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We've lost engine number two.
High above the Mediterranean, two pilots
struggle with a stalled engine.
struggle with a stalled engine.
Engine relight.
- Negative. - Stop.
Stop.
Engine one has flamed out.
45 miles from land, the pilots
45 miles from land, the pilots
make a difficult decision.
Prepare to ditch.
Prepare to ditch.
Oh my God, be merciful.
Passengers are forced to make life or death
decisions on their own.
decisions on their own.
Do not inflate your vest!
The accident will tear families apart...
The accident will tear families apart...
...set in motion a massive rescue effort at sea,
and trigger a multinational investigation
and trigger a multinational investigation
to discover why both engines on one of the world's most popular
to discover why both engines on one of the world's most popular
planes stopped in midflight.
planes stopped in midflight.
Ladies and gentlemen, we are starting our approach.
We lost both engines.
August 6, 2005.
August 6, 2005.
Bari, Italy, an ancient port town on the Adriatic sea
where the past meets the present.
where the past meets the present.
Just north of this historic city, Bari International
Just north of this historic city, Bari International
Airport serves 10 major Airlines and more than 1.5
million passengers each year.
One of those carriers is Tunisia's Tuninter Airlines.
One of those carriers is Tunisia's Tuninter Airlines.
Captain Chafik Gharbi is a pilot with Tuninter.
Today, he's in command of flight 1153.
Today, he's in command of flight 1153.
The 45-year-old Tunisian is a military-trained pilot
The 45-year-old Tunisian is a military-trained pilot
with a flawless flight record.
Gharbi's co-pilot is 28-year-old Ali Kebaier.
Gharbi's co-pilot is 28-year-old Ali Kebaier.
How much fuel are you adding?
400 kilograms.
2,700 total?
2,700 total?
Yes.
Captain Gharbi and his co-pilot
Captain Gharbi and his co-pilot
flew from Tunis to Bari this morning to collect
34 Italian passengers.
Now they're going to fly them to Djerba,
Now they're going to fly them to Djerba,
a tunisian resort island.
Among the passengers is 31-year-old police
officer, Luca Squicciarini.
His girlfriend, Paola, is traveling with him.
His girlfriend, Paola, is traveling with him.
Our first choice wasn't Djerba, it was Cape Verde.
The thing with Cape Verde is that it was a period
of terrorist activities.
The flight would have left from either Rome or Milan.
The flight would have left from either Rome or Milan.
Since they are two large airports,
Paola was afraid that there would be an attack,
so we chose not to go to Cape Verde.
so we chose not to go to Cape Verde.
It was my first trip with Paola.
It was my first trip with Paola.
We met the previous winter.
We had plans to marry the following year.
To tighten your belt,
pull on the loose end of the strap.
To release your seatbelt, lift the upper portion
of the buckle.
Ladies and gentlemen, your life vests
are located beneath your seats.
To inflate the vest, pull firmly on the red cord
To inflate the vest, pull firmly on the red cord
only when you're leaving the aircraft.
If you need to refill the vest, blow into the mouthpiece.
TSLBB flight 1153, permission for takeoff granted.
TSLBB flight 1153, permission for takeoff granted.
Roger that.
Cleared for takeoff.
Final prep for departure.
Final prep for departure.
The crew is flying a French-made ATR 72.
The crew is flying a French-made ATR 72.
The small turboprop is perfect for short flights.
It doesn't need a lot of maintenance
It doesn't need a lot of maintenance
or guzzle a lot of fuel.
Just after 2:30 in the afternoon, the plane takes off.
Just after 2:30 in the afternoon, the plane takes off.
49 minutes after takeoff, flight 1153 is 400 miles away
49 minutes after takeoff, flight 1153 is 400 miles away
from its destination, Djerba.
So we started chatting with other passengers.
We were all excited.
We talked about the vacation.
We talked about the vacation.
Then 75 miles from the nearest land
Then 75 miles from the nearest land
and 23,000 feet above the sea, the plane's right engine stops
and 23,000 feet above the sea, the plane's right engine stops
working.
What?
What?
We've lost engine number two.
Let's get to 17,000 feet.
Let's get to 17,000 feet.
TUI1153 request 170.
TUI1153...
Captain Gharbi begins an emergency descent.
Captain Gharbi begins an emergency descent.
Sending 170.
When you have a single-engine flameout, you would descend
When you have a single-engine flameout, you would descend
down to a lower altitude.
The air is thicker, the propeller is more efficient.
Under current conditions,
the ATR 72 can best fly on one engine
the ATR 72 can best fly on one engine
at an altitude of 17,000 feet.
at an altitude of 17,000 feet.
Power lever flight idle, start button.
The crew struggles to restart the right engine.
The crew struggles to restart the right engine.
Negative.
Fuel supply, check.
Fuel supply, check.
But then, less than two minutes
after the first engine quits...
Stop.
Stop.
Engine number one, it's flamed out.
...both of the plane's engines have stopped.
...both of the plane's engines have stopped.
The engine shut off.
Our first thought was of a terrorist attack
Our first thought was of a terrorist attack
since there were so many at the time.
We tried to figure out what was happening,
so we looked towards the cockpit to see if someone was
so we looked towards the cockpit to see if someone was
trying to sabotage the plane.
The plane is now falling to the sea
The plane is now falling to the sea
at 800 feet per minute.
Mayday.
Mayday.
Mayday.
TUI1153.
TUI1153.
We have lost both engines.
Request immediate landing at Palermo.
The crew still hopes to reach an airport,
The crew still hopes to reach an airport,
but they have 70 miles of ocean to cross
before they're over land.
before they're over land.
Crews are trained for almost anything.
There's a checklist for them to follow
to solve most problems, including what
to solve most problems, including what
to do when both engines die.
...checklist.
Fuel supply, check.
Fuel supply, check.
The pilots don't know why their engines have stopped.
The only clue they're getting is a low fuel feed warning.
The only clue they're getting is a low fuel feed warning.
A low pressure warning light tells
a pilot that there's low fuel pressure going to the engine.
a pilot that there's low fuel pressure going to the engine.
Now that could be a mechanical problem or that could
be a contamination problem.
be a contamination problem.
The crew follows the steps
laid out by the manufacturer to relight their dead engines.
laid out by the manufacturer to relight their dead engines.
Fuel supply, check.
Power lever flight idle, start button.
Engine relight, negative.
Get Choukri.
The captain asks the cabin crew
to bring the onboard engineer, Choukri Harbaoui,
to bring the onboard engineer, Choukri Harbaoui,
to the cockpit.
Palermo approach.
This is TUI1153 We have lost both engines.
This is TUI1153 We have lost both engines.
Request immediate landing.
The closest airport is in Palermo on
the Italian island of Sicily.
TUI Palermo.
TUI Palermo.
Affirmative, you are clear for landing.
Palermo approach, what is our distance to the airport?
Palermo approach, what is our distance to the airport?
Your distance to Palermo is now 48 nautical miles.
Your distance to Palermo is now 48 nautical miles.
An ATR 72 will fall from the sky
at a predictable rate, one foot down for every 16 feet forward.
at a predictable rate, one foot down for every 16 feet forward.
If they can't restart their engines soon,
they'll be forced to ditch in the sea.
they'll be forced to ditch in the sea.
Ditching at sea is a very difficult
decision to make because it's the hardest thing to do.
You have swells, waves, wind.
You have swells, waves, wind.
Is anybody going to see you?
How long can the plane float for?
How long can the plane float for?
Landing a passenger plane on water
is extremely dangerous.
is extremely dangerous.
In 1996, an Ethiopian Airlines pilot
was forced to bring his 767 down on the Indian Ocean.
was forced to bring his 767 down on the Indian Ocean.
The ditching was recorded by a tourist on a nearby beach.
The ditching was recorded by a tourist on a nearby beach.
50 people survived, but 125 people died.
50 people survived, but 125 people died.
The crew of this small plane doesn't usually
The crew of this small plane doesn't usually
include an engineer.
When there is one on board, he usually travels in the cabin.
When there is one on board, he usually travels in the cabin.
I remembered this person looked at the stewardess
and shook his head, as if saying no after the second engine
and shook his head, as if saying no after the second engine
had shut off.
That gesture showed there was nothing left to do.
That gesture showed there was nothing left to do.
The crew of flight 1153 has tried all it can.
The crew of flight 1153 has tried all it can.
They're running out of time and options.
Flight engineer, Choukri Harbaoui,
has joined in the struggle to get
flight 1153's engine started.
flight 1153's engine started.
You've run the checklist?
Yes.
Yes.
The captain hopes the engineer
will know something that isn't covered by the checklist.
Attempt to restart the engines.
Attempt to restart the engines.
Right engine first.
Fuel supply, check.
Engine two start power button, on.
Engine two start power button, on.
Engine relight, negative.
Palermo approach, TUI1153.
Palermo approach, TUI1153.
Any closer airport where we can land?
Any closer airport where we can land?
Negative, 1153.
Palermo airport is the closest airport to your position.
Palermo airport is the closest airport to your position.
We're not going to make it.
Prepare to ditch.
Oh my God, be merciful.
No one said anything.
No one said anything.
I noticed something wasn't right because the two
engines shut off.
More than once, I tried to get the stewardess's attention,
More than once, I tried to get the stewardess's attention,
asking what I should do.
If I had to put on the life jacket, if I had to stand,
If I had to put on the life jacket, if I had to stand,
if I should take off my shoes.
I got no answer.
She was in shock and started to cry.
She was in shock and started to cry.
The senior flight attendant
does give passengers direction.
does give passengers direction.
The captain has decided to land the plane at sea.
The captain has decided to land the plane at sea.
I'll let you imagine the panic on board.
I'll let you imagine the panic on board.
People were screaming and crying.
Please, stay calm and follow your crew's instructions.
Please, stay calm and follow your crew's instructions.
There were people in the front seats
that had a baby girl.
that had a baby girl.
She had been playing and was so excited.
To now see the panic in her mother's face
made me feel so sad.
made me feel so sad.
TUI1153, what is your fuel load?
TUI1153, what is your fuel load?
Cockpit fuel quantity 1,800 kilograms.
Cockpit fuel quantity 1,800 kilograms.
Captain Gharbi's fuel gauge shows that he has
plenty of fuel, but for some reason,
neither engine will restart.
neither engine will restart.
Just 10 minutes after the trouble began,
the plane is 7,000 feet above the ocean and falling.
the plane is 7,000 feet above the ocean and falling.
Outside, it's completely silent.
But in the cabin, there's panic.
But in the cabin, there's panic.
Please remain in your seats with your seatbelts fastened.
Please remain in your seats with your seatbelts fastened.
My first instinct
was to undo my seatbelt to prevent getting
trapped when we hit the water.
trapped when we hit the water.
I didn't want to be trapped in my seat
and go down in a horrible way.
Do not inflate your vests
until you've left the plane.
A plane ditching at sea
A plane ditching at sea
will more than likely fill with water.
That's why safety procedures call for passengers
to only inflate their life vests once they've cleared the plane.
to only inflate their life vests once they've cleared the plane.
Otherwise, they could become trapped inside
Otherwise, they could become trapped inside
the flooded fuselage and drown.
The dead engines aren't the only problem confronting the crew.
The dead engines aren't the only problem confronting the crew.
Many of their instruments get their power from the engines.
Many of their instruments get their power from the engines.
Without the engines, some vital gauges are dead.
On a two-engine flameout, you go on your standby instruments,
On a two-engine flameout, you go on your standby instruments,
which is you have an attitude indicator,
you have an altimeter.
you have an altimeter.
Fuel supply, check.
The crew continues to try to restart their engines,
but it's become clear that they've run out of time.
but it's become clear that they've run out of time.
They're not doing anything.
Confirm distance, please.
Your distance is now 20 miles.
Your distance is now 20 miles.
Boats.
I see boats.
I see boats.
Palermo approach.
TUI1153.
We can't make it to the airport.
We can't make it to the airport.
We see two boats on the left side.
We're going there.
We're going there.
If you can, please call.
Captain Gharbi turns his plane toward the boats.
Can you send helicopters or something
Can you send helicopters or something
similar, fast, fast, fast?
Emergency.
All marine units, aircraft in distress
All marine units, aircraft in distress
20 nautical miles off Palermo.
Even before the plane hits the water,
Even before the plane hits the water,
rescuers are on their way.
I had very little information.
We didn't know the nature of the crash
or anything about the plane.
or anything about the plane.
Autopress, dump.
Although it's a rare maneuver,
there is also a checklist for ditching a plane in the water.
there is also a checklist for ditching a plane in the water.
Valve, full close.
Before ditching, the crew
Before ditching, the crew
ensures all landing gear is retracted to help
the plane land more smoothly.
Landing gear lever up.
Landing gear lever up.
When pilots ditch, they want their airplane
as streamlined as possible so that it glides
as streamlined as possible so that it glides
across the water when it hits.
Pilots must not only monitor the systems on the plane,
Pilots must not only monitor the systems on the plane,
they also have to assess conditions at sea.
They don't want to hit a wave head on.
They don't want to hit a wave head on.
If you hit perpendicular to the waves
or swells with the aircraft, it's like hitting concrete.
or swells with the aircraft, it's like hitting concrete.
The plane will break up.
Passengers can see what's coming.
Passengers can see what's coming.
I was hanging on tight to the seat in front of me.
And through the window, I could see the impact was imminent.
And through the window, I could see the impact was imminent.
The crew is 700 feet above the sea.
You're with me, Ali, huh?
You're with me, Ali, huh?
Careful.
Choukri, ready?
Ready.
Here we go.
Here we go.
There is no other God but Allah.
Muhammad is his messenger.
In the name of God merciful, merciful.
In the name of God merciful, merciful.
At a speed of 145 miles an hour,
At a speed of 145 miles an hour,
the plane collides with the sea.
I lost consciousness.
I lost consciousness.
I woke up in the water.
I was two or three meters underwater.
I was two or three meters underwater.
I came up to the surface wearing only my pants.
I had lost my life jacket and clothes on impact.
I had lost my life jacket and clothes on impact.
I got to the surface and grabbed on to a bag.
I got to the surface and grabbed on to a bag.
I was in shock.
I was surrounded by everything.
I was surrounded by everything.
My thoughts were constantly with Paola.
My thoughts were constantly with Paola.
I thought I was going to die because I was spitting blood.
I felt my lungs filling with blood.
I felt my lungs filling with blood.
Captain Gharbi survives
but has been seriously injured.
but has been seriously injured.
Copilot Ali Kebaier has also survived.
But flight engineer Choukri Harbaoui is killed.
But flight engineer Choukri Harbaoui is killed.
No one aboard the nearby boats saw
No one aboard the nearby boats saw
flight 1153 crash into the sea.
The plane is broken into three pieces.
The plane is broken into three pieces.
The tail section and much of the fuselage
sink to the bottom of the sea.
sink to the bottom of the sea.
But the largest section containing the two wings
stays afloat.
stays afloat.
It becomes a makeshift life raft for survivors.
But not all of the passengers have survived.
But not all of the passengers have survived.
Many haven't it made it out of the plane and to the surface.
Helicopter pilot Stefano Burigana is one of the first
Helicopter pilot Stefano Burigana is one of the first
to arrive at the scene.
When we approached the airplane,
we could see the wings floating.
we could see the wings floating.
There were several people in the water
around the aircraft, all floating,
around the aircraft, all floating,
and everybody with their jacket inflated.
and everybody with their jacket inflated.
Burigana spots Luca Squicciarini floating
away from the main wreckage.
away from the main wreckage.
There was one man without his jacket
and he was the farthest from the airplane.
and he was the farthest from the airplane.
I decided to go over him and throw one of our life jackets
I decided to go over him and throw one of our life jackets
to him.
The Coast Guard arrives and begins
pulling survivors from the sea.
Within the hour, the crash site is teeming with rescuers.
Within the hour, the crash site is teeming with rescuers.
They search for survivors from the water and from the air.
They search for survivors from the water and from the air.
23 people are pulled from the Mediterranean sea,
but 16 have died in the crash, including Paola di Cialla.
but 16 have died in the crash, including Paola di Cialla.
It's quite likely that none of those who died ever
It's quite likely that none of those who died ever
had a chance to swim to safety.
Their serious injuries would have
Their serious injuries would have
prevented them from escaping after the plane hit the water.
In this accident, most of the survivors
were seated in the rear of the plane, most
were seated in the rear of the plane, most
of those who died, up front.
Those sections, along with some valuable clues,
Those sections, along with some valuable clues,
are now at the bottom of the sea.
The one section that didn't sink is towed to the port in Palermo
and taken to a nearby hangar.
and taken to a nearby hangar.
A team of agents from Italy's National Flight Safety Agency,
A team of agents from Italy's National Flight Safety Agency,
the ANSV, began looking for leads.
Their job?
Find out why Flight 1153's engines stopped in midflight.
Find out why Flight 1153's engines stopped in midflight.
We need to collect as much as evidence as possible
We need to collect as much as evidence as possible
in order to fulfill two main answers, what happened
in order to fulfill two main answers, what happened
and why had it happened?
They are led by chief ANSV
They are led by chief ANSV
investigator Vincenzo Pennetta.
I arrived in Palermo the day after the accident
I arrived in Palermo the day after the accident
on the seventh, very early in the morning.
A flight test engineer by training, Pennetta
A flight test engineer by training, Pennetta
has led several air crash investigations.
The engines and central fuselage of Tuninter flight 1153
The engines and central fuselage of Tuninter flight 1153
have been recovered.
have been recovered.
The rest of the plane lies somewhere
off the Sicilian coast.
The main challenge of the investigation
The main challenge of the investigation
was the fact that the flight recorder, and the cockpit voice
recorder, and also the front fuselage
recorder, and also the front fuselage
were 1,500 meters under the sea.
While the Italian Navy conducts a deep water search
While the Italian Navy conducts a deep water search
for the rest of the wreck and the crucial black boxes,
Italian investigators are given some assistance by the plane's
Italian investigators are given some assistance by the plane's
European manufacturer.
ATR's Giuseppe Caldarelli is here
ATR's Giuseppe Caldarelli is here
to find out if there's a flaw with the company's plane.
Anytime there is an accident and also when people die,
Anytime there is an accident and also when people die,
for me, is a big accident.
Worldwide, hundreds of ATR 72 seconds
crossed the skies each day.
crossed the skies each day.
Those aircraft have a very sound
structure and robust systems, and are very cost efficient.
structure and robust systems, and are very cost efficient.
Together, Pennetta and Caldarelli
Together, Pennetta and Caldarelli
set to find out why both engines on such an advanced airplane
died in midflight.
died in midflight.
TUI1153.
Before it happens again.
Before it happens again.
Captain Gharbi, how are you?
I'm getting better.
Thank you.
Investigators want to know what
Investigators want to know what
happened in the cockpit of Tuninter flight 1153
when the engines died.
when the engines died.
Without the cockpit voice recorder,
they must rely on the recollections of surviving
passengers and crew members.
passengers and crew members.
The main cause of the double engine failure
could be a lack of fuel.
But according to Captain Chafik Gharbi,
But according to Captain Chafik Gharbi,
lack of fuel was not the problem.
What were your fuel readings?
What were your fuel readings?
The fuel quantity indicator said 1,800 kilograms of fuel.
The fuel quantity indicator said 1,800 kilograms of fuel.
What is your fuel load?
Cockpit fuel quantity 1,800 kilograms.
Cockpit fuel quantity 1,800 kilograms.
Fuel supply, check.
Was there any warning that you were low on fuel?
Was there any warning that you were low on fuel?
There was definitely no low-fuel warning,
just a low feed pressure light.
just a low feed pressure light.
The absence of a low-fuel warning
and the presence of a low feed pressure warning
and the presence of a low feed pressure warning
is a major clue.
This set of alarms usually indicates
This set of alarms usually indicates
that there is a problem in feeding the engine with fuel.
that there is a problem in feeding the engine with fuel.
Since the plane's gauges indicated that there was
fuel on board that did not get to the engines,
ATR's Giuseppe Caldarelli looks for flaws in the fallen plane's
ATR's Giuseppe Caldarelli looks for flaws in the fallen plane's
fuel delivery system.
Four years earlier, an Airbus operated by Air Transat,
Four years earlier, an Airbus operated by Air Transat,
developed a leak in the fuel line that
feeds the plane's right engine.
Over time, the plane leaked all of its fuel
and both engines failed.
and both engines failed.
The pilots were forced to glide their plane
to an emergency landing.
That incident has a lot of similarities
That incident has a lot of similarities
to the Tuninter crash.
His team looks for breaks or blockages in the fuel lines
His team looks for breaks or blockages in the fuel lines
and evidence that the fuel pumps malfunctioned and stopped
fuel flow to the engines.
fuel flow to the engines.
While Caldarelli waits for technicians to complete tests
While Caldarelli waits for technicians to complete tests
on pumps and lines, Pennetta decides
to start a new line of inquiry.
to start a new line of inquiry.
He explores the possibility that the fuel that was on board
He explores the possibility that the fuel that was on board
was somehow contaminated.
Fuel contamination can derive from four
Fuel contamination can derive from four
or five different sources.
Kerosene-based jet fuel is very delicate.
If stored or transferred improperly,
If stored or transferred improperly,
it can be polluted with water, sand,
or fungus, even sticky residue from the hoses
or fungus, even sticky residue from the hoses
of refueling tankers.
Any of these could prevent the fuel from properly igniting
Any of these could prevent the fuel from properly igniting
and could have caused the engines to shut down.
How much fuel are you adding?
400 kilograms.
The plane last took on fuel in Bari.
The plane last took on fuel in Bari.
Samples from the tanker that supplied it
are taken for testing.
Pennetta needs to prove that one of these contaminants
got into flight 1153's fuel, prevented combustion, and
got into flight 1153's fuel, prevented combustion, and
caused both engines to fail.
Sediments can be transferred from the tanker truck
Sediments can be transferred from the tanker truck
to the aircraft.
So the fuel filter can be clogged
So the fuel filter can be clogged
and so the engine can have some problems.
Technicians remove the truck's fuel filters to look
Technicians remove the truck's fuel filters to look
for evidence of contamination.
Hoses and couplings are swabbed for sticky residue or colonies
of microorganisms and submitted for testing at an Italian Air
of microorganisms and submitted for testing at an Italian Air
Force laboratory.
The fuel is filtered for minute particles
suspended in the fluid.
And carefully examined for impurities.
And carefully examined for impurities.
The truck's filters are also inspected for residue
The truck's filters are also inspected for residue
or sediment from the tanks.
Meanwhile, in Palermo, Caldarelli and his technicians
Meanwhile, in Palermo, Caldarelli and his technicians
have completed tests on flight 1153's fuel lines and pumps.
have completed tests on flight 1153's fuel lines and pumps.
The tests are thorough, the results conclusive.
But the fuel feed lines were OK, were no leak.
But the fuel feed lines were OK, were no leak.
If the fuel delivery system was working
and the two pilots remember having ample fuel...
and the two pilots remember having ample fuel...
The fuel quantity indicator said 1,800 kilograms of fuel.
The fuel quantity indicator said 1,800 kilograms of fuel.
...then why had the engines failed?
When test results from the Bari fuel tanker come in,
they, too, are conclusive.
The fuel filters, hose couplings, and tanker
The fuel filters, hose couplings, and tanker
fuel at Bari airport are clean.
So fuel contamination as a source of double engine
So fuel contamination as a source of double engine
flameout was then excluded.
At this point, the investigators
At this point, the investigators
still don't know what caused the downing
of Tuninter flight 1153.
of Tuninter flight 1153.
But something has been eating at Pennetta.
If the plane was filled with fuel,
and since the fuel is stored in the plane's wings,
and since the fuel is stored in the plane's wings,
why did the wing section float?
Floating on the wing indicates that the weight of the wing
Floating on the wing indicates that the weight of the wing
was not so high.
We have been told by ATR that if the amount of fuel that was
We have been told by ATR that if the amount of fuel that was
supposed to be into the wing, around 2,000 kilograms,
were on the fuel tanks, the wings maybe would
were on the fuel tanks, the wings maybe would
not have been able to float.
not have been able to float.
Pennetta suspects the plane didn't have as much fuel
as the pilots thought, but he doesn't know how that could be.
as the pilots thought, but he doesn't know how that could be.
Two weeks into the investigation, Pennetta
Two weeks into the investigation, Pennetta
gets an important lead in the case.
After two weeks of the event, we
received some technical documentation
received some technical documentation
from the aircraft operator.
According to the logs, Captain Gharbi
According to the logs, Captain Gharbi
flew the same aircraft the day before the accident.
After that flight, he reported a problem with his fuel gauge.
After that flight, he reported a problem with his fuel gauge.
When he left the aircraft the day before,
When he left the aircraft the day before,
he reported that the right display fuel
indicator was out of service.
indicator was out of service.
So it needed to be replaced.
The fuel quantity indicator, or FQI,
is a gas gauge that tells pilots how much fuel is left on board.
is a gas gauge that tells pilots how much fuel is left on board.
The lights on the FQI were malfunctioning
and Captain Gharbi made a note of this in the maintenance log.
and Captain Gharbi made a note of this in the maintenance log.
We were able to see that the fuel
quantity indicator was changed the day before the event.
quantity indicator was changed the day before the event.
The maintenance log raises the possibility
The maintenance log raises the possibility
that the FQI that the mechanic installed
was not the right one for the plane.
was not the right one for the plane.
It doesn't seem to have the right model number.
Tuninter flies two models of ATR aircraft, the ATR
Tuninter flies two models of ATR aircraft, the ATR
42 and the larger ATR 72.
The fuel quantity indicators for each plane
The fuel quantity indicators for each plane
look identical except for a different model number
at the top of each unit.
at the top of each unit.
The ATR 72 should have model number 2500.
The ATR 72 should have model number 2500.
But according to the logs, mechanics
installed a unit with the model number 2250 instead.
installed a unit with the model number 2250 instead.
Tuninter's maintenance logs offer a valuable clue.
Tuninter's maintenance logs offer a valuable clue.
But for Pennetta, there's no definitive proof
that the wrong fuel quantity indicator
that the wrong fuel quantity indicator
was installed on the plane.
It could have been a mismatch in that aircraft documentation,
It could have been a mismatch in that aircraft documentation,
so we need to prove that.
There is only one way to know for certain
whether flight 1153 had the right fuel
quantity indicator, go find it at the bottom of the sea.
quantity indicator, go find it at the bottom of the sea.
Not until three weeks after the crash of Flight 1153 do
investigators recover wreckage from the sea.
investigators recover wreckage from the sea.
The data from the plane's black boxes
confirms what the pilots had been saying.
confirms what the pilots had been saying.
There was no warning of low fuel,
so there appeared to be enough fuel to make the flight.
so there appeared to be enough fuel to make the flight.
The black boxes can't solve this mystery.
The black boxes can't solve this mystery.
Investigators hope that the tail and front section can.
Investigators hope that the tail and front section can.
They are hauled aboard a Naval vessel from the sea.
The moment the cockpit is hauled in, Pennetta is there.
The moment the cockpit is hauled in, Pennetta is there.
There's only one thing he wants to see inside.
There's only one thing he wants to see inside.
So when the wreckage was recovered from under the sea
and put on a ship deck, I realized
that as a matter of fact, a fuel quantity indicator
that as a matter of fact, a fuel quantity indicator
for an ATR 42 was installed.
It was like we found the smoking gun.
It was like we found the smoking gun.
The wrong FQI was installed on flight 1153.
The wrong FQI was installed on flight 1153.
Pennetta finally has the break he's been looking for.
The ATR's fuel quantity indicator
collects data from the sensors in the fuel tanks
collects data from the sensors in the fuel tanks
and calculates how much fuel is in the tanks.
But since the fuel tanks on the 42 and the 72
But since the fuel tanks on the 42 and the 72
are different sizes, fuel quantity indicators
are different sizes, fuel quantity indicators
can't be swapped between them.
Technicians conduct refueling tests
Technicians conduct refueling tests
with the wrong FQI installed on an ATR 72
with the wrong FQI installed on an ATR 72
and the results are chilling.
and the results are chilling.
The results show that if you install an FQI type, we'll say
The results show that if you install an FQI type, we'll say
42, on an ATR 72 aircraft, if I have no fuel into the aircraft
42, on an ATR 72 aircraft, if I have no fuel into the aircraft
in the fuel tanks with zero fuel,
the fuel quantity indicator showed me 1,800 kilograms.
the fuel quantity indicator showed me 1,800 kilograms.
Precisely the amount of fuel
that the captain reported having when his engines flamed out.
that the captain reported having when his engines flamed out.
Cockpit fuel quantity eight, 1,800 kilograms.
Cockpit fuel quantity eight, 1,800 kilograms.
Investigators conclude at 23,000 feet above the Mediterranean,
the wrong fuel indicator led the crew
the wrong fuel indicator led the crew
to believe that they had ample fuel when their tanks were
actually empty.
actually empty.
Engine relight, negative.
They're not doing anything.
The engines could not possibly have been restarted.
The engines could not possibly have been restarted.
With hundreds of ATR 42s and ATR 72s still flying,
With hundreds of ATR 42s and ATR 72s still flying,
the implications are stark,
Could there be other planes
Could there be other planes
flying with the wrong gauge?
The first safety recommendation
was to mandate all operators that use ATR 42 and 72 aircraft
was to mandate all operators that use ATR 42 and 72 aircraft
was to mandate all operators that use ATR 42 and 72 aircraft
in their fleet to check whether the right fuel
quantity indicator was installed on the aircraft.
quantity indicator was installed on the aircraft.
Pennetta and Caldarelli have uncovered
the error that caused both of flight 1153's
the error that caused both of flight 1153's
engines to quit in midair.
But the case isn't closed.
Standard flight procedures should
have uncovered the error before takeoff
have uncovered the error before takeoff
and prevented the disaster.
Captain Gharbi's aircraft went in for repairs in Tunisia
Captain Gharbi's aircraft went in for repairs in Tunisia
the night before the crash.
the night before the crash.
The plane's FQI indicated the two tanks together held 790
kilograms of fuel in the tank.
kilograms of fuel in the tank.
After the new fuel quantity indicator was installed,
After the new fuel quantity indicator was installed,
it showed that there was almost four times as much
fuel on board, 3,100 kilograms.
fuel on board, 3,100 kilograms.
The following morning, Captain Gharbi noticed that the fuel
levels had gone up.
levels had gone up.
He assumed that fuel had been added.
But when fuel is added to an aircraft,
But when fuel is added to an aircraft,
a refueling slip must be left in the cockpit.
Where is the refueling slip?
Where is the refueling slip?
The pilot asked to the flight dispatcher,
where was this refueling slip?
where was this refueling slip?
But the flight dispatcher was not able to find
this refueling slip.
I'll get it to you when you get back from Djerba.
I'll get it to you when you get back from Djerba.
Roger that.
There was no refueling slip because the plane
There was no refueling slip because the plane
hadn't been refueled.
In spite of regulations, the captain
left without that vital piece of paper.
left without that vital piece of paper.
There are some standard regulations requiring
the pilot to take off only when he is sure about the quantity
the pilot to take off only when he is sure about the quantity
of fuel.
With the wrong fuel indicator on board
With the wrong fuel indicator on board
and less fuel than he believed, Captain Gharbi
makes it to Bari, Italy, and tops off
makes it to Bari, Italy, and tops off
his plane for the next leg of the trip to Djerba.
his plane for the next leg of the trip to Djerba.
How much fuel are you adding?
How much fuel are you adding?
400 kilograms.
2,700 total?
Yes.
Believing he has 2,700 kilograms of fuel on board,
Believing he has 2,700 kilograms of fuel on board,
Captain Gharbi begins his flight to Djerba.
Captain Gharbi begins his flight to Djerba.
If the correct fuel quantity indicator had been installed,
the captain would have known that he
the captain would have known that he
had only 540 kilograms, not nearly
enough to make the crossing.
enough to make the crossing.
Mayday.
Mayday.
Mayday.
TUI1153 request immediate landing in Palermo.
TUI1153 request immediate landing in Palermo.
We've lost both engines.
Pennetta's investigation comes to a close.
He draws up his final report.
He draws up his final report.
His colleague, Giuseppe Caldarelli, voices a bold view.
Even with no fuel and dead engines,
Flight 1153 could have made it to land.
Flight 1153 could have made it to land.
The aircraft was in a position that
allowed it to reach Palermo.
allowed it to reach Palermo.
TUI1153.
Caldarelli wonders if the pilots
did everything they could have to get
did everything they could have to get
the plane safely to Palermo.
Investigators get some unexpected answers
by having seasoned pilots fly the exact same plane
by having seasoned pilots fly the exact same plane
with the exact same problems.
OK, we are now in big trouble because this second engine
OK, we are now in big trouble because this second engine
has gone off.
Vincenzo Pennetta's investigation into the crash
of Tuninter Flight 1153 has uncovered the events
of Tuninter Flight 1153 has uncovered the events
that led up to the accident.
Now he and Giuseppe Caldarelli need to resolve one question.
Now he and Giuseppe Caldarelli need to resolve one question.
We're not going to make it.
Did mistakes made by the pilots
Did mistakes made by the pilots
cost people their lives?
Caldarelli and his team study the plane's specifications
Caldarelli and his team study the plane's specifications
and draw a surprising conclusion.
and draw a surprising conclusion.
According to manufacturer data, an ATR
is able to glide three miles for every 1,000 feet of descent.
is able to glide three miles for every 1,000 feet of descent.
With the help of a tailwind that day,
With the help of a tailwind that day,
Flight 1153 could have been able to glide 70 miles to Palermo.
Flight 1153 could have been able to glide 70 miles to Palermo.
The crew might have been able to make it.
Landing gear lever up.
Landing gear lever up.
So what had the pilots done wrong?
To answer that question, Pennetta and Caldarelli
recreate flight 1153 in the flight simulator
recreate flight 1153 in the flight simulator
at the ATR facility in France.
Test pilots try to glide an ATR 72 for 70 miles
Test pilots try to glide an ATR 72 for 70 miles
from the altitude at which flight
1153 lost its second engine.
1153 lost its second engine.
The simulation was requested to see
the range of the aircraft starting from the second engine
the range of the aircraft starting from the second engine
out.
Double-engine flameouts, you have to be very aware
Double-engine flameouts, you have to be very aware
of the configuration of the aircraft in order to keep
as much as possible the altitude and distance
as much as possible the altitude and distance
to fly before the crash.
Stop! Stop!
Stop! Stop!
Engine number one has flamed out.
With both engines out, the priority
is to keep the plane gliding as far as necessary.
is to keep the plane gliding as far as necessary.
To do that, pilots can change the angle of their windmilling
To do that, pilots can change the angle of their windmilling
propellers.
You have the maximum glide performance
when you minimize the drag.
when you minimize the drag.
It's very important to think to feather the propeller
in order to reduce the drag.
in order to reduce the drag.
Feathering the props involves changing
their angle against the wind.
their angle against the wind.
The maneuver reduces drag.
When you want to feather the propeller in flight,
When you want to feather the propeller in flight,
you first have to reduce the power
lever to idle and put the condition
lever back to feather position.
lever back to feather position.
The crew did not feather their props
when their engines quit.
when their engines quit.
The windmilling propellers created enormous drag.
If the crew of flight 1153 had feathered their props,
they may have been able to glide further than they did.
By the time Captain Gharbi's second engine flamed out,
By the time Captain Gharbi's second engine flamed out,
he was just below 22,000 feet.
To further reduce drag at that altitude,
To further reduce drag at that altitude,
the plane should be slowed to 158 miles per hour, the ATR
the plane should be slowed to 158 miles per hour, the ATR
72's ideal gliding speed.
Surprisingly, to glide as far as possible,
Surprisingly, to glide as far as possible,
a pilot doesn't want to fly as fast as possible.
The faster a plane flies, the more
The faster a plane flies, the more
the airflow pushes against it, creating resistance.
Every plane has an optimal speed to achieve the furthest glide.
Every plane has an optimal speed to achieve the furthest glide.
The crew of flight 1153 continued flying up to 55 miles
The crew of flight 1153 continued flying up to 55 miles
an hour faster than their optimal gliding speed.
an hour faster than their optimal gliding speed.
That added to the drag on the plane
and reduced the distance they could glide.
and reduced the distance they could glide.
By feathering his props and reducing his speed,
a simulator pilot in France was able to get
a simulator pilot in France was able to get
the plane as far as Palermo.
You're with me, Ali, huh?
You're with me, Ali, huh?
Careful.
Choukri, ready?
Flight 1153 hit the water
Flight 1153 hit the water
26 miles from shore, well short of what the plane
was capable of achieving.
was capable of achieving.
The simulation confirmed that the crew might have been
The simulation confirmed that the crew might have been
able to make it to land and highlights the importance
of proper training to deal with unlikely situations
of proper training to deal with unlikely situations
such as a twin-engine flameout.
In aviation, it's a very rare event.
In aviation, it's a very rare event.
Vincenzo Pennetta's report
urges airlines to train their pilots how
to ditch without engine power.
to ditch without engine power.
Better pilot training is just one
of 17 safety recommendations in the accident report.
of 17 safety recommendations in the accident report.
Perhaps the most important, that ATR redesigned
Perhaps the most important, that ATR redesigned
the fuel quantity indicator.
In order to prevent a fuel quantity
indicator type 42 on a 72 aircraft and vice versa.
indicator type 42 on a 72 aircraft and vice versa.
To prevent mechanics from installing
the incorrect part, Pennetta believes that the only answer
the incorrect part, Pennetta believes that the only answer
is to design the FQIs so that they only fit
is to design the FQIs so that they only fit
on the plane they're meant for.
I'll get to when you get back from Djerba.
I'll get to when you get back from Djerba.
Roger that.
There is no single cause of the accident.
There is no single cause of the accident.
This accident, like many other aircraft accidents,
was determined by a series of actions, a series of events
was determined by a series of actions, a series of events
linked one to each other.
linked one to each other.
This is unheard of.
I would have accepted the engine breaking,
I would have accepted the engine breaking,
or a window shattering.
But to have people die because of a lack of fuel?
But to have people die because of a lack of fuel?
The crash of Flight 1153
The crash of Flight 1153
was caused by a series of grave errors on the ground
and in the air.
and in the air.
In 2012, an Italian court sentenced Captain Gharbi
to 6.5 years in prison for his responsibility in the crash
to 6.5 years in prison for his responsibility in the crash
and subsequent deaths of 16 passengers and crew.
and subsequent deaths of 16 passengers and crew.
Co-captain Kebaier, three Tuninter executives,
and a mechanic received sentences
and a mechanic received sentences
between 5.5 and six years for their liability
in the fatal crash.
in the fatal crash.
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