1
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The Boeing 737 is
one of the most popular

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passenger jets in the world.

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Around the globe,

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the plane has carried
more than 12-billion passengers.

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It's the backbone
of the aviation industry.

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But in 1991, something happened
onboard a 737 that sent

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shudders through the world
of aviation.

8
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Oh my lord.

9
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A deadly crash has
investigators scrambling.

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There was a time

11
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when I had doubts that we'd
be able to solve it.

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It was like he was
tracking a serial killer.

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The hunt for answers

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will take ten
long and grueling years.

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The fate of the airline
industry hangs in the balance.

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And the mystery isn't solved,

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until more than 1-hundred
and 50 people are dead.

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9:40 AM,
March the 3rd 1991.

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After a short 17-minute trip
from Denver,

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United Airlines Flight 585
is on final approach

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into Colorado Springs.

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It looks like a perfect
day for flying.

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But there's trouble in the air.

24
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Nice looking day.

25
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Hard to believe
the skies are unfriendly.

26
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There's been heavy
turbulence during the flight,

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and violent gusts of wind are
forecast over Colorado Springs.

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Never driven to Colorado
Springs and not gotten sick.

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At the controls
is 52-year-old

30
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Captain Harold Green,

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a pilot with
20 years' experience

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and a sterling reputation.

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Green's co-pilot
is Patricia Eidson.

34
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At 42, she is one of the first
female flight officers

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in United's history.

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Flight attendants
prepare for landing.

37
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At Colorado Springs
Municipal Airport,

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air traffic controller
James Rayfield

39
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is ready to bring Flight 585 in.

40
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United 585 report
the airport in sight.

41
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Got it?
Yup.

42
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Airport in sight
United 585.

43
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Lower landing gear.

44
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United 585 is cleared for
a visual approach to runway 35.

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Weather conditions, wind 320
degrees at 16, gusting at 29.

46
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As its speed
decreases,

47
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flight 585 becomes more
vulnerable to the turbulence.

48
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Eidson wants to know
what other planes have

49
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experienced on landing.

50
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Any reports lately
of any loss or gain of airspeed?

51
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Yes ma'am. Five hundred
feet a fifty knot loss,

52
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at four hundred feet
a fifteen knot gain

53
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and at a hundred and fifty feet
a gain of twenty knots.

54
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Sounds adventurous.
Thank you.

55
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Starting on down.

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Less than three
kilometers from the airport,

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retired policeman Harold Darnell

58
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is on his way to
a local flea market.

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A kilometer overhead,
Green and Eidson

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focus on keeping their speed
constant as they descend.

61
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We had a
ten knot change here.

62
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Yeah I know. Awful lot
of power to hold that airspeed.

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As United 585
approaches the runway,

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Darnell feels something strange.

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Whoa!
What the heck was that?

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Out of nowhere,
a powerful gust of wind

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strikes his vehicle,
almost blowing him off the road.

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Another ten knot gain.
Thirty flaps.

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From
the control tower,

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James Rayfield can now see
flight 585's final approach.

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As the aircraft
closes in on the airport,

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the ride gets even bumpier.

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Wow.
We're at a thousand feet.

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Then, without warning,

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the 737 starts to spin
out of control.

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Oh god. Flip!

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Fifteen flaps.
Fifteen.

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Oh no

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Oh my god!
Oh my god! Oh my god!

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Crash! Crash!

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Rescue workers
arrive within minutes -

82
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but there is almost no
sign of the 737.

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The shattered remains
of the 38-ton jet

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lie buried in a fire-blackened
impact crater.

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The plane didn't,
it didn't skate or bounce,

86
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you know like, like when a plane
comes in normally and lands?

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It just nosed right in and where
it hit is where it stayed.

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And I came down
here and this is

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when I saw all of the
huh it was horrible.

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There are
no survivors.

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All 20 passengers
and 5 crew members are killed

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instantly by the high-speed
impact and exploding jet fuel.

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In 10 violent seconds, Colorado
Springs has become the site

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of one of the most mysterious
air crashes in aviation history.

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By nightfall, investigators
from the National Transportation

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Safety Board
descend on Colorado Springs.

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Known to insiders as tin
kickers, NTSB investigators

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examine over 2-thousand aviation
accidents a year,

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at times by picking through the
metal debris of fallen aircraft.

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While coroners mark the location
of human remains in red,

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NTSB investigators mark
scraps of metal in yellow,

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looking for clues to help them
solve the mystery of flight 585.

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Like investigating
a mass murder,

104
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it's a tough job
walking onto a crash site.

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Among the investigators
assigned to the case is

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Malcolm Brenner, a specialist
in human performance.

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His job will be to find out

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if the crash was
caused by pilot error.

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The area was
cordoned off by police

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and there were
Salvation Army trucks.

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I got a cup of coffee, a cup
of hot chocolate or something

112
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and I thanked them for it

113
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and they said no,
no thank you and they had this

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look in their eyes like my god
you have to go into this site.

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Clues to the fate
of United 585 lie

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mangled in a deep, black hole.

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The fuselage is crushed like an
accordion in the impact crater.

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The rest of the plane
is in pieces spread over an area

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smaller than a football field.

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There was
a lot of fire damage.

121
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There'd been a fire afterwards.

122
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And it was all contained in a
relatively small area which,

123
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just initial impression,

124
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it can be a sign that
the airplane was intact.

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If there was a midair
explosion or something

126
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came off the airplane,

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you would expect that
to be a much larger site.

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My first sense that it was
going to take some time to

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investigate the accident was the
damage that we saw to the parts.

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When they're burnt and broken,
the process always takes longer.

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But with their work
just beginning, members of

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the NTSB have no clue that the
case of United 585 will become

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the longest crash investigation
in aviation history.

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Fifteen flaps.
Fifteen.

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A clear,
late-winter day in 1991

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turned deadly in
just ten short seconds.

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Moments from landing in Colorado
Springs, United Airlines

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flight 585 fell out of the sky

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at 3-hundred and 70 kilometers
per hour.

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Crash! Crash!

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All twenty passengers
and five crew members died.

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00:10:14,206 --> 00:10:16,448
The National Transportation
Safety Board begins

143
00:10:16,551 --> 00:10:18,896
a painstaking
investigation into the crash.

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Engine turbines,
hydraulic pressure gauges,

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the cockpit voice recorder

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00:10:26,689 --> 00:10:29,517
and in-flight data recorder
are all carefully extracted

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00:10:29,620 --> 00:10:33,172
from the site, photographed, and
sent to the lab for analysis.

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00:10:40,206 --> 00:10:42,689
An important first
step in the investigation is

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00:10:42,793 --> 00:10:44,931
the analysis of the cockpit
voice recorder.

150
00:10:46,137 --> 00:10:48,896
With pilot error a factor
in seventy percent of air

151
00:10:49,000 --> 00:10:53,000
disasters, Malcolm Brenner's job
is to see what role pilots

152
00:10:53,103 --> 00:10:55,206
Green and Eidson
played in the crash.

153
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This crew was,
and I felt this at the time,

154
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was one of the more impressive
crews I had ever dealt with.

155
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There was a little
bit of tension release,

156
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a little bit of humour.

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The captain said...

158
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Never driven to Colorado
Springs and not gotten sick.

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00:11:09,586 --> 00:11:14,551
The first officer
suggested that they add

160
00:11:14,655 --> 00:11:16,379
extra speed as a safety margin.

161
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The captain agreed with it.
It was good interaction.

162
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Got it?
Yup.

163
00:11:21,827 --> 00:11:23,241
Airport in sight
United 585.

164
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Lower landing gear.

165
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This was a sense
of an excellent crew

166
00:11:31,448 --> 00:11:32,862
caught randomly, if anything.

167
00:11:32,965 --> 00:11:36,241
So again that was my first
impression is that this

168
00:11:36,344 --> 00:11:39,517
would be consistent
more with a hardware situation.

169
00:11:39,620 --> 00:11:45,310
As more about flight
585 becomes known,

170
00:11:45,413 --> 00:11:48,172
mechanical failure becomes
a serious suspect.

171
00:11:50,517 --> 00:11:52,413
Just seconds before it crashed,

172
00:11:52,517 --> 00:11:55,965
the plane rolled onto its back
and spun wildly out of control.

173
00:11:58,034 --> 00:12:00,379
Investigators wonder
if the sudden motion was

174
00:12:00,482 --> 00:12:03,000
caused by the plane losing
an engine or a wing.

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00:12:07,068 --> 00:12:09,172
From the state of
the aircraft onsite,

176
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it's clear that it was
intact at the time of the crash.

177
00:12:13,137 --> 00:12:15,068
What investigators don't know is

178
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if the engines were still
working at impact.

179
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Technicians examine
the engine turbines.

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They discover dirt has been
drawn deeply into every crevice.

181
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These blades were
clearly spinning

182
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and sucking in air
at the time of impact.

183
00:12:39,172 --> 00:12:41,172
The engines may have
been running

184
00:12:41,275 --> 00:12:43,896
but technicians aren't
sure how well.

185
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The plane's hydraulic pressure
dials are destroyed,

186
00:12:46,896 --> 00:12:49,241
their glass covers broken.

187
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The indicator needles
have been snapped off

188
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by the force of the impact.

189
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But even these ravaged
dials tell a tale.

190
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Fifteen flaps.
Fifteen.

191
00:13:03,137 --> 00:13:04,586
On close inspection,

192
00:13:04,689 --> 00:13:07,517
investigators find
a critical mark.

193
00:13:07,620 --> 00:13:08,862
At the moment of impact,

194
00:13:08,965 --> 00:13:12,172
a dent was made on the faceplate
by the jarred indicator needle.

195
00:13:13,517 --> 00:13:16,482
It proves that
when United 585 crashed,

196
00:13:16,586 --> 00:13:18,206
its engines were running
normally.

197
00:13:29,103 --> 00:13:31,137
With engine failure ruled out,

198
00:13:31,241 --> 00:13:33,862
there seems to be only one
other mechanical explanation

199
00:13:33,965 --> 00:13:38,172
for why 585 suddenly rolled over
and then fell out of the sky.

200
00:13:41,275 --> 00:13:44,034
It appears increasingly likely
that the plane had suffered

201
00:13:44,137 --> 00:13:47,379
a catastrophic problem
with its flight controls.

202
00:13:47,482 --> 00:13:50,379
Investigators quickly become
suspicious of the rudder

203
00:13:50,482 --> 00:13:51,517
at the back of the tail.

204
00:13:51,620 --> 00:13:55,344
We focused in after
eliminating other flight

205
00:13:55,448 --> 00:13:59,344
control surfaces that we thought
could contribute to the roll.

206
00:13:59,448 --> 00:14:00,724
We started
looking at the rudder.

207
00:14:00,827 --> 00:14:04,689
Bring that up
so I can take a look at it.

208
00:14:04,793 --> 00:14:06,724
Investigators
begin their examination

209
00:14:06,827 --> 00:14:09,896
of the rudder on site but the
violence of the crash makes

210
00:14:10,000 --> 00:14:11,413
the job extremely difficult.

211
00:14:11,517 --> 00:14:12,482
Almost nothing left.

212
00:14:12,586 --> 00:14:17,172
Most of
the plane's parts are

213
00:14:17,275 --> 00:14:19,758
too crushed or burned
for testing.

214
00:14:19,862 --> 00:14:22,655
But a vital component is
still reasonably intact:

215
00:14:23,793 --> 00:14:26,310
the power control unit or PCU.

216
00:14:29,000 --> 00:14:32,758
Used constantly during flight,
especially during landings,

217
00:14:32,862 --> 00:14:36,620
the PCU performs like
a car's power steering.

218
00:14:36,724 --> 00:14:40,413
When the pilot pushes
on a rudder pedal the PCU uses

219
00:14:40,517 --> 00:14:43,517
hydraulic fluid to convert
gentle movements of a pilot's

220
00:14:43,620 --> 00:14:47,931
foot into the pressure needed to
move the 737's enormous rudder.

221
00:14:50,931 --> 00:14:52,068
The heart of the PCU

222
00:14:52,172 --> 00:14:54,206
is something called
the dual servo valve.

223
00:14:57,137 --> 00:14:59,724
Shaped like a soda can,
it has two slides,

224
00:14:59,827 --> 00:15:02,517
which glide past one another,
directing the flow

225
00:15:02,620 --> 00:15:05,137
of pressurized hydraulic fluid
that moves the rudder.

226
00:15:05,241 --> 00:15:10,827
The servo valve is,
is very unique.

227
00:15:10,931 --> 00:15:16,068
That it is in
effect two valves in one

228
00:15:16,172 --> 00:15:20,241
and that that creates a whole
range of interactions that

229
00:15:20,344 --> 00:15:24,413
don't occur in a, in a more
conventional hydraulic valve.

230
00:15:24,517 --> 00:15:30,413
When a technician
opens the power control unit,

231
00:15:30,517 --> 00:15:33,586
chips of metal are found
floating in the hydraulic fluid.

232
00:15:35,034 --> 00:15:37,068
It's a disturbing find.

233
00:15:37,172 --> 00:15:40,275
These particles could cause
the servo-valve to jam,

234
00:15:40,379 --> 00:15:42,551
making it impossible to work
the plane's rudder.

235
00:15:45,586 --> 00:15:47,551
It's a chilling prospect.

236
00:15:47,655 --> 00:15:52,482
Could a microscopic fault
bring down a 38-ton jet?

237
00:15:52,586 --> 00:15:55,172
It's difficult
for Phillips to tell.

238
00:15:55,275 --> 00:15:57,137
While more intact than much
of the wreck,

239
00:15:57,241 --> 00:16:00,379
the PCU and dual servo
valve are both damaged.

240
00:16:00,482 --> 00:16:02,241
The airplane crashed

241
00:16:02,344 --> 00:16:04,758
and burnt in a pretty confined
area and there was a lot

242
00:16:04,862 --> 00:16:08,103
of damage to the flight control
components and the things

243
00:16:08,206 --> 00:16:11,000
we were testing and needed
to test and look, look at.

244
00:16:11,103 --> 00:16:13,344
And the more damaged
the components are,

245
00:16:13,448 --> 00:16:16,379
the harder it
is to take measurements

246
00:16:16,482 --> 00:16:17,896
and do functional testing.

247
00:16:18,000 --> 00:16:23,206
To test what
he does have,

248
00:16:23,310 --> 00:16:26,689
Phillips travels
to California to the labs

249
00:16:26,793 --> 00:16:29,793
of Parker Hannifin where
the rudder control unit is made.

250
00:16:36,448 --> 00:16:39,034
The curious metal chips
floating in the PCU's

251
00:16:39,137 --> 00:16:41,689
chambers are dismissed.

252
00:16:41,793 --> 00:16:44,551
Phillips is told that filters
keep them out of the delicate

253
00:16:44,655 --> 00:16:47,586
servo valve that directs fluid
and moves the rudder.

254
00:16:51,482 --> 00:16:53,896
Nothing else is found that
could explain any sudden

255
00:16:54,000 --> 00:16:55,827
movement of the rudder
on flight 585.

256
00:16:55,931 --> 00:17:01,413
We didn't have any
absolute indication or

257
00:17:01,517 --> 00:17:04,241
information that we could
point to that said the rudder

258
00:17:04,344 --> 00:17:06,689
valve control unit,
the servo valve or any,

259
00:17:06,793 --> 00:17:09,931
any part of that flight control
system caused that accident.

260
00:17:10,034 --> 00:17:15,241
Phillips still
suspects a mechanical problem,

261
00:17:15,344 --> 00:17:18,896
but with no conclusive evidence
that the PCU or servo valve

262
00:17:19,000 --> 00:17:22,655
caused the crash, he is forced
to sign off on the tests.

263
00:17:22,758 --> 00:17:23,793
It's a pass.

264
00:17:23,896 --> 00:17:31,689
With Phillips
at a dead end,

265
00:17:31,793 --> 00:17:35,034
only bad mountain weather
remains as a primary suspect.

266
00:17:37,344 --> 00:17:40,551
An expert on weather-related
aviation accidents,

267
00:17:40,655 --> 00:17:42,862
Greg Salotollo is
trying to determine

268
00:17:42,965 --> 00:17:45,793
if heavy winds on the day
of the crash were a factor.

269
00:17:45,896 --> 00:17:49,275
There is a history
of events where there've been

270
00:17:49,379 --> 00:17:52,620
airplane accidents, attributed
to mountain waves and rotors.

271
00:17:52,724 --> 00:17:58,448
In 1966,
a BOAC 707 near Mount Fuji

272
00:18:00,034 --> 00:18:02,000
disintegrated in a mountain wave
and rotor.

273
00:18:02,103 --> 00:18:06,034
High winds crashing
over mountain peaks leave

274
00:18:06,137 --> 00:18:09,068
so-called wind
rotors in the lee side.

275
00:18:09,172 --> 00:18:12,000
Invisible, highly turbulent
downdrafts that come

276
00:18:12,103 --> 00:18:14,517
plunging down with
devastating power

277
00:18:14,620 --> 00:18:16,482
and are extremely
dangerous to aircraft.

278
00:18:16,586 --> 00:18:19,758
We found
a great deal of evidence,

279
00:18:21,241 --> 00:18:24,068
looking at the surface
and upper air data and talking

280
00:18:24,172 --> 00:18:27,758
to witnesses in the area that
rotors were a possibility.

281
00:18:27,862 --> 00:18:31,448
Salotollo hears
several eyewitness

282
00:18:31,551 --> 00:18:35,137
reports of bizarre mountain
weather on the day of the crash.

283
00:18:35,241 --> 00:18:37,689
One of the most intriguing is
from Harold Darnell...

284
00:18:37,793 --> 00:18:40,586
Oh, what the heck
was that?

285
00:18:40,689 --> 00:18:43,586
...whose truck was
struck by a powerful

286
00:18:43,689 --> 00:18:47,068
gust of wind just
moments before 585 crashed.

287
00:18:48,827 --> 00:18:51,862
But as Greg Salottolo
combs through his evidence,

288
00:18:51,965 --> 00:18:53,793
the theory that a wind
rotor knocked

289
00:18:53,896 --> 00:18:57,000
the plane from the sky is
getting less and less likely.

290
00:18:57,103 --> 00:19:04,931
Nice looking day.

291
00:19:05,034 --> 00:19:06,620
Hard to believe
the skies are unfriendly.

292
00:19:06,724 --> 00:19:10,931
Wind rotors are areas
of extremely low barometric

293
00:19:11,034 --> 00:19:15,689
pressure, so if flight 585 did
pass through one,

294
00:19:15,793 --> 00:19:17,931
its altimeter reading
would have spiked

295
00:19:18,034 --> 00:19:19,965
as the plane was
blown suddenly upwards.

296
00:19:20,068 --> 00:19:27,241
There was no
evidence that we saw

297
00:19:27,344 --> 00:19:30,310
that on the flight
data recorder of 585.

298
00:19:30,413 --> 00:19:34,896
What the flight
recorder did show was a fast

299
00:19:35,000 --> 00:19:52,689
and deadly drop in altitude
as the plane fell to earth.

300
00:19:52,793 --> 00:19:55,689
It's been 21 months
since the investigation

301
00:19:55,793 --> 00:19:59,689
into the crash
of United Flight 585 began.

302
00:19:59,793 --> 00:20:04,586
Almost two years, in which
the NTSB has studied the crew,

303
00:20:04,689 --> 00:20:06,724
the weather, the rudder,

304
00:20:06,827 --> 00:20:09,482
and thousands of other
pieces of evidence.

305
00:20:09,586 --> 00:20:11,448
They've come up empty handed.

306
00:20:12,724 --> 00:20:15,000
For only the fourth
time in its history,

307
00:20:15,103 --> 00:20:19,620
the NTSB releases a report which
doesn't reach a conclusion.

308
00:20:19,724 --> 00:20:23,310
The cause of the crash
of flight 585 is undetermined.

309
00:20:23,413 --> 00:20:27,896
We had put a lot of time
and effort in into the

310
00:20:28,000 --> 00:20:30,931
investigation and we just
weren't sure what had happened.

311
00:20:31,034 --> 00:20:33,862
It was like he was
tracking a serial killer.

312
00:20:33,965 --> 00:20:37,068
He was frustrated that they
had not solved 585.

313
00:20:38,344 --> 00:20:40,482
He did not want
that to happen again.

314
00:20:40,586 --> 00:20:46,068
But, almost 2 years
after the report

315
00:20:46,172 --> 00:20:50,034
on 585 is released,
the killer strikes again.

316
00:20:53,551 --> 00:20:56,379
At 7 pm on a clear,
windless day,

317
00:20:56,482 --> 00:21:00,551
US Air Flight 427 is
nearing Pittsburg.

318
00:21:00,655 --> 00:21:04,344
Captain Peter Germano
and First Officer Chuck Emmett

319
00:21:04,448 --> 00:21:06,241
are getting
ready for their final approach.

320
00:21:06,344 --> 00:21:09,689
Folks,
from the flight deck,

321
00:21:09,793 --> 00:21:12,482
we should be on the ground in
'bout ten more minutes.

322
00:21:12,586 --> 00:21:13,620
Sunny skies, little hazy.

323
00:21:13,724 --> 00:21:16,310
Flight attendants please
prepare for landing.

324
00:21:16,413 --> 00:21:20,068
I ask you to check the security
of your seatbelts. Thank you.

325
00:21:20,172 --> 00:21:23,034
US Air 309, descend
and maintain 6000.

326
00:21:23,137 --> 00:21:27,000
As they close
in on the airport,

327
00:21:27,103 --> 00:21:28,965
the pilots are on the lookout
for another

328
00:21:29,068 --> 00:21:31,137
flight about 10 kilometers
ahead of them.

329
00:21:31,241 --> 00:21:35,068
Looking for the traffic.

330
00:21:36,931 --> 00:21:43,034
Turning one zero zero US Air
four twenty-seven.

331
00:21:43,137 --> 00:21:46,896
I see zuh jet stream.

332
00:21:47,000 --> 00:21:52,068
As they pass
through the turbulence

333
00:21:52,172 --> 00:21:55,172
left behind by the other flight,
their jet suddenly

334
00:21:55,275 --> 00:21:56,931
and alarmingly rolls left.

335
00:21:57,034 --> 00:22:02,655
Hold on, hold on.
Shoot!

336
00:22:02,758 --> 00:22:06,379
Nothing the pilots do
seems to have any effect.

337
00:22:13,034 --> 00:22:20,655
What the hell is this?
What the hell?

338
00:22:27,482 --> 00:22:29,586
Shoot! 427 emergency!

339
00:22:35,275 --> 00:22:38,275
Oh shoot!
Pull! Pull!

340
00:22:40,827 --> 00:22:42,896
Oh god no! No!

341
00:22:58,689 --> 00:23:00,965
Rescue crews
arrive quickly,

342
00:23:01,068 --> 00:23:04,103
but the fate of flight 427 is
tragically clear.

343
00:23:05,551 --> 00:23:09,758
There is no hope for the 132
passengers and crew.

344
00:23:09,862 --> 00:23:12,034
The human carnage is so bad

345
00:23:12,137 --> 00:23:15,103
authorities declare
the crash site a biohazard.

346
00:23:15,206 --> 00:23:19,103
US Air 427 accident was
the first US accident where

347
00:23:19,206 --> 00:23:24,137
biohazard suits were used
and it made it more difficult.

348
00:23:24,241 --> 00:23:27,103
They were uncomfortable,
they were hot and to this day

349
00:23:27,206 --> 00:23:30,172
when I put on a pair of rubber
gloves for any reason I'm

350
00:23:30,275 --> 00:23:32,620
instantly transformed
back to the site in Pittsburgh.

351
00:23:32,724 --> 00:23:39,103
Captain John Cox,
a 737 pilot and flight systems

352
00:23:39,206 --> 00:23:42,413
specialist with the Airline
Pilots Association, is asked

353
00:23:42,517 --> 00:23:45,103
to join the team investigating
the crash of Flight 427.

354
00:23:48,206 --> 00:23:50,793
As coroners attempt to collect
human remains,

355
00:23:53,068 --> 00:23:56,206
NTSB lead investigator
Tom Haueter already

356
00:23:56,310 --> 00:23:59,517
knows his hunt for clues will
be long and painstaking.

357
00:23:59,620 --> 00:24:04,068
When we first arrived
to the crash site, uh, well,

358
00:24:04,172 --> 00:24:06,034
first of all,
there was no aircraft there.

359
00:24:06,137 --> 00:24:08,275
There were only bits
and pieces of the airplane.

360
00:24:08,379 --> 00:24:11,310
It wasn't really
recognizable as an airplane.

361
00:24:11,413 --> 00:24:13,827
With the help
of eyewitnesses,

362
00:24:13,931 --> 00:24:17,172
information from the flight data
recorder and the cockpit voice

363
00:24:17,275 --> 00:24:20,862
recorder, investigators begin
to quickly see some striking

364
00:24:20,965 --> 00:24:25,689
similarities between 427 and the
unsolved case of United 585.

365
00:24:29,517 --> 00:24:32,310
In fact, they seem to be
mirror images of each other.

366
00:24:33,862 --> 00:24:37,517
On final approach,
United 585 rolls right,

367
00:24:37,620 --> 00:24:40,172
while US Air 427
rolls to the left.

368
00:24:43,275 --> 00:24:45,586
Both crews are caught
by surprise.

369
00:24:45,689 --> 00:24:47,965
And after just a few
terrifying seconds,

370
00:24:48,068 --> 00:24:50,482
both aircraft plummet
straight into the ground.

371
00:24:50,586 --> 00:24:53,379
Certainly, the whole team
was aware of the previous

372
00:24:53,482 --> 00:24:56,793
accident with United
585 in Colorado Springs.

373
00:24:56,896 --> 00:24:58,551
We tried to keep
that in the back of our minds

374
00:24:58,655 --> 00:25:01,137
and take a look at this one
as to what it presents to us.

375
00:25:01,241 --> 00:25:05,344
As the investigation
continues,

376
00:25:05,448 --> 00:25:10,000
the list of similarities grows:
427's engines were also

377
00:25:10,103 --> 00:25:12,586
attached and functioning
at the time of impact.

378
00:25:14,758 --> 00:25:16,620
But for all the similarities,

379
00:25:16,724 --> 00:25:18,172
there is one important
difference.

380
00:25:19,413 --> 00:25:24,896
Unlike United 585, as US Air
427 approached Pittsburg

381
00:25:25,000 --> 00:25:26,655
weather conditions
were dead calm.

382
00:25:26,758 --> 00:25:30,517
Folks,
from the flight deck

383
00:25:30,620 --> 00:25:33,344
we should be on the ground in
'bout ten more minutes.

384
00:25:33,448 --> 00:25:34,827
Sunny skies, a little hazy.

385
00:25:34,931 --> 00:25:37,896
Taking a look at the flight
data recorder information,

386
00:25:38,000 --> 00:25:39,655
the aircraft's approaching
Pittsburgh.

387
00:25:39,758 --> 00:25:41,724
It's an extremely smooth night.

388
00:25:41,827 --> 00:25:46,137
Uh there's just no turbulence at
all. Uh the pilots are relaxed.

389
00:25:46,241 --> 00:25:47,379
They're talking
about the landing.

390
00:25:47,482 --> 00:25:49,620
Flight attendants
please prepare for landing.

391
00:25:49,724 --> 00:25:51,793
Ask you to check the security
of your seatbelts. Thank you.

392
00:25:51,896 --> 00:25:56,241
As he did
in the case of United 585,

393
00:25:57,689 --> 00:25:59,344
Greg Phillips will
once again lead

394
00:25:59,448 --> 00:26:02,379
the investigation into the
mechanical aspects of the crash.

395
00:26:03,862 --> 00:26:06,724
Almost immediately,
he makes a promising discovery.

396
00:26:08,931 --> 00:26:12,344
Miraculously,
much of US Air 427's tail

397
00:26:12,448 --> 00:26:14,241
and rudder appear intact.

398
00:26:20,413 --> 00:26:22,896
The hydraulic devices
inside the tail

399
00:26:23,000 --> 00:26:25,103
have also sustained
very little damage.

400
00:26:26,620 --> 00:26:29,137
Phillips and Haueter
prepare to send the parts to the

401
00:26:29,241 --> 00:26:33,000
manufacturer Parker Hannifin
for testing as soon as possible.

402
00:26:34,137 --> 00:26:35,965
They need answers.

403
00:26:36,068 --> 00:26:39,620
Pressure on the NTSB to solve
the accident is growing quickly.

404
00:26:42,965 --> 00:26:46,448
Not only are the crashes
of flights 585 and 427

405
00:26:46,551 --> 00:26:49,000
disturbingly similar,
both of them

406
00:26:49,103 --> 00:26:52,034
involve the same kind
of airplane-- a Boeing 737.

407
00:26:56,379 --> 00:26:58,448
But with serious questions
being raised

408
00:26:58,551 --> 00:27:01,758
about the plane's safety,
billions of dollars

409
00:27:01,862 --> 00:27:05,034
and perhaps the airline
industry itself, are at risk.

410
00:27:05,137 --> 00:27:08,896
We couldn't live
with the fact as investigators

411
00:27:09,000 --> 00:27:12,137
of having two
unsolved 737 accidents.

412
00:27:12,241 --> 00:27:15,344
The airplane is in too much use,
too wide a use around the world.

413
00:27:15,448 --> 00:27:17,379
It carries too many
people every day.

414
00:27:17,482 --> 00:27:20,448
Unsolved was not
an acceptable answer.

415
00:27:20,551 --> 00:27:23,275
If 427 was
an undetermined accident,

416
00:27:23,379 --> 00:27:26,586
we could not find
the cause of this accident,

417
00:27:26,689 --> 00:27:28,379
there was a great
chance that there was a,

418
00:27:28,482 --> 00:27:32,517
if there was a third accident
with a 737 fleet under similar

419
00:27:32,620 --> 00:27:36,655
circumstances that the 737 fleet
would have been grounded.

420
00:27:36,758 --> 00:27:41,034
Careful with that.

421
00:27:41,137 --> 00:27:46,758
The investigation
into the crash of flight 427

422
00:27:46,862 --> 00:27:51,034
may be the most important
in the history of the NTSB.

423
00:27:51,137 --> 00:27:55,137
But it won't be easy.
Answers are still years away.

424
00:27:55,241 --> 00:28:00,896
In just three years,
two Boeing 737s

425
00:28:01,000 --> 00:28:03,689
have crashed in the United
States with no survivors.

426
00:28:03,793 --> 00:28:06,517
Airport in sight
United 585.

427
00:28:06,620 --> 00:28:07,448
In both cases,

428
00:28:07,551 --> 00:28:09,172
the planes were
moments from landing.

429
00:28:09,275 --> 00:28:10,448
Flight attendants,
please prepare for landing.

430
00:28:10,551 --> 00:28:13,896
And in both cases, the
planes were under full power,

431
00:28:14,000 --> 00:28:16,379
but the pilots were
unable to control their jets.

432
00:28:16,482 --> 00:28:22,862
Pull! Pull!

433
00:28:22,965 --> 00:28:25,655
In the crash of United
flight 585,

434
00:28:25,758 --> 00:28:28,793
NTSB investigators were
unable to find a cause.

435
00:28:30,551 --> 00:28:33,448
Now, they're searching for clues
into the second crash -

436
00:28:33,551 --> 00:28:34,793
US Air flight 427.

437
00:28:34,896 --> 00:28:38,586
As the investigator in
charge, I never allowed myself

438
00:28:38,689 --> 00:28:41,413
to think this investigation
could go undetermined.

439
00:28:41,517 --> 00:28:43,793
Just we kept on pushing
and kept on researching.

440
00:28:43,896 --> 00:28:46,344
As long as we had things
to research we kept on going.

441
00:28:46,448 --> 00:28:49,655
To find their killer,

442
00:28:49,758 --> 00:28:53,103
the NTSB can't afford to rule
anything out.

443
00:28:53,206 --> 00:28:55,448
From the possibility that
a collision with birds

444
00:28:55,551 --> 00:28:59,931
brought 427 down to strange,
even bizarre theories.

445
00:29:00,034 --> 00:29:02,620
They looked
at electromagnetic interference.

446
00:29:02,724 --> 00:29:03,965
They got calls from people

447
00:29:04,068 --> 00:29:06,620
saying it might be
Russian death rays.

448
00:29:06,724 --> 00:29:07,758
They considered everything.

449
00:29:07,862 --> 00:29:10,310
There were a couple
of witnesses who gave reports of

450
00:29:10,413 --> 00:29:13,448
the aircraft suddenly descending
and hovering before it blew up.

451
00:29:13,551 --> 00:29:14,793
We discounted those.

452
00:29:14,896 --> 00:29:17,965
But the
investigation's primary

453
00:29:18,068 --> 00:29:21,000
suspect is the dual servo valve,

454
00:29:21,103 --> 00:29:24,931
part of the power control unit
that moves the 737's rudder

455
00:29:25,034 --> 00:29:27,344
and a suspect in the crash
of United 585.

456
00:29:30,068 --> 00:29:32,206
Parker Hannifin made the valve.

457
00:29:32,310 --> 00:29:34,655
At it's lab in California,
investigators

458
00:29:34,758 --> 00:29:38,586
look inside the main cavity of
the US Air power control unit.

459
00:29:39,931 --> 00:29:41,517
Just like in the earlier crash,

460
00:29:41,620 --> 00:29:44,965
they find tiny chips of metal
floating in the hydraulic fluid.

461
00:29:47,344 --> 00:29:51,206
But once again, Parker
and Boeing repeat their claim.

462
00:29:51,310 --> 00:29:54,137
Filters designed to stop any
debris from interfering

463
00:29:54,241 --> 00:29:56,827
with the delicate metal
slides have done their job.

464
00:30:00,344 --> 00:30:04,344
Investigator Greg Phillips
wants to be absolutely sure.

465
00:30:04,448 --> 00:30:07,379
If the chips were blocking
the slides, they would have left

466
00:30:07,482 --> 00:30:10,482
tiny scratch marks behind where
they rubbed against the metal.

467
00:30:13,241 --> 00:30:18,724
But Phillips can't find any.
Another pass. Okay.

468
00:30:18,827 --> 00:30:23,448
Phillips has
technicians put the servo

469
00:30:23,551 --> 00:30:25,482
valve from flight 427 through -

470
00:30:25,586 --> 00:30:29,000
as many tests as he can think
of trying to find a weakness.

471
00:30:30,206 --> 00:30:31,586
If he can find one,

472
00:30:31,689 --> 00:30:34,793
it could explain why two planes
were ripped from the sky.

473
00:30:36,620 --> 00:30:37,862
But he comes up empty.

474
00:30:37,965 --> 00:30:42,241
That, that unit passed
all its operational tests.

475
00:30:42,344 --> 00:30:45,620
There wasn't any indication
that it had failed and it,

476
00:30:45,724 --> 00:30:49,310
it operated within the
parameters we expected it to.

477
00:30:49,413 --> 00:30:53,965
Once again,
the investigators are forced

478
00:30:54,068 --> 00:30:56,137
to shift their focus
back to the pilots.

479
00:31:00,965 --> 00:31:03,655
By studying the plane's
flight data recorder,

480
00:31:03,758 --> 00:31:06,310
investigators know that the
jet's rudder was deployed

481
00:31:06,413 --> 00:31:09,655
fully to one side,
what's called rudder hard-over.

482
00:31:09,758 --> 00:31:15,000
We were definitely
focused on a rudder,

483
00:31:15,103 --> 00:31:22,448
on hard over rudder, full rudder
input for about 20 seconds.

484
00:31:22,551 --> 00:31:24,000
It can be caused
either by hardware,

485
00:31:24,103 --> 00:31:25,137
something unknown
in the hardware

486
00:31:25,241 --> 00:31:26,827
or it can be caused
by pilot input.

487
00:31:26,931 --> 00:31:32,344
First Officer
Chuck Emmett, who was

488
00:31:32,448 --> 00:31:37,068
flying 427 did indeed step
down hard on his rudder and then

489
00:31:37,172 --> 00:31:39,827
held it there while the plane
plummeted toward the earth.

490
00:31:41,103 --> 00:31:42,931
It raised a grizzly question,

491
00:31:43,034 --> 00:31:45,379
was he trying to fly
the plane into the ground?

492
00:31:45,482 --> 00:31:50,689
In looking at this and,
being a pilot myself,

493
00:31:50,793 --> 00:31:53,172
it's like this doesn't
seem like rational behaviour.

494
00:31:53,275 --> 00:31:57,931
What the hell is this?

495
00:31:58,034 --> 00:32:00,241
Human performance
specialist Malcolm Brenner

496
00:32:00,344 --> 00:32:04,034
listens closely for evidence
on the cockpit voice recorder.

497
00:32:04,137 --> 00:32:06,827
What the...? No. Shoot.

498
00:32:06,931 --> 00:32:08,758
In this case, they had
microphones right by their

499
00:32:08,862 --> 00:32:11,655
mouths and you can hear as well
as in real life, or better.

500
00:32:11,758 --> 00:32:13,620
You can hear breathing sounds.

501
00:32:15,000 --> 00:32:16,965
Ooh ya.
I see zuh jet stream.

502
00:32:17,068 --> 00:32:20,655
The cockpit recordings
indicate that flight 427's

503
00:32:20,758 --> 00:32:23,758
troubles began at the moment it
flew through the jet wake

504
00:32:23,862 --> 00:32:27,655
of a Delta Airlines 727 that had
just passed in front of them.

505
00:32:27,758 --> 00:32:31,103
Both pilots
are startled by the wake.

506
00:32:31,206 --> 00:32:33,034
I see zuh jet stream.

507
00:32:33,137 --> 00:32:34,931
The first officer
breaks off

508
00:32:35,034 --> 00:32:35,965
at the end of a sentence.

509
00:32:36,068 --> 00:32:38,482
I see the jet stream. Zuh.

510
00:32:38,586 --> 00:32:39,655
And there's no more discussion

511
00:32:39,758 --> 00:32:40,413
of the jet stream
or anything else.

512
00:32:40,517 --> 00:32:42,137
They both focus.
Something happened here.

513
00:32:42,241 --> 00:32:44,965
Captain says sheez.
Sheez.

514
00:32:45,068 --> 00:32:48,793
It was such a smooth
flight that it was a momentary

515
00:32:48,896 --> 00:32:51,586
jolt that they just
hadn't anticipated.

516
00:32:51,689 --> 00:32:54,724
And, with that, the, the pilots
got on the controls

517
00:32:54,827 --> 00:32:56,758
and immediately, you know,
put in a rudder input.

518
00:32:56,862 --> 00:33:02,586
Sheez.

519
00:33:02,689 --> 00:33:05,551
The cockpit recorder
even records the thumping sound

520
00:33:05,655 --> 00:33:08,827
of the jet stream turbulence
as 427 flies through it.

521
00:33:10,000 --> 00:33:12,655
As flight 427 encounters
the turbulence,

522
00:33:12,758 --> 00:33:14,344
Brenner hears something unusual.

523
00:33:16,482 --> 00:33:18,689
First Officer Emmett
begins to grunt.

524
00:33:18,793 --> 00:33:27,034
The grunting
is unusual.

525
00:33:27,137 --> 00:33:29,931
The controls are designed so
that pilots don't need to grunt.

526
00:33:30,034 --> 00:33:32,724
They're specially designed
around human capabilities,

527
00:33:32,827 --> 00:33:34,586
so to have someone
grunting is typically

528
00:33:34,689 --> 00:33:36,103
a sign of an emergency.

529
00:33:36,206 --> 00:33:38,655
By matching
data from the flight

530
00:33:38,758 --> 00:33:40,689
recorder with the crew's voices,

531
00:33:40,793 --> 00:33:43,344
Brenner is able to confirm
that Emmett's grunts begin

532
00:33:43,448 --> 00:33:46,793
a split second after he pushed
down on the rudder pedal and

533
00:33:46,896 --> 00:33:50,103
3 to 4 seconds after the wake
turbulence affected flight 427.

534
00:33:50,206 --> 00:33:53,206
What the...? Help!

535
00:33:53,310 --> 00:33:57,586
On their own,

536
00:33:57,689 --> 00:34:00,655
the cockpit voice recordings
prove very little.

537
00:34:00,758 --> 00:34:02,137
But it seems clear
that the crew

538
00:34:02,241 --> 00:34:04,448
weren't trying
to crash their plane.

539
00:34:04,551 --> 00:34:07,586
Something happened which
took them by surprise.

540
00:34:07,689 --> 00:34:09,655
They reacted as quickly
as they could,

541
00:34:09,758 --> 00:34:11,482
but nothing
they did seemed to help.

542
00:34:12,827 --> 00:34:16,689
What the hell is this?

543
00:34:16,793 --> 00:34:19,551
It's been almost two years
since the crash of flight 427,

544
00:34:20,620 --> 00:34:23,344
and the investigation
has stalled.

545
00:34:23,448 --> 00:34:27,724
Now, two 737s have gone
down in startlingly similar ways

546
00:34:27,827 --> 00:34:30,137
and investigators still
don't know why.

547
00:34:30,241 --> 00:34:34,586
We were all frustrated
as months wore into years.

548
00:34:36,310 --> 00:34:37,379
What were we missing?

549
00:34:37,482 --> 00:34:39,827
It definitely took
a toll in their personal lives.

550
00:34:39,931 --> 00:34:42,379
They worked incredibly
long hours.

551
00:34:42,482 --> 00:34:43,965
They never stopped
thinking about it.

552
00:34:44,068 --> 00:34:46,137
We were going
up against an aircraft

553
00:34:46,241 --> 00:34:48,620
that had an incredible
safety history.

554
00:34:48,724 --> 00:34:52,310
It was really everything you
could see for 30 years

555
00:34:52,413 --> 00:34:53,482
this had been a great airplane.

556
00:34:53,586 --> 00:34:57,862
Um we were trying to prove
that there was

557
00:34:57,965 --> 00:34:59,655
something wrong with
the straight A student.

558
00:34:59,758 --> 00:35:03,275
It clearly
was on his mind.

559
00:35:03,379 --> 00:35:06,620
He at one point had a nightmare
about it, where he dreamed

560
00:35:06,724 --> 00:35:10,206
that he was in front of a
congressional committee that

561
00:35:10,310 --> 00:35:15,965
was grilling him on, now there
had been a third 737 crash.

562
00:35:16,068 --> 00:35:20,172
And, in Tom's dream, all
the cameras were pointing to him

563
00:35:20,275 --> 00:35:23,586
and a congressman asked,
why didn't you ground the fleet?

564
00:35:23,689 --> 00:35:32,137
Unsure of where
to look next,

565
00:35:32,241 --> 00:35:34,793
and with the trail of evidence
getting colder,

566
00:35:34,896 --> 00:35:38,068
investigators need
a break in the case, and fast.

567
00:35:41,000 --> 00:35:43,000
Eastwind 517,
you're clear for landing.

568
00:35:48,068 --> 00:35:50,344
On June 9th 1996,

569
00:35:50,448 --> 00:35:52,931
they finally get the break
they've been looking for.

570
00:35:54,344 --> 00:35:58,103
Captain Brian Bishop is on final
approach to Richmond Virginia

571
00:35:58,206 --> 00:35:59,448
when, without warning,

572
00:35:59,551 --> 00:36:02,103
his Eastwind jet rolls
sharply to the right.

573
00:36:02,206 --> 00:36:10,689
We didn't
know to what extent,

574
00:36:10,793 --> 00:36:13,275
but we knew we had
a problem with the rudder.

575
00:36:13,379 --> 00:36:15,379
I turned the yoke
the opposite direction

576
00:36:15,482 --> 00:36:16,896
and stood on the opposite
rudder pedal.

577
00:36:17,000 --> 00:36:21,103
The pedal didn't move for me.

578
00:36:21,206 --> 00:36:25,275
For over 30 seconds,
the 737 flies in a precarious

579
00:36:25,379 --> 00:36:28,551
right bank as Bishop fights
to keep it from rolling over.

580
00:36:32,000 --> 00:36:35,448
Then suddenly, the unknown
forces holding the jet let go,

581
00:36:39,206 --> 00:36:41,275
snapping the wings
back to horizontal.

582
00:36:41,379 --> 00:36:48,793
In a matter of seconds,
it released itself

583
00:36:48,896 --> 00:36:49,896
and went back to normal.

584
00:36:51,103 --> 00:36:52,448
We had started the checklist.

585
00:36:54,034 --> 00:36:56,000
Almost before I could
finish the sentence,

586
00:36:56,103 --> 00:36:58,206
all of a sudden there
was just a wham.

587
00:36:58,310 --> 00:37:07,931
For a second time,
the 737 is pushed on its side.

588
00:37:09,310 --> 00:37:13,379
For 30 harrowing seconds, the
737 takes on a life of its own.

589
00:37:16,275 --> 00:37:20,551
Then, once again, as quickly
as it began, the rollover stops.

590
00:37:20,655 --> 00:37:26,034
After the second time,
I looked at the first officer

591
00:37:26,137 --> 00:37:27,586
and I said,
declare an emergency.

592
00:37:27,689 --> 00:37:30,310
Tell the controller
we have flight control problems.

593
00:37:30,413 --> 00:37:41,241
As they slow down to
land, the risks increase.

594
00:37:45,931 --> 00:37:47,551
If a third rollover occurs,

595
00:37:47,655 --> 00:37:49,724
they won't have enough
airspeed to recover.

596
00:37:49,827 --> 00:37:52,413
I did, at some point,
tell my first officer

597
00:37:52,517 --> 00:37:56,000
to look out the window
and find a dark spot.

598
00:37:56,103 --> 00:37:58,034
It was nighttime
and we were looking to avoid

599
00:37:58,137 --> 00:38:02,448
a neighbourhood or a populated
area and he very calmly

600
00:38:02,551 --> 00:38:04,379
responded that hey
here's a spot over here.

601
00:38:04,482 --> 00:38:15,689
But there is
no third rollover.

602
00:38:15,793 --> 00:38:20,034
Bishop brings Flight 517 in high
and fast, and lands safely.

603
00:38:20,137 --> 00:38:26,448
Taxiing in is when
I realized my legs were shaking.

604
00:38:28,068 --> 00:38:30,034
We got the aircraft to the gate

605
00:38:30,137 --> 00:38:32,724
and I did pick up the PA to make
an announcement to try

606
00:38:32,827 --> 00:38:35,482
to explain what had just
happened to these people.

607
00:38:35,586 --> 00:38:39,965
And on picking up the microphone
I realized there was

608
00:38:40,068 --> 00:38:42,724
nothing I could say to make
this any better.

609
00:38:42,827 --> 00:38:46,689
And probably for the first
time in a long time

610
00:38:46,793 --> 00:38:48,655
I was at a loss of words.

611
00:38:48,758 --> 00:38:54,620
So I simply put the microphone
down and let it go at that.

612
00:38:54,724 --> 00:38:57,758
But Bishop won't
remain speechless for long.

613
00:38:57,862 --> 00:38:58,793
By the next day,

614
00:38:58,896 --> 00:39:01,448
the investigation team has
arrived in Richmond.

615
00:39:01,551 --> 00:39:07,413
Flight data
recorder was undamaged,

616
00:39:07,517 --> 00:39:08,655
the airplane undamaged.

617
00:39:08,758 --> 00:39:10,655
We launched to the scene.

618
00:39:10,758 --> 00:39:13,517
The airplane literally
didn't move,

619
00:39:13,620 --> 00:39:15,965
stayed at its location at the
airport 'til we got down there.

620
00:39:16,068 --> 00:39:19,103
There were a lot of FAA,
a lot of NTSB

621
00:39:19,206 --> 00:39:21,551
and they all
wanted to talk to us very badly.

622
00:39:21,655 --> 00:39:25,275
It gave the NTSB
a tremendous break

623
00:39:25,379 --> 00:39:27,620
because suddenly
they had a 737

624
00:39:27,724 --> 00:39:29,517
that had had a rudder incident,

625
00:39:29,620 --> 00:39:33,000
that was intact, and
they had a pilot who was alive

626
00:39:33,103 --> 00:39:34,482
and who could talk about it.

627
00:39:34,586 --> 00:39:35,310
I think they were
much happier

628
00:39:35,413 --> 00:39:36,413
to have the airplane than me.

629
00:39:37,724 --> 00:39:41,137
I think the airplane
probably gave them

630
00:39:41,241 --> 00:39:44,034
more to research
than I ever could.

631
00:39:44,137 --> 00:39:48,931
NTSB investigators
quickly determine that what

632
00:39:49,034 --> 00:39:52,689
happened onboard Eastwind
flight 517 is alarmingly

633
00:39:52,793 --> 00:39:55,724
similar to events
on flights 427 and 585.

634
00:39:56,965 --> 00:40:00,655
If they can discover why
Bishop's 737 rolled over,

635
00:40:00,758 --> 00:40:04,965
they may be able to crack two
mysterious and fatal accidents.

636
00:40:05,068 --> 00:40:06,379
And when we
said what happened?

637
00:40:06,482 --> 00:40:09,068
They said there was something
wrong with the rudder pedal.

638
00:40:09,172 --> 00:40:10,793
The pedal wouldn't go down.

639
00:40:10,896 --> 00:40:12,724
I was standing on
the rudder pedal

640
00:40:12,827 --> 00:40:14,344
and I couldn't get it
to go down.

641
00:40:17,275 --> 00:40:18,448
My god!

642
00:40:18,551 --> 00:40:23,965
With Bishop's first
person testimony, investigators

643
00:40:24,068 --> 00:40:27,000
immediately zero in on
Eastwind's rudder controls.

644
00:40:31,241 --> 00:40:34,137
The power control unit
is removed, inspected

645
00:40:34,241 --> 00:40:36,241
and then tested again and again.

646
00:40:39,310 --> 00:40:43,137
To the frustration of everyone,
the unit performs perfectly.

647
00:40:43,241 --> 00:40:46,103
We tested that
aircraft as is. It was intact.

648
00:40:46,206 --> 00:40:49,379
We went through it completely,
did flight tests with it.

649
00:40:49,482 --> 00:40:52,103
And it passed all tests.

650
00:40:52,206 --> 00:40:58,034
After a five-year hunt
for clues, a third mysterious

651
00:40:58,137 --> 00:41:03,379
rudder event on a 737 and a live
pilot as a witness, Tom Haueter

652
00:41:03,482 --> 00:41:06,206
still lacks the evidence
he needs to crack his case.

653
00:41:08,172 --> 00:41:10,482
He decides to push
his chief suspect,

654
00:41:10,586 --> 00:41:13,655
Flight 427's rudder controls,
a little harder.

655
00:41:13,758 --> 00:41:20,793
One fellow mentioned a test

656
00:41:20,896 --> 00:41:26,413
they had done in the military
of a thermal shock where

657
00:41:26,517 --> 00:41:30,068
if you had the actuator being
very cold and put in very hot

658
00:41:30,172 --> 00:41:33,586
hydraulic fluid, it would cause
it to react in strange ways.

659
00:41:37,034 --> 00:41:39,551
So we put together
the thermal shock test.

660
00:41:39,655 --> 00:41:41,724
And this test was extreme,
to say the least.

661
00:41:41,827 --> 00:41:46,103
On August 26th 1996,

662
00:41:48,034 --> 00:41:51,482
in Valencia California,
NTSB investigators

663
00:41:51,586 --> 00:41:54,655
gather to watch the torture
test of US Air 427's PCU.

664
00:41:58,551 --> 00:42:00,517
After soaking it in dry ice,

665
00:42:00,620 --> 00:42:03,827
the PCU is blasted with nitrogen
gas to simulate

666
00:42:03,931 --> 00:42:07,068
the minus 40-degree temperatures
at 10-thousand meters.

667
00:42:10,965 --> 00:42:14,758
Then, it's quickly injected with
super-heated hydraulic fluid

668
00:42:14,862 --> 00:42:16,827
and given the command
to start working.

669
00:42:16,931 --> 00:42:22,689
As we were standing there
listening to the actuator

670
00:42:22,793 --> 00:42:29,137
move left and right,
left and right it stopped,

671
00:42:30,448 --> 00:42:32,137
and it was not
commanded to stop.

672
00:42:32,241 --> 00:42:37,000
It just jammed, stopped
working completely. Take a look.

673
00:42:37,103 --> 00:42:44,482
Systems investigator
Greg Phillips now

674
00:42:44,586 --> 00:42:48,068
asks that the valve be taken
apart and scanned for scratches.

675
00:42:52,689 --> 00:42:53,758
They find none.

676
00:42:53,862 --> 00:42:57,724
Look at that.
Doesn't leave a trace.

677
00:42:58,931 --> 00:43:00,241
It is
a crucial breakthrough

678
00:43:00,344 --> 00:43:03,517
to solving an
almost perfect crime.

679
00:43:03,620 --> 00:43:06,172
Not only have they proven
that the valve which controls

680
00:43:06,275 --> 00:43:09,896
the rudders can jam,
no evidence is left behind.

681
00:43:12,931 --> 00:43:15,896
Tom Haueter and his team have
now found that a small

682
00:43:16,000 --> 00:43:18,896
hydraulic valve that controls
the rudder of the world's most

683
00:43:19,000 --> 00:43:23,034
popular commercial jetliner can
jam in the right circumstances.

684
00:43:25,448 --> 00:43:29,827
It's an ominous discovery
but incredibly, there's another

685
00:43:29,931 --> 00:43:32,724
shocking surprise in store
for the investigators.

686
00:43:37,000 --> 00:43:38,793
October the 15th,
1996.

687
00:43:40,137 --> 00:43:42,689
For the last five years
the National Transportation

688
00:43:42,793 --> 00:43:45,931
Safety Board has been struggling
to crack its toughest case--

689
00:43:48,689 --> 00:43:52,103
two completely separate
but seemingly linked accidents.

690
00:43:54,137 --> 00:43:58,379
The crash of United 585 killed
25 passengers and crew.

691
00:44:03,172 --> 00:44:06,862
Three years later, the
US Air Flight 427 disaster took

692
00:44:06,965 --> 00:44:09,172
another 1-hundred and 32 lives.

693
00:44:15,758 --> 00:44:18,551
Now, after examining
hundreds of clues,

694
00:44:18,655 --> 00:44:21,275
investigators have made
a surprising discovery.

695
00:44:24,310 --> 00:44:27,620
A new test has revealed that
under the right circumstances,

696
00:44:27,724 --> 00:44:31,620
the hydraulic valve that moves
the 737's rudder can jam.

697
00:44:31,724 --> 00:44:34,103
It just jammed.

698
00:44:34,206 --> 00:44:37,068
But the surprises
aren't over.

699
00:44:37,172 --> 00:44:41,275
The most important
breakthrough came

700
00:44:41,379 --> 00:44:43,275
when a Boeing engineer,

701
00:44:43,379 --> 00:44:48,862
examining the data from that
test, discovered some numbers

702
00:44:48,965 --> 00:44:54,034
that indicated the valve at that
point had actually reversed.

703
00:44:54,137 --> 00:44:58,517
Whoa. Sheez.

704
00:44:58,620 --> 00:45:00,689
It is
a stunning revelation.

705
00:45:00,793 --> 00:45:03,275
Not only can
the servo-valve jam,

706
00:45:03,379 --> 00:45:05,965
but it can then
function in reverse.

707
00:45:06,068 --> 00:45:08,482
It means that anytime
a pilot tries to correct

708
00:45:08,586 --> 00:45:11,551
a rollover by pushing
on the rudder, the rudder might

709
00:45:11,655 --> 00:45:15,379
turn in the opposite direction,
causing a fatal accident.

710
00:45:15,482 --> 00:45:18,551
And the reversal
is like driving your car.

711
00:45:18,655 --> 00:45:20,344
You turn to the right,
it goes left.

712
00:45:21,482 --> 00:45:23,206
You're not gonna figure
out this failure mode

713
00:45:23,310 --> 00:45:24,517
until you go off the road.

714
00:45:24,620 --> 00:45:27,965
And, in these cases, that's what
the pilots were faced with,

715
00:45:28,068 --> 00:45:30,068
something so unusual

716
00:45:30,172 --> 00:45:31,793
that they didn't understand
what was happening.

717
00:45:31,896 --> 00:45:35,896
What the hell is this?

718
00:45:36,000 --> 00:45:39,827
They had evidence
now that the valve was unique,

719
00:45:39,931 --> 00:45:44,586
that the valve not only could
jam, but would reverse.

720
00:45:44,689 --> 00:45:46,482
427 emergency.

721
00:45:46,586 --> 00:45:52,931
That would explain
why the first officer,

722
00:45:53,034 --> 00:45:56,862
Chuck Emmett, would keep
his foot on the rudder pedal,

723
00:45:56,965 --> 00:46:01,206
because he's thinking why
isn't the plane going right?

724
00:46:01,310 --> 00:46:03,482
And he's feeling
the plane go to the left.

725
00:46:03,586 --> 00:46:09,206
To the very end,
Chuck Emmett pushes hard,

726
00:46:09,310 --> 00:46:12,517
hoping his rudder will help him
pull out of his deadly spiral.

727
00:46:14,172 --> 00:46:16,413
Tragically, he has no
way of knowing that he's

728
00:46:16,517 --> 00:46:18,862
steering his aircraft
straight into the ground.

729
00:46:24,068 --> 00:46:26,344
Never driven to Colorado
Springs and not gotten sick.

730
00:46:31,758 --> 00:46:33,310
Flight attendants
prepare for landing.

731
00:46:33,413 --> 00:46:36,448
Satisfied that
they've determined

732
00:46:36,551 --> 00:46:39,758
the cause of the crash
of US Air 427,

733
00:46:39,862 --> 00:46:43,793
the NTSB turns its attention to
the unsolved case of United 585.

734
00:46:43,896 --> 00:46:49,896
Another ten knot gain.

735
00:46:50,000 --> 00:46:51,482
Going
back to Colorado Springs,

736
00:46:51,586 --> 00:46:54,000
you could follow a progression
of what the captain was doing.

737
00:46:55,206 --> 00:46:57,793
He's close to the ground
and suddenly under rudder

738
00:46:57,896 --> 00:46:59,724
reversal he puts in a little
bit of pedal.

739
00:46:59,827 --> 00:47:02,965
The pedal violently
pushes his leg back.

740
00:47:05,482 --> 00:47:05,965
Oh god, flip.
Fifteen flaps.

741
00:47:06,068 --> 00:47:08,793
Fifteen.

742
00:47:08,896 --> 00:47:10,862
Rudder reversal
certainly fits what

743
00:47:10,965 --> 00:47:12,551
I know about this crew
and how it fits.

744
00:47:12,655 --> 00:47:15,379
We were able to show
the failure mode.

745
00:47:15,482 --> 00:47:18,965
It matched the flight data
recorder for each aircraft.

746
00:47:19,068 --> 00:47:19,793
It fit like a glove.

747
00:47:21,275 --> 00:47:23,172
So we now had
a lot more information

748
00:47:23,275 --> 00:47:26,344
we could apply
to United Flight 585 and,

749
00:47:26,448 --> 00:47:28,172
based on that, we redid
the accident report.

750
00:47:28,275 --> 00:47:29,965
Oh my god, oh my god!

751
00:47:30,068 --> 00:47:32,310
From rudder
reversal to impact took

752
00:47:32,413 --> 00:47:34,551
less than ten seconds.

753
00:47:34,655 --> 00:47:37,034
585's flight crew had no chance

754
00:47:37,137 --> 00:47:39,137
to save their
plane or passengers.

755
00:47:42,000 --> 00:47:43,689
In the aftermath
of the investigation,

756
00:47:43,793 --> 00:47:45,965
sweeping changes were
made to improve

757
00:47:46,068 --> 00:47:49,724
the safety of the 737 and
the entire aviation industry.

758
00:47:51,793 --> 00:47:54,448
New training protocols were
designed to help pilots

759
00:47:54,551 --> 00:47:57,689
react to unusual
in-flight events.

760
00:47:57,793 --> 00:48:01,655
In the 737 fleet, pilots
are now trained on how to react

761
00:48:01,758 --> 00:48:04,172
to both rudder hard-overs
and reversals.

762
00:48:04,275 --> 00:48:09,344
The scenario
of the US Air 427 accident,

763
00:48:09,448 --> 00:48:13,448
if the crew had the information
that we have today I believe

764
00:48:13,551 --> 00:48:15,034
they would have landed safely
in Pittsburgh that evening.

765
00:48:15,137 --> 00:48:22,517
The FAA also directed
Boeing to redesign the rudder's

766
00:48:22,620 --> 00:48:26,000
dual servo valve to eliminate
the potential for reversal.

767
00:48:27,517 --> 00:48:29,931
Boeing spent hundreds
of millions of dollars to

768
00:48:30,034 --> 00:48:33,551
replace the valves on thousands
of 737s around the world.

769
00:48:33,655 --> 00:48:36,758
One thing we don't
like at the Safety Board

770
00:48:36,862 --> 00:48:38,827
is to have an undetermined
accident,

771
00:48:38,931 --> 00:48:42,275
because then we can't make
a change to improve safety.

772
00:48:42,379 --> 00:48:45,000
So out of US Air 427,
United 585,

773
00:48:46,241 --> 00:48:48,724
we have a much safer 737 fleet.

774
00:48:48,827 --> 00:48:59,620
It took NTSB tin
kickers ten years to solve

775
00:48:59,724 --> 00:49:03,000
the mysterious crashes
of Flights 585 and 427,

776
00:49:04,172 --> 00:49:06,862
the longest investigation
in aviation history.

777
00:49:06,965 --> 00:49:11,344
There are still some
people in aviation who

778
00:49:11,448 --> 00:49:13,620
don't think the NTSB
got it right.

779
00:49:13,724 --> 00:49:16,689
But I became convinced after
talking to many, many,

780
00:49:16,793 --> 00:49:21,275
many people, pilots, engineers,
people at Boeing uh

781
00:49:21,379 --> 00:49:22,620
and spending a lot of time

782
00:49:22,724 --> 00:49:25,241
with the investigators
that they did get it right.

783
00:49:25,344 --> 00:49:33,620
Since the replacement
of the 737 servo valves,

784
00:49:33,724 --> 00:49:36,586
there hasn't been a similar
crash of the most popular,

785
00:49:36,689 --> 00:49:38,965
most profitable
plane in the world.


