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Zulu
January 2008.
The Boeing 777 is the gold standard
for commercial aviation.
For more than 10 years, the plane has logged
2 million flights without a single major accident.
Clear to land...
But less than 1,000 feet
above London's Heathrow Airport,
all that changed.
Hey, I can't get power on the engines.
What do you mean?
It's not giving me power.
This can't be happening.
I thought if I don't do anything,
then everybody will die.
Mayday!
Speedbird!
Whatever brought down one of the world's most
technologically advanced air planes
can't be found at the crash site.
And they had the pilots, they had the passengers,
they had the aircraft.
They had everything there except the thing that caused it.
That had disappeared, as if by magic.
Mayday!
British Airways Flight 38.
A 10 and a half hour journey from Beijing to London.
Captain Peter Burkill has made this trip many times before.
I was operating that route a lot.
It was one of my favorite flights because it was daylight,
you could see the views the whole way along the route.
Burkill and First Officer John Coward
both have thousands of hours flying the 777
under their belts.
It's a joy to fly.
She handles really well, she's got modern equipment,
the computers are easy to use.
She's got the range, the ability to do short haul
as efficiently as long haul.
For these two, as for many pilots,
a day on the job consists of sitting in the cockpit
for long hours as computers fly the plane.
Powered by two massive Rolls-Royce engines,
the Boeing 777 is one of the safest planes in the industry.
Nick Harris is flying back to London
after a business trip to China.
The good thing was it seemed to be that we were
coming in early into Heathrow.
I was looking forward to going home to see the family.
Flight 38's destination is Heathrow Airport,
one of the busiest international airports in the world.
Nestled in the south-west corner of London,
it's bordered by the A30 motorway.
People who live in the nearby neighborhood of Hounslow
are well accustomed to the sound of jets
taking off and landing.
The area's tightly packed houses come into distant view
for British Airways Flight 38.
The autopilot is in control as the crew lines up
with runway 27 left.
As it nears the ground, the plane is buffeted
by some high winds.
Just a little turbulence.
It's the first wrinkle
in an otherwise smooth journey.
It's not me.
That's the auto throttles doing their thing.
We were picking up wind gusts of about 20 to 30 knots
and we were fully aware that the auto throttles
would be able to cope with that so they'd be
moving up and down quite a lot.
You may want to keep the autopilot on
a little longer than usual, to let the wind calm down.
Will do.
In turbulent weather,
the autopilot can make faster adjustments
to keep a plane level than the pilots.
1,200 feet above ground...
You'll have to turn that off for now, sir.
Sure.
Thank you.
Two minutes before landing,
Coward takes over flying the plane.
You have control?
Just as the two pilots had planned.
I have control.
I had a few seconds to spare before clearance to landing
and I was just tidying up my map charts.
Flight 38, prepare to land 27 left.
Cleared to land 27 left,
Speedbird 38.
I remember looking out to see if our gate was available.
500 feet.
500 feet.
Stable?
Well, sort of.
Suddenly, there's a problem.
Pete, I can't get power on the engines.
It's not giving me power.
What's going on?
What do you mean?
I was looking at the engine instruments
and they didn't make sense to me
because we were asking for full power
but the engine instruments were not giving us
any power at all.
What's going on?
Flight 38 is crippled
in the worst way imaginable.
It looks like we have double engine failure.
With neither engine providing enough power,
the jet won't make it to the airport.
With 152 people on board, Flight 38 is falling toward London
with only seconds until it hits the ground.
This can't be happening.
This is one of the most modern jets in the world.
In the cabin, there's no indication
that anything's gone wrong.
On approach to land, everybody seemed relaxed
in the cabin.
We were just looking forward to landing.
Airspeed low.
Airspeed low!
By now, I was looking at our impact point.
I could see a set of buildings
around the Hatton Cross area
and a petrol station.
I just knew if we were hitting those,
then it was certain, 100% fatalities.
That point, I felt the weight of my four bars
on my shoulder.
I am the captain.
If I don't do anything, then everybody will die.
This close to the ground,
Burkill doesn't have many options.
He could take back control of the plane from Coward,
but doesn't think that's the right move.
First decision, really, was to not take control.
I remember looking over at John.
He was still flying the plane well.
Good, he's doing a good job.
He's doing what I need him to do.
Burkill knows that even if they manage
to clear at Hounslow, the jet could still smash
into the busy A30 motorway or the antennas
at the edge of the airport.
I thought about raising the gear.
That's the biggest drag on a commercial jet,
but I needed the gear to crash on.
We were gonna impact and that was gonna take
the brunt of the impact,
so I had to leave the gear down.
With a crash imminent,
Burkill has only one move left.
But it comes with enormous risk.
I knew I had about 15 seconds to make a huge decision.
I needed to get past those buildings.
It was obvious to me that I needed to raise the flaps.
Retracting the flaps will reduce drag,
but also lift.
The plane will fly further but drop faster.
Burkill must determine which is more important.
I wanted to discuss it with the crew,
but this was all in a matter of seconds.
I remember holding that lever for a fraction of a second.
He hopes this move will help his plane
avoid catastrophe.
The effect was immediate.
Now, Burkill makes the announcement
every pilot dreads.
Mayday, mayday!
Speedbird, speedbird!
It was hard, very hard.
I remember a couple of impacts and the noise.
Good God.
The landing was hard.
Just a huge bang.
The noise, bits falling off the ceiling.
Then I also became a passenger
because we were now in an uncontrolled aeroplane.
We were sliding along the ground
and I didn't know what we were gonna hit next.
And then I thought about my wife and kids
and I said goodbye to them.
The lights went out.
I could hear the wreckage breaking up.
And then we stopped.
When we actually stopped,
I was surprised that I was still there.
And then I looked round the flight deck
and I was more surprised to see that
all three of us were unscarred.
Everybody, stay still with your seatbelts fastened!
And I quickly became the captain again.
The crew switches off the fuel...
APU fire switch.
Hydraulic and electrical systems.
Control switches, cut.
Check list complete.
I then had to look after my survivors.
I thought 20% were dead
because this aircraft was broken up.
This is an emergency.
Evacuate, evacuate.
The air stewardess then took control completely.
As she opened the door, I smelt the fuel.
We should hurry.
I realized that we need to get off this aircraft.
The big danger now is fire.
Having survived the landing, passengers could be killed
if flames sweep through the jet.
Jump!
I left all my luggage and I just got myself
down the slide.
Jump!
Let's get out of here.
I went through the galley and checked the right-hand aisle
and I was surprised to see nobody there.
Despite Burkill's fears,
there are no casualties.
Outside in the cool January air,
the scale of the disaster is clear.
The right wheel had actually been ripped off
during the impact.
The engines were just sad, they were ripped apart.
The cowlings were ripped off
and the engines were half buried.
It wasn't an aircraft any more.
I now started to realize that we'd been
involved in a major accident.
I saw the damage to the undercarriage and to the wing.
The plane narrowly missed the A30
and the antennas at the foot of the runway.
It could have been total devastation.
If the impact had been on anything
other than soft mud and grass,
the likelihood of a fire was immense.
Given the amount of damage,
it's incredible that only 47 people were injured.
I felt quite lucky that I was still alive.
It was quite a surreal feeling.
From China, British prime minister Gordon Brown
praises Burkill and the crew.
I think it's right to pay tribute
to the calmness and professionalism
of the British Airways staff,
the captain, Peter Burkill,
for what he achieved in engineering a landing
that protected lives.
Investigators have some early hunches
about what caused the engines to fail.
They also have plenty of clues.
But a key piece of evidence is already missing.
Heathrow's emergency planning
swung into action.
The crash of British Airways Flight 38
dominates the news.
It's the most serious accident at Heathrow in 30 years.
Heathrow Airport is a very busy airport.
It is the main airport in the UK,
so anything that happens in Heathrow Airport
immediately hits the media.
More significantly,
the 777 is one of the world's most modern and reliable jets.
The accident unsettles the airline industry.
The 777 is as safe as an aeroplane can be.
It had such a superb safety record.
What on earth happened?
You don't like not knowing whether
it might happen to the rest of your fleet.
Investigators quickly arrive on the scene.
Phil Sleight is the lead engineer for Britain's AAIB,
the Air Accidents Investigation Branch.
When you first approach an accident site like this,
the first thought you've got is where do I start?
The plane landed about 1,000 feet short of the runway.
The landing gear's pushed up through the wings,
the nose landing gear collapsed.
Just hours after the crash,
investigators interviewed the crew.
Captain Peter Burkill has a first-hand account
of what happened.
I think I wanted to talk about it
because I knew of the innocence of the whole crew.
This isn't our fault.
We didn't do anything wrong.
But the engines weren't giving us any more power.
It looks like we have double engine failure.
We tried to give them more power manually,
but there was nothing.
Burkill explains that something
had caused both of the jet's Rolls-Royce engines
to roll back at the same time,
robbing the aircraft of power.
When you hear something of a double engine failure,
you start looking at what's common.
What could cause both engines to fail at the same time?
So our first thoughts were that it may have run out of fuel.
A fuel shortage is rare,
but it has happened before.
In 1983, a Boeing 767 ran out of fuel
flying over central Canada.
A mistake in converting between metric
and imperial measurements left the plane
with much less fuel than the crew thought.
At 26,000 feet, they lost power to both engines.
The captain was able to glide the plane
to a safe landing at an abandoned airbase.
In the case of Flight 38,
this theory is immediately questioned.
Jet fuel has a certain odour.
Anyone who has worked with an aircraft
will know the distinctive smell of jet A1 fuel.
There was certainly a lot of fuel
leaking from the aircraft,
from the ruptures to the bottom of the engines,
when we arrived on site.
A check of the plane's dipsticks
confirms two of the tanks did, in fact, have fuel.
So we knew that there was plenty of fuel
on board this aircraft to complete the flight.
There remains several other
possible explanations for such a loss of power,
and investigators must tackle them all.
There is great confidence that the mystery can be solved,
as any and every piece of evidence
investigators could ever want is readily available.
They have access to the pilot,
the crew,
and most importantly, the entire plane.
We were quite fortunate to have
the amount of data that we had on this aircraft
because the aircraft remained intact.
We were able to interrogate lots of computers
and also get lots of data from the recorders.
Additionally, we had data external to the aircraft,
such as radar data,
and also the radio transmissions as well.
Mark Ford retrieves the plane's
Flight Data Recorders,
which promise to give investigators important clues.
He has another resource, the QAR, or Quick Access Recorder.
While the black boxes are in the rear of the plane,
the QAR is a data recorder in the front,
used mainly for diagnostics.
It does have an advantage over the flight recorder,
though, in that it has a greater memory capacity
and can record additional parameters
over and above those available in the flight recorder.
You can recover the data from a Quick Access Recorder
within a matter of minutes, in some cases.
Speed, altitude, control settings,
cockpit conversations.
In all, the various recorders have preserved
1400 different pieces of data,
which should help the investigators close the case.
But when they study the QAR,
what they find is chilling.
The Quick Access Recorder data stopped
about 45 seconds prior to the accident itself.
Initial thoughts were that there was an electrical problem
possibly that had affected not only the QAR,
but possibly the engines as well.
The 777 is one of the latest advances
to computer-assisted airplanes.
Pilots don't directly control the plane.
Instead, their inputs are sent to a computer.
Those signals are then relayed to the engines,
flaps and other systems on the aircraft.
Pete, I can't get power on the engines.
A massive failure of the plane's
information systems could explain
why the engines stopped working.
Perhaps the computers that control them froze.
Farnborough is home to the AAIB.
The Flight Data Recorder has been sent here for analysis.
An electrical problem would be recorded on this device.
But interpreting the information will take some time,
time investigators don't have.
There are hundreds of 777s landing every day.
They need to find answers before whatever brought down
Flight 38 strikes again.
While they wait, authorities turn their attention
to the fuel recovered from the ruined plane.
A bad batch of fuel could have deprived
the aircraft of power just when it needed it most.
Fuel can be contaminated in many different ways.
It could be particle contamination,
it could be biological contamination,
and they can get into filters to restrict the flow.
We took several samples from various points
within the fuel system,
so not only from the fuel tank itself,
but also from remnants within fuel lines
and also within various fuel components.
We managed to trace the fuel back through
the documentation to a shipment of jet A1
which came from South Korea,
and that was shipped across in a tanker to China
and was then transported by pipeline to Beijing Airport.
We compared it with over 1,200 other
batches of fuel in the UK.
And it came out to be very good.
Investigators next consider the possibility
of a blockage in the fuel tanks.
They discover some bizarre evidence.
Several small pieces of tape are recovered,
along with something else.
When we were in the fuel tanks,
we did find a few small articles.
One of them was a red scraper.
The items were likely left over
from when the plane was built seven years ago.
But while they're peculiar,
there's no indication that any of them played a role
in bringing down the plane.
Obviously, it's not ideal to find
anything within a fuel tank.
We obviously looked to see whether this
would have had an effect on the fuel flow to the engines.
The items were so small they would not
have caused a restriction.
As the search for answers continues,
a puzzling find surfaces.
Less than three years before the Heathrow crash,
another 777 suffered a serious midair problem.
After taking off in Perth, Australia,
a Malaysian passenger jet was climbing through 38,000 feet
when suddenly, the plane's autopilot
pitched the nose up and climbed steeply.
Calamity was only averted when the pilot
took manual control of the jet.
They did manage to get it safely back to base.
The investigators established that this
was a computer problem.
British aviation authorities
consider that the electronic brain of one of
the world's most reliable jets might be faulty.
The Malaysia Airlines aircraft was really
quite an unnerving one.
The investigators sort of pulled out the files on it
and started looking over it to try and get some clues.
Did we have a problem with the electronic control system,
causing the engines to roll back?
If flaws are found with Flight 38's computers,
it means 777s around the world could all be
disasters in the making.
This thought hangs heavily over the industry.
When the readout of the plane's flight data recorder
is conducted in Farnborough,
investigators learn that the crash
could have been much worse.
There was very little they could actually have done.
It looks like we have double engine failure.
There was only 30 seconds between
when they were fully aware of what was going on...
Airspeed low!
And the accident was inevitable.
Records show that soon after
the engines failed, the plane started falling
faster than 1,800 feet a minute,
a very steep descent.
But lack of power was only one factor
working against the crew.
They had extended their flaps on descent.
It helps control the plane at lower speeds
by increasing lift,
but the extended flaps create drag,
which slows the plane down.
It takes more power to keep the plane
flying with a wider wing.
Airspeed low.
I needed to raise the flaps.
I knew that raising it one notch to flap 25,
would be the right thing to do.
To reduce the drag, that's what I had to do.
What he did here, gave them a few extra feet.
Had the flaps been left at flap 30,
the aircraft would have struck the ground
just before a set of ILS antennas.
The plane then would have
slammed into the antennas,
sustaining even more damage and increasing the chances
of serious injuries.
For their efforts, Burkill and his team
are considered heroes.
Flying is about teamwork and we had an outstanding team.
There is no doubt,
without the flight crew's actions,
Flight 38's landing would have been a catastrophe.
Now, the recordings...
As they continue examining data
from the flight data recorders...
Continue right to the moment of impact.
Investigators are no closer
to solving the case.
Analysis of the flight recorder
didn't identify any particular fault
with the aircraft electrical system
that would have resulted in both engines rolling back.
They are at least able to determine
why no data was found on the quick access recorder
for the last 45 seconds of the flight.
It's not an electrical fault, as they first feared.
The 45-second delay in the QAR recording
was a result of the fact that
the QAR doesn't record in real time.
It buffers the data and then will record
approximately 45 seconds later.
With all the information
from the plane's various data recorders now collected,
investigators have a precise picture of what happened.
The jet was on the proper course as it made
its approach to land,
when things went horribly wrong.
At 720 feet, the right engine rolled back.
Seven seconds later, the left engine rolled back.
The auto throttle attempted to command greater thrust.
It's not me.
That's the autothrottle.
But the engines didn't respond.
I can't get power on the engines.
While electrical and computer problems
are ruled out as causes of the crash,
the flight data recorders do point investigators
to the likely source of the problem.
The two most significant parameters
from the quick access recorder
were the fuel-metering valves.
Both those valves indicated that they had opened
to their fully open position.
The plane's computers were calling for
as much fuel from the tanks as possible.
The valves were fully opened.
But not nearly enough fuel was reaching the engines.
A plane with plenty of fuel and a working computer system
still crash-landed and investigators can't determine why.
They focus on the weather on the day of the accident.
It was a very cold air mass over Siberia,
so we were aware of the cold conditions,
but the flight was expected to be smooth and also quick.
The plane's path took them high over Russia.
The outside temperature went as low
as -74 degrees Centigrade.
It's a potentially dangerous temperature
if not monitored closely.
In cold air masses, you have to be very aware
of the fuel temperatures.
When fuel starts to freeze, it produces wax.
As the fuel temperature drops,
the wax becomes greater within the fuel itself
until it comes to a point where it can no longer flow.
We have a fuel temperature gauge on the flight deck,
which is monitored at all times,
and I personally look at that every time I do a fuel check,
which, minimum, is once an hour.
Basically, you don't wanna get it
below -34 degrees Centigrade.
While they were cold,
the temperatures never dipped into the danger zone
where the fuel could wax and clog the system.
And the fuel temperature increased significantly
as the jet approached London.
We were coming through 20,000 feet
and I remember seeing - 20 degrees Centigrade,
so it had already started to warm up.
Another potential cause of the crash
is ruled out.
Investigators are now running out of possible explanations.
And the expectation from the media,
and also from aviation experts,
was that we would have the answer within days.
But there was no comment today
about the ongoing investigation.
It very quickly became apparent
that that would not be the case.
They had the pilots, they had the passengers,
they had the aircraft, they had everything there,
except the thing that caused it.
That had disappeared, as if by magic.
Despite mountains of data
and physical evidence at their disposal,
investigators are still unable to say what caused
the crash of a British Airways 777
at Heathrow Airport.
They turn to a failure of the fuel delivery system
as a culprit.
To prove it was responsible, they need to pinpoint
anything out of the ordinary about Flight 38's journey
on 17 January, 2008.
It's a daily flight operating from Beijing to Heathrow.
We wanted to work out what was unique about this flight.
Why this flight in particular?
If you've got a very puzzling incident,
like the 777 accident at Heathrow,
you're going to mine all the data you can.
Just put them over there for now.
So we approached many operators to obtain some data
of previous flights so that we could then do a comparison.
Flight data is collected
from companies around the world.
And we had something like 144,000 flights in all.
But it will take months of work
to analyze this enormous volume of information.
To study Flight 38's fuel system more closely,
huge sections of it are brought to the AAIB hangar
and reassembled.
It allowed us to basically just sit there
and look at it and to brainstorm
and come up with ideas as to what might have caused it.
McDermid and his team
consider all possibilities,
from design flaws to a malfunction
specific to this aircraft.
The examination comes up empty.
We carried out an exhaustive and very thorough inspection
and tests of the fuel system and we found nothing wrong.
Frustrated, investigators are at a dead end.
We kept going through the cycle.
We kept going back over what we'd done before.
Had we missed something?
And every time we went back over,
we kept coming back to no.
There was no trouble
with the plane's computers.
It had plenty of fuel.
And no problems with the fuel itself.
But somehow, when it was most vital...
Mayday!
The engines didn't get the fuel they needed.
The AAIB detectives have run out of suspects.
There was no clear explanation.
Nothing that you'd seen before...
It's not getting the power.
In any aeroplane, let alone the 777,
could have explained this.
Now they turn away from the clues they have
to those they don't.
Phil started coming out with a mantra
which was a quote from Sherlock Holmes.
Whatever is left, however improbable,
must be the cause.
Has to be.
In this case, we always kept coming back to what's there,
what could've been there that's not there now.
And we come back to ice.
Suspicion that the cause of the accident was ice
grew stronger and stronger.
But investigators are faced
with a nearly impossible task.
How can they prove that ice had brought down the plane
when the evidence they need would have melted
by the time they arrived?
Three months after the crash,
Brian McDermid flies to Seattle
to work with engineers at Boeing,
the company that built the 777.
If ice brought down Flight 38,
they need to prove how and why.
We took the pipes from the right side of the fuel system
and those pipes and those couplings
were used on the test rig at Boeing.
Ice in the fuel lines has long been
a concern for jets of all kinds.
But decades ago, engineers found an ingenious way
to deal with the ice forming in the fuel of passenger jets.
The heart of the system is the fuel oil heat exchanger,
or FOHE.
Cold fuel runs through thin tubes,
which are surrounded by the hot oil
used to lubricate the engines.
The purpose of a fuel heater is to heat the fuel up
to prevent icing of the delicate fuel control system.
The FOHE is designed to prevent
exactly the problem investigators
suspect crippled Flight 38.
But it's also a potential bottleneck in the system.
During the fuel testing, we were looking to establish
where we could get a restriction that would
restrict the fuel flow to 6,000 pounds per hour,
and the only place that we could get
such a restriction occurring was on the face
of the fuel oil heat exchanger.
Investigators have to prove three things.
First, that substantial amounts of ice
can accumulate inside the fuel pipes.
Second, that the ice can suddenly be released.
And, finally, prove that it can block a device
specifically designed to melt it.
We used different methods of controlling the environment
around the pipes that ranged from dry ice
to cold fuel and to hot air to simulate
the environment around the pipes that the aircraft
experienced during the flight.
After each fuel-cooling test,
investigators look inside the pipes for ice.
But they can never get much ice to form,
let alone block the fuel lines.
- The fuel temperature was - 30 degrees Centigrade.
Very little ice would stick to the inside of the fuel pipes.
Investigators know the temperature
on the accident flight didn't get much colder,
so how had the ice formed?
We still hadn't answered the question of
where does the ice come from in the first place?
And, indeed, was it ice?
Or was there something else that we've missed?
Surprisingly, when the fuel temperatures
are warmer, the breakthrough arrives.
If you have water in the fuel,
then that water will freeze and form ice crystals
and then when the temperature gets
to about -20 degrees Centigrade,
those ice crystals will start to stick together
and also stick to the inside of the pipes.
Below -20, any ice crystals in the fuel
are too cold to attach to the pipes.
But in the sticky range, between -20 and -8 Centigrade,
slushy ice forms and sticks to the sides of the fuel pipes.
So, when we demonstrated that ice could actually
build up and grow onto the walls of the fuel pipes,
there was a certain amount of surprise
as to how much could actually grow.
Now we're getting somewhere.
Well, the question for us at this stage was
how could that ice come off the pipes?
Investigators think they have the smoking gun.
But they still can't prove how a small bit of ice
could bring down a 200 million plane.
They continue analyzing thousands of comparative flights
to see what made Flight 38 unique.
But after seven months, they still can't crack the case.
From 35,000 Rolls Royce powered flights,
it was less than 1% that had the same features
as the accident flight.
Then, on November 26, 2008,
more than 10 months after the crash,
the importance of finding an answer is underscored
when the elusive culprit strikes again.
Another 777 runs into trouble 39,000 feet
above the United States,
when one of its engines simply stops working.
Fortunately, in that case, the engine recovered
and the aircraft landed safely in Atlanta.
Even though it didn't result in an accident,
it reinforces concerns that there's a potentially
dangerous flaw on every 777 around the world.
The incident captures the attention
of the British Airways crash investigators.
The Delta Shanghai flight really was investigated
with huge interest.
The engines were Rolls-Royce engines of the same type,
so they immediately went looking
for evidence of the same problem.
And, in fact, they do find
important similarities between the Delta airliner
and British Airways Flight 38.
The aircrafts had operated a long sector
from Shanghai, China to Atlanta.
The fuel temperatures were within the sticky range
that we had defined during the research.
We were able to see that the reaction of the engine
was very similar to that of the 777 at Heathrow.
Later examination of the Delta flight
shows no evidence of any electronic,
mechanical or fuel system problems,
strongly suggesting that the culprit was, indeed, ice.
When we heard about the Delta flight,
we were more convinced than ever
that we were on the right track.
McDermid and the investigators
at Boeing in Seattle continue their testing.
It's been a year since the accident
and the problem hasn't been found or fixed.
They've run hundreds of simulations
and spent millions of dollars.
They still can't get the ice in the fuel lines
to clog the fuel oil heat exchanger
and cause the kind of blockage that brought down Flight 38.
We came to a stage where we had not actually
come up with what had caused this accident.
This time, the media and also the general public,
there was a bit of unrest as to why
we had not yet come up with an answer.
Industry pressure to resolve this case
is intensifying.
Investigators still need to know what
made Flight 38 different from thousands of others
that had flown under similar conditions.
To find out, they retrace every moment
of Flight 38's journey.
The voyage from Beijing involved a gradual climb,
a steady cruise and a gradual descent.
The fuel temperatures fell and rose accordingly,
causing ice to accumulate in the fuel lines.
That ice posed no danger unless it was released.
Now, investigators study the fuel flow
and find that it was kept steady for most of the flight.
The autopilot maintained constant speed
and low power for hours,
never demanding an abrupt increase in engine power
until just before they reached the runway.
The approach into Heathrow was quite a turbulent approach,
and the engines were demanding various levels
of thrust power.
That's not me.
That's the auto throttles doing their thing.
And there were four changes in fuel flow,
one of which was a very high fuel flow
of around about 12-13,000 pounds per hour demanded.
A closer review of the American Delta flight
reveals that its engine rolled back
under the same circumstances,
a sudden demand for power after a long period
of consistent speed.
Investigators are now set to duplicate
these precise conditions.
They hope that by reproducing the moments
just before landing,
which was the only part of the flight
where the crew suddenly required more power,
they may finally get the answer they're looking for.
The problem that we were looking at is very,
very difficult to replicate,
and during what was one of the last tests,
we actually managed to get all the elements together.
After simulating running engines
at constant speed,
investigators increase the power.
We allowed the ice to accumulate for three hours,
and then the flow rate was increased.
What happens next breaks the case wide open.
In Boeing's Seattle lab, investigators' sudden demand
for more engine power causes the fuel pressure
downstream of the fuel oil heat exchanger
to drop dramatically.
And when investigators examine this vital component...
We then saw that ice had formed
across the face of it.
Soft ice that had formed
deep inside the fuel lines broke free
when the pressure was abruptly increased.
It restricted the flow of fuel to the engines.
Investigators have finally found the Achilles heel
hidden deep inside the 777.
The tubes that bring the fuel through the FOHE
jut out just above the container of hot oil.
It's just a few millimeters,
but was enough to prevent the ice from coming in contact
with the hot surface below and melting.
Now, the ice doesn't totally restrict the fuel
flowing through it.
It has some porosity.
So the fuel will continue to flow through.
But the flow rate is much slower than it should be.
In all of the tests,
only one gave investigators the result
they were looking for,
the one that exactly matched the journey of Flight 38.
While the plane flew over Russia,
water in the fuel turned to ice.
At -20, it began to build up along the inside of the pipes.
The steady speed of the aircraft ensured this accumulation
was never interrupted.
Then, as the plane approached Heathrow,
turbulence resulted in the first demand for power
since much earlier in the flight and things cascaded
into a serious problem.
You may want to keep the autopilot on
a little longer than usual.
The gushing fuel washed the ice
through the fuel system until it built up
against the face of the FOHE,
with disastrous results.
Pete, I can't get power on the engines.
It's not giving me power.
Facing a threat no-one knew existed...
Mayday!
Speedbird!
The pilots didn't have a chance
to solve the problem.
But why had the American Delta crew
been able to clear the blockage
while the British Airways flight
ended in near-catastrophe?
It's discovered that after just a few seconds
of reducing engine power to idle,
the blockage in the FOHE clears.
But this manoeuvre was not available
to the British Airways pilots
because they were so close to the ground.
Soon after the Seattle tests,
Rolls-Royce redesigned the fuel oil heat exchanger.
So what Rolls-Royce did was to actually remove
those protruding tubes so you now have a flush face.
And they found that if they flattened the surface,
even if ice crystals did form in the fuel,
they'd go straight down the holes in the block.
Very, very easy fix.
Other aircraft manufacturers are ordered
to ensure that their systems aren't vulnerable
to the same problem.
Peter Burkill, John Coward and the rest of the crew
of Flight 38 received the British Airways Safety Medal
for their performance during the accident.
It's the company's highest honor.
The crew had been presented with an unprecedented failure
and they did the best they could in the time
that they had available.
The crew did as good a job as they could,
and since they really only had about 30 seconds
to think about what they were gonna do about this,
they couldn't have done any better than they did.
The ice that brought down
one of the world's most sophisticated airplanes
was gone by the time investigators showed up.
The weird thing about this investigation
was that the culprit had fled the scene.
The inquiry into what happened
consumed thousands of hours of manpower
and cost millions of dollars.
These people really pulled out the stops to find out,
and the reason, we have to know.
With unrelenting diligence,
and a little inspiration from Sherlock Holmes,
the mystery was finally solved.
Whatever is left, however improbable,
must be the cause.
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