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These are the user uploaded subtitles that are being translated: 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. 9 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. 16 00:00:41,007 --> 00:00:43,476 Just seconds from impact, the pilots 17 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, 19 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. 23 00:01:19,512 --> 00:01:24,017 Climbing into sunny skies over Puerto Vallarta, Mexico. 24 00:01:24,083 --> 00:01:25,084 You're up. 25 00:01:29,355 --> 00:01:31,124 Gears' up. 26 00:01:31,191 --> 00:01:33,960 Captain Ted Thompson is an Air Force veteran. 27 00:01:34,027 --> 00:01:37,030 He's flown with Alaska Airlines for 17 years. 28 00:01:40,133 --> 00:01:42,168 Thank you, sir. 29 00:01:42,235 --> 00:01:44,237 First Officer Bill Tansky has been 30 00:01:44,304 --> 00:01:46,739 flying for almost four decades. 31 00:01:46,806 --> 00:01:49,943 He's the one flying, today. 32 00:01:50,009 --> 00:01:52,145 The pilots on 261 33 00:01:52,212 --> 00:01:55,982 were highly regarded by their fellow pilots 34 00:01:56,049 --> 00:01:59,385 these were really top notch aviators 35 00:01:59,452 --> 00:02:00,887 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. 63 00:03:34,480 --> 00:03:38,151 So he's manually got his hands on the control yoke. 64 00:03:38,217 --> 00:03:40,954 And increasingly, there's more and more pressure 65 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, 74 00:04:13,853 --> 00:04:17,557 flight 261 levels off at 31,000 feet. 75 00:04:23,129 --> 00:04:25,999 Manual says to try the pickle switch. 76 00:04:30,837 --> 00:04:33,206 Pickle switches are literally just 77 00:04:33,272 --> 00:04:36,175 a little toggle switch on the control column. 78 00:04:36,242 --> 00:04:39,579 And it moves the horizontal stabilizer, 79 00:04:39,646 --> 00:04:42,915 such that it will push the nose up or down. 80 00:04:44,917 --> 00:04:47,053 Controls in the cockpit activated 81 00:04:47,120 --> 00:04:49,455 a two foot jack screw in the tail. 82 00:04:49,522 --> 00:04:51,257 As the Jack screw turns, 83 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 97 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, 104 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 108 00:06:11,738 --> 00:06:14,040 flight dispatcher, in Seattle. 109 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 111 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, 114 00:06:27,720 --> 00:06:30,323 I'm concerned about suitable airports. 115 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. 117 00:06:37,764 --> 00:06:40,166 The pilots compare the wind conditions 118 00:06:40,233 --> 00:06:43,202 at Los Angeles and San Francisco airports. 119 00:06:44,670 --> 00:06:48,474 The pilots on this flight took such care considering 120 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, 122 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, 160 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, 164 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. 174 00:09:33,506 --> 00:09:36,709 They know something is very, desperately, 175 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, 181 00:09:53,225 --> 00:09:56,262 or they'll have an unarrested descent 182 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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