- hace 2 días
El 2 de julio de 2021, el vuelo 810 de Transair se estrelló en la bahía de Māmala poco después de despegar. Sin embargo, ambos miembros de la tripulación sobrevivieron. La causa del accidente fue un error del piloto agravado por una desorientación espacial al no realizar el procedimiento de falla del motor, no reconocer cuál de los dos motores tenía la falla y un inestable aterrizaje de emergencia.
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03:52The first officer levels the plane
03:55And continues to climb away from the airport
03:57Flaps
04:00Turn 220 heading
04:02I'll give you the flaps
04:03Okay
04:07Rhodes, A10
04:08We have an emergency
04:09Stand by
04:10We're on 220 heading
04:13You can enter up to 2000
04:15The captain wants to put more distance
04:18Between the plane and the ocean
04:19So they have space to address the problem
04:22Anytime you have an emergency situation
04:24Maintain aircraft control
04:25You fail to do that
04:27Nothing else you do matters
04:29Okay, Rhodes, A10
04:30We've lost an engine
04:31We're on a 220 heading
04:32Maintaining 2000
04:34Declaring an emergency
04:35How do you read?
04:37Rhodes Express, 810
04:38You are cleared visual approach
04:41Runway 4, right
04:42You can turn in towards the airport
04:45The controller clears flight 810
04:48To return to the airport
04:50Okay, Rhodes, A10
04:51We're gonna run a checklist
04:53I'll let you know when we're ready
04:54To come to the airport
04:56Captain Okai wants to assess the situation further
04:59Before returning to the airport
05:03Flight 810 has been in the air
05:05Less than three minutes
05:06Flying over the Pacific Ocean
05:08On a very dark night
05:11Okay, I have control
05:12Roger
05:14Okay, let's see
05:16What's the problem?
05:16What's going on with the gauges?
05:19The pilots troubleshoot the situation
05:22So it looks like the number one
05:24Number one's gone?
05:25Gone, yeah
05:27We still have the number two
05:28So we have number two
05:30Okay
05:33They confirm they've lost their number one
05:36Or left engine
05:37They now must rely on their right engine
05:40To return to the airport
05:41Let's do the engine failure shutdown checklist
05:44And I have the radios now
05:45Okay
05:48There's a number of things this checklist is gonna do for you
05:50It's gonna confirm the failed engine
05:52And you're gonna want to secure that engine
05:56Okay
05:56Engine failure or shutdown
05:58When one of these occurs
05:59An engine failure
06:00An engine flame out
06:01Another checklist directs an engine shutdown
06:05As the pilots zero in on the problem engine
06:07The situation intensifies
06:10Hey, we're redline here
06:12The right engine is now overheating
06:15And they're losing altitude
06:17We should pull back on the right one a little bit
06:20Okay
06:23We should head back to the airport
06:24Yeah, we should
06:25Yeah
06:27The pilots now face the possibility
06:29Of losing both engines
06:32Problems on your second engine
06:33Is going to significantly change your outlook
06:36Because you've got the dark water below you
06:38And you know you're running out of options
06:40Okay, Rhodes A-10
06:43We'd like to come to the airport now
06:44We might lose the other engine
06:47Rhodes Express A-10, Roger
06:49Confirm you still have the airport in sight?
06:53Negative
06:55The pilots have descended too low to see the airport
06:59Only the lights on the shoreline are visible
07:03Hey, man, we're going down
07:04We can't keep going down
07:06We're descending
07:08The captain has no other option
07:10But to increase power to the overheating engine
07:13Risking a double engine failure
07:16How's the EGT?
07:19That's max, it's beyond max
07:21The temperature of the right engine
07:23Is now dangerously high
07:25And the pilots suspect
07:26It could fail at any moment
07:28Here we go, flops
07:29Flops, one
07:31Fearing the worst
07:32The first officer suggests
07:34Configuring the plane for a water landing
07:37No, no
07:38Not yet
07:40Okay, we're very slow, though
07:42The captain's efforts
07:44To reduce the loss in altitude
07:45Aren't working
07:47Shoot
07:48Okay, flaps, one
07:52Just hitting the water
07:53Is going to tear the airplane apart
07:54So you want to be at the lowest possible airspeed
07:57The flaps will facilitate that
08:04Rose Express A-10, low altitude alert
08:07As Transair Flight A-10 descends below 400 feet
08:11The controller is automatically alerted
08:14To the aircraft's dangerously low altitude
08:16Are you able to climb at all?
08:19Negative
08:20Can you let the Coast Guard know?
08:23We will
08:28Watchdesk, please call the Coast Guard
08:29Flight 810-737
08:31Is probably going to be in the water
08:34How's the EGT?
08:35If the engine temperature has improved
08:38They might be able to climb
08:40Hot, way over
08:42Moraine, moraine
08:43Pull up
08:44The chances of reaching the airport
08:47Six miles away
08:48Deteriorate
08:49As the plane descends even further
08:51The controller has an idea
08:55Express A-10
08:57Do you want Kalailoa?
08:59There's a closer airport
09:00It might be the pilot's last hope
09:03We want the closest runway available, please
09:06Anything we can land on
09:10If they can't make it to the closer airport
09:12There might be no other option
09:14Than to ditch the 737 into the Pacific Ocean
09:17And hope for rescue
09:26The pilots of Transair Flight 810 have one last chance to reach land
09:33Rhodes Express 810
09:34The airport is about a 3-1-0 heading from you
09:38But it's too late
09:46We're in the water
09:47We're in the water
09:5112 minutes after takeoff
09:53Transair Flight 810 hits the ocean
09:56Just two miles from the Kalailoa airport
10:05Watch desk 810s in the water
10:07Two miles southeast of Kalailoa
10:10Coast Guard Air Rescue is immediately dispatched
10:15Hearing that there's a 737 that crashed
10:18I didn't believe it
10:19But if there is
10:20And there's 200 people in the water
10:22What am I going to do?
10:24They told me two souls on board
10:26And we're like, all right
10:27Two is a lot more manageable than like 200
10:3045 minutes later
10:32There's still no sign of the plane or the pilots
10:36Rescuers fear the worst
10:37Until
10:39There were a bunch of boxes now floating by us
10:42I figured, all right
10:43This might be the start of a debris field
10:45So we started our second pass
10:47And grabbing onto the vertical fin of the tail
10:50Was one of our pilots
10:53It's Captain Okai
10:56I was like, all right
10:57He is still okay
10:58Great
10:59Still want to find the second pilot
11:02They soon spot the first officer on a cargo pallet
11:05Bleeding from the head
11:08Right before we started to make the moves
11:10To put me in the water to go up to him
11:12The plane moved
11:13The tail section the captain had been clinging to
11:17Sinks beneath the waves
11:19The captain is drowning right now
11:24They race back
11:26And deploy the rescue swimmer
11:29As soon as I grabbed his hand
11:31It's like his eyes rolled back
11:33And he went limp
11:36They're dripping wet
11:37Covered in gasoline and hydraulic fluid
11:39So
11:39It wasn't pretty
11:41The first officer is soon rescued
11:44By a fire department vessel
11:46As the captain is rushed to a local hospital
11:48Both pilots survive
11:51Good planning
11:52Good crew
11:53Good decision making
11:54And then
11:55Implementing those decisions
11:57Is how we came out on top
11:59While the pilots recover from their injuries
12:02Investigators from the National Transportation Safety Board
12:06Or NTSB
12:07Arrive on the scene
12:09Right now we're in the fact gathering phase
12:12Once we finish the fact gathering
12:14We'll switch into the analytical side
12:16And then that's when we'll go into
12:18Determine the probable cause
12:19And contributing factors
12:24What can you tell me about last night?
12:27It was a normal night
12:28Slow
12:29There was another Transair flight
12:31Inbound around the same time
12:35And when did flight 810 alert you
12:37That there was a problem?
12:40Investigators turned to the controller
12:41To determine what might have caused
12:43Transair flight 810
12:45To ditch into the Pacific
12:46It was about two minutes into the flight
12:50They reported they'd lost an engine
12:51Okay roads 810
12:53We've lost an engine
12:54We're on a 220 heading
12:55Maintaining 2000
12:56Declaring an emergency
12:58How do you read?
12:59They wanted to work on the problem
13:01Before turning back
13:02Did they say which engine?
13:05No
13:06But not long after
13:07They said that
13:08They might lose the other engine as well
13:11Really?
13:13Okay roads 810
13:15We'd like to come to the airport now
13:17We might lose the other engine
13:20Could Transair 810
13:21Have really lost both engines?
13:24The only information we had to go on initially
13:26Was the communications
13:27Between the airplane and the controller
13:29But the airplane and its recorders
13:31Were at the bottom of the ocean
13:33Thank you
13:37Another NTSB team is tasked
13:39With recovering the airplane
13:41And its engines
13:42Lying 350 feet deep
13:44On the ocean floor
13:45At the depth
13:47That the airplane was at
13:49It's difficult to get divers down there
13:51So in order to actually hook
13:53All of our equipment up to the aircraft
13:56And pull it up
13:56We needed to use ROVs
13:59It will take time for the investigation
14:01To secure the necessary equipment
14:04From a salvage company on the mainland
14:10Good morning
14:10Good morning
14:12I'm glad to see you here
14:14So am I
14:15Very glad
14:15Yeah
14:18Investigators meet with Captain Okai
14:20To determine if Transair Flight 810
14:23Did lose both engines
14:26The purpose of this investigation
14:28Is to determine probable cause
14:30And prevent recurrence
14:31Our role is not to assign fault
14:33I understand
14:36It's critical to speak to pilots
14:38As soon as we can
14:39Because we want to get those fresh memories
14:41Walk me through what happened
14:44Everything was normal
14:45Up to about 400 feet
14:50Gear up
15:00Damn
15:01There was a whoosh
15:02Sort of a sound
15:03Not a pow
15:04It was a whoosh
15:07Then it wasn't a roll
15:08My first officer
15:09Was able to counteract that
15:13Lost an engine
15:14You got it?
15:16Yeah, I got it
15:20Eventually we leveled off
15:22At 2,000 feet
15:23And I go
15:24Greg, what do we have?
15:26So it looks like the number one
15:28Number one's gone?
15:30Gone, yeah
15:31We still have the number two
15:33So we have number two
15:34Okay
15:38I'm looking at
15:39Number one EPR
15:40There's no power
15:42I'm looking at number two
15:44And EPR
15:46It's coming down
15:49The captain explains
15:50He first lost power
15:52In the left engine
15:53And was losing power
15:55In the right
15:57How's the EGT?
16:00Oh, it's max
16:01It's beyond max
16:03Did both engines fail
16:05At the same time?
16:06Most likely
16:07That's my conclusion
16:11Thank you
16:11Thanks
16:13We'll be in touch
16:14What could have caused
16:16Both engines to fail
16:17So soon after takeoff?
16:19The purpose of this investigation
16:21A dual engine failure
16:23Seemed improbable
16:24But
16:26Both the crew
16:27Seemed to agree
16:28That that is what had occurred
16:29We couldn't confirm or deny it
16:32Unless we could actually
16:33Look at the wreckage
16:34And get the recorders
16:36But those vital clues
16:38Remain out of reach
16:40Deep on the bottom of the sea
16:45Could contaminated fuel
16:47Have brought down
16:48Transair Flight 810?
16:51You're looking for an item
16:52That's common to both engines
16:54Would cause them both
16:55To shut down at the same time
16:56For that would be
16:58Most likely the fuel
17:04So one thing that we did do
17:05At the airport
17:07Was take samples
17:08From the fuel truck
17:09That had been used
17:10To fuel the airplane
17:11Before it departed
17:14The U.S. Navy
17:15Conducts the testing
17:17If you have water
17:19In your fuel
17:19That was most likely
17:21To be the cause
17:22Of fuel contamination
17:25When the fuel samples
17:27Are analysed
17:28The results are conclusive
17:31We actually found
17:33That the fuel
17:33That was in the aircraft
17:34Conformed to standards
17:36As we would expect
17:39So according to the pilots
17:42They lose the left engine first
17:44And then the right
17:54All the samples
17:56From the fuel truck
17:57Tested clean
18:02What was the weather
18:03Like on that night
18:04Any volcanic activity
18:07Hawaii is in an active
18:09Volcano zone
18:10Could volcanic ash
18:12Have caused the engines
18:13To fail
18:15Volcanic ash
18:16Is very bad
18:17For jet engines
18:18It's like throwing
18:18Sand in the gears
18:19Jet engines
18:20Will shut down
18:22In 1982
18:24A British Airways 747
18:26Travelling from England
18:27To New Zealand
18:28Flew through an ash cloud
18:30Over Indonesia
18:31All four engines failed
18:33The plane was high enough
18:35For pilots to be able
18:36To restart the engines
18:37Find an airport
18:39And land safely
18:43Nothing here
18:45Clear night
18:54So that leaves maintenance
18:56There are no reports
18:57Of volcanic ash
18:58On that night
18:59The only information
19:00That we have to work on
19:01Is what the crew
19:01Is telling us
19:02Is that they had
19:02A dual engine failure
19:03So we're going to look
19:04At the maintenance
19:05On the engines
19:05In the meantime
19:07Recovery crews
19:09Pinpoint the exact
19:10Location of the plane
19:11It has settled
19:12On the ocean floor
19:13In two large pieces
19:16Often with water recoveries
19:18We have an airplane
19:19That's in multiple
19:20Different pieces
19:21They're usually smaller
19:22Pieces
19:23And they're less heavy
19:24So to bring them up
19:26Intact
19:27Was a bigger
19:29Engineering problem
19:30It means another delay
19:32For investigators
19:35The plane is what
19:37Like 40 something years old
19:40The team digs into
19:42The engine history
19:43Of the accident aircraft
19:44To determine
19:46Why both engines
19:47Might have failed
19:49Forty-six
19:51Flown over 69,000 cycles
19:54The engines have been
19:56Around too
19:57Left engine
19:5932,000 flying hours
20:00And the right
20:01Over 70,000
20:05Engines that old
20:06Are going to need upkeep
20:09Jet engines
20:10Are very solid machines
20:11With proper inspection
20:13And maintenance
20:13They can fly on forever
20:16Anything in the FAA database
20:20Investigators look into
20:21Service reports
20:22Filed by Transair
20:24With the Federal Aviation
20:25Administration
20:26Or FAA
20:27To see if the aircraft
20:28Had any history
20:29Of engine troubles
20:31I've got
20:32Three reports
20:33On this aircraft
20:34The most recent
20:36Was two and a half years ago
20:39Left engine failure
20:41At 2,000 feet
20:44That's something
20:47Did an ageing aircraft
20:49Put the lives
20:50Of two pilots
20:51In jeopardy
20:52The team
20:53Researches the repair work
20:54That's been performed
20:55On the engines
20:56Over the years
20:59Both engines
21:00Were serviced
21:01Two years ago
21:01And underwent
21:03A daily check
21:04The day before
21:05The accident flight
21:06Did they report anything?
21:11No discrepancies
21:20It's possible that
21:22Maintenance could have
21:23Missed something
21:25Call your contacts
21:27At the FAA
21:28Maybe they can
21:29Shed some light
21:30On Transair
21:31And I'll speak
21:32To maintenance
21:33Personally
21:35Because of the possibility
21:36That there had been
21:37A dual engine failure
21:38We did a deep dive
21:40On the maintenance
21:41Organization
21:41At the airline
21:42Trying to find
21:43Potential theories
21:45For something
21:47That could have
21:47Gone wrong
21:49Bit of a mess
21:51Over there
21:51At Transair Maintenance
21:52What did you find out?
21:55Chief maintenance inspector
21:56Quit six weeks
21:57Ahead of the accident
21:58Citing chronic
22:00Maintenance issues
22:01And being understaffed
22:02Also found
22:04Multiple reports
22:05From different pilots
22:06About engines overheating
22:10Investigators uncover
22:11Internal Transair reports
22:13Revealing issues
22:14With the engines
22:15We noticed so many
22:17Of these reported issues
22:18With temperature
22:20That we were starting
22:22To think that
22:22This might really involve
22:24A maintenance issue
22:25There was just so much smoke
22:27We thought there had
22:27To be some fire
22:31Anything specific
22:32To the accident aircraft
22:33No, they involved
22:35Other airplanes
22:36Not exactly
22:38A smoking gun
22:41Anything from the FAA?
22:43Most of the current
22:44Inquiries into the company
22:45Are policy and procedure
22:47Related
22:47Nothing to do
22:49With engine maintenance
22:52Investigators
22:53Don't find any
22:54Maintenance issues
22:55That would have brought
22:55To put down
22:56Flight 810
23:00We need those engines
23:03So even though
23:04We were discovering
23:05These issues
23:05With pilot reports
23:06And maintenance records
23:07There wasn't anything
23:08Clearly indicating
23:09A specific problem
23:11That would have led
23:11To this reported
23:13Dual engine failure
23:15With a salvage company
23:17In place
23:17And the weather clearing
23:19The NTSB is finally able
23:21To attempt the recovery
23:23Of Flight 810
23:24From 350 feet of water
23:27This was one of the
23:28Largest water recovery
23:29Efforts we have done
23:30In a couple decades
23:31The wreckage
23:32Is successfully raised
23:33In two large pieces
23:35The black boxes
23:37Are recovered
23:37From the rear fuselage
23:39And sent to Washington
23:40For analysis
23:40The engines
23:42Are retrieved separately
23:43And brought to a warehouse
23:45For inspection
23:47To be able to see
23:48That wreckage come up
23:49Just creates immense
23:50Satisfaction
23:51Because you're like
23:52Okay now
23:52Now we can start
23:54This in earnest
24:01Let's start with this one
24:04Investigators begin
24:05With an examination
24:06Of the right engine
24:07The one the pilots
24:08Say was overheating
24:10It's in better shape
24:11Than I expected
24:15They were in pretty good shape
24:16There was damage
24:17Due to the water impact
24:21Let's take a look inside
24:23They perform a bore scope
24:25Inspection of the right engine
24:27It enables them
24:28To examine the engine interior
24:30Without the need
24:31For disassembly
24:33There
24:34Take a look
24:35Broken fan blades
24:39See if there's any damage
24:40Downstream
24:47Multiple puncture marks
24:49On the turbine
24:50With that type of damage
24:52The engine could have
24:53Easily overheated
24:56Investigators discover
24:58Two fractured turbine blades
25:00Which caused shrapnel damage
25:02Inside the right engine
25:03The pilots were correct
25:05The right engine
25:07Was giving them trouble
25:09So from the examination
25:11On the right engine
25:13They were able to see
25:14That there were blades
25:15That had fractured
25:16In the high pressure turbine
25:17But it was only those two
25:19And they knew
25:21That it would still be able
25:23To produce power
25:24So it wasn't like
25:25A complete failure
25:27Looks like rust
25:28And corrosion
25:29Inside of the blades
25:31Caused them to rupture
25:35The routine maintenance
25:37Inspection procedures
25:38Contained in the maintenance
25:39Manual
25:40Would not necessarily
25:41Have revealed
25:42The presence of cracks
25:44Or one fractured blade
25:45So this is the engine
25:48The pilot said
25:48Failed first
25:52Investigators
25:53Turn their attention
25:54To the left engine
26:00Let's see what we got
26:08It looks fine
26:13No internal damage
26:15The pilot said
26:17The left engine failed
26:18Followed by the right
26:20But investigators
26:21Can't find anything wrong
26:23With the left engine
26:24When we found out
26:25That the left engine
26:26Was undamaged
26:27Prior to impact
26:28It really changed
26:30The course of our investigation
26:31In terms of
26:33Focusing more
26:34On the crew actions
26:37We pulled a flight path
26:38From the radar data
26:41Got the CVR data
26:46And here's
26:49Copy of the transcript
26:52Investigators
26:53Turn to the cockpit
26:54Voice recorder
26:55Or CVR
26:56Of flight 810
26:57To determine
26:58Why the pilots
26:59Thought the left engine
27:00Failed
27:01As the evidence
27:02Suggests it did not
27:03Let's hear it
27:05From takeoff
27:0980 knots
27:11Check
27:12V1
27:14Rotate
27:15V2
27:17Positive rate
27:22Gear up
27:35Damn
27:38Stop
27:39Did you hear that
27:43Play it again
27:45Gear up
27:49Definitely sounds
27:50Like an engine surge
27:52They discover that
27:53Flight 810
27:54Suffered engine trouble
27:5617 seconds
27:57After takeoff
27:59Most likely
28:00The blades
28:01Breaking apart
28:02In the right engine
28:03Keep playing
28:05Lost an engine
28:07You got it?
28:09Yeah, I got it
28:10Yep, looks like
28:12You lost number
28:13Number two
28:14Number two
28:17Hold it right there
28:18They both said
28:19Number two
28:20The right engine
28:25They were correct
28:27The pilot's
28:28Original assessment
28:29Matches what
28:30Investigators have
28:31Discovered
28:32The initial problem
28:33Was with the right
28:34Engine
28:35So why did they think
28:37That the left engine
28:38Had failed?
28:40We were able
28:41To hear the crew
28:42Discuss
28:42They had correctly
28:43Identified the right
28:44Engine
28:44So at some point
28:46You know
28:47In their mindset
28:47It had flipped
28:48To the wrong engine
28:50Let's hear what
28:51Happens next
28:53Flaps
28:55Turn 220 heading
28:56I'll give you
28:58The flaps
29:03Roads
29:04810
29:04We have an emergency
29:05Stand by
29:06We're on 220 heading
29:09You can inch up
29:10To 2000
29:13Captain calls in
29:15The emergency
29:15Tells the first officer
29:17To climb to a safe altitude
29:18All sounds good
29:21And we're on 220 heading
29:25Say again
29:26Heading 240
29:28240 heading
29:29Roads 810
29:38Sounds like there's
29:39Some overlap
29:40With another
29:41Transair flight
29:45According to these
29:46Transcripts
29:47The captain spends
29:48The next
29:49Minute and 40 seconds
29:51Communicating with
29:52The controller
29:52That's a long time
29:54In a critical moment
29:59Investigators learn
30:00That instead of
30:01Monitoring the engines
30:02Roads express
30:04810
30:04You are cleared
30:05Visual approach
30:06Runway 4 right
30:08The captain
30:09Is distracted
30:10By a conversation
30:11With the controller
30:12Okay roads
30:14810
30:14We're gonna run
30:15A checklist
30:16I'll let you know
30:17When we're ready
30:17To come to the airport
30:18When you have
30:19An emergency situation
30:20It is important
30:22To aviate
30:22Navigate
30:23And communicate
30:24Your third priority
30:25Is communicating
30:26Your emergency
30:29What happens
30:30Next
30:32Okay
30:33I have control
30:33Roger
30:35Okay
30:36Let's see
30:37What's the problem
30:38What's going on
30:38With the gauges
30:40The captain starts
30:42Flying the plane
30:43And turns his
30:44Attention to the engines
30:46So it looks like
30:47The number one
30:47Number one's gone
30:49Gone yeah
30:50We still have
30:51The number two
30:52So we have
30:53Number two
30:53Okay
30:56Stop
30:56The fo changes
30:59His diagnosis
31:01Investigators confirm
31:02That the first officer
31:03Correctly assesses
31:05That the right engine
31:06Lost power
31:07On takeoff
31:08Yep
31:09Looks like
31:09You lost number
31:11Number two
31:11But less than
31:13Four minutes later
31:14He tells captain
31:15Okai
31:16It's the left engine
31:17That's failed
31:18So it looks like
31:19Number one
31:20Number one's gone
31:21Gone yeah
31:24Why
31:26It wasn't clear
31:28Why they had
31:29Changed their minds
31:30About it
31:33The captain
31:34Then instructs
31:35The fo to do
31:36The engine
31:37Shutdown checklist
31:38But he only
31:39Gets through
31:39The first step
31:42Hey
31:43We're redline here
31:44We should pull back
31:45On the right one
31:46A little bit
31:47Ok
31:49The right engine
31:50Overheats
31:51Because of the
31:52Internal damage
31:52Leading the pilots
31:54To believe
31:54They're losing
31:55Both engines
31:56Once the crew
31:57Had convinced themselves
31:58That they had
31:59A dual engine failure
32:00They were focused
32:02Almost exclusively
32:03On altitude
32:03And airspeed
32:05And eventually
32:06They ran out
32:07Of options
32:07And had to ditch
32:10It's clear
32:11That the right engine
32:12The one with the issue
32:13Is overheating
32:15And not producing
32:16Full thrust
32:16But what led them
32:18To think
32:19The left engine
32:20Wasn't working
32:21Let's see
32:22What the flight
32:23Data recorder
32:23Can tell us
32:29Ok
32:29Ok let's see
32:30What the engines
32:30Were doing
32:32Investigators examined
32:33The engine power
32:34Data of flight 810
32:36To determine
32:37What actions
32:38The pilots took
32:39That led them
32:40To believe
32:40Their perfectly
32:41Working engine
32:42The left one
32:43Had failed
32:46After the right engine
32:48Failed
32:48Both engines
32:49Are brought back
32:50To flight idle
32:51Once they level off
32:52At 2,000 feet
33:00That's proper procedure
33:01To get the speed down
33:04But the first officer
33:05Never told the captain
33:06He brought the engines
33:07Back to idle
33:11They discover
33:12A key step
33:13Missing
33:14In the pilot's
33:14Actions
33:17It was procedure
33:18For a crew member
33:19To verbalize
33:21When they moved
33:21The engine controls
33:22In this case
33:24The first officer
33:24Actually did not
33:25Do that
33:26And that could
33:27Have affected
33:27The captain's
33:29Situational awareness
33:29Of where those
33:30Engine throttles
33:31Were
33:33Why did the first officer
33:35Fail to inform
33:36The captain
33:36Of his action
33:39Send someone
33:40To interview
33:40The first officer
33:41Again about
33:42Bringing the throttles
33:43Back
33:46So
33:46It was critical
33:48For us
33:48To get more
33:49Information
33:50To better understand
33:51What had happened
33:51There
33:53Did anyone
33:54Actually ever
33:55Test the throttles
33:57After they
33:58Leveled off
33:59The pilots
34:00Could have
34:00Increased power
34:01To the left
34:02Engine
34:02To confirm
34:03Which engine
34:04Had failed
34:07No
34:07The left
34:09Engine throttle
34:09Stayed at idle
34:11For the rest
34:11Of the flight
34:14If you're
34:15Going into the
34:16Water
34:16And you have
34:17No other option
34:18Left
34:18You're going to
34:19Firewall
34:19Both throttles
34:21Just in case
34:22It might help
34:24Why didn't
34:25The captain
34:26Check the first
34:27Officer's
34:27Misdiagnosis
34:30Let's ask
34:31Ask him
34:33When the first
34:34Officer
34:35Subsequently
34:35Said it was
34:35The number
34:36One
34:36The captain
34:37Just accepted
34:37It
34:37He didn't
34:38Effectively
34:39Crosscheck
34:40That erroneous
34:41Assertion
34:43So we
34:44Wanted to
34:45Ask him
34:46Why
34:47Why did
34:48He accept
34:48That
34:52Captain
34:52Okai
34:53Thanks for
34:54Meeting with
34:54Me again
34:58You're
34:58You're muted
35:00Investigators
35:01Speak to
35:02Captain
35:02Okai
35:02One more
35:03Time
35:03To find
35:04Out why
35:05He thought
35:05The left
35:06Engine
35:06Had failed
35:07Sorry about
35:08That
35:08Glad I
35:09Can help
35:10When Greg
35:11Told you
35:11The left
35:12Engine
35:12Had failed
35:13Do you
35:13Recall
35:14Initially
35:14Thinking
35:15The right
35:15One
35:16Had failed
35:18No
35:19The thing
35:20With Greg
35:20Is I've
35:21Flown
35:21With him
35:21So many
35:21Times
35:22He's
35:23Never
35:23Made
35:23A mistake
35:23If Greg
35:24Says
35:24The left
35:25Is gone
35:25The left
35:26Engine
35:26Is gone
35:29Investigators
35:30Learned
35:30The captain
35:31Put his
35:31Faith
35:32In his
35:32First
35:33Officer's
35:33Diagnosis
35:35While trust
35:36Is very
35:36Important
35:36When it
35:37Comes to
35:38Crew
35:38Resource
35:38Management
35:39You also
35:40Want to
35:40Verify
35:42The captain
35:42Did not
35:43Verify
35:44The information
35:44That the
35:45First officer
35:45Was giving
35:46Him
35:48Okay
35:48Thank
35:49You
35:49Sure
35:50Thank
35:52It's
35:52Really
35:53Critical
35:53When you
35:53Do have
35:53An engine
35:54Failure
35:54To
35:55Look at
35:56All the
35:56Available
35:57Information
35:57And cross
35:58Check
35:59And agree
36:00That you
36:01Have
36:01Identified
36:02The correct
36:02Engine
36:03In this
36:04Case
36:04That didn't
36:05Occur
36:07What were
36:08The power
36:08Readings
36:08When the
36:09Engines
36:09Were at
36:09Idle
36:11Even
36:12If the
36:12Captain
36:12Trusted
36:13The first
36:14Officer
36:14Wouldn't
36:15There be
36:15Other
36:16Indicators
36:16Showing
36:17Which
36:17Engine
36:17Had
36:18Failed
36:22The
36:22Left
36:23Engine
36:23Was
36:241.05
36:27Right
36:291.12
36:31The team
36:32Discovers
36:33The power
36:33Was a little
36:34Bit lower
36:34On the
36:35Left
36:35Engine
36:36Even though
36:37Both
36:37Engines
36:38Were set
36:38To
36:38Idle
36:39Okay
36:40Okay
36:40Let's
36:40See
36:40What's
36:42The problem
36:42What's
36:42Going on
36:42With
36:42The
36:43Gauges
36:44They
36:45Did
36:45Have
36:46Slightly
36:46Different
36:47Power
36:47Outputs
36:48And
36:48That
36:48Is
36:48Something
36:48You
36:49Would
36:49See
36:49With
36:49Two
36:50Different
36:50Engines
36:51That
36:52Could
36:52Have
36:52Really
36:52Affected
36:53The
36:53Captain's
36:53Decision
36:54Making
36:57If
36:57The
36:57Captain
36:58Had
36:58Checked
36:59The
36:59Gauges
36:59The
37:00Readings
37:00Would
37:00Have
37:01Supported
37:01His
37:01First
37:02Officer's
37:02Report
37:03That
37:03The
37:03Left
37:04Engine
37:04Had
37:04Failed
37:06So
37:06It
37:06Looks
37:06Like
37:07Number
37:07One
37:07Number
37:08One
37:08Is
37:08Gone
37:09Gone
37:09Yeah
37:10So
37:11We
37:11Have
37:11Number
37:11Two
37:11Okay
37:15But
37:16This
37:16Doesn't
37:16Explain
37:17Why
37:17The
37:17First
37:18Officer
37:18Never
37:18Told
37:19The
37:19Captain
37:19That
37:20He
37:20Brought
37:20Both
37:20Throttles
37:21Back
37:21In
37:21The
37:22First
37:22Place
37:28If
37:29The
37:29First
37:29Officer
37:29Had
37:30Said
37:30Hey
37:30I
37:30Pulled
37:31The
37:31Thrust
37:31Back
37:31On
37:31Both
37:32Engines
37:32Then
37:32That
37:32Might
37:33Have
37:33Caused
37:34The
37:34Captain
37:34To
37:35Engage
37:35In
37:35A
37:35Different
37:36Thought
37:36Process
37:37About
37:37What
37:37Might
37:37Be
37:37Going
37:38On
37:45First
37:46Officer
37:47Follow-Up
37:48Interview
37:49Why
37:50Didn't
37:50The
37:50First
37:50Officer
37:51Of
37:51Transair
37:52Flight
37:52810
37:53Tell
37:53The
37:53Captain
37:54He
37:54Brought
37:54The
37:55Power
37:55Levers
37:55Back
37:56After
37:56The
37:56Right
37:57Engine
37:57Failed
37:58He
37:59Has
37:59No
37:59Recollection
38:00Of
38:00Bringing
38:00Either
38:01Thrust
38:02Lever
38:02Back
38:02To
38:03Idle
38:05We
38:06Believe
38:06That
38:07The
38:07First
38:07Officer
38:08Forgot
38:08Because
38:09He
38:09Was
38:09Busy
38:11That
38:12Leads
38:12To
38:12Stress
38:13Stress
38:14Leads
38:14To
38:15Tunneling
38:15Of
38:15Attention
38:15That
38:17Can
38:17Lead
38:17To
38:17Fixation
38:18On
38:18A
38:18Small
38:19Number
38:19Of
38:19Parameters
38:22But
38:22Even
38:23Even
38:23If
38:23The
38:23First
38:24Officer
38:24Didn't
38:24Tell
38:25The
38:25Captain
38:25About
38:25The
38:25Thrust
38:26Levers
38:26There
38:27Must
38:27Have
38:27Been
38:27Other
38:28Signs
38:28Which
38:29Engine
38:29Failed
38:32Check
38:33Out
38:33The
38:33Rudder
38:34Data
38:35Immediately
38:36After
38:36The
38:37Right
38:37Engine
38:37Failed
38:38On
38:38Takeoff
38:395.5
38:40Degrees
38:41Of
38:41Left
38:41Rudder
38:41Is
38:42Applied
38:47You
38:47Got
38:48It
38:48Yeah
38:49I
38:49Got
38:49It
38:53After
38:54The
38:54Right
38:54Engine
38:55Lost
38:55Power
38:56On
38:56Takeoff
38:57The
38:57Plane
38:57Pulled
38:58To
38:58The
38:58Right
38:59When
39:00The
39:00First
39:00Officer
39:00Applied
39:01The
39:01Left
39:01Rudder
39:02The
39:03Plane
39:03Straightened
39:04Out
39:04The
39:05Foot
39:05That
39:06Isn't
39:06Pressing
39:06On
39:06The
39:07Rudder
39:07Paddle
39:07Is
39:07The
39:07Side
39:08With
39:08The
39:08Bad
39:08Engine
39:08So
39:09It's
39:09Usually
39:10A
39:10Pretty
39:10Clear
39:10Indication
39:11Of
39:11Which
39:11Engine
39:12Has
39:12Failed
39:14He
39:14Held
39:15That
39:15Left
39:15Rudder
39:16For
39:17Three
39:17Minutes
39:18He
39:19Had
39:19A
39:19Clear
39:19Indicator
39:20But
39:20It
39:21Never
39:21Registered
39:22The
39:23Fact
39:23That
39:23The
39:24First
39:24Officer
39:24Was
39:25Applying
39:25Left
39:25Rudder
39:26Was
39:26An
39:26Indication
39:27That
39:27The
39:27Right
39:28Engine
39:28Had
39:28Lost
39:28Power
39:29It's
39:29Very
39:30Possible
39:30That
39:30Under
39:30Those
39:31Stressful
39:31Conditions
39:32In
39:32The
39:32Middle
39:32Of
39:32The
39:32Night
39:32Over
39:32The
39:33Water
39:33You
39:33Could
39:34Make
39:34That
39:34Mistake
39:37They
39:38Made
39:38The
39:38Right
39:38Assessment
39:39Initially
39:39But
39:40In
39:42The
39:42Stress
39:42Of
39:43The
39:43Situation
39:43Degraded
39:44Their
39:44Ability
39:45To
39:45Fly
39:45The
39:45Plane
39:49Investigators
39:50Now
39:50Know
39:51The
39:51Series
39:51Of
39:52Events
39:52That
39:52Led
39:53To
39:53The
39:53Ditching
39:53Of
39:54Transair
39:54Flight
39:54810
39:57When
39:58The
39:58Right
39:59Engine
39:59Loses
39:59Power
40:00After
40:00Takeoff
40:05Damn
40:06Both
40:07Pilots
40:08Make
40:08The
40:08Proper
40:08Assessment
40:10Yep
40:11Looks
40:11Like
40:12Lost
40:12Number
40:13Number
40:13Two
40:14Number
40:15Two
40:16But
40:17While
40:17The
40:18Captain
40:18Communicates
40:19With
40:19Air
40:19Traffic
40:19Control
40:21Okay
40:22Roads
40:22810
40:25The
40:26First
40:26Officer
40:27Reduces
40:27Engine
40:28Power
40:28Okay
40:29Let's
40:30See
40:30What's
40:31The
40:31Problem
40:31In
40:33A
40:33Moment
40:33Of
40:33Stress
40:34He
40:34Forgets
40:35To
40:35Tell
40:35The
40:35Captain
40:36What's
40:37Going
40:37On
40:37With
40:37The
40:39Slightly
40:40Different
40:40Readings
40:41On
40:41The
40:41Gauges
40:41Lead
40:42The
40:42Pilots
40:42To
40:43Believe
40:43The
40:43Fully
40:43Functioning
40:44Left
40:44Engine
40:45Has
40:45Failed
40:46So
40:46It
40:46Looks
40:47Like
40:47Number
40:47One
40:47Number
40:48One
40:48Is
40:49Gone
40:49The
40:49Captain
40:50Relies
40:50On
40:51The
40:51First
40:51Officer's
40:52Assessment
40:52Without
40:53Doing
40:53His
40:53Own
40:54Analysis
40:54Of
40:54The
40:54Situation
40:55Gone
40:56Yeah
40:57We
40:57Still
40:58Have
40:58The
40:58Number
40:58Two
40:58So
40:59We
40:59Have
40:59Number
41:00Two
41:00Okay
41:02Instead
41:02Of
41:03Confirming
41:03Which
41:04Engine
41:04Had
41:04Actually
41:05Lost
41:05Power
41:05And
41:06Forgetting
41:07Their
41:07Original
41:07Assessment
41:08The
41:08Pilots
41:09End
41:09Up
41:09Flying
41:10On
41:10A
41:10Damaged
41:11Engine
41:12How's
41:12The
41:13EGT
41:15It's
41:15Max
41:15It's
41:16Beyond
41:16Max
41:17Setting
41:18Them
41:18Up
41:19For
41:19An
41:19Inevitable
41:20Ditching
41:20We're
41:22In
41:22The
41:22Water
41:22We're
41:23In
41:23The
41:23Water
41:43Before the
41:45NTSB's
41:45Final
41:46Report
41:46Is
41:46Published
41:47Rhodes
41:48Rhodes
41:48Aviation
41:49Is
41:49Shut
41:49Down
41:50By
41:50The
41:50Federal
41:50Aviation
41:51Administration
41:51For
41:52Numerous
41:53Safety
41:53And
41:54Maintenance
41:54Violations
41:58While
41:58It may
41:59Be
41:59Disappointing
41:59That
42:00The
42:00Crew
42:00Never
42:01Actually
42:01Touched
42:02Their
42:02Left
42:02Engine
42:02That
42:03Was
42:03Working
42:03Properly
42:04It
42:05It
42:05A
42:05Test
42:06To
42:06The
42:06Human
42:06Limitations
42:07That
42:07Actually
42:08Arise
42:08When
42:09You
42:09Have
42:09Stressful
42:10High
42:11Workload
42:11Situations
42:12And
42:12That's
42:12What
42:13We
42:13Need
42:13To
42:13Account
42:13For
42:14With
42:15Only
42:1550
42:16737-200s
42:18Remaining
42:18In
42:18Service
42:19It's
42:20Deemed
42:20Impractical
42:21To
42:21Fit
42:21Them
42:21With
42:22Engine
42:22Sensors
42:23That
42:23Would
42:23Alert
42:23Pilots
42:24To
42:24A
42:24Failed
42:25Engine
42:25But
42:26It's
42:26Now
42:27Standard
42:27In
42:27Most
42:28Passenger
42:28Airliners
42:31Engine
42:31Monitoring
42:32Technology
42:33Has
42:33Improved
42:33Considerably
42:34Since
42:35This
42:35Aircraft
42:35Was
42:35Manufactured
42:36Newer
42:37Airplanes
42:38Actually
42:38Give
42:39Very
42:39Clear
42:39Indications
42:40To
42:41The
42:41Pilot
42:41Regarding
42:42Which
42:42Engine
42:43Is
42:43Bad
42:43And
42:45Reduces
42:45The
42:45Risk
42:46Of
42:46The
42:46Crew
42:47Mis
42:47Identifying
42:48It
42:49To
42:50To
42:50To
42:50To
42:52To
42:52To
42:52To
42:52To
42:52To
42:52To
42:52To
42:53To
42:53To
42:53To
42:53To