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1
00:00:02,068 --> 00:00:04,637
Beatours 28,
you are clear for takeoff.
2
00:00:14,514 --> 00:00:15,915
80 knots.
3
00:00:19,052 --> 00:00:20,887
Stop!
4
00:00:20,954 --> 00:00:23,656
Don't hammer the brakes.
Don't hammer the brakes.
5
00:00:23,723 --> 00:00:25,158
137 people
6
00:00:25,225 --> 00:00:27,594
are on board this British
Airtours flight.
7
00:00:27,660 --> 00:00:30,663
Within minutes, nearly
half of them will be dead.
8
00:00:30,730 --> 00:00:33,366
This should not really
have happened.
9
00:00:33,433 --> 00:00:34,768
Evacuate, evacuate!
10
00:00:34,834 --> 00:00:36,669
The aircraft
didn't even get airborne.
11
00:00:36,736 --> 00:00:38,838
It didn't run off the runway.
12
00:00:38,905 --> 00:00:41,808
And yet, still
55 people were killed.
13
00:00:41,875 --> 00:00:44,711
For investigators,
it's a familiar routine--
14
00:00:44,778 --> 00:00:48,415
reconstructing the final moments
inside the cabin,
15
00:00:48,481 --> 00:00:51,751
analyzing the wreckage
and the flight data recorders.
16
00:00:51,818 --> 00:00:54,254
In the end, they turn
to a psychologist
17
00:00:54,320 --> 00:00:57,657
to help them figure out
how a survivable emergency
18
00:00:57,724 --> 00:00:59,526
turned into one
of British aviation's
19
00:00:59,592 --> 00:01:01,628
most horrific disasters.
20
00:01:01,694 --> 00:01:02,796
Ladies and gentlemen,
21
00:01:02,862 --> 00:01:03,797
we are starting our approach.
22
00:01:03,863 --> 00:01:05,031
We lost both engines!
23
00:01:05,098 --> 00:01:06,232
Put the mask over your nose.
24
00:01:06,299 --> 00:01:07,233
Emergency descent.
25
00:01:07,300 --> 00:01:08,301
Mayday, mayday.
26
00:01:08,368 --> 00:01:10,270
Brace for impact!
27
00:01:10,336 --> 00:01:11,271
I think I lost one.
28
00:01:11,337 --> 00:01:13,173
Investigation starting...
29
00:01:14,574 --> 00:01:16,142
Man: He's gonna crash!
30
00:01:29,189 --> 00:01:30,590
Just before
six in the morning
31
00:01:30,657 --> 00:01:35,829
on August the 22nd, 1985,
32
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Manchester's Airport
is coming to life.
33
00:01:39,966 --> 00:01:43,136
The first flights of the day
are being prepped for departure.
34
00:01:46,306 --> 00:01:50,677
British Airtours Flight 28 is
scheduled to take 131 passengers
35
00:01:50,743 --> 00:01:53,913
from Manchester to
the Greek island of Corfu.
36
00:01:57,917 --> 00:02:00,753
British Airtours is a division
of British Airways,
37
00:02:00,820 --> 00:02:04,791
specializing in low cost flights
to vacation destinations.
38
00:02:07,126 --> 00:02:09,162
It's a chilly morning.
39
00:02:09,229 --> 00:02:11,030
A slight breeze is blowing.
40
00:02:11,097 --> 00:02:13,266
Ideal flying weather.
41
00:02:18,104 --> 00:02:20,507
Most of the passengers
on this early morning flight
42
00:02:20,573 --> 00:02:22,742
are traveling on vacation.
43
00:02:27,547 --> 00:02:29,415
Lindsay Davies
is heading to Greece
44
00:02:29,482 --> 00:02:31,518
with her boyfriend
Charlie Thickson.
45
00:02:31,584 --> 00:02:33,386
All right, let's go.
46
00:02:33,453 --> 00:02:36,322
We'd been going out
with each other for a year,
47
00:02:36,389 --> 00:02:40,326
and that's one of the reasons
we were so excited about it.
48
00:02:40,393 --> 00:02:43,963
You know, it was our
first holiday together.
49
00:02:44,030 --> 00:02:45,865
Captain Peter Terrington
50
00:02:45,932 --> 00:02:47,267
is in command.
51
00:02:47,333 --> 00:02:49,335
I was the senior
training captain
52
00:02:49,402 --> 00:02:51,137
on the fleet.
53
00:02:51,204 --> 00:02:52,539
First officer Brian Love
54
00:02:52,605 --> 00:02:54,507
is being trained by Terrington.
55
00:02:54,574 --> 00:02:58,678
He was going to
perform a takeoff and landing,
56
00:02:58,745 --> 00:03:01,247
as part of his training.
57
00:03:01,314 --> 00:03:02,248
All right, captain?
58
00:03:02,315 --> 00:03:03,283
Yep.
59
00:03:03,349 --> 00:03:04,684
Ah, briefing, then, Brian.
60
00:03:04,751 --> 00:03:05,752
Airfield emergencies.
61
00:03:05,818 --> 00:03:07,687
You handling the aircraft.
62
00:03:07,754 --> 00:03:09,222
What are the four things
you're going to stop for?
63
00:03:09,289 --> 00:03:11,157
Fire, failure,
configuration warning,
64
00:03:11,224 --> 00:03:12,458
or you shouting stop.
65
00:03:12,525 --> 00:03:14,561
Okay. So you
bring the thing to a stop
66
00:03:14,627 --> 00:03:15,795
and I'll take over the aircraft
67
00:03:15,862 --> 00:03:17,030
and leave you to deal
with the emergency.
68
00:03:17,096 --> 00:03:18,064
I'll deal with the ATC.
69
00:03:18,131 --> 00:03:20,233
Okay?
70
00:03:20,300 --> 00:03:23,303
If you've talked about
the possibility of emergency
71
00:03:23,369 --> 00:03:26,005
and talked over
what you would do,
72
00:03:26,072 --> 00:03:27,473
then if it actually happens,
73
00:03:27,540 --> 00:03:31,578
it's easier to recall
those items.
74
00:03:31,644 --> 00:03:32,879
Okay, Brian, start two.
75
00:03:32,946 --> 00:03:35,882
Starting two.
76
00:03:35,949 --> 00:03:37,283
Oil pressure rising.
77
00:03:37,350 --> 00:03:39,652
Okay, go one.
78
00:03:39,719 --> 00:03:43,923
24, 25, 26, 27, 28, 29.
79
00:03:46,326 --> 00:03:48,494
129 plus 2 on board, captain.
80
00:03:48,561 --> 00:03:50,763
All strapped in, doors are
closed and automatic.
81
00:03:50,830 --> 00:03:53,032
Thank you, Arthur.
82
00:03:53,099 --> 00:03:56,402
The crew is flying
a Boeing 737.
83
00:04:06,913 --> 00:04:08,214
It takes just four minutes
84
00:04:08,281 --> 00:04:12,385
for the plane to reach
the foot of the runway.
85
00:04:12,452 --> 00:04:15,888
Beatours 28,
you are clear for takeoff.
86
00:04:15,955 --> 00:04:18,458
The 737 has 3,300 yards
87
00:04:18,524 --> 00:04:20,493
to get to take-off speed.
88
00:04:22,729 --> 00:04:25,531
The engines are pushed
to high power.
89
00:04:28,701 --> 00:04:30,503
I was sitting
by the window,
90
00:04:30,570 --> 00:04:31,671
looking out of the window.
91
00:04:31,738 --> 00:04:32,939
Everything was normal.
92
00:04:33,006 --> 00:04:37,010
The plane was going quite fast.
93
00:04:37,076 --> 00:04:38,144
80 knots.
94
00:04:38,211 --> 00:04:39,479
Check.
95
00:04:46,853 --> 00:04:49,255
We heard a dull thud,
96
00:04:49,322 --> 00:04:52,191
which sounded as if
it came from outside.
97
00:04:54,427 --> 00:04:57,697
I was really keen to see
what was going on outside
98
00:04:57,764 --> 00:04:59,132
but couldn't see anything.
99
00:04:59,198 --> 00:05:01,701
Captain Terrington
needs to act fast.
100
00:05:01,768 --> 00:05:02,835
Stop!
101
00:05:11,210 --> 00:05:14,414
And the immediate reaction
was to stop.
102
00:05:14,480 --> 00:05:17,750
We were quite a few knots
below our decision speed,
103
00:05:17,817 --> 00:05:20,420
so I very quickly
closed the throttles
104
00:05:20,486 --> 00:05:22,655
and applied reverse thrust.
105
00:05:22,722 --> 00:05:26,125
We could feel
the aircraft slowing down,
106
00:05:26,192 --> 00:05:28,428
and I thought we'd blown a tire,
107
00:05:28,494 --> 00:05:32,165
and I didn't know,
so we just waited to hear.
108
00:05:36,202 --> 00:05:37,603
Don't hammer the brakes.
109
00:05:37,670 --> 00:05:39,372
Don't hammer the brakes!
110
00:05:42,608 --> 00:05:45,311
I thought the tire
might have gone
111
00:05:45,378 --> 00:05:47,914
and would cause damage
to the undercarriage
112
00:05:47,980 --> 00:05:50,283
if we braked too strongly.
113
00:05:50,349 --> 00:05:51,617
Probably nothing.
114
00:05:51,684 --> 00:05:53,720
I wouldn't worry.
115
00:05:53,786 --> 00:05:56,055
I just assumed that
maybe a tire had burst,
116
00:05:56,122 --> 00:05:58,391
so I wasn't really alarmed
at that point.
117
00:05:58,458 --> 00:06:00,593
My thought at that time
was, oh, okay,
118
00:06:00,660 --> 00:06:01,961
we're going to get
off this plane
119
00:06:02,028 --> 00:06:04,030
and probably have to move
all the luggage
120
00:06:04,097 --> 00:06:06,999
onto another plane and take off.
121
00:06:12,071 --> 00:06:14,474
Soon, passengers
on the left side of the plane
122
00:06:14,540 --> 00:06:16,175
see the real problem.
123
00:06:19,479 --> 00:06:21,314
I could see orange flames
124
00:06:21,380 --> 00:06:24,250
inside the back of the engine.
125
00:06:24,317 --> 00:06:28,855
And at that point, I thought
it's obviously not a burst tire.
126
00:06:28,921 --> 00:06:30,223
That wouldn't cause that,
127
00:06:30,289 --> 00:06:34,827
and this is perhaps something
a bit more serious.
128
00:06:34,894 --> 00:06:37,597
Let me by.
I'm not staying there.
129
00:06:37,663 --> 00:06:40,633
But at that point I knew that
I wanted to get off the plane,
130
00:06:40,700 --> 00:06:43,903
and I wasn't happy at all.
131
00:06:43,970 --> 00:06:46,205
I knew that there was a fire,
132
00:06:46,272 --> 00:06:48,875
and I just wanted to get away
from the fire.
133
00:06:48,941 --> 00:06:51,744
Smoke is seeping
into the cabin.
134
00:06:51,811 --> 00:06:52,879
Please sit down!
135
00:06:52,945 --> 00:06:54,847
My nearest exit
was at the back.
136
00:06:54,914 --> 00:06:56,115
I didn't want to go to the back
137
00:06:56,182 --> 00:06:58,451
because the smoke
was coming in there.
138
00:06:58,518 --> 00:06:59,852
So I decided in my mind
139
00:06:59,919 --> 00:07:01,687
that I was going to go
through the front.
140
00:07:01,754 --> 00:07:02,989
I said to Charlie...
141
00:07:03,055 --> 00:07:04,490
Come on, we're going.
142
00:07:04,557 --> 00:07:07,460
And that's when I started going
towards the front of the plane.
143
00:07:10,263 --> 00:07:12,698
Stopping. 28 mike,
we're abandoning takeoff.
144
00:07:15,201 --> 00:07:17,637
Looks like we've got a fire
on number one.
145
00:07:19,839 --> 00:07:21,407
Looks like there's
a lot of fire.
146
00:07:21,474 --> 00:07:23,142
Thank you.
147
00:07:23,209 --> 00:07:25,044
Plane on fire,
runway 24.
148
00:07:25,111 --> 00:07:26,412
From where he's sitting,
149
00:07:26,479 --> 00:07:29,615
captain Terrington can't see
how bad the fire is.
150
00:07:29,682 --> 00:07:31,350
He needs advice from the tower.
151
00:07:31,417 --> 00:07:34,187
Do we have to
get the passengers off?
152
00:07:34,253 --> 00:07:36,856
I would do,
by the starboard side.
153
00:07:36,923 --> 00:07:42,195
Terrington decides
to pull off the runway.
154
00:07:42,261 --> 00:07:44,497
Evacuate to the starboard side,
please.
155
00:07:51,404 --> 00:07:53,306
Fire drill, engine number one.
156
00:07:53,372 --> 00:07:55,174
Shutting down two.
157
00:07:55,241 --> 00:07:56,542
Evacuate, evacuate!
158
00:07:56,609 --> 00:07:58,678
Please stay calm!
159
00:07:58,744 --> 00:08:00,880
Before the flight
crew leaves the cockpit,
160
00:08:00,947 --> 00:08:04,984
they must complete
a 15-step checklist.
161
00:08:05,051 --> 00:08:06,018
Parking brake.
162
00:08:06,085 --> 00:08:07,186
Set.
163
00:08:07,253 --> 00:08:08,588
Speed brake lever.
164
00:08:08,654 --> 00:08:09,689
Down.
165
00:08:09,755 --> 00:08:11,490
But time
is running out.
166
00:08:11,557 --> 00:08:14,160
We had
an evacuation checklist,
167
00:08:14,227 --> 00:08:16,195
but it was four pages long,
168
00:08:16,262 --> 00:08:18,931
and the last item was
to get the passengers off.
169
00:08:18,998 --> 00:08:20,766
Engine and
APU fire warning switches.
170
00:08:20,833 --> 00:08:25,037
This didn't cover
my problem at all.
171
00:08:25,104 --> 00:08:29,408
On the 737,
there are four cabin doors.
172
00:08:29,475 --> 00:08:32,578
The two in the back are covered
in flames and smoke,
173
00:08:32,645 --> 00:08:37,550
leaving only two for 137 people.
174
00:08:37,617 --> 00:08:43,222
Then, a mechanical problem
eliminates one of those.
175
00:08:43,289 --> 00:08:45,992
Well, Arthur was
opening one right.
176
00:08:46,058 --> 00:08:49,095
And, um, he was really banging,
he was really trying to open it,
177
00:08:49,161 --> 00:08:51,197
and it was really hard to open.
178
00:08:55,134 --> 00:08:59,238
The back of the cabin
is filling with smoke.
179
00:08:59,305 --> 00:09:01,440
It's making breathing difficult.
180
00:09:01,507 --> 00:09:04,343
Passengers rush forward.
181
00:09:04,410 --> 00:09:06,145
It just seemed
to go on forever
182
00:09:06,212 --> 00:09:09,415
before they,
they started evacuating.
183
00:09:09,482 --> 00:09:12,051
And that's when I thought
I'm not going to get off.
184
00:09:12,118 --> 00:09:14,820
It's going to blow up
with all of us on it.
185
00:09:14,887 --> 00:09:17,623
Engine and APU
fire warning switches.
186
00:09:17,690 --> 00:09:22,595
Now, all 137 people
on board are alive.
187
00:09:22,662 --> 00:09:24,096
But with every second,
188
00:09:24,163 --> 00:09:27,600
their odds of surviving
are decreasing.
189
00:09:27,667 --> 00:09:31,704
Flight 28 is becoming
a death trap.
190
00:09:45,084 --> 00:09:47,853
The jammed door
on the right side of the 737
191
00:09:47,920 --> 00:09:49,956
leaves the crew no choice.
192
00:09:52,792 --> 00:09:54,260
They must get the passengers out
193
00:09:54,327 --> 00:09:57,129
from the side of the plane
that's burning.
194
00:10:02,335 --> 00:10:03,636
As soon as we
opened the door,
195
00:10:03,703 --> 00:10:05,604
the fire service
were already around,
196
00:10:05,671 --> 00:10:07,373
shooting foam up the slide
197
00:10:07,440 --> 00:10:10,242
and it came into
the galley floor.
198
00:10:12,678 --> 00:10:14,513
We wanted to start
evacuating passengers,
199
00:10:14,580 --> 00:10:16,115
but there was
a bit of a bottleneck
200
00:10:16,182 --> 00:10:17,850
and nobody was coming forward.
201
00:10:17,917 --> 00:10:20,886
The aisle is quite narrow
where the galley is,
202
00:10:20,953 --> 00:10:23,356
and they were pushing forward.
203
00:10:23,422 --> 00:10:25,424
And I could see this boy
204
00:10:25,491 --> 00:10:28,995
that was really sort of
pushed against the wall.
205
00:10:32,698 --> 00:10:35,601
He couldn't get out
so I pulled him by his T-shirt,
206
00:10:35,668 --> 00:10:39,405
had the yellow T-shirt, and he,
he sort of tumbled forward,
207
00:10:39,472 --> 00:10:44,276
and after that everybody sort of
just tumbled in behind him.
208
00:10:44,343 --> 00:10:47,680
And we just directed them
down the slide.
209
00:10:47,747 --> 00:10:48,714
Jump.
210
00:10:48,781 --> 00:10:51,851
Jump. Jump.
211
00:10:51,917 --> 00:10:54,620
In training they tell you
to bring people to the door
212
00:10:54,687 --> 00:10:57,690
and you tell them to jump.
213
00:10:59,658 --> 00:11:01,060
Jump.
214
00:11:01,127 --> 00:11:03,729
Desperate to get
people off the plane quickly,
215
00:11:03,796 --> 00:11:06,432
the purser returns
to the jammed door.
216
00:11:06,499 --> 00:11:12,405
After several attempts,
he manages to force it open.
217
00:11:12,471 --> 00:11:14,106
The only time
I turned around
218
00:11:14,173 --> 00:11:18,110
was to make sure that Charlie
was following me.
219
00:11:18,177 --> 00:11:20,646
See you out there.
220
00:11:20,713 --> 00:11:22,648
One thing I did see
when I looked back
221
00:11:22,715 --> 00:11:25,684
was people going to the front,
222
00:11:25,751 --> 00:11:28,621
towards the front of the plane
where the seats are,
223
00:11:28,687 --> 00:11:30,156
and pushing the seats forward,
224
00:11:30,222 --> 00:11:32,858
folding them down
as they went along.
225
00:11:32,925 --> 00:11:36,562
So people were trying to rush
forward from the back.
226
00:11:36,629 --> 00:11:39,932
The chute was open and people
were just jumping out
227
00:11:39,999 --> 00:11:42,301
straight onto the chute.
228
00:11:42,368 --> 00:11:43,869
As I got to the bottom,
229
00:11:43,936 --> 00:11:47,373
I didn't look back at all,
was just wanting to get off.
230
00:11:47,440 --> 00:11:50,376
Dozens of passengers
have made it off the plane.
231
00:11:50,443 --> 00:11:52,578
But there are still
many more inside.
232
00:11:52,645 --> 00:11:56,582
It was smoldering and it
was black, thick black smoke.
233
00:11:56,649 --> 00:11:59,318
And Charlie had said
that after you'd gone,
234
00:11:59,385 --> 00:12:01,754
this black smoke came down,
he said,
235
00:12:01,821 --> 00:12:04,790
and everybody was screaming
and panicking.
236
00:12:08,360 --> 00:12:11,063
He said people
are going to die in there.
237
00:12:11,130 --> 00:12:12,631
Standby power switch.
238
00:12:12,698 --> 00:12:14,266
Captain Peter Terrington
239
00:12:14,333 --> 00:12:15,734
and his first officer Brian Love
240
00:12:15,801 --> 00:12:17,937
are still aboard
the burning airplane.
241
00:12:18,003 --> 00:12:22,074
And they still haven't completed
the steps required to evacuate.
242
00:12:24,844 --> 00:12:26,278
There was four tons of fuel
243
00:12:26,345 --> 00:12:28,247
coming out of that aircraft.
244
00:12:28,314 --> 00:12:29,548
Wing tank.
245
00:12:29,615 --> 00:12:31,450
Ready to go, Brian?
Go, Brian.
246
00:12:31,517 --> 00:12:34,920
I could see quite a lot
of flames.
247
00:12:34,987 --> 00:12:37,923
Completing the checklist
248
00:12:37,990 --> 00:12:40,359
would put their lives at risk.
249
00:12:40,426 --> 00:12:42,962
We did as many items
as we could.
250
00:12:43,028 --> 00:12:47,266
And then we both went
out of the flight deck window.
251
00:12:53,439 --> 00:12:55,841
There are no more
passengers at the exits.
252
00:12:55,908 --> 00:12:57,576
So Joanna Toff decides to see
253
00:12:57,643 --> 00:13:01,046
if anyone else is left
in the cabin.
254
00:13:01,113 --> 00:13:03,816
And the smoke was,
you could touch it,
255
00:13:03,883 --> 00:13:05,050
it was so thick.
256
00:13:05,117 --> 00:13:07,052
And you could taste,
it was awful, really.
257
00:13:07,119 --> 00:13:08,721
Go!
258
00:13:21,867 --> 00:13:23,369
There was a young girl
259
00:13:23,435 --> 00:13:25,871
just a bit further down
in the cabin.
260
00:13:25,938 --> 00:13:28,407
But she was really
disorientated;
261
00:13:28,474 --> 00:13:30,376
I mean, I suppose
we all were, really.
262
00:13:30,442 --> 00:13:34,914
We just didn't have any idea
what was going on.
263
00:13:34,980 --> 00:13:36,448
I just brought her
down to the slide.
264
00:13:36,515 --> 00:13:40,252
She was taken off then.
265
00:13:40,319 --> 00:13:43,489
The fireman was telling me
to come on out.
266
00:13:43,556 --> 00:13:45,958
And I'm thinking well,
I'm not finished, you know,
267
00:13:46,025 --> 00:13:47,893
we've not finished yet.
268
00:13:49,695 --> 00:13:52,431
When Toff re-enters
the cabin,
269
00:13:52,498 --> 00:13:58,404
the thick smoke makes it as hard
to see as it is to breathe.
270
00:13:58,470 --> 00:13:59,738
It was really
dark and quiet,
271
00:13:59,805 --> 00:14:01,173
I've never seen
anything like it.
272
00:14:01,240 --> 00:14:03,909
And I could see the light
from the door anyway by then,
273
00:14:03,976 --> 00:14:06,145
so I knew where the door was.
274
00:14:06,212 --> 00:14:09,715
The smoke forces Toff
to abandon her search.
275
00:14:17,389 --> 00:14:19,825
Just minutes after
pulling off the runway,
276
00:14:19,892 --> 00:14:24,430
British Airtours Flight 28
has been consumed by fire.
277
00:14:24,496 --> 00:14:26,599
We got out
of the flight deck,
278
00:14:26,665 --> 00:14:29,768
which was relatively intact.
279
00:14:29,835 --> 00:14:32,004
And when we turned round
on the ground
280
00:14:32,071 --> 00:14:36,041
we saw a complete wreck
of an aircraft.
281
00:14:36,108 --> 00:14:40,346
And it had happened
in a matter of seconds.
282
00:14:40,412 --> 00:14:43,649
It was, uh, dreadful.
283
00:14:47,086 --> 00:14:49,622
54 people are dead.
284
00:14:49,688 --> 00:14:53,092
One more person would later die
in the hospital.
285
00:15:03,769 --> 00:15:05,404
There was
nothing wrong, really, with us.
286
00:15:05,471 --> 00:15:08,340
We thought nothing physical
wrong with us.
287
00:15:08,407 --> 00:15:10,376
But our lives changed, you know,
288
00:15:10,442 --> 00:15:13,045
just in those,
in those few hours.
289
00:15:24,823 --> 00:15:26,258
I couldn't breathe.
290
00:15:26,325 --> 00:15:28,961
I was virtually out the door
and I couldn't breathe then.
291
00:15:29,028 --> 00:15:30,229
The smoke was coming in
292
00:15:30,296 --> 00:15:34,033
and everybody just stood up
and ran out.
293
00:15:34,099 --> 00:15:36,135
It was just a mad panic
getting out.
294
00:15:36,201 --> 00:15:37,303
When the smoke came,
295
00:15:37,369 --> 00:15:39,038
you just couldn't see
anything at all.
296
00:15:39,104 --> 00:15:42,374
You couldn't see anybody.
297
00:15:42,441 --> 00:15:44,677
It takes
125 firefighters
298
00:15:44,743 --> 00:15:48,080
more than two hours
to put out the fire.
299
00:15:51,350 --> 00:15:55,254
News of the disaster
soon spreads around the world.
300
00:15:55,321 --> 00:15:56,922
British Prime Minister
Margaret Thatcher
301
00:15:56,989 --> 00:16:00,526
flies to Manchester
to visit the scene.
302
00:16:00,592 --> 00:16:03,962
When we get a terrible
air crash of this kind,
303
00:16:04,029 --> 00:16:05,564
everyone is appalled
and shocked.
304
00:16:05,631 --> 00:16:08,133
Every single aspect
of this accident
305
00:16:08,200 --> 00:16:09,501
will be thoroughly investigated.
306
00:16:09,568 --> 00:16:12,204
It has to be.
307
00:16:12,271 --> 00:16:14,440
This is the fourth
major commercial air disaster
308
00:16:14,506 --> 00:16:16,342
of the year.
309
00:16:16,408 --> 00:16:18,243
In June of 1985,
310
00:16:18,310 --> 00:16:23,882
an air India jet exploded
over the Atlantic Ocean.
311
00:16:23,949 --> 00:16:27,619
329 people were killed.
312
00:16:27,686 --> 00:16:31,857
Weeks later, 137 people died
when a Delta Airlines flight
313
00:16:31,924 --> 00:16:34,326
crashed at
Dallas-Forth Worth Airport.
314
00:16:37,062 --> 00:16:40,099
And just ten days before
the Manchester crash,
315
00:16:40,165 --> 00:16:43,936
the deadliest single-aircraft
accident in history.
316
00:16:44,002 --> 00:16:48,540
Japan Airlines flight 123,
a fully loaded 747,
317
00:16:48,607 --> 00:16:52,344
slammed into a mountain,
killing 520 people.
318
00:16:57,282 --> 00:17:01,053
British Airtours Flight 28
adds 55 new victims
319
00:17:01,120 --> 00:17:02,921
to the list of air casualties.
320
00:17:02,988 --> 00:17:05,357
1985 is now the deadliest year
321
00:17:05,424 --> 00:17:08,327
in the history
of commercial aviation.
322
00:17:08,394 --> 00:17:11,130
The flying public
is getting nervous.
323
00:17:15,467 --> 00:17:17,770
Britain's Air Accidents
Investigation Branch
324
00:17:17,836 --> 00:17:19,338
sends a team to Manchester
325
00:17:19,405 --> 00:17:23,041
to unravel the events
that led to the catastrophe.
326
00:17:23,108 --> 00:17:25,878
Among them, Stephen Moss.
327
00:17:25,944 --> 00:17:29,081
He'll be inspecting
the plane's engines.
328
00:17:29,148 --> 00:17:31,250
This should not
really have happened.
329
00:17:31,316 --> 00:17:33,452
The aircraft didn't even
get airborne.
330
00:17:33,519 --> 00:17:35,654
It didn't run off the runway,
331
00:17:35,721 --> 00:17:38,657
and yet still 55 people
were killed.
332
00:17:38,724 --> 00:17:42,127
Chris Protheroe
is also on the team.
333
00:17:42,194 --> 00:17:44,563
His focus is on the fire.
334
00:17:46,899 --> 00:17:49,835
We were aware
from initial reports
335
00:17:49,902 --> 00:17:53,639
that the fire had entered
the aircraft very rapidly
336
00:17:53,705 --> 00:17:55,140
as the aircraft came to a halt.
337
00:17:55,207 --> 00:17:59,778
And that was a focus for me.
338
00:17:59,845 --> 00:18:01,580
It doesn't take
too long for Stephen Moss
339
00:18:01,647 --> 00:18:04,183
to figure out where
the trouble started.
340
00:18:05,984 --> 00:18:10,923
He sees damage to the plane
that was not caused by the fire.
341
00:18:10,989 --> 00:18:12,791
The first thing
we noticed clearly
342
00:18:12,858 --> 00:18:15,828
was the hole in the underside
of the wing.
343
00:18:18,864 --> 00:18:21,300
And right next to it
was a gaping hole
344
00:18:21,366 --> 00:18:22,868
in the side of the engine.
345
00:18:22,935 --> 00:18:25,704
Seems that one
had led to the other.
346
00:18:34,313 --> 00:18:35,714
To lift a passenger jet
347
00:18:35,781 --> 00:18:36,715
off the ground,
348
00:18:36,782 --> 00:18:40,853
massive thrust is needed.
349
00:18:40,919 --> 00:18:42,855
That power is created
when air travels
350
00:18:42,921 --> 00:18:46,859
through the front of the engine
to a series of compressor fans.
351
00:18:46,925 --> 00:18:48,060
It's then ignited,
352
00:18:48,126 --> 00:18:50,929
and the exhaust pushes
the plane forward.
353
00:18:53,432 --> 00:18:55,467
Something had clearly
gone very wrong
354
00:18:55,534 --> 00:18:58,270
with Flight 28's left engine.
355
00:19:04,042 --> 00:19:08,447
Investigators look for clues
on the runway and in the cabin,
356
00:19:08,514 --> 00:19:11,650
hoping to discover
why so many people died.
357
00:19:17,122 --> 00:19:19,658
Entering the cabin
for the first time,
358
00:19:19,725 --> 00:19:22,461
there was a, as with
all aircraft fires,
359
00:19:22,528 --> 00:19:26,498
there's an overwhelming
pungent smell...
360
00:19:26,565 --> 00:19:29,101
Burning plastic, burnt fuel.
361
00:19:29,167 --> 00:19:32,170
Burning material had dropped
down onto seats,
362
00:19:32,237 --> 00:19:34,039
and so the aisles were filled up
363
00:19:34,106 --> 00:19:39,444
with the remains
of overhead lockers.
364
00:19:39,511 --> 00:19:42,614
A scene of devastation.
365
00:19:44,950 --> 00:19:47,319
The damage
in the cabin is revealing.
366
00:19:47,386 --> 00:19:51,156
It's almost completely charred
up high,
367
00:19:51,223 --> 00:19:54,259
but is relatively intact
down low.
368
00:19:55,861 --> 00:19:58,564
It was clear that
there had not been a flashover
369
00:19:58,630 --> 00:20:02,034
in this particular case.
370
00:20:02,100 --> 00:20:03,569
A flashover occurs
371
00:20:03,635 --> 00:20:05,404
when the gases
in an enclosed space
372
00:20:05,470 --> 00:20:07,506
become so hot that they ignite,
373
00:20:07,573 --> 00:20:09,975
incinerating everything
around them.
374
00:20:15,213 --> 00:20:17,616
The way Flight 28's cabin
is charred
375
00:20:17,683 --> 00:20:21,620
tells Protheroe
about the nature of the fire.
376
00:20:21,687 --> 00:20:23,889
Many of
the seat squab cushions,
377
00:20:23,956 --> 00:20:27,459
even things like
the emergency evacuation cards,
378
00:20:27,526 --> 00:20:30,295
which are just plastic
laminated cards,
379
00:20:30,362 --> 00:20:33,031
were pretty much undamaged.
380
00:20:33,098 --> 00:20:35,567
You could have wiped them off
and put them on another aircraft
381
00:20:35,634 --> 00:20:37,603
and nobody would have known
they'd been in this accident.
382
00:20:37,669 --> 00:20:40,339
Whereas at the upper levels
in the fuselage
383
00:20:40,405 --> 00:20:42,274
there was a great deal
of heat damage,
384
00:20:42,341 --> 00:20:45,077
and this is not a characteristic
of a flashover.
385
00:20:48,447 --> 00:20:51,183
The fire in the cabin
had been severe,
386
00:20:51,249 --> 00:20:54,386
but should not have been
catastrophic.
387
00:20:54,453 --> 00:20:57,422
This leaves investigators
with two questions:
388
00:20:57,489 --> 00:21:02,761
Why did so many people die,
and what caused the fire?
389
00:21:06,665 --> 00:21:07,933
The answer to the question
390
00:21:08,000 --> 00:21:11,970
may be outside the plane,
lying on the runway.
391
00:21:12,037 --> 00:21:15,107
Investigators find a large piece
of dome-shaped metal
392
00:21:15,173 --> 00:21:17,576
along the plane's path.
393
00:21:20,679 --> 00:21:23,382
Stephen Moss can see
it's from a piece of the engine
394
00:21:23,448 --> 00:21:25,884
called a combustor can.
395
00:21:29,821 --> 00:21:32,157
It looked like there'd been
a separation of the can
396
00:21:32,224 --> 00:21:35,427
from the front end,
from the back end.
397
00:21:35,494 --> 00:21:36,895
The combustion chamber
398
00:21:36,962 --> 00:21:38,864
of the 737's jet engines
399
00:21:38,930 --> 00:21:41,767
contain nine combustor cans.
400
00:21:41,833 --> 00:21:44,569
It's where fuel and air
are mixed and ignited.
401
00:21:44,636 --> 00:21:49,074
So each can needs to withstand
intense heat.
402
00:21:51,476 --> 00:21:53,278
Moss suspects the fractured can
403
00:21:53,345 --> 00:21:57,582
somehow blew apart and destroyed
the plane's left engine.
404
00:21:57,649 --> 00:21:58,750
It had struck
405
00:21:58,817 --> 00:22:01,053
an under-wing fuel tank
access panel
406
00:22:01,119 --> 00:22:03,355
and put a sizable hole in that,
407
00:22:03,422 --> 00:22:05,023
which directly led
to the release
408
00:22:05,090 --> 00:22:08,493
of a vast quantity of fuel.
409
00:22:08,560 --> 00:22:10,395
Proving the piece
of the combustion can
410
00:22:10,462 --> 00:22:13,265
penetrated the wing is easy.
411
00:22:13,331 --> 00:22:17,069
It fits neatly into the hole
in the wing.
412
00:22:17,135 --> 00:22:18,704
This was clearly the,
if you like,
413
00:22:18,770 --> 00:22:21,039
the root cause of the accident.
414
00:22:21,106 --> 00:22:23,141
The engine on the plane
415
00:22:23,208 --> 00:22:24,810
is a Pratt & Whitney JT-8D.
416
00:22:24,876 --> 00:22:28,080
For Moss,
that's of grave concern.
417
00:22:28,146 --> 00:22:29,614
At the time,
it was probably
418
00:22:29,681 --> 00:22:33,452
the most widely used jet engine
on commercial air transport
419
00:22:33,518 --> 00:22:34,820
in the world.
420
00:22:34,886 --> 00:22:36,755
And it was obviously
pretty urgent
421
00:22:36,822 --> 00:22:40,225
that we try and find
the cause of this one
422
00:22:40,292 --> 00:22:41,993
in order to prevent
other aircraft
423
00:22:42,060 --> 00:22:45,797
having the same problem.
424
00:22:45,864 --> 00:22:48,200
There are tens
of thousands of combustor cans
425
00:22:48,266 --> 00:22:50,802
in service around the world.
426
00:22:50,869 --> 00:22:53,805
One of them erupted
in Manchester.
427
00:22:56,208 --> 00:23:01,913
Stephen Moss needs to find out
why it failed, and fast.
428
00:23:11,823 --> 00:23:14,059
Investigators looking
into the deadly fire
429
00:23:14,126 --> 00:23:16,728
on board British Airtours
Flight 28
430
00:23:16,795 --> 00:23:19,498
study the plane's
maintenance log.
431
00:23:19,564 --> 00:23:22,134
They discover the combustor can
that ruptured
432
00:23:22,200 --> 00:23:25,070
had previously been damaged.
433
00:23:25,137 --> 00:23:27,372
We needed to look
at that repair
434
00:23:27,439 --> 00:23:32,477
and how effective it was.
435
00:23:32,544 --> 00:23:34,679
During a routine inspection
436
00:23:34,746 --> 00:23:36,181
a year and a half earlier,
437
00:23:36,248 --> 00:23:40,919
mechanics had found small cracks
in some of the combustor cans.
438
00:23:48,894 --> 00:23:50,762
It was certainly
not uncommon
439
00:23:50,829 --> 00:23:56,635
to find fatigue cracks
in the cans.
440
00:23:56,701 --> 00:24:01,072
They're operating in
a high temperature environment.
441
00:24:01,139 --> 00:24:06,178
The manuals give various schemes
for repairing these cracks.
442
00:24:06,244 --> 00:24:08,914
Investigators find
mechanics repaired the cracks
443
00:24:08,980 --> 00:24:10,515
according to a procedure
laid out
444
00:24:10,582 --> 00:24:12,651
in the engine repair manual.
445
00:24:12,717 --> 00:24:14,820
They welded them closed.
446
00:24:14,886 --> 00:24:20,292
But the crack on can number nine
was unusually long.
447
00:24:20,358 --> 00:24:24,062
The overhaul manual
did not give any limit
448
00:24:24,129 --> 00:24:26,431
on the length of crack
that could be repaired,
449
00:24:26,498 --> 00:24:30,435
and it was a longer crack than
had been experienced before.
450
00:24:30,502 --> 00:24:32,871
It was still repaired.
451
00:24:34,406 --> 00:24:36,074
After the repaired cans
452
00:24:36,141 --> 00:24:37,509
were put back in the engine,
453
00:24:37,576 --> 00:24:39,177
mechanics had no way of knowing
454
00:24:39,244 --> 00:24:44,349
the weld didn't effectively
seal the crack.
455
00:24:44,416 --> 00:24:46,451
That's because the cans
can't be inspected
456
00:24:46,518 --> 00:24:49,287
while the engine
is on the plane.
457
00:24:50,589 --> 00:24:53,058
Since the repair there were
eleven reports
458
00:24:53,124 --> 00:24:54,426
of slow acceleration
459
00:24:54,492 --> 00:24:57,395
from the engine that exploded
in Manchester.
460
00:24:59,598 --> 00:25:01,032
A damaged combustor can
461
00:25:01,099 --> 00:25:03,702
could have been a reason
for the problem.
462
00:25:04,936 --> 00:25:06,137
But troubleshooting guides
463
00:25:06,204 --> 00:25:08,173
available to mechanics
in Manchester
464
00:25:08,240 --> 00:25:11,476
didn't list that
as a potential cause.
465
00:25:11,543 --> 00:25:13,879
Instead Pratt & Whitney
offered other ways
466
00:25:13,945 --> 00:25:18,583
to fix the acceleration problem.
467
00:25:18,650 --> 00:25:21,353
So mechanics in Manchester
made minor adjustments
468
00:25:21,419 --> 00:25:26,524
to fix the plane's idle speed
and kept the plane in operation.
469
00:25:28,593 --> 00:25:31,663
Cockpit voice recordings reveal
that the crew of Flight 28
470
00:25:31,730 --> 00:25:35,800
was aware there was a problem
with slow acceleration.
471
00:25:35,867 --> 00:25:38,103
Slow acceleration
on the number one engine
472
00:25:38,169 --> 00:25:39,271
day before yesterday.
473
00:25:39,337 --> 00:25:41,239
I was on the flight,
yes, sir.
474
00:25:41,306 --> 00:25:42,807
And they signed off on it.
475
00:25:42,874 --> 00:25:45,110
But the log entry led
captain Terrington to believe
476
00:25:45,176 --> 00:25:48,914
that the problem had been fixed.
477
00:25:48,980 --> 00:25:51,783
A comment in the tech log
478
00:25:51,850 --> 00:25:55,387
for the flight
before the last one,
479
00:25:55,453 --> 00:25:58,390
that the engine was slow
in accelerating.
480
00:25:58,456 --> 00:26:00,792
It wasn't apparent
as a serious problem.
481
00:26:00,859 --> 00:26:02,360
Because the engineers
had done some work
482
00:26:02,427 --> 00:26:05,997
and the aircraft had been flying
the previous day
483
00:26:06,064 --> 00:26:08,033
with no problems.
484
00:26:08,099 --> 00:26:10,268
The idle speed adjustments
485
00:26:10,335 --> 00:26:12,070
didn't fix the real problem--
486
00:26:12,137 --> 00:26:14,706
the cracked combustor can.
487
00:26:14,773 --> 00:26:18,276
And it reached
the breaking point on Flight 28.
488
00:26:20,946 --> 00:26:23,481
Stopping. 28 mike,
we are abandoning takeoff.
489
00:26:25,483 --> 00:26:26,718
Evacuate, evacuate!
490
00:26:26,785 --> 00:26:29,554
Please stay calm
and don't panic.
491
00:26:31,589 --> 00:26:34,059
If the airline
had inspected the cans,
492
00:26:34,125 --> 00:26:35,226
I think there is no doubt
493
00:26:35,293 --> 00:26:37,495
that they would have seen
the problem.
494
00:26:41,032 --> 00:26:42,968
Investigators
now know the origins
495
00:26:43,034 --> 00:26:46,438
of the Manchester disaster.
496
00:26:46,504 --> 00:26:48,940
The welded crack
in combustor can number nine
497
00:26:49,007 --> 00:26:52,911
gave way as Flight 28
sped down the runway.
498
00:26:52,978 --> 00:26:55,380
The front of the can was ejected
from the engine
499
00:26:55,447 --> 00:26:58,583
and put a hole in the underside
of the left wing.
500
00:26:58,650 --> 00:27:01,753
That led to a huge fuel leak
onto the damaged engine,
501
00:27:01,820 --> 00:27:04,522
which caused the fire.
502
00:27:04,589 --> 00:27:07,192
Engine fires are not uncommon.
503
00:27:07,258 --> 00:27:10,862
The body of a 737 is insulated
with fire-retardant material
504
00:27:10,929 --> 00:27:13,264
to protect the cabin.
505
00:27:13,331 --> 00:27:15,266
Investigators
still don't understand
506
00:27:15,333 --> 00:27:18,503
how a fire outside the plane
spread into the cabin
507
00:27:18,570 --> 00:27:20,905
as quickly as it did.
508
00:27:27,812 --> 00:27:29,681
It was clear
from these photographs
509
00:27:29,748 --> 00:27:32,050
that there was a very dynamic
phase to the fire
510
00:27:32,117 --> 00:27:35,020
whilst the aircraft was
at speed on the runway,
511
00:27:35,086 --> 00:27:38,256
which produced this energetic,
turbulent sort
512
00:27:38,323 --> 00:27:41,593
of blow torching type of fire,
visually, anyway,
513
00:27:41,659 --> 00:27:44,896
trailing behind the aircraft.
514
00:27:44,963 --> 00:27:46,965
A press photo
from the day of the crash
515
00:27:47,032 --> 00:27:51,102
leads fire inspector
Chris Protheroe to a new theory.
516
00:27:51,169 --> 00:27:53,438
The photographs
of the aircraft
517
00:27:53,505 --> 00:27:54,739
that appeared in the press
518
00:27:54,806 --> 00:27:59,811
showed the left thrust reverser
deployed.
519
00:27:59,878 --> 00:28:01,546
The general impression
520
00:28:01,613 --> 00:28:03,515
that one got visually
from that photograph
521
00:28:03,581 --> 00:28:04,916
was that the thrust reversers
522
00:28:04,983 --> 00:28:07,085
had effectively
blow torched fire
523
00:28:07,152 --> 00:28:08,987
against the side
of the fuselage,
524
00:28:09,054 --> 00:28:12,157
and that that, if you like,
was the explanation
525
00:28:12,223 --> 00:28:16,494
as to why the fire
had penetrated so quickly.
526
00:28:16,561 --> 00:28:18,663
That photograph
and the implications of it,
527
00:28:18,730 --> 00:28:22,434
actually, therefore,
loomed quite large.
528
00:28:23,501 --> 00:28:24,569
Stop!
529
00:28:24,636 --> 00:28:25,770
There are several ways
530
00:28:25,837 --> 00:28:28,039
to bring a speeding jet liner
to a halt.
531
00:28:28,106 --> 00:28:29,541
One is with the brakes.
532
00:28:29,607 --> 00:28:31,376
Don't hammer the brakes.
533
00:28:32,944 --> 00:28:35,780
Another is with
the engine's thrust reversers.
534
00:28:35,847 --> 00:28:37,782
Thrust reversers
redirect the exhaust
535
00:28:37,849 --> 00:28:39,884
from the jet engine forwards.
536
00:28:39,951 --> 00:28:42,587
This helps slow the plane down.
537
00:28:42,654 --> 00:28:45,023
It looked as though
the thrust reversers
538
00:28:45,090 --> 00:28:49,227
had simply blown this big fire
on the left of the aircraft
539
00:28:49,294 --> 00:28:52,931
against, directly onto the side
of the aircraft,
540
00:28:52,997 --> 00:28:56,201
directly onto the rear fuselage.
541
00:28:56,267 --> 00:28:58,403
That would explain why the fire
542
00:28:58,470 --> 00:29:00,138
destroyed the cabin so quickly.
543
00:29:00,205 --> 00:29:02,307
It now seems possible
that captain Terrington
544
00:29:02,373 --> 00:29:05,477
made the fire worse by trying
to slow his plane down.
545
00:29:05,543 --> 00:29:07,812
We have to get
the passengers off.
546
00:29:07,879 --> 00:29:10,181
But Protheroe
has two good reasons
547
00:29:10,248 --> 00:29:11,282
to doubt his theory.
548
00:29:11,349 --> 00:29:13,184
One is the location
where charring
549
00:29:13,251 --> 00:29:17,122
from the burning exhaust gas,
or efflux, was found.
550
00:29:22,627 --> 00:29:26,164
The efflux impinges
on the fuselage further up,
551
00:29:26,231 --> 00:29:30,168
closer to the roof,
the crown skins of the aircraft.
552
00:29:30,235 --> 00:29:34,072
So actually the penetration
that we had low down
553
00:29:34,139 --> 00:29:37,208
did not fit with that.
554
00:29:37,275 --> 00:29:38,743
And the other reason is
555
00:29:38,810 --> 00:29:41,479
by the time the thrust reversers
were deployed,
556
00:29:41,546 --> 00:29:44,215
the left engine
had already exploded.
557
00:29:47,785 --> 00:29:49,621
But to act as a blowtorch
558
00:29:49,687 --> 00:29:54,292
the engine would have needed
considerable exhaust.
559
00:29:54,359 --> 00:29:56,394
We did calculations
to confirm
560
00:29:56,461 --> 00:29:59,898
that the residual thrust
from that engine
561
00:29:59,964 --> 00:30:04,836
would not have had the energy
to have this effect.
562
00:30:04,903 --> 00:30:07,005
Clearly, something
other than the thrusters
563
00:30:07,071 --> 00:30:10,008
had caused the fire
to spread so quickly.
564
00:30:10,074 --> 00:30:12,577
Protheroe looks more closely
at the data.
565
00:30:12,644 --> 00:30:15,813
After examining weather reports
from the day of the accident,
566
00:30:15,880 --> 00:30:17,916
he finds the answer.
567
00:30:23,288 --> 00:30:24,789
The wind was the main factor
568
00:30:24,856 --> 00:30:27,258
that determined the severity
of the fire
569
00:30:27,325 --> 00:30:30,795
in terms of its attack
on the outside of the aircraft,
570
00:30:30,862 --> 00:30:33,698
how rapidly it penetrated
the aircraft,
571
00:30:33,765 --> 00:30:36,968
and it also affected
the conditions inside the cabin.
572
00:30:37,035 --> 00:30:38,970
Believing he had
blown a tire,
573
00:30:39,037 --> 00:30:41,239
captain Terrington made
a fateful decision.
574
00:30:41,306 --> 00:30:44,375
Stopping. 28 mike,
we are abandoning takeoff.
575
00:30:44,442 --> 00:30:48,346
Well, when we heard the thud,
then we closed the throttles.
576
00:30:48,413 --> 00:30:49,581
It was my assumption
577
00:30:49,647 --> 00:30:52,183
that we were going to
turn off the runway,
578
00:30:52,250 --> 00:30:53,651
clear the runway,
579
00:30:53,718 --> 00:30:56,621
ask air traffic for an engineer
to come out and check the tires.
580
00:30:56,688 --> 00:30:57,889
Like a highway,
581
00:30:57,956 --> 00:31:01,259
an airport runway has
a series of exits.
582
00:31:01,326 --> 00:31:06,364
Captain Terrington chose one
called Link Delta.
583
00:31:06,431 --> 00:31:10,835
We got a fire on number one.
584
00:31:10,902 --> 00:31:13,304
Captain Terrington
turned his plane to the right
585
00:31:13,371 --> 00:31:16,874
and brought it to a stop.
586
00:31:16,941 --> 00:31:18,810
He couldn't have realized
that doing so
587
00:31:18,876 --> 00:31:21,746
would make the problem
far worse.
588
00:31:21,813 --> 00:31:23,181
There was a crosswind,
589
00:31:23,248 --> 00:31:26,618
a slight crosswind from
the left side of the aircraft
590
00:31:26,684 --> 00:31:30,321
that was carrying the fire
that was burning
591
00:31:30,388 --> 00:31:33,258
from the fuel that was pooled
underneath the left wing.
592
00:31:33,324 --> 00:31:37,228
It carried that fire aft,
rearwards
593
00:31:37,295 --> 00:31:41,599
and to over and under
the rear fuselage,
594
00:31:41,666 --> 00:31:44,002
in between the wing
and the tail plane.
595
00:31:44,068 --> 00:31:46,604
The wind wrapped the fire
596
00:31:46,671 --> 00:31:48,873
around the back of the plane...
597
00:31:48,940 --> 00:31:51,309
And into the cabin.
598
00:31:51,376 --> 00:31:52,910
If there had been
no wind at all,
599
00:31:52,977 --> 00:31:56,614
I think the situation would have
been very much more benign.
600
00:32:01,653 --> 00:32:05,456
Investigators have
discovered how the fire started
601
00:32:05,523 --> 00:32:10,628
and the conditions that caused
it to penetrate the cabin.
602
00:32:10,695 --> 00:32:13,898
Now investigator Ed Trimble
must solve the biggest mystery
603
00:32:13,965 --> 00:32:17,435
surrounding
the Manchester accident.
604
00:32:17,502 --> 00:32:19,003
Here we had an aircraft
605
00:32:19,070 --> 00:32:22,940
which had aborted the takeoff
for good reason,
606
00:32:23,007 --> 00:32:29,347
had taxied off and stopped
in a taxiway,
607
00:32:29,414 --> 00:32:31,082
in an expeditious manner,
608
00:32:31,149 --> 00:32:35,286
and yet 55 people
had lost their lives.
609
00:32:35,353 --> 00:32:37,355
So there was a big question
610
00:32:37,422 --> 00:32:40,692
as to precisely why
that had occurred.
611
00:32:43,494 --> 00:32:45,730
Investigators learn
that most of the dead
612
00:32:45,797 --> 00:32:49,000
were not found in the worst
burned parts of the plane.
613
00:32:52,603 --> 00:32:56,674
Autopsies will point
to the real killer on Flight 28.
614
00:33:02,347 --> 00:33:05,049
Of the 54 people
who died in the cabin,
615
00:33:05,116 --> 00:33:08,619
only six had suffered
serious burns.
616
00:33:08,686 --> 00:33:13,057
All the rest died
from smoke inhalation.
617
00:33:13,124 --> 00:33:16,961
It seems the smoke in the cabin
was particularly lethal.
618
00:33:17,028 --> 00:33:20,231
Survivors tell investigators
that the smoke was unbearable.
619
00:33:20,298 --> 00:33:23,901
The smoke was really
black and, and it was,
620
00:33:23,968 --> 00:33:28,673
it was almost touching you,
it was, it was, really weird.
621
00:33:28,740 --> 00:33:31,676
And they said that
the effect of that was shocking.
622
00:33:31,743 --> 00:33:34,579
That immediately you took
one breath of the smoke,
623
00:33:34,645 --> 00:33:36,614
you began to feel debilitated
624
00:33:36,681 --> 00:33:39,417
and you knew that if you took
another breath or two,
625
00:33:39,484 --> 00:33:41,319
you weren't going to make it.
626
00:33:44,822 --> 00:33:47,458
At the time
of the Manchester accident,
627
00:33:47,525 --> 00:33:49,193
the effects of fire
on an airplane
628
00:33:49,260 --> 00:33:51,763
had been well studied
and understood.
629
00:33:51,829 --> 00:33:54,599
But the effects of smoke
were not.
630
00:33:57,635 --> 00:34:00,838
To figure out what
made the smoke so toxic,
631
00:34:00,905 --> 00:34:06,878
Trimble decides to recreate the
fire that burned on Flight 28.
632
00:34:06,944 --> 00:34:08,479
We were trying to model
633
00:34:08,546 --> 00:34:10,681
not only the gases
which were produced,
634
00:34:10,748 --> 00:34:14,318
but also the kind of threat
levels which were produced.
635
00:34:14,385 --> 00:34:15,987
The smoke
that filled the plane
636
00:34:16,053 --> 00:34:19,157
was from materials burning
inside the cabin.
637
00:34:19,223 --> 00:34:22,994
The foam in the seats,
the wool in the carpets,
638
00:34:23,060 --> 00:34:27,131
and the plastic overhead bins
all release poisonous fumes.
639
00:34:27,198 --> 00:34:33,037
Those conditions are recreated
by burning the same materials.
640
00:34:33,104 --> 00:34:36,741
Trimble discovers the passengers
on Flight 28 inhaled smoke
641
00:34:36,808 --> 00:34:40,711
that contained a deadly blend
of poisonous gases,
642
00:34:40,778 --> 00:34:41,979
including high levels
643
00:34:42,046 --> 00:34:46,350
of carbon monoxide
and hydrogen cyanide.
644
00:34:48,853 --> 00:34:50,922
Now he desperately needs
to find out
645
00:34:50,988 --> 00:34:53,291
if there's any way
to protect airline passengers
646
00:34:53,357 --> 00:34:55,626
from that kind of smoke.
647
00:34:57,328 --> 00:35:00,832
It would seem to me
pretty clear
648
00:35:00,898 --> 00:35:05,369
that unless we could protect
people's respiratory systems
649
00:35:05,436 --> 00:35:10,341
from the assault
from such combustion gases,
650
00:35:10,408 --> 00:35:12,410
there was little
that we could do
651
00:35:12,477 --> 00:35:16,380
to improve survival chances
from aircraft fires.
652
00:35:20,852 --> 00:35:23,187
Over the course of five weeks,
653
00:35:23,254 --> 00:35:25,857
investigators run
dozens of tests,
654
00:35:25,923 --> 00:35:28,493
experimenting
with different filters.
655
00:35:36,667 --> 00:35:38,703
They burn nearly a quarter ton
of material
656
00:35:38,769 --> 00:35:41,572
to create the necessary smoke.
657
00:35:41,639 --> 00:35:43,641
Their dramatic conclusion:
658
00:35:43,708 --> 00:35:47,912
it may have been possible
to save passengers' lives.
659
00:35:47,979 --> 00:35:50,515
There was not
the slightest doubt in my mind
660
00:35:50,581 --> 00:35:54,018
that in these situations,
in an aircraft cabin,
661
00:35:54,085 --> 00:35:59,490
if it is being assaulted
by combustion gases,
662
00:35:59,557 --> 00:36:03,194
your chances of survival
are vastly improved
663
00:36:03,261 --> 00:36:07,164
if you have smoke hood
protection.
664
00:36:11,369 --> 00:36:13,170
British Airtours Flight 28
665
00:36:13,237 --> 00:36:16,040
had only enough smoke hoods
for the crew.
666
00:36:16,107 --> 00:36:18,209
They were never used.
667
00:36:21,078 --> 00:36:22,747
Trimble's research indicates
668
00:36:22,813 --> 00:36:26,584
that smoke hoods for passengers
could have saved lives.
669
00:36:26,651 --> 00:36:28,619
There were hoods available,
670
00:36:28,686 --> 00:36:31,455
both of the filter type
and the breathable gas type,
671
00:36:31,522 --> 00:36:35,159
which can provide a very high
level of protection to people
672
00:36:35,226 --> 00:36:37,295
in these circumstances.
673
00:36:41,699 --> 00:36:43,901
Many of the
passengers on Flight 28
674
00:36:43,968 --> 00:36:45,603
would have survived
with a few more minutes
675
00:36:45,670 --> 00:36:47,672
of breathing time.
676
00:36:53,544 --> 00:36:55,813
A full Boeing 737
677
00:36:55,880 --> 00:36:59,050
is designed to be evacuated
in less than two minutes.
678
00:36:59,116 --> 00:37:01,185
So even without additional time,
679
00:37:01,252 --> 00:37:03,221
more of the passengers
on Flight 28
680
00:37:03,287 --> 00:37:05,623
should have been able
to get off.
681
00:37:08,526 --> 00:37:12,430
To discover why so many people
never made it off the plane,
682
00:37:12,496 --> 00:37:16,667
investigators turn to an
unlikely source for the answer.
683
00:37:26,243 --> 00:37:28,512
By law,
airplane manufacturers
684
00:37:28,579 --> 00:37:33,050
must prove their planes can be
evacuated quickly and safely.
685
00:37:33,117 --> 00:37:36,153
When the 737 was introduced
in the UK,
686
00:37:36,220 --> 00:37:38,556
Boeing demonstrated
that 130 people
687
00:37:38,623 --> 00:37:41,559
could get off the plane
in just 75 seconds.
688
00:37:41,626 --> 00:37:43,628
All public transport aircraft
689
00:37:43,694 --> 00:37:45,997
are certificated
to the same criteria,
690
00:37:46,063 --> 00:37:49,834
and that is that the total
complement of passengers
691
00:37:49,900 --> 00:37:54,105
must be capable of evacuating
from the aircraft
692
00:37:54,171 --> 00:37:56,874
using half the exits
in the aircraft--
693
00:37:56,941 --> 00:37:58,643
it's generally one side
or the other--
694
00:37:58,709 --> 00:38:02,079
within a maximum of 90 seconds.
695
00:38:02,146 --> 00:38:05,850
But 90 seconds
after Flight 28 came to a stop,
696
00:38:05,916 --> 00:38:08,986
most of the passengers
were still on board.
697
00:38:12,523 --> 00:38:15,292
The reason why
the evacuation at Manchester
698
00:38:15,359 --> 00:38:19,296
wasn't achieved in 90 seconds
699
00:38:19,363 --> 00:38:23,067
is because the conditions
in a real fire evacuation
700
00:38:23,134 --> 00:38:26,570
are completely different from
the certification conditions.
701
00:38:26,637 --> 00:38:28,639
The certification
evacuation is conducted
702
00:38:28,706 --> 00:38:30,274
in clear conditions,
703
00:38:30,341 --> 00:38:32,243
with no smoke
that reduces vision
704
00:38:32,309 --> 00:38:34,512
and overwhelms passengers.
705
00:38:37,048 --> 00:38:39,083
Within minutes
of coming to a stop,
706
00:38:39,150 --> 00:38:43,054
Flight 28 filled
with a thick black smoke.
707
00:38:43,120 --> 00:38:46,290
A soon as the smoke began
708
00:38:46,357 --> 00:38:48,959
to spill into the rear cabin
709
00:38:49,026 --> 00:38:52,129
and then flow forwards,
710
00:38:52,196 --> 00:38:54,932
essentially that induced
immediate panic
711
00:38:54,999 --> 00:38:57,768
in those who were
so affected by the smoke.
712
00:38:57,835 --> 00:39:00,104
Because the respiration,
I mean, the typical comment
713
00:39:00,171 --> 00:39:01,572
was I took one breath
of the smoke
714
00:39:01,639 --> 00:39:05,643
and I felt as though my lungs
were solidifying.
715
00:39:05,710 --> 00:39:07,378
You can imagine
under these conditions
716
00:39:07,445 --> 00:39:11,348
that people have got to
get away from the smoke.
717
00:39:11,415 --> 00:39:12,917
And the people did this
718
00:39:12,983 --> 00:39:14,719
by basically clambering
over the seats
719
00:39:14,785 --> 00:39:17,588
and other people
in front of them.
720
00:39:17,655 --> 00:39:19,590
In less than five minutes,
721
00:39:19,657 --> 00:39:21,926
what should have been
a survivable accident
722
00:39:21,992 --> 00:39:23,861
turned deadly.
723
00:39:25,830 --> 00:39:27,832
To prevent future tragedies,
724
00:39:27,898 --> 00:39:29,567
Britain's civil aviation
authority
725
00:39:29,633 --> 00:39:32,303
decides to learn more
about people.
726
00:39:32,369 --> 00:39:35,206
Helen Muir is a psychologist
and a leading expert
727
00:39:35,272 --> 00:39:39,910
on how airplane design
can influence survival.
728
00:39:39,977 --> 00:39:41,112
She's asked to study
729
00:39:41,178 --> 00:39:43,781
the behavior of passengers
on Flight 28
730
00:39:43,848 --> 00:39:46,484
to figure out why so many died.
731
00:39:49,320 --> 00:39:51,021
What we had to learn to do
732
00:39:51,088 --> 00:39:52,990
was to design
the aircraft interior
733
00:39:53,057 --> 00:39:55,593
so even if we had
what we might say
734
00:39:55,659 --> 00:39:58,829
was dysfunctional behavior
in totality,
735
00:39:58,896 --> 00:40:01,332
we could accommodate the needs
of individuals
736
00:40:01,398 --> 00:40:03,901
in their desperate rush
to get out.
737
00:40:05,436 --> 00:40:08,606
Muir configures
a cabin to duplicate Flight 28
738
00:40:08,672 --> 00:40:11,108
and fills it with volunteers.
739
00:40:11,175 --> 00:40:14,211
Then, to have them act
as though the plane's on fire,
740
00:40:14,278 --> 00:40:17,481
she offers money
to the first ones off.
741
00:40:17,548 --> 00:40:20,484
And that produced behavior
that was quite unbelievable.
742
00:40:20,551 --> 00:40:23,788
People went over seats,
they went round past each other,
743
00:40:23,854 --> 00:40:25,356
all sorts of things.
744
00:40:25,422 --> 00:40:28,492
And indeed, when survivors from
the actual Manchester accident
745
00:40:28,559 --> 00:40:30,094
came and saw the videos,
746
00:40:30,161 --> 00:40:33,330
they said yeah, this is,
that's how it was.
747
00:40:43,474 --> 00:40:45,943
The evacuation
of Flight 28 was slowed
748
00:40:46,010 --> 00:40:48,312
by the fact that passengers
became jammed
749
00:40:48,379 --> 00:40:50,047
in the bulkhead opening
750
00:40:50,114 --> 00:40:52,817
separating the main cabin
from the galley.
751
00:40:52,883 --> 00:40:54,418
Alright, folks,
the door's open,
752
00:40:54,485 --> 00:40:55,786
jump down the slide.
753
00:40:55,853 --> 00:40:58,522
Investigators
discover the logjam was created
754
00:40:58,589 --> 00:41:01,392
by the design of the Boeing 737.
755
00:41:01,458 --> 00:41:04,528
The bulkhead opening
was 22 1/2 inches wide,
756
00:41:04,595 --> 00:41:07,398
just enough for one person
to fit through.
757
00:41:09,533 --> 00:41:12,069
Muir's tests showed
the narrow bulkhead opening
758
00:41:12,136 --> 00:41:13,337
created bottlenecks
759
00:41:13,404 --> 00:41:16,273
that flight attendants
had to constantly clear.
760
00:41:16,340 --> 00:41:18,375
Increasing the width
to 30 inches
761
00:41:18,442 --> 00:41:20,644
greatly improves
the movement of passengers.
762
00:41:25,749 --> 00:41:28,152
What we showed,
through repeat testing,
763
00:41:28,219 --> 00:41:31,989
that if you changed the minimum
gap from 20 to 30 inches,
764
00:41:32,056 --> 00:41:34,391
you would dramatically improve
765
00:41:34,458 --> 00:41:36,327
the speed at which people
could get out
766
00:41:36,393 --> 00:41:37,661
and you'd reduce the likelihood
767
00:41:37,728 --> 00:41:41,932
of people falling
and slipping and so on.
768
00:41:41,999 --> 00:41:44,101
As a result
of Helen Muir's work,
769
00:41:44,168 --> 00:41:46,637
a recommendation was made
to increase the space
770
00:41:46,704 --> 00:41:50,608
between the bulkhead walls
to 30 inches
771
00:41:50,674 --> 00:41:54,178
and introduce strip lighting to
help guide passengers to exits
772
00:41:54,245 --> 00:41:56,947
even when they are
blinded by smoke.
773
00:42:00,551 --> 00:42:03,287
Muir also found a way
to improve cabin safety
774
00:42:03,354 --> 00:42:05,923
without redesigning the cabin.
775
00:42:05,990 --> 00:42:07,558
Please sit down.
776
00:42:07,625 --> 00:42:08,926
She conducted research
777
00:42:08,993 --> 00:42:12,496
on the behavior of
the cabin crew in emergencies
778
00:42:12,563 --> 00:42:15,532
and found that passengers
get off a plane much faster
779
00:42:15,599 --> 00:42:18,135
with a highly assertive crew.
780
00:42:22,539 --> 00:42:24,508
It's because
we don't want people
781
00:42:24,575 --> 00:42:27,544
really making
their own decisions.
782
00:42:27,611 --> 00:42:28,879
We want people to do
783
00:42:28,946 --> 00:42:32,149
exactly what the cabin crew
or the procedures state.
784
00:42:32,216 --> 00:42:34,151
And we don't want people
hesitating,
785
00:42:34,218 --> 00:42:36,320
particularly at the door.
786
00:42:37,821 --> 00:42:39,957
Helen Muir's research
prompted manufacturers
787
00:42:40,024 --> 00:42:43,260
to redesign cabins
to make them safer.
788
00:42:43,327 --> 00:42:49,934
But one safety feature remains
controversial: smoke hoods.
789
00:42:50,000 --> 00:42:52,202
Ed Trimble believes
they should be mandatory
790
00:42:52,269 --> 00:42:54,738
on all commercial flights.
791
00:42:54,805 --> 00:42:58,509
Without a doubt.
Without a doubt.
792
00:42:58,575 --> 00:43:01,345
Helen Muir
is less convinced.
793
00:43:01,412 --> 00:43:04,949
She's studied how smoke hoods
affect passenger behavior
794
00:43:05,015 --> 00:43:06,650
and is worried
they would slow down
795
00:43:06,717 --> 00:43:10,187
the orderly evacuation
of an airplane.
796
00:43:10,254 --> 00:43:12,156
We know you've only got
797
00:43:12,222 --> 00:43:15,259
literally one and a half
to two minutes
798
00:43:15,326 --> 00:43:16,727
for everybody to get out.
799
00:43:16,794 --> 00:43:18,295
What we don't want to have
800
00:43:18,362 --> 00:43:20,431
is something which is
difficult to put on
801
00:43:20,497 --> 00:43:23,100
and so it slows people
getting down.
802
00:43:23,167 --> 00:43:25,069
The most important lesson
803
00:43:25,135 --> 00:43:26,670
of British Airtours Flight 28
804
00:43:26,737 --> 00:43:28,706
is that seconds matter.
805
00:43:28,772 --> 00:43:31,909
It's now universally accepted
that it takes 90 seconds
806
00:43:31,976 --> 00:43:36,213
from the first sign of fire
before it becomes unsurvivable.
807
00:43:39,316 --> 00:43:42,319
The passengers on Flight 28
lost valuable time
808
00:43:42,386 --> 00:43:45,589
when the starboard side
door jammed.
809
00:43:45,656 --> 00:43:48,125
The investigators determined
that the slide mechanism
810
00:43:48,192 --> 00:43:52,463
deployed too early, preventing
the door from opening.
811
00:43:52,529 --> 00:43:55,299
There was a flaw that led
the slide container's lid to jam
812
00:43:55,366 --> 00:43:59,036
if the door is opened
too quickly.
813
00:43:59,103 --> 00:44:00,971
After the Manchester accident,
814
00:44:01,038 --> 00:44:02,706
Boeing quickly redesigned
the system
815
00:44:02,773 --> 00:44:04,975
so that couldn't happen.
816
00:44:07,344 --> 00:44:09,847
But the recommendations
made by the AAIB
817
00:44:09,913 --> 00:44:14,018
weren't adopted quickly enough
to save lives six years later.
818
00:44:17,921 --> 00:44:22,259
In 1991, a Boeing 737 slammed
into another plane
819
00:44:22,326 --> 00:44:25,963
on the runway in Los Angeles
and caught fire.
820
00:44:26,030 --> 00:44:28,032
Many of the 22 people who died
821
00:44:28,098 --> 00:44:31,502
were overcome by smoke
before they could get out.
822
00:44:33,370 --> 00:44:37,408
But in 2005, the crash
of an Air France jet in Toronto
823
00:44:37,474 --> 00:44:41,311
showed how much has changed
since the Manchester accident.
824
00:44:43,914 --> 00:44:48,452
All 309 people got off
that plane in just 90 seconds.
825
00:44:48,519 --> 00:44:50,487
No one died.
826
00:44:54,091 --> 00:44:58,462
Some major changes
to commercial airliners...
827
00:44:58,529 --> 00:45:00,064
Alright, the door's open.
828
00:45:00,130 --> 00:45:02,466
...came about
because of a flight
829
00:45:02,533 --> 00:45:05,602
that never left the ground.
830
00:45:05,669 --> 00:45:07,204
That's the only way
I can resolve it
831
00:45:07,271 --> 00:45:11,475
with the death of 55
of my passengers.
832
00:45:11,542 --> 00:45:15,379
The fact that flying
is now safer.
833
00:45:15,446 --> 00:45:19,583
I can't imagine anybody,
you know, doesn't wish
834
00:45:19,650 --> 00:45:22,052
that it hadn't happened.
835
00:45:22,119 --> 00:45:24,254
You know, despite
what's been learned
836
00:45:24,321 --> 00:45:27,925
and despite maybe the subsequent
lives that have been changed,
837
00:45:27,991 --> 00:45:30,527
you know, you'd give anything
for it not to have happened.
64380
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