00:14:06,479 NARRATOR: A look at the approach chart for the back course 240 00:14:06,479 --> 00:14:08,815 into Hibbing reveals that the turboprop 241 00:14:08,815 --> 00:14:12,485 didn't fly the standard approach. 242 00:14:12,485 --> 00:14:16,689 Instead of following a gradual step-down to the runway, 243 00:14:16,689 --> 00:14:20,693 Flight 5719 remained level for five miles, 244 00:14:20,693 --> 00:14:23,730 then descended rapidly. 245 00:14:23,730 --> 00:14:29,202 JOHN DELISI: Why did they start their descent so late? 246 00:14:29,202 --> 00:14:30,937 JOHN DELISI: A normal approach is gonna fly 247 00:14:30,937 --> 00:14:35,074 a relatively stable glide path with a slow and steady rate 248 00:14:35,074 --> 00:14:37,577 of descent to get to the runway. 249 00:14:37,577 --> 00:14:41,347 But this airplane seemed to stay high for a long time 250 00:14:41,347 --> 00:14:45,952 and then have a very high rate of descent to the impact. 251 00:14:45,952 --> 00:14:49,155 JOHN DELISI: We need to hear what the pilots were saying. 252 00:14:49,155 --> 00:14:53,693 Do we have the CVR yet? 253 00:14:53,693 --> 00:14:57,563 AL: Me as a pilot, it does make you wonder, 254 00:14:57,563 --> 00:15:00,333 because the later you start the descent 255 00:15:00,333 --> 00:15:03,569 the faster you're gonna have to descend to get down. 256 00:15:03,569 --> 00:15:05,805 And the faster you descend, the harder it is 257 00:15:05,805 --> 00:15:08,975 to break that rate of descent. 258 00:15:14,480 --> 00:15:17,150 JOHN DELISI: One of the real tragic aspects about this accident 259 00:15:17,150 --> 00:15:20,253 was that some important new safety technology 260 00:15:20,253 --> 00:15:24,524 was coming online, the Ground Proximity Warning System. 261 00:15:24,524 --> 00:15:27,593 It's just a shame that that system was not yet installed 262 00:15:27,593 --> 00:15:31,164 on this particular airplane. 263 00:15:31,164 --> 00:15:32,999 NARRATOR: The ground proximity warning system 264 00:15:32,999 --> 00:15:37,003 uses an onboard computer that senses when the plane is too low 265 00:15:37,003 --> 00:15:39,739 and warns the pilots. 266 00:15:39,739 --> 00:15:42,508 JOHN DELISI: That technology was required by the FAA, 267 00:15:42,508 --> 00:15:45,511 and it had to be in all commuter airplanes 268 00:15:45,511 --> 00:15:48,247 by April of the following year. 269 00:15:48,247 --> 00:15:51,751 So this airplane was scheduled to come out of service 270 00:15:51,751 --> 00:15:55,254 for maintenance to get the Ground Proximity Warning System 271 00:15:55,254 --> 00:15:59,492 installed within a month or so of the accident. 272 00:15:59,492 --> 00:16:02,161 NARRATOR: Investigators know the Northwest Airlink pilots 273 00:16:02,161 --> 00:16:05,565 could not have heard a low altitude warning. 274 00:16:05,565 --> 00:16:07,800 But they still don't understand why the plane 275 00:16:07,800 --> 00:16:10,970 was descending so rapidly. 276 00:16:10,970 --> 00:16:12,238 They wonder if weather conditions 277 00:16:12,238 --> 00:16:14,907 may have played a role. 278 00:16:14,907 --> 00:16:16,175 JOHN DELISI: It was important to determine if 279 00:16:16,175 --> 00:16:19,712 there was anything atmospheric like a build-up of ice 280 00:16:19,712 --> 00:16:22,648 that might have contributed to this exceedingly high rate 281 00:16:22,648 --> 00:16:28,621 of descent. 282 00:16:28,621 --> 00:16:29,822 NARRATOR: They check the temperatures 283 00:16:29,822 --> 00:16:34,560 and the type of precipitation encountered by the turboprop. 284 00:16:34,560 --> 00:16:38,531 They make an important discovery. 285 00:16:38,531 --> 00:16:41,067 JOHN DELISI: These are prime conditions for icing. 286 00:16:41,067 --> 00:16:44,036 The plane would have descended right through it. 287 00:16:44,036 --> 00:16:46,105 JOHN DELISI: The build-up of ice, particularly on the wings 288 00:16:46,105 --> 00:16:49,275 of an airplane, can kill the lift 289 00:16:49,275 --> 00:16:51,744 that the wings are capable of generating. 290 00:16:51,744 --> 00:16:56,082 So sometimes an airplane with a rapid rate of descent 291 00:16:56,082 --> 00:16:59,652 might be indicative of an out of control motion 292 00:16:59,652 --> 00:17:04,023 caused by a build-up of ice. 293 00:17:04,023 --> 00:17:05,992 NARRATOR: DeLisi reviews the accident history 294 00:17:05,992 --> 00:17:09,495 of the Jetstream 3100 and makes a disturbing find 295 00:17:09,495 --> 00:17:14,400 about the aircraft's winter weather performance. 296 00:17:14,400 --> 00:17:17,303 JOHN DELISI: The Jetstream had been involved in some previous accidents 297 00:17:17,303 --> 00:17:19,839 in which the build-up of ice contributed to 298 00:17:19,839 --> 00:17:22,275 a loss of control. 299 00:17:22,275 --> 00:17:24,277 CRAIG: The Jetstream had a history of what they call 300 00:17:24,277 --> 00:17:25,478 tail plane icing problems 301 00:17:25,478 --> 00:17:27,413 where you could actually end up in a position 302 00:17:27,413 --> 00:17:29,315 where you couldn't flare the aircraft for landing, 303 00:17:29,315 --> 00:17:31,884 which obviously would be important. 304 00:17:31,884 --> 00:17:35,755 AL: So therefore if there's any indication of icing, that 305 00:17:35,755 --> 00:17:41,460 does lead you towards looking into that in more detail. 306 00:17:41,460 --> 00:17:43,229 NARRATOR: Investigators need to know how bad 307 00:17:43,229 --> 00:17:48,601 the icing conditions were just before the crash. 308 00:17:48,601 --> 00:17:50,436 JOHN DELISI: I was wondering if you have a couple of minutes. 309 00:17:50,436 --> 00:17:53,806 NARRATOR: They talk to other pilots who flew into Hibbing that night. 310 00:17:53,806 --> 00:17:55,341 JOHN DELISI: So you were aware of the potential 311 00:17:55,341 --> 00:17:58,377 for icing during your approach into Hibbing? 312 00:17:58,377 --> 00:18:00,379 NARRATOR: The pilots tell DeLisi they faced 313 00:18:00,379 --> 00:18:03,115 moderate icing conditions. 314 00:18:03,115 --> 00:18:07,386 JOHN DELISI: But why would these two pilots start their descent so late? 315 00:18:07,386 --> 00:18:09,322 They also describe a common technique 316 00:18:09,322 --> 00:18:12,992 used to prevent ice accumulation. 317 00:18:12,992 --> 00:18:15,127 JOHN DELISI: Well, in talking to other pilots at Northwest, 318 00:18:15,127 --> 00:18:18,798 we began to learn about what they referred to as 319 00:18:18,798 --> 00:18:21,867 a slam dunk approach. 320 00:18:21,867 --> 00:18:25,171 A slam dunk approach was described as one in which, 321 00:18:25,171 --> 00:18:28,507 while you have to pass through an area of icing, 322 00:18:28,507 --> 00:18:31,544 crews want to minimize the time they spend there. 323 00:18:31,544 --> 00:18:35,781 So they may hold their altitude close into the airport 324 00:18:35,781 --> 00:18:39,151 and then very rapidly do a steep descent 325 00:18:39,151 --> 00:18:42,254 to get through the altitudes in which there was icing 326 00:18:42,254 --> 00:18:44,323 as quickly as possible. 327 00:18:44,323 --> 00:18:46,192 That's not a standard technique. 328 00:18:46,192 --> 00:18:47,860 But as we began to hear about it, 329 00:18:47,860 --> 00:18:49,362 it matched what we were seeing on 330 00:18:49,362 --> 00:18:52,898 the air traffic control radar. 331 00:18:52,898 --> 00:18:55,334 NARRATOR: It now seems the rapid descent was not due 332 00:18:55,334 --> 00:18:58,404 to a loss of control caused by icing. 333 00:18:58,404 --> 00:19:01,574 Instead, it looks like it was part of a deliberate strategy 334 00:19:01,574 --> 00:19:05,478 to avoid icing. 335 00:19:05,478 --> 00:19:07,613 JOHN COX: It's something professional pilots deal with a lot, 336 00:19:07,613 --> 00:19:11,984 and it requires a lot of skill in aircraft handling 337 00:19:11,984 --> 00:19:14,987 to get the airplane down quickly 338 00:19:14,987 --> 00:19:20,793 without having the speed go up to an unacceptably high level. 339 00:19:20,793 --> 00:19:23,963 NARRATOR: Marvin Falitz was an experienced captain 340 00:19:23,963 --> 00:19:27,233 who'd flown in winter weather conditions countless times. 341 00:19:27,233 --> 00:19:29,335 He was more than capable of safely performing 342 00:19:29,335 --> 00:19:31,370 a slam dunk approach. 343 00:19:34,607 --> 00:19:37,743 So what went wrong on Flight 5719? 344 00:19:43,182 --> 00:19:45,985 NARRATOR: While he waits to hear what the cockpit voice recorder 345 00:19:45,985 --> 00:19:49,055 will reveal, John DeLisi tries to figure out 346 00:19:49,055 --> 00:19:51,924 why the pilots of Flight 5719 347 00:19:51,924 --> 00:19:56,328 didn't slow their rapid descent into Hibbing. 348 00:19:56,328 --> 00:19:59,065 JOHN DELISI: They should have leveled off right here. 349 00:20:03,569 --> 00:20:07,673 We've got to get our hands on those altimeters. 350 00:20:07,673 --> 00:20:09,542 JOHN DELISI: As some of the pieces began to develop 351 00:20:09,542 --> 00:20:12,945 in this accident, it fit into the category 352 00:20:12,945 --> 00:20:17,850 of what we refer to as CFIT, Controlled Flight Into Terrain, 353 00:20:17,850 --> 00:20:21,253 a perfectly good airplane that hits the ground. 354 00:20:21,253 --> 00:20:23,389 Very important for us in an accident like that 355 00:20:23,389 --> 00:20:26,959 to understand what altitude the crew believed 356 00:20:26,959 --> 00:20:30,129 the airplane was at. 357 00:20:30,129 --> 00:20:35,801 NARRATOR: The Jetstream BA-3100 has two cockpit altimeters. 358 00:20:35,801 --> 00:20:36,969 JOHN DELISI: Got it. 359 00:20:36,969 --> 00:20:38,604 NARRATOR: DeLisi wants them both checked 360 00:20:38,604 --> 00:20:40,539 for any sign of malfunction. 361 00:20:40,539 --> 00:20:42,875 JOHN DELISI: Put this altimeter with the other one. 362 00:20:42,875 --> 00:20:45,377 Let's get them tested right away. 363 00:20:45,377 --> 00:20:47,947 JOHN DELISI: Had there been a malfunction of the altimeters, 364 00:20:47,947 --> 00:20:49,849 it might have indicated to the crew 365 00:20:49,849 --> 00:20:53,052 that the airplane was still well above the ground 366 00:20:53,052 --> 00:20:54,553 when in fact it wasn't. 367 00:20:54,553 --> 00:21:00,926 ♪ ♪ 368 00:21:00,926 --> 00:21:04,530 JOHN DELISI: Nothing other than impact damage, huh? 369 00:21:04,530 --> 00:21:08,334 Let's look at the pivot on this one. 370 00:21:08,334 --> 00:21:10,736 JOHN DELISI: So we did a thorough examination and teardown 371 00:21:10,736 --> 00:21:16,175 of both the Captain's and the First Officer's altimeter. 372 00:21:16,175 --> 00:21:19,044 NARRATOR: But the analysis turns up nothing. 373 00:21:19,044 --> 00:21:21,080 JOHN DELISI: There was no evidence of any malfunction. 374 00:21:21,080 --> 00:21:24,917 Both altimeters seemed to be working just fine. 375 00:21:24,917 --> 00:21:28,487 JOHN DELISI: Let's see what the rest of the wreckage tells us. 376 00:21:28,487 --> 00:21:30,122 AL: Well, you look closely at the engines. 377 00:21:30,122 --> 00:21:32,091 You wanna recover the engines. 378 00:21:32,091 --> 00:21:34,126 You wanna do what testing you can. 379 00:21:34,126 --> 00:21:36,362 Sometimes you're able to restart the engines, 380 00:21:36,362 --> 00:21:37,596 a lot of times not. 381 00:21:37,596 --> 00:21:41,400 But you can see if there's any malfunctions that are obvious. 382 00:21:41,400 --> 00:21:44,436 JOHN DELISI: Definitely spinning when they hit the ground. 383 00:21:44,436 --> 00:21:45,838 JOHN DELISI: A loss of power could have led 384 00:21:45,838 --> 00:21:47,873 to a loss of control. 385 00:21:47,873 --> 00:21:53,946 It might have contributed to a high rate of descent. 386 00:21:53,946 --> 00:21:56,148 JOHN DELISI: Thrust levers were functioning properly. 387 00:21:56,148 --> 00:21:58,684 No sign of a jam. 388 00:21:58,684 --> 00:22:03,522 NARRATOR: Once again, they find no clues to the cause of the crash. 389 00:22:03,522 --> 00:22:06,192 JOHN DELISI: There was no evidence of engine malfunction. 390 00:22:06,192 --> 00:22:09,728 Both engines appeared to be working just fine. 391 00:22:09,728 --> 00:22:15,935 JOHN DELISI: Are we ready with the CVR? Assemble the team. 392 00:22:15,935 --> 00:22:18,604 I'll be there in a minute. 393 00:22:18,604 --> 00:22:20,639 NARRATOR: Finally, investigators get the evidence 394 00:22:20,639 --> 00:22:25,311 they've been waiting for: the cockpit voice recording. 395 00:22:25,311 --> 00:22:32,117 JOHN DELISI: All right, everybody ready? Play the tape. 396 00:22:32,117 --> 00:22:34,787 FO. ERICKSON: Uh, cancel on 127.4. 397 00:22:34,787 --> 00:22:37,423 We're cleared for the localizer back course approach. 398 00:22:37,423 --> 00:22:38,891 Twin City 7-19. 399 00:22:38,891 --> 00:22:40,492 NARRATOR: They listen as Captain Falitz 400 00:22:40,492 --> 00:22:44,563 and First Officer Erickson prepare to land in Hibbing. 401 00:22:44,563 --> 00:22:47,666 CAPT. FALITZ: Okay. What altitude can we go down to? 402 00:22:47,666 --> 00:22:49,134 FO. ERICKSON: Uh, 2040. 403 00:22:49,134 --> 00:22:51,837 CAPT. FALITZ: Okay. Put it in there. 404 00:22:51,837 --> 00:22:54,173 NARRATOR: They soon hear a conversation that confirms 405 00:22:54,173 --> 00:22:58,010 their theory about the slam dunk approach. 406 00:22:58,010 --> 00:23:01,213 FO. ERICKSON: So you... you're just gonna stay up here 407 00:23:01,213 --> 00:23:02,982 as long as you can? 408 00:23:02,982 --> 00:23:05,684 CAPT. FALITZ: Yes. 409 00:23:05,684 --> 00:23:08,687 JOHN DELISI: They definitely knew what they were doing. 410 00:23:08,687 --> 00:23:09,955 NARRATOR: It's clear that the pilots were 411 00:23:09,955 --> 00:23:12,558 in the midst of a slam dunk approach 412 00:23:12,558 --> 00:23:14,193 when something went wrong. 413 00:23:14,193 --> 00:23:17,296 But what was it? Investigators listen closely. 414 00:23:17,296 --> 00:23:20,799 FO. ERICKSON: Localizers alive. Final approach fix is at 14. 415 00:23:20,799 --> 00:23:23,335 CAPT. FALITZ: Roger. Gear down. 416 00:23:23,335 --> 00:23:26,138 FO. ERICKSON: Speed checks. Gear down. 417 00:23:26,138 --> 00:23:28,407 NARRATOR: What they hear is baffling. 418 00:23:28,407 --> 00:23:29,842 CAPT. FALITZ: Flaps 20. 419 00:23:29,842 --> 00:23:35,347 NARRATOR: In the flight's final moments, there's no sign of trouble. 420 00:23:35,347 --> 00:23:37,416 JOHN DELISI: We didn't hear either crew member 421 00:23:37,416 --> 00:23:40,386 express any concern about the airplane. 422 00:23:40,386 --> 00:23:42,121 There were no issues being raised. 423 00:23:42,121 --> 00:23:44,623 There were no warning lights that they discussed. 424 00:23:44,623 --> 00:23:46,825 There was no aircraft malfunction 425 00:23:46,825 --> 00:23:48,794 that they were addressing. 426 00:23:48,794 --> 00:23:50,496 JOHN DELISI: If they were in control of the plane, 427 00:23:50,496 --> 00:23:54,733 why the hell did they slam it into a hill? 428 00:23:54,733 --> 00:24:00,606 Did we miss something? All right. Rewind the tape. 429 00:24:04,109 --> 00:24:07,546 CAPT. FALITZ: Looks like I can't go lower than 2040. 430 00:24:07,546 --> 00:24:10,215 Here. Take a look at it. 431 00:24:10,215 --> 00:24:12,551 JOHN COX: Minimum descent altitude is the lowest altitude 432 00:24:12,551 --> 00:24:15,988 that the pilot can descend to until they see the runway. 433 00:24:15,988 --> 00:24:17,690 It's a critical altitude because 434 00:24:17,690 --> 00:24:19,391 that's as close to the ground as you can get 435 00:24:19,391 --> 00:24:22,628 and still be in the clouds. 436 00:24:22,628 --> 00:24:24,496 FO. ERICKSON: Boost pumps are on. 437 00:24:24,496 --> 00:24:27,533 NARRATOR: The investigators listen carefully to the recording. 438 00:24:27,533 --> 00:24:29,234 FO. ERICKSON: Before final checklist complete. 439 00:24:29,234 --> 00:24:32,571 NARRATOR: It's what is not said that alarms them the most. 440 00:24:39,745 --> 00:24:44,783 JOHN DELISI: Why isn't the First Officer making his altitude callouts? 441 00:24:44,783 --> 00:24:47,252 NARRATOR: First Officer Erickson should be telling his captain 442 00:24:47,252 --> 00:24:49,788 how close they are to their minimum altitude and 443 00:24:49,788 --> 00:24:57,396 warning him when they descend past it. But he does neither. 444 00:24:57,396 --> 00:24:59,398 JOHN DELISI: We didn't hear the regular callouts 445 00:24:59,398 --> 00:25:02,568 about two thousand, one thousand feet, 446 00:25:02,568 --> 00:25:04,303 distance from the airport. 447 00:25:04,303 --> 00:25:06,038 It seemed as if the First Officer 448 00:25:06,038 --> 00:25:09,608 didn't really know what was going on in the approach. 449 00:25:09,608 --> 00:25:13,579 AL: Callouts are very important, and 450 00:25:13,579 --> 00:25:17,316 the higher the rate of descent the more important they are. 451 00:25:17,316 --> 00:25:21,653 FO. ERICKSON: Gear down. Flaps 20. 452 00:25:21,653 --> 00:25:22,721 JOHN DELISI: He never told the Captain 453 00:25:22,721 --> 00:25:26,525 how close they were getting to the ground. 454 00:25:26,525 --> 00:25:29,862 NARRATOR: Captain Falitz has his hands full landing the plane. 455 00:25:29,862 --> 00:25:33,899 He expects his first officer to keep an eye on their altitude. 456 00:25:33,899 --> 00:25:35,267 FO. ERICKSON: Flaps 20. 457 00:25:35,267 --> 00:25:37,469 JOHN COX: In an airliner cockpit, there's a division of duties. 458 00:25:37,469 --> 00:25:40,639 One person's going to physically fly the airplane. 459 00:25:40,639 --> 00:25:43,041 The other one has several duties. 460 00:25:43,041 --> 00:25:48,680 One is to monitor the way that the airplane is being flown. 461 00:25:48,680 --> 00:25:51,216 NARRATOR: But on this flight, the First Officer never once 462 00:25:51,216 --> 00:25:52,518 reports the altitude 463 00:25:52,518 --> 00:25:57,222 as the plane speeds closer and closer to the ground. 464 00:25:57,222 --> 00:25:58,724 JOHN DELISI: Callouts would have been standard, 465 00:25:58,724 --> 00:26:00,325 something that they would have rehearsed, 466 00:26:00,325 --> 00:26:02,628 practiced in the simulator. 467 00:26:02,628 --> 00:26:05,798 And when we didn't hear them, those calls, we knew 468 00:26:05,798 --> 00:26:10,202 something wasn't progressing the way it was briefed. 469 00:26:13,038 --> 00:26:24,616 ♪ ♪ 470 00:26:24,616 --> 00:26:27,453 NARRATOR: The CVR leads investigators to wonder: 471 00:26:27,453 --> 00:26:31,023 Was the loss of eighteen lives in the Hibbing crash 472 00:26:31,023 --> 00:26:35,527 due to the failings of an inexperienced young pilot? 473 00:26:35,527 --> 00:26:38,630 AL: He was the new guy. Maybe he just wasn't aware. 474 00:26:48,106 --> 00:26:50,175 REPORTER (Archive): Material released today in Washington, D.C., 475 00:26:50,175 --> 00:26:52,277 indicates that the NTSB is now focusing 476 00:26:52,277 --> 00:26:55,147 on the crew's performance. 477 00:26:55,147 --> 00:26:58,584 NARRATOR: Malcolm Brenner is an NTSB aviation psychologist. 478 00:26:59,985 --> 00:27:02,087 MALCOLM: My role in the investigation was to serve 479 00:27:02,087 --> 00:27:04,289 as human performance investigator. 480 00:27:04,289 --> 00:27:07,226 So human performance, we look at human issues such as 481 00:27:07,226 --> 00:27:09,528 the background of the pilots, their training, 482 00:27:09,528 --> 00:27:12,397 their interaction, company pressures, 483 00:27:12,397 --> 00:27:17,002 any sort of issues that will give us a broader perspective. 484 00:27:17,002 --> 00:27:19,505 FO. ERICKSON: 1.93. 485 00:27:19,505 --> 00:27:21,573 NARRATOR: Investigators need to learn all they can 486 00:27:21,573 --> 00:27:24,076 about the 25-year-old first officer 487 00:27:24,076 --> 00:27:26,445 who failed to make critical altitude callouts 488 00:27:26,445 --> 00:27:30,215 during the flight's descent. 489 00:27:30,215 --> 00:27:33,552 JOHN DELISI: We found out that the First Officer was relatively new. 490 00:27:33,552 --> 00:27:35,487 He had put himself through training. 491 00:27:35,487 --> 00:27:38,023 He had no military background. 492 00:27:38,023 --> 00:27:39,892 FO. ERICKSON: Do we get our own room? 493 00:27:39,892 --> 00:27:42,861 CRAIG: As a new pilot, you're, you're overwhelmed with 494 00:27:42,861 --> 00:27:45,764 just the job itself and you're really struggling to keep up 495 00:27:45,764 --> 00:27:48,367 'cause things are happening at a very fast pace. 496 00:27:48,367 --> 00:27:50,869 CAPT. FALITZ: Okay. In range checklist. 497 00:27:50,869 --> 00:27:54,506 FO. ERICKSON: Okay. Uh, pressurization set. 498 00:27:54,506 --> 00:27:56,108 NARRATOR: There's nothing in Erickson's record 499 00:27:56,108 --> 00:27:57,976 that points to a pilot who was struggling 500 00:27:57,976 --> 00:28:00,178 with the pressures of the job. 501 00:28:00,178 --> 00:28:04,349 In fact, it's quite the opposite. 502 00:28:04,349 --> 00:28:09,655 AL: This guy graduated number one in his class. 503 00:28:09,655 --> 00:28:11,123 MALCOLM: When he got the job with the airline, 504 00:28:11,123 --> 00:28:14,626 he said it was his dream job. 505 00:28:14,626 --> 00:28:17,930 The First Officer had prepared index cards with 506 00:28:17,930 --> 00:28:22,067 aviation data for every airport that the airline flew to. 507 00:28:22,067 --> 00:28:24,603 This was above and beyond what was normally required. 508 00:28:24,603 --> 00:28:27,372 He was doing special studying so he could be prepared 509 00:28:27,372 --> 00:28:29,308 and be a better pilot. 510 00:28:29,308 --> 00:28:34,046 ♪ ♪ 511 00:28:34,046 --> 00:28:35,747 AL: Everybody that flew with him thought 512 00:28:35,747 --> 00:28:41,253 he was an excellent pilot. So that doesn't explain it. 513 00:28:41,253 --> 00:28:44,323 JOHN DELISI: No. Wasn't the First Officer. 514 00:28:44,323 --> 00:28:45,824 AL: So then you look for other. 515 00:28:45,824 --> 00:28:47,893 Why would he not make those callouts? 516 00:28:47,893 --> 00:28:50,662 What would cause him not to make those? 517 00:28:50,662 --> 00:28:52,431 JOHN DELISI: So what do we know about the Captain? 518 00:28:57,269 --> 00:29:00,005 CAPT. FALITZ: Then they expect you to work on your days off. 519 00:29:00,005 --> 00:29:01,873 It's ridiculous. Yeah, sure. 520 00:29:01,873 --> 00:29:03,542 Get yourself to International Falls 521 00:29:03,542 --> 00:29:06,244 just so you can fly back to where you just came from 522 00:29:06,244 --> 00:29:09,448 and then rush to get another flight to God knows where. 523 00:29:09,448 --> 00:29:10,916 You know, I think it's gonna take three hours 524 00:29:10,916 --> 00:29:12,284 before I'm sitting behind the wheel 525 00:29:12,284 --> 00:29:17,089 of my first flight of the day. Man oh man. What a life. Huh? 526 00:29:17,089 --> 00:29:22,527 AL: You first look at pilots that had either flown with him 527 00:29:22,527 --> 00:29:25,697 or knew of his flying capabilities. 528 00:29:25,697 --> 00:29:26,798 JOHN DELISI: Show me that file. 529 00:29:26,798 --> 00:29:28,166 AL: Was there anything that jumped out 530 00:29:28,166 --> 00:29:33,205 that indicated there was something not normal with him? 531 00:29:33,205 --> 00:29:36,742 MALCOLM: The Captain was described by his friends 532 00:29:36,742 --> 00:29:41,747 as being intelligent and an engaging personality. 533 00:29:41,747 --> 00:29:43,915 JOHN DELISI: Let me see his test records. 534 00:29:43,915 --> 00:29:47,519 NARRATOR: Captain Falitz was known as a skilled senior pilot. 535 00:29:47,519 --> 00:29:53,291 But a deeper look reveals a man with a troubling record. 536 00:29:53,291 --> 00:29:55,527 JOHN DELISI: When we looked at the Captain's training records, 537 00:29:55,527 --> 00:29:58,964 we began to understand that he had some previous issues 538 00:29:58,964 --> 00:30:01,066 in his flight training. 539 00:30:01,066 --> 00:30:04,536 JOHN DELISI: Boom. Boom. Boom. 540 00:30:04,536 --> 00:30:06,304 MALCOLM: Soon after he joined the company, 541 00:30:06,304 --> 00:30:08,340 he failed his oral exam. 542 00:30:08,340 --> 00:30:11,576 He failed two more proficiency exams in his career. 543 00:30:11,576 --> 00:30:13,945 That's unusual for a professional pilot 544 00:30:13,945 --> 00:30:16,982 to fail that many times. 545 00:30:16,982 --> 00:30:21,219 AL: The problem hadn't been tracked by anybody 546 00:30:21,219 --> 00:30:24,656 in the organization because they had failed 547 00:30:24,656 --> 00:30:26,091 at different locations. 548 00:30:26,091 --> 00:30:30,262 So nobody put everything together... until we did. 549 00:30:30,262 --> 00:30:33,432 ♪ ♪ 550 00:30:33,432 --> 00:30:35,434 JOHN DELISI: Some of the instructor pilots were noting 551 00:30:35,434 --> 00:30:38,970 that his cockpit resource management wasn't up to par 552 00:30:38,970 --> 00:30:43,175 and that he had a tendency to be domineering in the cockpit. 553 00:30:43,175 --> 00:30:46,978 AL: He had an issue with dealing with other people. 554 00:30:46,978 --> 00:30:52,350 JOHN DELISI: Are all these formal complaints against Captain Falitz? 555 00:30:52,350 --> 00:30:55,220 CRAIG: Marvin was the first captain I flew with after my IOE, 556 00:30:55,220 --> 00:30:57,022 my initial operating experience, 557 00:30:57,022 --> 00:31:00,025 and he tended to be a little bit domineering 558 00:31:00,025 --> 00:31:04,096 and would berate you and was intolerant of mistakes 559 00:31:04,096 --> 00:31:08,967 and really not a particularly great instructor pilot. 560 00:31:08,967 --> 00:31:12,270 JOHN DELISI: Hmm. Wow. 561 00:31:12,270 --> 00:31:15,907 NARRATOR: Perhaps the most disturbing complaint against Captain Falitz 562 00:31:15,907 --> 00:31:20,245 is that he once physically struck a colleague in anger. 563 00:31:20,245 --> 00:31:24,082 JOHN COX: For a professional pilot to physically have 564 00:31:24,082 --> 00:31:26,885 an altercation or attempt to, quote, 565 00:31:26,885 --> 00:31:34,626 "discipline" a fellow employee is totally unacceptable. 566 00:31:34,626 --> 00:31:38,764 JOHN DELISI: I don't get it. What was making this guy so angry? 567 00:31:40,966 --> 00:31:43,335 CAPT. FALITZ: You gotta be freaking kidding me! 568 00:31:43,335 --> 00:31:45,303 NARRATOR: According to people who knew him, 569 00:31:45,303 --> 00:31:48,006 Captain Falitz's morale took a big hit when 570 00:31:48,006 --> 00:31:50,942 Northwest Airlink instituted a new residence policy 571 00:31:50,942 --> 00:31:53,612 for their pilots. 572 00:31:53,612 --> 00:31:55,247 MALCOLM: About a year before, the company 573 00:31:55,247 --> 00:31:58,450 for cost-saving purposes started a new policy 574 00:31:58,450 --> 00:32:03,121 where they required the pilots to reside at their outstations. 575 00:32:03,121 --> 00:32:06,992 These would be small towns outside of Minneapolis. 576 00:32:06,992 --> 00:32:11,129 CAPT. FALITZ: Why are we even doing this trip? 577 00:32:11,129 --> 00:32:13,165 FO. ERICKSON: I don't know. Why are we? 578 00:32:13,165 --> 00:32:15,433 CAPT. FALITZ: Maybe someone called in sick. 579 00:32:15,433 --> 00:32:17,836 MALCOLM: It was received very poorly by the pilot community 580 00:32:17,836 --> 00:32:20,105 because it meant they had to move, uh, 581 00:32:20,105 --> 00:32:21,973 while they had roots in Minneapolis 582 00:32:21,973 --> 00:32:25,110 and children going to school and spouses working 583 00:32:25,110 --> 00:32:26,778 and mortgages to pay. 584 00:32:26,778 --> 00:32:31,149 On short notice they had to move to these small outstations. 585 00:32:31,149 --> 00:32:32,751 CRAIG: The relationship between the company and the pilots 586 00:32:32,751 --> 00:32:36,922 was poor, and some of us were extremely unhappy. 587 00:32:36,922 --> 00:32:40,091 And I think Marvin was very unhappy with the company. 588 00:32:40,091 --> 00:32:43,929 AL: He'd gotten used to living in the Minneapolis area. 589 00:32:43,929 --> 00:32:47,799 He had friends there. He had a social life. 590 00:32:47,799 --> 00:32:50,569 MALCOLM: The Captain fought very hard to remain in Minneapolis. 591 00:32:50,569 --> 00:32:52,237 He did not want to move. 592 00:32:52,237 --> 00:32:56,074 And the only way he could do it was by downgrading. 593 00:32:56,074 --> 00:32:59,177 It meant a twelve percent cut in his salary. 594 00:32:59,177 --> 00:33:01,346 CAPT. FALITZ: What time were we out of the gate? 595 00:33:01,346 --> 00:33:02,881 FO. ERICKSON: Uh, 52. 596 00:33:02,881 --> 00:33:05,984 CAPT. FALITZ: According to your watch or the clock? 597 00:33:05,984 --> 00:33:07,652 FO. ERICKSON: Well it's the, it's the same. 598 00:33:07,652 --> 00:33:11,056 I, I sync my watch to the clock. 599 00:33:11,056 --> 00:33:14,359 CRAIG: He was a very intelligent man, but I think he was, 600 00:33:14,359 --> 00:33:16,595 I think he was troubled in the sense that his life 601 00:33:16,595 --> 00:33:20,265 had not worked out maybe the way he wanted it to work out. 602 00:33:20,265 --> 00:33:22,801 ♪ ♪ 603 00:33:24,002 --> 00:33:26,271 NARRATOR: Investigators make another disturbing discovery. 604 00:33:26,271 --> 00:33:28,974 Captain Falitz would sometimes be deliberately rough 605 00:33:28,974 --> 00:33:31,643 with the flight controls. 606 00:33:34,713 --> 00:33:37,315 CRAIG: His way of getting revenge on the company 607 00:33:37,315 --> 00:33:40,051 was to sometimes take it out on the passengers. 608 00:33:40,051 --> 00:33:42,220 AL: I was amazed when I read that, to tell you the truth. 609 00:33:42,220 --> 00:33:45,056 And I was amazed that a person 610 00:33:45,056 --> 00:33:51,296 would intentionally make a rough flight to make people mad, 611 00:33:51,296 --> 00:33:52,931 because what good does that do? 612 00:33:52,931 --> 00:33:55,533 This guy, from what I understand, 613 00:33:55,533 --> 00:34:00,038 he did it because he wanted to punish the airline. 614 00:34:00,038 --> 00:34:01,306 As more and more details 615 00:34:01,306 --> 00:34:04,009 about the Captain's personality emerge, 616 00:34:04,009 --> 00:34:08,179 investigators are forced to consider a troubling question. 617 00:34:08,179 --> 00:34:10,582 JOHN DELISI: Could his anger somehow have caused this crash? 618 00:34:17,856 --> 00:34:19,457 NARRATOR: They learn that one of the airline's 619 00:34:19,457 --> 00:34:22,427 customer service agents had a run-in with the Captain 620 00:34:22,427 --> 00:34:26,231 shortly before he boarded the doomed flight. 621 00:34:26,231 --> 00:34:30,402 JOHN DELISI: We need to hear this woman's story. 622 00:34:30,402 --> 00:34:36,107 CSA: I remember every word. It's like it happened yesterday. 623 00:34:36,107 --> 00:34:39,044 CAPT. FALITZ: Hello, dear. I'm deadheading this flight. 624 00:34:39,044 --> 00:34:41,046 Marvin Falitz. 625 00:34:41,046 --> 00:34:42,580 JOHN COX: Deadheading is when the airline 626 00:34:42,580 --> 00:34:46,651 will position pilots and flight attendants at a different city 627 00:34:46,651 --> 00:34:50,355 so that they can then act and actively fly a flight later. 628 00:34:50,355 --> 00:34:53,825 So you may go from point A to point B as a passenger 629 00:34:53,825 --> 00:34:57,529 and then from there then you will act as a flying crew member 630 00:34:57,529 --> 00:35:01,166 on a separate flight. 631 00:35:01,166 --> 00:35:03,835 CSA: Sorry, but I don't see your name on the list. 632 00:35:03,835 --> 00:35:12,110 CAPT. FALITZ: Check again. Marvin Falitz. F-A-L-I-T-Z. 633 00:35:12,110 --> 00:35:15,780 CSA: I checked twice, sir. We don't have your authorization. 634 00:35:15,780 --> 00:35:18,383 MALCOLM: The paperwork that the agent had 635 00:35:18,383 --> 00:35:21,987 did not include a deadheading clearance for the Captain. 636 00:35:21,987 --> 00:35:25,056 CAPT. FALITZ: Look. It's not rocket science. 637 00:35:25,056 --> 00:35:29,761 Pick up the phone and call dispatch. 638 00:35:29,761 --> 00:35:34,866 CSA: I'm real busy. So how about you call them? 639 00:35:34,866 --> 00:35:36,634 CAPT. FALITZ: How do you live with yourself 640 00:35:36,634 --> 00:35:40,905 knowing that you are completely useless? 641 00:35:40,905 --> 00:35:42,574 MALCOLM: He effectively refused. 642 00:35:42,574 --> 00:35:45,577 He insisted that she should do it and stormed off. 643 00:35:45,577 --> 00:35:49,214 CSA: I have never seen a pilot that angry before. 644 00:35:49,214 --> 00:35:50,682 MALCOLM: As a good professional pilot, 645 00:35:50,682 --> 00:35:55,520 he should be able to maintain professional performance 646 00:35:55,520 --> 00:35:57,689 even though he has things in his life 647 00:35:57,689 --> 00:36:05,030 or has these disturbances going on. This captain did not. 648 00:36:05,030 --> 00:36:07,132 NARRATOR: There's mounting evidence that Captain Falitz 649 00:36:07,132 --> 00:36:10,402 had serious anger management issues. 650 00:36:10,402 --> 00:36:13,171 What puzzles investigators is why a bright young pilot 651 00:36:13,171 --> 00:36:15,974 like First Officer Erickson didn't intervene 652 00:36:15,974 --> 00:36:20,211 if his captain was behaving recklessly. 653 00:36:20,211 --> 00:36:21,413 JOHN DELISI: Hello? 654 00:36:21,413 --> 00:36:23,848 NARRATOR: They receive a phone call from a ramp service agent 655 00:36:23,848 --> 00:36:26,851 at Minneapolis airport. 656 00:36:26,851 --> 00:36:29,254 He claims to have important details regarding 657 00:36:29,254 --> 00:36:33,491 the pilots who flew Flight 5719. 658 00:36:33,491 --> 00:36:36,494 CAPT. FALITZ: Why isn't the exterior pre-flight done? 659 00:36:36,494 --> 00:36:37,662 FO. ERICKSON: I was... 660 00:36:37,662 --> 00:36:40,498 CAPT. FALITZ: You didn't check the damn exterior lights! 661 00:36:40,498 --> 00:36:42,634 NARRATOR: The service agent witnessed Captain Falitz 662 00:36:42,634 --> 00:36:46,271 berating First Officer Erickson over a pre-flight check. 663 00:36:46,271 --> 00:36:49,541 FO. ERICKSON: Uh, I was gonna check the lights from inside the cockpit. 664 00:36:49,541 --> 00:36:51,076 CAPT. FALITZ: That's not how you do it! 665 00:36:51,076 --> 00:36:55,947 You have to go outside and see it with your own stupid eyes! 666 00:36:55,947 --> 00:36:58,616 Does Northwest even screen you guys anymore? 667 00:36:58,616 --> 00:37:01,219 You know what? Screw it. I'll do it myself. 668 00:37:01,219 --> 00:37:02,554 FO. ERICKSON: You know, I... 669 00:37:02,554 --> 00:37:05,990 AL: The Captain was being very, very critical 670 00:37:05,990 --> 00:37:08,193 of the First Officer, and the First Officer 671 00:37:08,193 --> 00:37:10,328 was a relatively new pilot. 672 00:37:10,328 --> 00:37:12,864 So, you know, you're gonna make mistakes. 673 00:37:12,864 --> 00:37:14,966 So there was a better way to handle it. 674 00:37:14,966 --> 00:37:17,302 And the Captain did not take the better way. 675 00:37:17,302 --> 00:37:22,640 CAPT. FALITZ: If we're late for departure, it's on you! 676 00:37:22,640 --> 00:37:24,609 AL: This happened immediately before the flight. 677 00:37:24,609 --> 00:37:29,647 So it set the tone for the two of them working together, 678 00:37:29,647 --> 00:37:34,486 which was a bad way to do things. 679 00:37:34,486 --> 00:37:35,987 JOHN COX: Communication between flight crew members 680 00:37:35,987 --> 00:37:38,857 is an essential component of aviation safety. 681 00:37:38,857 --> 00:37:41,159 We call it Crew Resource Management. 682 00:37:41,159 --> 00:37:44,362 And it makes sure that everybody in the flight deck 683 00:37:44,362 --> 00:37:46,464 is agreeing with what the airplane's doing 684 00:37:46,464 --> 00:37:48,266 and what the intent is to do. 685 00:37:48,266 --> 00:37:52,971 JOHN DELISI: Okay, thanks. Let's get that CVR back in here. 686 00:37:52,971 --> 00:37:53,972 We need to find out 687 00:37:53,972 --> 00:37:55,940 what was going on between those two pilots. 688 00:37:59,444 --> 00:38:01,679 JOHN DELISI: All right. Cue it up. 689 00:38:01,679 --> 00:38:03,815 NARRATOR: After uncovering stunning details 690 00:38:03,815 --> 00:38:06,050 about Captain Falitz's sometimes rude 691 00:38:06,050 --> 00:38:09,354 and even aggressive behavior, investigators listen 692 00:38:09,354 --> 00:38:11,923 to the cockpit recording in a new light. 693 00:38:11,923 --> 00:38:14,826 CAPT. FALITZ: Call the company and tell them we need to fuel up. 694 00:38:14,826 --> 00:38:18,530 MALCOLM: In listening to the CVR, the Captain makes 695 00:38:18,530 --> 00:38:22,467 a lot of corrections or directions to the First Officer 696 00:38:22,467 --> 00:38:25,303 of very simple things. 697 00:38:25,303 --> 00:38:27,739 FO. ERICKSON: Ops 7-19... CAPT. FALITZ: Say Hibbing. 698 00:38:27,739 --> 00:38:29,507 HIBBING OPS: Hibbing, go ahead. 699 00:38:29,507 --> 00:38:31,609 FO. ERICKSON: Uh, Hibbing, uh... 700 00:38:31,609 --> 00:38:33,945 MALCOLM: He was intimidating and not constructive. 701 00:38:33,945 --> 00:38:35,980 HIBBING OPS: Positive fuel. See you in a bit. 702 00:38:35,980 --> 00:38:37,549 CAPT. FALITZ: You can't just say Ops. 703 00:38:37,549 --> 00:38:39,817 You have to specify who's supposed to answer: 704 00:38:39,817 --> 00:38:43,254 Hibbing, Sioux City, Duluth? 705 00:38:43,254 --> 00:38:44,689 CRAIG: Before I was an airline pilot, 706 00:38:44,689 --> 00:38:46,024 I was a flight instructor. 707 00:38:46,024 --> 00:38:48,026 And one guaranteed way to have that guy shut down 708 00:38:48,026 --> 00:38:51,296 and not be able to perform was to berate them, 709 00:38:51,296 --> 00:38:53,798 humiliate them, embarrass them. 710 00:38:53,798 --> 00:38:57,001 FO. ERICKSON: Uh, do we get our own room? 711 00:38:57,001 --> 00:38:59,103 CAPT. FALITZ: No, you're gonna have to room with me, 712 00:38:59,103 --> 00:39:00,705 and it's only a single bed. 713 00:39:00,705 --> 00:39:04,576 So you'll just have to curl up at my feet. 714 00:39:04,576 --> 00:39:08,179 MALCOLM: The Captain's tone was not very receptive 715 00:39:08,179 --> 00:39:09,681 and was aggressive 716 00:39:09,681 --> 00:39:12,550 and led to a breakdown in proper management 717 00:39:12,550 --> 00:39:14,185 with the First Officer. 718 00:39:14,185 --> 00:39:17,455 FO. ERICKSON: Um... you've got nine miles to the arc. 719 00:39:17,455 --> 00:39:19,591 CAPT. FALITZ: Just put it up in your clipboard 720 00:39:19,591 --> 00:39:21,993 and talk me through it when I need information, okay? 721 00:39:21,993 --> 00:39:25,430 MALCOLM: So the Captain was talking down to him. 722 00:39:25,430 --> 00:39:28,166 CAPT. FALITZ: No! This thing. That's what this is for. 723 00:39:33,238 --> 00:39:37,609 JOHN DELISI: He was paralyzed with fear. 724 00:39:37,609 --> 00:39:39,544 That's why he didn't make his callouts to the Captain. 725 00:39:39,544 --> 00:39:43,448 He was, he was terrified of him. 726 00:39:43,448 --> 00:39:45,883 MALCOLM: The danger of an aggressive attitude 727 00:39:45,883 --> 00:39:49,754 is that it breaks down crew performance. 728 00:39:49,754 --> 00:39:51,623 JOHN DELISI: I'd be reluctant to speak up too. 729 00:39:51,623 --> 00:40:00,665 ♪ ♪ 730 00:40:00,665 --> 00:40:03,001 NARRATOR: Investigators think they finally understand 731 00:40:03,001 --> 00:40:05,103 all the events and circumstances 732 00:40:05,103 --> 00:40:07,405 that sent a Northwest Airlink commuter plane 733 00:40:07,405 --> 00:40:13,411 speeding headlong into the ground near Hibbing, Minnesota. 734 00:40:13,411 --> 00:40:14,912 JOHN DELISI: It was disturbing to hear about 735 00:40:14,912 --> 00:40:18,416 the Captain's background and his anger management issues. 736 00:40:18,416 --> 00:40:20,418 CAPT. FALITZ: How do you live with yourself knowing 737 00:40:20,418 --> 00:40:23,187 that you are completely useless? 738 00:40:23,187 --> 00:40:25,089 CAPT. FALITZ: You have to go outside and see it 739 00:40:25,089 --> 00:40:27,058 with your own stupid eyes! 740 00:40:27,058 --> 00:40:28,393 JOHN DELISI: And when we pieced that together 741 00:40:28,393 --> 00:40:31,529 with the environment that we heard him set in the cockpit 742 00:40:31,529 --> 00:40:37,702 on the cockpit voice recorder, things began to add up. 743 00:40:37,702 --> 00:40:40,438 FO. ERICKSON: You, uh, you're just gonna stay up here 744 00:40:40,438 --> 00:40:42,140 as long as you can? 745 00:40:42,140 --> 00:40:44,075 CAPT. FALITZ: Yes. 746 00:40:44,075 --> 00:40:47,512 JOHN COX: The Captain had a plan, but because it wasn't 747 00:40:47,512 --> 00:40:51,449 the standard plan the First Officer didn't know what it was. 748 00:40:51,449 --> 00:40:52,850 CAPT. FALITZ: Did you click the airport lights? 749 00:40:52,850 --> 00:40:54,052 FO. ERICKSON: Uh... 750 00:40:54,052 --> 00:40:56,154 JOHN DELISI: While they were inside the final approach fix 751 00:40:56,154 --> 00:40:59,724 with a rate of descent at over two thousand feet per minute... 752 00:40:59,724 --> 00:41:02,026 CAPT. FALITZ: Click it. You clicked it seven times. 753 00:41:02,026 --> 00:41:03,461 FO. ERICKSON: Uh, yeah. I, uh... 754 00:41:03,461 --> 00:41:05,430 JOHN DELISI: ... the Captain seems to be berating the First Officer 755 00:41:05,430 --> 00:41:10,101 about clicking the radio button to turn on the runway lights. 756 00:41:10,101 --> 00:41:13,171 FO. ERICKSON: Okay. I got it now. 757 00:41:13,171 --> 00:41:15,606 AL: He was afraid to do anything. 758 00:41:15,606 --> 00:41:20,311 So that kind of explained why he was silent a lot of the time. 759 00:41:23,981 --> 00:41:27,251 JOHN DELISI: The First Officer wasn't able to participate 760 00:41:27,251 --> 00:41:31,622 in monitoring the airspeed and altitude. 761 00:41:31,622 --> 00:41:35,827 The First Officer was really just along for the ride. 762 00:41:49,841 --> 00:41:54,078 CRAIG: Flying, for the most part, the stakes are very high. 763 00:41:54,078 --> 00:41:58,549 And when you see what happens in the aftermath of an accident, 764 00:41:58,549 --> 00:42:02,086 it brings home just how serious this job is 765 00:42:02,086 --> 00:42:05,523 and how serious everybody involved in the airline business 766 00:42:05,523 --> 00:42:09,460 needs to take it. 767 00:42:09,460 --> 00:42:13,164 NARRATOR: The crash of Flight 5719 exposed deficiencies 768 00:42:13,164 --> 00:42:15,733 in Crew Resource Management training 769 00:42:15,733 --> 00:42:18,636 and highlighted the importance of interpersonal relationships 770 00:42:18,636 --> 00:42:20,505 in flying. 771 00:42:20,505 --> 00:42:22,407 CRAIG: Airline flying's a team sport. 772 00:42:22,407 --> 00:42:24,776 FO. ERICKSON: Minimums. CAPT. FALITZ: Got it. 773 00:42:24,776 --> 00:42:27,912 CRAIG: It's important to have a team attitude. 774 00:42:27,912 --> 00:42:29,280 JOHN DELISI: Well, this accident in many ways 775 00:42:29,280 --> 00:42:32,550 has become a case study in just how valuable it is 776 00:42:32,550 --> 00:42:35,520 to empower either crew member to be assertive 777 00:42:35,520 --> 00:42:38,523 and to speak up when something isn't going right. 778 00:42:38,523 --> 00:42:39,690 FO. ERICKSON: Pressurization set. 779 00:42:39,690 --> 00:42:42,527 JOHN COX: A first officer, even though they may be new 780 00:42:42,527 --> 00:42:46,164 and very junior, is not only given permission 781 00:42:46,164 --> 00:42:50,234 but is encouraged to ask or question a very senior captain 782 00:42:50,234 --> 00:42:51,869 when they get uncomfortable. 783 00:42:51,869 --> 00:42:54,038 Ma'am or sir, I don't know why we're doing this. 784 00:42:54,038 --> 00:42:56,941 I'm not comfortable here. 785 00:42:56,941 --> 00:43:00,211 NARRATOR: Among the NTSB's recommendations is closer oversight 786 00:43:00,211 --> 00:43:02,447 of pilot training programs 787 00:43:02,447 --> 00:43:04,916 so that airlines can address potential issues 788 00:43:04,916 --> 00:43:09,220 before an accident occurs. 789 00:43:09,220 --> 00:43:13,057 AL: Do CRM training on a regular basis. 790 00:43:13,057 --> 00:43:15,026 Make sure that they're monitored. 791 00:43:15,026 --> 00:43:18,029 Go, you know, fly with your crews every once in a while 792 00:43:18,029 --> 00:43:20,064 just to see what's going on. 793 00:43:20,064 --> 00:43:22,867 There's a lot of things that can be done. 794 00:43:22,867 --> 00:43:25,536 CRAIG: One way some airlines deal with a personality conflict 795 00:43:25,536 --> 00:43:26,904 is they have a no pairing list. 796 00:43:26,904 --> 00:43:29,907 In other words, if you have a personality conflict 797 00:43:29,907 --> 00:43:33,144 with a certain pilot you can check off a box 798 00:43:33,144 --> 00:43:36,948 and they won't make you fly with that person. 799 00:43:36,948 --> 00:43:38,883 JOHN COX: It's one of those accidents that 800 00:43:38,883 --> 00:43:41,385 we learned a lot from, 801 00:43:41,385 --> 00:43:46,924 and it became a good means to show failures 802 00:43:46,924 --> 00:43:49,227 within the system that could be corrected. 803 00:43:49,227 --> 00:43:52,029 So I would say that we learned from it, 804 00:43:52,029 --> 00:43:56,167 and as a result the aviation industry is safer. 67704

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