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1
00:00:02,535 --> 00:00:03,436
Stabilizer motion.
2
00:00:05,138 --> 00:00:06,673
Help me back.
3
00:00:06,740 --> 00:00:08,074
Okay.
4
00:00:08,141 --> 00:00:09,876
The pilots
of Alaska Airlines,
5
00:00:09,943 --> 00:00:13,980
flight 261, wrestle with
an M.D. 83 nosediving
6
00:00:14,047 --> 00:00:15,482
toward the Pacific Ocean.
7
00:00:15,548 --> 00:00:16,850
We got it
under control, here.
8
00:00:19,419 --> 00:00:21,354
No, we don't.
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00:00:21,421 --> 00:00:23,623
The airplane pitched
down and rolled.
10
00:00:26,893 --> 00:00:28,061
Mayday!
11
00:00:28,128 --> 00:00:31,464
It actually gets
inverted, upside down.
12
00:00:31,531 --> 00:00:33,500
Amazingly,
the pilots managed
13
00:00:33,566 --> 00:00:35,301
to keep the aircraft flying.
14
00:00:35,368 --> 00:00:39,139
This is like an
air show maneuver.
15
00:00:39,205 --> 00:00:40,940
Speed brakes.
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00:00:41,007 --> 00:00:43,476
Just seconds
from impact, the pilots
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00:00:43,543 --> 00:00:45,478
right their aircraft.
18
00:00:45,545 --> 00:00:48,248
They had one shot
to save the plane,
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00:00:48,314 --> 00:00:49,449
are all would be lost.
20
00:00:49,516 --> 00:00:50,984
Here we go!
21
00:00:54,888 --> 00:00:55,855
Mayday, mayday!
22
00:01:16,443 --> 00:01:19,446
Alaska Airlines,
flight 261, takes flight.
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Climbing into sunny skies
over Puerto Vallarta, Mexico.
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You're up.
25
00:01:29,355 --> 00:01:31,124
Gears' up.
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00:01:31,191 --> 00:01:33,960
Captain Ted Thompson
is an Air Force veteran.
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He's flown with Alaska
Airlines for 17 years.
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Thank you, sir.
29
00:01:42,235 --> 00:01:44,237
First Officer
Bill Tansky has been
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00:01:44,304 --> 00:01:46,739
flying for almost four decades.
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He's the one flying, today.
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The pilots on 261
33
00:01:52,212 --> 00:01:55,982
were highly regarded
by their fellow pilots
34
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these were really
top notch aviators
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Flaps up
36
00:02:03,590 --> 00:02:04,858
Flaps.
37
00:02:07,026 --> 00:02:10,263
The M.D. 83 is
flying North to San Francisco,
38
00:02:10,330 --> 00:02:12,031
for a stopover.
39
00:02:12,098 --> 00:02:15,201
From there, it's a short hop
to its final destination,
40
00:02:15,268 --> 00:02:16,703
Seattle, Washington.
41
00:02:19,072 --> 00:02:22,375
Three flight attendants tend
to the 83 passengers on board.
42
00:02:28,615 --> 00:02:30,984
Fifteen minutes after takeoff
43
00:02:33,219 --> 00:02:34,687
That's strange.
44
00:02:34,754 --> 00:02:36,723
The pilots
become aware of a problem.
45
00:02:39,192 --> 00:02:40,493
Planes out a trim.
46
00:02:44,797 --> 00:02:46,799
Trim refers
to small adjustments
47
00:02:46,866 --> 00:02:49,269
to the horizontal
stabilizer that maintains
48
00:02:49,335 --> 00:02:51,504
the pitch of the aircraft.
49
00:02:53,907 --> 00:02:55,875
When that light goes on,
it tells the crew
50
00:02:55,942 --> 00:02:59,879
you're going to have a problem
adjusting the nose up or down,
51
00:02:59,946 --> 00:03:02,081
which is of course,
crucial for flight.
52
00:03:04,651 --> 00:03:06,185
The Warning light indicates
53
00:03:06,252 --> 00:03:08,588
the horizontal
stabilizer is jammed,
54
00:03:08,655 --> 00:03:11,524
pushing the nose down slightly.
55
00:03:11,591 --> 00:03:13,626
Let's check this out.
56
00:03:13,693 --> 00:03:15,828
Autopilot off.
57
00:03:15,895 --> 00:03:17,163
Good idea.
58
00:03:20,266 --> 00:03:23,603
-Whoa.
-What's it doing?
59
00:03:23,670 --> 00:03:26,172
It's pushing down.
60
00:03:26,239 --> 00:03:29,275
First Officer Tansky
uses all his physical strength
61
00:03:29,342 --> 00:03:31,511
to keep the plane's nose on.
62
00:03:31,578 --> 00:03:34,414
The first officer
is hand flying the airplane.
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00:03:34,480 --> 00:03:38,151
So he's manually got his
hands on the control yoke.
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00:03:38,217 --> 00:03:40,954
And increasingly, there's
more and more pressure
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00:03:41,020 --> 00:03:43,623
that he's having to hold.
66
00:03:44,357 --> 00:03:46,326
He's using a lot of arm muscle.
67
00:03:46,392 --> 00:03:49,662
So this is something
that they want to fix.
68
00:03:51,931 --> 00:03:54,601
Yeah, well we're still
climbing, that's good.
69
00:03:55,201 --> 00:03:58,671
Let's get to 3-1-0
Let's figure this out.
70
00:04:00,306 --> 00:04:02,175
By pulling back
on the control column,
71
00:04:02,241 --> 00:04:04,243
the pilots can
deflect the plane's
72
00:04:04,310 --> 00:04:07,814
elevators enough to enable the
aircraft to continue climbing.
73
00:04:12,018 --> 00:04:13,786
Twenty minutes after takeoff,
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00:04:13,853 --> 00:04:17,557
flight 261 levels
off at 31,000 feet.
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00:04:23,129 --> 00:04:25,999
Manual says to try
the pickle switch.
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00:04:30,837 --> 00:04:33,206
Pickle switches are
literally just
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00:04:33,272 --> 00:04:36,175
a little toggle switch
on the control column.
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00:04:36,242 --> 00:04:39,579
And it moves the
horizontal stabilizer,
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00:04:39,646 --> 00:04:42,915
such that it will push
the nose up or down.
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00:04:44,917 --> 00:04:47,053
Controls in
the cockpit activated
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00:04:47,120 --> 00:04:49,455
a two foot jack screw
in the tail.
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00:04:49,522 --> 00:04:51,257
As the Jack screw turns,
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00:04:51,324 --> 00:04:54,560
it moves
the stabilizer up or down.
84
00:04:55,962 --> 00:04:58,164
They were having to
go through the manuals,
85
00:04:58,231 --> 00:05:00,199
and they were asking
each other, "What do you know?
86
00:05:00,266 --> 00:05:02,268
What can we do?
What can we try?"
87
00:05:05,772 --> 00:05:08,307
Nothing, why don't you try.
88
00:05:11,511 --> 00:05:13,312
Captain Thompson
tries to activate
89
00:05:13,379 --> 00:05:15,982
the horizontal stabilizer,
using what pilots call,
90
00:05:16,049 --> 00:05:18,284
the suitcase handles.
91
00:05:20,353 --> 00:05:21,921
No dice.
92
00:05:23,056 --> 00:05:24,791
It's like trying
to start your car.
93
00:05:24,857 --> 00:05:26,859
They were trying everything
they could think of
94
00:05:26,926 --> 00:05:29,629
to get their plane to respond.
95
00:05:30,730 --> 00:05:32,632
Let's try it on autopilot.
96
00:05:33,733 --> 00:05:35,034
They hope the autopilot
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00:05:35,101 --> 00:05:37,036
can keep the plane level.
98
00:05:40,940 --> 00:05:42,308
The plane is steady.
99
00:05:44,410 --> 00:05:46,679
I'm thinking we get this
plane on the ground sooner,
100
00:05:46,746 --> 00:05:47,747
rather than later.
101
00:05:47,814 --> 00:05:50,049
Yep, maybe LAX?
102
00:05:51,284 --> 00:05:53,019
Call dispatch.
103
00:05:53,086 --> 00:05:56,222
If you have
a control problem,
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00:05:56,289 --> 00:05:58,958
you have to get
that plane on the ground.
105
00:06:00,727 --> 00:06:04,363
Dispatch 261, requesting
a diversion to LAX.
106
00:06:04,430 --> 00:06:07,967
Are longitudinal trim
system is inoperative.
107
00:06:09,335 --> 00:06:11,671
Captain Thompson
contacts Alaska Airlines
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00:06:11,738 --> 00:06:14,040
flight dispatcher, in Seattle.
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00:06:14,107 --> 00:06:17,009
Dispatch 261, copy that.
110
00:06:17,076 --> 00:06:19,278
If you want to land in LA,
for safety reasons
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00:06:19,345 --> 00:06:21,047
we'll be looking
at over an hour delay
112
00:06:21,114 --> 00:06:23,716
because of a flow
problem right now.
113
00:06:25,485 --> 00:06:27,653
I didn't really want
to hear about the flow,
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00:06:27,720 --> 00:06:30,323
I'm concerned about
suitable airports.
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00:06:30,957 --> 00:06:33,359
Do you have a wind at LAX?
116
00:06:33,426 --> 00:06:35,895
It's two, six, zero, at nine.
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00:06:37,764 --> 00:06:40,166
The pilots compare
the wind conditions
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00:06:40,233 --> 00:06:43,202
at Los Angeles and
San Francisco airports.
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00:06:44,670 --> 00:06:48,474
The pilots on this flight
took such care considering
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00:06:48,541 --> 00:06:51,043
all their options on runways.
121
00:06:52,378 --> 00:06:54,380
There's a headwind at LAX,
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00:06:54,447 --> 00:06:57,083
but at San Francisco,
there's a crosswind.
123
00:06:57,150 --> 00:07:01,621
Two six at nine versus
a direct crosswind,
124
00:07:01,687 --> 00:07:03,422
for safety reasons,
I think...
125
00:07:03,489 --> 00:07:06,292
something that lowers
the ground speed makes sense.
126
00:07:07,960 --> 00:07:09,729
The headwind at LAX
127
00:07:09,796 --> 00:07:12,064
will help make it
a safer landing.
128
00:07:12,131 --> 00:07:15,601
Once you're lined up
for the LAX runway,
129
00:07:15,668 --> 00:07:17,970
you've got perfect winds
130
00:07:18,037 --> 00:07:19,338
coming right at your nose.
131
00:07:19,405 --> 00:07:21,808
It blows off
the Pacific Ocean,
132
00:07:21,874 --> 00:07:24,544
it's predictable,
it's constant,
133
00:07:24,610 --> 00:07:26,579
and it slows down your plane.
134
00:07:31,551 --> 00:07:33,886
You the guys with the
horizontal situation?
135
00:07:35,254 --> 00:07:37,156
Ten minutes
after rerouting,
136
00:07:37,223 --> 00:07:40,226
a mechanic at Alaska Airlines
maintenance facility
137
00:07:40,293 --> 00:07:42,795
in Los Angeles
contacts the crew.
138
00:07:44,831 --> 00:07:46,666
Yeah, affirmative.
139
00:07:46,732 --> 00:07:49,902
The maintenance facility can
talk directly to the pilots
140
00:07:49,969 --> 00:07:53,172
to provide them the
expertise on the problem
141
00:07:53,239 --> 00:07:55,374
that they're dealing with.
142
00:07:55,441 --> 00:07:57,810
Did you try the suitcase
and pickle switches?
143
00:07:57,877 --> 00:07:59,245
Yeah, we tried just
about everything.
144
00:07:59,312 --> 00:08:01,814
If you've got any
hidden circuit breakers,
145
00:08:01,881 --> 00:08:03,583
we'd love
to know about them.
146
00:08:03,649 --> 00:08:05,585
Yeah, I'll look into
the circuit breaker guide,
147
00:08:05,651 --> 00:08:07,386
as a double check.
148
00:08:07,453 --> 00:08:09,889
And the alternates in
operative two, huh?
149
00:08:09,956 --> 00:08:12,525
Yep, our horizontal
stabilizer appears
150
00:08:12,592 --> 00:08:14,293
to be jammed,
the whole thing.
151
00:08:15,127 --> 00:08:16,596
Okay, Thank you, sir.
152
00:08:16,662 --> 00:08:18,297
I'll see you
when you get to LAX.
153
00:08:21,300 --> 00:08:24,103
The response from
Alaska Airlines maintenance
154
00:08:24,170 --> 00:08:26,639
was basically
no response, at all.
155
00:08:26,706 --> 00:08:28,307
They provided them no help.
156
00:08:28,374 --> 00:08:30,209
Really, the most
they ever said to them,
157
00:08:30,276 --> 00:08:33,446
did you try the pickle switches
and the suitcase handles?
158
00:08:33,512 --> 00:08:35,915
Which is one of the first
things that they did.
159
00:08:38,284 --> 00:08:39,952
All right,
let's, uh,
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00:08:40,019 --> 00:08:42,088
let's try the
pickle switches, again.
161
00:08:43,256 --> 00:08:44,290
You got it?
162
00:08:47,326 --> 00:08:50,997
The captain is warning the
first officer, as a reminder,
163
00:08:51,063 --> 00:08:53,733
when we click the
autopilot off, be ready,
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00:08:53,799 --> 00:08:56,102
because it's going to require
165
00:08:56,168 --> 00:08:58,404
a lot of effort from you,
right then.
166
00:08:59,272 --> 00:09:01,807
Yeah, so click
the autopilot off.
167
00:09:11,617 --> 00:09:13,552
Stabilizer motion,
168
00:09:14,921 --> 00:09:16,555
stabilizer motion.
169
00:09:16,622 --> 00:09:19,258
The nose of the plane drops,
170
00:09:19,325 --> 00:09:21,827
far more than
the pilots anticipated.
171
00:09:23,629 --> 00:09:25,031
Holy crap.
172
00:09:27,767 --> 00:09:30,603
The airplane is
pitched down, significantly.
173
00:09:30,670 --> 00:09:33,439
And the air frame
is shaking, violently.
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00:09:33,506 --> 00:09:36,709
They know something
is very, desperately,
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00:09:36,776 --> 00:09:38,311
wrong with the airplane.
176
00:09:38,377 --> 00:09:40,613
The problem
is suddenly, much worse.
177
00:09:40,680 --> 00:09:43,482
Flight 261 begins to nosedive.
178
00:09:45,918 --> 00:09:47,853
What are you doing?
179
00:09:47,920 --> 00:09:49,555
It got worse.
180
00:09:50,589 --> 00:09:53,159
They have to get
the nose back up,
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00:09:53,225 --> 00:09:56,262
or they'll have an
unarrested descent
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00:09:56,329 --> 00:09:58,097
all the way to the ocean.
183
00:10:10,343 --> 00:10:11,877
Help me back.
184
00:10:12,578 --> 00:10:13,746
Help me back.
185
00:10:13,813 --> 00:10:15,314
Okay.
186
00:10:15,381 --> 00:10:18,317
The crew of
Alaska Airlines, flight 261,
187
00:10:18,384 --> 00:10:21,921
struggles to regain control
of their M.D. 83.
188
00:10:23,122 --> 00:10:25,091
They pulled back
on the control yoke,
189
00:10:25,157 --> 00:10:26,192
holding a lot of force.
190
00:10:28,427 --> 00:10:30,496
Center Alaska, 261,
191
00:10:30,563 --> 00:10:33,099
we are in a dive, here.
192
00:10:33,165 --> 00:10:35,768
I've lost control
of vertical pitch.
193
00:10:36,702 --> 00:10:38,771
Alaska 261, say again, sir.
194
00:10:38,838 --> 00:10:41,874
We are in a vertical dive,
at 26,000.
195
00:10:43,409 --> 00:10:45,978
They are now
three minutes from impact.
196
00:10:47,546 --> 00:10:49,215
Speed brakes!
197
00:10:49,849 --> 00:10:51,851
The pilots
deploy the speed brakes,
198
00:10:51,917 --> 00:10:54,487
control surfaces
on the wings of the plane,
199
00:10:54,553 --> 00:10:56,255
that increase drag.
200
00:10:57,656 --> 00:10:59,358
And he wanted
to slow the plane down,
201
00:10:59,425 --> 00:11:02,795
and it would also give them
more of a chance, physically,
202
00:11:02,862 --> 00:11:04,997
to pull the plane
out of the dive.
203
00:11:12,405 --> 00:11:14,740
The speed brakes
arrest the dive.
204
00:11:16,675 --> 00:11:18,377
Using all their strength,
205
00:11:18,444 --> 00:11:19,845
the pilots bring
the aircraft
206
00:11:19,912 --> 00:11:22,448
back under control
at 24,000 feet.
207
00:11:27,086 --> 00:11:29,655
All right, once we
get this speed slowed,
208
00:11:29,722 --> 00:11:31,824
maybe we'll be okay.
209
00:11:31,891 --> 00:11:33,692
In 80 seconds,
210
00:11:33,759 --> 00:11:36,162
the plane has dropped
8,000 feet.
211
00:11:38,130 --> 00:11:40,433
The pilots pulled
out of the dive
212
00:11:40,499 --> 00:11:42,735
with pure, brute force.
213
00:11:43,736 --> 00:11:45,304
I got it back
214
00:11:46,205 --> 00:11:47,873
under control, here.
215
00:11:48,641 --> 00:11:50,009
No, we don't.
216
00:11:50,076 --> 00:11:51,911
Even though they've managed
217
00:11:51,977 --> 00:11:54,180
to pull out of the dive,
it requires extreme effort
218
00:11:54,246 --> 00:11:56,682
to keep the nose
of the plane level.
219
00:11:56,749 --> 00:11:59,318
Okay, it really
wants to pitch down.
220
00:11:59,385 --> 00:12:02,488
They're really having
to work, physically,
221
00:12:02,555 --> 00:12:05,257
at holding the nose up
on this jet.
222
00:12:05,324 --> 00:12:08,561
They're in a fight for
control of the airplane.
223
00:12:09,528 --> 00:12:11,130
It's a lot worse than it was.
224
00:12:11,197 --> 00:12:13,632
Yeah, we are in
much worse shape, now.
225
00:12:14,633 --> 00:12:16,235
This is a very
experienced crew,
226
00:12:16,302 --> 00:12:18,838
these aviators have had
problems in flights before,
227
00:12:18,904 --> 00:12:21,040
but nothing like this.
228
00:12:25,044 --> 00:12:27,680
Maintenance 261, are you on?
229
00:12:29,148 --> 00:12:31,550
Twenty two miles
from Los Angeles,
230
00:12:31,617 --> 00:12:35,020
Captain Thompson updates
Alaska Airlines maintenance,
231
00:12:35,087 --> 00:12:37,990
hoping hope advice
on how to land, safely.
232
00:12:38,057 --> 00:12:40,226
Yeah, 261, this
is maintenance.
233
00:12:40,292 --> 00:12:42,361
Yeah, we've tried
both the pickle switch
234
00:12:42,428 --> 00:12:46,065
on the suitcase handles, and it
ran away, full nose trim down.
235
00:12:46,966 --> 00:12:49,502
Oh, it ran away full trim?
236
00:12:49,568 --> 00:12:52,171
And now we're
worse than we were.
237
00:12:52,238 --> 00:12:55,574
He's explaining
that when he commanded
238
00:12:55,641 --> 00:12:56,976
"nose up trim,"
239
00:12:57,042 --> 00:12:59,378
the trim system moved nose
down,
240
00:12:59,445 --> 00:13:02,948
moved in opposite direction
of the way he commanded it.
241
00:13:03,015 --> 00:13:05,017
And it did so very quickly,
242
00:13:05,084 --> 00:13:07,186
and it did so
with a lot of force.
243
00:13:08,420 --> 00:13:09,822
And you're getting
full nose trim down,
244
00:13:09,889 --> 00:13:11,991
and no nose trim up, correct?
245
00:13:12,057 --> 00:13:13,325
That's affirmative.
246
00:13:13,392 --> 00:13:15,127
We went full nose down.
247
00:13:15,194 --> 00:13:17,062
And now I'm afraid
to try it again
248
00:13:17,129 --> 00:13:20,232
to see if we can get it to go
back in the other direction.
249
00:13:20,299 --> 00:13:23,802
He is reluctant
to try to move it again,
250
00:13:23,869 --> 00:13:26,505
for the concern
that if it gets worse yet,
251
00:13:26,572 --> 00:13:29,875
that they could lose control
of the airplane, entirely.
252
00:13:31,177 --> 00:13:33,312
If you want to try it,
that's okay with me.
253
00:13:33,379 --> 00:13:34,713
If not, that's fine,
254
00:13:34,780 --> 00:13:36,882
see you at the gate.
255
00:13:38,384 --> 00:13:41,921
After the maintenance
base, at LAX, said,
256
00:13:41,987 --> 00:13:43,422
"Oh, we'll see you
at the gate,"
257
00:13:43,489 --> 00:13:46,091
the pilots knew they
were on their own.
258
00:13:46,158 --> 00:13:49,195
All they had left was,
they had themselves,
259
00:13:49,261 --> 00:13:51,830
their physical strength,
and their wits.
260
00:13:53,199 --> 00:13:55,734
To land the plane,
the pilots need to figure out
261
00:13:55,801 --> 00:13:57,903
how to control their descent,
262
00:13:57,970 --> 00:14:00,206
without using
the plane's trim system.
263
00:14:00,272 --> 00:14:02,641
You want to try the
trim switch again, or not?
264
00:14:02,708 --> 00:14:04,143
Uh...
265
00:14:04,210 --> 00:14:06,378
No. I don't know.
266
00:14:07,313 --> 00:14:09,081
It's up to you, man.
267
00:14:09,148 --> 00:14:10,950
They're literally test pilots,
268
00:14:11,016 --> 00:14:14,486
and they're having to utilize
decades of experience
269
00:14:14,553 --> 00:14:18,457
to try to work their way
through to a solution.
270
00:14:19,024 --> 00:14:21,360
We better talk to
the people back there.
271
00:14:21,427 --> 00:14:23,696
Yeah, I know.
272
00:14:25,197 --> 00:14:26,765
Captain Thompson
273
00:14:26,832 --> 00:14:29,068
tries to reassure
the passengers.
274
00:14:30,336 --> 00:14:33,339
Folks, we've had
a flight control problem.
275
00:14:33,405 --> 00:14:36,942
We're intending
to go to Los Angeles.
276
00:14:37,009 --> 00:14:39,445
We're working on it,
and I don't anticipate
277
00:14:39,511 --> 00:14:41,680
any problems once
we get a couple
278
00:14:41,747 --> 00:14:44,116
systems back on the line.
279
00:14:49,922 --> 00:14:51,590
With Los Angeles in sight,
280
00:14:51,657 --> 00:14:54,326
the pilots prepare for
an emergency landing.
281
00:14:55,628 --> 00:14:57,763
You try flaps, 15, 11?
282
00:14:57,830 --> 00:14:59,932
Let's go to 11.
283
00:15:01,367 --> 00:15:03,002
The pilots test the plane
284
00:15:03,068 --> 00:15:05,037
in a landing configuration.
285
00:15:07,106 --> 00:15:09,141
Okay, we're pretty
stable, here.
286
00:15:10,409 --> 00:15:13,312
But we got to
get down to 180 knots.
287
00:15:15,014 --> 00:15:17,416
The jet
is very badly damaged,
288
00:15:17,483 --> 00:15:20,052
and they need to understand
289
00:15:20,119 --> 00:15:23,389
and find a way to control
the pitch of the jet,
290
00:15:23,455 --> 00:15:25,224
all the way through
the landing.
291
00:15:25,291 --> 00:15:28,127
If it's controllable, we ought
to just try and land it.
292
00:15:29,194 --> 00:15:31,597
First Officer Tansky
suggests a risky,
293
00:15:31,664 --> 00:15:33,465
high speed landing.
294
00:15:33,899 --> 00:15:37,303
Okay, let's head for LA.
295
00:15:41,073 --> 00:15:43,208
Their predicament was dire.
296
00:15:43,409 --> 00:15:46,812
They would not be able
to pull the plane up,
297
00:15:46,879 --> 00:15:48,781
and do a go around.
298
00:15:48,847 --> 00:15:51,850
The only chance they had
was one shot
299
00:15:51,917 --> 00:15:54,453
to get it on the ground,
or all would be lost.
300
00:15:54,520 --> 00:15:57,423
But as soon
as they come up with a plan...
301
00:16:01,293 --> 00:16:02,494
Do you feel that?
302
00:16:02,561 --> 00:16:04,063
Yeah.
303
00:16:04,129 --> 00:16:05,831
...the pilots hear thumps
304
00:16:05,898 --> 00:16:07,599
at the back of the plane,
305
00:16:07,666 --> 00:16:09,835
then disaster strikes.
306
00:16:12,004 --> 00:16:13,739
The airplane
pitched down in roll,
307
00:16:13,806 --> 00:16:17,209
they know that they are in
a life threatening situation.
308
00:16:17,743 --> 00:16:19,211
This is a pilot's nightmare.
309
00:16:19,278 --> 00:16:20,879
You're running out of time,
310
00:16:20,946 --> 00:16:24,016
if they do not control
the jet very quickly,
311
00:16:24,083 --> 00:16:25,818
they'll lose the airplane.
312
00:16:27,219 --> 00:16:28,487
Mayday!
313
00:16:32,991 --> 00:16:35,060
Push and roll!
314
00:16:35,761 --> 00:16:37,162
Push and roll!
315
00:16:37,229 --> 00:16:40,132
18,000 feet
above the Pacific Ocean,
316
00:16:40,199 --> 00:16:43,936
flight 261 rolls left,
and goes into a dive.
317
00:16:46,238 --> 00:16:48,507
And this is like
an air show maneuver.
318
00:16:48,574 --> 00:16:52,010
The Blue Angels do this,
the Thunderbirds do this.
319
00:16:54,480 --> 00:16:56,849
Dropping at
160 feet per second,
320
00:16:56,915 --> 00:16:58,384
time is running out.
321
00:17:02,254 --> 00:17:04,523
Okay, we are inverted,
322
00:17:05,524 --> 00:17:08,594
now we got to get it up.
323
00:17:08,660 --> 00:17:10,295
When the airplane
was inverted,
324
00:17:10,362 --> 00:17:11,997
this is a very
difficult situation,
325
00:17:12,064 --> 00:17:14,867
because they've
got to try to determine
326
00:17:14,933 --> 00:17:16,869
if they can
maintain control of it
327
00:17:16,935 --> 00:17:21,140
and get the airplane back,
right side up.
328
00:17:23,041 --> 00:17:25,310
The plane starts responding.
329
00:17:25,377 --> 00:17:28,313
They're pushed on
the control column to prevent
330
00:17:28,380 --> 00:17:30,349
the possibility of the stall.
331
00:17:30,416 --> 00:17:33,318
And then they roll the
airplane toward wings level,
332
00:17:33,385 --> 00:17:36,388
in an attempt to
maintain control of it.
333
00:17:37,222 --> 00:17:39,124
Push the blue side up.
334
00:17:40,459 --> 00:17:43,028
The top side of
an attitude indicator is blue,
335
00:17:43,095 --> 00:17:44,630
like the sky.
336
00:17:44,696 --> 00:17:46,999
And so, they need
to get the blue side
337
00:17:47,065 --> 00:17:49,935
of the attitude indicator,
back on the top.
338
00:17:51,036 --> 00:17:52,671
On the ground,
339
00:17:52,738 --> 00:17:56,375
LAX controllers have lost
contact with flight 261.
340
00:17:56,442 --> 00:18:00,646
SkyWest 5154, traffic at your
one o'clock, is Alaska M.D. 80.
341
00:18:00,712 --> 00:18:02,247
Do you see him up there?
342
00:18:02,314 --> 00:18:04,650
They look for
help from other pilots.
343
00:18:04,716 --> 00:18:06,118
Yes, sir.
344
00:18:06,185 --> 00:18:07,686
Definitely in a
nose down position.
345
00:18:07,753 --> 00:18:10,689
Descending quite rapidly,
he's inverted.
346
00:18:11,290 --> 00:18:13,091
Okay, keep your eye on them.
347
00:18:13,158 --> 00:18:16,161
Alaska 261, are you
with us yet, sir?
348
00:18:20,966 --> 00:18:22,668
13,000 feet
over the ocean,
349
00:18:22,734 --> 00:18:25,003
the pilot's efforts
seem to pay off.
350
00:18:25,070 --> 00:18:27,773
The plane's nose
starts to rise,
351
00:18:27,840 --> 00:18:29,741
but it's still inverted.
352
00:18:29,808 --> 00:18:31,910
Okay, let's kick rudder.
353
00:18:31,977 --> 00:18:34,346
Left rudder, left rudder.
354
00:18:34,413 --> 00:18:37,549
The pilots are, kind of,
hanging upside down like bats.
355
00:18:37,616 --> 00:18:41,520
And it was very difficult
to reach the rudder pedal.
356
00:18:41,587 --> 00:18:44,256
-Left rudder!
-I can't reach it.
357
00:18:44,323 --> 00:18:47,059
-Okay, right rudder.
-Right rudder!
358
00:18:47,125 --> 00:18:50,429
There one hope is if they
could kick that rudder,
359
00:18:50,496 --> 00:18:53,932
they could flip
the pain back over.
360
00:18:53,999 --> 00:18:55,767
Okay,
361
00:18:55,834 --> 00:18:57,603
we got to get it over, again.
362
00:18:57,669 --> 00:18:59,838
At least upside down,
we're flying.
363
00:19:08,380 --> 00:19:10,249
As the pilots fight
to get the plane
364
00:19:10,315 --> 00:19:12,384
the right way up,
365
00:19:13,886 --> 00:19:16,588
the engines on flight 261 fail.
366
00:19:18,790 --> 00:19:22,394
There was a disruption
in the airflow into the engines
367
00:19:22,461 --> 00:19:24,263
and it caused a loss of thrust.
368
00:19:26,098 --> 00:19:27,533
Speed brakes!
369
00:19:29,902 --> 00:19:31,236
Got it.
370
00:19:31,303 --> 00:19:34,773
Their demeanor was
determined, collected,
371
00:19:34,840 --> 00:19:37,643
they were giving
everything they had.
372
00:19:37,709 --> 00:19:40,012
The windscreens
full of the ocean,
373
00:19:40,078 --> 00:19:41,680
they're not going to
solve this.
374
00:19:42,548 --> 00:19:45,684
Here we go!
375
00:19:55,494 --> 00:19:58,363
He's hit the water,
he's down.
376
00:20:12,811 --> 00:20:14,780
Search and
rescue helicopters
377
00:20:14,846 --> 00:20:17,416
are immediately dispatched
from Coast Guard stations.
378
00:20:18,984 --> 00:20:22,754
Search teams find debris,
floating 2.7 miles North
379
00:20:22,821 --> 00:20:24,022
of Anacapa Island,
380
00:20:24,089 --> 00:20:25,724
off the coast of California.
381
00:20:27,659 --> 00:20:29,628
In addition
to pieces of the plane,
382
00:20:29,695 --> 00:20:32,264
searchers are finding
personal effects,
383
00:20:32,331 --> 00:20:35,200
a shoe, a passport, a postcard.
384
00:20:38,036 --> 00:20:40,405
Aviation safety
advocate, Mary Schiavo,
385
00:20:40,472 --> 00:20:44,209
represents the families of
six passengers from flight 261.
386
00:20:46,878 --> 00:20:51,216
I remember this
person's possessions,
387
00:20:51,283 --> 00:20:54,186
all the pictures were
still in the wallet,
388
00:20:54,252 --> 00:20:55,854
in the pants pocket.
389
00:21:00,692 --> 00:21:03,295
Except for the
picture of his wife.
390
00:21:03,362 --> 00:21:05,497
And so, we knew, by that,
391
00:21:05,564 --> 00:21:09,101
and by how they found things,
that he had been clutching.
392
00:21:10,302 --> 00:21:12,337
That was really
important to her.
393
00:21:14,873 --> 00:21:17,876
Rescuers search for
survivors throughout the night,
394
00:21:18,777 --> 00:21:20,812
none are found.
395
00:21:25,517 --> 00:21:29,388
All 88 passengers
and crew on board flight 261,
396
00:21:30,088 --> 00:21:31,390
are dead.
397
00:21:31,456 --> 00:21:34,159
It's a terrible,
tragic thing, of course.
398
00:21:34,226 --> 00:21:38,797
But, you know,
we have a real well,
399
00:21:38,864 --> 00:21:40,332
established procedure
here for how
400
00:21:40,399 --> 00:21:42,200
these tragedies are handled.
401
00:21:43,902 --> 00:21:45,704
Investigators from the NTSB,
402
00:21:45,771 --> 00:21:48,874
the National Transportation
Safety Board,
403
00:21:48,940 --> 00:21:52,310
are assigned to find
an explanation for the crash.
404
00:21:53,512 --> 00:21:55,047
LAX maintenance
is saying the pilots
405
00:21:55,113 --> 00:21:57,516
reported a jam stabilizer.
406
00:21:57,582 --> 00:22:00,385
NTSB systems
investigator, Jeff Guzzetti,
407
00:22:00,452 --> 00:22:02,654
joins the investigation.
408
00:22:02,721 --> 00:22:06,191
We knew quite a lot,
just from the transmissions
409
00:22:06,258 --> 00:22:09,961
between the flight crew
and Los Angeles.
410
00:22:10,762 --> 00:22:12,664
Maybe they had a
mechanical problem.
411
00:22:14,599 --> 00:22:17,235
It looks like they tried
both switches, no luck.
412
00:22:17,502 --> 00:22:20,305
The plane pitched,
full for nose trim down.
413
00:22:22,074 --> 00:22:24,609
We immediately
began to research
414
00:22:24,676 --> 00:22:26,745
the horizontal
stabilizer trim system,
415
00:22:26,812 --> 00:22:29,648
to see how it was designed,
how it functioned,
416
00:22:29,715 --> 00:22:32,684
and how the crew
operated it, normally.
417
00:22:34,352 --> 00:22:36,755
The leading edge
of the horizontal stabilizer
418
00:22:36,822 --> 00:22:39,324
is raised or lowered
by a jacks screw.
419
00:22:40,992 --> 00:22:44,529
When activated, it moves up
or down through an acme nut,
420
00:22:44,596 --> 00:22:47,799
changing the angle of
the horizontal stabilizer.
421
00:22:51,536 --> 00:22:54,539
We need to see the
jack screw assembly.
422
00:22:54,606 --> 00:22:56,675
Let's hope it's
all in one piece.
423
00:22:57,976 --> 00:23:01,079
Investigators wonder
how the horizontal trim system
424
00:23:01,146 --> 00:23:02,881
could have failed.
425
00:23:02,948 --> 00:23:05,016
I'll get this to the Navy.
426
00:23:05,817 --> 00:23:08,220
Recovering parts
of the stabilizer system
427
00:23:08,286 --> 00:23:10,756
could give investigators
important clues.
428
00:23:13,391 --> 00:23:16,394
But the wreckage field lies
on the bottom of the ocean,
429
00:23:16,461 --> 00:23:18,497
at a depth of 700 feet,
430
00:23:18,563 --> 00:23:20,999
well beyond the reach
of scuba divers.
431
00:23:21,066 --> 00:23:24,236
We were able to tell
the Navy what to look for,
432
00:23:24,302 --> 00:23:26,438
what the high priority
targets were.
433
00:23:27,205 --> 00:23:30,575
US Navy crews use
side scan sonar
434
00:23:30,642 --> 00:23:32,878
to pinpoint the location
of the wreckage.
435
00:23:34,479 --> 00:23:37,516
Remotely operated vehicles
equipped with robotic arms
436
00:23:37,582 --> 00:23:39,885
are used to recover pieces
of flight 261.
437
00:23:43,922 --> 00:23:47,559
The Black boxes are retrieved
two days after the crash.
438
00:23:51,663 --> 00:23:53,665
Nine days into
the investigation,
439
00:23:53,732 --> 00:23:56,434
essential parts of
the horizontal stabilizer
440
00:23:56,501 --> 00:23:58,403
are also recovered.
441
00:23:59,237 --> 00:24:01,273
We got the jack screw.
442
00:24:01,339 --> 00:24:04,309
And with the brainpower we had,
that we had a fighting chance
443
00:24:04,376 --> 00:24:08,313
to find out exactly what went
wrong, during this flight.
444
00:24:15,053 --> 00:24:16,388
What's this stuff?
445
00:24:17,522 --> 00:24:19,791
Investigators wonder
if recovered parts
446
00:24:19,858 --> 00:24:23,195
from the horizontal stabilizer
of flight 261
447
00:24:23,261 --> 00:24:25,597
can provide clues
about why it failed.
448
00:24:26,498 --> 00:24:28,400
It's some kind of metal.
449
00:24:29,668 --> 00:24:31,436
What they see is puzzling.
450
00:24:33,004 --> 00:24:36,374
We saw this, this little,
thin piece of metal,
451
00:24:36,441 --> 00:24:39,344
that we thought
looked like a slinky.
452
00:24:39,411 --> 00:24:42,547
That really struck us
is something very odd.
453
00:24:47,619 --> 00:24:50,488
Why isn't the nut
attached to the jack screw?
454
00:24:55,694 --> 00:24:58,096
Normally,
the lower end of the jack screw
455
00:24:58,163 --> 00:25:01,833
is threaded through
an acme nut.
456
00:25:02,033 --> 00:25:04,236
When we looked at that,
and the jack screw
457
00:25:04,302 --> 00:25:06,104
wasn't part of
the acme nut,
458
00:25:06,171 --> 00:25:08,039
we asked ourselves,
"How can that happen?"
459
00:25:08,106 --> 00:25:09,908
That really just blew our mind.
460
00:25:11,443 --> 00:25:13,545
The jack screw and the acme
were found a few feet apart.
461
00:25:14,746 --> 00:25:16,648
They must have
separated mid-flight.
462
00:25:19,451 --> 00:25:22,387
Threads an 1/8 of
an inch thick, inside the nut,
463
00:25:22,454 --> 00:25:25,090
should hold it securely
to the jack screw.
464
00:25:35,634 --> 00:25:37,068
Look at this.
465
00:25:37,636 --> 00:25:40,105
There's something
unusual about the nut.
466
00:25:40,772 --> 00:25:42,274
Incredible.
467
00:25:42,340 --> 00:25:44,209
It's completely stripped.
468
00:25:45,777 --> 00:25:47,913
When we finally
looked inside the acme nut,
469
00:25:47,979 --> 00:25:51,549
it revealed that there were
no threads inside of it.
470
00:25:52,384 --> 00:25:53,752
Let's talk to metallurgy.
471
00:25:57,555 --> 00:25:59,791
It was shocking
and stunning to us
472
00:25:59,858 --> 00:26:01,226
to see something like this.
473
00:26:01,293 --> 00:26:03,161
No one thought
that you could get
474
00:26:03,228 --> 00:26:05,730
those thick threads to rip out.
475
00:26:07,966 --> 00:26:09,334
Interesting.
476
00:26:09,401 --> 00:26:11,069
Metallurgist, Joe Epperson,
477
00:26:11,136 --> 00:26:14,272
examines the stripped
nut and the jack screw.
478
00:26:14,906 --> 00:26:17,275
It became immediately apparent
479
00:26:17,342 --> 00:26:20,178
that what we were looking at
480
00:26:20,245 --> 00:26:24,082
was actually the
remainder of the threads
481
00:26:24,149 --> 00:26:26,651
that were inside the nut.
482
00:26:28,086 --> 00:26:29,421
Looks like the
jack screw stripped
483
00:26:29,487 --> 00:26:31,189
the threads of the acme nut.
484
00:26:32,424 --> 00:26:35,961
The next step in the
process was to figure out
485
00:26:36,027 --> 00:26:39,664
how the threads were reduced
486
00:26:39,731 --> 00:26:41,833
to such an extreme degree,
487
00:26:41,900 --> 00:26:43,735
and then stripped
out of the nut.
488
00:26:47,973 --> 00:26:50,108
There's some grease here,
on the bottom.
489
00:26:52,410 --> 00:26:54,179
The team studies residue
490
00:26:54,245 --> 00:26:56,181
observable on the jack screw.
491
00:26:56,247 --> 00:27:00,185
The way to prevent wear
is by lubrication,
492
00:27:00,251 --> 00:27:02,220
with grease,
493
00:27:02,287 --> 00:27:06,257
and in the case of
an extreme wear event,
494
00:27:06,324 --> 00:27:08,326
you want to look at,
495
00:27:08,393 --> 00:27:12,063
is there grease where
it's supposed to be?
496
00:27:13,164 --> 00:27:15,567
And there's some,
here, at the top.
497
00:27:17,402 --> 00:27:18,837
In flight,
498
00:27:18,903 --> 00:27:20,972
the jack screw rotates
inside the nut.
499
00:27:21,639 --> 00:27:25,377
To prevent wear, it needs
to be lubricated regularly.
500
00:27:26,778 --> 00:27:28,847
There should be more grease,
here in the middle.
501
00:27:29,414 --> 00:27:32,484
That's the working area
where it rotates the most.
502
00:27:33,318 --> 00:27:35,987
When we first looked
at the jack screw,
503
00:27:36,254 --> 00:27:39,290
there was very minimal signs
504
00:27:39,357 --> 00:27:43,128
that there was
any grease on it, at all.
505
00:27:44,496 --> 00:27:45,730
It was in the
ocean for a week,
506
00:27:45,797 --> 00:27:48,133
did the water wash
the grease away?
507
00:27:48,967 --> 00:27:50,702
No, I don't think so.
508
00:27:50,769 --> 00:27:52,771
Grease doesn't
wash off that easily.
509
00:27:54,773 --> 00:27:56,975
There's still some
remnants here,
510
00:27:57,042 --> 00:27:59,310
but none in the middle.
511
00:28:00,612 --> 00:28:04,249
We did find a little bit
of a remnant of a grease,
512
00:28:04,315 --> 00:28:06,351
at the very upper end.
513
00:28:06,418 --> 00:28:08,686
And at the very lower end.
514
00:28:08,987 --> 00:28:13,324
It was very easy to conclude
that being in the ocean
515
00:28:13,391 --> 00:28:17,195
had not washed away the grease
from the working area of
516
00:28:17,262 --> 00:28:19,097
of the jack screw.
517
00:28:20,432 --> 00:28:22,634
How could it be
that there so little grease
518
00:28:22,700 --> 00:28:24,769
on this jack screw?
519
00:28:33,144 --> 00:28:36,614
Grease goes through here,
during the lubrication process.
520
00:28:39,084 --> 00:28:40,385
During maintenance,
521
00:28:40,585 --> 00:28:42,320
grease is applied to
the interior of the nut,
522
00:28:42,387 --> 00:28:45,590
through a small valve
called a Zerk fitting.
523
00:28:47,225 --> 00:28:51,696
So the Zerk fitting is
this fitting, right here.
524
00:28:51,763 --> 00:28:53,832
And what mechanics
have to do is
525
00:28:53,898 --> 00:28:55,467
put a grease gun hose in here,
526
00:28:55,533 --> 00:28:58,470
and then squirt grease into
this little grease fitting
527
00:28:58,536 --> 00:29:00,772
that goes inside this passage.
528
00:29:00,839 --> 00:29:02,907
So that Zerk fitting
should have preserved
529
00:29:02,974 --> 00:29:06,177
and kept the remnants of
whatever grease it saw, last.
530
00:29:09,881 --> 00:29:10,882
What's that?
531
00:29:15,186 --> 00:29:17,255
It's packed with dried grease.
532
00:29:18,823 --> 00:29:20,859
I've been around grease
long enough to know
533
00:29:20,925 --> 00:29:22,861
that if you don't replenish it,
534
00:29:22,927 --> 00:29:24,662
and if you just leave it,
535
00:29:24,729 --> 00:29:28,366
eventually it dries up
and gets hard,
536
00:29:28,433 --> 00:29:30,602
and it basically says
537
00:29:30,668 --> 00:29:33,338
that it had not
been replenished.
538
00:29:35,507 --> 00:29:37,742
How long has it been
clogged like this?
539
00:29:40,211 --> 00:29:42,480
At least a year, maybe more.
540
00:29:43,748 --> 00:29:48,386
Finding this blockage suggests
long term abuse to the grease.
541
00:29:52,590 --> 00:29:55,293
I'd say we have a
maintenance issue, here.
542
00:29:56,161 --> 00:29:58,363
Time to talk to the airline.
543
00:29:58,429 --> 00:30:01,032
We were very suspicious
544
00:30:01,099 --> 00:30:03,201
about how well
545
00:30:03,268 --> 00:30:04,969
this component was lubricated.
546
00:30:05,036 --> 00:30:07,038
Or whether it was
lubricated, at all.
547
00:30:07,105 --> 00:30:10,275
And so, we had our doubts
as to whether or not
548
00:30:10,341 --> 00:30:11,910
this component
was being properly
549
00:30:11,976 --> 00:30:13,711
maintained by the airline.
550
00:30:19,117 --> 00:30:21,186
NTSB investigators travel
551
00:30:21,252 --> 00:30:23,621
to the Alaska Airlines
operation facility,
552
00:30:23,688 --> 00:30:26,090
in San Francisco.
553
00:30:26,157 --> 00:30:29,661
You worked on the plane
in September 1999, that true?
554
00:30:29,727 --> 00:30:31,129
Yes, I did.
555
00:30:31,196 --> 00:30:32,597
They tracked down the mechanic
556
00:30:32,664 --> 00:30:34,866
who was responsible for
the last lubrication
557
00:30:34,933 --> 00:30:36,935
of the jack screw assembly,
558
00:30:37,001 --> 00:30:39,237
four months before
the accident.
559
00:30:40,505 --> 00:30:42,340
Could you walk us
through how you lubricate
560
00:30:42,407 --> 00:30:44,409
the jack screw assembly?
561
00:30:44,475 --> 00:30:47,845
I'll tell you this,
it's not my favorite job.
562
00:30:50,715 --> 00:30:53,551
The team learns that
jack screw lubrication are done
563
00:30:53,618 --> 00:30:57,021
most often on the night shift,
outside the hangar,
564
00:30:57,088 --> 00:30:59,123
sometimes in the rain.
565
00:31:01,326 --> 00:31:03,428
You're working
off high lift trucks,
566
00:31:03,494 --> 00:31:06,864
which will sometimes
move with a gust of wind,
567
00:31:06,931 --> 00:31:09,434
the airplane moves
with a gust of wind,
568
00:31:09,500 --> 00:31:11,903
you're up and 30 feet
off the ground,
569
00:31:11,970 --> 00:31:14,505
some mechanics
don't like that job.
570
00:31:15,440 --> 00:31:17,508
They're not stable up there.
571
00:31:18,343 --> 00:31:20,845
To reach
the jack screw assembly,
572
00:31:20,912 --> 00:31:22,614
remove a panel first.
573
00:31:22,680 --> 00:31:24,582
How do you apply the grease?
574
00:31:24,649 --> 00:31:27,518
I use the paint brush, sometimes
I put a big glob in my hand
575
00:31:27,585 --> 00:31:29,220
to make sure it's on there.
576
00:31:29,587 --> 00:31:33,758
Aircraft, especially
large aircraft, need grease.
577
00:31:33,825 --> 00:31:35,893
They need to have lubricants,
578
00:31:35,960 --> 00:31:37,328
and it's messy.
579
00:31:39,230 --> 00:31:40,565
The most effective way
580
00:31:40,632 --> 00:31:42,567
is to fill your hand
with grease
581
00:31:42,634 --> 00:31:45,870
and actually move it up
and down on the jack screw,
582
00:31:45,937 --> 00:31:48,072
filling all the screw grooves,
583
00:31:48,139 --> 00:31:49,974
filling them with grease.
584
00:31:51,276 --> 00:31:53,444
What about greasing
the acme nut?
585
00:31:55,580 --> 00:31:58,750
Investigators focus
on how the mechanic greased
586
00:31:58,816 --> 00:32:01,219
the acme nut on the jack screw.
587
00:32:01,286 --> 00:32:04,222
We use a grease gun
to the Zerk fitting.
588
00:32:04,422 --> 00:32:06,357
And you pump grease in,
589
00:32:06,424 --> 00:32:08,826
until you see
fresh grease coming out.
590
00:32:08,893 --> 00:32:10,528
Well, how do you
know whether the lubrication
591
00:32:10,595 --> 00:32:12,730
is being done properly
and when to stop
592
00:32:12,797 --> 00:32:14,399
pumping the grease gun?
593
00:32:15,900 --> 00:32:17,201
I don't.
594
00:32:18,069 --> 00:32:19,704
Would you be able
to see the grease
595
00:32:19,771 --> 00:32:22,440
coming out from the top of the
acme nut during lubrication?
596
00:32:23,708 --> 00:32:26,244
No, I can't remember
looking to see if there was.
597
00:32:28,379 --> 00:32:30,448
One of the first
things that tells me,
598
00:32:30,515 --> 00:32:32,950
is that he couldn't
have known that Zerk fitting
599
00:32:33,017 --> 00:32:34,385
has taken grease.
600
00:32:34,452 --> 00:32:36,387
You have no idea
that it's clogged.
601
00:32:36,888 --> 00:32:39,991
So we found a variety
of ways in which mechanics
602
00:32:40,058 --> 00:32:42,226
lubricated this component.
603
00:32:42,293 --> 00:32:44,562
And that gave us some pause,
604
00:32:44,629 --> 00:32:46,264
because it's a very
critical component,
605
00:32:46,331 --> 00:32:47,932
and if you don't
lubricate it properly,
606
00:32:47,999 --> 00:32:49,200
you could end up
with an accident
607
00:32:49,267 --> 00:32:51,035
like the one
that just happened.
608
00:32:51,903 --> 00:32:54,639
The team discovers
that the methods Air Alaska
609
00:32:54,706 --> 00:32:57,742
mechanics used to lubricate
the jack screw assembly,
610
00:32:57,809 --> 00:33:00,411
don't follow
maintenance standards.
611
00:33:01,212 --> 00:33:03,381
The last time the
jack screw was lubricated
612
00:33:03,448 --> 00:33:06,584
was about four months
before the accident.
613
00:33:09,087 --> 00:33:11,789
But it's not just the
way that jack screw assembly
614
00:33:11,856 --> 00:33:14,792
is being lubricated
that bothers investigators,
615
00:33:14,859 --> 00:33:16,694
it's also the frequency.
616
00:33:16,761 --> 00:33:18,029
And before that?
617
00:33:18,096 --> 00:33:20,365
January 1999.
618
00:33:21,265 --> 00:33:22,834
They're doing it every...
619
00:33:26,070 --> 00:33:27,905
...2,500 hours.
620
00:33:28,539 --> 00:33:30,775
They can see
there's a long period
621
00:33:30,842 --> 00:33:32,510
between lubrications.
622
00:33:34,078 --> 00:33:36,047
Is that even
within regulations?
623
00:33:37,215 --> 00:33:38,449
I'll find out.
624
00:33:41,452 --> 00:33:42,987
We knew we had, kind of,
625
00:33:43,054 --> 00:33:44,322
a research
project on our hands.
626
00:33:44,389 --> 00:33:46,090
Some of the documents
that we requested
627
00:33:46,157 --> 00:33:48,993
from the manufacturer, from
the FAA, from the airline,
628
00:33:49,060 --> 00:33:52,196
came in the form
of Internal memorandums
629
00:33:52,263 --> 00:33:54,832
from engineering departments
630
00:33:54,899 --> 00:33:56,968
or requests from maintenance
631
00:33:57,034 --> 00:33:58,703
to extend an interval.
632
00:33:58,770 --> 00:34:01,272
It really began
to paint a picture
633
00:34:01,339 --> 00:34:05,343
of how the lubrication
intervals were extended.
634
00:34:13,551 --> 00:34:15,019
Check that out.
635
00:34:15,086 --> 00:34:17,522
The airline made
multiple requests
636
00:34:17,588 --> 00:34:19,791
to extend the intervals
on the lubrications.
637
00:34:22,493 --> 00:34:24,362
In 1987,
638
00:34:25,530 --> 00:34:27,398
the interval
between lubrications
639
00:34:28,966 --> 00:34:30,968
it was 500 hours.
640
00:34:31,669 --> 00:34:33,938
The intervals
between lubrication
641
00:34:34,005 --> 00:34:37,508
are measured by the number of
hours the plane is in the air.
642
00:34:37,575 --> 00:34:39,477
In 1991,
643
00:34:40,378 --> 00:34:43,581
it goes up to 1,200 hours.
644
00:34:45,082 --> 00:34:47,118
By 1996,
645
00:34:48,719 --> 00:34:50,455
increases all the way up
646
00:34:51,189 --> 00:34:53,558
to 2,500 hours.
647
00:34:57,595 --> 00:35:00,765
They just continued to
extend, extend, extend.
648
00:35:01,499 --> 00:35:03,267
Approved by the FAA?
649
00:35:03,334 --> 00:35:05,470
Yeah, every one of
them was approved.
650
00:35:09,307 --> 00:35:11,108
Investigators conclude
651
00:35:11,175 --> 00:35:12,944
that the lubrication
of jack screws
652
00:35:13,010 --> 00:35:14,879
was not only conducted poorly,
653
00:35:15,079 --> 00:35:18,149
it was also performed
less and less frequently.
654
00:35:19,650 --> 00:35:21,719
If you're going to extend
these lubrication functions,
655
00:35:21,786 --> 00:35:24,055
then you better
be doing something
656
00:35:24,121 --> 00:35:26,357
to make sure that what
you're doing is correct.
657
00:35:27,859 --> 00:35:30,061
But even if the lubrication,
wasn't being done properly
658
00:35:30,127 --> 00:35:32,897
regular inspections
should have caught
659
00:35:32,964 --> 00:35:35,166
the wear on that acme nut.
660
00:35:35,900 --> 00:35:38,169
True, they should have
inspected it regularly.
661
00:35:39,203 --> 00:35:42,406
Was the jack screw
assembly on flight 261,
662
00:35:42,473 --> 00:35:44,876
inspected when and how it
should have been?
663
00:35:44,942 --> 00:35:47,245
We looked at the maintenance
records for information
664
00:35:47,311 --> 00:35:49,247
about the last check.
665
00:35:51,182 --> 00:35:52,884
I've got something.
666
00:35:55,253 --> 00:35:57,755
Investigators
dig deeper into the records
667
00:35:57,822 --> 00:35:59,524
of flight 261,
668
00:35:59,590 --> 00:36:03,194
to find out how the jack
screw assembly was inspected.
669
00:36:03,261 --> 00:36:06,264
Yeah, this
doesn't look right to me.
670
00:36:07,532 --> 00:36:09,000
The team finds paperwork,
671
00:36:09,066 --> 00:36:12,069
which reveals that during
a routine inspection,
672
00:36:12,136 --> 00:36:14,472
a mechanic at the
airline's Oakland facility
673
00:36:14,539 --> 00:36:17,441
observed that the
acme nut was badly worn.
674
00:36:19,310 --> 00:36:21,679
You're sure the
reading is 0.040?
675
00:36:22,613 --> 00:36:24,882
A mechanic
who did that wear check,
676
00:36:24,949 --> 00:36:28,419
reported that he found
it to be at the limit.
677
00:36:30,855 --> 00:36:35,693
This nut was wearing fast and
something needed to be done.
678
00:36:37,461 --> 00:36:40,565
The lead mechanic ordered
the nut to be replaced.
679
00:36:41,966 --> 00:36:43,901
This was evidence
that someone had caught
680
00:36:43,968 --> 00:36:47,071
the fact that this
acme nut was worn out.
681
00:36:47,638 --> 00:36:49,974
Most airlines,
the decision would be,
682
00:36:50,041 --> 00:36:53,411
we will get the piece to the
airplane as soon as possible
683
00:36:53,477 --> 00:36:54,845
and replace it.
684
00:36:55,313 --> 00:36:58,316
But the entry is crossed out.
685
00:36:59,083 --> 00:37:00,184
I don't get it.
686
00:37:00,251 --> 00:37:01,519
Well when we saw
that they had
687
00:37:01,586 --> 00:37:03,020
crossed out the first entry,
688
00:37:03,087 --> 00:37:04,722
it was very suspicious.
689
00:37:04,789 --> 00:37:05,923
Something was up.
690
00:37:05,990 --> 00:37:07,358
It was fishy to us.
691
00:37:07,625 --> 00:37:09,694
We have to find out
what went on, here.
692
00:37:19,637 --> 00:37:23,474
Do you remember inspecting an
M.D. 83 on September 27, 1997?
693
00:37:23,941 --> 00:37:25,476
I remember it well.
694
00:37:26,110 --> 00:37:28,613
Investigators
contact John Liotine.
695
00:37:28,679 --> 00:37:30,915
the lead mechanic
who reported the worn acme nut
696
00:37:30,982 --> 00:37:33,517
on flight 261.
697
00:37:36,187 --> 00:37:38,189
I wrote up the evaluation,
698
00:37:38,255 --> 00:37:41,559
the nut is worn down,
replace it.
699
00:37:45,096 --> 00:37:47,565
It was an alarming discovery,
700
00:37:47,632 --> 00:37:50,134
in order for that aircraft
to be safe to fly,
701
00:37:51,202 --> 00:37:53,738
that nut assembly,
at the very least,
702
00:37:53,804 --> 00:37:55,873
must be replaced.
703
00:37:56,574 --> 00:37:58,309
There is no doubt in my mind.
704
00:37:59,243 --> 00:38:00,945
It was the end of my shift.
705
00:38:02,480 --> 00:38:04,715
When I came back
the next work day,
706
00:38:04,782 --> 00:38:07,151
the plane was closed up.
707
00:38:08,285 --> 00:38:11,288
The plane returned to
service with the worn nut.
708
00:38:13,524 --> 00:38:15,960
If the nut
had been replaced,
709
00:38:16,027 --> 00:38:18,129
the plane would still
be flying,
710
00:38:18,996 --> 00:38:21,899
and 88 people
would still be alive.
711
00:38:24,468 --> 00:38:28,072
How could a maintenance
facility allow the airplane
712
00:38:28,139 --> 00:38:30,608
to be put back into
Revenue Service
713
00:38:30,675 --> 00:38:32,643
with the wear
714
00:38:32,710 --> 00:38:34,845
that it found on the acme nut?
715
00:38:36,447 --> 00:38:38,582
When investigators
probed further,
716
00:38:38,649 --> 00:38:41,018
they learn that the amount
of wear on the acme nut
717
00:38:41,085 --> 00:38:43,654
was rechecked by
other mechanics.
718
00:38:44,455 --> 00:38:47,591
They determined that it was
just within minimum limits.
719
00:38:49,727 --> 00:38:53,030
Alaska Airlines maintenance
misses a warning sign.
720
00:38:53,097 --> 00:38:56,434
The wear on the nut should,
at least, have been monitored,
721
00:38:56,500 --> 00:38:57,702
but it wasn't.
722
00:38:59,236 --> 00:39:01,205
The next time that
jack screw was looked at
723
00:39:01,272 --> 00:39:03,641
was in the NTSB laboratory.
724
00:39:05,476 --> 00:39:07,478
The plane flew
with the worn nut
725
00:39:07,545 --> 00:39:10,347
for two more years, before it
took off from Puerto Vallarta,
726
00:39:10,414 --> 00:39:12,349
on the day of the accident.
727
00:39:12,983 --> 00:39:14,518
You're up.
728
00:39:16,320 --> 00:39:18,989
First Officer
Tansky and Captain Thompson,
729
00:39:19,056 --> 00:39:21,125
had no idea that
their stabilizer
730
00:39:21,192 --> 00:39:22,827
was on the verge of failure.
731
00:39:26,597 --> 00:39:29,900
That's strange,
the planes' out of trim.
732
00:39:31,268 --> 00:39:32,870
The team turns
to the voice recorder
733
00:39:32,937 --> 00:39:35,706
to find out how the
devastating chain of events
734
00:39:35,773 --> 00:39:38,008
unfolded on board flight 261.
735
00:39:45,716 --> 00:39:47,585
Let's check this out.
736
00:39:48,285 --> 00:39:49,787
Autopilot off?
737
00:39:49,854 --> 00:39:51,422
Good idea.
738
00:39:54,625 --> 00:39:55,926
Whoa.
739
00:39:57,595 --> 00:40:00,097
13 minutes after
takeoff from Puerto Vallarta,
740
00:40:00,164 --> 00:40:02,399
the worn threads in
the acme nut
741
00:40:02,466 --> 00:40:04,435
caused the jack screw to jam,
742
00:40:04,502 --> 00:40:07,171
preventing movement of
the horizontal stabilizer.
743
00:40:07,238 --> 00:40:09,106
I'll try it, again.
744
00:40:10,841 --> 00:40:14,011
The captain's trying to
rectify the jam stabilizer.
745
00:40:16,547 --> 00:40:19,717
While cruising at 31,000 feet,
746
00:40:21,552 --> 00:40:24,054
the CVR picks up
a sound of a click,
747
00:40:24,121 --> 00:40:26,257
followed by a thump.
748
00:40:27,958 --> 00:40:30,327
We think that the pilot
was moving his thumb switch
749
00:40:30,394 --> 00:40:32,663
on his yoke,
in an attempt to move
750
00:40:32,730 --> 00:40:34,665
the jack screw through the nut.
751
00:40:38,102 --> 00:40:39,970
The threads finally give way,
752
00:40:40,037 --> 00:40:43,240
and the jammed jack screw
pulls up through the nut,
753
00:40:43,307 --> 00:40:45,976
causing the stabilizer
to move upwards,
754
00:40:46,043 --> 00:40:49,580
a stopper is all that prevents
it from separating, completely.
755
00:40:54,952 --> 00:40:57,188
It got worse.
756
00:40:57,254 --> 00:40:59,023
With the horizontal stabilizer
757
00:40:59,089 --> 00:41:02,526
pushing the nose further down,
the plane goes into a dive.
758
00:41:04,428 --> 00:41:06,330
Through sheer brute force,
759
00:41:06,397 --> 00:41:08,632
the pilots hold the
jack screw in place,
760
00:41:08,699 --> 00:41:10,201
and recover the plane.
761
00:41:13,037 --> 00:41:15,639
Okay it really
wants to pitch down.
762
00:41:21,612 --> 00:41:23,347
-
- You feel that?
763
00:41:23,414 --> 00:41:25,349
Stop. Let's hear that again.
764
00:41:27,184 --> 00:41:28,552
But eight minutes later,
765
00:41:28,619 --> 00:41:30,621
there's another
series of thumps.
766
00:41:32,356 --> 00:41:36,227
Do you feel that?
767
00:41:37,862 --> 00:41:40,331
The stopper holding
the jack screw in place,
768
00:41:40,397 --> 00:41:42,399
finally gives out.
769
00:41:47,972 --> 00:41:49,440
Push and roll!
770
00:41:49,506 --> 00:41:51,842
The damage to
the stabilizer makes
771
00:41:51,909 --> 00:41:54,345
flight 261 uncontrollable.
772
00:41:54,411 --> 00:41:57,481
The plane rolls over and
dives toward the ocean.
773
00:42:00,150 --> 00:42:02,486
Push, push, push,
push the blue side up.
774
00:42:02,553 --> 00:42:05,322
Flying upside down,
the crew makes a last ditch
775
00:42:05,389 --> 00:42:07,591
attempt to right their plane.
776
00:42:11,595 --> 00:42:13,163
Speed brakes!
777
00:42:14,965 --> 00:42:16,133
Got it.
778
00:42:16,200 --> 00:42:17,701
The pilots of flight 261
779
00:42:17,768 --> 00:42:20,738
give everything they
have to save the plane.
780
00:42:22,106 --> 00:42:25,075
It was just total,
professional, fighting
781
00:42:25,142 --> 00:42:27,444
for that plane
till the very end.
782
00:42:27,511 --> 00:42:29,680
And they express
the realization
783
00:42:29,747 --> 00:42:31,749
that the fight was over.
784
00:42:35,586 --> 00:42:38,355
Here we go!
785
00:42:47,731 --> 00:42:51,135
I was sickened by what
I listened on the CVR.
786
00:42:54,305 --> 00:42:56,573
This accident could
have been prevented.
787
00:43:02,079 --> 00:43:03,981
They grease that jack screw,
788
00:43:04,248 --> 00:43:06,216
this doesn't happen.
789
00:43:13,324 --> 00:43:15,292
The amount of money,
790
00:43:15,359 --> 00:43:18,295
that would have saved
these lives,
791
00:43:18,362 --> 00:43:20,764
it's a cup of coffee.
792
00:43:20,831 --> 00:43:24,735
It's, literally,
a few dollars of grease.
793
00:43:27,504 --> 00:43:30,140
I still get angry about it.
794
00:43:31,875 --> 00:43:33,777
In the wake of the accident,
795
00:43:33,844 --> 00:43:36,013
the intervals between
jack screw lubrication
796
00:43:36,080 --> 00:43:39,717
at Alaska Airlines
is reduced from 2,500 hours,
797
00:43:39,783 --> 00:43:42,319
to 650 hours.
798
00:43:42,386 --> 00:43:44,521
We lost 88 people
799
00:43:44,989 --> 00:43:47,558
because of lack of lubrication.
800
00:43:48,025 --> 00:43:50,761
This is a maintenance accident,
801
00:43:50,828 --> 00:43:52,763
pure and simple.
802
00:43:53,330 --> 00:43:55,232
It is truly a tragedy.
803
00:43:58,702 --> 00:44:00,804
It was just one of those
cases that you work on,
804
00:44:00,871 --> 00:44:02,806
that's never
going to leave you.
805
00:44:04,174 --> 00:44:05,909
Not ever.
806
00:44:07,911 --> 00:44:09,246
It was tough.
59453
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