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What's going on?
2
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NARRATOR: In Miami,
a 140-ton cargo plane
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pitches up suddenly on takeoff.
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Oh, no!
5
00:00:14,581 --> 00:00:16,649
How much weight
was on the airplane
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00:00:16,649 --> 00:00:20,453
might have affected the pitch
control of this aircraft.
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00:00:20,453 --> 00:00:22,589
NARRATOR: When a packed
commuter flight crashes,
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it reveals that passengers
are at risk every day.
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It was sitting
low when taxied out.
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It looked heavy.
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Baggage people said
it was hard to shut
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the door because they thought
bags were going to come out.
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NARRATOR: And a
jumbo jet heavily
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loaded with armored vehicles--
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Get the nose down!
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I'm trying!
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NARRATOR: --mysteriously
falls from the sky.
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Holy crap.
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One of those things
actually moved.
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That cargo shifts,
you'll wind up
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with a potential pitch problem.
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NARRATOR: Three planes with
perilous payloads force
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investigators to question
every calculation.
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We know what to do.
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We just don't do it.
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FLIGHT ATTENDANT 1:
Ladies and gentlemen,
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we are starting our approach.
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PILOT: We lost both engines.
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FLIGHT ATTENDANT 2: Put
the mask over your nose.
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Emergency descent.
MAN 1: Mayday, mayday.
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FLIGHT ATTENDANT 3:
Brace for impact!
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MAN 2: I think lost one.
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REPORTER: Investigation is
starting on the tragedy.
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MAN 3: He's gonna crash!
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NARRATOR: August 7, 1997,
Fine Air Cargo Flight 101
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prepares for a flight
from Miami, Florida
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to the Dominican Republic.
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TOWER: Fine Air 101,
clear to Santo Domingo.
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Where are you parked?
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NARRATOR: Captain
Patrick Thompson
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is a former Marine and
highly experienced pilot
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specializing in cargo flights.
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OK, 1407 on the
squawk, and we're
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up in the northeast corner.
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Thanks.
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NARRATOR: First Officer Steve
Petrosky will be the pilot
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flying during this leg.
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All good out there.
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OK.
50
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Thank you.
51
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NARRATOR: Flight
Engineer Glenn Millington
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just finished his walk-around.
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He still needs to
check the cargo.
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They still got the belly open?
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Yeah, I'll go back and
check out what's going on.
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NARRATOR: Fine Air
is the largest cargo
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airline flying into
and out of Miami,
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a hub that's rapidly expanding.
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Miami-Dade and literally
all the South Florida area,
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the 90s was heyday.
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There was this big economic boom
from trade with Latin America.
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NARRATOR: Today's
route to Santo Domingo
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is a two-hour 10-minute flight
southeast over the Atlantic.
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In the cargo hold, Millington
checks to see if the pallets
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holding the cargo are secure.
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Looks like we're good to go.
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NARRATOR: The DC-8
is loaded with more
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than 87,000 pounds of denim.
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Howdy.
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NARRATOR: Cargo so valuable
it requires a security escort.
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At 12:30 PM, Flight 101
taxis to its runway.
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Fine Air 101, fly
heading two, seven, zero,
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cleared for takeoff.
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Clear takeoff 27 right.
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Fine Air 101, heavy.
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Four spooled and stable.
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Max power.
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OK, coming up on
60 knots, power set.
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80.
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NARRATOR: The takeoff
is going smoothly.
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V1, rotate.
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Hey, easy, easy, easy.
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NARRATOR: Suddenly,
the nose pitches up.
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Something is wrong.
85
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The air traffic controller is
alarmed by what he now sees.
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What's going on?
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00:04:26,532 --> 00:04:28,534
Whoa, whoa!
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NARRATOR: The crew fights to
get the plane under control.
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But they can't.
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Too low.
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Too low, terrain.
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00:04:36,976 --> 00:04:39,812
What's happening?
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00:04:39,812 --> 00:04:40,647
Up, up.
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00:04:44,817 --> 00:04:45,652
No!
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00:04:55,828 --> 00:04:57,530
Where is your emergency?
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Yes, there's been a plane
crash at 72nd and 25th.
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00:05:01,801 --> 00:05:02,902
You need to roll
everything because it's
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00:05:02,902 --> 00:05:04,504
right down across the street.
99
00:05:07,407 --> 00:05:09,042
NARRATOR: It's the unthinkable--
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00:05:09,042 --> 00:05:12,412
a plane crash in
the heart of Miami.
101
00:05:12,412 --> 00:05:14,681
Everybody needs to move out of
the way, back off the sidewalk.
102
00:05:14,681 --> 00:05:16,149
All the way back.
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00:05:16,149 --> 00:05:17,917
We need you to go
across the street, please.
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00:05:17,917 --> 00:05:21,554
NARRATOR: Hundreds of people
have witnessed the catastrophe.
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I saw a plane
coming directly at me.
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When it crossed
one of the freeways,
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by chance the traffic
lights were red.
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And so it managed to
cross the freeway with not
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a huge amount of loss of life.
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NARRATOR: The plane's three-men
crew and an onboard security
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00:05:42,775 --> 00:05:46,579
guard are confirmed dead.
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00:05:46,579 --> 00:05:49,649
And one victim on the ground
is killed in his parked car.
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The National Transportation
Safety Board in Washington
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rushes their go-team to Miami.
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Former Air Force
pilot Bob Benson
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is the lead investigator.
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00:06:08,901 --> 00:06:11,971
More than 48,000
pounds of jet fuel
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turn the plane into a
mass of smoking debris.
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00:06:15,975 --> 00:06:17,710
There weren't a lot
of large parts left.
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The engines were recognizable,
pieces of the tail perhaps.
121
00:06:21,114 --> 00:06:23,049
But the rest of it
was a burnt up mess.
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00:06:25,985 --> 00:06:28,788
NARRATOR: Bob Benson is eager
to get data from the plane's
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blackbox recorders.
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I got them both.
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00:06:33,493 --> 00:06:34,961
Good work.
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00:06:34,961 --> 00:06:37,096
NARRATOR: They're sent to
Washington for analysis.
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00:06:45,138 --> 00:06:47,640
As investigators wait
for the flight data,
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00:06:47,640 --> 00:06:50,910
a witness account from the
plane's air traffic controller
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00:06:50,910 --> 00:06:53,146
gives them immediate insight.
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00:06:53,146 --> 00:06:57,116
Just after takeoff,
he went steeply nose up.
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00:06:57,116 --> 00:07:00,853
I could see the
tops of the wings.
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00:07:00,853 --> 00:07:02,755
What this told us early
in the investigation
133
00:07:02,755 --> 00:07:05,858
was that we either had a problem
with the airplane, something
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00:07:05,858 --> 00:07:07,994
that the pilots did
during the takeoff,
135
00:07:07,994 --> 00:07:10,129
or there may have been
something wrong with the load.
136
00:07:13,666 --> 00:07:15,067
They were definitely spinning.
137
00:07:15,067 --> 00:07:17,003
NARRATOR: Benson
and his team quickly
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00:07:17,003 --> 00:07:21,641
rule out a mechanical problem
with the plane's engines.
139
00:07:21,641 --> 00:07:24,177
We looked inside them, and
it looked like they were all
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00:07:24,177 --> 00:07:26,078
operating at
high-power settings,
141
00:07:26,078 --> 00:07:30,650
just from visual examination.
142
00:07:30,650 --> 00:07:32,752
NARRATOR: They begin
scouring the scorched cargo
143
00:07:32,752 --> 00:07:36,556
hold in search of answers.
144
00:07:36,556 --> 00:07:38,024
Got something.
145
00:07:38,024 --> 00:07:40,226
NARRATOR: Picking through
layers of torched debris,
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00:07:40,226 --> 00:07:43,029
Benson makes a
shocking discovery.
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This bear claw is unlocked.
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NARRATOR: Bear claws
physically clamp
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00:07:46,899 --> 00:07:50,269
pallets to the cargo hold.
150
00:07:50,269 --> 00:07:55,208
We found a lot of these bear
claws, or cargo locks, open.
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00:07:55,208 --> 00:07:57,176
So they wouldn't have
been restraining cargo.
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00:08:00,646 --> 00:08:02,048
NARRATOR: Every
pallet in the hold
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00:08:02,048 --> 00:08:04,050
is supposed to be
locked before takeoff
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00:08:04,050 --> 00:08:06,953
to prevent cargo from shifting.
155
00:08:06,953 --> 00:08:09,989
But at the crash scene,
investigators find even
156
00:08:09,989 --> 00:08:13,092
more bear claws that are open.
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00:08:13,092 --> 00:08:16,896
We found 60 bear
claws, and like 57 or so
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were actually open.
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00:08:18,731 --> 00:08:22,068
And that was not a good thing.
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00:08:22,068 --> 00:08:23,836
NARRATOR: It's a
disturbing discovery,
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00:08:23,836 --> 00:08:28,207
indicating the possibility
the cargo shifted on takeoff.
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00:08:28,207 --> 00:08:29,642
Hey, easy, easy.
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Easy.
164
00:08:33,312 --> 00:08:36,082
NARRATOR: A plane's cargo must
be carefully positioned to keep
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00:08:36,082 --> 00:08:39,285
its front and rear balanced.
166
00:08:39,285 --> 00:08:43,222
The balancing point is
called the center of gravity.
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00:08:43,222 --> 00:08:45,758
The center of
gravity of an airplane
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00:08:45,758 --> 00:08:50,930
is a theoretical point at
which the airplane balances.
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00:08:50,930 --> 00:08:53,332
If you could hold up the
airplane by your finger,
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00:08:53,332 --> 00:08:58,638
it would be the one place that
it would be totally balanced.
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00:08:58,638 --> 00:09:01,707
NARRATOR: If the center of
gravity shifts mid-flight,
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00:09:01,707 --> 00:09:06,712
then the plane becomes unstable
and might be impossible to fly.
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00:09:06,712 --> 00:09:09,849
It's very important
that the center of gravity
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00:09:09,849 --> 00:09:12,218
stays within its
specified range.
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00:09:12,218 --> 00:09:14,787
If you have too many
pallets shifting
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00:09:14,787 --> 00:09:19,025
in the rear of the airplane,
it's going to be too tailheavy.
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00:09:19,025 --> 00:09:20,960
If they're in the forward
part of the airplane,
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it'll be too noseheavy.
179
00:09:24,163 --> 00:09:27,667
NARRATOR: If the cargo on Flight
101 shifted during takeoff--
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Rotate.
181
00:09:29,402 --> 00:09:30,970
NARRATOR: --the change in
the plane's center of gravity
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00:09:30,970 --> 00:09:33,339
could have been catastrophic.
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00:09:33,339 --> 00:09:34,240
Hey, easy, easy.
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00:09:34,240 --> 00:09:36,742
The airplane may
pick up very rapidly,
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00:09:36,742 --> 00:09:38,344
and they would
have to react very
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00:09:38,344 --> 00:09:42,815
quickly so that it doesn't
pitch up into a stall condition.
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00:09:42,815 --> 00:09:43,649
What's going on?
188
00:09:43,649 --> 00:09:45,051
Whoa.
189
00:09:45,051 --> 00:09:46,886
NARRATOR: And that's
exactly what the air traffic
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00:09:46,886 --> 00:09:50,690
controller reported seeing.
191
00:09:50,690 --> 00:09:54,026
Just four days after
Flight 101 came down,
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00:09:54,026 --> 00:09:56,662
investigators are now
confident that shifting
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cargo caused the crash.
194
00:09:59,131 --> 00:10:01,133
Now all they have to do--
195
00:10:01,133 --> 00:10:02,234
Oh, no.
196
00:10:02,234 --> 00:10:02,802
No!
197
00:10:02,802 --> 00:10:04,003
NARRATOR: --is prove it.
198
00:10:09,709 --> 00:10:13,079
NARRATOR: Investigators need to
confirm if the cargo on board
199
00:10:13,079 --> 00:10:15,181
Fine Air Flight
101 wasn't properly
200
00:10:15,181 --> 00:10:20,219
secured, shifting the center
of gravity of the aircraft.
201
00:10:20,219 --> 00:10:21,154
Hey, easy, easy.
202
00:10:21,154 --> 00:10:24,090
That led us to start
talking to the folks
203
00:10:24,090 --> 00:10:27,927
that actually loaded the cargo.
204
00:10:27,927 --> 00:10:29,228
NARRATOR: Benson
discovers that Fine
205
00:10:29,228 --> 00:10:31,597
Air had a partnership
with a Dominican
206
00:10:31,597 --> 00:10:33,933
freight company, Aeromar.
207
00:10:36,336 --> 00:10:40,640
There's no doubt most of
them were left unlocked.
208
00:10:40,640 --> 00:10:45,044
NARRATOR: Investigators expect
the supervisor to admit fault.
209
00:10:45,044 --> 00:10:47,347
But it's almost the opposite.
210
00:10:47,347 --> 00:10:51,384
We only log the
first and last pallets.
211
00:10:51,384 --> 00:10:53,353
NARRATOR: The supervisor
shows investigators
212
00:10:53,353 --> 00:10:56,322
another DC-8 which is being
loaded with 18 pallets.
213
00:10:59,625 --> 00:11:02,362
Each pallet is wheeled
into place along a rail
214
00:11:02,362 --> 00:11:03,162
built into the floor.
215
00:11:07,900 --> 00:11:10,136
All of the spaces in
the hold get filled with
216
00:11:10,136 --> 00:11:12,939
either empty or loaded pallets.
217
00:11:12,939 --> 00:11:16,642
If the pallets at the front and
back of the plane are locked,
218
00:11:16,642 --> 00:11:19,979
the cargo can't shift.
219
00:11:19,979 --> 00:11:23,383
Records show that all 18
positions on Flight 101
220
00:11:23,383 --> 00:11:27,353
were filled with either
full or empty pallets.
221
00:11:27,353 --> 00:11:30,189
I can't see how it
would have shifted.
222
00:11:30,189 --> 00:11:32,825
We knew that there
wasn't enough space
223
00:11:32,825 --> 00:11:35,928
for cargo to have shifted.
224
00:11:35,928 --> 00:11:38,798
NARRATOR: The tidy theory of
cargo shifting is shot down.
225
00:11:43,336 --> 00:11:47,173
The investigation
needs a new angle.
226
00:11:47,173 --> 00:11:50,443
If the cargo was secure,
Benson and his team
227
00:11:50,443 --> 00:11:52,979
wonder if the pilots
misconfigured the plane
228
00:11:52,979 --> 00:11:55,681
according to its load.
229
00:11:55,681 --> 00:11:57,183
Let's get started.
230
00:11:57,183 --> 00:11:59,085
NARRATOR: That could have
caused the plane to pitch up
231
00:11:59,085 --> 00:12:02,021
and suddenly go out of control.
232
00:12:02,021 --> 00:12:04,357
Before takeoff,
pilots pre-select
233
00:12:04,357 --> 00:12:06,726
the pitch of the
play by adjusting
234
00:12:06,726 --> 00:12:09,262
the rear horizontal stabilizer.
235
00:12:09,262 --> 00:12:11,898
The angle of the stabilizer
is determined according to
236
00:12:11,898 --> 00:12:14,867
the plane's weight and balance.
237
00:12:14,867 --> 00:12:15,902
All good up there.
238
00:12:15,902 --> 00:12:17,770
OK, Thank you.
239
00:12:17,770 --> 00:12:20,373
NARRATOR: Now in possession
of the blackbox data,
240
00:12:20,373 --> 00:12:24,243
investigators listen to the
cockpit voice recording.
241
00:12:24,243 --> 00:12:26,412
2.4 indicated.
242
00:12:26,412 --> 00:12:29,115
NARRATOR: They confirm the
pilots had configured the jet
243
00:12:29,115 --> 00:12:32,251
according to the reported load.
244
00:12:32,251 --> 00:12:35,154
So why the extreme pitch-up?
245
00:12:35,154 --> 00:12:37,089
NARRATOR: Again,
investigators are stumped.
246
00:12:40,126 --> 00:12:42,728
If the stabilizer setting
was configured according
247
00:12:42,728 --> 00:12:44,363
to its weight and balance--
248
00:12:44,363 --> 00:12:45,565
Max power.
249
00:12:45,565 --> 00:12:49,268
NARRATOR: --investigators
need to develop a new theory.
250
00:12:49,268 --> 00:12:52,972
Was the plane too heavy to fly?
251
00:12:52,972 --> 00:12:55,441
We were focusing on
how much weight was
252
00:12:55,441 --> 00:12:58,010
on the airplane, as it might
have affected the pitch
253
00:12:58,010 --> 00:12:59,045
control of this aircraft.
254
00:13:03,783 --> 00:13:06,185
NARRATOR: Benson and his
team compare the cargo
255
00:13:06,185 --> 00:13:07,954
weight against
the manufacturer's
256
00:13:07,954 --> 00:13:10,490
maximum weight specifications.
257
00:13:10,490 --> 00:13:14,994
The plane was 32,000
pounds underweight.
258
00:13:14,994 --> 00:13:17,263
NARRATOR: It's a dead end.
259
00:13:17,263 --> 00:13:19,465
The plane wasn't overweight.
260
00:13:19,465 --> 00:13:23,803
But Benson knows
something isn't adding up.
261
00:13:23,803 --> 00:13:25,905
A lot of little things
built up to have us
262
00:13:25,905 --> 00:13:29,909
believe that Fine Airlines
wasn't living up to its name.
263
00:13:34,313 --> 00:13:36,516
NARRATOR: Desperate
to find a new clue,
264
00:13:36,516 --> 00:13:38,951
Benson's team reviews
all of their evidence,
265
00:13:38,951 --> 00:13:41,320
including security footage
of the plane loading.
266
00:13:45,358 --> 00:13:48,461
Everything seems to be
routine until Benson
267
00:13:48,461 --> 00:13:52,331
is struck by the sight of
cargo coming off the plane.
268
00:13:52,331 --> 00:13:53,165
Take a look.
269
00:13:56,969 --> 00:14:00,106
Any idea what's going on?
270
00:14:00,106 --> 00:14:02,241
Me neither.
271
00:14:02,241 --> 00:14:05,478
NARRATOR: Adding to the mystery,
the Aeromar and Fine Air
272
00:14:05,478 --> 00:14:09,148
supervisors are in
a heated discussion.
273
00:14:09,148 --> 00:14:10,850
Something was amiss.
274
00:14:10,850 --> 00:14:15,154
We didn't know what, but
something was going on.
275
00:14:15,154 --> 00:14:17,890
NARRATOR: Benson needs
to find out what.
276
00:14:17,890 --> 00:14:22,328
So they pay another visit
to the loading teams.
277
00:14:22,328 --> 00:14:25,097
Why did you remove those
pallets at the last minute?
278
00:14:25,097 --> 00:14:27,133
The pallets didn't fit.
279
00:14:27,133 --> 00:14:29,502
NARRATOR: Investigators now
learn that two of the pallets
280
00:14:29,502 --> 00:14:31,504
couldn't fit their
assigned space
281
00:14:31,504 --> 00:14:34,440
because their pre-wrapped
cargo spilled over the side.
282
00:14:37,143 --> 00:14:39,412
They don't fit.
283
00:14:39,412 --> 00:14:41,113
NARRATOR: The Fine
Air supervisor is
284
00:14:41,113 --> 00:14:43,416
asked how he fixed the problem.
285
00:14:43,416 --> 00:14:47,620
And his solution
shocks investigators.
286
00:14:47,620 --> 00:14:52,224
Get these ones out so you
can push those ones back.
287
00:14:52,224 --> 00:14:54,527
NARRATOR: They moved
several loaded pallets back
288
00:14:54,527 --> 00:14:58,364
into the spaces designated
for empty pallets.
289
00:14:58,364 --> 00:15:01,867
So all the pallets
were just moved back?
290
00:15:01,867 --> 00:15:03,269
Yes, sir.
291
00:15:03,269 --> 00:15:04,870
NARRATOR: But what's
even more troubling
292
00:15:04,870 --> 00:15:07,006
is that no one thought
to tell the flight
293
00:15:07,006 --> 00:15:10,376
crew that the center of gravity
had shifted to the back.
294
00:15:10,376 --> 00:15:13,412
Looks like we're good to go.
295
00:15:13,412 --> 00:15:15,214
NARRATOR: To
investigators, it looks
296
00:15:15,214 --> 00:15:16,983
like the plane's
center of gravity
297
00:15:16,983 --> 00:15:19,418
was now dangerously wrong.
298
00:15:19,418 --> 00:15:22,421
They zero in on a new theory.
299
00:15:22,421 --> 00:15:25,224
You can move cargo
around as much as you want,
300
00:15:25,224 --> 00:15:27,293
but the flight crew
needs to know what
301
00:15:27,293 --> 00:15:30,663
the final configuration is.
302
00:15:30,663 --> 00:15:32,198
NARRATOR: Knowing
the configuration--
303
00:15:32,198 --> 00:15:33,933
2.4 indicated.
304
00:15:33,933 --> 00:15:36,068
NARRATOR: --allows the
pilots to properly set
305
00:15:36,068 --> 00:15:39,005
their rear stabilizer
for takeoff.
306
00:15:39,005 --> 00:15:41,073
They just weren't thinking.
307
00:15:41,073 --> 00:15:44,543
NARRATOR: Now investigators must
prove whether the careless act
308
00:15:44,543 --> 00:15:45,478
caused the accident.
309
00:15:51,450 --> 00:15:55,921
They review the plane's
actual weight distribution.
310
00:15:55,921 --> 00:15:58,624
13 moves to 14.
311
00:15:58,624 --> 00:16:05,931
That's an extra 5,854
pounds to the back.
312
00:16:05,931 --> 00:16:08,968
This shift of heavy
pallets to the rear
313
00:16:08,968 --> 00:16:12,071
became a rather big deal,
because it ended up putting
314
00:16:12,071 --> 00:16:14,440
the center of gravity
very, very far to the rear,
315
00:16:14,440 --> 00:16:16,575
probably past the safe point.
316
00:16:20,980 --> 00:16:22,948
NARRATOR: Investigators
head to a flight simulator
317
00:16:22,948 --> 00:16:25,451
to do flight tests
with the actual cargo
318
00:16:25,451 --> 00:16:29,221
arrangement on Flight 101.
319
00:16:29,221 --> 00:16:30,289
OK, good to go.
320
00:16:35,494 --> 00:16:36,395
NARRATOR: The
conditions at takeoff
321
00:16:36,395 --> 00:16:38,597
are recreated as
accurately as possible.
322
00:16:43,035 --> 00:16:45,638
[beeping]
323
00:16:48,207 --> 00:16:50,309
Too low, terrain.
324
00:16:50,309 --> 00:16:51,644
In the end, we were
able to determine
325
00:16:51,644 --> 00:16:54,113
that the actual
center of gravity
326
00:16:54,113 --> 00:16:57,717
for the accident airplane
was just beyond safe limit.
327
00:16:57,717 --> 00:16:59,218
Pull up.
328
00:16:59,218 --> 00:17:00,686
That's what
allowed the airplane
329
00:17:00,686 --> 00:17:05,091
to pitch up so aggressively
just after takeoff.
330
00:17:05,091 --> 00:17:08,060
They didn't stand a chance.
331
00:17:08,060 --> 00:17:10,563
NARRATOR: Had the pilots
known of the change in balance
332
00:17:10,563 --> 00:17:11,297
to the load--
333
00:17:11,297 --> 00:17:12,565
2.4 indicated.
334
00:17:12,565 --> 00:17:14,433
NARRATOR: --they
could have adjusted
335
00:17:14,433 --> 00:17:18,003
their stabilizer setting
appropriately prior to takeoff.
336
00:17:18,003 --> 00:17:20,072
Set for departure.
337
00:17:20,072 --> 00:17:22,174
NARRATOR: Instead, Flight 101--
338
00:17:22,174 --> 00:17:23,342
Hey, easy.
339
00:17:23,342 --> 00:17:25,544
NARRATOR: --is
configured for disaster.
340
00:17:25,544 --> 00:17:27,012
What's going on?
341
00:17:27,012 --> 00:17:30,182
Whoa, whoa.
342
00:17:30,182 --> 00:17:31,751
Pull up.
343
00:17:31,751 --> 00:17:32,585
No!
344
00:17:39,291 --> 00:17:41,293
NARRATOR: The NTSB's
conclusions are
345
00:17:41,293 --> 00:17:46,065
a wake-up call for the cargo
industry in Southern Florida.
346
00:17:46,065 --> 00:17:48,567
Fine Air is ordered to
overhaul their supervision
347
00:17:48,567 --> 00:17:49,668
of the cargo loading process.
348
00:17:52,705 --> 00:17:56,375
Weight and balance are
so fundamental to flight
349
00:17:56,375 --> 00:17:58,677
that the lessons learned
from the Fine Air crash
350
00:17:58,677 --> 00:18:02,348
should last throughout
the industry.
351
00:18:02,348 --> 00:18:04,717
But they don't.
352
00:18:04,717 --> 00:18:06,418
It's stunning that
they keep happening,
353
00:18:06,418 --> 00:18:08,220
because that's no mystery.
354
00:18:08,220 --> 00:18:10,422
That one has been solved.
355
00:18:10,422 --> 00:18:12,391
We know what to do.
356
00:18:12,391 --> 00:18:13,459
We just don't do it.
357
00:18:16,195 --> 00:18:18,097
Go!
358
00:18:18,097 --> 00:18:20,432
NARRATOR: In North Carolina,
just 6 and 1/2 years later,
359
00:18:20,432 --> 00:18:23,302
an out-of-balance
commuter plane crashes.
360
00:18:23,302 --> 00:18:24,136
You got it?
361
00:18:24,136 --> 00:18:25,337
I'm trying.
362
00:18:25,337 --> 00:18:26,605
NARRATOR: And
investigators uncover
363
00:18:26,605 --> 00:18:29,074
how another perilous
payload takes
364
00:18:29,074 --> 00:18:30,376
the lives of everyone onboard.
365
00:18:38,810 --> 00:18:45,884
International Airport, Captain
Katie Leslie is at work early.
366
00:18:45,884 --> 00:18:49,687
Only 25 years old, this Texas
native is one of the youngest
367
00:18:49,687 --> 00:18:53,491
flight captains at her airline.
368
00:18:53,491 --> 00:18:55,493
Air Midwest runs a
bustling commuter
369
00:18:55,493 --> 00:18:56,628
service out of the airport.
370
00:18:59,597 --> 00:19:04,369
Today, Captain Leslie
commands a Beechcraft 1900-D
371
00:19:04,369 --> 00:19:07,539
on a 30-minute hop to
Greenville Spartanburg Airport
372
00:19:07,539 --> 00:19:09,340
in Greer, South Carolina.
373
00:19:12,343 --> 00:19:15,547
At 8:00 in the morning, 19
passengers board the flight.
374
00:19:17,849 --> 00:19:20,451
Meanwhile, as part of
the standard checklist
375
00:19:20,451 --> 00:19:23,922
before takeoff,
the crew calculates
376
00:19:23,922 --> 00:19:26,257
the weight of all the
baggage passengers
377
00:19:26,257 --> 00:19:26,858
and fuel on the plane.
378
00:19:30,562 --> 00:19:32,764
So we got a full
house back there?
379
00:19:32,764 --> 00:19:34,699
You can count 19
people in the back.
380
00:19:38,336 --> 00:19:39,370
Cool.
381
00:19:39,370 --> 00:19:41,372
17,018.
382
00:19:41,372 --> 00:19:43,208
17,120 is our weight, huh?
383
00:19:43,208 --> 00:19:44,375
Yeah, is our max.
384
00:19:44,375 --> 00:19:46,845
So we're cool?
385
00:19:46,845 --> 00:19:47,679
So yeah.
386
00:19:51,783 --> 00:19:52,717
Good morning.
387
00:19:52,717 --> 00:19:54,485
Welcome aboard US
Airways Express Service
388
00:19:54,485 --> 00:19:55,753
to Greenville-Spartanburg.
389
00:19:55,753 --> 00:19:57,488
It's a very short
flight, and we'll have
390
00:19:57,488 --> 00:20:00,658
you there in a few minutes.
391
00:20:00,658 --> 00:20:02,493
NARRATOR: Ready for
departure, the pilots
392
00:20:02,493 --> 00:20:03,561
taxi on to the runway.
393
00:20:05,997 --> 00:20:11,269
Air Midwest 5481, turn right
heading two, three, zero.
394
00:20:11,269 --> 00:20:11,903
Cleared for takeoff.
395
00:20:15,340 --> 00:20:16,441
Set takeoff power, please.
396
00:20:20,879 --> 00:20:22,413
80 knots.
397
00:20:22,413 --> 00:20:24,382
Cross-check.
398
00:20:24,382 --> 00:20:27,585
NARRATOR: To air traffic
control, Flight 5481's takeoff
399
00:20:27,585 --> 00:20:28,887
roll is perfectly normal.
400
00:20:33,024 --> 00:20:33,858
Gear up.
401
00:20:39,998 --> 00:20:41,399
What?
402
00:20:41,399 --> 00:20:43,334
Whoa!
403
00:20:43,334 --> 00:20:45,603
NARRATOR: Without
warning, the plane's nose
404
00:20:45,603 --> 00:20:47,906
pitches dramatically upward.
405
00:20:47,906 --> 00:20:49,807
Push the nose down!
406
00:20:49,807 --> 00:20:50,742
Oh my god.
407
00:20:50,742 --> 00:20:54,712
We have an emergency
on Air Midwest 5481!
408
00:20:54,712 --> 00:20:57,849
NARRATOR: The plane
stalls, rolls to the left,
409
00:20:57,849 --> 00:20:59,584
and begins falling from the sky.
410
00:21:03,655 --> 00:21:08,526
Captain Leslie tries to
get the plane to climb,
411
00:21:08,526 --> 00:21:10,962
but it's too late.
412
00:21:10,962 --> 00:21:13,531
The plane dives towards
a US Airways hangar
413
00:21:13,531 --> 00:21:15,433
with hundreds of
people working inside.
414
00:21:23,007 --> 00:21:25,576
[phone ringing]
415
00:21:25,576 --> 00:21:27,378
MAN (ON PHONE): Fire station.
WOMAN (ON PHONE): Emergency.
416
00:21:27,378 --> 00:21:28,713
A plane just crashed.
417
00:21:28,713 --> 00:21:30,448
MAN (ON PHONE): There's
a plane that's crashed?
418
00:21:30,448 --> 00:21:31,716
WOMAN (ON PHONE): Yes, at
the US Air maintenance place.
419
00:21:31,716 --> 00:21:32,951
It approached the building.
420
00:21:32,951 --> 00:21:34,419
There's a fire.
421
00:21:34,419 --> 00:21:36,921
NARRATOR: It's a total loss.
422
00:21:36,921 --> 00:21:39,991
All 21 people onboard, including
the flight crew, are dead.
423
00:21:43,594 --> 00:21:45,697
Remarkably, only one
person on the ground
424
00:21:45,697 --> 00:21:46,965
is injured in the disaster.
425
00:21:54,505 --> 00:21:58,076
It falls on NTSB lead
investigator Lorinda Ward
426
00:21:58,076 --> 00:21:59,944
to figure out what
happened to the plane.
427
00:22:03,481 --> 00:22:06,551
Due to the post-crash fire,
when you initially walked up
428
00:22:06,551 --> 00:22:09,821
to it, it was hard to identify
that you had an airplane
429
00:22:09,821 --> 00:22:11,522
that could hold 21 people.
430
00:22:14,559 --> 00:22:15,994
NARRATOR: Within
hours of the crash,
431
00:22:15,994 --> 00:22:18,429
investigators find
the blackboxes
432
00:22:18,429 --> 00:22:25,970
from the charred remains
of Air Midwest Flight 5481.
433
00:22:25,970 --> 00:22:29,107
While they wait for the
blackbox data to be downloaded,
434
00:22:29,107 --> 00:22:32,410
they begin interviewing
ground workers at the airport.
435
00:22:32,410 --> 00:22:35,013
And did you notice anything
unusual before takeoff?
436
00:22:35,013 --> 00:22:39,517
Well, it was sitting
low when taxied out.
437
00:22:39,517 --> 00:22:41,586
It looked heavy.
438
00:22:41,586 --> 00:22:44,789
We had a couple of witnesses
that were implying that we had
439
00:22:44,789 --> 00:22:48,393
a very heavily loaded airplane.
440
00:22:48,393 --> 00:22:50,428
NARRATOR: Every plane
has a maximum weight
441
00:22:50,428 --> 00:22:54,899
it can handle before the engines
can't get it off the ground.
442
00:22:54,899 --> 00:22:57,735
Before takeoff, it's the
pilots' job to calculate
443
00:22:57,735 --> 00:22:59,737
the onboard weight.
444
00:22:59,737 --> 00:23:01,973
So we got a full
house back there?
445
00:23:01,973 --> 00:23:04,842
Yeah, you can count
19 people in the back.
446
00:23:04,842 --> 00:23:07,078
NARRATOR: When investigators
review the cockpit voice
447
00:23:07,078 --> 00:23:11,115
recorder, they get confirmation
that the crew of Flight 5481--
448
00:23:11,115 --> 00:23:11,983
Cool.
449
00:23:11,983 --> 00:23:12,917
17,018.
450
00:23:12,917 --> 00:23:15,553
NARRATOR: --did perform
that calculation.
451
00:23:15,553 --> 00:23:18,089
So we're cool?
452
00:23:18,089 --> 00:23:19,824
So yeah.
453
00:23:19,824 --> 00:23:22,760
NARRATOR: On any
plane, large or small,
454
00:23:22,760 --> 00:23:24,595
the weight of cargo
and passengers
455
00:23:24,595 --> 00:23:26,931
has to be distributed evenly.
456
00:23:26,931 --> 00:23:29,467
And pilots work closely
with the loading team
457
00:23:29,467 --> 00:23:32,637
to monitor the weight
and balance of the cargo.
458
00:23:32,637 --> 00:23:35,106
I don't think we're going
to have to take anything off.
459
00:23:35,106 --> 00:23:37,108
NARRATOR: Air Midwest
pilots are trained to make
460
00:23:37,108 --> 00:23:41,045
weight calculations
using average weights--
461
00:23:41,045 --> 00:23:46,984
175 pounds per passenger
and 20 pounds per bag.
462
00:23:46,984 --> 00:23:49,153
Due to using
the average weight
463
00:23:49,153 --> 00:23:51,856
and average calculations,
the paperwork
464
00:23:51,856 --> 00:23:54,926
showed them being
within the range
465
00:23:54,926 --> 00:23:57,495
that they needed to take off.
466
00:23:57,495 --> 00:23:59,464
3, 200--
467
00:23:59,464 --> 00:24:01,999
NARRATOR: But Ward needs
to know if the plane really
468
00:24:01,999 --> 00:24:04,969
was within the proper range
of weight and balance.
469
00:24:04,969 --> 00:24:06,571
What we did is we
looked at the weights
470
00:24:06,571 --> 00:24:08,873
of the actual baggage
itself and then the weight
471
00:24:08,873 --> 00:24:10,675
of the passengers and the crew.
472
00:24:10,675 --> 00:24:12,844
Yes, could you tell me please
what the last recorded weight
473
00:24:12,844 --> 00:24:15,146
of your patient is, please?
474
00:24:15,146 --> 00:24:17,648
NARRATOR: Ward learns that
most passengers are now
475
00:24:17,648 --> 00:24:19,484
heavier than the
average weight that's
476
00:24:19,484 --> 00:24:22,053
guided pilots for decades.
477
00:24:22,053 --> 00:24:24,021
And when all the
numbers are in--
478
00:24:24,021 --> 00:24:25,123
212?
479
00:24:25,123 --> 00:24:26,324
Thank you.
480
00:24:26,324 --> 00:24:29,260
NARRATOR: --Ward discovers
the real weight of Flight 5481
481
00:24:29,260 --> 00:24:35,533
is 17,700 pounds, some 580
pounds over its maximum takeoff
482
00:24:35,533 --> 00:24:36,567
weight.
483
00:24:36,567 --> 00:24:38,169
It's not right.
484
00:24:38,169 --> 00:24:40,705
They would not have been
able to take off if they
485
00:24:40,705 --> 00:24:42,273
had used actual weights.
486
00:24:42,273 --> 00:24:46,677
They would have had to pull
either passengers or bags off.
487
00:24:46,677 --> 00:24:49,680
NARRATOR: The excess weight
meant the plane was tailheavy,
488
00:24:49,680 --> 00:24:52,049
and its center of gravity
was too far to the rear.
489
00:24:54,919 --> 00:24:56,587
Gear up.
490
00:24:56,587 --> 00:24:58,623
NARRATOR: The discovery explains
the plane's sudden pitch
491
00:24:58,623 --> 00:25:00,158
upwards.
492
00:25:00,158 --> 00:25:02,226
But flight data
reveals the pitch
493
00:25:02,226 --> 00:25:04,595
was at an angle from
which the pilot should
494
00:25:04,595 --> 00:25:07,131
have been able to recover.
495
00:25:07,131 --> 00:25:11,202
For Lorinda Ward,
something doesn't add up.
496
00:25:11,202 --> 00:25:13,871
She needs to know what
other factors contributed
497
00:25:13,871 --> 00:25:15,206
to the catastrophic crash.
498
00:25:26,834 --> 00:25:30,872
Flight 5481 didn't regain
control when their plane
499
00:25:30,872 --> 00:25:32,173
pitched violently upwards.
500
00:25:35,209 --> 00:25:37,679
Sifting through the
crash site wreckage,
501
00:25:37,679 --> 00:25:39,881
they make a critical discovery--
502
00:25:39,881 --> 00:25:42,650
the shredded remains of the
plane's elevator control
503
00:25:42,650 --> 00:25:44,152
cables, vital to flight control.
504
00:25:47,755 --> 00:25:49,824
They looked unusual.
505
00:25:49,824 --> 00:25:51,693
They weren't like
the normal position
506
00:25:51,693 --> 00:25:53,227
that you would find them.
507
00:25:53,227 --> 00:25:56,164
In this case, we had one
adjusted all the way out
508
00:25:56,164 --> 00:25:59,000
and then one adjusted
all the way in.
509
00:25:59,000 --> 00:26:03,571
NARRATOR: The state of the
elevator cables is alarming.
510
00:26:03,571 --> 00:26:06,607
These cables link the pilots'
control columns to the flight
511
00:26:06,607 --> 00:26:10,678
elevator, an aerodynamic
panel that helps pilots climb
512
00:26:10,678 --> 00:26:11,713
and descend.
513
00:26:15,016 --> 00:26:17,051
Ward now believes that
the pilots' ability
514
00:26:17,051 --> 00:26:19,087
to control the
plane's pitch could
515
00:26:19,087 --> 00:26:22,690
have been severely compromised.
516
00:26:22,690 --> 00:26:23,925
But she doesn't know why.
517
00:26:28,730 --> 00:26:32,300
Puzzled, investigators dig into
the plane's maintenance history
518
00:26:32,300 --> 00:26:36,704
and interview the
aircraft mechanics.
519
00:26:36,704 --> 00:26:41,876
What they find strikes at the
very heart of what went wrong.
520
00:26:41,876 --> 00:26:45,613
Once you have the rig pin set,
adjust the turnbuckle barrels
521
00:26:45,613 --> 00:26:47,015
for more tension in the cable.
522
00:26:47,015 --> 00:26:48,282
Yeah.
523
00:26:48,282 --> 00:26:49,417
NARRATOR: In the days
before the crash,
524
00:26:49,417 --> 00:26:52,620
during maintenance of the
plane's elevator cables--
525
00:26:52,620 --> 00:26:54,088
Got it.
526
00:26:54,088 --> 00:26:57,091
NARRATOR: --mechanics in
training skip some vital steps.
527
00:26:57,091 --> 00:26:58,826
What about the other steps?
528
00:26:58,826 --> 00:27:01,095
Yeah, don't worry about those.
529
00:27:04,098 --> 00:27:05,633
NARRATOR: Skipping
critical steps--
530
00:27:05,633 --> 00:27:07,135
- Oh.
- Help me!
531
00:27:07,135 --> 00:27:08,736
NARRATOR: --put the elevator
cables out of alignment--
532
00:27:08,736 --> 00:27:10,071
Oh my god.
533
00:27:10,071 --> 00:27:11,572
NARRATOR: --and crippled
the pilots' efforts
534
00:27:11,572 --> 00:27:14,075
to adjust the plane's pitch.
535
00:27:14,075 --> 00:27:16,711
They lost the ability
to control the aircraft.
536
00:27:16,711 --> 00:27:18,179
Oh my god!
537
00:27:18,179 --> 00:27:21,315
They had no elevator
movement enough to bring
538
00:27:21,315 --> 00:27:23,584
the nose back down.
539
00:27:23,584 --> 00:27:25,219
Push the nose down!
540
00:27:25,219 --> 00:27:26,154
Oh my god!
541
00:27:26,154 --> 00:27:28,656
We have an emergency
on Air Midwest 5481.
542
00:27:28,656 --> 00:27:31,225
Alert three standby,
runway one, eight, right.
543
00:27:36,197 --> 00:27:39,967
NARRATOR: In her report, Ward
concludes that before takeoff,
544
00:27:39,967 --> 00:27:43,337
Flight 5481 was 580
pounds overweight
545
00:27:43,337 --> 00:27:44,906
and slightly tailheavy.
546
00:27:47,942 --> 00:27:50,278
Then careless
maintenance meant pilots
547
00:27:50,278 --> 00:27:52,780
did not have sufficient
control of the elevators
548
00:27:52,780 --> 00:27:53,214
to fight the problem.
549
00:27:56,651 --> 00:27:59,987
Loaded with a perilous
payload, the plane was doomed
550
00:27:59,987 --> 00:28:02,957
the moment it left the ground.
551
00:28:02,957 --> 00:28:04,625
They didn't know
that they had these two
552
00:28:04,625 --> 00:28:09,063
hidden latent failures
that were waiting for them.
553
00:28:09,063 --> 00:28:10,798
NARRATOR: The NTSB
states the need
554
00:28:10,798 --> 00:28:15,803
for more thorough and supervised
maintenance of small aircraft.
555
00:28:15,803 --> 00:28:19,307
Ward's investigation also
makes the stunning revelation
556
00:28:19,307 --> 00:28:23,644
that average weight calculations
put passengers at risk.
557
00:28:23,644 --> 00:28:26,414
She recommends the Federal
Aviation Administration
558
00:28:26,414 --> 00:28:28,883
review how the weight of
people and their baggage
559
00:28:28,883 --> 00:28:30,351
is calculated.
560
00:28:30,351 --> 00:28:32,753
When you see a weight
and balance accident,
561
00:28:32,753 --> 00:28:34,322
it's a failure of the system.
562
00:28:34,322 --> 00:28:38,259
We have the knowledge to
safely load airplanes.
563
00:28:38,259 --> 00:28:40,795
It's an accident type
we've seen before.
564
00:28:40,795 --> 00:28:42,964
And those are the worst
type for an investigator.
565
00:28:48,336 --> 00:28:54,342
Bagram Airfield in Northeastern
Afghanistan, the US
566
00:28:54,342 --> 00:28:56,711
military base is
a hive of activity
567
00:28:56,711 --> 00:28:59,013
with troops, weapons,
and heavy machinery
568
00:28:59,013 --> 00:29:02,683
constantly on the move.
569
00:29:02,683 --> 00:29:04,252
Bagram ground, ISAF.
570
00:29:04,252 --> 00:29:07,755
95 Alpha, get back,
ready to taxi.
571
00:29:07,755 --> 00:29:10,358
NARRATOR: The crew of
National Airlines Flight 102
572
00:29:10,358 --> 00:29:16,197
is flying cargo in a
converted Boeing 747.
573
00:29:16,197 --> 00:29:17,698
Air is just
billowing out of here.
574
00:29:17,698 --> 00:29:19,800
Yeah, sure is.
575
00:29:19,800 --> 00:29:23,971
NARRATOR: They're in the
last leg of a grueling shift.
576
00:29:23,971 --> 00:29:25,907
After flying from
Chateauroux, France
577
00:29:25,907 --> 00:29:31,145
to Camp Bastion where they
loaded 207,000 pounds of cargo,
578
00:29:31,145 --> 00:29:34,348
it was a quick hop to Bagram.
579
00:29:34,348 --> 00:29:37,285
Once the plane is
refueled, they'll
580
00:29:37,285 --> 00:29:40,488
fly 2 and 1/2 hours to Dubai.
581
00:29:40,488 --> 00:29:45,726
Captain Brad Hasler is heading
home to his pregnant wife.
582
00:29:45,726 --> 00:29:49,397
Beside him is first
officer Jamie Brokaw.
583
00:29:49,397 --> 00:29:53,734
Augment Captain Jeremy
Lipka is in the jump seat.
584
00:29:53,734 --> 00:29:55,136
Sheets back there?
585
00:29:55,136 --> 00:29:56,137
I haven't seen him.
586
00:29:56,137 --> 00:29:58,472
I hope he's in the back.
587
00:29:58,472 --> 00:30:01,375
Yeah, he's back there.
588
00:30:01,375 --> 00:30:03,311
NARRATOR: In a cabin
behind the cockpit
589
00:30:03,311 --> 00:30:05,813
is loadmaster Michael Sheets
along with three other crew
590
00:30:05,813 --> 00:30:06,280
members.
591
00:30:10,084 --> 00:30:11,786
The loadmaster is
double checking
592
00:30:11,786 --> 00:30:13,988
that the flight cargo is
properly stowed and ready
593
00:30:13,988 --> 00:30:14,422
for the flight.
594
00:30:19,794 --> 00:30:23,931
At 3:25 PM, the flight crew
are cleared for takeoff.
595
00:30:23,931 --> 00:30:28,769
Nine, five, alpha, Quebec,
runway three, full length.
596
00:30:28,769 --> 00:30:29,904
Prepare for departure.
597
00:30:33,975 --> 00:30:36,844
NARRATOR: At the same moment,
military journalist Steven
598
00:30:36,844 --> 00:30:39,347
Hartov is returning to
the base from a day's work
599
00:30:39,347 --> 00:30:43,818
taking photographs
for a magazine.
600
00:30:43,818 --> 00:30:49,924
I saw, after I left the
truck, a white and purple 747.
601
00:30:49,924 --> 00:30:51,859
And I remember thinking
this is a beautiful airplane
602
00:30:51,859 --> 00:30:54,795
because it looked brand new.
603
00:30:54,795 --> 00:30:59,033
V1 rotate.
604
00:30:59,033 --> 00:30:59,467
Positive climb.
605
00:31:03,371 --> 00:31:05,373
What's going on
with that aircraft?
606
00:31:05,373 --> 00:31:08,175
It was almost
stuttering in the air.
607
00:31:08,175 --> 00:31:10,144
And I immediately
said to Chris, what's
608
00:31:10,144 --> 00:31:11,145
going on with that aircraft?
609
00:31:11,145 --> 00:31:12,046
Is he taking fire?
610
00:31:14,982 --> 00:31:16,317
Keep on that.
611
00:31:16,317 --> 00:31:18,119
NARRATOR: The plane is
suddenly uncontrollable.
612
00:31:18,119 --> 00:31:19,453
Get the nose down!
613
00:31:19,453 --> 00:31:22,256
I'm trying.
614
00:31:22,256 --> 00:31:25,860
NARRATOR: The nose won't drop.
615
00:31:25,860 --> 00:31:28,896
My airplane!
616
00:31:28,896 --> 00:31:31,165
NARRATOR: If they can't
get the nose down fast,
617
00:31:31,165 --> 00:31:32,833
the plane will stall.
618
00:31:32,833 --> 00:31:35,336
[alarm buzzing]
619
00:31:35,336 --> 00:31:38,239
For a moment, they hang
in the air as suspended.
620
00:31:41,008 --> 00:31:44,111
And then the
aircraft seemed to sort
621
00:31:44,111 --> 00:31:46,947
of careen in our direction.
622
00:31:46,947 --> 00:31:48,282
Stop the car.
623
00:31:48,282 --> 00:31:51,052
Now, you're looking at
a big 747 coming at you.
624
00:31:58,326 --> 00:32:02,863
NARRATOR: A 747 cargo plane
falls from Afghan skies.
625
00:32:02,863 --> 00:32:07,902
And in a very slow motion,
it just went straight down
626
00:32:07,902 --> 00:32:09,303
and pancaked into the ground.
627
00:32:13,574 --> 00:32:15,509
It was a mushroom cloud
like a small atom bomb.
628
00:32:15,509 --> 00:32:16,444
It was huge.
629
00:32:16,444 --> 00:32:18,479
The entire base
thundered under our feet.
630
00:32:21,349 --> 00:32:26,954
NARRATOR: National Airlines
Flight 102 is obliterated.
631
00:32:26,954 --> 00:32:32,360
It's the worst aviation accident
ever at Bagram Airfield.
632
00:32:32,360 --> 00:32:35,463
Remarkably, no one
in the ground is hit.
633
00:32:35,463 --> 00:32:39,567
But the entire
flight crew is dead.
634
00:32:39,567 --> 00:32:42,002
Watching those
people die was tough.
635
00:32:42,002 --> 00:32:43,070
It was tough.
636
00:32:49,910 --> 00:32:52,546
NARRATOR: Amid the specter
of a terrorist attack,
637
00:32:52,546 --> 00:32:56,951
the NTSB is assigned to
lead the investigation.
638
00:32:56,951 --> 00:33:00,121
This investigation was
a lot different because we
639
00:33:00,121 --> 00:33:02,223
were flying into a war zone.
640
00:33:02,223 --> 00:33:03,524
When we first got
there, we were given
641
00:33:03,524 --> 00:33:05,926
bulletproof vests
and Kevlar helmets
642
00:33:05,926 --> 00:33:08,295
to wear into the accident site.
643
00:33:08,295 --> 00:33:10,097
So what do you got for me?
644
00:33:10,097 --> 00:33:13,601
NARRATOR: The NTSB will have to
work closely with the military.
645
00:33:13,601 --> 00:33:15,936
A sweep of the crash
site has already
646
00:33:15,936 --> 00:33:17,204
turned up the blackboxes.
647
00:33:19,940 --> 00:33:24,578
But there's not much else for
investigators to work with.
648
00:33:24,578 --> 00:33:27,114
Except for the tail
section, much of the plane
649
00:33:27,114 --> 00:33:28,516
has been consumed
by the inferno.
650
00:33:33,087 --> 00:33:35,923
Soon after the team starts
sifting through the wreckage,
651
00:33:35,923 --> 00:33:38,459
a video of the accident
appears on the internet.
652
00:33:41,095 --> 00:33:43,164
Holy cow.
653
00:33:43,164 --> 00:33:45,232
There it is.
654
00:33:45,232 --> 00:33:48,135
NARRATOR: It reveals a huge clue
about the plane's erratic climb
655
00:33:48,135 --> 00:33:49,170
and fall.
656
00:33:53,340 --> 00:33:55,543
Looks like a problem
with the cargo load.
657
00:33:55,543 --> 00:33:57,478
NARRATOR: The aircraft's
movement in the video
658
00:33:57,478 --> 00:34:02,283
suggests the flight may
have been out of balance.
659
00:34:02,283 --> 00:34:04,118
Some of the early
questions were what
660
00:34:04,118 --> 00:34:06,387
was the cargo in the airplane?
661
00:34:06,387 --> 00:34:08,956
How heavy was the cargo?
662
00:34:08,956 --> 00:34:11,459
NARRATOR: By examining
the cargo manifest,
663
00:34:11,459 --> 00:34:13,461
investigators discover
that the plane
664
00:34:13,461 --> 00:34:16,363
was carrying an unusual load--
665
00:34:16,363 --> 00:34:20,201
five armored vehicles called
MRAPs, or mine-resistant
666
00:34:20,201 --> 00:34:21,469
ambush-protected vehicles.
667
00:34:24,638 --> 00:34:27,441
These massive,
heavily-armed cars each way
668
00:34:27,441 --> 00:34:32,313
between 12 and 18 tons.
669
00:34:32,313 --> 00:34:34,682
Each vehicle was chained
to a custom-built pallet
670
00:34:34,682 --> 00:34:37,618
and secured with straps
to the plane's main deck
671
00:34:37,618 --> 00:34:39,987
by the loading crew.
672
00:34:39,987 --> 00:34:43,190
The cargo in this particular
case was very heavy.
673
00:34:43,190 --> 00:34:44,258
It was the first
time they'd ever
674
00:34:44,258 --> 00:34:45,593
flown five vehicles this heavy.
675
00:34:49,597 --> 00:34:52,166
NARRATOR: Investigators
calculate the precise weight
676
00:34:52,166 --> 00:34:54,502
carried on board.
677
00:34:54,502 --> 00:34:57,538
Max takeoff weight
is 870,000 pounds.
678
00:34:57,538 --> 00:35:02,276
We have 207,000 pounds
of cargo plus fuel.
679
00:35:02,276 --> 00:35:05,412
NARRATOR: They learn that with
the heavy cargo and fuel load,
680
00:35:05,412 --> 00:35:07,748
the plane was not overweight.
681
00:35:07,748 --> 00:35:11,085
Weight was definitely
not an issue.
682
00:35:11,085 --> 00:35:13,220
NARRATOR: But it's not just
the onboard weight that
683
00:35:13,220 --> 00:35:15,022
investigators need to analyze.
684
00:35:15,022 --> 00:35:17,558
The balance of the load
could be the problem.
685
00:35:21,495 --> 00:35:23,230
Bring up the schematics.
686
00:35:25,499 --> 00:35:26,567
We fill it with our cargo.
687
00:35:30,704 --> 00:35:32,606
NARRATOR: After a
few calculations,
688
00:35:32,606 --> 00:35:36,477
investigators have their answer.
689
00:35:36,477 --> 00:35:38,279
The airplane
actually could carry
690
00:35:38,279 --> 00:35:41,448
the weight, and as loaded, was
within the center of gravity.
691
00:35:44,285 --> 00:35:47,288
NARRATOR: It's a dead end.
692
00:35:47,288 --> 00:35:50,824
Investigators explore
another angle.
693
00:35:50,824 --> 00:35:54,061
Even if the load was
balanced before takeoff,
694
00:35:54,061 --> 00:35:56,597
it could have shifted as
the plane left the ground.
695
00:35:59,600 --> 00:36:03,070
The focus now turns to
the loading procedures.
696
00:36:03,070 --> 00:36:06,574
Specifically, were the
MRAPs properly secured
697
00:36:06,574 --> 00:36:09,610
by the loadmaster and his crew?
698
00:36:09,610 --> 00:36:11,645
Now, I flew
transports for the US
699
00:36:11,645 --> 00:36:14,114
Air Force for many,
many years, 23
700
00:36:14,114 --> 00:36:15,683
years in the Lockheed C-1-41.
701
00:36:15,683 --> 00:36:18,586
We were totally dependent on
our loadmasters to get it right.
702
00:36:18,586 --> 00:36:20,220
They were the ones
who could kill us
703
00:36:20,220 --> 00:36:21,722
or not if they put the
load in the wrong position.
704
00:36:25,292 --> 00:36:28,095
NARRATOR: Investigators study
the manual the loadmaster used
705
00:36:28,095 --> 00:36:30,564
to calculate how many
heavy nylon straps are
706
00:36:30,564 --> 00:36:34,301
needed to secure the vehicles.
707
00:36:34,301 --> 00:36:38,339
And seeing his rationale
for calculating those numbers
708
00:36:38,339 --> 00:36:40,407
all seemed to make sense to me.
709
00:36:43,310 --> 00:36:47,281
NARRATOR: But it adds yet more
mystery to the investigation.
710
00:36:47,281 --> 00:36:50,818
If the plane was underweight
with a cargo secured
711
00:36:50,818 --> 00:36:54,455
and balanced in line
with company standards,
712
00:36:54,455 --> 00:36:56,690
what else could possibly
have caused the crash?
713
00:36:59,159 --> 00:37:02,229
Desperate for a new
theory, the investigators
714
00:37:02,229 --> 00:37:06,133
hope the data retrieved
from the 747's blackboxes
715
00:37:06,133 --> 00:37:09,637
will shed some light
on the horrific crash.
716
00:37:09,637 --> 00:37:11,672
Flight data
recorders record what
717
00:37:11,672 --> 00:37:14,141
the elevator and the
ailerons and what
718
00:37:14,141 --> 00:37:15,509
the control pitches are doing.
719
00:37:15,509 --> 00:37:16,877
You have the readouts?
720
00:37:16,877 --> 00:37:18,545
And so we were very
hopeful that we would get
721
00:37:18,545 --> 00:37:20,214
good information
from those recorders
722
00:37:20,214 --> 00:37:24,184
that would help explain why
the airplane had crashed.
723
00:37:24,184 --> 00:37:25,853
Thank you.
724
00:37:25,853 --> 00:37:29,189
NARRATOR: But the team is
hit with another problem.
725
00:37:29,189 --> 00:37:32,259
The cockpit voice recorder
stopped recording mere seconds
726
00:37:32,259 --> 00:37:34,395
after takeoff.
727
00:37:34,395 --> 00:37:35,362
Bring up the CVR.
728
00:37:35,362 --> 00:37:37,398
Stand by.
729
00:37:37,398 --> 00:37:39,733
NARRATOR: Fortunately, it was
recording during the crew's
730
00:37:39,733 --> 00:37:43,604
hour-long wait on the tarmac.
731
00:37:43,604 --> 00:37:44,672
There's trouble, Brad.
732
00:37:44,672 --> 00:37:46,273
What is it?
733
00:37:46,273 --> 00:37:47,274
NARRATOR: Sounds like the
first officer's showing
734
00:37:47,274 --> 00:37:48,809
something to the captain.
735
00:37:48,809 --> 00:37:51,245
One of the damn
straps is busted.
736
00:37:51,245 --> 00:37:52,846
Pause it there.
737
00:37:52,846 --> 00:37:55,616
NARRATOR: The CVR suggests the
first officer found a broken
738
00:37:55,616 --> 00:37:58,419
strap inside the cargo hold.
739
00:37:58,419 --> 00:37:59,620
Did the strap move?
740
00:37:59,620 --> 00:38:01,321
Yeah, just tighten
up on the straps.
741
00:38:01,321 --> 00:38:02,690
Holy crap.
742
00:38:02,690 --> 00:38:06,226
One of those things
actually moved?
743
00:38:06,226 --> 00:38:08,729
So from that information, we
know that they had a load shift
744
00:38:08,729 --> 00:38:10,464
when they came in and landed.
745
00:38:10,464 --> 00:38:14,401
And that was very important
to us in our investigation.
746
00:38:14,401 --> 00:38:17,404
NARRATOR: Investigators now
wonder whether the loadmaster
747
00:38:17,404 --> 00:38:20,207
properly tied down the MRAPs.
748
00:38:20,207 --> 00:38:20,841
How far did it move?
749
00:38:20,841 --> 00:38:22,009
A couple inches?
750
00:38:22,009 --> 00:38:23,877
Yeah, it just moved a couple
inches because it's nylon,
751
00:38:23,877 --> 00:38:24,878
you know?
752
00:38:24,878 --> 00:38:27,414
They have no idea how
serious this really is.
753
00:38:27,414 --> 00:38:29,616
That cargo shifts
during rotation,
754
00:38:29,616 --> 00:38:32,252
you'll wind up with a
potential pitch problem.
755
00:38:32,252 --> 00:38:35,255
NARRATOR: The discovery changes
the face of the investigation.
756
00:38:35,255 --> 00:38:36,590
Bam.
757
00:38:36,590 --> 00:38:39,226
NARRATOR: Did the MRAPs
shift after takeoff--
758
00:38:39,226 --> 00:38:39,960
Get the nose down!
759
00:38:39,960 --> 00:38:41,161
I'm trying.
760
00:38:41,161 --> 00:38:44,364
NARRATOR: --throwing the 747
dangerously out of balance?
761
00:38:47,968 --> 00:38:51,305
Searching for evidence that
the cargo of National Airline
762
00:38:51,305 --> 00:38:53,574
Flight 102 shifted on takeoff--
763
00:38:53,574 --> 00:38:55,309
Take a look at this.
764
00:38:55,309 --> 00:38:56,643
NARRATOR: --investigators look
more closely at the wreckage
765
00:38:56,643 --> 00:38:59,246
from the rear of the aircraft.
766
00:38:59,246 --> 00:39:00,748
Bam.
767
00:39:00,748 --> 00:39:03,784
What became obvious was that
the tire from the aft M-ATV
768
00:39:03,784 --> 00:39:05,619
had impacted the aft
pressure bulkhead
769
00:39:05,619 --> 00:39:09,923
and left that tire impact.
770
00:39:09,923 --> 00:39:13,327
NARRATOR: The metal antenna box
from the rear of the same MRAP
771
00:39:13,327 --> 00:39:16,430
provides another big clue.
772
00:39:16,430 --> 00:39:17,998
Look at that--
773
00:39:17,998 --> 00:39:19,299
paint transfer.
774
00:39:19,299 --> 00:39:20,667
NARRATOR: Orange
paint on the box
775
00:39:20,667 --> 00:39:22,736
comes from the flight recorders.
776
00:39:22,736 --> 00:39:25,606
That looks like a direct hit.
777
00:39:25,606 --> 00:39:27,274
NARRATOR: The flight
recorders are located
778
00:39:27,274 --> 00:39:28,976
at the rear of the plane.
779
00:39:28,976 --> 00:39:34,448
To hit them, the MRAP would have
had to shift at least 12 feet.
780
00:39:34,448 --> 00:39:36,617
Where the CVR
and FDR are located
781
00:39:36,617 --> 00:39:41,955
is 104 inches above the
floor of the aircraft.
782
00:39:41,955 --> 00:39:43,457
NARRATOR: That's
exactly the same height
783
00:39:43,457 --> 00:39:47,861
as the metal antenna box
from the rear of the MRAP.
784
00:39:47,861 --> 00:39:49,963
Now you're starting
to see a chain of events
785
00:39:49,963 --> 00:39:56,370
that this vehicle had to be
moving in an outward direction.
786
00:39:56,370 --> 00:40:01,508
NARRATOR: Could the shifting
cargo bring down a huge 747?
787
00:40:01,508 --> 00:40:05,012
To find out, investigators take
another look at the few pieces
788
00:40:05,012 --> 00:40:08,549
of salvaged wreckage
they have, including
789
00:40:08,549 --> 00:40:10,918
the horizontal stabilizer
from the rear of the plane.
790
00:40:14,087 --> 00:40:16,657
The horizontal stabilizer
is a large control
791
00:40:16,657 --> 00:40:20,928
surface that adjusts the pitch
of the plane during flight.
792
00:40:20,928 --> 00:40:24,898
It's controlled by a jackscrew,
which lowers and raises
793
00:40:24,898 --> 00:40:26,800
the edge of the
stabilizer in response
794
00:40:26,800 --> 00:40:29,703
to the pilot's commands.
795
00:40:29,703 --> 00:40:31,438
What we were
surprised to find out
796
00:40:31,438 --> 00:40:34,541
was that that jackscrew had
actually been pushed aft
797
00:40:34,541 --> 00:40:36,009
and had broken loose
from the airplane.
798
00:40:38,979 --> 00:40:41,582
NARRATOR: Without
the jackscrew, pilots
799
00:40:41,582 --> 00:40:44,051
would have had no control
of the horizontal stabilizer
800
00:40:44,051 --> 00:40:48,488
and therefore no ability
to balance the jet.
801
00:40:48,488 --> 00:40:49,523
Hmm.
802
00:40:49,523 --> 00:40:50,958
I wonder.
803
00:40:50,958 --> 00:40:53,760
NARRATOR: The question now
is, did the jackscrew snap
804
00:40:53,760 --> 00:40:55,662
before or during the crash?
805
00:40:58,599 --> 00:41:00,634
Closer analysis
reveals it snapped
806
00:41:00,634 --> 00:41:06,006
in the opposite direction than
if it were broken in the crash.
807
00:41:06,006 --> 00:41:07,140
It was through here.
808
00:41:07,140 --> 00:41:09,543
NARRATOR: Investigators
wonder what could have caused
809
00:41:09,543 --> 00:41:12,913
the jackscrew to snap off.
810
00:41:12,913 --> 00:41:14,815
They take some
careful measurements
811
00:41:14,815 --> 00:41:17,384
and make a vital discovery.
812
00:41:17,384 --> 00:41:19,653
Straight hit.
813
00:41:19,653 --> 00:41:23,991
I was able to determine that
the bumper of the M-ATV lines
814
00:41:23,991 --> 00:41:26,560
up directly with the
motor of the jackscrew
815
00:41:26,560 --> 00:41:30,564
in the area where it detached
from the lower fuselage.
816
00:41:30,564 --> 00:41:33,634
NARRATOR: The results
point to a clear suspect.
817
00:41:33,634 --> 00:41:35,068
OK, let's play it.
818
00:41:35,068 --> 00:41:36,970
NARRATOR: And based
on this new evidence,
819
00:41:36,970 --> 00:41:39,539
investigators finally
have a theory to prove.
820
00:41:42,175 --> 00:41:46,113
As the jet began its takeoff
roll, the weight of the vehicle
821
00:41:46,113 --> 00:41:50,017
strains the nylon strap.
822
00:41:50,017 --> 00:41:53,587
An 18-ton MRAP comes
loose and hurtles
823
00:41:53,587 --> 00:41:56,690
to the back of the plane.
824
00:41:56,690 --> 00:42:00,160
It smashes the rear jackscrew,
destroying the pilots' control
825
00:42:00,160 --> 00:42:02,763
of the horizontal
stabilizer, making
826
00:42:02,763 --> 00:42:04,731
the plane impossible to fly.
827
00:42:14,074 --> 00:42:16,710
Back in Washington,
D.C. the theory
828
00:42:16,710 --> 00:42:21,515
is examined using a
detailed simulation.
829
00:42:21,515 --> 00:42:23,717
One MRAP at the back.
830
00:42:23,717 --> 00:42:31,692
The two elevators down equals
one uncontrollable plane.
831
00:42:31,692 --> 00:42:33,493
NARRATOR: Investigators
finally know
832
00:42:33,493 --> 00:42:37,531
that an MRAP crashing into the
jackscrew crippled the plane.
833
00:42:37,531 --> 00:42:40,667
Keep on that.
834
00:42:40,667 --> 00:42:42,669
You take away the
horizontal tail,
835
00:42:42,669 --> 00:42:46,673
you're not going to be able to
control this airplane in pitch.
836
00:42:46,673 --> 00:42:50,110
This was an
uncontrollable event.
837
00:42:50,110 --> 00:42:50,944
Come on!
838
00:43:00,053 --> 00:43:01,755
NARRATOR: In the
wake of the accident,
839
00:43:01,755 --> 00:43:05,859
the NTSB recommends mandatory
certification of all cargo
840
00:43:05,859 --> 00:43:08,996
handling personnel,
a move that would
841
00:43:08,996 --> 00:43:13,734
standardize their procedures,
training, and workloads.
842
00:43:13,734 --> 00:43:19,006
The organization had looked
at the capacity of the 747
843
00:43:19,006 --> 00:43:21,842
and said, we can put
five MRAPs in there,
844
00:43:21,842 --> 00:43:26,046
and without considering
not only the weight
845
00:43:26,046 --> 00:43:28,181
but how they were going
to safely secure it.
846
00:43:31,184 --> 00:43:32,986
NARRATOR: History
shows that a plane that
847
00:43:32,986 --> 00:43:34,821
flies with a perilous payload--
848
00:43:34,821 --> 00:43:36,189
What's happening?
849
00:43:36,189 --> 00:43:38,091
NARRATOR: --flirts
with catastrophe.
850
00:43:38,091 --> 00:43:42,029
But it's a flight risk
that's entirely preventable.
851
00:43:42,029 --> 00:43:44,197
You can't take weight
and balance for granted.
852
00:43:44,197 --> 00:43:45,132
Oh my god!
853
00:43:45,132 --> 00:43:47,768
We have an emergency
on Air Midwest 5481.
854
00:43:47,768 --> 00:43:50,003
We are aiming
for zero accidents.
855
00:43:50,003 --> 00:43:51,538
Humans can't do that.
856
00:43:51,538 --> 00:43:54,574
But humans with systems
and backup systems can.
857
00:43:54,574 --> 00:43:56,943
That's what makes aviation
safe when it's safe.
858
00:43:56,943 --> 00:43:58,578
And that's what
screws it up when
859
00:43:58,578 --> 00:43:59,212
we don't do it the right way.
65567
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