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Narrator: A jetliner plummets
to earth in the Swedish Arctic.
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First Officer: Mayday, mayday, mayday!
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Air Sweden 294.
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Computer: Bank angle.
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Captain: No! No!
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Computer: Bank angle.
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Narrator: A deep crater reveals an aircraft
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in an astonishing descent.
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Man: It's just far out of bounds
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with the way we normally fly the airplane.
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00:00:24,482 --> 00:00:27,551
Narrator: Investigators are
shocked by what they find.
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Man: That can't be
what the plane was doing.
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Man: I flew the jet for 10 years
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and never saw anything
even remotely like this.
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Narrator: As the evidence
paints a terrifying picture of chaos...
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Captain: Help me! Please!
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First Officer: I don't know.
I don't see anything!
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Narrator:...and confusion. Pilot: No, no!
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Man: If you get past a certain point,
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that confusion can become terminal.
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Man: Why did he let the
captain fly the plane into the ground?
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Flight Attendant: Ladies and gentlemen,
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we are starting our approach.
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Pilot: We lost both engines!
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Flight Attendant: Put
the mask over your nose.
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Emergency descent.
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Pilot: Mayday, mayday!
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Flight Attendant: Brace for impact!
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Controller: I think I lost one.
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Man:...Investigation
starting into this tragedy...
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Man: He's gonna crash!
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Narrator: 33,000 feet above the border
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between Norway and Sweden,
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a CRJ-200 jet cruises on autopilot
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during a late-night mail run
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for one of Sweden's
largest cargo companies...
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West Air Sweden.
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First Officer: We are approaching Bodo
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where the outside air temperature
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is a balmy minus 61 Celsius!
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Captain: Fuel?
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Narrator: The 42-year-old Spanish captain
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has more than 3,300 hours of flight time.
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First Officer: Holding at minus 30.
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We're good.
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Narrator: His French first officer is 33,
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with a similar number of flight hours.
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Controller: Sweden
294 clear direct to Vamen.
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Expect a circling approach
to runway 0-1 at Tromso.
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First Officer: Roger,
circling approach for runway 1.
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Air Sweden 294.
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Narrator: The experienced
flight crew took off
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from Oslo, Norway, just after 11 o'clock,
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for a 1 1/2-hour hop to Tromso,
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high in the Norwegian Arctic.
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The cargo jet is carrying
about 4 1/2 tons of mail
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to the remote northern community.
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The CRJ-200 crosses into Swedish airspace
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as it heads further and further north.
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Shawn Pruchnicki is a
pilot who flew the CRJ-200.
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Shawn Pruchnicki: I liked the airplane
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because it has all the bells and whistles.
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It's just as sophisticated
as any of the larger jets.
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The aircraft itself is very fast.
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It's a very sleek airplane,
so it's, it's a lot of fun to fly.
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Captain: Ready for the approach briefing?
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First Officer: Let's do it.
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Captain: ILS approach to runway 0-1.
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Inbound heading 0-0-9.
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Narrator: It's been a routine flight,
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and the plane is expected to land in Tromso
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in about 30 minutes.
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Pilot: We need to climb and turn right.
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First Officer: Acknowledged.
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Captain: And according to last ATIS
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we can expect light wind and zero...
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Captain: What the hell?
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Narrator: Suddenly,
the captain sees his plane
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is in a steep climb.
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[Alarm Beeping]
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He pushes the nose down.
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First Officer: What?
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Captain: What?
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[Alarm Beeping]
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[Alarm Beeping]
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First Officer: Come up!
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Computer: Terrain. Terrain. Pull up.
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First Officer: Come up!
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Computer: Bank angle.
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Captain: Come on, help me.
Computer: Bank angle.
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Captain: Help me. Help me!
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First Officer: Yes, I'm trying. I'm trying.
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Turn left. Turn left!
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Computer: Bank angle.
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Narrator: The pilots
can no longer make sense
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of what the plane is doing.
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Computer: Bank angle.
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First Officer: Mayday, mayday, mayday!
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Air Sweden 294.
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Mayday, mayday, mayday!
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Controller: 294, understood mayday.
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What is the nature of your emergency,
please?
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Narrator: The plane loses
almost 10,000 feet of altitude
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and speeds towards the ground
at more than 450 miles an hour.
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Computer: Bank angle.
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Bank angle.
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[Alarm Beeping] Bank angle.
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Bank angle.
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Captain: We need to climb.
Come on, we need to climb!
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First Officer: Yes, yes, we need to climb.
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Turn left. Turn left!
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Captain: No, continue right.
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Computer: Bank angle.
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Captain: Continue right.
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First Officer: Ok, damn it!
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Captain: Come on, help me. Help me, please!
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First Officer: I don't know.
I don't see anything!
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Computer: Bank angle.
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Narrator: At 8,800 feet,
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flight 294 falls below radar range.
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Controller: Good God.
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Computer: Bank angle.
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00:05:05,000 --> 00:05:05,965
First Officer: What? What?
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Computer: Bank angle.
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[Groaning]
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Computer: Bank angle.
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Captain: No! No! No!
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Narrator: West Air Sweden Flight 294...
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hits the ground
at almost 600 miles an hour.
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The plane is obliterated.
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[Helicopter Hovering]
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It takes three hours
before rescue helicopters arrive.
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Even from the air
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it's obvious the pilots
could not have survived.
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00:05:38,931 --> 00:05:42,965
Nicolas Seger: The information
we got from the rescue efforts
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was that the aircraft was
found and also that the accident
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was most probably not at all survivable.
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Narrator: The crash site is
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in one of the most
desolate places on Earth.
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Seger: The accident
location was in a flat valley
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In mountainous area.
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The site was at the time very cold,
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with temperatures
down towards minus 25 degrees Celsius.
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Narrator: The next day,
a team of investigators
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from the Swedish accident
investigation authority...
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known as the SHK...
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arrives at the crash site.
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The team includes technical
investigator Tony Arvidsson.
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This far north,
they have a very short window
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to find clues as to what caused
the sudden crash of flight 294.
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Tony Arvidsson: We
only had the daylight time
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for about three hours.
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Narrator: Investigators waste
no time analyzing the wreckage
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to pinpoint the
northbound plane's orientation
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as it crashed.
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Arvidsson: That's the front of the plane...
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so they were traveling east.
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Narrator: Finding the
four corners of the aircraft
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confirms the theory.
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Seger: The tail, the nose, the wing tips...
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The aircraft had impacted the
ground in an easterly direction.
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Arvidsson: This is the left wing, alright.
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Narrator: But it's in the
wrong place for a plane flying east.
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This is Arvidsson's first
clue about the accident.
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The left wing is found
in the south end of the crater,
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and the right wing is in the north end.
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For a plane traveling east,
it should be the other way around.
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Arvidsson: If they were coming in this way
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and the left wing is over there...
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then they must have been upside down.
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Narrator: The crash has also
created a crater 20 feet deep.
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[Camera Shutter Clicking]
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That tells investigators
the plane hit the ground
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at tremendous speed.
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Arvidsson: They definitely
came in hard and fast.
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That's not normal.
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You probably don't have a
lot of control over the aircraft
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at that time.
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Narrator: The position of the wreckage
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and the size of the crater
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Paints a picture of a plane
hitting the ground off course,
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upside down, and at a blazingly high speed.
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Incredibly, both of the plane's
black boxes survive the crash.
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They're sent to France
where the data can be downloaded.
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Investigators hope the data will shed light
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on why the plane was
so badly out of control.
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As they continue to scour the site,
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blackened mail from the cargo hold
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presents a grim possibility.
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Arvidsson: Could we be looking at a fire?
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An explosion?
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[Sighs]
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Narrator: A fire or explosion on board
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could explain why the
plane got so badly out of control
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while cruising at 33,000 feet.
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The team gathers as much
of the cargo debris for analysis
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as they can.
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Arvidsson: OK,
those two boxes and everything in here.
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Let's get it all swabbed.
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00:09:56,275 --> 00:09:57,689
Narrator: They need to determine
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Whether fire was a cause of the accident.
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Arvidsson: So we sent one
ton of cargo to a fire expert.
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Elevator goes,
along with all the control cables.
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This goes, too.
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Narrator: The team recovers a total
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of 3 1/2 tons of wreckage.
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Arvidsson: Mostly parts
from the flight controls.
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We tried to get as much
as possible from the site.
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[Speaking Swedish]
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Narrator: Before fierce
winter weather sets in,
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investigators must abandon the site.
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They can only hope the cause of this crash
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lies somewhere in the
pieces they're taking with them.
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00:11:08,620 --> 00:11:10,275
Swedish investigators hope
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the Norwegian air traffic controller
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00:11:12,344 --> 00:11:15,448
on duty the night of
the crash of flight 294
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can help explain why the
pilots lost control of their plane
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at 33,000 feet.
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00:11:20,482 --> 00:11:22,275
Controller: How are you? Good.
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00:11:22,310 --> 00:11:24,103
OK, so, the first sign of trouble
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00:11:24,137 --> 00:11:27,310
Was a mayday call at 12:19.
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First Officer: Mayday, mayday, mayday!
223
00:11:28,655 --> 00:11:29,793
Air Sweden 294.
224
00:11:29,827 --> 00:11:31,482
Mayday, mayday, mayday!
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00:11:31,517 --> 00:11:33,068
Controller: 294, understood mayday.
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00:11:33,103 --> 00:11:36,206
What is the nature of your emergency,
please?
227
00:11:36,241 --> 00:11:38,655
Investigator: So,
no explanation for the mayday call?
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00:11:38,689 --> 00:11:41,551
Controller: Uh, no, they never said.
229
00:11:41,586 --> 00:11:43,344
John Nance: If it's just a
mayday call like this one,
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with not much specificity,
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00:11:45,310 --> 00:11:47,068
then there's not much the controller can do
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00:11:47,103 --> 00:11:50,379
other than try to discern what's
happening and attempt to help.
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00:11:50,413 --> 00:11:51,551
Controller: He was descending quickly
234
00:11:51,586 --> 00:11:55,137
and he started to veer east here.
235
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Narrator: The radar data confirms
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00:11:56,724 --> 00:12:00,310
what investigators
observed at the crash site.
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00:12:00,344 --> 00:12:04,137
Flight 294 was descending
rapidly and veering east
238
00:12:04,172 --> 00:12:08,344
just seconds before it
disappeared from the screen.
239
00:12:08,379 --> 00:12:10,137
Investigator: And the return never split?
240
00:12:10,172 --> 00:12:12,586
Controller: Nope,
just one blip all the way down.
241
00:12:12,620 --> 00:12:15,103
Narrator: The radar shows only one return,
242
00:12:15,137 --> 00:12:18,241
meaning it didn't break
into pieces in mid-air.
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00:12:18,275 --> 00:12:20,517
Nance: If you have an
airplane that came apart at altitude,
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00:12:20,551 --> 00:12:22,724
you're gonna see a lot
of different radar returns.
245
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If you have one singular return
246
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and it doesn't advance forward very much,
247
00:12:26,551 --> 00:12:28,724
maybe one more hit and then it's gone,
248
00:12:28,758 --> 00:12:32,241
that indicates a dive intact.
249
00:12:32,275 --> 00:12:35,241
Narrator: The investigators
now know the pilots were struggling
250
00:12:35,275 --> 00:12:36,931
with a serious onboard emergency...
251
00:12:36,965 --> 00:12:38,724
Controller: Thanks for coming down.
252
00:12:38,758 --> 00:12:40,379
Narrator:...but still don't understand
253
00:12:40,413 --> 00:12:44,275
what could have caused such
a catastrophic loss of control.
254
00:12:47,482 --> 00:12:51,344
In Stockholm, the team
inspects the 3 1/2 tons of wreckage
255
00:12:51,379 --> 00:12:56,172
for signs of a fatal mechanical failure.
256
00:12:56,206 --> 00:12:59,862
Arvidsson: We're looking for a
failure of any control surface...
257
00:12:59,896 --> 00:13:06,827
ailerons, elevators, rudder...
we need to check 'em all.
258
00:13:06,862 --> 00:13:11,689
Narrator: An airplane has
three primary flight control surfaces:
259
00:13:11,724 --> 00:13:14,758
ailerons that control roll,
260
00:13:14,793 --> 00:13:17,310
elevators that control pitch
261
00:13:17,344 --> 00:13:20,206
And a rudder that controls yaw.
262
00:13:20,241 --> 00:13:21,724
Arvidsson: A broken flight control,
263
00:13:21,758 --> 00:13:26,310
like the elevators,
could cause some problems.
264
00:13:26,344 --> 00:13:29,896
Narrator: But this is the worst
damage Arvidsson has ever seen.
265
00:13:29,931 --> 00:13:32,862
It's impossible for him
to get any useful information
266
00:13:32,896 --> 00:13:35,586
about flight control surfaces.
267
00:13:38,000 --> 00:13:40,413
Arvidsson: This tells me nothing.
268
00:13:40,448 --> 00:13:42,758
We want to make sure
that the control surface
269
00:13:42,793 --> 00:13:47,793
is working properly,
but it was too damaged.
270
00:13:47,827 --> 00:13:50,827
Narrator: Investigators try
to identify the pieces of wreckage
271
00:13:50,862 --> 00:13:53,758
based on serial numbers and other markings
272
00:13:53,793 --> 00:13:57,275
to make sure all the control
surfaces were on the plane
273
00:13:57,310 --> 00:13:59,206
when it hit the ground.
274
00:14:02,862 --> 00:14:05,862
Arvidsson: Left and right ailerons,
275
00:14:05,896 --> 00:14:08,379
both elevators,
276
00:14:08,413 --> 00:14:09,379
rudder.
277
00:14:09,413 --> 00:14:11,793
We have them all.
278
00:14:11,827 --> 00:14:14,724
Seger: We could find and identify
279
00:14:14,758 --> 00:14:17,000
all the control surfaces,
280
00:14:17,034 --> 00:14:23,241
which make it most probable
that the aircraft was intact
281
00:14:23,275 --> 00:14:25,827
All the way down to impact.
282
00:14:25,862 --> 00:14:28,551
Narrator: They rule out a
serious mechanical failure
283
00:14:28,586 --> 00:14:31,827
and move on to another theory:
284
00:14:31,862 --> 00:14:36,862
that an onboard fire
brought down the plane.
285
00:14:36,896 --> 00:14:40,517
Tests on flight 294's
cargo don't offer investigators
286
00:14:40,551 --> 00:14:44,896
much more insight
than the control surfaces.
287
00:14:44,931 --> 00:14:47,275
Arvidsson: No sign of fire or explosion.
288
00:14:47,310 --> 00:14:51,655
Narrator: The cargo
was destroyed at impact...
289
00:14:51,689 --> 00:14:54,517
not in an onboard fire.
290
00:14:54,551 --> 00:14:55,827
Searching for answers,
291
00:14:55,862 --> 00:14:58,310
the investigator in charge, Nicolas Seger,
292
00:14:58,344 --> 00:14:59,758
turns to the flight data,
293
00:14:59,793 --> 00:15:03,586
now in from France and ready for analysis.
294
00:15:03,620 --> 00:15:07,551
Seger: The FDR data
for us is really important
295
00:15:07,586 --> 00:15:10,034
to understand the course of events.
296
00:15:10,068 --> 00:15:15,965
It also helps us to calculate
the trajectory of the aircraft.
297
00:15:16,000 --> 00:15:18,551
Seger: So they're cruising at 33,000 feet,
298
00:15:18,586 --> 00:15:23,000
when suddenly they start to pitch way up.
299
00:15:23,034 --> 00:15:24,965
Narrator: A plane normally changes pitch
300
00:15:25,000 --> 00:15:27,724
by about one degree per second.
301
00:15:27,758 --> 00:15:31,517
Arvidsson: But in this case
you had six degrees per second,
302
00:15:31,551 --> 00:15:35,379
so it was a really rapid change of pitch.
303
00:15:35,413 --> 00:15:38,068
Seger: Then the plane starts pitching down
304
00:15:38,103 --> 00:15:42,034
and starts rolling out of control.
305
00:15:42,068 --> 00:15:44,758
Arvidsson: We could see this is not normal.
306
00:15:44,793 --> 00:15:46,034
Seger: But wait a minute.
307
00:15:46,068 --> 00:15:52,586
If the plane is pitching up,
why is the altitude decreasing?
308
00:15:52,620 --> 00:15:55,862
That can't be right.
309
00:15:55,896 --> 00:15:57,724
Narrator: When a plane pitches up,
310
00:15:57,758 --> 00:16:00,758
investigators would
expect it to climb in altitude
311
00:16:00,793 --> 00:16:02,758
and its speed to slow.
312
00:16:02,793 --> 00:16:06,896
But that's not what the
data from flight 294 shows.
313
00:16:06,931 --> 00:16:09,655
Pruchnicki: His airspeed
indicator was not changing.
314
00:16:09,689 --> 00:16:11,482
The same with the altitude...
315
00:16:11,517 --> 00:16:13,034
The altitude should have showed a climb
316
00:16:13,068 --> 00:16:16,517
if this was good data, and it did not.
317
00:16:16,551 --> 00:16:19,379
Seger: That can't be
what the plane was doing.
318
00:16:19,413 --> 00:16:21,413
Narrator: Investigators
must get to the bottom
319
00:16:21,448 --> 00:16:23,103
of the contradictory data
320
00:16:23,137 --> 00:16:24,586
before they can figure out
321
00:16:24,620 --> 00:16:28,103
What brought down West
Air Sweden Flight 294.
322
00:16:28,137 --> 00:16:29,827
Seger: We're gonna
have to go back and figure out
323
00:16:29,862 --> 00:16:32,000
exactly what was going on here.
324
00:16:36,655 --> 00:16:39,379
Narrator: Investigators
in Stockholm try to understand
325
00:16:39,413 --> 00:16:43,137
discrepancies in Flight 294's flight data.
326
00:16:43,172 --> 00:16:45,137
Seger: OK, so let's assume
327
00:16:45,172 --> 00:16:50,965
airspeed and altitude are correct. Yes?
328
00:16:51,000 --> 00:16:55,000
Narrator: The plane's
pitch data doesn't make sense.
329
00:16:55,034 --> 00:17:00,068
Seger: We made calculations
to determine the real pitch
330
00:17:00,103 --> 00:17:03,758
of the aircraft during the event.
331
00:17:03,793 --> 00:17:07,172
Narrator: The calculations
point to an astounding conclusion.
332
00:17:07,206 --> 00:17:11,689
Seger: So... no pitch up at all?
333
00:17:11,724 --> 00:17:13,758
Investigator: Not that we can tell.
334
00:17:13,793 --> 00:17:17,655
Seger: The calculations
indicated that the pitch
335
00:17:17,689 --> 00:17:23,758
was actually going
down after the start of the event.
336
00:17:23,793 --> 00:17:28,137
Right here,
the data shows a steep pitch up.
337
00:17:28,172 --> 00:17:33,034
But the plane flies level
and then pitches down.
338
00:17:38,034 --> 00:17:39,482
Not up.
339
00:17:44,241 --> 00:17:45,655
Captain: What the hell?
340
00:17:45,689 --> 00:17:47,482
Narrator: It seems the captain thought
341
00:17:47,517 --> 00:17:49,068
The plane was pitching up,
342
00:17:49,103 --> 00:17:51,896
when it was actually
flying straight and level.
343
00:17:51,931 --> 00:17:53,931
[Alarm Beeping]
344
00:17:56,172 --> 00:17:58,034
The discovery leads investigators
345
00:17:58,068 --> 00:18:00,000
to a disturbing question.
346
00:18:02,620 --> 00:18:03,620
[Beeping]
347
00:18:03,655 --> 00:18:06,000
Were the pilots
responding to an emergency...
348
00:18:06,034 --> 00:18:06,896
Captain: Come up!
349
00:18:06,931 --> 00:18:09,862
Narrator:...that didn't actually exist?
350
00:18:09,896 --> 00:18:12,241
Seger: If they aren't actually pitching up,
351
00:18:12,275 --> 00:18:16,517
why are they pushing the nose down?
352
00:18:16,551 --> 00:18:18,862
Nance: The indication that the ADI,
353
00:18:18,896 --> 00:18:20,655
the attitude deviation indicator,
354
00:18:20,689 --> 00:18:21,862
on the captain's side
355
00:18:21,896 --> 00:18:24,034
had suddenly shown a 30-degree pitch up
356
00:18:24,068 --> 00:18:26,620
is about the only thing that even
comes close to making sense
357
00:18:26,655 --> 00:18:28,724
for why this crew would
take a perfectly good airplane
358
00:18:28,758 --> 00:18:30,758
into a dive.
359
00:18:30,793 --> 00:18:32,620
Narrator: Investigators soon discover
360
00:18:32,655 --> 00:18:36,724
that it's not just the
pitch data that's off.
361
00:18:36,758 --> 00:18:40,103
Segar: Right here,
heading and roll are wonky, too.
362
00:18:40,137 --> 00:18:41,551
You see that?
363
00:18:41,586 --> 00:18:44,241
Investigator: Yeah.
That tells us something.
364
00:18:44,275 --> 00:18:45,758
Segar: Yeah.
365
00:18:45,793 --> 00:18:47,827
Narrator: It's another valuable clue.
366
00:18:47,862 --> 00:18:50,034
Segar: When we looked at the FDR data,
367
00:18:50,068 --> 00:18:51,827
we could see four parameters
368
00:18:51,862 --> 00:18:55,965
that were not consistent
with the other parameters
369
00:18:56,000 --> 00:18:59,724
and, uh, those were the pitch,
the roll, the heading
370
00:18:59,758 --> 00:19:01,965
and the ground speed.
371
00:19:02,000 --> 00:19:03,655
Narrator: All four parameters come
372
00:19:03,689 --> 00:19:07,827
from what's called an
inertial reference unit, or IRU.
373
00:19:07,862 --> 00:19:09,275
It's made up of gyroscopes
374
00:19:09,310 --> 00:19:12,034
that provide information
to the cockpit displays
375
00:19:12,068 --> 00:19:14,551
and to the flight data recorder.
376
00:19:14,586 --> 00:19:18,965
There are two IRUs...
one for each pilot's display.
377
00:19:19,000 --> 00:19:24,862
Segar: The FDR gets its
data from the captain's side IRU.
378
00:19:24,896 --> 00:19:27,034
Narrator: Investigators
study the plane's manuals
379
00:19:27,068 --> 00:19:30,206
and electrical drawings.
380
00:19:30,241 --> 00:19:33,172
Arvidsson: We found that the IRU 1
381
00:19:33,206 --> 00:19:37,965
was sending the attitude
signal to flight data recorder
382
00:19:38,000 --> 00:19:41,206
and the primary flight display number one.
383
00:19:41,241 --> 00:19:43,793
Narrator: It's an important discovery.
384
00:19:43,827 --> 00:19:46,793
The captain's display
and the flight data recorder
385
00:19:46,827 --> 00:19:51,724
both get their pitch
data from the same source.
386
00:19:51,758 --> 00:19:55,862
Seger: Now,
this is what the captain was seeing.
387
00:19:55,896 --> 00:19:57,068
Narrator: Investigators are coming
388
00:19:57,103 --> 00:19:59,137
to a troubling conclusion:
389
00:19:59,172 --> 00:20:01,275
The captain's instrument was telling him
390
00:20:01,310 --> 00:20:03,034
the plane was pitching up
391
00:20:03,068 --> 00:20:07,068
when it was still flying level,
392
00:20:07,103 --> 00:20:09,344
and that it was rolling to the right
393
00:20:09,379 --> 00:20:11,655
when it was actually rolling left.
394
00:20:11,689 --> 00:20:14,137
Pruchnicki: The automation is
telling him point the nose down,
395
00:20:14,172 --> 00:20:15,896
and he's trying to follow this.
396
00:20:15,931 --> 00:20:18,655
Unfortunately it's erroneous information,
397
00:20:18,689 --> 00:20:19,965
and that eventually leads
398
00:20:20,000 --> 00:20:22,068
to a loss of control of the aircraft.
399
00:20:22,103 --> 00:20:23,758
I flew the jet for 10 years
400
00:20:23,793 --> 00:20:26,586
and never saw anything
even remotely like this.
401
00:20:29,620 --> 00:20:30,620
Captain: What the hell?
402
00:20:30,655 --> 00:20:32,965
Narrator: It's now clear
the pilot was receiving
403
00:20:33,000 --> 00:20:35,310
bad information from a faulty IRU.
404
00:20:35,344 --> 00:20:36,965
[Alarm Beeping]
405
00:20:37,000 --> 00:20:40,724
Is it possible the first officer was, too?
406
00:20:40,758 --> 00:20:44,379
Seger: The FO's
instrument has its own gyro.
407
00:20:44,413 --> 00:20:47,241
Narrator: Investigators learn that IRU 1
408
00:20:47,275 --> 00:20:49,896
was only feeding the captain's instrument.
409
00:20:49,931 --> 00:20:53,103
A second IRU feeds
the first officer's display
410
00:20:53,137 --> 00:20:56,620
and is not recorded
by the flight data recorder.
411
00:20:56,655 --> 00:21:01,896
Seger: So is it possible
that both sides could have failed?
412
00:21:01,931 --> 00:21:05,034
Narrator: If the first
officer's instrument was correct,
413
00:21:05,068 --> 00:21:06,931
he should have seen
that the plane was flying
414
00:21:06,965 --> 00:21:08,931
straight and level.
415
00:21:08,965 --> 00:21:10,724
So why did he allow the captain
416
00:21:10,758 --> 00:21:14,241
to push the plane into a high speed dive?
417
00:21:14,275 --> 00:21:18,068
To find out, the team
recreates the flight in a simulation
418
00:21:18,103 --> 00:21:21,310
based on the data from IRU 1.
419
00:21:21,344 --> 00:21:23,862
Seger: OK, start the animation.
420
00:21:23,896 --> 00:21:26,931
Narrator: It paints an
almost incomprehensible picture.
421
00:21:26,965 --> 00:21:31,862
Seger: Three seconds after his
instrument shows a pitch up,
422
00:21:31,896 --> 00:21:35,000
He pushes the nose down.
423
00:21:35,034 --> 00:21:37,275
Arvidsson: The pilots
tried to solve the problem
424
00:21:37,310 --> 00:21:42,034
by pushing the elevators to nose down.
425
00:21:42,068 --> 00:21:44,689
Narrator: When the
captain pushes the nose down,
426
00:21:44,724 --> 00:21:47,827
his ADI continues to show a pitch up,
427
00:21:47,862 --> 00:21:53,137
so he keeps pushing the plane
into a steeper and steeper dive.
428
00:21:53,172 --> 00:21:56,758
Seger: Then they begin to roll to the left.
429
00:21:56,793 --> 00:22:00,827
Narrator: The plane continues
to roll until it's on its back.
430
00:22:00,862 --> 00:22:07,241
Seger: Eventually they do
reach a speed of 508 knots.
431
00:22:07,275 --> 00:22:08,965
Nance: It is pretty much incredible
432
00:22:09,000 --> 00:22:11,000
that the aircraft did not start breaking up
433
00:22:11,034 --> 00:22:12,241
because of the aerodynamic forces.
434
00:22:12,275 --> 00:22:15,034
But any control movement
at all is gonna rip the tail off
435
00:22:15,068 --> 00:22:17,896
or gonna rip the control surfaces off.
436
00:22:17,931 --> 00:22:20,931
Narrator: Flight 294
hits the ground inverted
437
00:22:20,965 --> 00:22:25,103
at a speed of almost 600 miles an hour.
438
00:22:25,137 --> 00:22:29,000
Nance: The speed with which
this airplane went from stable flight
439
00:22:29,034 --> 00:22:31,344
to a smoking hole, a crater, literally,
440
00:22:31,379 --> 00:22:32,965
uh, is just astounding,
441
00:22:33,000 --> 00:22:35,310
Because it involves a descent rate,
at one point,
442
00:22:35,344 --> 00:22:37,310
of over 20,000 feet per minute.
443
00:22:37,344 --> 00:22:40,344
That's a straight vertical
dive at almost speed of sound.
444
00:22:40,379 --> 00:22:42,310
Uh, it means that whatever happened
445
00:22:42,344 --> 00:22:44,793
happened extremely rapidly.
446
00:22:44,827 --> 00:22:47,206
Narrator: Investigators
can now see what happened,
447
00:22:47,241 --> 00:22:48,931
but they still don't understand
448
00:22:48,965 --> 00:22:51,344
why the failure of a single instrument
449
00:22:51,379 --> 00:22:54,965
led to such a sudden
and catastrophic crash.
450
00:22:55,000 --> 00:22:59,103
Seger: How do you go
from level flight at 33,000 feet
451
00:22:59,137 --> 00:23:05,448
to a 1,000-kilometers-per-hour
impact in what, uh...
452
00:23:08,206 --> 00:23:10,931
one minute, 20 seconds?
453
00:23:10,965 --> 00:23:14,793
Narrator: Investigators are stumped.
454
00:23:14,827 --> 00:23:18,758
Seger: The failure of one single instrument
455
00:23:18,793 --> 00:23:21,827
in a triple-redundant system
456
00:23:21,862 --> 00:23:26,448
should allow the crew or the operations
457
00:23:26,482 --> 00:23:31,413
to actually cope with this situation.
458
00:23:31,448 --> 00:23:33,448
Narrator: To better
understand how the pilots
459
00:23:33,482 --> 00:23:35,517
were interpreting flight data,
460
00:23:35,551 --> 00:23:37,068
investigators now turn
461
00:23:37,103 --> 00:23:40,172
To the cockpit voice
recording of flight 294.
462
00:23:40,206 --> 00:23:42,551
Seger: Let's hear what
was happening up there.
463
00:23:42,586 --> 00:23:44,275
Captain: Ready for the approach briefing?
464
00:23:44,310 --> 00:23:45,793
First Officer: Let's do it.
465
00:23:45,827 --> 00:23:48,103
Narrator: Investigators
hear no signs of trouble
466
00:23:48,137 --> 00:23:50,344
in the minutes leading to the accident...
467
00:23:50,379 --> 00:23:51,793
until...
468
00:23:51,827 --> 00:23:53,068
Captain: According to last ATIS,
we can expect...
469
00:23:53,103 --> 00:23:56,551
Seger: Ok,
now this is where the trouble starts.
470
00:23:56,586 --> 00:23:58,862
Captain: What the hell?
471
00:23:58,896 --> 00:24:02,103
[Alarm Beeping]
472
00:24:02,137 --> 00:24:03,103
First Officer: What?
473
00:24:03,137 --> 00:24:06,034
[Alarm Beeping]
474
00:24:06,068 --> 00:24:07,310
Captain: What?
475
00:24:07,344 --> 00:24:10,310
[Rattling] [Alarm Beeping]
476
00:24:10,344 --> 00:24:13,103
[Groaning]
477
00:24:13,137 --> 00:24:16,310
[Rattling] [Alarm Beeping]
478
00:24:16,344 --> 00:24:18,965
Seger: They're barely
talking to each other.
479
00:24:19,000 --> 00:24:22,034
Arvidsson: We were a little bit surprised
480
00:24:22,068 --> 00:24:28,137
that there were no communication
for the first 10 to 12 seconds
481
00:24:28,172 --> 00:24:32,448
After the problems started.
482
00:24:32,482 --> 00:24:33,482
Computer: Bank angle.
483
00:24:33,517 --> 00:24:34,448
First Officer: Come up!
484
00:24:34,482 --> 00:24:36,379
Narrator: For some reason the two pilots
485
00:24:36,413 --> 00:24:39,068
never discuss the unusual pitch...
486
00:24:39,103 --> 00:24:41,034
Captain: Come on, help me. Help me.
487
00:24:41,068 --> 00:24:42,034
Computer: Bank angle. Captain: Help me!
488
00:24:42,068 --> 00:24:43,344
First Officer: Yes, I'm trying. I'm trying.
489
00:24:43,379 --> 00:24:45,517
Turn left. Turn left!
490
00:24:45,551 --> 00:24:47,448
Narrator:...or how
to troubleshoot the issue.
491
00:24:47,482 --> 00:24:48,931
Captain: No!
492
00:24:48,965 --> 00:24:50,000
Computer: Bank angle.
493
00:24:50,034 --> 00:24:51,000
Seger: Wait a minute, stop.
494
00:24:51,034 --> 00:24:52,000
Computer: Bank angle.
495
00:24:52,034 --> 00:24:54,344
Seger: Bank angle. Bank angle.
496
00:24:54,379 --> 00:24:57,482
When did this start?
497
00:24:57,517 --> 00:25:00,034
Arvidsson: 13 seconds
after the trouble started.
498
00:25:02,448 --> 00:25:06,379
Seger: 40 degrees,
exactly when it should come up.
499
00:25:06,413 --> 00:25:08,413
Narrator: The warning
is programmed to sound
500
00:25:08,448 --> 00:25:11,655
when the plane's bank
angle gets to 40 degrees,
501
00:25:11,689 --> 00:25:16,551
Which is precisely
when it sounded on Flight 294.
502
00:25:16,586 --> 00:25:20,551
In a CRJ-200,
the bank angle display and warning
503
00:25:20,586 --> 00:25:27,241
get data from the IRU
designated to the first officer's side.
504
00:25:27,275 --> 00:25:29,310
Hearing the bank angle callouts
505
00:25:29,344 --> 00:25:32,344
gives the investigation
some vital information.
506
00:25:32,379 --> 00:25:34,448
Arvidsson: Inertial reference unit number 2
507
00:25:34,482 --> 00:25:36,896
was working as it should be.
508
00:25:36,931 --> 00:25:40,448
Seger: The first officer
was getting good information.
509
00:25:40,482 --> 00:25:43,000
Narrator: The discovery
confirms the first officer
510
00:25:43,034 --> 00:25:44,379
should have known the plane
511
00:25:44,413 --> 00:25:47,448
was never pitching up in the first place.
512
00:25:47,482 --> 00:25:49,206
Seger: So why did he let the captain
513
00:25:49,241 --> 00:25:52,034
fly the plane into the ground?
514
00:25:54,344 --> 00:25:56,275
First Officer: We need
to climb and turn right.
515
00:25:56,310 --> 00:25:57,413
Captain: Acknowledged.
516
00:25:57,448 --> 00:26:00,034
Narrator: Investigators
have a new mystery to solve.
517
00:26:00,068 --> 00:26:02,068
Captain: And according to last ATIS,
518
00:26:02,103 --> 00:26:05,068
we can expect light wind and zero...
519
00:26:07,241 --> 00:26:10,206
What the hell?
520
00:26:10,241 --> 00:26:12,241
Narrator: When the captain of Flight 294
521
00:26:12,275 --> 00:26:14,034
Plunges into a deadly dive...
522
00:26:14,068 --> 00:26:15,586
[Alarm Beeping]
523
00:26:18,482 --> 00:26:21,275
Why didn't the first officer intervene?
524
00:26:24,034 --> 00:26:27,103
As investigators look at the FDR data,
525
00:26:27,137 --> 00:26:29,482
they make an important discovery.
526
00:26:29,517 --> 00:26:34,137
The pilots both received
what's called a miscompare warning.
527
00:26:34,172 --> 00:26:36,241
The warning is shown on both displays
528
00:26:36,275 --> 00:26:39,275
when there's a mismatched
reading between them,
529
00:26:39,310 --> 00:26:42,275
in this case, P-I-T for pitch.
530
00:26:42,310 --> 00:26:43,724
Investigators now know
531
00:26:43,758 --> 00:26:47,620
that while the captain saw
a sudden 30-degree pitch up
532
00:26:47,655 --> 00:26:51,068
and the co-pilot saw a
perfectly level aircraft,
533
00:26:51,103 --> 00:26:53,655
both saw the pitch discrepancy warning.
534
00:26:53,689 --> 00:26:55,448
It's a puzzling find,
535
00:26:55,482 --> 00:27:00,310
because pilots are trained
how to react to the warning.
536
00:27:00,344 --> 00:27:03,413
[Alarm Beeping]
537
00:27:03,448 --> 00:27:05,551
Captain: Come up!
538
00:27:05,586 --> 00:27:08,448
[Groaning]
539
00:27:08,482 --> 00:27:10,275
Pruchnicki: You would
hope that communication-wise
540
00:27:10,310 --> 00:27:12,241
you'd be able to verbalize,
541
00:27:12,275 --> 00:27:15,068
"I have what appears
to be an extreme pitch up.
542
00:27:15,103 --> 00:27:18,655
What are you showing on your side?"
543
00:27:18,689 --> 00:27:20,586
Captain: I'm showing a pitch up.
544
00:27:24,172 --> 00:27:26,068
Narrator: In the event of a discrepancy,
545
00:27:26,103 --> 00:27:28,758
pilots should check a
third standby instrument
546
00:27:28,793 --> 00:27:31,137
to determine which side is wrong
547
00:27:31,172 --> 00:27:37,344
and switch the faulty
instrument to the working IRU.
548
00:27:37,379 --> 00:27:39,103
Captain: It looks like my side's bad.
549
00:27:39,137 --> 00:27:41,206
Switching to IR 2 now.
550
00:27:44,724 --> 00:27:46,448
Pruchnicki: Ideally, what we refer to
551
00:27:46,482 --> 00:27:49,068
as the standby attitude indicator
552
00:27:49,103 --> 00:27:50,551
could have kind of broken the tie.
553
00:27:50,586 --> 00:27:53,448
In other words we have
three sources of information,
554
00:27:53,482 --> 00:27:58,068
and the best 2 out of 3 is
what you're trained to go with.
555
00:27:58,103 --> 00:28:01,689
Seger: Alright,
let's see what they say next.
556
00:28:01,724 --> 00:28:04,551
Narrator: But when investigators
listen to the CVR...
557
00:28:04,586 --> 00:28:06,586
Captain: We need to climb.
Come on, we need to climb.
558
00:28:06,620 --> 00:28:07,586
First Officer: Yes, yes, we need to climb.
559
00:28:07,620 --> 00:28:08,793
Turn left. Turn left!
560
00:28:08,827 --> 00:28:12,379
Narrator:...they don't
hear that kind of conversation.
561
00:28:12,413 --> 00:28:14,103
Computer: Bank angle.
Captain: Continue right.
562
00:28:14,137 --> 00:28:15,206
First Officer: Ok, damn it!
563
00:28:15,241 --> 00:28:17,758
Narrator: Instead,
they hear the sound of a crew
564
00:28:17,793 --> 00:28:20,793
that can't figure out what's
happening to their plane
565
00:28:20,827 --> 00:28:22,275
or how to correct the problem.
566
00:28:22,310 --> 00:28:24,413
Captain: Come on, help me. Help me, please!
567
00:28:24,448 --> 00:28:26,379
First Officer: I don't know.
I don't see anything!
568
00:28:26,413 --> 00:28:27,379
Computer: Bank angle.
569
00:28:27,413 --> 00:28:28,379
[Rattling]
570
00:28:28,413 --> 00:28:29,241
Computer: Bank angle.
571
00:28:29,275 --> 00:28:30,413
Pruchnicki: And what that tells us
572
00:28:30,448 --> 00:28:33,172
is that the crew members
were both very mentally consumed
573
00:28:33,206 --> 00:28:35,310
with looking at their
primary flight display,
574
00:28:35,344 --> 00:28:37,448
trying to figure out
actually what is going on.
575
00:28:37,482 --> 00:28:41,172
What is the real position
of the aircraft in space?
576
00:28:41,206 --> 00:28:43,413
Narrator: It's a troubling revelation.
577
00:28:43,448 --> 00:28:44,551
Captain: What the hell?
578
00:28:47,310 --> 00:28:49,413
Narrator: Seger decides they need to see
579
00:28:49,448 --> 00:28:51,551
exactly what the pilots experienced
580
00:28:51,586 --> 00:28:54,344
when the instruments began to fail.
581
00:28:54,379 --> 00:28:57,758
They book time in a CRJ simulator.
582
00:28:57,793 --> 00:29:03,517
Seger: OK, so let's start the
error on the left side, please.
583
00:29:03,551 --> 00:29:06,482
Narrator: They fly the
same route as Flight 294
584
00:29:06,517 --> 00:29:11,827
and program a fault into the left side IRU.
585
00:29:11,862 --> 00:29:14,689
Seger: In the simulator we could observe
586
00:29:14,724 --> 00:29:17,758
the two primary flying displays,
587
00:29:17,793 --> 00:29:22,482
and we could also see
that everything was working
588
00:29:22,517 --> 00:29:25,620
according to design.
589
00:29:25,655 --> 00:29:27,137
There it is.
590
00:29:27,172 --> 00:29:29,206
Freeze it there, please.
591
00:29:29,241 --> 00:29:32,551
Narrator: When the captain's
ADI shows a sudden climb,
592
00:29:32,586 --> 00:29:34,586
the miscompare warning comes on,
593
00:29:34,620 --> 00:29:36,827
telling the captain and first officer
594
00:29:36,862 --> 00:29:40,379
they're seeing different pitch readings.
595
00:29:40,413 --> 00:29:42,137
Seger: OK.
596
00:29:42,172 --> 00:29:45,137
Alright, let's pick it up here.
597
00:29:45,172 --> 00:29:47,517
Narrator: Then they make a new discovery.
598
00:29:47,551 --> 00:29:50,931
Seger: And now we've got
the declutter mode kicking in.
599
00:29:50,965 --> 00:29:55,275
Freeze it there, please.
600
00:29:55,310 --> 00:29:58,103
[Camera Shutter Clicking]
601
00:29:59,482 --> 00:30:01,724
Alright.
602
00:30:01,758 --> 00:30:03,379
Narrator: When a pilot's ADI
603
00:30:03,413 --> 00:30:05,310
reaches extreme pitch or roll values,
604
00:30:05,344 --> 00:30:08,379
it goes into what's called declutter mode.
605
00:30:08,413 --> 00:30:10,931
All non-essential information disappears,
606
00:30:10,965 --> 00:30:15,689
and red arrows tell the
pilots which direction to fly.
607
00:30:15,724 --> 00:30:20,344
Arvidsson: The declutter
mode is to help the pilot
608
00:30:20,379 --> 00:30:23,241
focusing on the most important things.
609
00:30:23,275 --> 00:30:24,137
[Alarm Beeping]
610
00:30:24,172 --> 00:30:25,862
Narrator: But that's not the only insight
611
00:30:25,896 --> 00:30:28,379
the flight simulator
provides the investigation.
612
00:30:28,413 --> 00:30:30,241
[Alarm Beeping]
613
00:30:30,275 --> 00:30:33,448
Seger: And guess what
disappears in declutter mode?
614
00:30:33,482 --> 00:30:36,413
Narrator: Investigators
learn that in declutter mode
615
00:30:36,448 --> 00:30:38,551
the P-I-T discrepancy warning
616
00:30:38,586 --> 00:30:41,379
alerting the pilots of mismatched displays
617
00:30:41,413 --> 00:30:43,931
also disappears.
618
00:30:43,965 --> 00:30:46,724
Seger: Four seconds
after that warning appeared,
619
00:30:46,758 --> 00:30:48,689
it disappears for good.
620
00:30:48,724 --> 00:30:50,689
Narrator: It's not
enough time for the captain
621
00:30:50,724 --> 00:30:52,931
To register the problem.
622
00:30:52,965 --> 00:30:54,827
Captain: What the hell?
623
00:30:54,862 --> 00:30:56,344
Narrator: And as a result,
624
00:30:56,379 --> 00:30:58,758
he instinctively pushes the nose down,
625
00:30:58,793 --> 00:31:01,758
not realizing he's
putting the plane into a dive.
626
00:31:04,586 --> 00:31:08,827
Soon the first officer's gauge
also enters declutter mode...
627
00:31:12,034 --> 00:31:14,586
but in almost the opposite configuration
628
00:31:14,620 --> 00:31:16,379
of the captain's display.
629
00:31:16,413 --> 00:31:18,517
[Groaning]
630
00:31:18,551 --> 00:31:19,620
[Alarm Beeping]
631
00:31:19,655 --> 00:31:20,620
First Officer: Come up!
632
00:31:20,655 --> 00:31:21,862
[Alarm Beeping]
633
00:31:21,896 --> 00:31:27,551
Seger: Now neither one of
them has a discrepancy warning.
634
00:31:27,586 --> 00:31:29,758
Pruchnicki: This is potentially problematic
635
00:31:29,793 --> 00:31:32,724
because the crew is still
trying to figure out what's going on,
636
00:31:32,758 --> 00:31:35,655
in addition to following the
erroneous automation commands.
637
00:31:35,689 --> 00:31:37,862
So this box, what was telling
them what the problem was,
638
00:31:37,896 --> 00:31:39,241
actually disappears
639
00:31:39,275 --> 00:31:42,551
when the situation becomes even more dire.
640
00:31:42,586 --> 00:31:43,724
Computer: Bank angle.
641
00:31:43,758 --> 00:31:45,275
Narrator: As the pilots were struggling
642
00:31:45,310 --> 00:31:46,724
to regain control of their plane...
643
00:31:46,758 --> 00:31:47,724
Captain: Help me!
644
00:31:47,758 --> 00:31:49,000
First Officer: Yes, I'm trying. I'm trying.
645
00:31:49,034 --> 00:31:51,655
Turn left. Turn left!
646
00:31:51,689 --> 00:31:54,482
Narrator:...both were missing
a vital piece of the puzzle...
647
00:31:54,517 --> 00:31:58,620
that their displays were
showing different pitch angles.
648
00:31:58,655 --> 00:32:00,275
Pruchnicki: That's one bit of information
649
00:32:00,310 --> 00:32:02,344
that really should not have been removed
650
00:32:02,379 --> 00:32:04,448
when it goes to a decluttering function.
651
00:32:04,482 --> 00:32:07,344
That was the only cue that they really had
652
00:32:07,379 --> 00:32:08,896
that there was potentially a problem
653
00:32:08,931 --> 00:32:12,379
between both primary flight displays.
654
00:32:12,413 --> 00:32:14,034
Narrator: Investigators now have a picture
655
00:32:14,068 --> 00:32:16,689
of what happened in the cockpit.
656
00:32:16,724 --> 00:32:17,896
Captain: We need to climb!
Computer: Bank angle.
657
00:32:17,931 --> 00:32:18,896
Captain: Come on, we need to climb!
658
00:32:18,931 --> 00:32:20,034
First Officer: Yes, yes, we need to climb.
659
00:32:20,068 --> 00:32:21,034
Turn left. Turn left!
660
00:32:21,068 --> 00:32:22,551
Captain: No, continue right.
661
00:32:22,586 --> 00:32:24,034
First Officer: Ok, damn it!
662
00:32:24,068 --> 00:32:26,758
Narrator: But to figure out
why the pilots couldn't tell
663
00:32:26,793 --> 00:32:28,758
if they were climbing or diving...
664
00:32:28,793 --> 00:32:30,551
Captain: Come on, help me! Help me, please!
665
00:32:30,586 --> 00:32:33,862
First Officer: I don't know.
I don't see anything!
666
00:32:33,896 --> 00:32:37,551
Narrator:...investigators
will need to take to the skies.
667
00:32:41,758 --> 00:32:44,034
Narrator: Investigators
fly an identical plane
668
00:32:44,068 --> 00:32:47,448
on the same route under the
same moonless conditions
669
00:32:47,482 --> 00:32:50,344
to find out what the pilots of flight 294
670
00:32:50,379 --> 00:32:54,344
could and couldn't see
on the night of the accident.
671
00:32:54,379 --> 00:32:57,310
Seger: I can see lights.
672
00:32:57,344 --> 00:33:00,482
Maybe Ritssem?
673
00:33:00,517 --> 00:33:05,551
And I can just see the horizon, over there.
674
00:33:05,586 --> 00:33:07,586
First Officer: We are approaching Bodo.
675
00:33:07,620 --> 00:33:09,068
Pruchnicki: Even when flying at nighttime,
676
00:33:09,103 --> 00:33:12,448
there can still be visual cues
that can help you understand
677
00:33:12,482 --> 00:33:15,034
the orientation of your aircraft...
678
00:33:15,068 --> 00:33:18,344
Things like you can still see
a visible horizon sometimes
679
00:33:18,379 --> 00:33:20,758
when there are a lot of city lights.
680
00:33:20,793 --> 00:33:23,103
Narrator: The test seems to be in vain,
681
00:33:23,137 --> 00:33:25,724
Revealing nothing out of the ordinary.
682
00:33:25,758 --> 00:33:29,724
Seger: Ok,
let's start the descent into Tromso.
683
00:33:31,379 --> 00:33:32,586
[Click]
684
00:33:36,068 --> 00:33:38,931
Now I can't see anything out there.
685
00:33:38,965 --> 00:33:44,482
It was very,
very difficult to discern the horizon
686
00:33:44,517 --> 00:33:50,137
during this flight when you
had the cockpit illumination on.
687
00:33:50,172 --> 00:33:51,586
[Click]
688
00:33:57,172 --> 00:33:59,965
Narrator: Investigators
have made a major discovery.
689
00:34:00,000 --> 00:34:02,137
With the cockpit lights turned on,
690
00:34:02,172 --> 00:34:04,482
it would have been
impossible for the pilots
691
00:34:04,517 --> 00:34:07,862
to see the lights below or the horizon.
692
00:34:07,896 --> 00:34:11,379
The pilots of 294 would
likely have depended entirely
693
00:34:11,413 --> 00:34:14,034
on their instruments for guidance...
694
00:34:14,068 --> 00:34:16,620
instruments that showed
contradictory information.
695
00:34:16,655 --> 00:34:17,793
Computer: Bank angle.
696
00:34:17,827 --> 00:34:19,620
Captain: We need to climb!
Come on, we need to climb!
697
00:34:19,655 --> 00:34:20,655
First Officer: Yes, yes, we need to climb.
698
00:34:20,689 --> 00:34:21,655
Turn left. Turn left!
699
00:34:21,689 --> 00:34:24,965
Captain: No, continue right!
Continue right!
700
00:34:25,000 --> 00:34:26,931
Nance: When we can't see outside,
701
00:34:26,965 --> 00:34:28,482
We trust our instruments.
702
00:34:28,517 --> 00:34:30,413
But if your instrument
is telling you something
703
00:34:30,448 --> 00:34:33,448
that is completely separate
from what your body is telling you,
704
00:34:33,482 --> 00:34:35,689
it's not a matter of
ignoring one or the other,
705
00:34:35,724 --> 00:34:39,000
it's a matter of verifying
what the situation is.
706
00:34:39,034 --> 00:34:43,551
Narrator: The discovery
reveals a critical piece of the puzzle.
707
00:34:43,586 --> 00:34:46,000
Captain: Ready for the approach briefing?
708
00:34:46,034 --> 00:34:47,655
First Officer: Let's do it.
709
00:34:47,689 --> 00:34:49,862
Narrator: After the captain of flight 294
710
00:34:49,896 --> 00:34:51,551
switches on the cockpit lights...
711
00:34:51,586 --> 00:34:54,172
Captain: And according
to last ATIS we can expect...
712
00:34:54,206 --> 00:34:56,068
Narrator:...his display begins to indicate
713
00:34:56,103 --> 00:34:58,586
a substantial pitch upwards.
714
00:34:58,620 --> 00:34:59,551
Captain: What the hell?
715
00:34:59,586 --> 00:35:01,620
Narrator: But the glare inside the cockpit
716
00:35:01,655 --> 00:35:03,896
means the pilots can't
see the horizon below.
717
00:35:03,931 --> 00:35:05,034
[Alarm Beeping]
718
00:35:05,068 --> 00:35:06,724
The captain can't tell if his plane
719
00:35:06,758 --> 00:35:08,931
is actually climbing or not.
720
00:35:08,965 --> 00:35:10,862
Pruchnicki: Had this happened earlier
721
00:35:10,896 --> 00:35:14,551
When they might have had
some form of a visible horizon,
722
00:35:14,586 --> 00:35:16,655
it could have had an
entirely different outcome,
723
00:35:16,689 --> 00:35:18,068
and probably would have.
724
00:35:18,103 --> 00:35:21,103
Seger: He sees this, so his first reaction
725
00:35:21,137 --> 00:35:23,034
is to push his nose down.
726
00:35:25,482 --> 00:35:27,482
Narrator: Seger thinks
the captain's response...
727
00:35:27,517 --> 00:35:28,758
Captain: Help me. Help me!
728
00:35:28,793 --> 00:35:30,137
First Officer: Yes, I'm trying. I'm trying.
729
00:35:30,172 --> 00:35:32,103
Narrator:...made it
impossible for either pilot
730
00:35:32,137 --> 00:35:34,206
to make sense of the plane's movements.
731
00:35:34,241 --> 00:35:36,517
First Officer: Turn left.
Computer: Bank angle.
732
00:35:36,551 --> 00:35:38,965
Nance: One of the adages
that we have kind of instilled
733
00:35:39,000 --> 00:35:41,241
in commercial aviation
and in military aviation
734
00:35:41,275 --> 00:35:44,482
is, in an emergency,
order a cup of coffee first
735
00:35:44,517 --> 00:35:45,896
before you decide to do something.
736
00:35:45,931 --> 00:35:47,827
There are very few things in aviation
737
00:35:47,862 --> 00:35:51,172
that need an instantaneous
physical response.
738
00:35:51,206 --> 00:35:52,931
Narrator: In less than 30 seconds,
739
00:35:52,965 --> 00:35:55,206
the plane is upside down and diving.
740
00:35:55,241 --> 00:35:56,517
Computer: Bank angle.
741
00:35:56,551 --> 00:35:58,103
Narrator: Extreme negative G forces
742
00:35:58,137 --> 00:36:00,137
make the pilots feel weightless,
743
00:36:00,172 --> 00:36:04,482
so they can't tell if they're
climbing or descending.
744
00:36:04,517 --> 00:36:06,793
Pruchnicki: When faced
with a negative-G environment,
745
00:36:06,827 --> 00:36:09,068
it's disorienting for many reasons,
746
00:36:09,103 --> 00:36:12,689
one of which is that it actually
affects your cognitive ability,
747
00:36:12,724 --> 00:36:16,068
so your ability to understand
the situation that you're in.
748
00:36:19,689 --> 00:36:23,103
Seger: In just five seconds
his autopilot disconnects.
749
00:36:23,137 --> 00:36:26,137
He's faced with a 30-degree pitch up,
750
00:36:26,172 --> 00:36:29,206
and his instrument display changes.
751
00:36:29,241 --> 00:36:30,103
Computer: Bank angle.
752
00:36:30,137 --> 00:36:31,793
First Officer: Mayday, mayday, mayday!
753
00:36:31,827 --> 00:36:32,862
Air Sweden 294!
754
00:36:32,896 --> 00:36:34,172
Mayday, mayday, mayday!
755
00:36:34,206 --> 00:36:37,689
Narrator: Investigators believe
that rapid-fire chain of events
756
00:36:37,724 --> 00:36:40,862
triggers what's known
as the startle or surprise effect
757
00:36:40,896 --> 00:36:42,758
in both pilots.
758
00:36:42,793 --> 00:36:44,586
Seger: That surprised effect,
759
00:36:44,620 --> 00:36:47,862
uh, together with the lack of communication
760
00:36:47,896 --> 00:36:49,137
between the pilots,
761
00:36:49,172 --> 00:36:53,965
Can explain the difficulties
there were to solve the problem.
762
00:36:54,000 --> 00:36:57,034
Computer: Bank angle. Bank angle.
763
00:36:57,068 --> 00:36:58,241
Pruchnicki: This is
basically the environment
764
00:36:58,275 --> 00:36:59,724
that they found themselves in,
765
00:36:59,758 --> 00:37:03,034
going from extremely normal operations
766
00:37:03,068 --> 00:37:09,034
to extremely abnormal operations
basically within a split second.
767
00:37:09,068 --> 00:37:10,068
First Officer: Turn left. Turn left!
768
00:37:10,103 --> 00:37:11,724
Captain: No, continue right.
769
00:37:11,758 --> 00:37:13,275
Computer: Bank angle.
Captain: Continue right.
770
00:37:13,310 --> 00:37:15,620
First Officer: Ok, damn it!
Captain: Help me.
771
00:37:15,655 --> 00:37:18,206
Pruchnicki: In a lot of ways, this accident
772
00:37:18,241 --> 00:37:20,655
is kind of a perfect storm scenario:
773
00:37:20,689 --> 00:37:22,034
the fact that both crew members
774
00:37:22,068 --> 00:37:23,896
were looking away from their instruments
775
00:37:23,931 --> 00:37:27,000
as they were required
to do briefing the approach;
776
00:37:27,034 --> 00:37:30,103
the fact that the autopilot
disconnected so quickly;
777
00:37:30,137 --> 00:37:34,724
the fact that the indication
of pitch was so extreme.
778
00:37:34,758 --> 00:37:35,931
Computer: Bank angle.
779
00:37:35,965 --> 00:37:37,793
Captain: Come on, help me. Help me, please!
780
00:37:37,827 --> 00:37:39,724
First Officer: I don't know.
I don't see anything!
781
00:37:39,758 --> 00:37:41,137
Narrator: Investigators now believe
782
00:37:41,172 --> 00:37:42,586
they have pieced together
783
00:37:42,620 --> 00:37:46,137
what went so horribly wrong on flight 294.
784
00:37:46,172 --> 00:37:50,000
Captain: No! No! No!
785
00:37:50,034 --> 00:37:53,068
Narrator: But they still have
one final question to answer.
786
00:37:56,241 --> 00:37:58,827
Captain: Ready for the approach briefing?
787
00:37:58,862 --> 00:38:00,758
First Officer: Let's do it.
788
00:38:00,793 --> 00:38:03,103
Narrator: The final minutes of flight 294
789
00:38:03,137 --> 00:38:04,965
are now clear to investigators.
790
00:38:05,000 --> 00:38:10,000
Captain: ILS approach to runway 0-1,
inbound heading 0-0-9.
791
00:38:10,034 --> 00:38:12,379
Narrator: The approach
briefing is interrupted
792
00:38:12,413 --> 00:38:15,034
when the captain notices a sudden climb.
793
00:38:15,068 --> 00:38:18,379
Captain: Light wind and zero...
794
00:38:18,413 --> 00:38:19,413
What the hell?
795
00:38:19,448 --> 00:38:22,827
Seger: The start of the event was a runaway
796
00:38:22,862 --> 00:38:26,689
on the left side pilot flying display,
797
00:38:26,724 --> 00:38:29,862
showing an increasing pitch.
798
00:38:29,896 --> 00:38:32,068
Narrator: But he has
no idea what he's seeing
799
00:38:32,103 --> 00:38:34,241
is from a faulty inertial reference unit.
800
00:38:34,275 --> 00:38:35,758
[Alarm Beeping]
801
00:38:35,793 --> 00:38:37,793
The pitch warning disappears,
802
00:38:37,827 --> 00:38:39,655
the autopilot disconnects,
803
00:38:39,689 --> 00:38:41,793
and the captain pushes the nose down
804
00:38:41,827 --> 00:38:44,827
following instructions on his ADI.
805
00:38:44,862 --> 00:38:47,000
As the plane begins to dive,
806
00:38:47,034 --> 00:38:50,137
the pilots don't know their
displays no longer match.
807
00:38:50,172 --> 00:38:52,724
First Officer: What?
808
00:38:52,758 --> 00:38:55,724
Captain: What?
809
00:38:55,758 --> 00:38:59,206
Narrator: And as they can't
see the natural horizon outside,
810
00:38:59,241 --> 00:39:02,793
neither pilot can
verify their actual attitude.
811
00:39:02,827 --> 00:39:06,206
As the plunging jet rapidly gains speed,
812
00:39:06,241 --> 00:39:10,758
negative G-forces make
the pilots feel weightless.
813
00:39:10,793 --> 00:39:15,896
Flight 294 rolls to the left
until it banks upside down.
814
00:39:15,931 --> 00:39:16,931
Computer: Bank angle.
815
00:39:16,965 --> 00:39:18,068
Pruchnicki: It's
possible that this occurred
816
00:39:18,103 --> 00:39:21,068
because now the first
officer had grabbed the yoke
817
00:39:21,103 --> 00:39:22,241
to steady himself
818
00:39:22,275 --> 00:39:25,931
or to possibly try to contribute
to solving the problem.
819
00:39:25,965 --> 00:39:28,724
Narrator: Upside
down and hurtling to earth,
820
00:39:28,758 --> 00:39:32,034
the first officer's display
shows the plane in a nosedive
821
00:39:32,068 --> 00:39:34,034
And banking left.
822
00:39:34,068 --> 00:39:35,034
First Officer: Come up!
823
00:39:35,068 --> 00:39:36,448
Computer: Bank angle.
824
00:39:36,482 --> 00:39:38,413
Narrator: But the
captain sees the opposite:
825
00:39:38,448 --> 00:39:40,862
A plane climbing and rolling right.
826
00:39:40,896 --> 00:39:42,103
First Officer: Come up!
827
00:39:42,137 --> 00:39:45,827
Narrator: His first officer's
suggestions make no sense,
828
00:39:45,862 --> 00:39:49,482
and the inverted G-forces
make it almost impossible to think.
829
00:39:49,517 --> 00:39:50,931
Captain: Come on, help me.
830
00:39:50,965 --> 00:39:52,275
Help me. Help me!
831
00:39:52,310 --> 00:39:53,413
First Officer: Yes, I'm trying. I'm trying.
832
00:39:53,448 --> 00:39:55,482
Turn left. Turn left!
833
00:39:55,517 --> 00:39:58,034
Computer: Bank angle. Captain: No.
834
00:39:58,068 --> 00:40:00,034
Nance: When you get sucked into a reality
835
00:40:00,068 --> 00:40:02,206
in the middle of the night like this,
836
00:40:02,241 --> 00:40:05,448
that is not commensurate
with what's actually happening...
837
00:40:05,482 --> 00:40:07,896
in other words, it's an induced reality...
838
00:40:07,931 --> 00:40:09,448
then it begins to get confusing,
839
00:40:09,482 --> 00:40:11,172
and if you get past a certain point,
840
00:40:11,206 --> 00:40:15,103
that confusion can become terminal.
841
00:40:15,137 --> 00:40:18,172
Narrator: The plane is in a steep dive,
nearly inverted,
842
00:40:18,206 --> 00:40:22,758
and traveling at speeds
approaching 600 miles an hour.
843
00:40:22,793 --> 00:40:24,448
Nance: Once you get to that point,
844
00:40:24,482 --> 00:40:26,413
the mind pretty much checks out
845
00:40:26,448 --> 00:40:28,275
in terms of giving you good guidance
846
00:40:28,310 --> 00:40:29,965
on how to fly the airplane.
847
00:40:30,000 --> 00:40:33,206
And after that point, uh,
there's just no recovering.
848
00:40:33,241 --> 00:40:35,137
Captain: We need to climb.
Come on, we need to climb.
849
00:40:35,172 --> 00:40:36,172
First Officer: Yes, yes, we need to climb.
850
00:40:36,206 --> 00:40:37,206
Turn left. Turn left!
851
00:40:37,241 --> 00:40:38,931
Captain: No, continue right.
852
00:40:38,965 --> 00:40:40,275
Computer: Bank angle. Pull up.
853
00:40:40,310 --> 00:40:41,413
Captain: Continue right!
854
00:40:41,448 --> 00:40:42,379
First Officer: Ok, damn it!
855
00:40:42,413 --> 00:40:44,241
Captain: Come on, help me! Help me, please!
856
00:40:44,275 --> 00:40:47,275
First Officer: I don't know.
I don't see anything!
857
00:40:47,310 --> 00:40:48,862
Computer: Bank angle.
First Officer: What... what?
858
00:40:48,896 --> 00:40:49,862
Computer: Bank angle.
859
00:40:49,896 --> 00:40:51,172
[Groaning]
860
00:40:51,206 --> 00:40:52,310
Computer: Bank angle.
861
00:40:52,344 --> 00:40:55,172
Captain: No! No! No!
862
00:40:55,206 --> 00:40:58,034
Narrator: 80 seconds
from the first sign of trouble,
863
00:40:58,068 --> 00:41:00,137
the plane slams into the ground.
864
00:41:05,275 --> 00:41:08,000
Pruchnicki: There's no
training that's typically provided
865
00:41:08,034 --> 00:41:11,310
to understand how to effectively recover
866
00:41:11,344 --> 00:41:14,137
from a situation such as this.
867
00:41:14,172 --> 00:41:16,172
Narrator: The final
question for investigators
868
00:41:16,206 --> 00:41:19,137
will be the most difficult to answer.
869
00:41:19,172 --> 00:41:23,137
Why did the inertial reference
unit fail in the first place?
870
00:41:25,620 --> 00:41:28,137
With more than 9,000 identical units
871
00:41:28,172 --> 00:41:30,310
in service around the world,
872
00:41:30,344 --> 00:41:33,068
the answer is vitally important.
873
00:41:35,241 --> 00:41:39,137
The IRUs have been
recovered from the crash site,
874
00:41:39,172 --> 00:41:42,172
but they're very badly damaged.
875
00:41:42,206 --> 00:41:48,206
Arvidsson: The physical IRU
was damaged beyond recognition.
876
00:41:48,241 --> 00:41:52,344
And, uh, we couldn't find
out what caused the problem.
877
00:41:58,103 --> 00:41:59,896
Nothing.
878
00:41:59,931 --> 00:42:02,172
Narrator: Without the
device's memory cards,
879
00:42:02,206 --> 00:42:04,137
investigators are unable to determine
880
00:42:04,172 --> 00:42:06,862
the cause of the failure.
881
00:42:06,896 --> 00:42:09,517
Arvidsson: We tried in every possible way,
882
00:42:09,551 --> 00:42:16,000
but we didn't have enough
evidence to understand it.
883
00:42:16,034 --> 00:42:16,965
Captain: What the hell?
884
00:42:17,000 --> 00:42:18,862
Narrator: Regardless of what caused it,
885
00:42:18,896 --> 00:42:23,103
the IRU's failure should
not have caused an accident.
886
00:42:23,137 --> 00:42:28,034
There are backup instruments
on board for precisely that reason.
887
00:42:28,068 --> 00:42:30,965
Nance: Redundancy is one
of the keys to aviation safety,
888
00:42:31,000 --> 00:42:33,310
because not only do
we need redundant pilots,
889
00:42:33,344 --> 00:42:35,965
uh, because human beings can fail,
890
00:42:36,000 --> 00:42:37,241
but we need redundant instruments.
891
00:42:37,275 --> 00:42:39,172
We don't want to ever get in a situation
892
00:42:39,206 --> 00:42:41,206
where a single-point failure
893
00:42:41,241 --> 00:42:45,103
is going to cause you to not
be able to fly the airplane safely.
894
00:42:48,620 --> 00:42:50,275
Narrator: In their final report,
895
00:42:50,310 --> 00:42:54,448
investigators list the pilots'
failure to communicate properly;
896
00:42:54,482 --> 00:42:57,241
the lack of information
provided by the flight instruments
897
00:42:57,275 --> 00:42:59,172
about the failure;
898
00:42:59,206 --> 00:43:02,034
and the effect of
negative G-loads on the crew
899
00:43:02,068 --> 00:43:06,275
as the main factors causing the accident.
900
00:43:06,310 --> 00:43:10,413
Arvidsson: It's important
to communicate really early
901
00:43:10,448 --> 00:43:12,344
When you've got a problem,
902
00:43:12,379 --> 00:43:17,482
so the other pilot can
understand what's going on.
903
00:43:17,517 --> 00:43:20,000
Narrator: The investigators
recommend that airlines
904
00:43:20,034 --> 00:43:22,448
adopt standard callouts for pilots to use
905
00:43:22,482 --> 00:43:25,586
in similar emergency situations
906
00:43:25,620 --> 00:43:28,068
and that manufacturers improve the design
907
00:43:28,103 --> 00:43:30,241
of primary flight displays
908
00:43:30,275 --> 00:43:33,068
so that important error
messages aren't removed
909
00:43:33,103 --> 00:43:35,103
in declutter modes.
910
00:43:35,137 --> 00:43:37,034
Nance: If you've got
more than one crew member,
911
00:43:37,068 --> 00:43:40,034
and in almost all instances
in airline flights you do,
912
00:43:40,068 --> 00:43:41,448
you need a procedure
913
00:43:41,482 --> 00:43:43,206
for immediately checking with each other
914
00:43:43,241 --> 00:43:44,586
and having standard callouts
915
00:43:44,620 --> 00:43:46,586
so that you're coordinating your actions
916
00:43:46,620 --> 00:43:48,379
and coordinating your brains.
917
00:43:48,413 --> 00:43:51,103
Here we had one carbon-based brain
918
00:43:51,137 --> 00:43:53,206
making decisions that were incorrect
919
00:43:53,241 --> 00:43:55,620
and starting a slide
into an accident sequence
920
00:43:55,655 --> 00:43:58,241
because there was no
coordination with the other one.
71782
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