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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 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 00:01:35,895 --> 00:01:39,899 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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