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WENDY: When I woke up, we
were suspended up in trees.
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NARRATOR: Corporate
Airlines Flight 5966 crashes
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on final approach to Kirksville, Missouri.
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WENDY: I just thought, I need to get out
of this plane before it blows up.
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NARRATOR: Only
two people survive.
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TOM: If you went
to the accident site,
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you wouldn't recognize it as an airplane.
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NARRATOR: The
wreckage provides no clues.
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WOMAN: Instruments all checked out.
It was fit to fly.
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NARRATOR: And the
Cockpit Voice Recorder reveals
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a team working well together...
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PALMER (over tape): No flags except for...
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The vertical.
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Keep it slow.
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NARRATOR: Until the
flight’s final seconds.
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- SASSE: No!
- PALMER: Trees!
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TOM: Things went bad real fast.
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So the question became;
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What happened?
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MAN: Mayday, mayday.
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(theme music playing)
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(radio chatter)
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{\an8}If we have to go missed,
we'll set max power.
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{\an8}Flaps ten positive rate, gear up.
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NARRATOR: The pilots of
Corporate Airlines Flight 5966
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complete their approach briefing
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into Kirksville, Missouri,
Regional Airport.
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Then we'll climb 3,000 feet,
then direct Kirksville VOR.
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NARRATOR: Captain Kim Sasse
has been a pilot since the
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late 1980s, but only started flying
professionally in the last five years.
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I'll ask you to walk
me through that if we need it.
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Roger that.
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I will categorize Kim as a...
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A bon vivant with a colorful language.
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He was very calm when he was flying.
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And his knowledge was excellent.
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NARRATOR: First Officer
Jonathon Palmer has three years
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professional flying experience
with regional airlines.
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The pilots viewed
your time with the regionals
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as somewhat of the dues you
pay to get to the airlines or
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the high-end corporate jobs.
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This is where you built your time,
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it's where you got your experience.
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NARRATOR: There are 13
passengers on tonight’s flight.
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WENDY: That flight was
actually a pretty smooth flight.
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I don't remember any turbulence
or bouncing or anything.
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It was a nice flight.
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NARRATOR: Wendy Bonham is with
a group of doctors traveling
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to a medical conference.
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Do you have another copy?
I left mine at home.
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The topic of the conference
was Compassion in Medicine,
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which was a great topic.
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So I was kind of excited to go.
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I’m really looking forward
to some of these panels.
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I had only started at
Kirksville College a few months
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before that, so I wasn't
familiar with all the people who
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were on board, but they all
knew each other really well and
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they were all chatting with each other.
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So it was kinda fun to watch.
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NARRATOR: Tonight’s
flight is a short,
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{\an8}50-minute trip from Saint Louis
to Kirksville, Missouri,
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where visibility is reduced.
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The workload on short
flights is intense because as
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soon as you get the airplane
squared away from the takeoff
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you've immediately got to start
preparing it for the landing.
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SASSE: We're
going into the crap.
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Look, it's so eerie and creepy.
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Ooh.
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NARRATOR: These pilots have
flown multiple times together
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over the last week and encountered a
lot of bad weather.
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I get a suffocating
feeling every time I see that.
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(choking)
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I'm drowning.
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The office in which pilots work is...
is quite small.
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It's got a wonderful view,
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but it is actually a
quite tight working environment,
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and you're in that environment
for six, eight, ten hours, uh,
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during a day.
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You have to find ways to get along.
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NARRATOR: The pilots
are flying a Jetstream 32,
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a twin engine high-performance
turboprop aircraft built for
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short-range flights.
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The Jetstream was
designed for this type of work.
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It was an economical airplane.
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It was reasonably
comfortable for the passengers,
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but it was capable of going in
and out of smaller airports,
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and still being able to make
a profit for the airline.
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NARRATOR: The Jetstream is
fuel efficient and reliable,
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00:05:02,667 --> 00:05:05,875
but this particular
model has no autopilot.
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00:05:08,417 --> 00:05:13,333
The Jetstream not having any
autopilot made our days very long.
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You had to constantly fly the airplane,
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and autopilot would be nice on
those long sequences that we were doing.
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But on a positive part,
the Jetstream makes you
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a very good pilot.
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NARRATOR: Flight 5966
is being monitored by a
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central controller in Kansas City as
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there is no controller
at Kirksville Airport.
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ATC: Corp Ex 5966, turn right
heading three, three, zero.
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Maintain 3,000 until
established on localizer.
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ATC (over radio): Cleared runway three six
approach at Kirksville.
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3,000 till established.
Cleared for the approach.
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Cleared for the approach.
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NARRATOR: 16 miles
south of the airport,
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the pilots begin to configure
the aircraft for landing.
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Course alive, cross check.
No flags except for the vertical.
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SASSE: Keep it slow.
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All the time we need.
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Let's go flaps ten and
we'll configure early too.
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Give ourselves as much time as we can.
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All right.
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Flaps ten.
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NARRATOR: The crew is
flying a non-precision approach
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They don't have vertical landing guidance.
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{\an8}Configuring early reduces the workload
as they near the airport.
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One of the things that in any approach,
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but particularly in a
non-precision approach,
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you wanna minimize
the number of variables.
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And one of the ways you do
that is you get the airplane in
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a position to land earlier than normal.
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Let’s make sure the lights are up please.
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All right.
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NARRATOR: The lights at
Kirksville are pilot activated.
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The airports without a
lot of traffic that goes in and
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00:07:03,333 --> 00:07:07,542
out of them, one of the ways that they
reduce the cost of running the airport
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is they don't have the
lights on all the time.
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The pilots have the ability
to control those lights with a
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series of microphone clicks
on a specific radio frequency.
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If those lights are not on, uh,
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particularly when you fly with
a low visibility and at night,
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you won't see the runway.
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So if you don't see
the runway, you can't land.
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Seven times I clicked it.
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I clicked it.
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NARRATOR: They’re still
too far out to see the lights.
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Captain Sasse wants to avoid surprises.
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What we can do is we
can call Kirksville Ops,
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and ask them to confirm they're up.
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NARRATOR: The pilots confirm with
Airline Operations on the ground.
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Kirksville Ops, Corp Ex 59-66.
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MAN (over radio): 59-66.
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Yeah, could you tell me
if the approach lights are up?
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I would do that when I didn't see
the airport, say hey, um, uh...
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Did you see the lights
coming on for the approach?
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It's a good technique.
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MAN (over radio): Lights are on.
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Cool. Thanks.
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WENDY: There was one doctor
up in the front,
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who didn't put her seatbelt on.
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And I, uh, wanted to
call out to her and say,
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"Put your seatbelt on."
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But I, it...
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I didn't.
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I wasn't afraid, but I just...
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I'm a rule keeper and thought she should
have her seatbelt on.
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NARRATOR: Two-and-a-half
miles from the airport,
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the pilots search for the runway.
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400.
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ALTAI: It's very critical to
maintain that altitude because
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if you don't see the runway,
you gotta go missed because
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you cannot land without seeing the runway.
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NARRATOR: Flight 5966
emerges from the clouds.
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350. Here we are.
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NARRATOR: Two miles
from the runway,
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the pilots are still
looking for the approach lights
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You're flying 336 feet above the ground.
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So there’s not a lot of room for error.
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What do you think?
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Ah.
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I can see ground there.
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WARNING: Minimums.
Minimums. Minimums.
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PALMER: I, I don't see anything.
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Oh yeah, there it is.
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Approach lights in sight.
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NARRATOR: But just as
the pilots appear to have
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the runway lights in sight...
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Flaps 35?
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NARRATOR: Something goes wrong.
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No.
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WARNING: Sink Rate.
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- SASSE: No!
- PALMER: Trees!
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WARNING: Pull up.
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What’s going on?
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I just remember thinking, I
can't believe this is happening.
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SASSE: No! Stop! Oh my God!
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WARNING: Pull up.
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PALMER: Holy crap!
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NARRATOR: Corporate Airlines
Flight 5966 has crashed into
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a wooded area 1.2 miles south of
the airport at Kirksville, Missouri.
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When I woke up it
was dark and it was quiet and
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the only sound that I could hear
then was just the sound of fire.
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We were suspended up in trees.
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NARRATOR: Wendy Bonham and
her colleague, Doctor Krogh,
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struggle to escape.
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(moaning)
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WENDY: I just felt
like I needed to move.
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I have always had a fear of
blowing up and there was a fire
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in the back of the plane.
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00:10:55,458 --> 00:11:00,709
And I just thought, I need to get out of
this plane before it blows up.
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I don’t remember walking from my
seat to the side of the plane.
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It was a ways down and
there was fire down there.
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NARRATOR: There is no
other way out of the plane.
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WENDY: I don't remember falling
from the plane down to the ground.
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00:11:27,959 --> 00:11:29,917
I remember before and after.
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And I stood up and I could
see Doctor Krogh pretty close
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to the plane, and he was laying down.
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NARRATOR: The other 11 passengers and
both pilots are dead.
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WENDY: They were
all really incredible people
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that did incredible
things for their communities.
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00:11:49,291 --> 00:11:50,667
And that's...
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And that's hard for me.
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ALTAI: For the pilot community,
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this is something that is touching us,
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00:12:01,083 --> 00:12:03,333
because that could be us.
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00:12:03,417 --> 00:12:05,417
That could be me.
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00:12:05,500 --> 00:12:07,375
We wanna know why?
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00:12:07,458 --> 00:12:09,041
What happened?
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NARRATOR: It's up to the National
Transportation Safety Board
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00:12:13,667 --> 00:12:15,709
to investigate.
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00:12:15,792 --> 00:12:19,204
But there’s not much left of
the plane for them to examine.
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00:12:21,375 --> 00:12:24,625
Most of the aircraft
itself was consumed by the fire.
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There wasn't a lot left.
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I mean, there's engines,
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00:12:27,834 --> 00:12:30,291
propellers and other things but, uh,
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if you went to the accident site you
wouldn't recognize it as an airplane.
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00:12:43,792 --> 00:12:45,792
What a mess.
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00:12:47,208 --> 00:12:50,000
This is what we have from Structures.
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00:12:51,458 --> 00:12:53,834
NARRATOR: Although the plane
was almost completely destroyed
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00:12:53,917 --> 00:12:58,041
an on-site team is able
to analyze the debris.
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00:12:59,625 --> 00:13:03,449
I'm amazed that we were able
to get this much data from that heap.
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00:13:03,750 --> 00:13:06,083
NARRATOR: Investigators
turn to the wreckage analysis
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00:13:06,166 --> 00:13:08,917
to determine if the plane had
any mechanical problems that
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00:13:09,000 --> 00:13:11,041
could have caused the accident.
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00:13:12,875 --> 00:13:16,125
Uh, we've gone through that wreckage
with a fine-tooth comb.
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00:13:16,208 --> 00:13:18,834
Engines, controls,
instruments all checked out.
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00:13:18,917 --> 00:13:22,388
TOM: Looking at all the data
we have from the accident site,
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00:13:22,792 --> 00:13:25,083
it appeared that the airplane
was fully functional at the time
237
00:13:25,166 --> 00:13:26,667
it hit the ground.
238
00:13:26,750 --> 00:13:29,750
So the plane’s working fine.
239
00:13:29,834 --> 00:13:32,625
They might still have lost control.
240
00:13:34,542 --> 00:13:38,484
NARRATOR: They examine the direction of
the plane’s trail of debris.
241
00:13:42,250 --> 00:13:44,166
They first hit the trees here,
242
00:13:44,250 --> 00:13:48,125
{\an8}just over 1.3 miles
short of the runway.
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00:13:48,208 --> 00:13:52,000
{\an8}They fly another 775 feet
244
00:13:52,083 --> 00:13:55,208
{\an8}and hit another set of trees, here.
245
00:13:57,834 --> 00:14:01,364
The plane was headed straight for
the runway the entire time.
246
00:14:01,750 --> 00:14:04,083
TOM: We had enough information
that looking at all the pieces,
247
00:14:04,166 --> 00:14:08,750
this accident started to look like it was
a human performance issue
248
00:14:08,834 --> 00:14:11,208
and not an airplane issue.
249
00:14:11,291 --> 00:14:14,350
What kind of an approach
were they flying that night?
250
00:14:16,291 --> 00:14:18,875
A non-precision to runway three-six.
251
00:14:21,417 --> 00:14:24,626
Unfortunately, the accident rate for
non-precision approaches
252
00:14:24,709 --> 00:14:28,125
is dramatically higher
than on those approaches
253
00:14:28,208 --> 00:14:30,208
with an instrument landing system.
254
00:14:31,959 --> 00:14:33,375
Hmm.
255
00:14:33,458 --> 00:14:35,626
What do we know about
the weather that night?
256
00:14:35,709 --> 00:14:40,250
Uh, wind was nominal, no
turbulence or rain to speak of.
257
00:14:41,875 --> 00:14:44,959
Hold on a sec.
258
00:14:48,291 --> 00:14:50,792
The cloud ceiling was low, 300 feet.
259
00:14:53,166 --> 00:14:55,667
NARRATOR: The cloud ceiling is
the distance between the base
260
00:14:55,750 --> 00:14:57,917
of the clouds and the ground.
261
00:15:05,125 --> 00:15:07,750
Visibility was three to five miles.
262
00:15:14,041 --> 00:15:16,959
So they’re flying
blind through the clouds.
263
00:15:17,041 --> 00:15:19,417
It’s misty, visibility is poor.
264
00:15:19,500 --> 00:15:22,834
Those are bad conditions
for a non-precision approach.
265
00:15:22,917 --> 00:15:26,625
The question is, are they bad enough
to cause this accident?
266
00:15:28,041 --> 00:15:30,125
Well, let's find out.
267
00:15:32,458 --> 00:15:34,292
JOHN: In low
visibility conditions,
268
00:15:34,375 --> 00:15:38,125
a non-precision approach is
very challenging to fly because
269
00:15:38,208 --> 00:15:41,041
you come down to the lowest altitude,
270
00:15:41,125 --> 00:15:44,250
you have to level off there, and you...
271
00:15:44,333 --> 00:15:48,834
You fly along looking
for the runway environment.
272
00:15:50,250 --> 00:15:53,208
NARRATOR: Investigators speak t
a pilot who landed in Kirksvill
273
00:15:53,291 --> 00:15:55,917
ahead of Flight 5966.
274
00:15:56,000 --> 00:15:58,667
How bad was the weather that night?
275
00:15:58,750 --> 00:16:01,875
Flying was smooth,
but visibility was right on
276
00:16:01,959 --> 00:16:05,458
the cusp, maybe two to five miles.
277
00:16:05,542 --> 00:16:08,750
Half the state had been
soupy for a couple days.
278
00:16:08,834 --> 00:16:11,041
How was the visibility for landing?
279
00:16:11,125 --> 00:16:13,000
No issues.
280
00:16:13,083 --> 00:16:15,848
If it had been worse,
we would have gone around.
281
00:16:18,792 --> 00:16:22,834
NARRATOR: Why did Flight 5966
crash when other aircraft flew
282
00:16:22,917 --> 00:16:25,583
the same approach safely that night?
283
00:16:26,875 --> 00:16:28,208
TOM: So the question became;
284
00:16:28,291 --> 00:16:29,667
What went wrong that day?
285
00:16:29,750 --> 00:16:31,868
And that takes time to put together.
286
00:16:34,166 --> 00:16:36,667
We've got their
performance data ready to go.
287
00:16:36,750 --> 00:16:39,103
Let's see how they handled the approach.
288
00:16:40,625 --> 00:16:43,000
NARRATOR: Using a combination
of data from the flight recorde
289
00:16:43,083 --> 00:16:47,583
and radar, investigators analyz
the flight’s descent profile.
290
00:16:49,792 --> 00:16:52,542
{\an8}TOM: It was important for the team to take
a look at the descent profile.
291
00:16:52,625 --> 00:16:54,917
{\an8}How did it wind up where it did?
292
00:16:55,000 --> 00:16:57,417
So we start backing up
during the whole approach,
293
00:16:57,500 --> 00:16:59,559
where it was during these segments.
294
00:16:59,959 --> 00:17:05,250
So they come in like this and
continue straight to the ground.
295
00:17:07,750 --> 00:17:09,834
Can we see their MDA?
296
00:17:18,458 --> 00:17:22,834
So the plane was supposed to level off at
the minimum descent altitude
297
00:17:22,917 --> 00:17:26,792
before continuing
to descend to the runway.
298
00:17:26,875 --> 00:17:29,699
Why would they blow
right past the MDA like that?
299
00:17:31,333 --> 00:17:34,375
If they didn't level off
at the minimum descent altitude,
300
00:17:34,458 --> 00:17:35,875
why not?
301
00:17:35,959 --> 00:17:40,125
What didn't they see,
or what didn't they do?
302
00:17:41,125 --> 00:17:44,166
How fast where they descending?
303
00:17:47,375 --> 00:17:50,166
1200 feet per minute.
304
00:17:50,250 --> 00:17:52,000
What should they have been doing?
305
00:17:52,083 --> 00:17:55,250
Um...
306
00:17:55,834 --> 00:17:57,458
Below 300 feet of altitude,
307
00:17:57,542 --> 00:18:00,208
the max is 900 feet per minute.
308
00:18:00,709 --> 00:18:03,709
TOM: Once you get to
minimum descent altitude,
309
00:18:03,792 --> 00:18:08,291
you should stop your descent
altogether and continue on.
310
00:18:09,125 --> 00:18:14,583
NARRATOR: Why did Flight 5966
descend so low and so fast?
311
00:18:14,667 --> 00:18:19,834
They continued that descent speed
right up until they crashed.
312
00:18:20,959 --> 00:18:23,959
Why didn't they slow down
before striking the trees?
313
00:18:27,709 --> 00:18:30,958
NARRATOR: Investigators listen
to the cockpit voice recorder t
314
00:18:31,041 --> 00:18:35,041
understand why the pilots of
Corporate Airlines 5966 crashed
315
00:18:35,125 --> 00:18:37,709
short of the runway in Missouri.
316
00:18:39,083 --> 00:18:40,166
Ready.
317
00:18:40,250 --> 00:18:43,875
Okay, let’s take it back to five
minutes before the accident,
318
00:18:43,959 --> 00:18:45,751
when they’re lined up for the runway.
319
00:18:45,834 --> 00:18:47,083
Mm-hmm.
320
00:18:49,125 --> 00:18:51,125
MALCOLM: The cockpit voice recorder,
321
00:18:51,208 --> 00:18:54,334
is one of the most critical elements
in the investigation.
322
00:18:54,417 --> 00:18:57,334
It’s your most direct evidence
on how the crew is interacting,
323
00:18:57,417 --> 00:18:59,250
on how they’re following procedures,
324
00:18:59,333 --> 00:19:02,667
on exactly what happens on the human side.
325
00:19:05,750 --> 00:19:08,083
PALMER (over tape):
Course alive.
326
00:19:08,166 --> 00:19:09,667
Cross check.
327
00:19:09,750 --> 00:19:10,667
No flags...
328
00:19:10,750 --> 00:19:12,542
Except for the vertical.
329
00:19:12,625 --> 00:19:14,208
Keep it slow.
330
00:19:14,291 --> 00:19:16,458
All the time we need.
331
00:19:16,542 --> 00:19:19,542
Let's go flaps ten and
we'll configure early too.
332
00:19:19,625 --> 00:19:22,834
Give ourselves as much time as we can.
333
00:19:22,917 --> 00:19:24,583
All right. Flaps ten.
334
00:19:27,667 --> 00:19:30,917
They’re configuring
the plane to land early.
335
00:19:32,583 --> 00:19:36,407
NARRATOR: The team hears evidence of
a cautious and prepared crew.
336
00:19:37,375 --> 00:19:39,417
Smart move in low visibility.
337
00:19:39,500 --> 00:19:42,542
The crew on this flight
knew that the weather was going
338
00:19:42,625 --> 00:19:46,458
to be challenging, and
one of the ways that they...
339
00:19:46,542 --> 00:19:49,917
They tried to mitigate that,
or to improve their chances of
340
00:19:50,000 --> 00:19:54,500
a successful landing, was to get
the airplane configured early.
341
00:19:58,000 --> 00:20:00,792
Let’s make sure the lights are up please.
342
00:20:00,875 --> 00:20:02,417
All right.
343
00:20:05,208 --> 00:20:08,709
MALCOLM: There are cases where the
captain does an exemplary job,
344
00:20:08,792 --> 00:20:11,417
where he goes beyond the requirements.
345
00:20:11,834 --> 00:20:14,292
He asked the first officer
to call ahead to make sure,
346
00:20:14,375 --> 00:20:16,500
from the ground, that
the lights are working and
347
00:20:16,583 --> 00:20:18,291
that they're turned up fully.
348
00:20:18,375 --> 00:20:19,500
It's not required.
349
00:20:19,583 --> 00:20:20,792
It's an excellent idea.
350
00:20:20,875 --> 00:20:22,167
Especially in these conditions.
351
00:20:22,250 --> 00:20:24,750
I'm hearing an organized crew here.
352
00:20:26,250 --> 00:20:28,542
Take it to when they near the MDA.
353
00:20:28,625 --> 00:20:31,331
If there's a big mistake,
it'll likely be then.
354
00:20:34,542 --> 00:20:37,167
JOHN: The minimum descent
altitude is the lowest altitude
355
00:20:37,250 --> 00:20:41,458
you're permitted to fly at until
you see the runway environment.
356
00:20:41,542 --> 00:20:44,166
400.
357
00:20:45,625 --> 00:20:47,417
PALMER (over tape):
350. Here we are.
358
00:20:47,500 --> 00:20:51,000
Okay. They're at the MDA.
It’s decision time.
359
00:20:51,083 --> 00:20:53,436
SASSE (over tape):
So, what do you think?
360
00:20:54,375 --> 00:20:56,709
Ah. I can see ground there.
361
00:20:56,792 --> 00:20:58,375
WARNING: Minimums.
Minimums. Minimums.
362
00:20:58,458 --> 00:21:00,333
I, I don't see anything.
363
00:21:00,417 --> 00:21:02,208
Oh yeah, there it is.
364
00:21:02,291 --> 00:21:04,041
Approach lights in sight.
365
00:21:04,917 --> 00:21:06,875
Hold it there.
366
00:21:06,959 --> 00:21:10,375
They’re two miles out, 300 feet up.
367
00:21:10,458 --> 00:21:12,625
They’ve just come out of the clouds.
368
00:21:12,709 --> 00:21:14,167
With the mist that night,
369
00:21:14,250 --> 00:21:16,208
they probably couldn't
see the runway lights.
370
00:21:16,291 --> 00:21:19,000
There’s only farmland
from here to the airport.
371
00:21:19,083 --> 00:21:21,083
I can't see anything
the captain could have
372
00:21:21,166 --> 00:21:23,291
mistaken for a runway.
373
00:21:23,375 --> 00:21:26,667
Why is the captain even
looking for the approach lights?
374
00:21:29,291 --> 00:21:30,626
So the captain’s the first one to say,
375
00:21:30,709 --> 00:21:32,959
"I see something
outside the airplane."
376
00:21:33,041 --> 00:21:33,959
He sees the ground.
377
00:21:34,041 --> 00:21:35,625
He sees lights.
378
00:21:35,709 --> 00:21:37,000
He shouldn't be doing that.
379
00:21:37,083 --> 00:21:39,834
He should be totally
focused inside the airplane.
380
00:21:39,917 --> 00:21:42,958
The first officer is supposed to
see the approach lights
381
00:21:43,041 --> 00:21:46,041
and call out, "Approach
lights in sight, continue."
382
00:21:47,166 --> 00:21:50,542
NARRATOR: But the CVR recording
tells a different story.
383
00:21:50,625 --> 00:21:53,333
Instead, they're
both looking for the runway.
384
00:21:57,166 --> 00:22:01,519
And nobody is paying attention to the
plane's descent speed and altitude.
385
00:22:02,250 --> 00:22:06,875
JOHN: The flying pilot should have
been monitoring exclusively instruments.
386
00:22:06,959 --> 00:22:12,750
And what sadly occurred was that
the normal flight path continued
387
00:22:12,834 --> 00:22:17,041
below the minimum descent altitude and
neither one of them caught it.
388
00:22:17,125 --> 00:22:18,500
SASSE (over tape): Now. No!
389
00:22:18,583 --> 00:22:19,542
WARNING: Pull up.
390
00:22:19,625 --> 00:22:20,917
PALMER (over tape): Trees!
391
00:22:21,000 --> 00:22:24,667
And that is, it's very apparent
when you hear this, trees.
392
00:22:24,750 --> 00:22:27,041
And that, and it shocked both of them.
393
00:22:27,125 --> 00:22:29,166
They did not expect to see that.
394
00:22:30,750 --> 00:22:34,709
They spent four-and-a-half
minutes following procedure.
395
00:22:38,625 --> 00:22:41,208
They configure the
plane early for landing.
396
00:22:41,291 --> 00:22:45,208
Here, they make sure the
runway lights are on early.
397
00:22:45,291 --> 00:22:50,041
First officer calls
out minimum descent altitude.
398
00:22:50,125 --> 00:22:55,959
And from this point,
23 seconds from impact,
399
00:22:56,792 --> 00:22:57,626
it all goes wrong.
400
00:22:57,709 --> 00:22:59,584
Captain’s looking
outside when he shouldn't.
401
00:22:59,667 --> 00:23:02,125
The first officer doesn't challenge him.
402
00:23:02,208 --> 00:23:04,208
Next thing, they're crashing.
403
00:23:09,000 --> 00:23:12,667
It's surprising how
much the captain's performance
404
00:23:12,750 --> 00:23:17,000
suddenly fell apart at the end,
that even listening to it,
405
00:23:17,083 --> 00:23:20,208
he sounded like he was
much better than that.
406
00:23:20,291 --> 00:23:23,667
It's a surprise for me professionally that
this can happen.
407
00:23:23,750 --> 00:23:26,917
NARRATOR: Investigators need to
find out how a crew that seemed
408
00:23:27,000 --> 00:23:28,458
to be flying so well...
409
00:23:28,542 --> 00:23:29,959
Flaps 35?
410
00:23:30,041 --> 00:23:31,542
No. No!
411
00:23:31,625 --> 00:23:32,751
WARNING: Sink rate. Pull up.
412
00:23:32,834 --> 00:23:33,709
Trees!
413
00:23:33,792 --> 00:23:36,125
NARRATOR: Made such crucial mistakes in
the last seconds of the flight.
414
00:23:36,208 --> 00:23:37,709
PALMER: Holy crap!
415
00:23:37,792 --> 00:23:38,959
WARNING: Pull up.
416
00:23:45,333 --> 00:23:49,917
All right, take it
back 30 minutes before impact.
417
00:23:50,000 --> 00:23:54,083
NARRATOR: Investigators return
to the cockpit conversation for
418
00:23:54,166 --> 00:23:57,750
clues to explain why the crew
ignored established procedures
419
00:23:57,834 --> 00:24:01,000
in the final 23 seconds of their flight.
420
00:24:03,458 --> 00:24:04,917
SASSE (over tape): There.
421
00:24:05,000 --> 00:24:07,177
My hair was down to my breast pocket.
422
00:24:07,792 --> 00:24:09,167
- Are you serious?
- Right here.
423
00:24:09,250 --> 00:24:11,250
You could hold my hair like this.
424
00:24:11,333 --> 00:24:14,834
I cannot see you with long hair like that.
425
00:24:14,917 --> 00:24:19,583
I used to wear a black
derby with the rim turned down.
426
00:24:19,667 --> 00:24:21,625
It was my concert hat.
427
00:24:22,583 --> 00:24:24,917
SASSE (over tape):
I had a Fu Manchu.
428
00:24:28,166 --> 00:24:30,667
Yeah, it was fun.
429
00:24:30,750 --> 00:24:34,417
I cannot imagine you like that.
430
00:24:34,500 --> 00:24:40,625
ATC (over radio): Corp Ex 59-66
climb and maintain one 2,000-er
431
00:24:40,709 --> 00:24:42,834
1200-er.
432
00:24:44,041 --> 00:24:49,083
One, 2,000, Corporate Ex 59-66.
433
00:24:50,333 --> 00:24:53,375
12-er, 1,000-er.
434
00:24:53,959 --> 00:24:55,834
I detect a bit of an attitude there.
435
00:24:55,917 --> 00:24:57,800
I might have to call him a jerk.
436
00:25:01,208 --> 00:25:03,542
Does that seem a bit casual to you?
437
00:25:03,625 --> 00:25:07,208
Uh, but they're above 10,000.
438
00:25:07,291 --> 00:25:11,375
So the cockpit doesn't have
to be sterile at this point.
439
00:25:12,667 --> 00:25:15,125
The philosophy of the
sterile cockpit rule is below
440
00:25:15,208 --> 00:25:20,458
10,000 feet the flight crew is
engaged in only what's required
441
00:25:20,542 --> 00:25:23,750
to basically fly the airplane.
442
00:25:23,834 --> 00:25:25,917
No non-pertinent conversations.
443
00:25:26,000 --> 00:25:27,542
Keep going.
444
00:25:33,125 --> 00:25:34,876
I have a good time flying with you.
445
00:25:34,959 --> 00:25:36,792
Yeah, me too.
446
00:25:36,875 --> 00:25:38,667
Just letting you know that.
447
00:25:38,750 --> 00:25:40,959
You gotta have fun.
448
00:25:41,041 --> 00:25:42,417
That’s truth man, you gotta have fun.
449
00:25:42,500 --> 00:25:46,667
Too many of these jerks take
themselves way too seriously in this job.
450
00:25:46,750 --> 00:25:48,875
I've flown with them and it sucks.
451
00:25:48,959 --> 00:25:50,750
A month of fricking agony.
452
00:25:50,834 --> 00:25:53,292
All you wanna do is strangle the jerk when
you get to the ground, you know?
453
00:25:53,375 --> 00:25:55,458
Oh.
454
00:25:55,542 --> 00:25:59,583
NARRATOR: The conversation raises a major
concern for investigators.
455
00:26:01,417 --> 00:26:04,334
Sure, they’re joking,
but the captain is essentially
456
00:26:04,417 --> 00:26:07,834
telling him how he wants
the first officer to behave.
457
00:26:12,041 --> 00:26:13,959
That’s disturbing, and
it sets a disturbing atmosphere.
458
00:26:14,041 --> 00:26:17,542
It’s a bad setting by the
captain in terms of priorities.
459
00:26:20,583 --> 00:26:22,375
Okay. What’s next?
460
00:26:34,250 --> 00:26:36,000
(sighs)
461
00:26:36,667 --> 00:26:37,542
Cruise check, power check.
462
00:26:37,625 --> 00:26:38,709
Can you push his foot away?
463
00:26:38,792 --> 00:26:40,083
Yes.
464
00:26:40,542 --> 00:26:43,875
It’s a relatively compact airplane,
465
00:26:43,959 --> 00:26:47,459
and the passengers in the front of
the airplane can sometimes put
466
00:26:47,542 --> 00:26:50,041
their foot into the cockpit area.
467
00:26:52,500 --> 00:26:54,166
Cruise power, cruise check.
468
00:26:56,125 --> 00:26:58,417
All you gotta do is you
open the curtain a little bit.
469
00:26:58,500 --> 00:27:00,625
It's like, man...
470
00:27:00,709 --> 00:27:01,876
Some people I invite
their feet up to make them
471
00:27:01,959 --> 00:27:04,917
more comfortable, but damn.
472
00:27:06,375 --> 00:27:09,041
I dropped my book on
him purposely one time.
473
00:27:09,125 --> 00:27:11,083
Right on top of the arch of the foot.
474
00:27:11,166 --> 00:27:12,667
Oh.
475
00:27:12,750 --> 00:27:14,333
Okay. Stop it.
476
00:27:16,208 --> 00:27:20,625
The captain starts
his cruise power checks,
477
00:27:20,709 --> 00:27:23,417
but then interrupts
himself to tell a story about
478
00:27:23,500 --> 00:27:24,750
hurting a passenger.
479
00:27:24,834 --> 00:27:26,208
Mm-hmm.
480
00:27:26,375 --> 00:27:28,333
It's really inappropriate.
481
00:27:28,417 --> 00:27:31,917
Uh, the lack of respect for passengers is,
482
00:27:32,000 --> 00:27:34,375
is striking in his conversation.
483
00:27:34,875 --> 00:27:38,208
- Your power levers.
- Right on top of his foot.
484
00:27:38,333 --> 00:27:39,584
The power spiked up a bit.
485
00:27:39,667 --> 00:27:41,291
Oh.
486
00:27:42,917 --> 00:27:46,626
The first officer has to tell the
captain twice to adjust his power levers,
487
00:27:46,709 --> 00:27:50,667
but he insists on
telling this irrelevant story.
488
00:27:54,667 --> 00:27:58,903
All right, well let's see if the first
officer can get him back on track.
489
00:28:00,542 --> 00:28:05,333
All I'm thinking about is a Philly
frickin' cheesesteak and an iced tea.
490
00:28:05,417 --> 00:28:07,000
Sounds good.
491
00:28:07,083 --> 00:28:11,250
Uh, cruise power is set.
492
00:28:11,333 --> 00:28:13,500
Altimeter is two, niner, niner, zero,
493
00:28:13,583 --> 00:28:15,709
set and cross-checked.
494
00:28:15,792 --> 00:28:20,041
Now the captain interrupts their
checklist to discuss his dinner plans.
495
00:28:26,083 --> 00:28:28,583
How did I get two, niner, niner, zero?
496
00:28:28,667 --> 00:28:30,750
Because you’re an idiot.
497
00:28:30,834 --> 00:28:33,917
It should be two, niner, niner, two?
498
00:28:34,000 --> 00:28:37,000
You never set it when
they cleared us to the runway?
499
00:28:38,166 --> 00:28:39,834
NARRATOR: Investigators
hear the captain mocking
500
00:28:39,917 --> 00:28:43,417
the first officer while confirming
their altimeter setting.
501
00:28:44,750 --> 00:28:47,250
And I’ve been sitting here living a lie
for the last 20 minutes.
502
00:28:47,333 --> 00:28:49,166
Yeah, you lying scum bucket.
503
00:28:49,250 --> 00:28:50,875
Okay.
504
00:28:50,959 --> 00:28:53,250
Damn boost pumps are off,
505
00:28:53,333 --> 00:28:57,583
pressurization is set
and external lights...
506
00:28:57,667 --> 00:29:00,166
You blustering scabby pustule.
507
00:29:00,250 --> 00:29:02,375
Are externalized.
508
00:29:02,458 --> 00:29:05,875
Your damn cruise
checklist is fricking done.
509
00:29:10,000 --> 00:29:12,792
The captain's jokes
have totally eroded procedure.
510
00:29:12,875 --> 00:29:14,459
Even the first officer
has given in and turned
511
00:29:14,542 --> 00:29:16,667
his checklist into a joke.
512
00:29:18,625 --> 00:29:20,751
There would be
pressure on the first officer.
513
00:29:20,834 --> 00:29:23,125
Uh, he does go along with the joking,
514
00:29:23,208 --> 00:29:26,458
but the captain is
still the pilot in command,
515
00:29:26,542 --> 00:29:28,333
and he has to set the tone.
516
00:29:28,417 --> 00:29:30,751
There's a danger that the
first officer will not focus
517
00:29:30,834 --> 00:29:32,599
to the extent that's required.
518
00:29:33,875 --> 00:29:37,042
NARRATOR: Did a breakdown in the
cockpit command structure affect
519
00:29:37,125 --> 00:29:39,959
the first officer’s
actions at a critical moment?
520
00:29:44,667 --> 00:29:47,083
350. Here we are.
521
00:29:53,417 --> 00:29:55,208
What do you think?
522
00:29:55,583 --> 00:29:57,709
Ah. I can see ground there.
523
00:29:57,792 --> 00:29:59,709
WARNING: Minimums.
Minimums. Minimums.
524
00:29:59,792 --> 00:30:01,375
I, I don't see anything.
525
00:30:01,458 --> 00:30:03,291
Oh yeah, there it is.
526
00:30:03,375 --> 00:30:05,375
Approach lights in sight.
527
00:30:09,208 --> 00:30:11,417
You gotta have fun.
528
00:30:12,667 --> 00:30:14,917
Too many of these jerks take
themselves way too seriously
529
00:30:15,000 --> 00:30:16,041
in this job.
530
00:30:18,000 --> 00:30:19,792
Flaps 35?
531
00:30:19,875 --> 00:30:23,709
The kind of atmosphere
he set up earlier in making fun
532
00:30:23,792 --> 00:30:26,792
of other pilots and making
fun of the passengers sets up
533
00:30:26,875 --> 00:30:27,917
the wrong tone.
534
00:30:28,000 --> 00:30:31,709
It doesn’t encourage the
first officer to object.
535
00:30:31,792 --> 00:30:34,125
When things were falling apart, he...
536
00:30:34,208 --> 00:30:36,738
He could have stepped
in and done something.
537
00:30:41,375 --> 00:30:45,000
It looks like a complete
breakdown in command structure
538
00:30:45,083 --> 00:30:47,000
led to this accident.
539
00:30:47,083 --> 00:30:49,959
The question is, why?
540
00:31:01,333 --> 00:31:03,375
Got their personnel files.
541
00:31:04,834 --> 00:31:07,250
NARRATOR: Investigators
study the pilots' training and
542
00:31:07,333 --> 00:31:11,875
previous flights to determine
if the crew of Flight 5966 had
543
00:31:11,959 --> 00:31:15,250
a history of deviating
from airline procedures.
544
00:31:17,000 --> 00:31:19,667
It, It's very
important to get a broad sense
545
00:31:19,750 --> 00:31:22,292
of what the pilot's
like from previous flights.
546
00:31:22,375 --> 00:31:23,917
What is their reputation?
547
00:31:24,000 --> 00:31:25,917
Have any of the problems that show up
548
00:31:26,000 --> 00:31:29,542
in this accident shown up before?
549
00:31:29,625 --> 00:31:31,625
Is this a recurring problem?
550
00:31:33,333 --> 00:31:37,125
The captain left a well-paying
job to become a pilot.
551
00:31:37,208 --> 00:31:40,959
Plenty of hours, passed all the checks.
552
00:31:43,208 --> 00:31:46,091
He had an interview lined
up with a major airline.
553
00:31:46,917 --> 00:31:50,875
You have a capable pilot,
who’s devoted to aviation,
554
00:31:50,959 --> 00:31:55,167
who gave up a, a computer industry job
that paid several times as much money
555
00:31:55,250 --> 00:31:57,667
because he wanted to be a pilot.
556
00:31:58,250 --> 00:31:59,917
First officer checks out too.
557
00:32:00,000 --> 00:32:03,625
Ten years’ experience, squeaky clean
record, no incidents.
558
00:32:09,709 --> 00:32:13,625
They were joking a fair bit.
Almost punch drunk.
559
00:32:13,709 --> 00:32:16,180
Do you think they may have been overtired?
560
00:32:21,041 --> 00:32:23,250
TOM: Fatigue
can greatly impact performance.
561
00:32:23,333 --> 00:32:26,208
You get more tired
and all of a sudden your
562
00:32:26,291 --> 00:32:29,000
level of precision can go downhill.
563
00:32:30,750 --> 00:32:33,709
NARRATOR: The team turns to
other Corporate Airlines pilots
564
00:32:33,792 --> 00:32:36,583
for more insight into the crew.
565
00:32:40,875 --> 00:32:42,333
WOMAN: Hi.
566
00:32:42,709 --> 00:32:45,959
Did you see any unusual
behavior from these pilots that
567
00:32:46,041 --> 00:32:47,959
would suggest they were tired?
568
00:32:48,417 --> 00:32:51,041
Actually, uh, Captain Sasse tried to take
569
00:32:51,125 --> 00:32:54,067
a nap here in the pilot's
lounge before the flight.
570
00:32:55,917 --> 00:32:58,334
MALCOLM: They
noted that he's six-foot-four,
571
00:32:58,417 --> 00:33:00,542
very tall, and the couch
was actually quite small.
572
00:33:00,625 --> 00:33:02,458
He didn't quite fit on it.
573
00:33:02,542 --> 00:33:05,072
So it couldn't have
been ideal for sleeping.
574
00:33:05,875 --> 00:33:08,125
Any idea how long he was asleep?
575
00:33:08,542 --> 00:33:10,417
Maybe an hour.
576
00:33:12,709 --> 00:33:13,834
Thank you.
577
00:33:14,792 --> 00:33:20,375
Fatigue is insidious in that you get an
578
00:33:20,458 --> 00:33:25,000
increasing performance
degradation once you are
579
00:33:25,083 --> 00:33:27,083
at a higher level of fatigue,
580
00:33:27,166 --> 00:33:31,875
and performance impairment, it
can be somewhat like alcohol.
581
00:33:34,041 --> 00:33:37,291
These are the classic signs of fatigue.
582
00:33:37,375 --> 00:33:39,199
This is what we're looking for.
583
00:33:39,500 --> 00:33:42,875
MALCOLM: W hen I have acase that involves fatigue,
584
00:33:42,959 --> 00:33:46,625
I go back to the cockpit
voice recording again to see;
585
00:33:46,709 --> 00:33:48,250
Do they sound tired?
586
00:33:50,000 --> 00:33:51,291
Here’s something.
587
00:33:54,875 --> 00:33:56,125
WARNING: Visibility four.
588
00:33:56,208 --> 00:33:57,041
Mist.
589
00:33:57,125 --> 00:33:59,875
Sky condition, overcast 300.
590
00:34:00,667 --> 00:34:02,334
NARRATOR: An automated
weather update notifies
591
00:34:02,417 --> 00:34:05,583
the pilots of the poor
visibility in Kirksville.
592
00:34:06,917 --> 00:34:09,250
We’re not getting in.
593
00:34:11,000 --> 00:34:12,834
Crap.
594
00:34:12,917 --> 00:34:14,583
We go all this damn way.
595
00:34:17,875 --> 00:34:19,250
Let's try it.
596
00:34:19,333 --> 00:34:21,041
Yeah, we're gonna try it.
597
00:34:21,125 --> 00:34:24,459
I don't wanna come all the way
out here for nothing tonight.
598
00:34:24,542 --> 00:34:26,334
They haven't even
gotten into the bad weather yet
599
00:34:26,417 --> 00:34:28,751
and the captain’s
determined to land in it.
600
00:34:28,834 --> 00:34:30,000
MAN: Yeah.
601
00:34:30,083 --> 00:34:32,166
He’s fixated on landing.
602
00:34:39,917 --> 00:34:41,334
It had not been an easy duty day,
603
00:34:41,417 --> 00:34:46,083
and so they're probably
getting towards the end of
604
00:34:46,166 --> 00:34:48,625
like we'd like to get this flight over.
605
00:34:49,083 --> 00:34:51,966
But there's more than
just fixation going on here.
606
00:34:54,542 --> 00:34:56,375
NARRATOR: The pilots’
discussion provides more
607
00:34:56,458 --> 00:34:58,125
evidence of fatigue.
608
00:35:00,208 --> 00:35:02,125
When they find out the weather’s bad,
609
00:35:02,208 --> 00:35:05,856
the captain should be talking about
options other than landing.
610
00:35:06,125 --> 00:35:08,292
Well, he has the opportunity
to discuss options now.
611
00:35:08,375 --> 00:35:09,959
What does he do?
612
00:35:13,834 --> 00:35:16,417
I'll be so happy when we have an ILS.
613
00:35:16,500 --> 00:35:19,500
The next job, everywhere
we go will have an ILS.
614
00:35:19,583 --> 00:35:20,709
Yep.
615
00:35:20,792 --> 00:35:22,751
NARRATOR: The captain
complains about not having
616
00:35:22,834 --> 00:35:27,083
automated landing assistance,
an ILS, at the airport.
617
00:35:28,875 --> 00:35:32,405
The only options he’s talking
about are future job prospects.
618
00:35:32,750 --> 00:35:35,792
NARRATOR: I nstead of discussingoptions if they can't land,
619
00:35:35,875 --> 00:35:40,417
the captain is talking about his
ambitions of flying for a bigger company.
620
00:35:42,458 --> 00:35:44,542
SASSE: We’re
going into the crap.
621
00:35:46,834 --> 00:35:49,375
Look, it's so eerie and creepy.
622
00:35:49,458 --> 00:35:51,542
Ooh.
623
00:35:53,166 --> 00:35:56,500
Ten minutes earlier they're
upset about the bad weather,
624
00:35:56,583 --> 00:35:59,819
but when they're actually
in it, they're cracking jokes.
625
00:36:00,583 --> 00:36:02,626
NARRATOR: The crew isn't
responding fast enough to
626
00:36:02,709 --> 00:36:04,750
the changing situation.
627
00:36:06,500 --> 00:36:08,959
MALCOLM: That can
be a sign of fatigue.
628
00:36:09,041 --> 00:36:13,208
People start to become giddy and
are not critical enough or, or,
629
00:36:13,291 --> 00:36:15,417
or enough careful of their behavior.
630
00:36:17,667 --> 00:36:23,333
After this they don't
discuss the weather again for...
631
00:36:23,417 --> 00:36:25,333
Three minutes.
632
00:36:26,208 --> 00:36:28,500
How’s Kirksville looking weather-wise?
633
00:36:32,333 --> 00:36:34,291
WARNING: Visibility three miles
634
00:36:34,375 --> 00:36:37,417
Sky condition overcast, 300.
635
00:36:37,500 --> 00:36:40,625
Still overcast to 300 feet.
636
00:36:41,542 --> 00:36:43,000
(yawns)
637
00:36:43,875 --> 00:36:46,167
And when they do check again,
the visibility is still bad,
638
00:36:46,250 --> 00:36:48,956
and they don't discuss
options besides landing.
639
00:36:50,500 --> 00:36:53,292
NARRATOR: They discover that th
crew ignored multiple warnings
640
00:36:53,375 --> 00:36:55,750
about conditions on the approach.
641
00:36:57,500 --> 00:36:59,876
In fatigue, you don't respond to warnings,
642
00:36:59,959 --> 00:37:02,417
that there are warnings that
this is not working but that
643
00:37:02,500 --> 00:37:04,042
you're slow to respond to it.
644
00:37:04,125 --> 00:37:06,500
MAN: Just missing one piece.
645
00:37:09,375 --> 00:37:11,333
You already have it.
646
00:37:11,417 --> 00:37:14,584
The risky decision is to try to
land when they can't decide if
647
00:37:14,667 --> 00:37:16,166
they can see the runway.
648
00:37:16,542 --> 00:37:18,417
Ah, I can see ground there.
649
00:37:18,500 --> 00:37:20,167
WARNING: Minimums.
Minimums. Minimums.
650
00:37:20,250 --> 00:37:22,125
I, I don't see anything.
651
00:37:22,208 --> 00:37:24,458
Oh yeah, there it is.
652
00:37:24,542 --> 00:37:25,917
Approach lights in sight.
653
00:37:26,000 --> 00:37:30,083
NARRATOR: It’s a decision the pilots
regret almost immediately.
654
00:37:30,166 --> 00:37:31,792
Flaps 35?
655
00:37:33,750 --> 00:37:36,041
- No. No!
- Trees!
656
00:37:37,333 --> 00:37:40,125
NARRATOR: Investigators conclud
that fatigue played a major role
657
00:37:40,208 --> 00:37:43,000
in the crash of Flight 5966.
658
00:37:44,125 --> 00:37:45,834
So they've fixated on landing.
659
00:37:45,917 --> 00:37:47,041
Uh-huh.
660
00:37:47,125 --> 00:37:48,000
Right?
661
00:37:48,083 --> 00:37:51,500
They don't consider any of
the other options and they make
662
00:37:51,583 --> 00:37:53,459
the risky decision to land anyways.
663
00:37:53,542 --> 00:37:54,625
Mm-hmm.
664
00:37:54,709 --> 00:37:56,415
MAN: All the signs are there.
665
00:37:56,959 --> 00:38:00,542
I personally feel
that fatigue is the largest
666
00:38:00,625 --> 00:38:03,875
human performance area
that we can address as an
667
00:38:03,959 --> 00:38:06,959
industry to prevent
accidents from happening.
668
00:38:07,041 --> 00:38:09,167
It's not always obvious
when someone is tired,
669
00:38:09,250 --> 00:38:11,709
and it's not obvious to them.
670
00:38:11,792 --> 00:38:15,042
The scientific evidence is that
people typically under-report
671
00:38:15,125 --> 00:38:16,542
how tired they are.
672
00:38:22,000 --> 00:38:24,000
Now, how much did these guys work before
673
00:38:24,083 --> 00:38:26,250
the accident flight?
674
00:38:27,291 --> 00:38:29,375
NARRATOR: Investigators
analyze the pilots’ duty hours
675
00:38:29,458 --> 00:38:31,500
leading up to the flight.
676
00:38:33,250 --> 00:38:36,375
MALCOLM: To study fatigue, we
look at if the person is getting
677
00:38:36,458 --> 00:38:38,459
the amount of sleep
that they normally get.
678
00:38:38,542 --> 00:38:41,000
We look at how long they've been awake.
679
00:38:41,083 --> 00:38:43,625
Uh, we look at the time of day.
680
00:38:43,709 --> 00:38:46,458
Uh, those are
scientifically worked out and
681
00:38:46,542 --> 00:38:48,248
we can get an idea from that.
682
00:38:49,458 --> 00:38:50,334
The night of the flight,
683
00:38:50,417 --> 00:38:52,125
they had worked three days straight.
684
00:38:52,208 --> 00:38:53,667
That'll tire you out.
685
00:38:54,041 --> 00:38:56,292
Yeah, well they had seven-and-a-half
hours of available rest time
686
00:38:56,375 --> 00:38:58,417
the night before the flight.
687
00:38:58,500 --> 00:39:00,583
That day they flew six flights,
688
00:39:00,667 --> 00:39:04,834
an hour each, and they were
on duty for 14 hours straight
689
00:39:04,917 --> 00:39:07,041
starting at 5:45 am.
690
00:39:07,542 --> 00:39:11,000
NARRATOR: The team discovers
that the crew of Flight 5966
691
00:39:11,083 --> 00:39:14,834
worked an extremely long day
before the accident flight.
692
00:39:16,959 --> 00:39:19,291
The day of the accident was very busy.
693
00:39:19,375 --> 00:39:21,208
They had to get up
about 4:00 in the morning.
694
00:39:21,291 --> 00:39:23,500
Their first flight was
around 5:00 in the morning.
695
00:39:23,583 --> 00:39:26,792
They were originally scheduled
for eight flights and they would
696
00:39:26,875 --> 00:39:29,166
have been on duty for about 14 hours.
697
00:39:29,250 --> 00:39:31,583
It’s, it’s, it’s quite a long day.
698
00:39:32,375 --> 00:39:34,291
So it was an extremely long day,
699
00:39:34,375 --> 00:39:36,542
not enough rest.
700
00:39:36,625 --> 00:39:39,333
Add to that a plane with no autopilot.
701
00:39:39,417 --> 00:39:41,751
What do the FAA
regulations have to say about
702
00:39:41,834 --> 00:39:43,917
working in those conditions?
703
00:39:45,291 --> 00:39:47,417
NARRATOR: Were the pilots
made to work too many hours
704
00:39:47,500 --> 00:39:49,458
without sufficient rest?
705
00:39:53,000 --> 00:39:54,792
Check this out.
706
00:39:54,875 --> 00:39:57,709
Pilots can't fly more than
eight flight hours in a day,
707
00:39:57,792 --> 00:39:59,166
but that's it.
708
00:40:00,709 --> 00:40:04,000
I flew in those days,
and you had a maximum number of
709
00:40:04,083 --> 00:40:06,959
flight hours in a day, but
the number of duty hours and
710
00:40:07,041 --> 00:40:10,583
the time of day was not
even taken into consideration.
711
00:40:10,667 --> 00:40:12,834
Isn't there data out
there that says it isn’t safe to
712
00:40:12,917 --> 00:40:15,166
fly if you’ve been up that long?
713
00:40:22,917 --> 00:40:27,917
NARRATOR: A 2003 study of data
from 55 accidents concluded tha
714
00:40:28,000 --> 00:40:32,250
pilots who worked 13 or more
duty hours had an accident rate
715
00:40:32,333 --> 00:40:35,625
several times higher than
those working shorter days.
716
00:40:39,500 --> 00:40:42,736
Why isn't this information
reflected in the regulations?
717
00:40:44,250 --> 00:40:46,603
This might have something to do with it.
718
00:40:46,917 --> 00:40:49,834
NARRATOR: Investigators discove
the reason why the FAA’s rest
719
00:40:49,917 --> 00:40:54,625
and duty regulations don’t
reflect the latest research.
720
00:40:54,709 --> 00:40:57,583
The last time these
regulations were updated.
721
00:40:57,667 --> 00:41:00,000
1964.
722
00:41:03,583 --> 00:41:06,625
MALCOLM: You had a
dedicated and very capable crew,
723
00:41:06,709 --> 00:41:11,250
you had a company that
was trying to do a good job.
724
00:41:11,333 --> 00:41:15,291
Really, the regulations needed
to be updated according to
725
00:41:15,375 --> 00:41:19,417
scientific principles, to
improve the safety for everyone.
726
00:41:21,500 --> 00:41:23,834
{\an8}NARRATOR: The team now has
a comprehensive picture of
727
00:41:23,917 --> 00:41:27,709
the accident of
Corporate Airlines Flight 5966.
728
00:41:30,291 --> 00:41:34,208
At the end of a 14-hour day,
two tired pilots attempt
729
00:41:34,291 --> 00:41:37,667
one final landing in
challenging conditions.
730
00:41:37,792 --> 00:41:40,208
I get a suffocating
feeling every time I see that.
731
00:41:40,291 --> 00:41:42,542
(choking)
732
00:41:42,625 --> 00:41:44,417
I’m drowning!
733
00:41:45,542 --> 00:41:48,417
NARRATOR: The captain’s joking
and casual tone in the cockpit
734
00:41:48,500 --> 00:41:50,667
undermines the command structure between
735
00:41:50,750 --> 00:41:53,500
him and the first officer.
736
00:41:53,583 --> 00:41:55,583
You gotta have fun.
737
00:41:55,667 --> 00:41:57,375
That's truth man, you gotta have fun.
738
00:41:57,458 --> 00:41:58,959
Too many of these
jerks take themselves way too
739
00:41:59,041 --> 00:42:00,709
seriously in this job.
740
00:42:00,792 --> 00:42:03,959
NARRATOR: The pilots' roles
break down so much that in
741
00:42:04,041 --> 00:42:06,959
the critical 23 seconds before crashing,
742
00:42:07,041 --> 00:42:10,166
neither of them is doing his job.
743
00:42:10,250 --> 00:42:11,792
So what do you think?
744
00:42:11,875 --> 00:42:13,375
NARRATOR: The
captain ignores protocol and
745
00:42:13,458 --> 00:42:14,792
takes his eyes off his instruments.
746
00:42:14,875 --> 00:42:18,208
Ah. I can
see ground there.
747
00:42:18,291 --> 00:42:20,333
I, I don't see anything.
748
00:42:20,667 --> 00:42:24,333
NARRATOR: And the first
officer doesn't challenge him.
749
00:42:24,417 --> 00:42:26,625
Flaps 35?
750
00:42:26,709 --> 00:42:28,876
NARRATOR: The pilots’
fatigue likely contributed to
751
00:42:28,959 --> 00:42:32,667
poor decision-making and fatal
preoccupation with landing.
752
00:42:34,166 --> 00:42:35,083
No.
753
00:42:35,166 --> 00:42:36,125
WARNING: Sink rate.
754
00:42:36,208 --> 00:42:37,041
No!
755
00:42:37,125 --> 00:42:37,959
WARNING: Pull up.
756
00:42:38,041 --> 00:42:39,583
PALMER: Trees!
757
00:42:40,542 --> 00:42:42,583
SASSE: No. Stop. Oh my God!
758
00:42:42,667 --> 00:42:43,792
PALMER: Holy crap!
759
00:42:56,542 --> 00:43:00,125
NARRATOR: The NTSB recommends a
overhaul of the FAA’s flight an
760
00:43:00,208 --> 00:43:04,375
duty time regulations to
consider elements like length o
761
00:43:04,458 --> 00:43:09,250
duty day, start time, workload
and other factors that can
762
00:43:09,333 --> 00:43:11,333
affect pilots’ alertness.
763
00:43:11,792 --> 00:43:14,959
MALCOLM: The NTSB had
been advising changes in
764
00:43:15,375 --> 00:43:17,959
the regulations, in the flight
and duty time regulations,
765
00:43:18,041 --> 00:43:20,875
for decades before this happened.
766
00:43:20,959 --> 00:43:24,208
But I think with this accident,
it really focused to a point
767
00:43:24,291 --> 00:43:27,792
that industry realized
that this was necessary.
768
00:43:28,834 --> 00:43:32,292
JOHN: This was a push from the
major airlines first that then
769
00:43:32,375 --> 00:43:35,500
trickled down into other
operations that were smaller
770
00:43:35,583 --> 00:43:38,525
{\an8}like the regional airlines
and corporate operators.
771
00:43:39,750 --> 00:43:43,625
{\an8}NARRATOR: For Wendy Bonham, the
change came at too high a cost.
772
00:43:44,875 --> 00:43:49,542
{\an8}WENDY: I'm comforted to hear
that there were changes made in
773
00:43:49,625 --> 00:43:53,583
{\an8}the length of time
that pilots can fly, um,
774
00:43:53,667 --> 00:43:56,959
{\an8}because of this crash.
775
00:43:59,417 --> 00:44:02,292
{\an8}I suppose it's something good
that came out of something that
776
00:44:02,375 --> 00:44:04,000
{\an8}wasn't good at all.
777
00:44:04,083 --> 00:44:05,966
{\an8}Captioned by Cotter Media Group.
63499
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