Impact! A Horizon Guide to Plane Crashes


Impact! A Horizon Guide to Plane Crashes

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Air travel has transformed our lives.

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Fast, direct,

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and above all safe.

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And it keeps getting safer.

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In 2012, the global accident rate for Western-built jets

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was the lowest in aviation history.

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But the carefree flying that we enjoy today

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has been bought at a deadly cost...

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Because improvements in aviation safety

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have been driven by the stuff of nightmares...

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Air crashes.

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Every crash has its causes,

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and this information is used by scientists

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to prevent the same failures from happening again.

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For more than 60 years, Horizon and the BBC have reported

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on the accidents that have revolutionised aviation safety.

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In this programme, we'll chart the most significant improvements

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through the stories of the most deadly disasters.

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Tenerife Airport,

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March 27th, 1977.

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Debris is strewn far and wide.

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Thick plumes of smoke fill the sky.

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This is the wreckage from the deadliest air crash in history,

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a crash that happened not in the sky

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but on the runway.

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The control tower just 700 metres away

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didn't even see it happen.

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Just ten minutes earlier,

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the airport had been busy but running smoothly.

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Two Boeing 747s,

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one KLM, the other Pan Am,

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were a mile apart at opposite ends of the runway.

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They'd been instructed to position themselves ready for take-off.

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The KLM was to wait at one end of the runway

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while Pan Am was to turn off it

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and allow KLM to depart first.

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As they were manoeuvring,

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a thick fog came over the mountains

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and enveloped the airport.

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With the runway now shrouded in fog

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neither plane could see each other.

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Crucially, neither could the air traffic controller in the tower.

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The Pan Am pilots taxiing down the runaway missed the turning.

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At six minutes past five

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the KLM pilot, believing the Pan Am was now off the runway,

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began his take-off with Pan Am still ahead of him.

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First time in my life I've ever had a situation occur

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that I couldn't believe was happening.

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I just could not believe this airplane was coming

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down the runaway at us.

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My comment was, "Get off!" to the captain,

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which he tried everything he possibly could.

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As we were turning,

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I looked back out of my right window

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and the KLM airplane had lifted off the runway.

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Basically, what I did was just close my eyes and duck.

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During lift-off, the KLM plane collided with Pan Am.

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Although briefly airborne, it lost control,

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crashed and burst into a ball of flames...

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..while the Pan Am plane broke into several pieces and exploded.

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Almost 600 people died that day.

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The accident shocked the world.

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Everyone wanted to know what could have caused this devastating crash.

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Initially it seemed the obvious cause of the disaster was fog.

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562, turn tight, heading 070...

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But the crash investigation

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revealed that fog was only one factor.

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123 out of air...

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123, 29 miles over.

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Bad communication and poor crew dynamics

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also played a major role.

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Wind squall at 5524.

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5524.

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The Tenerife disaster showed

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that the causes of plane crashes are rarely straightforward.

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And that's not surprising

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given that aviation is an incredibly complex business

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and there are so many things that can go wrong.

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If you stop and think about it for a second,

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travelling by plane is a pretty odd thing to do.

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Hundreds of us strapped into this narrow tube,

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hurtling through the air at upwards of 500 miles an hour,

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and separated from the freezing, oxygen-starved atmosphere

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by just a few centimetres of metal and plastic.

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Today we pretty much take it for granted

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that the aeroplane is up to the job.

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It's not going to fall apart around us.

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But in the early days of commercial aviation,

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even the structural integrity of the plane couldn't be guaranteed.

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Scientists realised the hard way

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that there were some significant gaps in their knowledge.

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There is arguably no single plane that's been more important

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in the story of aircraft engineering than the ill-fated Comet.

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-REPORTER:

-When the 36-seater, jet-propelled De Havilland Comet

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opened the latest act in the drama of man's conquest of the heavens,

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the eyes of many nations were focused upon it.

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Built in Britain and launched in 1952,

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it was the first passenger jet to go into service.

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Cruising at 490 miles an hour,

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the Comet offered all the attractions

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of smooth, high-altitude travel.

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The Comet had grace and beauty.

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But unfortunately that's not what it's remembered for.

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Between May '52 and April '54,

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three of the nine Comets in service broke up in mid air.

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The Comet 1 never flew again.

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After the third disaster,

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bits of the aircraft were recovered

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from the bottom of the Mediterranean.

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In all, 67 people died in the crashes.

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It was a disaster for the British aircraft industry,

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particularly because no-one knew why the planes

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had apparently just fallen out of the sky.

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So all the Comets were grounded,

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and scientists set to work on one of the greatest

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aircraft detective stories in aviation history.

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As in any investigation,

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scientists started by painstakingly sieving through the crash wreckage.

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Their first clue came in the form of a curious anomaly

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found in fragments of the fuselage.

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There were unexplained rips through the aluminium shell.

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The scientists next had to work out

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what could have caused these tears,

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and the only way to do that

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was to try to recreate the damage.

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An entire fuselage was immersed in a high pressure tank

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and subjected to cycles of increasing and decreasing pressure

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to simulate an aircraft in service

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constantly climbing and descending.

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The fatal weakness suddenly revealed itself.

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A weakness that would change aircraft design forever.

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It was metal fatigue, a type of weakness that starts

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as a small crack somewhere in the fuselage

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and spreads catastrophically across the plane

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when it undergoes pressure changes in flight.

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It would have quickly and suddenly

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caused the plane to completely break up.

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Metal fatigue wasn't seen as a major problem

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prior to the Comet crashes,

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because aviation experts didn't fully understand

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the destructive effects of pressurisation

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and had been performing the wrong types of tests.

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The challenge for engineers was to find a way

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to protect the plane against the repetitive stresses of flight.

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How are you going to tackle the weakness in the fuselage?

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Well, it will be largely a question of a thicker skin

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and much improved detail design.

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Here's your skin.

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When you talk of a skin, what do you really mean?

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It isn't what we think of as a skin?

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Is it double thickness?

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Is it like a sort of insulated window, or...?

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-No, no, no, it's a single skin...

-It is single?

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Oh, yes, high strength, light alloy,

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just single,

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and made thick enough to withstand the pressures and the loads

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that come on it from structural loads.

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Scientists also learnt that square cabin windows were problematic.

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The corners would often be where cracks in the fuselage started,

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so engineers simply got rid of the corners.

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The British civil aircraft industry never fully recovered

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from the Comet disasters.

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But what was learnt about metal fatigue

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and how to properly test for it was shared with airlines

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and engineers across the world.

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The emphasis was now on full-scale aircraft testing,

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because aviation experts realised

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that testing the structural integrity of individual plane parts

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can't be done in isolation.

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40 years after the Comet crashes, full-scale testing had become

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mandatory and a bit of a spectator sport for engineers.

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It's 1995, at the Boeing factory.

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Cables are pulling hard on a Triple 7 wing

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to test whether it can survive

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the strongest forces turbulence or bad handling could produce.

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REPORTER: As the test progresses, the forces on the wings

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are so strong that they cause ripples in the fuselage.

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The engineers hope that the wing will withstand

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150% of the strongest forces it will meet in flight.

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They're predicting a wing deflection of about 24 feet before it breaks.

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-ENGINEER:

-Can I have your attention?

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We're now holding at 120% design limit load.

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We will make a loads check.

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It should be a short hold here.

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As the tension in the wing increases,

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the crowd of observers,

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including many of the people

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who have lived with the plane for four years or more, falls quiet.

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At 150% loading, it's the moment of truth.

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Will the wing remain intact?

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To the engineers' delight, the wing survives.

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151.

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They've got a safe, strong wing ready for service.

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156.

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If you've ever worried about wobbly wings,

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just see how much bending they can take.

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153.

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Now the engineers are going to push their creation

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to its absolute limit.

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154.

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It finally breaks at 154%...

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Way beyond the strongest forces any plane should experience.

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154.

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This is just one of the many tests a plane must pass

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before it's let anywhere near the runway.

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They're devised to weed out any weaknesses in the design

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or materials.

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So today it's very rare that a plane's strength

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is ever called into question.

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By the 1960s, the days of aircraft breaking up in mid air

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for no apparent reason were largely gone.

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But in terms of aircraft safety,

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fixing structural integrity actually turned out to be the easy bit.

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Much trickier was another major cause of crashes.

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What in the aviation world is called bad operational conditions,

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we would call bad weather,

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and the potentially lethal effects were highlighted

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by the investigation into

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one of the most mysterious crashes in history.

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On August 2nd, 1947,

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a British Lancastrian airliner called Star Dust

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took off on a routine passenger flight across South America.

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Although scheduled to fly from Buenos Aires to Santiago,

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the plane never reached its final destination.

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Instead it completely vanished

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just moments before touchdown.

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Despite an extensive search of the Andes mountains,

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no trace of the plane was ever found.

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But in 2000, 53 years after the crash,

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parts of the plane suddenly reappeared...

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..on a glacier high up in the Andes.

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Crash investigators examined the site in a bid to work out

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what had happened to the ill-fated plane.

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There was no explanation for why Star Dust had crashed

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when there was apparently nothing wrong with the plane.

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The plane had crashed 50 miles away from Santiago,

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even though the crew thought they were close to landing.

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So they focused on one key factor that could have caused the crash...

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navigation error.

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The investigators already knew that shortly before the crash

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the crew had decided to avoid bad weather by climbing

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above the clouds and flying over the top of the mountains.

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Although they didn't know it, by trying to fly over

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the tops of the mountains, they were sealing their fate.

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They were about to encounter an invisible meteorological phenomenon

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which they knew nothing about.

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The jet stream.

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This powerful, high altitude wind

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only develops above the normal weather systems.

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It blows at speeds of well over 100mph.

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But in 1947, the phenomenon itself was still largely unknown.

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The crew of Star Dust would have had no idea

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what they were flying into,

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and now that the plane was flying above the clouds

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the crew could no longer see the ground.

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As Star Dust climbed, it began to enter the jet stream

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and slow down dramatically.

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But the crew had no knowledge of this.

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They believed that they were making much faster progress.

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At 24,000 feet, Star Dust was flying

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almost directly into the jet stream, which was blowing at around 100mph.

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The Jet Stream's effect was devastating.

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At 5.33, the crew was convinced they were crossing

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the mountains into Chile.

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But they weren't.

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They radioed their time of arrival as 5.45.

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In fact, the plane was still on the wrong side of the mountains.

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The plane descended towards what the crew thought would be

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Santiago Airport.

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But in fact they were flying

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straight into the cloud-covered glacier of Mount Tupangato.

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All 11 lives were lost in the crash,

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and the plane was buried within seconds, vanishing from sight.

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The Star Dust tragedy was the direct result

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of the unknown effects of the jet stream.

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Today, thankfully, high-altitude weather is no longer a mystery

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and sophisticated weather forecasting makes sure

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crews are prepared whatever the conditions.

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One of the paradoxes of aircraft safety is that every major leap

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in aircraft capability creates its own new set of problems,

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and many of those are connected with the weather.

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So, for Star Dust, it was its ability to climb high.

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In the 1960s, the industry was grappling with the problems

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of flying fast,

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as jet engines like this one were taking over from piston engines.

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Now, that extra speed may have been good news for passengers

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but it meant that common forms of weather suddenly became

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very real safety concerns.

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Fighter pilots were the first to find out

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about the danger of rain damage at near supersonic speeds.

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After only ten minutes in a rain storm, a Hunter jet fighter

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landed with its radar cone damaged like this.

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The nose cone is made of bonded layers of toughened glass fibre

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and rubber.

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This was one of the first recorded cases of rain drop damage

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so massive that the aircraft had been in critical danger.

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The outer cover had been torn off.

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The inner rubber shell was deeply pitted.

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To understand what was happening,

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scientists at the Royal Aircraft Establishment, Farnborough,

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constructed this gas-powered gun

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to try to recreate the hazard of dangerous rain.

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A magnesium bullet tipped with Perspex

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is loaded into the firing chamber.

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When the bullet is fired at over 1,000 feet a second,

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it will collide with a raindrop suspended directly in its path.

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Surface tension holds the raindrop in place on a web

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of artificial fibres specially created for each test.

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A carefully measured drop of soft rain water is about to be

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given the destructive power of an explosive blast.

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The web is shattered before you have time to hear the explosion.

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The impact of the raindrop has been recorded

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on the Perspex head of the bullet.

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The Perspex,

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the kind that's used in aircraft windows, is studied for damage.

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The moment of impact, seen from a different angle.

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With camera shutter speed at a millionth of a second,

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the disintegration of each drop of water can be analysed in detail.

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Damage is caused when the pressure built up

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in the raindrop on impact is released when it shatters.

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Three clear areas show where pressure built up

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before the raindrops carved out their circles of damage.

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The effect of a torrential downpour on a high-speed aircraft

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would be many times more serious.

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Even raised rivets on the fuselage could be forced out

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by the impact of this kind of rain.

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To test the effects of a prolonged rainfall,

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they constructed this whirling arm.

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The blade tip revolves at 500 miles an hour,

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as water is spun off the disc mounted in front of it

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to form a fine rain cloud.

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Prototypes of metal, glass, paint and rubber can be fixed

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to the whirling arm to see how they stand up to rain storms.

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ALARM

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Within seconds the arm accelerates to 500 miles an hour.

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As rain drops strike the test surfaces one after another,

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materials simply disintegrate...

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Perspex after only 20 minutes.

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Aluminium is reduced to this after 15 hours.

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Metals and alloys used in the next generation of aircraft

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will have to stand up to longer flying hours at higher speeds.

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They prove themselves or fail dramatically on this test rig.

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Even paintwork has to be strengthened

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when only two minutes in rain does this.

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This research has shown that streamlining of aircraft is vital

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because it lessens the head-on impact of dangerous rain.

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Aircraft designers quickly applied these findings to modern jets.

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Raised rivets were lost,

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paint became protective,

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and the shape of aircrafts became increasingly tapered

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as their speeds increased.

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Rain at high speeds no longer caused any serious damage to the plane.

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Of all the problems caused by bad weather,

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one of the most potentially dangerous is losing visibility.

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It can seriously disorientate a pilot

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and make any manoeuvre that requires particular accuracy

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or precise judgment that much more difficult.

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So it makes sense that, out of all the conditions,

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the one that pilots have feared the most is fog.

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Fog is particularly dangerous when a pilot is attempting to land.

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That's because the plane needs to be perfectly aligned

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to hit the runway at the right spot at the right time.

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But in foggy conditions, pilots might not have any visual cues

0:22:360:22:39

to help them.

0:22:390:22:42

Without good visibility,

0:22:420:22:44

the plane could clip something on the way down

0:22:440:22:46

or even overshoot the runway.

0:22:460:22:48

So, in the 1960s, some scientists thought

0:22:480:22:51

the answer to the problem might be to find a way

0:22:510:22:54

to simply get rid of fog at airports.

0:22:540:22:57

In America, they attacked the problem

0:22:570:23:00

with a rather unique approach.

0:23:000:23:01

This equipment is the latest on the anti-fog scene.

0:23:020:23:05

It's been developed by an American horticultural company

0:23:050:23:08

from a standard crop spraying machine, and if it works

0:23:080:23:11

it could do away with the need

0:23:110:23:12

for special aircraft for spraying chemicals.

0:23:120:23:15

Instead, with this machine, detergents or dry ice

0:23:150:23:18

could be sprayed through an inflatable plastic tube

0:23:180:23:21

from a height of 200 feet.

0:23:210:23:22

A fan at the base of the machine inflates the tube.

0:23:220:23:25

It also powers the spray which can pivot vertically

0:23:250:23:28

or horizontally while being towed along a fog-covered runway.

0:23:280:23:32

By the time these development tests are over, the researchers hope

0:23:320:23:35

they'll have an effective fog killer that could be in operation

0:23:350:23:38

by the end of next year.

0:23:380:23:40

Perhaps not surprisingly, this particular fog killer

0:23:400:23:43

wasn't very effective, and it was soon abandoned.

0:23:430:23:46

A quarter of a mile from touchdown.

0:23:460:23:48

You're on the glide path.

0:23:480:23:50

On track, on the glide path.

0:23:500:23:52

Once scientists realised completely eliminating fog at airports

0:23:520:23:56

is no easy task,

0:23:560:23:57

they concentrated on improving tools

0:23:570:24:00

that pilots could use to work around it.

0:24:000:24:02

It's called ILS, or Instrument Landing System.

0:24:020:24:06

Instead of relying on a ground controller,

0:24:060:24:09

a pilot watches two cross wires on an instrument in his cockpit.

0:24:090:24:13

When they're centred, he knows he's on the glide path,

0:24:130:24:16

flying down a fixed radio beam

0:24:160:24:18

coming from a transmitter on the end of the runway itself.

0:24:180:24:22

As ILS became more advanced,

0:24:230:24:26

it, together with radar and radio technology,

0:24:260:24:29

equipped pilots with the means to fly and land in fog

0:24:290:24:32

with much more safety.

0:24:320:24:34

Reducing the threats of bad weather

0:24:380:24:40

and improving the structural integrity of planes

0:24:400:24:43

meant that, during the 1960s and '70s,

0:24:430:24:47

aircraft safety began to improve.

0:24:470:24:49

By the 1980s, aircraft safety seemed to have become

0:24:560:24:59

a good news story.

0:24:590:25:00

Planes were far less likely to fall out of the sky

0:25:000:25:03

and the rates of crashes had fallen.

0:25:030:25:06

But there was one statistic that was worrying safety experts.

0:25:060:25:10

Although the rate of crashes had fallen,

0:25:100:25:13

the chances of actually surviving one had stayed the same.

0:25:130:25:16

Engineers had been concentrating on preventing accidents

0:25:160:25:20

rather than saving us if the worst was to happen.

0:25:200:25:23

Fire is the greatest single threat to survival in any plane crash.

0:25:350:25:39

That's because, as a passenger,

0:25:430:25:44

you're sitting on top of up to 300,000 litres of fuel,

0:25:440:25:48

and if it comes into contact with even the smallest of sparks,

0:25:480:25:52

it's likely to explode into a deadly inferno.

0:25:520:25:55

It seemed logical to scientists working in the early 1940s

0:25:590:26:03

that the way to tackle the threat of fire

0:26:030:26:05

was to prevent it happening in the first place.

0:26:050:26:08

ARCHIVE REPORTER: The United States Air Force

0:26:080:26:11

provided a group of service-weary aircraft

0:26:110:26:13

with which to conduct their research.

0:26:130:26:15

A landing or a take-off accident was chosen for study

0:26:150:26:18

because the chance for passenger survival of crash impact

0:26:180:26:21

is highest in this kind of crash.

0:26:210:26:23

The US Air Force discovered that what was particularly dangerous

0:26:250:26:28

about jet fuel was the way it dispersed on impact.

0:26:280:26:32

Here, you can see test planes being deliberately crashed.

0:26:350:26:38

The fuel has been coloured red.

0:26:380:26:40

When the plane impacts, the fuel at first trails behind.

0:26:410:26:45

Then, as the aircraft slows,

0:26:450:26:47

it moves ahead in a fine mist.

0:26:470:26:51

It's this mist that's particularly volatile.

0:26:510:26:54

It was a major discovery.

0:26:580:27:00

The task for the next 40 years would be to develop a fuel

0:27:000:27:03

that didn't mist.

0:27:030:27:05

And in the 1980s, it was us Brits

0:27:050:27:07

that looked like we may have figured it out.

0:27:070:27:10

The answer, then, is to make the fuel thicker so it doesn't mist,

0:27:100:27:13

and the thickening ingredient that the scientists have come up with

0:27:130:27:16

is an additive called FM-9.

0:27:160:27:18

Now, the molecular structure of FM-9 is like a long chain.

0:27:180:27:21

It's called a polymer, which,

0:27:210:27:23

if you dissolve it in kerosene, floats freely.

0:27:230:27:26

But if you shake the kerosene around,

0:27:260:27:29

as would happen in a violent accident,

0:27:290:27:31

the chains of the polymer will tangle together

0:27:310:27:33

and make the kerosene behave like a jelly.

0:27:330:27:36

Well, here's the real stuff.

0:27:360:27:38

Aviation fuel with FM-9 on this side

0:27:380:27:41

and fuel that doesn't have it, here.

0:27:410:27:44

Now, side by side they look exactly the same,

0:27:440:27:46

but if you shake them both,

0:27:460:27:47

you can see that the fuel with the additive over here

0:27:470:27:50

goes like jelly, and jelly can't mist.

0:27:500:27:53

But hold on. It can't ignite either,

0:27:530:27:56

so it's not going to be much use in an engine.

0:27:560:27:59

So any engine using this stuff would have to be modified

0:27:590:28:02

to break down the polymer chains to make the fuel behave normally.

0:28:020:28:05

The Federal Aviation Authority in America

0:28:080:28:10

was so taken by the research that they organised a test crash

0:28:100:28:14

using a plane carrying the new anti-misting fuel

0:28:140:28:18

and the scientists were optimistic

0:28:180:28:20

that the test was going to be a success.

0:28:200:28:23

I've got a great deal of confidence that we're not going to see a fire.

0:28:230:28:28

The crash date was set for December 1st 1984.

0:28:280:28:32

All hopes for a new, safe jet fuel

0:28:320:28:34

were pinned onto this 9 million experiment.

0:28:340:28:37

The aircraft will fly into cutters that will rip open the wings

0:28:370:28:41

and the fuel tanks inside them.

0:28:410:28:43

The world's press and television have been invited

0:28:460:28:48

to observe from a safe distance.

0:28:480:28:50

There's no pilot on board.

0:28:560:28:57

He too is watching from a distance by television.

0:28:570:29:00

Federal Aviation Agency engineers join NASA in Mission Control

0:29:030:29:07

to monitor every detail as the Boeing 720 skims in over the Mojave Desert.

0:29:070:29:11

Dozens of cameras follow the action.

0:29:150:29:18

But it's falling short of the target.

0:29:190:29:21

It spins to the left as it heads toward the cutters.

0:29:220:29:25

This is not in the plan.

0:29:250:29:26

The pictures that were flashed around the world that day

0:29:340:29:36

made it look like a total disaster.

0:29:360:29:38

The fire took more than an hour to extinguish.

0:29:480:29:50

It was a PR disaster.

0:29:500:29:53

Funding was withdrawn

0:29:560:29:57

and the idea of preventing a fire was all but abandoned.

0:29:570:30:01

And a disaster the following year led scientists

0:30:070:30:10

to focus on simply surviving one instead.

0:30:100:30:13

On August 22nd 1985, Flight 28M was taxiing down the runway

0:30:170:30:22

at Manchester Airport heading for Corfu.

0:30:220:30:25

But just minutes after leaving the gate,

0:30:260:30:29

as the plane was attempting take-off, something went wrong.

0:30:290:30:32

There was a loud bang on the left-hand side of the aircraft

0:30:360:30:39

like the report from a shotgun

0:30:390:30:42

and someone shouted, "A tyre has burst."

0:30:420:30:46

And then, within about 1.5 seconds,

0:30:460:30:51

the nose of the aircraft came down, bang,

0:30:510:30:54

hit the floor, and all the bottles,

0:30:540:30:56

the duty free, rattled in the bins at the top.

0:30:560:30:59

The captain abandoned take-off within one second of hearing that bang,

0:31:010:31:04

but he thought it's a tyre blow-out, so go easy on the brakes.

0:31:040:31:07

Even when the fire bell rang he had no idea how bad this was,

0:31:070:31:11

so he continued down the runway.

0:31:110:31:13

People watching from the terminal building

0:31:140:31:16

could see more clearly than the crew how burning fuel trailed behind

0:31:160:31:20

until the aircraft turned off the runway and across the wind

0:31:200:31:23

so fire and smoke enveloped the back of the plane.

0:31:230:31:26

The flames came through the windows and up onto the ceiling

0:31:280:31:33

and all the ceiling started to burn and then it rapidly spread.

0:31:330:31:37

It was the heat of the cabin.

0:31:370:31:40

It was so hot that you could feel your flesh creep,

0:31:400:31:44

creeping like that.

0:31:440:31:46

And I think myself that it was the seats,

0:31:460:31:50

the foam had reached the flash point and they just went up

0:31:500:31:53

and the thick, thick black smoke came down

0:31:530:31:55

and that's all there was to breathe.

0:31:550:31:58

People were on fire and people were burning, and some people,

0:31:590:32:02

because of the visibility, were running the wrong way.

0:32:020:32:05

I saw one, one lady who had her... just had her hair done

0:32:050:32:10

and she, it must have been very heavily lacquered,

0:32:100:32:13

because all of a sudden...

0:32:130:32:14

And her hair went, the lot went,

0:32:160:32:18

it had reached its flash point and she, in a panic, ran the wrong way.

0:32:180:32:22

Roy Metcalf made it off the plane, but many didn't.

0:32:240:32:28

55 people lost their lives.

0:32:290:32:32

The pilot had thought the loud thump was a burst tyre,

0:32:360:32:39

but the noise was in fact his left engine breaking apart

0:32:390:32:43

and sparking a fire.

0:32:430:32:45

It wasn't just the cause that was the concern in the Manchester crash.

0:32:590:33:03

What troubled scientists was that it should have been survivable.

0:33:030:33:07

After all, the plane didn't fall out of the sky,

0:33:070:33:09

it didn't collide with anything,

0:33:090:33:11

the pilot never lost control of the aircraft -

0:33:110:33:14

so why did so many people die?

0:33:140:33:17

Well, investigators began to focus

0:33:170:33:19

on what had happened inside the cabin

0:33:190:33:22

in the minutes after the engine failure.

0:33:220:33:24

The seats at Manchester contained a plastic foam cushion

0:33:280:33:30

that's commonly been used throughout the airline industry

0:33:300:33:33

because it's very light.

0:33:330:33:34

At Manchester the fire burned through the outer skin of the aircraft

0:33:390:33:43

in perhaps half a minute,

0:33:430:33:44

then up through ventilation ducts below the seats.

0:33:440:33:47

This urethane plastic foam not only feeds the fire,

0:33:510:33:54

it also gives off poison gas.

0:33:540:33:56

Within minutes all that's left is cinders.

0:33:580:34:00

But of the 55 that died, only nine of them

0:34:020:34:05

were killed directly by the fire.

0:34:050:34:07

46 were choked and poisoned by the smoke.

0:34:090:34:11

The seats they were sitting on killed them.

0:34:110:34:14

Prior to the Manchester crash, there were relatively few regulations

0:34:200:34:23

about what the cabin must be made from.

0:34:230:34:26

At the moment we have this number of specifications,

0:34:280:34:32

all of which are used on buildings or ships

0:34:320:34:35

or things used in buildings or ships.

0:34:350:34:38

So all these are rules for fire testing and specifications?

0:34:380:34:42

-All those are rules for fire testing.

-Boxes and boxes of it.

0:34:420:34:45

There's the building regulations of the governing document,

0:34:450:34:48

and all these are specifications which are used at various times

0:34:480:34:51

for things that go into buildings, ships or possibly cars.

0:34:510:34:55

Whereas at the same time,

0:34:550:34:57

we have one document which runs to about 11 pages,

0:34:570:35:01

which covers the contents of aircraft cabins.

0:35:010:35:05

-That's all there is?

-That's all there is.

0:35:050:35:07

After the Manchester disaster, the Civil Aviation Authority

0:35:070:35:12

hurried through a requirement

0:35:120:35:14

that airlines fit a new type of seat onto all aircraft.

0:35:140:35:17

Between the cover and the foam there's now an extra layer.

0:35:170:35:21

This would make the seats more fire resistant.

0:35:210:35:24

Although the fumes could still be deadly, the new seats would at least

0:35:240:35:27

give passengers more time to get out before being affected by the poison.

0:35:270:35:32

The toxicity of cabin materials was not the only issue

0:35:340:35:37

highlighted by the Manchester crash. Investigators were also concerned

0:35:370:35:41

at how slow the passengers were to escape.

0:35:410:35:44

They believed if the evacuation had been faster,

0:35:440:35:47

there might have been more survivors.

0:35:470:35:49

When the fire came in through the back of the cabin

0:35:510:35:53

and people started to see the smoke and so on,

0:35:530:35:57

many people rushed as rapidly as they could,

0:35:570:36:00

some of them going over the seats to the front of the cabin,

0:36:000:36:03

and when they came up against what we call the bulkheads,

0:36:030:36:06

which are the solid sections which are just in front of the galleys,

0:36:060:36:09

and there we have a quite narrow gap of actually 20 inches

0:36:090:36:13

between those bulkheads, the passengers weren't all able

0:36:130:36:17

to get through as fast as they arrived

0:36:170:36:20

and we tragically finished up with a situation

0:36:200:36:23

where some people just didn't manage to get through and fell,

0:36:230:36:27

and others moved on in spite of them.

0:36:270:36:30

The CAA commissioned Helen Muir to investigate

0:36:320:36:35

why more people didn't escape.

0:36:350:36:37

She knew that standard evacuation trials were too orderly,

0:36:370:36:40

so she created a more realistic experience by offering her subjects

0:36:400:36:44

a financial incentive to be first off the plane.

0:36:440:36:46

The first half out of whichever exits are used

0:36:460:36:49

will receive a £5 bonus payment immediately,

0:36:490:36:52

and we have found that this does encourage people

0:36:520:36:55

to make their way fairly rapidly,

0:36:550:36:58

and very interestingly we've had survivors from accidents

0:36:580:37:02

come and see videos of behaviour in these experiments and said,

0:37:020:37:05

"Oh, yes, you know, that is how it was."

0:37:050:37:08

'Undo your seat belt and get out.'

0:37:080:37:11

In 1987 she used a real airliner with standard exits and bulkheads.

0:37:110:37:15

She studied how different cabin layouts affected

0:37:150:37:18

the flow of passengers to exits.

0:37:180:37:20

FRENETIC SHOUTING

0:37:200:37:23

This research video shows how bulkheads could cause blockages.

0:37:230:37:27

The researchers recommended that the opening be increased to 30 inches.

0:37:270:37:31

They also experimented with different seat layouts

0:37:330:37:36

and suggested widening the access to over-wing exits.

0:37:360:37:39

After the Manchester crash, the Civil Aviation Authority enforced

0:37:390:37:43

the introduction of new seat layouts on planes.

0:37:430:37:46

Airlines had to make access to mid-exit doors easier

0:37:460:37:50

by either removing a seat or moving the entire row back.

0:37:500:37:53

And they were forced to move all the emergency exit lighting

0:37:550:37:58

to floor level so it wouldn't be obstructed by smoke.

0:37:580:38:01

The Manchester disaster was a pivotal moment in improving

0:38:040:38:07

the chance of surviving a plane crash.

0:38:070:38:10

Buying passengers a little bit more time

0:38:100:38:12

and speeding up evacuation has saved countless lives in fires since.

0:38:120:38:17

The Manchester incident didn't mark the end of the study of survivability

0:38:280:38:32

because in a crash, fire isn't the only serious threat to your life.

0:38:320:38:36

In 1989, in another accident also in Britain, safety experts were

0:38:360:38:41

forced to investigate the other major killer in air crashes - impact.

0:38:410:38:45

On 8th January 1989 British Midland Flight 92

0:38:490:38:53

took off from Heathrow bound for Belfast.

0:38:530:38:56

Just minutes after take-off the left engine caught fire

0:38:590:39:02

and the crew were re-directed to East Midlands Airport,

0:39:020:39:06

but they never made it.

0:39:060:39:07

The British Midland plane hit the motorway embankment at about 100mph.

0:39:100:39:14

It came to a standstill in just over a second.

0:39:140:39:16

The force of the impact was staggering, yet 79 people survived,

0:39:160:39:20

though most were seriously injured.

0:39:200:39:23

Had there been a fire, only 14 would have been able to escape.

0:39:230:39:26

Scientists were shocked by the severity of the injuries

0:39:280:39:31

suffered by the survivors and so focused much of their efforts

0:39:310:39:34

on uncovering what happened to them at the moment of impact.

0:39:340:39:38

A research team quickly embarked on the most detailed study yet

0:39:390:39:42

of air crash survivors.

0:39:420:39:44

Every survivor was photographed and interviewed.

0:39:460:39:49

Every injury, including minor cuts and bruises, was logged.

0:39:490:39:52

Their seat number and the position they adopted

0:39:540:39:56

when the plane crashed was also recorded.

0:39:560:39:59

The seats were examined, numbered and photographed

0:40:000:40:03

from the front and rear.

0:40:030:40:05

The information stored on computer accurately identified survivors,

0:40:050:40:09

their injuries and other important details relevant to their survival.

0:40:090:40:13

Although the forces in the accident were very high

0:40:140:40:17

they alone couldn't account for the types of injuries suffered.

0:40:170:40:22

Even those passengers who had got into the brace position

0:40:220:40:25

which was supposed to protect against impact had suffered badly.

0:40:250:40:29

The scientists were mystified, but they felt sure the injuries had

0:40:290:40:33

something to do with how passengers prepared for the accident.

0:40:330:40:37

For the first time ever they used computer simulations

0:40:370:40:40

to investigate further.

0:40:400:40:42

Precise details of the Kegworth crash were analysed by the computer program.

0:40:420:40:46

The height and weight of one passenger

0:40:460:40:48

from the centre of the plane and the position he was sitting in

0:40:480:40:52

were added to recreate his exact movements

0:40:520:40:54

during the split-second crash.

0:40:540:40:56

First they looked at what happened to those passengers

0:40:560:40:59

who didn't prepare for the crash.

0:40:590:41:02

The computer program reproduced an accurate picture of why

0:41:020:41:05

passengers who sat bolt upright during the crash

0:41:050:41:08

incurred such devastating injuries.

0:41:080:41:10

These passengers suffered broken arms, legs

0:41:120:41:15

and serious head injuries. Some died.

0:41:150:41:18

The researchers then looked at what happened to a passenger

0:41:190:41:23

who did manage to get into the brace position.

0:41:230:41:25

He rested his head on the seat in front in between his arms.

0:41:250:41:29

His legs were slightly forward. As the plane plunged over the M1,

0:41:290:41:34

his face and arms are forced into the seat back. His legs move forward.

0:41:340:41:39

On impact with the motorway his face powered into the seat back,

0:41:390:41:43

his arms flailed and his legs flailed under the seat in front.

0:41:430:41:47

Most limb fractures resulted from this flailing.

0:41:470:41:50

When the plane stopped he impacted again.

0:41:500:41:53

Shocked that the recommended brace position could also cause

0:41:530:41:57

so many injuries, the scientists started to work on developing

0:41:570:42:01

a new, safer position that would do a better job of protecting the body.

0:42:010:42:06

Instead of the feet simply resting on the floor in front,

0:42:080:42:11

the scientists tucked the legs under the seat

0:42:110:42:14

and rather than the head being between the arms,

0:42:140:42:17

they positioned the arms over the head

0:42:170:42:19

and rested this directly onto the seat in front.

0:42:190:42:22

The dummy in the front seat is there

0:42:240:42:26

to simulate someone occupying that seat.

0:42:260:42:28

At 20G, roughly the force of the Kegworth crash,

0:42:330:42:35

the legs on the rear dummy move forward on impact,

0:42:350:42:38

but only slightly, and they don't flail under the seat in front.

0:42:380:42:42

The head impact is greatly reduced,

0:42:420:42:45

suggesting that cuts and bruises would be less serious,

0:42:450:42:48

and the flailing of the arms which caused so many fractures in Kegworth

0:42:480:42:52

is much less.

0:42:520:42:53

There is, of course, no proof, but the research team is convinced

0:42:530:42:57

that had passengers on the Kegworth plane adopted their brace position,

0:42:570:43:00

the injury toll would have been greatly reduced.

0:43:000:43:03

The Kegworth investigation

0:43:040:43:06

led to the introduction of a new brace position

0:43:060:43:08

which would be adopted by airlines around the world.

0:43:080:43:11

So next time you're on a plane, it's worth checking out the safety card,

0:43:120:43:16

because getting into the right position could save your life.

0:43:160:43:20

In the 1980s the aviation industry had made considerable progress

0:43:240:43:29

on aircraft design and was working on crash survivability,

0:43:290:43:33

but they'd also turn their attention to another factor

0:43:330:43:36

that remained stubbornly immune to improvement. It was becoming clear

0:43:360:43:40

to safety experts that most crashes were the result of something

0:43:400:43:45

rather less well understood than either weather or engineering,

0:43:450:43:49

something notoriously unpredictable and difficult to control -

0:43:490:43:53

humans.

0:43:530:43:54

Human error had been the cause of the Kegworth disaster.

0:43:550:43:58

When the left engine caught fire, the crew thought the problem was

0:43:580:44:02

with the right one, so shut it down.

0:44:020:44:05

By the time they realised they'd turned off the wrong engine

0:44:050:44:08

it was too late to restart it,

0:44:080:44:10

and with no engine power, the plane and its passengers were doomed.

0:44:100:44:15

Human error is the most common cause of air crashes, and in the 1980s,

0:44:210:44:26

after a spate of accidents caused not by the plane or weather,

0:44:260:44:30

but by the crew,

0:44:300:44:32

the entire industry started looking at how best to tackle the problem.

0:44:320:44:36

They decided to turn to aviation psychologists for help.

0:44:360:44:40

Since 1975, a highly confidential reporting system

0:44:450:44:48

has collected over 50,000 reports from worried pilots

0:44:480:44:52

about serious incidents involving breakdowns in teamwork.

0:44:520:44:55

It's run by NASA

0:44:550:44:58

and at their research centre in California

0:44:580:45:00

they're trying to recreate those incidents in a laboratory.

0:45:000:45:03

At its heart is a simulator containing a full flight crew.

0:45:060:45:10

We have an emergency, Sierra...

0:45:100:45:12

Their highly realistic flight

0:45:120:45:14

is complete with real air traffic controllers.

0:45:140:45:17

Using video cameras they can now find out how bad teamwork

0:45:170:45:20

leads to accidents without killing anybody.

0:45:200:45:23

FIRE ALARM SOUNDS

0:45:230:45:26

Engine fire number three.

0:45:260:45:28

Charlie, you do the check list.

0:45:310:45:33

I'll fly the aeroplane. I'll do the talking.

0:45:330:45:36

One of their three engines has caught fire.

0:45:360:45:39

It will have to be shut down fast.

0:45:390:45:40

-Power lever number three.

-Idle.

0:45:400:45:43

-Start lever number three, cut off?

-Check, number three.

-Number three.

0:45:430:45:48

Yeah, Tony, it looks like we've lost one of the engines.

0:45:500:45:53

Everything else is good,

0:45:530:45:54

but we are going to have to go back and land.

0:45:540:45:57

When NASA put over 20 airline flight crews through an exercise like this

0:45:590:46:02

they were amazed by the variety of performance they saw,

0:46:020:46:05

everything from good coordination to almost complete mayhem.

0:46:050:46:09

I didn't want to go to Chicago anyhow.

0:46:120:46:14

It's clear that effective communication in the cockpit is vital,

0:46:150:46:19

yet the researchers have found that those skills

0:46:190:46:21

are often barely adequate or even nonexistent.

0:46:210:46:24

The psychologists at NASA are discovering that anything

0:46:250:46:28

that prevents a flight crew behaving like a well-oiled team

0:46:280:46:32

is potentially dangerous

0:46:320:46:33

and one of the most disruptive influences is a pilot's personality.

0:46:330:46:37

Many of them simply aren't fitted for commercial cockpits at all.

0:46:370:46:41

Cracking the sound barrier in level flight

0:46:430:46:46

will be more than a spectacular feat.

0:46:460:46:48

It will also give the Air Force valuable knowledge

0:46:480:46:51

of the resources of new propulsive systems.

0:46:510:46:53

Captain Yeager gets aboard the XS-1.

0:46:540:46:57

It can't be a long flight he's going to have in the little aircraft.

0:46:570:47:01

At full power, the flight can't last more than 2.5 minutes,

0:47:010:47:04

but it's going to be a fast one.

0:47:040:47:06

In 1947 Chuck Yeager became a model hero for military pilots

0:47:080:47:12

when he became the first man to break through the sound barrier

0:47:120:47:15

in his experimental rocket plane the X-1.

0:47:150:47:17

The really big moment. Through the sound barrier!

0:47:210:47:24

The first time ever in level flight.

0:47:240:47:27

His relaxed laconic style while in great peril

0:47:280:47:31

became dubbed "the right stuff".

0:47:310:47:33

"The right stuff" is, as we see it,

0:47:360:47:38

in test pilots and in the early, but not the present astronauts,

0:47:380:47:43

is really this combination of high technical competence,

0:47:430:47:47

a very rugged individualism and a very high level of competitiveness.

0:47:470:47:51

The latter two are very destructive

0:47:530:47:55

when you're trying to function as an effective team.

0:47:550:47:58

The trouble is, whole generations of military flyers who venerated

0:48:000:48:03

those test pilots and tried to emulate them,

0:48:030:48:06

went on to fly for commercial airlines

0:48:060:48:09

taking "the right stuff" with them.

0:48:090:48:11

In many accidents the result is not that the crew makes a major mistake,

0:48:110:48:17

but that the captain decides in an emergency situation

0:48:170:48:21

that HE must fly the aircraft,

0:48:210:48:23

he must physically take control of the airplane

0:48:230:48:26

because he has "the right stuff".

0:48:260:48:28

What he fails to do then is to manage the situation

0:48:280:48:31

and to use the resources that are available

0:48:310:48:34

from the other crew members.

0:48:340:48:35

So he has turned it into a single-seat fighter

0:48:350:48:40

when in fact he needs all the assistance he can get.

0:48:400:48:43

He refuses to see it as a group problem

0:48:430:48:46

but as an individual problem.

0:48:460:48:47

I think it's a real potential problem, because the factors

0:48:470:48:51

that would lead you to an effective, smooth-working crew

0:48:510:48:55

are very different from those that make you a fighter ace.

0:48:550:48:58

"The right stuff" is in fact the wrong stuff.

0:48:580:49:02

In the early 1980s, psychologists started advising airlines

0:49:020:49:07

on how they could reduce human error

0:49:070:49:09

and improve teamwork in the cockpit.

0:49:090:49:11

United Airlines were the first to apply their recommendations

0:49:110:49:15

by changing their approach to pilot training.

0:49:150:49:18

Gentlemen, we've been discussing this afternoon

0:49:180:49:21

elements in our cockpit resource management programme,

0:49:210:49:24

which we call CRM.

0:49:240:49:25

They use a number of charts which depict a wide range of

0:49:250:49:29

personality types between the two extremes

0:49:290:49:32

of concern solely for the job

0:49:320:49:33

and concern solely for getting along with people.

0:49:330:49:36

After getting the low-down from the business manager,

0:49:370:49:40

pilots are then put through a highly realistic flight in a simulator.

0:49:400:49:44

We've got two engines. Number two is flaming out. The altimeter is OK.

0:49:440:49:49

It looks like loss of all generators.

0:49:490:49:51

Checklist, loss of all generators.

0:49:510:49:53

When something goes wrong,

0:49:530:49:54

between them, the team have to come up with a way to solve the problem.

0:49:540:49:58

Can either one of you think of anything that we haven't done

0:49:580:50:01

or that we need to do?

0:50:010:50:03

The only thing that we haven't tried, we could start the APU...

0:50:030:50:06

Vern has volunteered a novel solution which is not on his checklist.

0:50:080:50:12

He wants to try and link

0:50:120:50:14

an extra device called the auxiliary power unit

0:50:140:50:16

into the defunct third generator.

0:50:160:50:18

OK. I got the APU running. You want me to try it on number three, boss?

0:50:200:50:23

-Try it.

-Five for six.

0:50:230:50:27

Four, not a five for four.

0:50:270:50:28

-It took.

-Good.

0:50:280:50:30

It took, OK, you should have everything now.

0:50:300:50:33

Yes, sir, sure do.

0:50:330:50:34

Everything's back to normal, flaps are back to normal.

0:50:340:50:37

That's a good thought, Vern.

0:50:370:50:39

Vern's creativity has paid off. Control is restored.

0:50:390:50:43

They can now land safely,

0:50:430:50:45

and by praising him, Mike has reinforced Vern's behaviour.

0:50:450:50:49

This is what commercial airlines call "the right stuff".

0:50:490:50:53

United are convinced that the self-awareness

0:50:570:50:59

generated by that system is leading to safer cockpits.

0:50:590:51:02

There's a quiet revolution taking place among the world's airlines.

0:51:050:51:09

This kind of training proved to be so successful

0:51:100:51:13

that today most airlines have made it mandatory

0:51:130:51:16

not just for pilots, but for all crew members.

0:51:160:51:20

And it's thought to have significantly reduced the kind

0:51:240:51:27

of teamwork issues that were responsible for so many crashes.

0:51:270:51:31

Relationships in the cockpit are clearly critical to get right,

0:51:420:51:46

but it's not just human interaction that needs to be monitored.

0:51:460:51:49

So does the partnership between pilot and machine,

0:51:490:51:53

and since the 1970s, that's often been a difficult,

0:51:530:51:56

complicated love/hate relationship

0:51:560:51:59

since computers became more sophisticated

0:51:590:52:01

and much more involved in the business of flying the plane.

0:52:010:52:05

Ground crew 080.

0:52:070:52:09

This demonstration in the American DC-9 Super 80

0:52:090:52:13

shows just how powerful that technology is.

0:52:130:52:16

Before take-off the computer automatically works out

0:52:160:52:19

what the correct engine thrust should be

0:52:190:52:21

and sets the speed bugs in place.

0:52:210:52:23

The throttles advance automatically to the correct setting for take-off.

0:52:250:52:29

Game on, rotate!

0:52:330:52:35

About 400 feet into the air, the captain engages the auto-pilot.

0:52:410:52:45

One last dab at the computer and it will now control the rate of climb,

0:52:450:52:49

air speed and engine thrust right up to the assigned cruising altitude.

0:52:490:52:54

The route has already been programmed in, so the plane will take itself

0:52:540:52:58

to its destination. All the pilot needs to do is to watch it.

0:52:580:53:01

And that was the mid-1980s. Today, computers are even more

0:53:030:53:07

powerful and sophisticated, but too much automation brings with it

0:53:070:53:12

another set of problems, problems that played out

0:53:120:53:16

with disastrous effect in the cockpit of Air France Flight 447.

0:53:160:53:20

On May 31st 2009, an Air France Airbus took off from Rio

0:53:240:53:28

headed for Paris.

0:53:280:53:30

But just 350 miles off the coast of Brazil,

0:53:310:53:35

the plane crashed into the Atlantic...

0:53:350:53:37

..killing all 228 people on board.

0:53:380:53:40

The cause of the crash remained a mystery for years

0:53:550:53:58

until investigators managed to pull together enough evidence

0:53:580:54:03

to reconstruct the last few minutes before impact.

0:54:030:54:06

3.5 hours after take-off, just before 2am,

0:54:090:54:12

Flight 447 was heading into a huge 250-mile-wide storm.

0:54:120:54:17

When the plane started to experience turbulence, the pilot dialled

0:54:200:54:24

a lower speed into the computer and prepared to ride it out.

0:54:240:54:28

But at just 2.10am at 35,000 feet...

0:54:330:54:37

..a series of alarms went off...

0:54:390:54:41

..and the auto-pilot disconnected.

0:54:430:54:45

ALARMS SOUND

0:54:450:54:47

In total darkness and heavy turbulence

0:54:520:54:55

the crew are forced to re-take manual control.

0:54:550:54:58

Pilots are the last line of defence, so when things go very wrong,

0:55:000:55:05

the last line of defence is the aviator.

0:55:050:55:07

After more than three hours on auto-pilot

0:55:090:55:11

the pilots are suddenly faced by information overload.

0:55:110:55:14

That crew faced an almost unheard-of series of failures,

0:55:160:55:20

one right behind the other,

0:55:200:55:22

and for them to sort through it

0:55:220:55:23

would have been very difficult that night.

0:55:230:55:25

Why is the aeroplane doing what it's doing?

0:55:250:55:28

What are all these failures? Why are they all coming at one time?

0:55:280:55:31

Bombarded by faults, the pilot must cope with the most serious problem of all -

0:55:320:55:37

he must maintain speed or they will go out of control.

0:55:370:55:42

But after the pilot took manual control,

0:55:450:55:48

the plane lost critical speed

0:55:480:55:50

and went into the catastrophic condition known as a stall.

0:55:500:55:54

In a stall the wings of the aircraft lose lift

0:55:550:55:58

and the plane becomes almost impossible to control.

0:55:580:56:01

The pilot should have responded

0:56:030:56:05

by trying to increase speed, but he didn't.

0:56:050:56:08

No-one could be sure why, but it could be that he wasn't aware

0:56:110:56:15

he was stalling or maybe because he was just so used to automation

0:56:150:56:20

his manual skills had been blunted. Either way, the Air France pilot

0:56:200:56:24

couldn't maintain control and the plane simply dropped out of the sky.

0:56:240:56:29

To avoid the same scenario ever playing out again

0:56:330:56:37

the crash investigation recommended that simulator training placed

0:56:370:56:41

more of an emphasis on manual high-altitude flying

0:56:410:56:44

and aviation authorities have encouraged all pilots

0:56:440:56:48

to try switching off auto-pilot once in a while.

0:56:480:56:51

These changes should make pilots less reliant on automation

0:56:540:56:58

and better prepared to take back the controls in a crisis.

0:56:580:57:02

It is odd to think that we have only been flying

0:57:160:57:18

for a fraction over 100 years

0:57:180:57:21

and, despite the bewildering complexity, it is incredibly safe.

0:57:210:57:25

Crashes are very rare and something like 90% of those are survivable,

0:57:250:57:29

which is an amazing statistic and should give you SOME comfort

0:57:290:57:33

if you worry about the idea of hurtling through the air

0:57:330:57:36

at close to the speed of sound 35,000 feet above the ground

0:57:360:57:40

in a pressurised metal tube.

0:57:400:57:42

For me personally, ever since I was a kid,

0:57:420:57:44

I found air travel to be thrilling, but the more I think about it,

0:57:440:57:48

the more I think it's, well, it's mind-blowing.

0:57:480:57:51

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