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NARRATOR: September 1978.
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A Boeing 727 is headed for the ground.
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MCFERON: Easy baby, easy.
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FOX: Mom, I love ya.
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(SCREAMING)
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(EXPLOSION)
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NARRATOR: San Diego becomes
the site of the worst aviation
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disaster in US history.
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My hair stood up
on the back of my head when
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I learned that this crash had occurred.
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FUNK: Oh, my word.
The accident scene was horrendous.
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How am I gonna put
this puzzle together was a
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real big concern of mine.
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NARRATOR: Evidence leads investigators
to a remarkable conclusion.
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MCFERON: Oh, yeah,
before we turned downwind I saw him.
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Hold on.
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NARRATOR: A horrendous
accident may have been caused.
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MCFERON: (OVER RADIO) Oh, yeah, beforewe turned downwind I saw him about 1:00.
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NARRATOR: By a single misheard syllable.
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MAN: (OVER RADIO)
Mayday, mayday!
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(THEME MUSIC PLAYING)
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{\an8}NARRATOR: Pacific Southwest
Airlines flight 182 is on an
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{\an8}early morning run down
the coast of California from
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Sacramento to San Diego.
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First Officer Bob Fox is at the controls.
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Approach, PSA 182, coming out of 9-5,
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descending to 7,000.
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Airport is in sight.
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NARRATOR: A nine-year
veteran with PSA,
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he's on track to becoming a captain.
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Captain Jim McFeron has been
with the airline for 17 years.
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Known as a born pilot,
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he is highly regarded by his colleagues.
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This is the second flight
of the day for both men.
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PSA 182 is cleared.
Visual approach, runway 2-7.
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Thank you, cleared visual approach, 2-7.
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NARRATOR: Among the 128 passengers,
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there are 30 Pacific Southwest employees.
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Many are heading back to the company's
home base in San Diego.
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PSA was an excellent airline.
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{\an8}They had a super maintenance record,
super, um, safety record.
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{\an8}They were recognized
in the industry as wow,
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these guys are good.
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NARRATOR: Pilots are cautious
when arriving at San Diego.
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Lindbergh Field is the busiest
single-runway airport in North America.
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San Diego Lindbergh
Airport is a challenging place
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{\an8}to fly into because of its
proximity to downtown and also
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{\an8}some of the obstructions around it.
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HOGUE:
There's a very drastic terrain drop.
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Pilots do it all the time and,
some of them don't like to
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talk about it but it's a little scary.
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There was always concern
that wow someday, you know,
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there could be a major crash.
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NARRATOR: Several other
airports nearby are abuzz
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with commercial,
military and private planes.
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The airspace around
San Diego International is
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quite busy because of the
600 flights a day in and out
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so there are planes taking
off and landing constantly.
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NARRATOR: Flight 182 will have
to thread its way through all
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this traffic while passing over the city,
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preparing to land on runway 27.
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Martin Wayne is at the engineer's console.
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As they approach the airport,
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he contacts the company's head office.
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We're out of Los Angeles,
San Diego at 0905.
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MAN: (OVER RADIO) (LAUGHING)
PSA 182, roger.
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A little late but thank you.
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I just called my off report.
The guy started laughing.
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(LAUGHTER)
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Make it up by reporting
our next takeoff now.
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(LAUGHTER)
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Very nice.
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HOGUE:
Even though they were fun and laidback,
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they were still highly professional.
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The crews were just personable.
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You felt like they wanted
you to be on their airplanes.
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It was great.
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"Catch Our Smile" was their motto.
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It was an experience, it was fun.
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NARRATOR: Flight 182's
approach to Lindbergh Field is
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being handled by an approach
controller at a facility
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{\an8}15 kilometers North of the airport.
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{\an8}The approach control
facility is quite busy and
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{\an8}that's stressful because
you're handling so many
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{\an8}different airplanes in the same airspace.
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NARRATOR: When the controller
spots a Cessna flying ahead of
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flight 182, he makes
sure that they can see it.
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PSA 182, traffic's at 12:00
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(OVER RADIO)
Three miles out, 1,700.
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Got it.
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Traffic in sight.
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They were issued traffic.
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They acknowledged sight of the traffic.
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Okay sir.
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Maintain visual separation.
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Contact Lindbergh tower,
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- (OVER RADIO) 133.3. Have a nice day.
- Okay.
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Visual separation means
that the pilot has another
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- aircraft in sight and acknowledges it.
- FOX: Got it.
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Once the visual approach
is accepted by the pilot,
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he's then responsible for maintaining
separation from that traffic.
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It's somewhat like two boats passing.
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It's the responsibility
of the overtaking boat
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to maintain separation visually.
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NARRATOR: As it approaches the airport,
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flight 182 banks left so that it's flying
parallel to the runway,
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ready to turn and
land when given permission.
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I would characterize
this as wonderfully routine.
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There wasn't anything out of
the ordinary with this flight.
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NARRATOR: With the plane now
less than eight kilometers
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from the runway, a controller
in the airport's tower takes
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over to guide the flight in for landing.
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Lindbergh, PSA.
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(OVER RADIO) 182 down wind.
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182, roger.
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BROWN: Within the airport traffic area,
which is that five mile radius,
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the airplanes coming into the
airport to land and takeoff
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are controlled by that controller.
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NARRATOR: The tower controller
is juggling several planes in
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addition to the PSA 727.
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PSA 182, traffic
12:00 one mile, a Cessna.
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Because there's only
one runway at Lindbergh, ah,
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it requires some air
traffic control spacing
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because of the difference in
the speeds of the aircraft.
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PSA 182, cleared to land.
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00:07:07,294 --> 00:07:09,630
182 is cleared to land.
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The jet's quite a significantly
faster approach speed
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than the Cessna so you have
to give them more spacing.
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NARRATOR: It's now 9:00 AM.
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Many passengers on flight 182
are planning to put in a
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full day's work in San Diego.
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(BEEPING)
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Gear down.
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NARRATOR: Minutes from landing,
pilot Bob Fox spots a distant plane.
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There's one underneath.
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I was looking at that inbound over there.
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- (CRASHING)
- (SCREAMING)
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Easy baby, easy baby.
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NARRATOR: A professional
photographer happens to spot
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flight 182 in flames.
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Hey, what have we got here?
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- It's bad.
- Huh?
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We're hit man, we're hit.
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Tower.
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(OVER RADIO)
We're going down. This is PSA.
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Okay, we'll call the equipment for ya.
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(BEEPING)
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NARRATOR: The approach
controller's radar
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reveals that the 727 has
collided with the Cessna.
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Jesus Christ, it's an aluminum shower.
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BROWN: To have two aircraft
under your control collide is
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the worst nightmare I
think for any controller.
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I don't think anything
else could be that bad.
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This is it baby.
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(OVER PA): Brace yourself.
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FOX: Mom, I love ya.
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(EXPLOSION)
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(BLARING SIRENS)
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All of a sudden it just went right in,
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just a burst of flames.
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It was just incredible.
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(OVERLAPPING CHATTER)
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- My home, it's burning up.
- We can't do anything about it.
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My hair stood up
on the back of my head when I
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learned that this crash had occurred.
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This huge mushroom cloud of smoke
and fire was seen by thousands of people.
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(RADIO CHATTER)
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NARRATOR: Two planes have
collided and fallen from
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the sky over San Diego.
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The city is in shock.
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But the full scope of
the tragedy is only beginning to emerge.
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REPORTER: Hundreds
of people watched in horror as
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the two planes collided and
crashed into a quiet San Diego
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residential neighborhood.
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This is the biggest
disaster that's ever happened
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in San Diego County.
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REPORTER: One witness reported seeing
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falling bodies hit a car.
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MAN (OVER TV): Two bodies
were bounced out of the PSA.
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One hit through the windshield,
killed the mother.
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The other one hit on the side and
killed her four month old baby.
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Police officers covered up the
bodies and that's about all
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they could do.
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NARRATOR: It's feared that everyone
onboard the two planes is dead.
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{\an8}The PSA plane landed
at Dwight and Nile streets.
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{\an8}The Cessna landed about six blocks away
in front of a house, near 32nd and Polk.
187
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NARRATOR: 22 homes are destroyed.
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Seven residents are killed.
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Nine more are injured.
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The city feels overwhelmed.
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WOMAN (OVER TV): We heard it on the news
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so we came down here to see
what we could do to help.
193
00:11:30,190 --> 00:11:33,344
We've been walking through
here carrying water and it's
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00:11:33,427 --> 00:11:36,129
just such a bad scene,
it's really horrible.
195
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NARRATOR: Greg Clark is a
San Diego police officer who
196
00:11:41,268 --> 00:11:44,092
rushes to the scene to
help search for survivors.
197
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{\an8}For me it looked like,
um, a large bomb had gone off.
198
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Everything that was in
the path of the aircraft
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00:11:51,144 --> 00:11:53,714
just completely destroyed.
200
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There were passenger seats
stuck in the side of houses
201
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and pieces of fuselage just,
just everywhere.
202
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I found nobody that was in one piece.
203
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NARRATOR: Two hours after the crash,
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NTSB investigator Wally Funk
arrives from Los Angeles.
205
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FUNK: Since I was
the lead investigator for that
206
00:12:20,007 --> 00:12:23,677
particular day, I got the call
from the FAA duty officer and
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00:12:23,810 --> 00:12:27,981
{\an8}he informed me that there had been
a midair collision in San Diego.
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00:12:29,650 --> 00:12:33,554
Oh, my word.
The accident scene was horrendous.
209
00:12:33,687 --> 00:12:36,957
First the San Diego police
department escorted me in and
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00:12:37,090 --> 00:12:39,643
introduced me to the
fire marshal 'cause they had
211
00:12:39,726 --> 00:12:42,196
control of the entire wreckage.
212
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Any survivors yet?
213
00:12:45,332 --> 00:12:47,868
That was just
chilling that you suddenly you
214
00:12:48,001 --> 00:12:50,704
realized there's, there are no survivors.
215
00:12:52,873 --> 00:12:55,809
The medical personnel
were frustrated because
216
00:12:55,943 --> 00:12:58,095
everybody came to
the realization that there was
217
00:12:58,178 --> 00:12:59,767
nothing that they could do.
218
00:13:01,315 --> 00:13:03,650
NARRATOR: 144 people are dead,
219
00:13:03,784 --> 00:13:06,253
including the seven on the ground.
220
00:13:07,955 --> 00:13:11,425
It's the biggest airline
disaster in American history.
221
00:13:11,558 --> 00:13:15,562
FUNK: It was entirely something that
I had not expected.
222
00:13:15,696 --> 00:13:19,399
There was so many bits and
parts and pieces around,
223
00:13:19,533 --> 00:13:22,769
not only the aircraft but the homes.
224
00:13:23,704 --> 00:13:26,940
I just started by photographing
225
00:13:29,042 --> 00:13:31,245
and writing notes.
226
00:13:32,346 --> 00:13:36,464
A real big concern of mine was how
am I gonna put this puzzle together?
227
00:13:37,217 --> 00:13:39,303
NARRATOR: Funk needs to
confirm that the wreckage of a
228
00:13:39,386 --> 00:13:43,090
small plane found six blocks
away is in fact what collided
229
00:13:43,223 --> 00:13:44,658
with the 727.
230
00:13:45,325 --> 00:13:46,610
There's no doubt about it.
231
00:13:46,693 --> 00:13:48,962
We had paint transfers.
232
00:13:49,096 --> 00:13:52,499
We had pieces and parts from
the two different aircraft.
233
00:13:53,300 --> 00:13:55,771
Yes, this was an
absolute midair collision.
234
00:13:55,869 --> 00:13:57,399
There's no doubt about it.
235
00:13:58,105 --> 00:14:00,758
NARRATOR: But there's a
much larger question looming:
236
00:14:00,841 --> 00:14:03,744
how could such an accident happen?
237
00:14:03,877 --> 00:14:07,981
FUNK: We had to visualize from
a very mangled mess of metal
238
00:14:08,115 --> 00:14:10,450
where the two came together.
239
00:14:10,584 --> 00:14:12,085
(CRASHING)
240
00:14:12,219 --> 00:14:15,856
I really felt compelled to
bring the Cessna wreckage over
241
00:14:15,989 --> 00:14:17,491
to the main wreckage.
242
00:14:17,624 --> 00:14:19,743
Put that downright, uh, there please.
243
00:14:19,826 --> 00:14:23,415
FUNK: So we could kind of understand
really what had happened.
244
00:14:24,031 --> 00:14:26,083
NARRATOR: Eventually,
the wreckage of the two planes is
245
00:14:26,166 --> 00:14:30,121
- sent to a hangar for reconstruction.
- FUNK: It's just a big puzzle.
246
00:14:30,204 --> 00:14:33,440
You have to try one piece at
a time putting it together.
247
00:14:34,074 --> 00:14:36,694
NARRATOR: Funk records as many
witness interviews as possible
248
00:14:36,777 --> 00:14:39,780
while memories are still fresh.
249
00:14:39,913 --> 00:14:43,650
But I find in all my
investigations that children
250
00:14:43,784 --> 00:14:47,821
up to 17, 18 years old
are my best witnesses
251
00:14:47,955 --> 00:14:52,092
because a youngster
will give me a really good
252
00:14:52,226 --> 00:14:55,729
interpretation of what they saw,
253
00:14:55,863 --> 00:14:57,348
not what they thought they heard or
254
00:14:57,431 --> 00:14:58,749
what they thought they saw.
255
00:14:58,832 --> 00:15:00,584
Quite a few people described what
256
00:15:00,667 --> 00:15:02,153
they saw falling out of the sky.
257
00:15:02,236 --> 00:15:04,989
Can you tell me exactly what
you saw when you looked up?
258
00:15:05,072 --> 00:15:08,208
NARRATOR: But all the
interviews are disappointing.
259
00:15:08,342 --> 00:15:10,944
So you didn't see the actual collision.
260
00:15:11,612 --> 00:15:15,215
FUNK: We had nobody that
really saw the whole thing happen.
261
00:15:15,349 --> 00:15:17,751
We only saw it after the bang.
262
00:15:17,885 --> 00:15:19,953
(CRASHING)
263
00:15:21,555 --> 00:15:24,375
NARRATOR: The closest thing to
a sighting of the collision is
264
00:15:24,458 --> 00:15:28,341
a television crew's footage of the Cessna
plummeting to the ground.
265
00:15:31,031 --> 00:15:34,134
The NTSB sends additional
staff from Washington,
266
00:15:34,268 --> 00:15:36,770
including senior
investigator Philip Hogue.
267
00:15:37,104 --> 00:15:38,472
HOGUE: Great work here.
268
00:15:38,605 --> 00:15:40,291
Let's get right down to it, all right?
269
00:15:40,374 --> 00:15:42,726
I know that you've done
a heck of a lot of research and
270
00:15:42,809 --> 00:15:45,696
you've been mainly concentrating
on the larger aircraft.
271
00:15:45,779 --> 00:15:49,100
FUNK: But it was great to see the guys
when they finally got there.
272
00:15:49,183 --> 00:15:51,102
The technical support was wonderful.
273
00:15:51,185 --> 00:15:54,154
We kind of divvied up the duties.
274
00:15:54,288 --> 00:15:56,990
So I will tackle the Cessna.
275
00:15:57,124 --> 00:15:59,643
{\an8}NARRATOR: Needing to know
more about the smaller plane,
276
00:15:59,726 --> 00:16:02,329
they review its records for the day.
277
00:16:02,462 --> 00:16:05,866
The Cessna belonged to
a flight training school.
278
00:16:05,999 --> 00:16:08,902
A student pilot was having a lesson.
279
00:16:09,036 --> 00:16:10,755
We had a flight instructor sitting on
280
00:16:10,838 --> 00:16:14,508
the right side and we had
a student pilot learning to get
281
00:16:14,641 --> 00:16:16,410
his instrument rating.
282
00:16:17,911 --> 00:16:20,131
NARRATOR: Investigators
learn that the student pilot
283
00:16:20,214 --> 00:16:22,449
approached runway nine twice,
284
00:16:22,583 --> 00:16:25,252
practicing landing using
only his instruments.
285
00:16:30,390 --> 00:16:32,643
{\an8}Instrument pilots need
more practice of approaching
286
00:16:32,726 --> 00:16:35,062
{\an8}the runways as opposed to the landings.
287
00:16:37,698 --> 00:16:39,917
NARRATOR: Local media
jump to a conclusion.
288
00:16:40,000 --> 00:16:42,936
There were a lot
of people who thought that
289
00:16:43,070 --> 00:16:46,757
the crash had to be the fault of
that Cessna because they had a,
290
00:16:46,840 --> 00:16:49,343
it had a student pilot.
291
00:16:49,643 --> 00:16:52,663
There can be a built in
bias in the traveling public's
292
00:16:52,746 --> 00:16:55,749
mind and the media's mind
that airliners should have
293
00:16:55,883 --> 00:16:58,552
priority in and out of airports and
294
00:16:58,685 --> 00:17:00,337
this is not the way that it works.
295
00:17:00,420 --> 00:17:02,891
It, it's a first come,
first served system.
296
00:17:03,590 --> 00:17:05,242
However, with a jetliner on a,
297
00:17:05,325 --> 00:17:09,096
on an assigned glide path
coming in to a major airport,
298
00:17:09,229 --> 00:17:11,649
people wanted to know how come
that little airplane was up
299
00:17:11,732 --> 00:17:13,267
there in the way.
300
00:17:15,836 --> 00:17:17,788
NARRATOR: Hopefully,
the black boxes salvaged from
301
00:17:17,871 --> 00:17:20,519
the crash site will help
answer this question.
302
00:17:23,210 --> 00:17:26,180
One was up front,
which was the voice recorder,
303
00:17:26,313 --> 00:17:28,448
and one was in the AFT stairwell,
304
00:17:28,582 --> 00:17:31,218
which was the instrument recorder.
305
00:17:31,351 --> 00:17:34,121
They were flown back to Washington, DC.
306
00:17:34,254 --> 00:17:37,424
Figuring out what was said
in the cockpit and what the
307
00:17:37,558 --> 00:17:40,060
instruments said takes a lot of time.
308
00:17:42,496 --> 00:17:44,782
NARRATOR: In the meantime,
investigators interview the
309
00:17:44,865 --> 00:17:48,160
first of the two controllers
who were guiding the planes.
310
00:17:48,902 --> 00:17:51,138
Can you show us the two flight paths?
311
00:17:51,271 --> 00:17:53,457
NARRATOR: The approach
controller remembers the
312
00:17:53,540 --> 00:17:56,060
planned routes of the two
planes but he can't be sure
313
00:17:56,143 --> 00:18:00,202
what routes they actually flew because
approach radar is not recorded.
314
00:18:01,648 --> 00:18:06,186
So the 727 was flying
East to do a turn around and
315
00:18:06,320 --> 00:18:09,423
land on runway 27.
316
00:18:09,556 --> 00:18:12,626
And the Cessna was flying
Northeast but it was miles
317
00:18:12,759 --> 00:18:16,163
ahead of the 727, probably
headed home after doing touch
318
00:18:16,296 --> 00:18:18,131
and goes on runway nine.
319
00:18:18,265 --> 00:18:21,501
FUNK: They should have missed
each other by over a mile.
320
00:18:23,003 --> 00:18:26,090
FUNK: Since I had been into Lindbergh
several times as a pilot,
321
00:18:26,173 --> 00:18:31,612
it occurred to me were they on
the right headings, altitudes?
322
00:18:33,614 --> 00:18:35,866
NARRATOR: Learning the exact
flight paths will require
323
00:18:35,949 --> 00:18:38,719
complex calculations
that include data from an
324
00:18:38,852 --> 00:18:40,911
air traffic station in Los Angeles.
325
00:18:44,691 --> 00:18:47,478
Meanwhile, a transcript of the
controller's conversation with
326
00:18:47,561 --> 00:18:51,503
both planes reveals the pilots were
aware of each other's positions.
327
00:18:53,066 --> 00:18:57,504
So the PSA crew reported seeing the Cessna
328
00:18:57,638 --> 00:19:00,107
when they were still three miles apart.
329
00:19:00,240 --> 00:19:06,013
The planes would
have been somewhere around here and here.
330
00:19:07,447 --> 00:19:09,416
Got it.
331
00:19:09,550 --> 00:19:10,684
Traffic in sight.
332
00:19:10,817 --> 00:19:12,703
NARRATOR: The Cessna pilot
was also made aware of
333
00:19:12,786 --> 00:19:14,788
the 727 behind them.
334
00:19:14,922 --> 00:19:17,308
MAN: (OVER RADIO) Traffic at 6:00,two miles Eastbound.
335
00:19:17,391 --> 00:19:19,076
A PSA jet inbound to Lindbergh out of
336
00:19:19,159 --> 00:19:21,762
3,200 has you in sight.
337
00:19:22,829 --> 00:19:24,515
NARRATOR:
Investigators want to know,
338
00:19:24,598 --> 00:19:27,351
if the pilots of both
planes knew of each other,
339
00:19:27,434 --> 00:19:29,870
why did their aircraft collide?
340
00:19:30,838 --> 00:19:33,991
New radar equipment installed
just one month earlier was
341
00:19:34,074 --> 00:19:37,010
designed to prevent
exactly this type of incident.
342
00:19:39,146 --> 00:19:41,465
{\an8}The collision alert
system was instituted to
343
00:19:41,548 --> 00:19:44,268
{\an8}prevent collisions, to alert
controllers to the fact that
344
00:19:44,351 --> 00:19:47,371
{\an8}there was an imminent collision
between two aircraft.
345
00:19:47,454 --> 00:19:52,659
Um, didn't you get any warning?
346
00:19:52,793 --> 00:19:56,129
We did, we ignored it.
347
00:19:59,032 --> 00:20:01,034
Explain.
348
00:20:01,168 --> 00:20:04,639
Well when the alert sounded
I mentioned it to my supervisor.
349
00:20:05,405 --> 00:20:08,842
(BEEPING)
350
00:20:12,212 --> 00:20:14,565
It's the alarm again.
I talked to both planes.
351
00:20:14,648 --> 00:20:17,635
PSA 182's confirmed a
visual sighting of the Cessna.
352
00:20:17,718 --> 00:20:20,037
We're not expected to contact
the pilots if they're flying
353
00:20:20,120 --> 00:20:22,473
by visual rules,
not to mention we get about
354
00:20:22,556 --> 00:20:24,658
13 alarms a day so.
355
00:20:24,791 --> 00:20:29,096
He went to his advisor
and told him what he had but
356
00:20:29,229 --> 00:20:31,749
since they had had so many
false ones they really just
357
00:20:31,832 --> 00:20:33,500
kind of disregarded it.
358
00:20:34,401 --> 00:20:37,321
NARRATOR: The controllers
decide not to act on the alert
359
00:20:37,404 --> 00:20:39,581
but they still contact the Cessna and
360
00:20:39,706 --> 00:20:41,808
repeat an earlier message.
361
00:20:41,942 --> 00:20:45,012
Traffic in your vicinity,
PSA jet has you in sight.
362
00:20:45,145 --> 00:20:46,464
He's descending for Lindbergh.
363
00:20:46,547 --> 00:20:48,566
You could almost call
it a courtesy call by the
364
00:20:48,649 --> 00:20:50,651
approach controller to the Cessna.
365
00:20:50,984 --> 00:20:53,353
(CRASHING)
366
00:20:54,021 --> 00:20:56,040
- NARRATOR: But at that exact moment...
- Get over here.
367
00:20:56,123 --> 00:20:57,641
NARRATOR: The planes collide.
368
00:20:57,724 --> 00:21:01,728
I feel they should have
369
00:21:01,862 --> 00:21:05,599
watched these two
aircraft a little closer.
370
00:21:05,732 --> 00:21:08,203
I think they were
rather cavalier about it.
371
00:21:09,203 --> 00:21:12,623
NARRATOR: Investigators interview
the Lindbergh tower controller,
372
00:21:12,706 --> 00:21:15,108
trying to understand why he also failed
373
00:21:15,242 --> 00:21:18,242
to warn both planes about
their impending collision.
374
00:21:19,112 --> 00:21:21,766
They discover that to monitor
traffic he relied on a less
375
00:21:21,849 --> 00:21:23,584
sophisticated form of radar.
376
00:21:25,118 --> 00:21:28,372
The tower controller did not have
the collision alert system at the time.
377
00:21:28,455 --> 00:21:30,875
NARRATOR: When the controller
saw the planes within
378
00:21:30,958 --> 00:21:33,410
one and a half kilometers of
each other he made contact,
379
00:21:33,493 --> 00:21:35,262
warning the 727.
380
00:21:35,395 --> 00:21:36,614
MAN: (OVER RADIO) PSA 182.
381
00:21:36,697 --> 00:21:38,599
Traffic 12:00, one mile,
382
00:21:38,732 --> 00:21:41,268
- A Cessna.
- I think he's passing
383
00:21:41,401 --> 00:21:42,970
off to our right.
384
00:21:43,103 --> 00:21:44,104
Yeah.
385
00:21:44,238 --> 00:21:47,641
If the pilot says he's
passing off to our right this
386
00:21:47,774 --> 00:21:50,361
implies that he's still
maintaining visual separation.
387
00:21:50,444 --> 00:21:54,248
It was his responsibility and
you would not worry about it.
388
00:21:54,381 --> 00:21:56,200
NARRATOR: After
talking to both controllers,
389
00:21:56,283 --> 00:21:59,853
investigators still have no
answer to the key question in
390
00:21:59,987 --> 00:22:01,655
the midair collision.
391
00:22:02,356 --> 00:22:06,059
Who crashed into whom?
392
00:22:08,962 --> 00:22:11,532
Now let's have the next acetate please and
393
00:22:11,665 --> 00:22:13,200
see where that takes us.
394
00:22:13,333 --> 00:22:15,286
NARRATOR: When they finally
calculate the two planes'
395
00:22:15,369 --> 00:22:18,906
actual radar tracks,
the answer becomes clear.
396
00:22:19,039 --> 00:22:24,444
This is where the 727
has rear-ended the Cessna.
397
00:22:26,079 --> 00:22:28,615
The Cessna never passed off to the right.
398
00:22:28,749 --> 00:22:31,752
He was always in front of PSA.
399
00:22:31,885 --> 00:22:34,472
NARRATOR: The 91 ton
aircraft flying at almost
400
00:22:34,555 --> 00:22:38,625
300 kilometers per hour simply tore apart
401
00:22:38,759 --> 00:22:40,544
the much slower and lighter Cessna.
402
00:22:40,627 --> 00:22:42,947
We have plotted down here,
this is the third position of...
403
00:22:43,030 --> 00:22:45,983
NARRATOR: The radar track reveals
another important detail.
404
00:22:46,066 --> 00:22:48,235
Just before the impact,
405
00:22:48,368 --> 00:22:51,772
the Cessna turned
right into the 727's path.
406
00:22:51,905 --> 00:22:54,608
Why the change in heading?
407
00:22:54,741 --> 00:22:57,711
The trajectories of
the two airplanes are such that
408
00:22:57,845 --> 00:22:59,513
had the Cessna not drifted,
409
00:22:59,646 --> 00:23:01,882
the airplanes would not have collided.
410
00:23:02,482 --> 00:23:05,336
NARRATOR: Close examination of
the Cessna's training flight log
411
00:23:05,419 --> 00:23:08,655
reveals one possible reason
for the change in direction.
412
00:23:11,458 --> 00:23:13,427
He was wearing a training hood.
413
00:23:13,560 --> 00:23:16,396
NARRATOR: The Cessna
pilot wore a training hood.
414
00:23:16,530 --> 00:23:19,589
It's a device worn during
instrument flight training.
415
00:23:20,567 --> 00:23:23,637
A pilot undergoing training
for an instrument rating
416
00:23:23,770 --> 00:23:26,090
must learn to fly with
exclusive reference to
417
00:23:26,173 --> 00:23:29,393
the instruments so on good weather
days there has to be some
418
00:23:29,476 --> 00:23:32,679
means to block
the natural horizon, the outside.
419
00:23:32,813 --> 00:23:35,566
And it was a black hood
that came out about this far
420
00:23:35,649 --> 00:23:39,286
from his face so that
he couldn't see outside.
421
00:23:39,419 --> 00:23:41,872
NARRATOR: Funk wonders if
the hood could have caused him to
422
00:23:41,955 --> 00:23:44,625
go off course at the worst possible time.
423
00:23:46,493 --> 00:23:49,963
The Cessna was told to
stay on a 70 degree heading.
424
00:23:50,931 --> 00:23:54,201
Cessna 7, 711 Golf, San Diego departure
425
00:23:54,635 --> 00:23:57,371
fly heading 0-7-0.
426
00:23:57,504 --> 00:23:59,690
NARRATOR: Pilots are taught
to scan their instruments to
427
00:23:59,773 --> 00:24:01,675
maintain their heading.
428
00:24:01,808 --> 00:24:03,894
COX: On occasion you'll
see headings that will drift
429
00:24:03,977 --> 00:24:07,748
because a learning pilot
doesn't have the heading in
430
00:24:07,881 --> 00:24:09,750
that scan fast enough.
431
00:24:09,883 --> 00:24:12,937
NARRATOR: But even if the hood
did play a role in causing the
432
00:24:13,020 --> 00:24:14,521
Cessna to drift...
433
00:24:14,655 --> 00:24:20,027
That does not explain why
the PSA crew couldn't see the Cessna.
434
00:24:20,160 --> 00:24:21,695
Got it.
435
00:24:21,828 --> 00:24:24,298
MCFERON: (OVER RADIO)
Traffic in sight.
436
00:24:24,898 --> 00:24:29,603
NARRATOR: How did the veteran
crew of a 727 lose sight of a
437
00:24:29,736 --> 00:24:32,005
plane flying directly in front of it?
438
00:24:38,145 --> 00:24:40,464
NARRATOR: Investigators now
realize they may never find
439
00:24:40,547 --> 00:24:43,817
out why the pilot of a
Cessna changed its heading,
440
00:24:43,951 --> 00:24:46,787
putting it on
the same flight path as a 727.
441
00:24:48,055 --> 00:24:53,060
{\an8}Why the Cessna pilot did not stay
on his, uh, assigned heading,
442
00:24:53,193 --> 00:24:55,262
{\an8}I can't answer that question.
443
00:24:55,395 --> 00:24:57,648
{\an8}But it's important to
know that that drift of that
444
00:24:57,731 --> 00:25:00,284
{\an8}heading wasn't so severe that
the air traffic controller
445
00:25:00,367 --> 00:25:03,570
called him and said what's
your heading so clearly they
446
00:25:03,704 --> 00:25:06,624
did turn according to the
radar but the significance of
447
00:25:06,707 --> 00:25:10,677
it is, uh, is a bit more questionable.
448
00:25:10,811 --> 00:25:13,130
NARRATOR: What's not in
question is that it was the
449
00:25:13,213 --> 00:25:18,285
responsibility of the 727's
crew to avoid the Cessna.
450
00:25:18,418 --> 00:25:20,704
COX: The PSA crew, when
they acknowledged they had
451
00:25:20,787 --> 00:25:24,925
the Cessna in sight at that moment
became responsible for keeping
452
00:25:25,058 --> 00:25:26,411
the airplanes separate.
453
00:25:30,998 --> 00:25:33,767
NARRATOR: In Washington,
investigators review
454
00:25:33,901 --> 00:25:38,605
the PSA crew's last moments on
the recovered cockpit voice recording.
455
00:25:38,939 --> 00:25:41,008
HOGUE: All right, hit it.
456
00:25:42,809 --> 00:25:44,662
FOX (OVER RADIO): Are
we clear of that Cessna?
457
00:25:44,745 --> 00:25:46,297
WAYNE (OVER RADIO): Supposed to be.
458
00:25:46,380 --> 00:25:48,232
MCFERON: (OVER RADIO) I guess, I hope.
459
00:25:48,315 --> 00:25:50,817
(LAUGHTER)
460
00:25:50,951 --> 00:25:51,952
Oh, yeah.
461
00:25:52,085 --> 00:25:54,021
Hold on. Go back.
462
00:25:54,154 --> 00:25:56,273
NARRATOR: Philip Hogue
focuses in on the conversation
463
00:25:56,356 --> 00:25:59,259
recorded 35 seconds before the collision.
464
00:26:00,260 --> 00:26:01,979
FOX (OVER RADIO): Are
we clear of that Cessna?
465
00:26:02,062 --> 00:26:03,614
WAYNE (OVER RADIO): Supposed to be.
466
00:26:03,697 --> 00:26:05,999
MCFERON: (OVER RADIO)
I guess, I hope.
467
00:26:06,133 --> 00:26:08,235
(LAUGHTER)
468
00:26:08,368 --> 00:26:12,139
Oh yeah, before
we turned downwind I saw them about 1:00.
469
00:26:12,272 --> 00:26:14,074
Probably behind us now.
470
00:26:15,409 --> 00:26:18,645
NARRATOR: The PSA crew not
only doesn't see the Cessna,
471
00:26:18,779 --> 00:26:21,031
they assume they have already passed it.
472
00:26:21,114 --> 00:26:23,917
It was right in
front of them the whole time.
473
00:26:24,051 --> 00:26:27,888
The 727 when it's flying
in level flight is a slightly
474
00:26:28,021 --> 00:26:33,160
nose up condition so that
the pilots as they look out
475
00:26:33,293 --> 00:26:35,913
they're looking over
the nose of the airplane.
476
00:26:35,996 --> 00:26:40,434
FUNK: Was the nose of the aircraft high
and they didn't see the Cessna?
477
00:26:40,567 --> 00:26:44,938
They may not have realized
the Cessna was as close as it was.
478
00:26:45,072 --> 00:26:48,742
NARRATOR: The NTSB conducts a
study to determine how long
479
00:26:48,876 --> 00:26:52,129
the PSA crew could see the Cessna
through their windscreen.
480
00:26:52,212 --> 00:26:53,313
Welcome aboard.
481
00:26:53,447 --> 00:26:56,416
Now use the reference
points to adjust your seat.
482
00:26:56,550 --> 00:26:58,636
NARRATOR: They start by
adjusting the pilots' seats
483
00:26:58,719 --> 00:27:01,755
for optimal viewing using a device called
484
00:27:01,889 --> 00:27:04,091
the design eye reference point.
485
00:27:04,224 --> 00:27:06,793
The manufacturers
designed a very simple but
486
00:27:06,927 --> 00:27:10,397
very effective system where
you line up little balls in
487
00:27:10,531 --> 00:27:13,473
the center post of
the windscreen that put your eye
488
00:27:13,567 --> 00:27:15,602
in the same position every time.
489
00:27:15,736 --> 00:27:18,255
Now if you would
please take a measurement from
490
00:27:18,338 --> 00:27:21,842
my eye line to the
white ball in the middle.
491
00:27:26,647 --> 00:27:29,295
Okay now from
the eyeball to the floor please.
492
00:27:30,584 --> 00:27:33,571
NARRATOR: Once the pilots' viewing
positions have been determined,
493
00:27:33,654 --> 00:27:36,207
the photographer
uses a special camera to take
494
00:27:36,290 --> 00:27:38,825
{\an8}panoramic images of each pilot's view.
495
00:27:42,663 --> 00:27:45,049
Okay let's have a look
at what the pilots can see.
496
00:27:45,132 --> 00:27:46,183
Would you put up the view.
497
00:27:46,266 --> 00:27:48,486
NARRATOR: He starts with
the captain's view.
498
00:27:48,569 --> 00:27:51,638
Radar tracks provide the Cessna's heading,
499
00:27:51,772 --> 00:27:54,141
{\an8}pitch and bank angle.
500
00:27:54,675 --> 00:27:57,928
{\an8}They plot this data on top of
the photographs in ten second intervals.
501
00:27:58,011 --> 00:28:02,082
{\an8}All right,
let's see what the copilot can see please.
502
00:28:02,950 --> 00:28:04,969
{\an8}NARRATOR: What they find is surprising,
503
00:28:05,052 --> 00:28:08,522
{\an8}a longer than expected time
period in which the PSA crew
504
00:28:08,655 --> 00:28:10,090
{\an8}could see the Cessna.
505
00:28:11,158 --> 00:28:14,228
170 seconds of clear view.
506
00:28:16,830 --> 00:28:21,001
The pilots could have
seen the Cessna in plain view.
507
00:28:21,134 --> 00:28:27,107
How can you miss a plane that
is staring you in the face?
508
00:28:27,808 --> 00:28:31,979
Yeah it's something falling,
she doesn't say what but okay.
509
00:28:32,112 --> 00:28:34,615
All right, I'll take that, Sue Pritchard.
510
00:28:35,616 --> 00:28:38,369
NARRATOR: Investigators wonder
if witness reports can shed
511
00:28:38,452 --> 00:28:40,721
some light on the mystery.
512
00:28:41,388 --> 00:28:43,574
They discover that there may
have been something in the air
513
00:28:43,657 --> 00:28:45,492
that misled the pilots.
514
00:28:48,395 --> 00:28:52,833
We had collected 220 witness reports.
515
00:28:52,966 --> 00:28:57,337
16 of those witness
reports revealed that they
516
00:28:57,471 --> 00:29:00,307
thought they saw other
aircraft in the area.
517
00:29:02,609 --> 00:29:04,021
(PLANE PASSING OVERHEAD)
518
00:29:06,446 --> 00:29:08,265
NARRATOR: Air traffic
controllers don't remember
519
00:29:08,348 --> 00:29:12,286
a third plane flying nearby but
many small planes don't carry
520
00:29:12,419 --> 00:29:16,256
a transponder, the device
needed to identify them.
521
00:29:17,191 --> 00:29:19,226
Had they not had a transponder,
522
00:29:19,359 --> 00:29:22,446
the third airplane may not
have been visible to the radar
523
00:29:22,529 --> 00:29:24,698
in the San Diego approach facility.
524
00:29:25,899 --> 00:29:29,153
NARRATOR: Investigators study the cockpit
recordings more closely,
525
00:29:29,236 --> 00:29:34,441
- searching for clues about a third plane.
- Oh, yeah.
526
00:29:34,575 --> 00:29:36,961
Before we turned
downwind I saw him about 1:00.
527
00:29:37,044 --> 00:29:38,262
Probably behind us now.
528
00:29:38,345 --> 00:29:40,397
NARRATOR: 35 seconds
before the crash,
529
00:29:40,480 --> 00:29:43,598
the crew assumed the Cessna
was safely out of the way.
530
00:29:45,385 --> 00:29:47,988
But the captain's
1:00 reference seems odd.
531
00:29:49,022 --> 00:29:51,542
The flight paths of the two
planes show that the Cessna
532
00:29:51,625 --> 00:29:53,427
was never in that position.
533
00:29:54,862 --> 00:30:00,834
The Cessna was at their 11:00
so what plane were they looking for?
534
00:30:01,835 --> 00:30:05,105
The fact that it was
at 1:00 instead of 11:00
535
00:30:05,239 --> 00:30:08,859
indicates that there's a
possibility that he saw another aircraft.
536
00:30:08,942 --> 00:30:10,895
It may have been quite
some distance away but
537
00:30:10,978 --> 00:30:12,846
he saw another aircraft.
538
00:30:14,147 --> 00:30:17,500
NARRATOR: Then, another clue
about a possible third plane.
539
00:30:18,652 --> 00:30:20,271
FOX: (OVER RADIO)
There's one underneath.
540
00:30:20,354 --> 00:30:22,139
I was looking at that inbound over there.
541
00:30:22,222 --> 00:30:24,992
NARRATOR: The plane
he spots is flying inbound.
542
00:30:25,125 --> 00:30:27,278
That means it's flying in
the opposite direction of the
543
00:30:27,361 --> 00:30:28,695
Cessna that was hit.
544
00:30:31,031 --> 00:30:34,134
It does open and add
further credibility to
545
00:30:34,268 --> 00:30:37,210
the possibility that they
saw a different airplane.
546
00:30:38,772 --> 00:30:41,742
NARRATOR: But what plane
exactly may never be known
547
00:30:41,875 --> 00:30:45,817
even after factoring in the 16 reported
sightings of other aircraft.
548
00:30:49,983 --> 00:30:55,255
The team concluded
that the 16 witnesses could
549
00:30:55,389 --> 00:31:00,894
not really put a aircraft in
that particular area at that
550
00:31:01,028 --> 00:31:02,529
particular time.
551
00:31:02,930 --> 00:31:05,216
NARRATOR: Investigators are at an impasse.
552
00:31:05,299 --> 00:31:07,985
Their visibility study
tells them that the Cessna was
553
00:31:08,068 --> 00:31:11,438
technically visible for 170 seconds,
554
00:31:11,572 --> 00:31:13,841
nearly three full minutes.
555
00:31:13,974 --> 00:31:17,544
So why did the crew of
the 727 lose sight of it?
556
00:31:17,678 --> 00:31:19,597
They go back to the cockpit recording.
557
00:31:19,680 --> 00:31:22,533
MAN: (OVER RADIO) Three miles justNorth of the field, Northwest.
558
00:31:22,616 --> 00:31:25,269
- Cessna 172 climbing VFR at.
- Okay stop tape.
559
00:31:25,352 --> 00:31:26,954
MAN: (OVER RADIO) 1,400.
560
00:31:27,087 --> 00:31:30,791
135 seconds to impact.
561
00:31:32,125 --> 00:31:34,712
This is when the controller
first mentioned the Cessna.
562
00:31:34,795 --> 00:31:37,197
Okay, roll tape again.
563
00:31:40,467 --> 00:31:41,552
MAN: (OVER RADIO) PSA 182.
564
00:31:41,635 --> 00:31:43,621
NARRATOR: Two minutes
before the collision,
565
00:31:43,704 --> 00:31:46,457
the crew hears the Cessna's
position being described but
566
00:31:46,540 --> 00:31:48,208
they haven't spotted it yet.
567
00:31:48,742 --> 00:31:52,346
COX: The silhouette of
the Cessna would have been
568
00:31:52,479 --> 00:31:55,166
difficult as they
were approximately the same altitude.
569
00:31:55,249 --> 00:31:58,919
They're going in the same
direction so one of the things
570
00:31:59,052 --> 00:32:02,723
that the human eye picks up is
movement and for a good part
571
00:32:02,856 --> 00:32:05,680
of the time this is not
moving in the windscreen.
572
00:32:07,761 --> 00:32:11,665
San Diego Ops, we're number two
because we try harder.
573
00:32:14,101 --> 00:32:15,986
NARRATOR: The Cessna has
now been visible for nearly
574
00:32:16,069 --> 00:32:20,007
80 seconds out of their window
but the crew has failed to see it.
575
00:32:20,774 --> 00:32:24,344
90 seconds to impact
they get another warning.
576
00:32:24,478 --> 00:32:29,116
And after we read and
saw what the CVR said I feel
577
00:32:29,249 --> 00:32:32,686
that they were distracted
in their conversation.
578
00:32:34,087 --> 00:32:35,088
Roll tape.
579
00:32:38,158 --> 00:32:43,864
MAN: (OVER RADIO) PSA 182,traffic's at 12:00 three miles out, 1,700.
580
00:32:43,997 --> 00:32:45,699
Got it.
581
00:32:45,832 --> 00:32:47,918
MCFERON: (OVER RADIO)
Traffic in sight.
582
00:32:48,001 --> 00:32:49,603
Stop tape.
583
00:32:52,005 --> 00:32:54,141
NARRATOR: 85 seconds before impact,
584
00:32:54,274 --> 00:32:58,312
the 727's pilots spot
the Cessna flying ahead of them.
585
00:33:04,151 --> 00:33:07,404
The crew is then instructed
to use visual flight rules and
586
00:33:07,487 --> 00:33:09,790
contact the Lindbergh tower.
587
00:33:11,058 --> 00:33:14,194
Okay sir, maintain visual separation.
588
00:33:14,328 --> 00:33:15,546
Contact Lindbergh tower,
589
00:33:15,629 --> 00:33:18,866
133.3. Have a nice day.
590
00:33:18,999 --> 00:33:20,033
Okay.
591
00:33:20,167 --> 00:33:22,803
They saw it one
second and then they didn't
592
00:33:22,936 --> 00:33:24,121
see it another second.
593
00:33:24,204 --> 00:33:28,809
Was the conversation
such that they looked away and missed it?
594
00:33:29,877 --> 00:33:32,196
NARRATOR: The crew must now
keep the Cessna in view while
595
00:33:32,279 --> 00:33:34,515
performing other tasks.
596
00:33:34,648 --> 00:33:38,531
The captain contacts the tower controller
and prepares for landing.
597
00:33:39,620 --> 00:33:42,556
Lindbergh, PSA 182 downwind.
598
00:33:43,490 --> 00:33:45,443
The wings need to be configured with
599
00:33:45,526 --> 00:33:47,511
the proper slats and flap settings.
600
00:33:47,594 --> 00:33:48,979
The landing gear must be lowered.
601
00:33:49,062 --> 00:33:50,998
Systems have to be adjusted.
602
00:33:51,131 --> 00:33:53,517
All of these things are going on so it's,
603
00:33:53,600 --> 00:33:57,304
it's a busy place for
three people in a 727.
604
00:33:58,805 --> 00:34:00,424
NARRATOR: At this critical moment,
605
00:34:00,507 --> 00:34:03,310
no one is keeping an eye on the Cessna.
606
00:34:03,777 --> 00:34:07,307
MAN: (OVER RADIO) PSA 182, traffic 12:00,one mile, a Cessna.
607
00:34:09,383 --> 00:34:10,868
Is that the one we're looking at?
608
00:34:10,951 --> 00:34:13,987
Yeah, but I don't see him now.
609
00:34:14,121 --> 00:34:18,025
The Cessna should be
right here in front of them.
610
00:34:18,292 --> 00:34:21,828
The Cessna was visible
just at about the windshield
611
00:34:21,962 --> 00:34:26,867
level of PSA and it's
really incredible somehow
612
00:34:27,000 --> 00:34:29,269
they lost sight of it.
613
00:34:33,073 --> 00:34:37,077
Okay. Can you show me
how you normally adjust your seat please?
614
00:34:37,211 --> 00:34:39,130
NARRATOR: But when
investigators learn more about
615
00:34:39,213 --> 00:34:42,216
how PSA pilots adjust their seats,
616
00:34:42,349 --> 00:34:45,336
they begin to understand how
the crew may have lost sight
617
00:34:45,419 --> 00:34:47,020
of the Cessna.
618
00:34:47,154 --> 00:34:50,023
That's it?
You don't use your reference points?
619
00:34:50,157 --> 00:34:53,293
It's not a requirement
to utilize the manufacturer's
620
00:34:53,427 --> 00:34:55,596
designed eye reference position.
621
00:34:55,729 --> 00:34:57,681
NARRATOR: Investigators
discover that many pilots
622
00:34:57,764 --> 00:35:01,168
adjust their seats to
their own personal settings.
623
00:35:02,769 --> 00:35:04,422
Pilots come in all sizes and shapes.
624
00:35:04,505 --> 00:35:07,074
They learn quickly to adjust the seats to
625
00:35:07,207 --> 00:35:09,443
the position that's comfortable.
626
00:35:09,877 --> 00:35:11,929
Some pilots want to
sit lower so they can see
627
00:35:12,012 --> 00:35:13,483
their instruments better.
628
00:35:15,782 --> 00:35:17,635
NARRATOR: From this new seat position,
629
00:35:17,718 --> 00:35:20,954
the Cessna's location on
the windshield is recalculated.
630
00:35:22,022 --> 00:35:24,175
The results show an
important difference between
631
00:35:24,258 --> 00:35:26,293
the two seat settings.
632
00:35:26,426 --> 00:35:29,113
With the new setting the crew
would have had the Cessna in
633
00:35:29,196 --> 00:35:31,732
view for only five to ten seconds,
634
00:35:31,865 --> 00:35:33,567
not a few minutes.
635
00:35:37,804 --> 00:35:40,474
Five seconds, that's all.
636
00:35:40,607 --> 00:35:43,490
The position of
the Cessna was down below the nose
637
00:35:43,610 --> 00:35:45,629
or the reference that
the pilots could see.
638
00:35:45,712 --> 00:35:48,582
If they had moved their heads up, uh,
639
00:35:48,715 --> 00:35:52,833
the Cessna was still visible but otherwise
it was below the windscreen.
640
00:35:52,953 --> 00:35:55,722
Okay, let's play find the Cessna.
641
00:35:55,856 --> 00:35:58,809
NARRATOR: But even assuming that
the crew did lean forward,
642
00:35:58,892 --> 00:36:01,728
investigators now
realize they would face other
643
00:36:01,862 --> 00:36:03,745
problems in spotting the Cessna.
644
00:36:05,532 --> 00:36:07,467
It's almost camouflaged.
645
00:36:09,336 --> 00:36:13,040
They become harder to see
and the terrain makes it even
646
00:36:13,173 --> 00:36:15,709
more so because you have white roofs.
647
00:36:15,843 --> 00:36:19,346
You have dark roofs.
You have roads, you have lakes.
648
00:36:19,479 --> 00:36:22,482
You have trees so that the
background changes and
649
00:36:22,616 --> 00:36:25,385
the aircraft will move
across this background.
650
00:36:25,886 --> 00:36:27,171
Is that the one we're looking at?
651
00:36:27,254 --> 00:36:30,090
Yeah, but I don't see him now.
652
00:36:31,358 --> 00:36:34,645
NARRATOR: The Cessna is now
flying too close to the 727 to
653
00:36:34,728 --> 00:36:37,548
be viewed without leaning
forward and it's against
654
00:36:37,631 --> 00:36:40,102
a backdrop that makes
it hard to recognize.
655
00:36:40,701 --> 00:36:42,219
MAN: (OVER RADIO) PSA 182,
656
00:36:42,302 --> 00:36:43,604
Cleared to land.
657
00:36:43,737 --> 00:36:46,607
182 is cleared to land.
658
00:36:47,841 --> 00:36:50,694
NARRATOR: A collision is
now imminent and the six men
659
00:36:50,777 --> 00:36:53,881
involved in preventing it are oblivious.
660
00:36:54,014 --> 00:36:56,850
The Cessna pilot can't see out his window.
661
00:36:56,984 --> 00:37:00,888
His trainer has
failed to notice the plane is off course.
662
00:37:01,021 --> 00:37:04,791
The 727's crew have the Cessna
in a blind spot but both
663
00:37:04,925 --> 00:37:07,928
controllers assume
the crew can see the Cessna and
664
00:37:08,061 --> 00:37:09,463
will avoid it.
665
00:37:11,732 --> 00:37:13,984
There's only one thing that
can stop this accident from
666
00:37:14,067 --> 00:37:17,571
happening and 144 lives depend on it.
667
00:37:18,038 --> 00:37:21,158
FUNK: The PSA captain should
have made the suggestion to
668
00:37:21,241 --> 00:37:23,610
the tower, I don't see him anymore.
669
00:37:24,111 --> 00:37:26,330
NARRATOR: Captain McFeron will
talk to the tower about
670
00:37:26,413 --> 00:37:31,718
the Cessna but a misunderstanding
over a single word will prove deadly.
671
00:37:34,288 --> 00:37:37,759
The two planes are 70 seconds
from colliding over San Diego.
672
00:37:42,095 --> 00:37:43,414
MAN: (OVER RADIO) PSA 182,
673
00:37:43,497 --> 00:37:45,232
Traffic 12:00, one mile,
674
00:37:45,365 --> 00:37:47,100
A Cessna.
675
00:37:47,234 --> 00:37:49,403
Flaps five.
676
00:37:52,906 --> 00:37:54,425
Is that the one we're looking for?
677
00:37:54,508 --> 00:37:57,611
Yeah, but I don't see him now.
678
00:37:58,612 --> 00:38:01,899
NARRATOR: The fate of flight
182 now depends on the captain
679
00:38:01,982 --> 00:38:04,852
clearly communicating this to the tower.
680
00:38:05,385 --> 00:38:08,088
Okay, we had him there a minute ago.
681
00:38:08,222 --> 00:38:10,557
NARRATOR: But the captain is not clear.
682
00:38:10,691 --> 00:38:13,227
182, roger.
683
00:38:13,360 --> 00:38:16,947
NARRATOR: And the controller assumes
the Cessna is still in sight.
684
00:38:17,030 --> 00:38:20,200
COX: When the PSA
crew lost visual contact,
685
00:38:20,334 --> 00:38:23,254
they were responsible to tell
the air traffic controller
686
00:38:23,337 --> 00:38:25,138
I no longer see the Cessna.
687
00:38:25,272 --> 00:38:27,792
NARRATOR: Still uncertain
about the Cessna's location,
688
00:38:27,875 --> 00:38:31,758
once again the captain tries
to explain his situation to the tower.
689
00:38:31,879 --> 00:38:34,114
I think he's passed off to our right.
690
00:38:34,248 --> 00:38:37,551
The comment that
the captain makes indicates that
691
00:38:37,684 --> 00:38:40,070
they're not sure,
that they don't have him in
692
00:38:40,153 --> 00:38:42,322
sight at that moment.
693
00:38:42,456 --> 00:38:44,875
NARRATOR: The controller could
force the PSA flight or the
694
00:38:44,958 --> 00:38:48,028
Cessna to change
course but he does nothing.
695
00:38:48,161 --> 00:38:51,932
It's very difficult to
determine what that exchange
696
00:38:52,065 --> 00:38:55,736
between the air traffic
controller and PSA meant to
697
00:38:55,869 --> 00:38:57,004
each of the pilots.
698
00:38:57,137 --> 00:38:58,722
The captain made the comment...
699
00:38:58,805 --> 00:39:01,041
I think he's passed off to our right.
700
00:39:01,175 --> 00:39:04,361
Indicating that he wasn't 100%
sure but the air traffic controller
701
00:39:04,444 --> 00:39:07,268
heard it as a declarative statement
and answered:
702
00:39:07,381 --> 00:39:08,715
Yeah.
703
00:39:08,849 --> 00:39:10,367
What that meant to the PSA crew,
704
00:39:10,450 --> 00:39:11,702
I'm not sure we'll ever know.
705
00:39:11,785 --> 00:39:13,304
He was right over here a minute ago.
706
00:39:13,387 --> 00:39:15,455
Yeah.
707
00:39:15,589 --> 00:39:19,293
But they were satisfied
with the situation enough that
708
00:39:19,426 --> 00:39:21,946
they continued the approach
and the air traffic controller
709
00:39:22,029 --> 00:39:24,615
was satisfied with
the situation enough that he did
710
00:39:24,698 --> 00:39:26,993
not make any further comments about it.
711
00:39:27,935 --> 00:39:29,453
MCFERON: (OVER RADIO) Okay we have...
712
00:39:29,536 --> 00:39:31,722
NARRATOR: Investigators want
to know why the controller
713
00:39:31,805 --> 00:39:33,140
took no action.
714
00:39:33,273 --> 00:39:35,893
They compare two separate
recordings of the conversation
715
00:39:35,976 --> 00:39:38,195
between the captain and the controller.
716
00:39:38,278 --> 00:39:40,814
Okay, Chris, let's hear the cockpit first.
717
00:39:40,948 --> 00:39:43,934
MCFERON: (OVER RADIO)
I think he's passed off to our right?
718
00:39:44,017 --> 00:39:46,070
Passed.
I thought I heard passing before.
719
00:39:46,153 --> 00:39:47,955
Double check that please.
720
00:39:53,060 --> 00:39:55,312
MCFERON: (OVER RADIO) I thinkhe's passed off to our right?
721
00:39:55,395 --> 00:39:56,480
He's still saying passed.
722
00:39:56,563 --> 00:40:00,334
Let's compare it with the tower 'cause
I think I heard passing.
723
00:40:02,336 --> 00:40:04,388
NARRATOR: They make a startling discovery.
724
00:40:04,471 --> 00:40:07,024
MCFERON: (OVER RADIO)
Think he's passing off to our right.
725
00:40:07,107 --> 00:40:08,342
Passing.
726
00:40:08,475 --> 00:40:12,646
I was right, it does sound like passing.
727
00:40:14,047 --> 00:40:15,666
NARRATOR: Due to radio static,
728
00:40:15,749 --> 00:40:19,453
the controller heard the
word passing, not passed.
729
00:40:19,586 --> 00:40:24,157
The difference may have
sealed the fate of flight 182.
730
00:40:24,291 --> 00:40:27,394
Passing, big difference.
731
00:40:31,431 --> 00:40:33,951
NARRATOR: The recordings
reveal that while the pilot of
732
00:40:34,034 --> 00:40:38,238
PSA 182 said one thing,
the Lindbergh tower controller
733
00:40:38,372 --> 00:40:41,275
- heard something else.
- I think he's passing
734
00:40:41,408 --> 00:40:42,910
off to our right.
735
00:40:43,043 --> 00:40:44,478
Yeah.
736
00:40:44,611 --> 00:40:47,264
NARRATOR: Now investigators
understand why the controller
737
00:40:47,347 --> 00:40:48,849
took no action.
738
00:40:48,982 --> 00:40:50,034
If he had heard the words
739
00:40:50,117 --> 00:40:52,986
"he's passed off to our right,"
740
00:40:53,120 --> 00:40:56,273
he would have seen
from his radar that the pilot was mistaken
741
00:40:56,356 --> 00:41:01,228
and that the 727 had not
actually passed the Cessna.
742
00:41:01,361 --> 00:41:03,864
The air traffic controller heard it as
743
00:41:03,997 --> 00:41:05,282
he's passing off to our right.
744
00:41:05,365 --> 00:41:08,718
That indicated that they still
had visual contact with it.
745
00:41:09,303 --> 00:41:11,322
BROWN: He would believe that
the pilot was being able to
746
00:41:11,405 --> 00:41:12,757
maintain the separation.
747
00:41:12,840 --> 00:41:16,252
It was his responsibility and
you would not worry about it.
748
00:41:18,912 --> 00:41:21,081
{\an8}NARRATOR: In the spring of 1979,
749
00:41:21,215 --> 00:41:24,518
{\an8}investigators finally
conclude who is at fault.
750
00:41:25,085 --> 00:41:29,857
{\an8}The determination of
the board's report is very clear
751
00:41:29,990 --> 00:41:35,395
that the crew obviously
did not see the aircraft,
752
00:41:35,529 --> 00:41:41,001
the Cessna, in time to divert it away
from a catastrophic accident.
753
00:41:42,936 --> 00:41:47,508
The PSA crew,
when they lost visual contact is
754
00:41:47,641 --> 00:41:49,727
responsible to tell
the air traffic controller,
755
00:41:49,810 --> 00:41:52,987
"I no longer see the Cessna,"
and that they did not do.
756
00:41:55,115 --> 00:41:58,235
NARRATOR: The Cessna pilot
is also mentioned as a factor.
757
00:41:58,318 --> 00:42:01,655
For changing course
without notifying the tower.
758
00:42:02,356 --> 00:42:05,910
Both controllers are criticized for
not following protocol and
759
00:42:05,993 --> 00:42:09,763
giving the 727's
crew the specific heading of the Cessna.
760
00:42:20,607 --> 00:42:22,809
HOGUE: Thinking back to that day,
761
00:42:22,943 --> 00:42:25,696
there is just a tremendous
sadness that comes to mind
762
00:42:25,779 --> 00:42:27,648
You know that accidents happen
763
00:42:27,781 --> 00:42:31,618
but you think, this was an accident
that could have been prevented
764
00:42:31,752 --> 00:42:33,053
but it wasn't.
765
00:42:38,926 --> 00:42:41,512
{\an8}NARRATOR: Recommendations in
the report focus on improving
766
00:42:41,595 --> 00:42:44,478
the air traffic control
system at Lindbergh Field.
767
00:42:50,904 --> 00:42:52,656
BROWN: They changed
procedures after this,
768
00:42:52,739 --> 00:42:54,425
they put in a terminal control area.
769
00:42:54,508 --> 00:42:56,627
There was a great deal of
restriction on what kind of
770
00:42:56,710 --> 00:42:58,963
traffic could go through
and at what altitudes.
771
00:42:59,046 --> 00:43:03,250
So in frank, many different restrictions
to make it safe for operation,
772
00:43:03,383 --> 00:43:06,203
were put in to place at
Lindbergh after this accident.
773
00:43:06,286 --> 00:43:10,591
We're out of Los Angeles,
San Diego at 0-9-0-5.
774
00:43:10,724 --> 00:43:13,694
MAN: (OVER RADIO) (LAUGHING)
PSA 182, roger.
775
00:43:13,827 --> 00:43:15,179
I just called my off report.
776
00:43:15,262 --> 00:43:16,580
The guy started laughing.
777
00:43:16,663 --> 00:43:17,698
(LAUGHTER)
778
00:43:17,831 --> 00:43:20,384
Make it up by reporting
our next takeoff now.
779
00:43:20,467 --> 00:43:24,071
NARRATOR: There's another legacy
of PSA 182,
780
00:43:24,204 --> 00:43:26,991
new rules governing all
conversations in the cockpit
781
00:43:27,074 --> 00:43:29,710
when flying below 10,000 feet.
782
00:43:31,245 --> 00:43:35,148
Today's regulation
requires that you concentrate
783
00:43:35,282 --> 00:43:38,369
your conversation exclusively to
the operation of the airplane.
784
00:43:38,452 --> 00:43:43,023
At the time of the PSA 182 accident, the,
785
00:43:43,156 --> 00:43:45,893
that regulation was not in effect.
786
00:43:46,026 --> 00:43:49,096
NARRATOR: PSA 182 also
helped push the FAA in
787
00:43:49,229 --> 00:43:52,432
the search for new technology.
788
00:43:52,566 --> 00:43:55,235
Three years after the accident, in 1981,
789
00:43:55,369 --> 00:43:58,005
a safety device called TCAS,
790
00:43:58,138 --> 00:44:00,291
or Traffic Collision Avoidance System,
791
00:44:00,374 --> 00:44:03,277
was put into development.
792
00:44:03,410 --> 00:44:06,113
{\an8}Now installed in all passenger aircraft,
793
00:44:06,246 --> 00:44:10,450
{\an8}the system warns pilots when
another plane comes too close.
794
00:44:13,921 --> 00:44:15,622
FUNK: TCAS was a God bless.
795
00:44:15,756 --> 00:44:21,028
We now can put it on our
transponders and we can see or
796
00:44:21,161 --> 00:44:24,565
hear what's going on or
be told what's going on
797
00:44:24,698 --> 00:44:26,300
with aircraft around us.
798
00:44:29,670 --> 00:44:35,943
We have come in big leaps to
make aviation safer for people
799
00:44:36,076 --> 00:44:39,063
to fly and feel comfortable
that their airplane is gonna
800
00:44:39,146 --> 00:44:40,676
get where they want to go.
68769
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