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Go around, captain.
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00:00:09,376 --> 00:00:10,710
Go around!
3
00:00:10,710 --> 00:00:11,811
NARRATOR: With the
runway in sight,
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00:00:11,811 --> 00:00:17,217
a passenger jet smashes
down at catastrophic speed.
5
00:00:17,217 --> 00:00:19,753
Why did the crew go off
the end of the runway?
6
00:00:19,753 --> 00:00:22,655
Was there a problem
with the airplane?
7
00:00:22,655 --> 00:00:24,491
Hang on to the son of a bitch!
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00:00:24,491 --> 00:00:27,527
NARRATOR: A Delta flight crew
battles a deadly storm during
9
00:00:27,527 --> 00:00:29,162
their final approach in Dallas.
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00:00:29,162 --> 00:00:31,865
They didn't have any idea
of the severity of what
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they were about to face.
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Speed.
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00:00:36,236 --> 00:00:37,170
Oh, God.
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Go around.
15
00:00:38,171 --> 00:00:41,374
NARRATOR: And tragedy
strikes in San Francisco
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00:00:41,374 --> 00:00:44,244
when a Boeing 777 lands short.
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Hang on.
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How could a couple of highly
trained, experienced pilots
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simply fly an airplane into
the ground short of the runway?
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00:00:51,851 --> 00:00:54,220
NARRATOR: Landing is
a routine operation,
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but also one of the most
dangerous stages of flight.
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Investigators have to determine
what went wrong when the safety
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of the runway was in sight.
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If you're not prepared to land
the plane, you shouldn't do it.
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FLIGHT ATTENDANT:
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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[radio chatter]
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PILOT: Mayday, mayday.
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WOMAN: Brace for impact!
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MAN 1: I think I lost one.
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MAN 2: Investigation's
starting on the tragedy.
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MAN 3: He's gonna crash!
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[somber music]
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NARRATOR: It's early morning on
the Indonesian island of Java.
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A Boeing 737 flies
high overhead.
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Visibility, 8 kilometers.
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27,000 feet.
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27,000.
40
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NARRATOR: The crew
of Garuda Flight 200
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is preparing to land.
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00:02:00,787 --> 00:02:05,758
There are 133 passengers
on board this morning.
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They're nearing the
end of a short flight
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from the Indonesian capital
of Jakarta 265 miles southeast
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to the city of Yogyakarta.
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The plane is 15
minutes from touchdown.
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OK, when we're cleared, we
approach runway 9, course 088.
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NARRATOR: Captain
Muhammad Marwoto Komar has
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been with Garuda for 21 years.
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Approach flaps
40, auto brake 2.
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NARRATOR: As they
near the airport.
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He briefs first
officer Gagam Rohmana
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on the final steps needed to
get their plane on the ground.
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Understood.
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Approach briefing complete.
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Garuda 200, you'll clear to
approach runway zero niner.
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Let me know when you
have the runway in sight.
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Gear down.
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00:03:06,953 --> 00:03:07,787
Gear down.
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NARRATOR: They are now less than
3,000 feet above the ground.
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The runway is in sight.
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Flaps 15.
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NARRATOR: But as
the plane descends,
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passengers notice
something isn't right.
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The plane is going very fast
and is very low to the ground.
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Clear to land 2 miles out.
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[suspenseful music]
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Pull up.
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Too low.
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Terrain.
- Too low.
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00:03:51,464 --> 00:03:52,432
Go around, captain.
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Go around.
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Pull up.
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Terrain.
Terrain.
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Pull up.
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00:04:03,943 --> 00:04:06,546
NARRATOR: Passengers are
thrown violently as the plane
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bounces a second time.
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Even after a third impact,
the plane isn't stopping.
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[screaming]
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[sirens wailing]
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The 737 has come to a stop
in a swampy rice field
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off the end of the runway.
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00:04:42,749 --> 00:04:44,717
But the disaster isn't over.
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Inside the burning fuselage,
passengers struggle to get out.
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00:04:52,659 --> 00:04:57,463
And outside, firefighters battle
to reach the swampy crash site.
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00:04:57,463 --> 00:05:00,733
If the fuel tanks ignite,
the plane could explode.
87
00:05:03,469 --> 00:05:05,972
you need fire suppression
right there right now.
88
00:05:05,972 --> 00:05:09,008
Because you've got massive
flames at 1,800 degrees,
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you've got a lethal situation.
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Give me a hand with this.
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00:05:17,617 --> 00:05:19,052
NARRATOR: With An.
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00:05:19,052 --> 00:05:21,654
Exit door finally open,
passengers make their escape.
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00:05:21,654 --> 00:05:23,322
[coughing]
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00:05:25,658 --> 00:05:28,761
[chatter]
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00:05:31,030 --> 00:05:38,671
Of the 140 passengers and crew
onboard, 21 people are dead.
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00:05:38,671 --> 00:05:42,542
Clearly, you knew that people
were not going to survive this.
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It's almost a miracle
that so many did survive.
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00:05:47,513 --> 00:05:49,182
There's a variety
of different scenarios
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00:05:49,182 --> 00:05:51,651
that go with any kind
of landing accident.
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00:05:51,651 --> 00:05:55,555
So from the challenges of
an investigator with regard
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to trying to piece these
elements back together,
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00:05:58,925 --> 00:06:01,127
why did the crew go off
the end of the runway.
103
00:06:01,127 --> 00:06:03,863
Were they flying the
approach properly?
104
00:06:03,863 --> 00:06:05,398
Was there a problem
with the airplane?
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00:06:10,703 --> 00:06:13,539
NARRATOR: At the crash site,
investigators from Indonesia's
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00:06:13,539 --> 00:06:18,044
National Transportation
Safety Committee, or NTSC,
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00:06:18,044 --> 00:06:22,782
face the enormous task of
determining what went wrong.
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00:06:22,782 --> 00:06:25,918
They're joined by members of
the Australian transport Safety
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Bureau, including
investigator Alan Stray.
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00:06:29,722 --> 00:06:30,890
It's good to see you.
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What have you got so far?
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00:06:32,191 --> 00:06:35,194
We have to establish,
where did it touch down,
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were there any runway marks,
did it bounce, did it skid?
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Looks like they
hit pretty hard.
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00:06:45,204 --> 00:06:48,508
NARRATOR: Investigators quickly
discover gouges and shattered
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pieces of landing
gear on the runway,
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00:06:51,077 --> 00:06:52,879
clear signs that
the plane slammed
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down with unusual force.
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00:06:55,181 --> 00:06:58,151
The nose wheel digging
in and fracturing
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00:06:58,151 --> 00:07:03,890
was indicative of a very
hard g-force on that impact.
121
00:07:03,890 --> 00:07:06,159
No skid marks here.
122
00:07:06,159 --> 00:07:07,894
NARRATOR: It's also
clear that the plane
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00:07:07,894 --> 00:07:11,130
hit the runway more than once.
124
00:07:11,130 --> 00:07:15,735
So 1, 2, 3.
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00:07:15,735 --> 00:07:16,769
Then off the end of the runway.
126
00:07:20,173 --> 00:07:21,974
NARRATOR: What caused
the pilots to perform
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00:07:21,974 --> 00:07:23,209
such a dangerous landing?
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00:07:26,245 --> 00:07:30,783
Investigators need to know what
happened onboard the aircraft.
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00:07:30,783 --> 00:07:33,953
Thankfully, the plane's flight
recorders are quickly recovered
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00:07:33,953 --> 00:07:36,088
from the scorched wreckage.
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00:07:36,088 --> 00:07:37,623
All right.
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00:07:37,623 --> 00:07:39,125
Let's get these to the lab.
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00:07:39,125 --> 00:07:41,093
Without that data,
we're screwed.
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00:07:45,264 --> 00:07:46,933
NARRATOR: While they
wait for the flight data,
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00:07:46,933 --> 00:07:53,139
investigators look into the
mechanical systems of the 737.
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00:07:53,139 --> 00:07:55,241
Was there a
mechanical failure?
137
00:07:55,241 --> 00:07:58,211
Looking at the performance
of the aircraft,
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00:07:58,211 --> 00:08:02,648
was it physically possible
for the aircraft to stop?
139
00:08:02,648 --> 00:08:05,985
The team focuses in on the
systems used during landing,
140
00:08:05,985 --> 00:08:08,654
including the wing flaps.
141
00:08:08,654 --> 00:08:12,825
The flap system on a
modern jetliner like a 737
142
00:08:12,825 --> 00:08:14,160
create greater lift.
143
00:08:14,160 --> 00:08:16,329
And that means that we
can approach an airport
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00:08:16,329 --> 00:08:17,964
or we can take off from
an airport with a much
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00:08:17,964 --> 00:08:21,667
lower and safer airspeed.
146
00:08:21,667 --> 00:08:24,303
NARRATOR: They inspect the
mechanical rods, or jackscrews,
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00:08:24,303 --> 00:08:26,839
that move the flaps.
148
00:08:26,839 --> 00:08:31,677
We measured the screwjack
extension to establish
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00:08:31,677 --> 00:08:34,313
what the flap setting was.
150
00:08:34,313 --> 00:08:37,350
NARRATOR: What they
find is astonishing.
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00:08:37,350 --> 00:08:39,151
It doesn't look like the
flaps are all the way out.
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00:08:42,922 --> 00:08:47,727
NARRATOR: To provide enough lift
on landing, the flaps of a 737
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00:08:47,727 --> 00:08:51,797
are usually extended step
by step from 0 all the way
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00:08:51,797 --> 00:08:58,604
to 40 degrees as the plane slows
and descends toward the runway.
155
00:08:58,604 --> 00:09:02,942
However, the jackscrews show a
flap setting of just 5 degrees,
156
00:09:02,942 --> 00:09:05,378
not nearly enough
for a safe landing.
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00:09:05,378 --> 00:09:08,214
We just could not believe
that the aircraft would have
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00:09:08,214 --> 00:09:12,218
landed with only 5 degrees.
159
00:09:12,218 --> 00:09:14,020
NARRATOR: Was
there a malfunction
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00:09:14,020 --> 00:09:16,322
within the flap system that
caused the terrifying landing?
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00:09:20,359 --> 00:09:22,962
Investigators hope the data
from the flight recorder
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00:09:22,962 --> 00:09:24,897
will shed some light
on how the plane
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00:09:24,897 --> 00:09:28,768
was operating before the crash.
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00:09:28,768 --> 00:09:30,770
We were able to get
information about the flap
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00:09:30,770 --> 00:09:33,940
settings, the speed on the
approach, the thrust reverser
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00:09:33,940 --> 00:09:39,278
deployment, the dynamics of the
approach and landing itself.
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00:09:39,278 --> 00:09:43,749
Pull up the data for the
flaps, would you, please?
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00:09:43,749 --> 00:09:45,918
There.
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00:09:45,918 --> 00:09:50,056
The flaps were
set for 5 degrees.
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Never more than 5 degrees.
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00:09:54,026 --> 00:09:56,996
NARRATOR: The data confirms
the flaps were not configured
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00:09:56,996 --> 00:09:59,765
properly for landing.
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00:09:59,765 --> 00:10:02,368
To hear an airplane that
has been in an accident
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00:10:02,368 --> 00:10:04,804
because of overrunning
the runway had
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00:10:04,804 --> 00:10:10,343
a flap setting of only 5 in
a 737 is very disturbing.
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00:10:10,343 --> 00:10:13,012
NARRATOR: As they continue
to review the data,
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investigators discover
the 737 was coming
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00:10:15,982 --> 00:10:19,418
in for landing blazingly fast.
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00:10:19,418 --> 00:10:24,256
Flight 200 hit the ground
at over 250 miles an hour,
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00:10:24,256 --> 00:10:27,793
more than 100 miles an
hour faster than normal.
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00:10:27,793 --> 00:10:30,029
We're not stopping!
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The speed of the aircraft on
short final and on touchdown
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00:10:34,967 --> 00:10:40,473
was so excessive, there was
no way it was going to stop.
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00:10:40,473 --> 00:10:42,975
NARRATOR: But why did the
pilots touch down at such
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a catastrophically high speed?
186
00:10:52,752 --> 00:10:54,787
NARRATOR: After a painstaking
data recovery process--
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Finally.
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00:10:56,356 --> 00:10:58,224
NARRATOR: --investigators
in Indonesia
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are able to listen to the
cockpit voice recorder
190
00:11:00,727 --> 00:11:02,896
from Garuda Flight 200.
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00:11:02,896 --> 00:11:05,865
Fortunately, the recorder
specialists at the laboratories
192
00:11:05,865 --> 00:11:10,837
are a tenacious breed, and
they do not give up easily.
193
00:11:10,837 --> 00:11:13,339
NARRATOR: They hope the
recording will help explain why
194
00:11:13,339 --> 00:11:15,975
the pilots failed to configure
the aircraft properly
195
00:11:15,975 --> 00:11:17,744
for landing.
196
00:11:17,744 --> 00:11:18,378
OK.
197
00:11:18,378 --> 00:11:21,381
Let's hear it.
198
00:11:21,381 --> 00:11:23,283
OK, when we're
cleared, we approach
199
00:11:23,283 --> 00:11:26,753
runway nine course 088.
200
00:11:26,753 --> 00:11:29,756
What you're doing is
listening for the atmosphere
201
00:11:29,756 --> 00:11:33,459
and the tone, the ambience,
if you like, in the cockpit.
202
00:11:33,459 --> 00:11:38,331
Approach flaps
40, autobrake 2.
203
00:11:38,331 --> 00:11:39,299
Approach briefing complete.
204
00:11:45,772 --> 00:11:47,340
The captain certainly
doesn't sound stressed.
205
00:11:49,943 --> 00:11:53,246
NARRATOR: Then the first
hint that something's wrong.
206
00:11:53,246 --> 00:11:55,782
Looks like we're not going
to hit the glide slope.
207
00:11:55,782 --> 00:11:57,417
NARRATOR: The plane is
higher than it should be
208
00:11:57,417 --> 00:11:59,085
for this stage of the approach.
209
00:11:59,085 --> 00:12:00,186
Better get down
a little faster.
210
00:12:03,523 --> 00:12:06,392
NARRATOR: To land
smoothly, planes
211
00:12:06,392 --> 00:12:08,795
need to lose enough
speed and altitude
212
00:12:08,795 --> 00:12:14,033
to descend gradually and meet
the runway at a shallow angle.
213
00:12:14,033 --> 00:12:18,972
But Flight 200 is too
high for a steady landing.
214
00:12:18,972 --> 00:12:22,275
He definitely has some work to
do if he hopes to get on track.
215
00:12:22,275 --> 00:12:26,079
Check speed flaps 15.
216
00:12:26,079 --> 00:12:27,113
Flaps 5.
217
00:12:29,515 --> 00:12:33,086
Captain is calling
for flaps 15.
218
00:12:33,086 --> 00:12:35,088
Why is he saying flaps 5?
219
00:12:35,088 --> 00:12:37,023
Flaps 15.
220
00:12:37,023 --> 00:12:39,292
NARRATOR: The captain repeatedly
tells the first officer--
221
00:12:39,292 --> 00:12:41,427
Check speed, flaps 15.
222
00:12:41,427 --> 00:12:43,096
NARRATOR: --to
increase the flaps.
223
00:12:43,096 --> 00:12:45,498
Check speed flaps 15.
224
00:12:45,498 --> 00:12:47,000
NARRATOR: But the
first officer never
225
00:12:47,000 --> 00:12:48,434
moves them past 5 degrees.
226
00:12:53,306 --> 00:12:56,609
OK, first things first.
227
00:12:56,609 --> 00:12:59,245
Why did the first officer
ignore the captain
228
00:12:59,245 --> 00:13:01,214
and leave the plane at flaps 5?
229
00:13:01,214 --> 00:13:03,149
It's very perplexing.
230
00:13:03,149 --> 00:13:05,485
If you've got professional
pilots, we can make mistakes.
231
00:13:05,485 --> 00:13:07,954
But usually that's why we've
got two people up there,
232
00:13:07,954 --> 00:13:09,288
so one catches the other.
233
00:13:12,358 --> 00:13:14,360
NARRATOR: When investigators
revisit the speed
234
00:13:14,360 --> 00:13:17,030
of the landing,
they understand why
235
00:13:17,030 --> 00:13:20,266
the first officer was reluctant
to increase the flap setting.
236
00:13:20,266 --> 00:13:24,604
Way too fast for flaps 15.
237
00:13:24,604 --> 00:13:27,874
NARRATOR: The plane is traveling
35 knots, or a little over 40
238
00:13:27,874 --> 00:13:29,976
miles per hour faster
than is designed
239
00:13:29,976 --> 00:13:32,645
for flaps at 15 degrees.
240
00:13:32,645 --> 00:13:35,548
Wind drag could tear the
flaps right off the wings
241
00:13:35,548 --> 00:13:39,185
if the flaps are
extended past 5 degrees.
242
00:13:39,185 --> 00:13:42,889
The first officer was exactly
right in not putting them down.
243
00:13:42,889 --> 00:13:46,125
But why didn't the first
officer say something,
244
00:13:46,125 --> 00:13:50,063
tell the captain to slow down?
245
00:13:50,063 --> 00:13:52,198
It's very clear that the
co-pilot should have said,
246
00:13:52,198 --> 00:13:53,633
captain, I got the airplane.
247
00:13:53,633 --> 00:13:56,569
But what it tells me here
is that this co-pilot
248
00:13:56,569 --> 00:14:01,474
did not feel that he could
speak up one way or another.
249
00:14:01,474 --> 00:14:03,209
NARRATOR: The captain's
behavior continues
250
00:14:03,209 --> 00:14:05,378
to stun investigators.
251
00:14:05,378 --> 00:14:07,980
Landing checklist
completed, right?
252
00:14:07,980 --> 00:14:10,550
Landing checklist?
253
00:14:10,550 --> 00:14:13,686
There were 15 ground
proximity alerts
254
00:14:13,686 --> 00:14:17,256
and warnings during that
final stage of the approach.
255
00:14:17,256 --> 00:14:22,662
When a crew member hears that,
there should be instant action.
256
00:14:22,662 --> 00:14:24,530
NARRATOR: But
instead of reacting,
257
00:14:24,530 --> 00:14:28,534
the captain becomes fixated
on the landing checklist.
258
00:14:28,534 --> 00:14:31,237
Stray and his team begin
to question the quality
259
00:14:31,237 --> 00:14:33,106
of the crew's training.
260
00:14:33,106 --> 00:14:39,712
Fixation is when we are
focused on completing a task
261
00:14:39,712 --> 00:14:44,951
to the exclusion of other things
that may be going on around us.
262
00:14:44,951 --> 00:14:46,953
NARRATOR: Investigators
theorize that the captain
263
00:14:46,953 --> 00:14:49,355
is completely
fixated on descending
264
00:14:49,355 --> 00:14:52,558
to the proper altitude.
265
00:14:52,558 --> 00:14:54,961
Landing checklist
completed, right?
266
00:14:54,961 --> 00:14:57,730
In the case of a pilot
fixating on a runway,
267
00:14:57,730 --> 00:15:00,199
he or she can blank out
the rest of the advice,
268
00:15:00,199 --> 00:15:03,102
the ground proximity
warning system, everything.
269
00:15:03,102 --> 00:15:06,272
NARRATOR: Pilot training is
designed to combat fixation,
270
00:15:06,272 --> 00:15:10,443
ensuring that pilots in a crisis
situation can break the spell
271
00:15:10,443 --> 00:15:12,378
and take in the
information they need.
272
00:15:15,481 --> 00:15:17,150
Better training
might have helped
273
00:15:17,150 --> 00:15:19,519
the first officer overcome
his reluctance to correct
274
00:15:19,519 --> 00:15:22,588
the captain's mistake.
275
00:15:22,588 --> 00:15:24,090
Well, go around, captain.
276
00:15:24,090 --> 00:15:24,924
Go around.
277
00:15:29,228 --> 00:15:31,564
Go around!
278
00:15:31,564 --> 00:15:34,033
Landing checklist
completed, right?
279
00:15:34,033 --> 00:15:36,769
Without question, if the
captain wasn't going to respond
280
00:15:36,769 --> 00:15:39,305
by going around, which is what
he should have done instantly
281
00:15:39,305 --> 00:15:41,340
on hearing whoop,
whoop, pull up,
282
00:15:41,340 --> 00:15:42,642
the co-pilot should
have said, I've got
283
00:15:42,642 --> 00:15:44,310
it and done the same thing.
284
00:15:52,785 --> 00:15:56,789
NARRATOR: In 2008, Captain
Marwoto Komar faced charges
285
00:15:56,789 --> 00:15:59,192
and was found guilty
of negligence,
286
00:15:59,192 --> 00:16:01,494
but the conviction was
overturned on appeal.
287
00:16:04,096 --> 00:16:06,699
In their final
report, investigators
288
00:16:06,699 --> 00:16:10,403
call for improved pilot training
with added focus on approach
289
00:16:10,403 --> 00:16:13,806
and landing procedures.
290
00:16:13,806 --> 00:16:17,210
In the aftermath of the
Garuda 200 disaster,
291
00:16:17,210 --> 00:16:20,546
the airline overhauls its
training and safety protocols,
292
00:16:20,546 --> 00:16:23,482
and today, it is a safer
airline than it's ever been.
293
00:16:26,452 --> 00:16:29,188
The takeaway is that
the organization has
294
00:16:29,188 --> 00:16:32,558
a responsibility to provide the
pilots with the best available
295
00:16:32,558 --> 00:16:34,760
training, flying the
best available equipment,
296
00:16:34,760 --> 00:16:37,496
and then having a
process to ensure
297
00:16:37,496 --> 00:16:41,000
that even when no one's looking
they're doing the right thing.
298
00:16:43,236 --> 00:16:45,671
NARRATOR: But sometimes
even the best trained pilots
299
00:16:45,671 --> 00:16:49,208
can be taken by
surprise on landing
300
00:16:49,208 --> 00:16:52,011
when faced with an
unpredictable force of nature.
301
00:16:59,235 --> 00:17:02,739
It's a scorching hot day at
Dallas-Fort Worth International
302
00:17:02,739 --> 00:17:05,141
Airport, with the
temperature reaching
303
00:17:05,141 --> 00:17:07,043
101 degrees Fahrenheit.
304
00:17:10,680 --> 00:17:12,682
The intense heat
triggers thunderstorms
305
00:17:12,682 --> 00:17:13,683
that surround the airport.
306
00:17:20,757 --> 00:17:26,730
Delta Airlines Flight 191
heads in for landing at DFW.
307
00:17:26,730 --> 00:17:30,100
Weather, 6,000 scattered,
21,000 scattered.
308
00:17:30,100 --> 00:17:31,401
Visibility, 10.
309
00:17:31,401 --> 00:17:33,236
Temperature, 101.
310
00:17:33,236 --> 00:17:34,838
Wind, calm.
311
00:17:34,838 --> 00:17:36,373
101?
312
00:17:36,373 --> 00:17:37,474
101 degrees.
313
00:17:37,474 --> 00:17:40,243
Yes, sir.
314
00:17:40,243 --> 00:17:42,879
NARRATOR: Captain Ed Connors
and first officer Rudy Price
315
00:17:42,879 --> 00:17:45,515
are two of Delta Airlines'
most experienced pilots.
316
00:17:48,284 --> 00:17:51,187
Second Officer Nick Nassick
is one of Delta's most highly
317
00:17:51,187 --> 00:17:55,125
regarded flight engineers.
318
00:17:55,125 --> 00:18:02,699
They're flying a
six-year-old L1011 TriStar.
319
00:18:02,699 --> 00:18:05,835
There are 152 passengers
and 11 crew members onboard.
320
00:18:09,139 --> 00:18:12,075
Ladies and gentlemen, we are
starting our approach to DFW.
321
00:18:15,378 --> 00:18:18,448
The crew begins their final
descent into the Dallas-Fort
322
00:18:18,448 --> 00:18:19,783
Worth area.
323
00:18:19,783 --> 00:18:22,352
CONTROLLER: Attention
all aircraft listening.
324
00:18:22,352 --> 00:18:24,421
There's a little rain shower
just north of the airport.
325
00:18:26,890 --> 00:18:29,259
NARRATOR: While continuing
with their approach procedures,
326
00:18:29,259 --> 00:18:33,563
First Officer Price
notices the upcoming storm.
327
00:18:33,563 --> 00:18:35,932
We're going to get
our airplane washed.
328
00:18:35,932 --> 00:18:38,168
NARRATOR: Less than six
miles from the runway,
329
00:18:38,168 --> 00:18:41,571
the controller tells the crew
to expect a stiff but manageable
330
00:18:41,571 --> 00:18:43,640
crosswind of up to 15 knots.
331
00:18:43,640 --> 00:18:46,543
CONTROLLER: Winds 090 at 5.
332
00:18:46,543 --> 00:18:48,945
Gusts to 15.
333
00:18:48,945 --> 00:18:51,448
Tower, Delta 191 heavy
out here in the rain.
334
00:18:51,448 --> 00:18:52,582
Feels good.
335
00:18:56,653 --> 00:18:59,789
NARRATOR: First Officer
Price is at the controls.
336
00:18:59,789 --> 00:19:03,927
He realizes the storm is
more than just a little rain.
337
00:19:03,927 --> 00:19:06,262
There's lightning
coming out of that one.
338
00:19:06,262 --> 00:19:06,763
Where?
339
00:19:06,763 --> 00:19:07,730
Right ahead of us.
340
00:19:10,600 --> 00:19:11,734
NARRATOR: 1,000 feet.
341
00:19:11,734 --> 00:19:13,269
I'll call them out to you.
342
00:19:13,269 --> 00:19:13,903
All right.
343
00:19:17,507 --> 00:19:19,542
NARRATOR: One minute
away from landing,
344
00:19:19,542 --> 00:19:22,178
Price carefully guides the
aircraft toward the runway.
345
00:19:26,382 --> 00:19:29,752
Without warning, the intensity
of the storm increases.
346
00:19:32,555 --> 00:19:37,961
Driving rain pounds the L-1011.
347
00:19:37,961 --> 00:19:42,599
All of a sudden, their
airspeed picks up.
348
00:19:42,599 --> 00:19:45,335
Watch your speed.
349
00:19:45,335 --> 00:19:47,837
NARRATOR: Price needs to
slow the plane down so they
350
00:19:47,837 --> 00:19:49,172
don't overshoot the runway.
351
00:19:51,541 --> 00:19:52,842
They're only 600
feet off the ground.
352
00:19:56,379 --> 00:19:58,748
There it is.
353
00:19:58,748 --> 00:20:00,650
NARRATOR: Suddenly, the
plane drops sharply.
354
00:20:03,987 --> 00:20:05,788
It's as though an
invisible force
355
00:20:05,788 --> 00:20:07,857
is pushing it to the ground.
356
00:20:07,857 --> 00:20:09,259
Push it up.
357
00:20:09,259 --> 00:20:10,693
Push it way up.
358
00:20:10,693 --> 00:20:12,028
Way up.
- Way up?
359
00:20:12,028 --> 00:20:12,862
Way up!
360
00:20:17,667 --> 00:20:20,970
[suspenseful music]
361
00:20:23,773 --> 00:20:24,874
NARRATOR: The pilots'
efforts are futile.
362
00:20:29,946 --> 00:20:34,384
One mile short of the runway,
the plane plows into a field,
363
00:20:34,384 --> 00:20:36,853
traveling at more than
200 miles an hour.
364
00:20:40,290 --> 00:20:44,527
At that moment, the controller
catches sight of Delta 191.
365
00:20:44,527 --> 00:20:45,728
He's going to crash!
366
00:20:45,728 --> 00:20:46,563
You have to go around!
367
00:20:49,532 --> 00:20:51,834
[alarm beeping]
368
00:20:57,073 --> 00:20:59,409
They cartwheeled into the
tank in just an instant.
369
00:20:59,409 --> 00:21:01,744
And then of course,
there was a wall of fire.
370
00:21:07,917 --> 00:21:10,453
In the tower, it's just quiet.
371
00:21:10,453 --> 00:21:13,890
And you just sit there
stunned, wishing you could
372
00:21:13,890 --> 00:21:15,925
do anything to take it back.
373
00:21:30,073 --> 00:21:33,109
NARRATOR: When firefighters
and rescue workers arrive,
374
00:21:33,109 --> 00:21:35,745
they discover 27
people have survived.
375
00:21:38,414 --> 00:21:41,618
But Captain Connors, First
Officer Price, and Second
376
00:21:41,618 --> 00:21:45,355
Officer Nassick are killed
along with five other crew
377
00:21:45,355 --> 00:21:49,826
members and a devastating
128 passengers.
378
00:21:56,466 --> 00:22:00,403
I was on a Delta flight
behind that flight.
379
00:22:00,403 --> 00:22:03,473
You could see this horrific
fire and burning wreckage
380
00:22:03,473 --> 00:22:05,475
just out the plane window.
381
00:22:05,475 --> 00:22:08,778
And we came in to the
gate where that plane
382
00:22:08,778 --> 00:22:10,647
was supposed to have come.
383
00:22:10,647 --> 00:22:15,818
And at that time, families
could go to the gates.
384
00:22:15,818 --> 00:22:20,523
It was a sight I
will never forget.
385
00:22:20,523 --> 00:22:23,026
NARRATOR: Investigators from the
National Transportation Safety
386
00:22:23,026 --> 00:22:25,995
Board, or NTSB, arrive
at Dallas-Fort Worth,
387
00:22:25,995 --> 00:22:28,531
determined to find the cause.
388
00:22:28,531 --> 00:22:31,701
One of our field investigators
would have been on scene trying
389
00:22:31,701 --> 00:22:34,137
to locate the flight data
recorder and the cockpit voice
390
00:22:34,137 --> 00:22:38,541
recorder, which is
a very important
391
00:22:38,541 --> 00:22:42,178
part of the investigation.
392
00:22:42,178 --> 00:22:43,279
NARRATOR: Thankfully,
both flight
393
00:22:43,279 --> 00:22:46,149
recorders are recovered
quickly and immediately sent
394
00:22:46,149 --> 00:22:47,383
for analysis.
395
00:22:50,553 --> 00:22:53,423
Investigators hope the data
will reveal what caused
396
00:22:53,423 --> 00:22:57,393
Flight 191 to crash into a water
tank off the end of the runway.
397
00:23:02,465 --> 00:23:05,568
This flight data recorder
gave us several parameters
398
00:23:05,568 --> 00:23:07,170
we didn't have before--
399
00:23:07,170 --> 00:23:11,007
engine power,
longitudinal acceleration.
400
00:23:11,007 --> 00:23:13,710
And those parameters
really enabled us
401
00:23:13,710 --> 00:23:18,214
to do a more in-depth analysis.
402
00:23:18,214 --> 00:23:20,750
NARRATOR: The device also
records external elements
403
00:23:20,750 --> 00:23:25,955
like temperature, wind speed,
altitude, and air pressure.
404
00:23:25,955 --> 00:23:28,725
When they review the
data, investigators
405
00:23:28,725 --> 00:23:33,096
discover an alarming weather
pattern logged on the recorder.
406
00:23:33,096 --> 00:23:35,698
Then it shifts to a downdraft.
407
00:23:35,698 --> 00:23:37,233
NARRATOR: In a
matter of seconds,
408
00:23:37,233 --> 00:23:40,002
the plane is hit with three
strong winds from the front,
409
00:23:40,002 --> 00:23:42,572
above, and then behind.
410
00:23:42,572 --> 00:23:44,607
There you have it.
411
00:23:44,607 --> 00:23:48,544
NARRATOR: Bud Laner immediately
recognizes the weather pattern.
412
00:23:48,544 --> 00:23:50,713
The plane flew
through a microburst.
413
00:23:54,250 --> 00:23:56,953
A microburst is a
violent shaft of air
414
00:23:56,953 --> 00:24:00,590
falling from a storm cloud.
415
00:24:00,590 --> 00:24:03,760
On the day of the crash,
it had been extremely hot,
416
00:24:03,760 --> 00:24:05,762
and hot air rises.
417
00:24:05,762 --> 00:24:08,765
When that hot air meets the
cold, moist air in the storm
418
00:24:08,765 --> 00:24:15,071
clouds, it cools instantly and
rushes violently back to earth.
419
00:24:15,071 --> 00:24:18,674
If you're at the kitchen
sink, and you turn on the water,
420
00:24:18,674 --> 00:24:22,145
and it goes straight down and
splashes out in all directions.
421
00:24:22,145 --> 00:24:25,982
And that's kind of what a
microburst is, except that it
422
00:24:25,982 --> 00:24:30,119
is extremely bad news if
you're an airplane flying
423
00:24:30,119 --> 00:24:33,289
through it at low altitude.
424
00:24:33,289 --> 00:24:35,758
NARRATOR: The plane first
faces a strong headwind,
425
00:24:35,758 --> 00:24:38,728
which lifts the plane skyward.
426
00:24:38,728 --> 00:24:43,666
Then it's hit by a downdraft,
slamming it toward the ground.
427
00:24:43,666 --> 00:24:46,836
Finally, the microburst delivers
its most dangerous punch--
428
00:24:46,836 --> 00:24:49,038
the tailwind.
429
00:24:49,038 --> 00:24:53,009
And you would get a rapid
descent, a loss of lift
430
00:24:53,009 --> 00:24:54,944
and a rapid descent
towards the ground,
431
00:24:54,944 --> 00:24:58,281
and easily crash the airplane.
432
00:24:58,281 --> 00:25:02,218
NARRATOR: It's clear that
the 136 people on Flight 191
433
00:25:02,218 --> 00:25:07,623
are the latest victims of the
intense weather phenomenon.
434
00:25:07,623 --> 00:25:11,027
Unbelievable.
435
00:25:11,027 --> 00:25:13,563
NARRATOR: But one
mystery still remains.
436
00:25:13,563 --> 00:25:14,530
Altimeters?
437
00:25:14,530 --> 00:25:16,332
NARRATOR: How did such
an experienced crew
438
00:25:16,332 --> 00:25:17,867
fall victim to a storm--
439
00:25:17,867 --> 00:25:19,602
We're in good shape.
440
00:25:19,602 --> 00:25:21,204
NARRATOR: --they were
all trained to overcome?
441
00:25:29,805 --> 00:25:33,341
of Flight 191's pilots to
the force of the microburst--
442
00:25:33,341 --> 00:25:34,476
1,000 feet.
443
00:25:34,476 --> 00:25:37,078
NARRATOR: --they uncover
details of a fight to the death.
444
00:25:37,078 --> 00:25:38,713
I'll call them out to you.
445
00:25:38,713 --> 00:25:40,115
All right.
446
00:25:40,115 --> 00:25:41,716
NARRATOR: A fight that the
Delta pilots almost won.
447
00:25:41,716 --> 00:25:42,551
What's your speed?
448
00:25:45,620 --> 00:25:47,789
NARRATOR: The increase in
airspeed from the headwind
449
00:25:47,789 --> 00:25:50,292
prompts First Officer
Price to reduce power
450
00:25:50,292 --> 00:25:53,895
to his engines, power
he'll desperately
451
00:25:53,895 --> 00:25:55,697
need in just a few seconds.
452
00:25:55,697 --> 00:25:57,933
You're going to lose
it all of a sudden.
453
00:25:57,933 --> 00:26:00,302
There it is.
454
00:26:00,302 --> 00:26:01,937
The captain knew
the characteristics
455
00:26:01,937 --> 00:26:03,638
of a microburst.
456
00:26:03,638 --> 00:26:05,640
He'd obviously been
given an introduction
457
00:26:05,640 --> 00:26:09,644
to wind shear and
microburst characteristics
458
00:26:09,644 --> 00:26:11,413
in his flight training.
459
00:26:11,413 --> 00:26:14,382
NARRATOR: But when Connors and
Price are hit with a tailwind,
460
00:26:14,382 --> 00:26:18,053
there is very
little they can do.
461
00:26:18,053 --> 00:26:20,422
Only 500 feet off
the ground, they
462
00:26:20,422 --> 00:26:22,824
have insufficient
speed and altitude
463
00:26:22,824 --> 00:26:24,092
with which to maneuver.
464
00:26:24,092 --> 00:26:26,027
Push it up, way up.
465
00:26:28,663 --> 00:26:30,665
NARRATOR: Then
suddenly the microburst
466
00:26:30,665 --> 00:26:33,435
delivers another blow,
a fierce crosswind
467
00:26:33,435 --> 00:26:37,272
that forces their plane to
bank dangerously to the right.
468
00:26:37,272 --> 00:26:39,407
Hang onto the son of a bitch!
469
00:26:39,407 --> 00:26:41,109
NARRATOR: Combined
with the other winds,
470
00:26:41,109 --> 00:26:42,811
the crew is defenseless.
471
00:26:42,811 --> 00:26:46,414
Toga, toga!
472
00:26:46,414 --> 00:26:48,950
Toga is "take off,
go around" mode,
473
00:26:48,950 --> 00:26:50,352
plus abandon the approach.
474
00:26:50,352 --> 00:26:54,189
We're no longer going to
try to land this airplane.
475
00:26:54,189 --> 00:26:56,291
NARRATOR: The skill and
experience of the pilots
476
00:26:56,291 --> 00:26:59,995
are no match for this
fierce microburst.
477
00:26:59,995 --> 00:27:03,632
It's too big, its winds too
powerful and unpredictable.
478
00:27:07,435 --> 00:27:10,839
Making matters
worse, investigators
479
00:27:10,839 --> 00:27:12,941
discover the storm at
the foot of the runway
480
00:27:12,941 --> 00:27:16,278
arrives virtually unannounced.
481
00:27:16,278 --> 00:27:19,814
Once trained weather
observers see it on the radar,
482
00:27:19,814 --> 00:27:25,053
it's too late to warn
the crew of Delta 191.
483
00:27:25,053 --> 00:27:26,288
It's small.
484
00:27:26,288 --> 00:27:29,324
It's the length of
a runway, roughly.
485
00:27:29,324 --> 00:27:30,825
And it doesn't last very long.
486
00:27:30,825 --> 00:27:34,763
So it's something that
can happen so quickly
487
00:27:34,763 --> 00:27:37,032
that many accidents have
occurred because nobody
488
00:27:37,032 --> 00:27:38,099
knew it was there.
489
00:27:41,469 --> 00:27:44,506
NARRATOR: Investigators conclude
that the Delta crash was caused
490
00:27:44,506 --> 00:27:47,375
by the pilots' decision
to continue their approach
491
00:27:47,375 --> 00:27:51,880
into a storm, a decision that
was made because the crew
492
00:27:51,880 --> 00:27:53,315
wasn't warned about the hazard.
493
00:27:56,518 --> 00:28:01,056
After the crash of Delta
191, the Federal Aviation
494
00:28:01,056 --> 00:28:03,358
Administration installs
terminal Doppler
495
00:28:03,358 --> 00:28:05,327
weather radar at
high risk airports,
496
00:28:05,327 --> 00:28:08,330
including Dallas-Fort Worth.
497
00:28:08,330 --> 00:28:11,032
Doppler radar detects
the direction and speed
498
00:28:11,032 --> 00:28:13,535
of precipitation and wind flow.
499
00:28:13,535 --> 00:28:16,271
Doppler radar, which
is on the ground,
500
00:28:16,271 --> 00:28:19,808
is incredibly effective
in detecting microbursts.
501
00:28:19,808 --> 00:28:25,380
And in fact, it can detect
about 98% of a microburst.
502
00:28:25,380 --> 00:28:27,782
Even though we've learned
a lot of information
503
00:28:27,782 --> 00:28:30,218
from accidents
involving thunderstorms,
504
00:28:30,218 --> 00:28:33,888
things can still go wrong on a
clear and sunny day only feet
505
00:28:33,888 --> 00:28:34,723
from the runway.
506
00:28:38,526 --> 00:28:40,395
Ladies and gentlemen, this
is your captain speaking.
507
00:28:40,395 --> 00:28:42,263
We hope you had a
pleasant flight.
508
00:28:42,263 --> 00:28:44,199
We'll be on the ground
in about 30 minutes.
509
00:28:46,501 --> 00:28:48,903
NARRATOR: Asiana
Flight 214 is nearing
510
00:28:48,903 --> 00:28:51,172
the end of an overnight
flight from Seoul, Korea
511
00:28:51,172 --> 00:28:52,741
to San Francisco.
512
00:28:56,945 --> 00:29:01,383
The Boeing 777 is carrying 291
passengers and 16 crew members.
513
00:29:04,052 --> 00:29:06,121
Is that the Golden Gate?
514
00:29:06,121 --> 00:29:09,324
Captain Lee Kang-Kook takes
in the sights as he guides
515
00:29:09,324 --> 00:29:11,393
the plane toward the airport.
516
00:29:11,393 --> 00:29:13,261
Golden Gate's over there.
517
00:29:13,261 --> 00:29:15,363
That bridge goes to Oakland.
518
00:29:15,363 --> 00:29:16,431
Ah.
519
00:29:16,431 --> 00:29:17,232
OK.
520
00:29:17,232 --> 00:29:19,401
Lee Jeong-Min,
also a captain, is
521
00:29:19,401 --> 00:29:23,138
serving as first officer today.
522
00:29:23,138 --> 00:29:24,372
Runway in sight.
523
00:29:27,308 --> 00:29:28,143
OK.
524
00:29:28,143 --> 00:29:29,244
Gear down, sir.
525
00:29:33,548 --> 00:29:34,416
Gear down.
526
00:29:38,620 --> 00:29:40,488
NARRATOR: In the cabin,
the flight attendants
527
00:29:40,488 --> 00:29:41,556
prepare passengers for landing.
528
00:29:45,527 --> 00:29:51,366
Asiana 214, heavy, runway
28 left, cleared to land.
529
00:29:51,366 --> 00:29:53,101
Landing checklist complete.
530
00:29:53,101 --> 00:29:54,269
Clear to land.
531
00:29:54,269 --> 00:29:56,404
On glide path.
532
00:29:56,404 --> 00:29:57,238
Check.
533
00:30:00,141 --> 00:30:02,644
NARRATOR: The plane is less
than a minute from the runway
534
00:30:02,644 --> 00:30:07,482
when a passenger notices
something alarming.
535
00:30:07,482 --> 00:30:10,118
There's a small pier that
extends out of the runway.
536
00:30:10,118 --> 00:30:11,186
And I'm like, wow.
537
00:30:11,186 --> 00:30:12,454
We're very low.
538
00:30:18,993 --> 00:30:19,994
NARRATOR: In the cockpit--
539
00:30:19,994 --> 00:30:21,362
Speed!
540
00:30:21,362 --> 00:30:23,965
NARRATOR: --a crisis hits.
541
00:30:23,965 --> 00:30:24,833
I've got control.
542
00:30:27,969 --> 00:30:29,037
Oh, God.
543
00:30:29,037 --> 00:30:29,871
Go around!
544
00:30:32,240 --> 00:30:36,911
NARRATOR: The captain pulls up
the nose and tries to climb.
545
00:30:36,911 --> 00:30:39,214
[screaming]
546
00:30:40,482 --> 00:30:42,083
AUTOMATED VOICE: Terrain.
Terrain.
547
00:30:42,083 --> 00:30:43,084
Damn it!
548
00:30:43,084 --> 00:30:43,585
AUTOMATED VOICE: Pull up.
549
00:30:53,027 --> 00:30:55,363
Just wondering how it's going
to end, how it's going to stop,
550
00:30:55,363 --> 00:30:58,399
and when it's going to stop.
551
00:30:58,399 --> 00:30:59,868
Hang on, hang on!
552
00:31:14,115 --> 00:31:16,551
NARRATOR: In the cockpit,
the pilots have survived.
553
00:31:16,551 --> 00:31:19,254
But they have no idea of
the extent of the damage.
554
00:31:22,090 --> 00:31:26,060
The brutal impact has torn the
tail off the body of the plane.
555
00:31:26,060 --> 00:31:27,695
Control, come in.
556
00:31:27,695 --> 00:31:30,231
It's Asiana 214.
557
00:31:30,231 --> 00:31:33,501
Initiating evacuation checklist.
558
00:31:33,501 --> 00:31:35,103
We need help out here.
559
00:31:35,103 --> 00:31:38,273
Asiana 214 Heavy, emergency
vehicles are responding.
560
00:31:38,273 --> 00:31:40,675
[sirens wailing]
561
00:31:42,443 --> 00:31:43,745
WOMAN: Oh my god.
562
00:31:43,745 --> 00:31:45,747
That's scary.
563
00:31:45,747 --> 00:31:47,382
NARRATOR: Eyewitness
video captures
564
00:31:47,382 --> 00:31:49,484
the dramatic scene
as hundreds of people
565
00:31:49,484 --> 00:31:52,120
flee the cabin from
only a few exits.
566
00:31:52,120 --> 00:31:53,188
Come on.
567
00:31:53,188 --> 00:31:54,222
Get out.
568
00:31:57,292 --> 00:32:00,295
NARRATOR: Asiana Flight 214 has
crashed on one of the airport's
569
00:32:00,295 --> 00:32:01,429
busiest runways.
570
00:32:06,067 --> 00:32:10,471
Nearly 50 people are
seriously injured.
571
00:32:10,471 --> 00:32:12,373
Six were thrown out of
the back of the plane
572
00:32:12,373 --> 00:32:15,076
when the tail broke off.
573
00:32:15,076 --> 00:32:17,445
Two of them are dead.
574
00:32:17,445 --> 00:32:23,484
The challenges in the Asiana
214 investigation were myriad.
575
00:32:23,484 --> 00:32:25,119
You would think, oh, OK.
576
00:32:25,119 --> 00:32:26,788
Most everyone survived.
577
00:32:26,788 --> 00:32:30,024
This shouldn't be a
problematic investigation.
578
00:32:30,024 --> 00:32:30,959
But it was.
579
00:32:37,007 --> 00:32:39,643
Transportation Safety Board
quickly pull together a team.
580
00:32:45,415 --> 00:32:47,484
Senior investigator
Bill English leads
581
00:32:47,484 --> 00:32:50,621
the high profile investigation.
582
00:32:50,621 --> 00:32:53,123
Everyone's on standby
as of right now.
583
00:32:53,123 --> 00:32:55,626
So the 777 had been in
service for about 20 years
584
00:32:55,626 --> 00:32:57,160
at the time of this accident.
585
00:32:57,160 --> 00:32:59,329
And this was the first
fatal accident of A777
586
00:32:59,329 --> 00:33:00,597
777 in that entire time.
587
00:33:05,168 --> 00:33:07,604
NARRATOR: The investigators
arrive at the horrific crash
588
00:33:07,604 --> 00:33:10,807
site the following morning.
589
00:33:10,807 --> 00:33:12,776
Before searching the
scorched wreckage,
590
00:33:12,776 --> 00:33:15,479
they equip themselves
with protective gear
591
00:33:15,479 --> 00:33:18,115
to shield them from
the toxic fumes.
592
00:33:18,115 --> 00:33:19,016
OK, here we go.
593
00:33:21,485 --> 00:33:24,154
NARRATOR: For NTSB
investigator Roger Cox,
594
00:33:24,154 --> 00:33:27,658
the hunt for evidence
is worth the risk.
595
00:33:27,658 --> 00:33:31,328
It was a tricky accident site.
596
00:33:31,328 --> 00:33:34,364
We had to be properly garbed
up to make sure that we
597
00:33:34,364 --> 00:33:37,367
weren't affected too much by
the dangerous wreckage that
598
00:33:37,367 --> 00:33:40,070
was there
599
00:33:40,070 --> 00:33:41,805
NARRATOR: Cox gathers
the pilots' charts
600
00:33:41,805 --> 00:33:45,676
and personal effects,
hoping to find clues
601
00:33:45,676 --> 00:33:48,345
about what the pilots were
doing in the final stages
602
00:33:48,345 --> 00:33:49,680
of the flight.
603
00:33:49,680 --> 00:33:53,083
That's everything
I could find.
604
00:33:53,083 --> 00:33:54,818
NARRATOR: Many of the
documents are in Korean.
605
00:33:54,818 --> 00:33:57,154
They'll need to be
translated before they
606
00:33:57,154 --> 00:33:58,488
can be fully analyzed.
607
00:34:05,262 --> 00:34:09,199
Meanwhile, at NTSB headquarters,
photos of the crash zone
608
00:34:09,199 --> 00:34:12,736
provide investigators
with a crucial lead.
609
00:34:12,736 --> 00:34:15,672
Where it impacted on the
rocks of the seawall pretty
610
00:34:15,672 --> 00:34:16,673
much tells us it was too low.
611
00:34:16,673 --> 00:34:21,411
It landed well short of
where it should have.
612
00:34:21,411 --> 00:34:23,880
NARRATOR: The team hopes the
data recovered from the 777's
613
00:34:23,880 --> 00:34:26,583
flight recorders will
help explain why the plane
614
00:34:26,583 --> 00:34:27,718
crashed into the seawall.
615
00:34:33,890 --> 00:34:35,892
We were able to see
all the basic things,
616
00:34:35,892 --> 00:34:40,397
like airspeed, altitude, the
configuration of the airplane.
617
00:34:40,397 --> 00:34:45,268
We were also able to see all
the inputs that the crew made.
618
00:34:45,268 --> 00:34:47,804
NARRATOR: English
carefully plots the data.
619
00:34:47,804 --> 00:34:50,140
Most of it looks
completely normal.
620
00:34:50,140 --> 00:34:53,744
But then he spots
something unexpected.
621
00:34:53,744 --> 00:34:55,912
This is where they
bring it back to idle.
622
00:34:55,912 --> 00:34:58,415
NARRATOR: One minute
before the crash, engine
623
00:34:58,415 --> 00:35:01,418
power suddenly drops to idle.
624
00:35:01,418 --> 00:35:03,587
Right here.
625
00:35:03,587 --> 00:35:06,556
NARRATOR: The sudden change in
power settings makes no sense.
626
00:35:09,459 --> 00:35:11,294
Normally, the last
moments of flight
627
00:35:11,294 --> 00:35:13,897
are when pilots need more
power to overcome drag
628
00:35:13,897 --> 00:35:15,699
from the landing
gear and wind flaps.
629
00:35:17,901 --> 00:35:19,936
And data from
earlier in the flight
630
00:35:19,936 --> 00:35:24,441
shows the engines were
functioning properly.
631
00:35:24,441 --> 00:35:26,643
We could see that the engines
were making proper power all
632
00:35:26,643 --> 00:35:29,446
the way through the approach.
633
00:35:29,446 --> 00:35:30,647
NARRATOR: The question now--
634
00:35:30,647 --> 00:35:32,816
what was the crew
doing to control
635
00:35:32,816 --> 00:35:37,421
engine power in the critical
final moments of flight?
636
00:35:37,421 --> 00:35:38,955
Speed.
637
00:35:38,955 --> 00:35:42,292
How did the pilots
operate the airplane?
638
00:35:42,292 --> 00:35:45,128
Why did they do what they did
that got the airplane too low?
639
00:35:52,836 --> 00:35:54,805
NARRATOR: Investigators
turn their focus squarely
640
00:35:54,805 --> 00:35:58,208
on the actions of the pilots.
641
00:35:58,208 --> 00:35:59,309
Gear down, sir.
642
00:35:59,309 --> 00:36:01,645
NARRATOR: Understanding
every nuance of the cockpit
643
00:36:01,645 --> 00:36:02,913
voice recording is crucial.
644
00:36:05,949 --> 00:36:08,585
They listen as the pilots
prepare for a visual approach
645
00:36:08,585 --> 00:36:10,554
in landing.
646
00:36:10,554 --> 00:36:13,824
Missed approach, 3,000 feet.
647
00:36:13,824 --> 00:36:15,459
Landing checklist complete.
648
00:36:15,459 --> 00:36:16,927
Clear to land.
649
00:36:16,927 --> 00:36:19,796
On glide path.
650
00:36:19,796 --> 00:36:21,832
NARRATOR: They combine what
they hear with the data
651
00:36:21,832 --> 00:36:24,367
from the flight recorder
that shows how the pilots
652
00:36:24,367 --> 00:36:27,304
were manipulating the controls.
653
00:36:27,304 --> 00:36:28,972
This seems a little high.
654
00:36:28,972 --> 00:36:31,241
NARRATOR: As the crew
nears the runway,
655
00:36:31,241 --> 00:36:35,745
the recording hints at
the first sign of trouble.
656
00:36:35,745 --> 00:36:38,515
The rate of descent is too slow.
657
00:36:38,515 --> 00:36:41,251
They risk overshooting
the runway.
658
00:36:41,251 --> 00:36:42,185
I will descend more.
659
00:36:44,554 --> 00:36:48,859
NARRATOR: What the recording
reveals next is stunning.
660
00:36:48,859 --> 00:36:51,828
To speed up the rate
of descent, the captain
661
00:36:51,828 --> 00:36:55,565
switches the autopilot to
flight level change mode.
662
00:36:55,565 --> 00:36:58,935
But he makes a
dangerous mistake.
663
00:36:58,935 --> 00:37:00,871
He made an entry
to the autopilot
664
00:37:00,871 --> 00:37:05,742
that at first actually
made the airplane climb.
665
00:37:05,742 --> 00:37:08,378
Obviously, he didn't
want to do that.
666
00:37:08,378 --> 00:37:11,047
NARRATOR: Instead of
descending, the new mode
667
00:37:11,047 --> 00:37:14,417
instructs the plane to
climb to its preset go
668
00:37:14,417 --> 00:37:18,955
around altitude of 3,000 feet.
669
00:37:18,955 --> 00:37:23,293
The autopilot mode switches
here; starts all the confusion.
670
00:37:23,293 --> 00:37:26,530
The pilot flying is supposed
to actually select things
671
00:37:26,530 --> 00:37:28,965
with the autoflight system
and call out what he's doing,
672
00:37:28,965 --> 00:37:30,033
and the pilot
monitoring is supposed
673
00:37:30,033 --> 00:37:34,604
to verify that the change
has actually occurred.
674
00:37:34,604 --> 00:37:36,339
No call-outs.
675
00:37:36,339 --> 00:37:37,741
How is anyone supposed
to know what he's doing?
676
00:37:41,011 --> 00:37:43,313
NARRATOR: To bring
his plane back down,
677
00:37:43,313 --> 00:37:47,984
the captain immediately pulls
the throttles back to idle,
678
00:37:47,984 --> 00:37:50,754
stripping the plane of crucial
airspeed they need for landing.
679
00:37:55,091 --> 00:37:55,926
It's low.
680
00:37:55,926 --> 00:37:57,761
NARRATOR: Investigators
now understand
681
00:37:57,761 --> 00:38:00,030
how the engines got to idle.
682
00:38:00,030 --> 00:38:00,997
Yeah.
683
00:38:00,997 --> 00:38:03,333
NARRATOR: But why would
an experienced captain
684
00:38:03,333 --> 00:38:06,436
make the mistake of
leaving them there?
685
00:38:06,436 --> 00:38:07,103
Pull up.
686
00:38:07,103 --> 00:38:08,438
Oh, God.
687
00:38:08,438 --> 00:38:09,940
Go round.
688
00:38:09,940 --> 00:38:11,641
NARRATOR: And why
did the crew not
689
00:38:11,641 --> 00:38:15,979
notice they were dangerously
low until it was too late?
690
00:38:15,979 --> 00:38:18,782
Pull up.
691
00:38:18,782 --> 00:38:22,385
NARRATOR: NTSB investigators are
anxious to interview the pilot
692
00:38:22,385 --> 00:38:25,822
who was flying Asiana
Flight 214 when it crashed
693
00:38:25,822 --> 00:38:28,792
onto a San Francisco runway.
694
00:38:28,792 --> 00:38:31,795
I'll try to help if I can.
695
00:38:31,795 --> 00:38:33,630
NARRATOR: The captain
explains he was worried
696
00:38:33,630 --> 00:38:35,899
about landing in San Francisco.
697
00:38:35,899 --> 00:38:38,835
I was a bit nervous.
698
00:38:38,835 --> 00:38:40,537
NARRATOR: On the
day of the crash,
699
00:38:40,537 --> 00:38:43,073
the electronic runway equipment
designed to help guide
700
00:38:43,073 --> 00:38:47,811
pilots in for landing was down.
701
00:38:47,811 --> 00:38:49,479
I thought that was
very unusual coming
702
00:38:49,479 --> 00:38:50,814
from an experienced pilot.
703
00:38:50,814 --> 00:38:53,516
Because no one really
needs an electronic
704
00:38:53,516 --> 00:38:56,620
glide slope on a clear day to
be able to land an airplane.
705
00:38:56,620 --> 00:38:58,888
It's a fundamental skill.
706
00:38:58,888 --> 00:39:00,357
Other pilots are
making that landing.
707
00:39:03,393 --> 00:39:07,831
I thought I should be
able to make it too.
708
00:39:07,831 --> 00:39:10,567
Why did he not ask
the other guy for help?
709
00:39:10,567 --> 00:39:13,403
I think he just didn't
want to admit the weakness.
710
00:39:13,403 --> 00:39:15,805
Slow.
711
00:39:15,805 --> 00:39:17,173
NARRATOR: The captain
tells investigators
712
00:39:17,173 --> 00:39:19,676
he doesn't understand
why the plane didn't
713
00:39:19,676 --> 00:39:22,145
have enough power on landing.
714
00:39:22,145 --> 00:39:23,980
I know I made
some mistakes, but I
715
00:39:23,980 --> 00:39:25,715
was certain that
the autothrottle
716
00:39:25,715 --> 00:39:28,752
would control the speed.
717
00:39:28,752 --> 00:39:30,186
NARRATOR: Like
other modern jets,
718
00:39:30,186 --> 00:39:32,489
the 777 can
automatically increase
719
00:39:32,489 --> 00:39:34,891
or decrease engine
power through a system
720
00:39:34,891 --> 00:39:38,528
known as the autothrottle.
721
00:39:38,528 --> 00:39:40,697
He was confident the
autothrottle was actually going
722
00:39:40,697 --> 00:39:45,201
to take care of speed for him,
that the autothrottles would
723
00:39:45,201 --> 00:39:49,739
wake up, advance the
thrust, and keep them safe.
724
00:39:49,739 --> 00:39:52,609
NARRATOR: But investigators
discover the autothrottle never
725
00:39:52,609 --> 00:39:54,177
corrected the speed.
726
00:39:54,177 --> 00:39:55,679
Oh, go around.
727
00:39:55,679 --> 00:39:57,213
Pull up.
728
00:39:57,213 --> 00:39:58,615
NARRATOR: Did the
critical automated system
729
00:39:58,615 --> 00:39:59,416
fail in flight?
730
00:40:06,589 --> 00:40:08,892
When they conduct an exhaustive
search of the plane's
731
00:40:08,892 --> 00:40:15,031
computerized functions, the team
makes a surprising discovery.
732
00:40:15,031 --> 00:40:17,567
We could see
some strange things
733
00:40:17,567 --> 00:40:20,470
happening with automation
inputs while that airplane
734
00:40:20,470 --> 00:40:21,404
was on short final.
735
00:40:24,741 --> 00:40:27,510
NARRATOR: When they replicate
the sequence of inputs made
736
00:40:27,510 --> 00:40:32,916
by the captain, including
changing the autopilot mode
737
00:40:32,916 --> 00:40:34,417
and then reducing the thrust--
738
00:40:38,722 --> 00:40:39,889
Bingo.
739
00:40:39,889 --> 00:40:41,624
That does it.
740
00:40:41,624 --> 00:40:43,126
NARRATOR: --the unusual
combination of commands
741
00:40:43,126 --> 00:40:46,930
switches off the 777's
autothrottle system,
742
00:40:46,930 --> 00:40:49,766
leaving the engines at idle.
743
00:40:49,766 --> 00:40:51,901
By doing that,
that sent the signal
744
00:40:51,901 --> 00:40:55,905
to the autothrottle system that
he wanted control of the power.
745
00:40:55,905 --> 00:40:58,074
So at that point in
effect, the airplane
746
00:40:58,074 --> 00:40:59,476
was basically just gliding.
747
00:41:03,213 --> 00:41:05,648
NARRATOR: Investigators
finally understand
748
00:41:05,648 --> 00:41:08,618
why the autothrottle did
not re-engage and boost
749
00:41:08,618 --> 00:41:10,587
engine thrust on landing.
750
00:41:10,587 --> 00:41:12,789
Oh, God.
751
00:41:12,789 --> 00:41:14,290
Go around!
752
00:41:14,290 --> 00:41:16,292
NARRATOR: But it doesn't
explain why the captain was so
753
00:41:16,292 --> 00:41:18,928
uncertain about the
autopilot function
754
00:41:18,928 --> 00:41:23,032
and why the crew was
so slow to react.
755
00:41:23,032 --> 00:41:27,537
22,000 hours between them.
756
00:41:27,537 --> 00:41:31,274
You'd think they'd
notice the speed.
757
00:41:31,274 --> 00:41:32,475
NARRATOR: The
translated documents
758
00:41:32,475 --> 00:41:35,178
retrieved from the cockpit
provide some crucial answers.
759
00:41:38,314 --> 00:41:40,950
They reveal that Captain
Lee Kang-Kook was
760
00:41:40,950 --> 00:41:42,919
training on the Boeing 777--
761
00:41:42,919 --> 00:41:44,320
Is that the Golden Gate?
762
00:41:44,320 --> 00:41:45,588
NARRATOR: --after
flying the Airbus
763
00:41:45,588 --> 00:41:49,492
A320, an aircraft with a very
different style of automation.
764
00:41:52,295 --> 00:41:53,463
Check.
765
00:41:53,463 --> 00:41:57,834
He was a little bit stressed
because it was a training
766
00:41:57,834 --> 00:42:00,136
flight, and he was
being monitored
767
00:42:00,136 --> 00:42:03,173
by this more senior pilot.
768
00:42:03,173 --> 00:42:05,642
NARRATOR: But why did the
experienced first officer
769
00:42:05,642 --> 00:42:07,977
wait until it was too
late before taking
770
00:42:07,977 --> 00:42:11,014
control of the plane?
771
00:42:11,014 --> 00:42:12,348
I've got control.
772
00:42:12,348 --> 00:42:14,884
NARRATOR: If he had
intervened sooner--
773
00:42:14,884 --> 00:42:16,052
Positive rate.
774
00:42:16,052 --> 00:42:17,053
NARRATOR: --he would
almost certainly
775
00:42:17,053 --> 00:42:18,121
have prevented the accident.
776
00:42:21,090 --> 00:42:24,194
When they continue looking
through company records,
777
00:42:24,194 --> 00:42:26,696
investigators discover
the first officer
778
00:42:26,696 --> 00:42:30,166
had never before supervised a
training flight like this one.
779
00:42:30,166 --> 00:42:33,002
Slow.
780
00:42:33,002 --> 00:42:35,038
NARRATOR: His
inexperience most likely
781
00:42:35,038 --> 00:42:36,739
led him to wait too long--
782
00:42:36,739 --> 00:42:38,074
Speed.
783
00:42:38,074 --> 00:42:39,042
NARRATOR: --before
taking over the controls.
784
00:42:39,042 --> 00:42:40,143
AUTOMATED VOICE: Terrain.
785
00:42:40,143 --> 00:42:41,077
Pull up.
786
00:42:46,783 --> 00:42:51,221
NARRATOR: In their final report
on the crash of Asiana 214,
787
00:42:51,221 --> 00:42:55,191
investigators list pilot
error as the probable cause.
788
00:42:55,191 --> 00:42:57,627
But they also cite
the complexities
789
00:42:57,627 --> 00:43:00,964
of the automation system
as a contributing factor.
790
00:43:00,964 --> 00:43:04,767
I am not confident that the
majority of pilots, 777 pilots
791
00:43:04,767 --> 00:43:07,937
at the time, would have been
able to predict the modes
792
00:43:07,937 --> 00:43:10,740
that the airplane
would end up in.
793
00:43:10,740 --> 00:43:14,410
NARRATOR: The report calls
for better pilot training,
794
00:43:14,410 --> 00:43:18,081
more intuitive designs
of aircraft automation,
795
00:43:18,081 --> 00:43:20,283
and better cockpit
alarms to warn pilots
796
00:43:20,283 --> 00:43:22,051
if their speed gets too low.
797
00:43:26,422 --> 00:43:30,126
Modern jets are very, very,
very efficient, which means
798
00:43:30,126 --> 00:43:32,395
that they're hard to slow down.
799
00:43:32,395 --> 00:43:35,798
So getting the airplane
on the proper speed
800
00:43:35,798 --> 00:43:39,402
is one of the biggest
challenges that jet pilots face.
801
00:43:39,402 --> 00:43:40,837
NARRATOR: If pilots
aren't prepared
802
00:43:40,837 --> 00:43:44,274
when the runway is in
sight, a routine landing
803
00:43:44,274 --> 00:43:46,442
can quickly become a tragedy.
804
00:43:46,442 --> 00:43:49,679
A stabilized approach
says I know we can make it.
805
00:43:49,679 --> 00:43:50,880
If you're a pilot
and you ever say,
806
00:43:50,880 --> 00:43:54,450
I think we can make it, you
better be doing a go around.
807
00:43:54,450 --> 00:43:56,953
Because those are the last
words I've heard on so
808
00:43:56,953 --> 00:43:58,388
many cockpit voice recordings.
62516
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