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<v Speaker 1>Picture this. You're sitting in a dark cockpit, flying, you know,

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<v Speaker 1>thousands of feet over the black expanse of the ocean.

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<v Speaker 1>It's the middle of the night. You can't see the

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<v Speaker 1>horizon at all, right.

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<v Speaker 2>Just pitch black outside exactly.

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<v Speaker 1>Just the glowing instruments in front of you. And then

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<v Speaker 1>suddenly the control column in your hand starts violently shaking,

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<v Speaker 1>like literally rattling your bones. The stick shaker, Yeah, the

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<v Speaker 1>stick shaker warning. It's designed to startle you screaming at

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<v Speaker 1>your nervous system that your plane is stalling, you're losing

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<v Speaker 1>lift and about to just fall out of the sky.

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<v Speaker 1>And here's the nightmare. At the exact same time, a blaring,

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<v Speaker 1>piercing claxon starts going off in the cabin, telling you

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<v Speaker 1>that you're flying way too fast, the overspeed alarm. Right,

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<v Speaker 1>So if you speed up to fix the stall, you

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<v Speaker 1>might literally rip the wings off the plane. But if

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<v Speaker 1>you slow down, it's all the overspeed you plummet into

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<v Speaker 1>the sea. What do you do?

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<v Speaker 2>I mean, it is the ultimate aviation nightmare. It's a

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<v Speaker 2>scenario where the absolute most critical data you rely on

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<v Speaker 2>to survive has just well, it's turned into a deadly

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<v Speaker 2>unsolvable riddle.

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<v Speaker 1>It's terrifying, it really is.

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<v Speaker 2>And as investigators, you know, when we pull the wreckage

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<v Speaker 2>out of the ocean and listen to the cockpit voice

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<v Speaker 2>recorders of these events, we aren't just looking at a

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<v Speaker 2>broken piece of metal. We are looking at a psychological

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<v Speaker 2>pressure cooker.

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<v Speaker 1>And that's exactly what we're going to explore in today's

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<v Speaker 1>deep dive. We are peeling back the layers on some

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<v Speaker 1>of the most harrowing real life aviation disasters in history

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<v Speaker 1>to really understand what investigators call the cascade.

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<v Speaker 2>Of errors, because it's never just one thing.

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<v Speaker 1>No, never, it's how a you know, a microscopic failure

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<v Speaker 1>like a tiny insect, or a hidden mechanical flaw, maybe

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<v Speaker 1>a math mistake, how that interacts with human panic, our

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<v Speaker 1>blind faith, and technology and just the raw will to survive.

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<v Speaker 2>Yeah, And to understand how terrifyingly fast that cascade happens,

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<v Speaker 2>you just have to look at the Dominican Republic in

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<v Speaker 2>February of nineteen ninety six.

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<v Speaker 1>Oh right, Burgionnaire Bursionaire.

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<v Speaker 2>Flight three oh one. It's a Boeing seven fifty seven,

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<v Speaker 2>and it's accelerating down rainslick runway into this pitch black night.

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<v Speaker 2>Almost immediately during the takeoff roll, the captain notices his

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<v Speaker 2>air speed indicator isn't working. It's just stuck at.

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<v Speaker 1>Zero, which is obviously a huge red flag huge.

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<v Speaker 2>But as the plane lifts off the tarmac, the gauge

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<v Speaker 2>suddenly seems to wake up. It just starts registering speed again.

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<v Speaker 1>But it's a phantom reading, right, I mean, the real

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<v Speaker 1>crisis kicks in when they hit cruising altitude and they

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<v Speaker 1>engage the autopilot exactly.

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<v Speaker 2>And here's the fatal flaw in the system's logic. At

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<v Speaker 2>the time, the autopilot gets its flight data solely from

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<v Speaker 2>the captain's instruments, solely the captain right, and because of

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<v Speaker 2>a microscopic blockage on the outside of the plane, that

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<v Speaker 2>gauge starts falsely feeding the computer a terrifying narrative. It

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<v Speaker 2>tells the autopilot the plane is accelerating wildly, approaching this

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<v Speaker 2>catastrophic speed of three hundred and fifty knots.

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<v Speaker 1>Oh wow.

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<v Speaker 2>So the computer, doing exactly what it's programmed to do

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<v Speaker 2>to save the plane, pitches the nose up dangerously high

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<v Speaker 2>to act as like a massive air break.

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<v Speaker 1>Wait, I'm confused, though, if the captain's gauge was broken,

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<v Speaker 1>What about the first officer's gauge? Didn't the plane have

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<v Speaker 1>you know, backup sensors?

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<v Speaker 2>It did, It absolutely did. The first officer's airspeed indicator

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<v Speaker 2>was working perfectly. The actual plane was flying at a

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<v Speaker 2>perfectly normal.

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<v Speaker 1>Speed, so they were fine.

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<v Speaker 2>They were physically fine. But the autopilot wasn't looking at

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<v Speaker 2>the first officers side. It only cared about the captain's

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<v Speaker 2>corrupted data. So the computer pitches the nose up so

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<v Speaker 2>aggressively that the plane physically loses its ability to fly.

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<v Speaker 1>It starts stalling, and that leads to the exact nightmare

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<v Speaker 1>scenario we started with. Yes, you've got the physical stick

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<v Speaker 1>shaker violently vibrating the control columns, warning the pilots of

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<v Speaker 1>a stall. Yeah, But simultaneously, the overspeed alarm is just

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<v Speaker 1>screaming because the autopilot's corrupted data still thinks they're going too.

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<v Speaker 2>Fast, and the human brain simply cannot reconcile two completely

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<v Speaker 2>contradictory emergencies in the seconds they have available.

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<v Speaker 1>I mean, imagine driving your car down the highway right,

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<v Speaker 1>your speedometer says you're doing one hundred fifty miles per hour.

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<v Speaker 1>But your engine is actively sputtering, choking and dying. How

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<v Speaker 1>do you process that?

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<v Speaker 2>You can't.

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<v Speaker 1>You have an alarm screening slowdown and a physical vibration

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<v Speaker 1>screaming speed up.

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<v Speaker 2>And in that moment, overwhelmed by the overspeed alarm, the

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<v Speaker 2>captain actually pulled back on the throttles. He reduced engine

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<v Speaker 2>power when the stalling plane desperately needed it. Yeah, the

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<v Speaker 2>seven fifty seven rolled, dropped its nose and plummeted into

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<v Speaker 2>the ocean. There were no survivors.

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<v Speaker 1>God, and when the recovery teams finally pulled the wreckage

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<v Speaker 1>from the seafloor, they found the culprit. And honestly, this

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<v Speaker 1>is the part that haunts me.

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<v Speaker 2>The wasp.

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<v Speaker 1>Yes, the microscopic assassin that brought down a multi ton

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<v Speaker 1>commercial jet was a squatter, a tiny insect called a

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<v Speaker 1>mud dauber wasp.

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<v Speaker 2>It's unbelievable. The plane had been sitting on the tarmac

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<v Speaker 2>for nearly three weeks and the maintenance crew, for whatever reason,

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<v Speaker 2>hadn't put the protective covers over the pitto tubes.

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<v Speaker 1>Those are the little L shaped pipes on the outside

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<v Speaker 1>of the fuselage.

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<v Speaker 2>Right right, the ones that take in air to measure speed.

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<v Speaker 2>A mud Dauber wasp had flown in and built a

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<v Speaker 2>tiny nest inside the captain's pitto tube, completely plugging it.

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<v Speaker 1>Just a bug. Yeah, But you know what makes this

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<v Speaker 1>tragedy so deeply unsettling. It isn't just the wasp, it's

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<v Speaker 1>the culture inside that cockpit, because, like you mentioned, the

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<v Speaker 1>first officer's airspeed indicator was working perfectly the entire time, right.

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<v Speaker 2>And this is where we hit the human element of

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<v Speaker 2>the cascade, because the cockpit voice recorder reveals that the

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<v Speaker 2>first officer and a relief pilot in the back actually

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<v Speaker 2>recognized the stall. He knew, they knew they were looking

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<v Speaker 2>at the correct data. They even gently suggested to the

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<v Speaker 2>captain to push the nose down, but they didn't force

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<v Speaker 2>the issue, which is wild.

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<v Speaker 1>Why. I mean, if you know the plane is falling

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<v Speaker 1>out of the sky, once'd you just grab the yoke

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<v Speaker 1>and save your own.

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<v Speaker 2>Life because of a psychological concept called the authority gradient,

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<v Speaker 2>don'kat what is that? So in the mid nineties, aviation

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<v Speaker 2>culture in a lot of parts of the world was

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<v Speaker 2>incredibly hierarchical. The captain was practically a god in the

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<v Speaker 2>cockpit right culturally and procedurally, that junior first officer felt

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<v Speaker 2>he couldn't just ripped the controls away from a senior commander,

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<v Speaker 2>even as the ocean was literally rushing up to meet them.

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<v Speaker 2>He let deference override survival.

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<v Speaker 1>That rigid hierarchy is just it's terrifying. It's a tragic

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<v Speaker 1>example of how a missing physical safety net, you know,

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<v Speaker 1>a simple plastic cover for a tube, paired with human hesitation,

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<v Speaker 1>leads to absolute disaster. But at least the missing tube

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<v Speaker 1>cover was an accidental emission. What happens when a safety

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<v Speaker 1>net is intentionally turned off?

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<v Speaker 2>Well, that brings us to August nineteen ninety seven and

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<v Speaker 2>Korean air flight eight oh one.

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<v Speaker 1>Another really tough one to listen to.

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<v Speaker 2>It is so we are looking at a fully loaded

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<v Speaker 2>seven forty seven approaching the island of Grom in heavy

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<v Speaker 2>erratic rain. It's past midnight. The captain is absolutely exhausted

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<v Speaker 2>fighting through what we call a top hat thunderstorm.

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<v Speaker 1>Which is a storm cell so dense it can essentially

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<v Speaker 1>absorb bradar right.

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<v Speaker 2>Right, creating this blind wall of water. Now, normally an

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<v Speaker 2>airport has a glide slope beacon. It's an electronic that

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<v Speaker 2>acts as like an invisible highway, guiding the plane at

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<v Speaker 2>a perfect angle right down to the runway threshold.

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<v Speaker 1>But on this night, Guam's glide slope is completely out

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<v Speaker 1>of service for maintenance.

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<v Speaker 2>Out of service, so the pilot has to perform what's

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<v Speaker 2>called a manual step down approach. Without the electronic glide path,

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<v Speaker 2>you have to use distance markers. It's honestly like walking

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<v Speaker 2>down a staircase in pitch darkness.

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<v Speaker 1>Right, you descend to a specific altitude, wait until your

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<v Speaker 1>instruments tell you you've traveled a certain distance, and then step

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<v Speaker 1>down to the next altitude exactly.

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<v Speaker 2>But here's where the psychology of exhaustion kicks in expectation bias,

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<v Speaker 2>hallucinating what you want to see. Yes, when a human

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<v Speaker 2>brain is desperately tired and under immense stress, it often hallucinates.

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<v Speaker 2>The captain, desperate to break through the clouds and just

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<v Speaker 2>spot the runway, descends far too early on the final step.

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<v Speaker 1>He thinks he sees the glow of the airport.

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<v Speaker 2>He does, but what he's actually flying a seven forty

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<v Speaker 2>seven into is the rugged, jungle covered terrain of Nimt's

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<v Speaker 2>hill miles short of the right.

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<v Speaker 1>It's horrific, and the survival. Details from this crash are

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<v Speaker 1>just unbelievable. The plane is tearing through the jungle, disintegrating,

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<v Speaker 1>and you have a passenger, Berry Small, who was actually

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<v Speaker 1>a helicopter pilot himself.

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<v Speaker 2>Right, very Small.

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<v Speaker 1>His leg was saved from completely shattering against a metal

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<v Speaker 1>seat crossbar for one specific reason. He had tucked his

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<v Speaker 1>soft carryon bag under the seat in front of him,

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<v Speaker 1>and the bag absorbed the impact of his shins flying forward.

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<v Speaker 2>It just highlights how microscopic variables decide life or death

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<v Speaker 2>in these massive events.

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<v Speaker 1>And right near him was an eleven year old girl,

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<v Speaker 1>Rika Matsuda.

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<v Speaker 2>Ah.

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<v Speaker 1>She survived virtually unhurt because her legs were simply too

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<v Speaker 1>short to reach that same deadly crossbar that crushed the

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<v Speaker 1>limbs of all the adults around her. Wow, and very

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<v Speaker 1>Small actually spent years after this crash fighting for safety changes.

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<v Speaker 1>He realized that the horrific fire that swept through the cabin,

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<v Speaker 1>the fire that actually killed dozens of people who had

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<v Speaker 1>survived the initial impact, it was heavily fueled by duty

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<v Speaker 1>free alcohol stored in the overhead bin.

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<v Speaker 2>Oh that makes sense.

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<v Speaker 1>Yeah, the impact broke the bottles, an oxygen from the

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<v Speaker 1>damaged ceiling missed with hundreds of liters of high proof flicker.

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<v Speaker 2>Just a horrific scenario. But you know, the true shock

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<v Speaker 2>of the Korean air investigation wasn't the alcohol or even

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<v Speaker 2>the pilot's expectation.

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<v Speaker 1>Bias, which is the system on the ground.

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<v Speaker 2>Exactly when investigators dug into the systemic failures on the ground,

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<v Speaker 2>they found something chilling. Guam's airport was equipped with an MSA,

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<v Speaker 2>a Minimum Safe Altitude Warning system. It's a radar system

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<v Speaker 2>specifically designed to alert air traffic controllers if a plane

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<v Speaker 2>is flying dangerously low, so they can literally radio the

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<v Speaker 2>crew and tell them to pull up.

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<v Speaker 1>But the FAA had intentionally disabled it for arriving flights.

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<v Speaker 2>They had they modified the software. The controllers had complained

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<v Speaker 2>that the radar system was giving them too many nuisance readings.

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<v Speaker 2>Nuisance readings, Yeah, it was beeping too often because of

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<v Speaker 2>the surrounding hills. So to stop the annoying alarms, they

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<v Speaker 2>pushed the systems tracking radius eighty kilometers out over the

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<v Speaker 2>open ocean.

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<v Speaker 1>So they essentially turned off the electronic safety net protecting

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<v Speaker 1>the mountains right around the airport.

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<v Speaker 2>They turned it off.

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<v Speaker 1>That is exactly like taking the batteries out of your

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<v Speaker 1>smoke detector because it goes off every time you make toast,

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<v Speaker 1>only to end up sleeping through your house burning down.

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<v Speaker 2>It's the perfect analogy.

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<v Speaker 1>I mean, why do we sacrifice crucial safety for momentary convenience.

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<v Speaker 1>If that system had been left on, the controller would

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<v Speaker 1>have seen the seven forty seven dropping below the step

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<v Speaker 1>down altitude and could have worn them.

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<v Speaker 2>It's a really sobering reality about systemic complacency. When we

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<v Speaker 2>get annoyed by our own safety systems, we disable the

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<v Speaker 2>very thing designed to save us.

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<v Speaker 1>It is, but you know, it's one thing to silence

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<v Speaker 1>an alarm because it's annoying. It's an entirely different nightmare

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<v Speaker 1>when the machine itself is secretly plotting against you.

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<v Speaker 2>And that leads us to the longest, most agonizing investigation

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<v Speaker 2>in aviation history, the ten year hunt for a mechanical

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<v Speaker 2>serial killer.

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<v Speaker 1>Ugh, just the phrase aviation serial killer gives me chills.

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<v Speaker 2>Well, it chilled the higher industry. In nineteen ninety one,

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<v Speaker 2>United Flight five eighty five was on a routine approach

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<v Speaker 2>into Colorado Springs, clear day, slightly bumpy winds. Suddenly the

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<v Speaker 2>Boeing seven thirty seven violently rolled onto its back, dropped

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<v Speaker 2>its nose, and plummeted straight into the ground.

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<v Speaker 1>Do survivors none.

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<v Speaker 2>Three years later, in nineteen ninety four, USAir flight four

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<v Speaker 2>to twenty seven is approaching Pittsburgh, calm, sunny evening. Out

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<v Speaker 2>of nowhere, the exact same thing happens. The plane snaps

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<v Speaker 2>violently to the left and dives into the earth.

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<v Speaker 1>And what made this so terrifying for investigators was the

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<v Speaker 1>total lack of evidence. I mean, in both cases, the

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<v Speaker 1>planes were perfectly.

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<v Speaker 2>Fine, completely fine.

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<v Speaker 1>The engines were running at full capacity at the moment

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<v Speaker 1>of impact. The pilots were highly experienced. There was no bomb,

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<v Speaker 1>no structural failure on the wings. You just have perfectly

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<v Speaker 1>good seven thirty seven Dash, which is literally the most

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<v Speaker 1>popular passenger jet on Earth, suddenly turning upside down and

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<v Speaker 1>falling out of the sky.

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<v Speaker 2>Investigators were chasing ghosts. I mean they strongly suspected the rudder,

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<v Speaker 2>the huge vertical panel on the tail that steers the

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<v Speaker 2>nose left and right, hit some how jammed. But every

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<v Speaker 2>time they recovered the parts from the craters and tested

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<v Speaker 2>them in the lab, they worked flawlessly. The pressure on

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<v Speaker 2>the investigators was immense. If they couldn't find the cause,

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<v Speaker 2>they might have had to ground the entire global fleet

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<v Speaker 2>of seven thirty seven.

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<v Speaker 1>And then in nineteen ninety six they finally get their breakthrough.

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<v Speaker 1>East Wind Flight five seventeen is approaching Richmond, Virginia. Suddenly

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<v Speaker 1>the plane snaps into that same terrifying role at this time,

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<v Speaker 1>right the pilot, Captain Brian Bishop, does what he's trained

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<v Speaker 1>to do. He stands on the opposite rudder pedal with

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<v Speaker 1>all his weight to counteract the role, but the pedal

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<v Speaker 1>won't budge. He is fighting for his life, muscles straining,

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<v Speaker 1>but miraculously, after thirty seconds of sheer terror, the rudder

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<v Speaker 1>just releases on its own.

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<v Speaker 2>He manages to regain control and land exactly and for

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<v Speaker 2>the first time in a decade, investigators have a completely

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<v Speaker 2>intact plane, an undamaged tail section, and a living pilot

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<v Speaker 2>to interview.

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<v Speaker 1>So what did they find Because if the parts worked

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<v Speaker 1>in the lab, why did they feel.

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<v Speaker 2>The sky well, because the lab wasn't the sky. They

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<v Speaker 2>realized they had to subject the rudder's power control unit

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<v Speaker 2>that's the mechanical muscle that moves the rudder, specifically a

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<v Speaker 2>component called a dual servo valve to the most brutal

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<v Speaker 2>environmental testing imaginable.

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<v Speaker 1>To recreate the flight conditions.

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<v Speaker 2>Yes, they had to recreate the extreme conditions of flight.

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<v Speaker 2>So they soaked the valve in dry ice to simulate

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<v Speaker 2>the sub zero temperatures at thirty thousand feet, then suddenly

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<v Speaker 2>blasted it with superheated hydraulic fluid thermal shock, precisely extreme

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<v Speaker 2>cold instantly meeting extreme heat. And under that precise thermal shock,

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<v Speaker 2>they discovered something horrifying. The valve didn't just jam. It

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<v Speaker 2>jammed and then it function in reverse.

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<v Speaker 1>Oh my god, here's where it gets absolutely terrifying. I

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<v Speaker 1>want you, the listener, to imagine your car starts sliding

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<v Speaker 1>on an icy bridge. You do exactly what you've been

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<v Speaker 1>trained to do since drivers at beast. You steer into

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<v Speaker 1>the skid to regain control. But a microscopic temperature flaw

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<v Speaker 1>has secretly wired your steering wheel backwards, so when you

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<v Speaker 1>turn right, the wheel snap left.

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<v Speaker 2>Exactly.

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<v Speaker 1>That is exactly what happened to those pilots in Colorado

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<v Speaker 1>and Pittsburgh. The plane started to drift in the wind.

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<v Speaker 1>They pushed the rudder pedal to correct it, and the

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<v Speaker 1>frozen valve reversed. The command slamming the rudder to the

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<v Speaker 1>extreme opposite side. The very action trained to save their

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<v Speaker 1>life is what pushed them into a death spiral.

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<v Speaker 2>It's tragic. Boeing spent hundreds of millions of dollars redesigning

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<v Speaker 2>and replacing those valves worldwide. It was a flaw born

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<v Speaker 2>of incredibly complex engineering reacting to extreme unforeseen environmental variables

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<v Speaker 2>Bowing didn't know was there.

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<v Speaker 1>But what happens when an aerospace giant actually knows about

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<v Speaker 1>a fatal flaw and actively chooses to ignore it Because

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<v Speaker 1>finding a hidden flaw is one thing, Covering one up

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<v Speaker 1>is entirely different.

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<v Speaker 2>Yeah, this is where engineering failure crosses into corporate hubris.

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<v Speaker 2>In nineteen seventy two, American Airlines Flight ninety six took

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<v Speaker 2>off from Detroit. As the DC ten climbed past eleven

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<v Speaker 2>thousand feet, the rear cargo door suddenly blew completely off

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<v Speaker 2>the side of the plane.

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<v Speaker 1>And the pressure difference was so massive that the explosive

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<v Speaker 1>decompression actually collapsed the passenger cabin floor down into the

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<v Speaker 1>cargo hold, and when the floor caved in, it completely

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<v Speaker 1>severed the hydraulic cables that ran through it, the cables

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<v Speaker 1>that controlled the tail. Captain Bryce McCormick was left flying

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<v Speaker 1>a crippled monster.

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<v Speaker 2>But he pulled off one of the most heroic saves

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<v Speaker 2>in aviation history.

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<v Speaker 1>He really did. He used draw engine thrust. Imagine steering

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<v Speaker 1>a massive commercial jet without a steering wheel, unbelievable. He

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<v Speaker 1>powered up the left engine to turn right and powered

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00:15:32.159 --> 00:15:34.600
<v Speaker 1>up the right engine to turn left. Against all odds,

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<v Speaker 1>he wrestled that plane back to the runway in Detroit, and.

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<v Speaker 2>When investigators looked at the blown off door, they found

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<v Speaker 2>a fundamental catastrophic design flaw. Usually, airplane doors are plug doors.

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<v Speaker 2>They open inward, meaning the higher air pressure inside the

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<v Speaker 2>cabin physically pushes the door tighter into its frame, sort

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<v Speaker 2>of like a bathtub stopper.

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<v Speaker 1>So it's physically impossible for them to.

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<v Speaker 2>Blow out exactly, But to maximize his luggage space, McDonald

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<v Speaker 2>Douglas designed the DC ten cargo door to open outward.

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<v Speaker 1>Which means the only thing keeping the door from blasting

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00:16:07.960 --> 00:16:10.639
<v Speaker 1>open in flight are the metal locking pins.

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<v Speaker 2>Right, and the locking mechanism was deeply flawed. A baggage

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00:16:14.639 --> 00:16:18.279
<v Speaker 2>handler could force the external handle closed, and the indicators

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00:16:18.279 --> 00:16:20.720
<v Speaker 2>in the cockpit which show the door was securely locked,

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00:16:20.840 --> 00:16:23.879
<v Speaker 2>even if the metal pins hadn't actually engaged around the frame.

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<v Speaker 1>So the door was literally a ticking time bomb waiting

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<v Speaker 1>for the cabin pressure to pop it open. Yes, and

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00:16:29.440 --> 00:16:33.320
<v Speaker 1>the Safety Board saw this and demanded the FAA issue

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<v Speaker 1>an immediate Airworthiness Directive, an AD that would have legally

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<v Speaker 1>forced McDonald douglas to ground the planes and fix the

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<v Speaker 1>doors immediately.

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<v Speaker 2>But that didn't happen. Unbelievable, the head of the FAA

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<v Speaker 2>and the head of McDonald douglas made a private gentleman's agreement.

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<v Speaker 2>They agreed the manufacturer would fix the problem voluntarily, just

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<v Speaker 2>avoiding the public relations nightmare and the massive financial hit

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<v Speaker 2>of an official government grounding.

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<v Speaker 1>A gentleman's agreement over passenger lives.

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<v Speaker 2>Yeah.

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<v Speaker 1>Two years later, a Turkish Airline's DC ten takes off

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<v Speaker 1>from Paris. A baggage handler forces the door shut, the

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00:17:07.759 --> 00:17:11.200
<v Speaker 1>pins don't actually lock, The cockpit says everything is fine,

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<v Speaker 1>and at eleven thousand feet the door blows off, just

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<v Speaker 1>like before the floor collapses, but this time all the

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00:17:16.960 --> 00:17:20.440
<v Speaker 1>hydraulic lines are severed. Captain Bryce McCormick's trick with the

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00:17:20.480 --> 00:17:23.799
<v Speaker 1>engines won't work here because the plane immediately pitches down,

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<v Speaker 1>the pilots have absolutely zero control. The plane plows into

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<v Speaker 1>a forest outside Paris at five hundred miles an hour.

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<v Speaker 1>Three hundred and forty six people die in what was

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<v Speaker 1>at the time the worst crash in human history, and.

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<v Speaker 2>The tragedy is compounded by what investigators found during the

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<v Speaker 2>ensuing lawsuits. They uncovered a document known as the Applegate Memo,

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<v Speaker 2>written by a product engineering director at the company the

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<v Speaker 2>smoking It the smoking gun. It proved in black and

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<v Speaker 2>white that the manufacturer knew about this catastrophic flaw before

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<v Speaker 2>the Detroit incident even happened. They had actually had a

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<v Speaker 2>cargo door blow out during a ground pressure test years earlier,

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<v Speaker 2>but they choose not to change the fundamental design because

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<v Speaker 2>it would delay production.

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<v Speaker 1>I mean, are we as a society just okay with

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<v Speaker 1>the dark concept of tombstone technology, the reality that aviation

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<v Speaker 1>safety regulations are almost always written in blood?

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<v Speaker 2>It seems that way sometimes.

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<v Speaker 1>Is the math of corporate risk assessment fundamentally evil when

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<v Speaker 1>human lives are the currency. They knew the door was

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<v Speaker 1>a bomb, but fixing it was too expensive.

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00:18:23.799 --> 00:18:28.119
<v Speaker 2>It reeses really profound questions about accountability when profit motives

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<v Speaker 2>intersect with public safety. The rigid systems of corporate self

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00:18:32.680 --> 00:18:34.240
<v Speaker 2>regulation failed completely.

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00:18:34.279 --> 00:18:36.720
<v Speaker 1>They really did. So we've spent this entire deep dive

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00:18:36.839 --> 00:18:42.160
<v Speaker 1>looking at how rigid systems, rigid cockpit hierarchy, rigid corporate greed,

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00:18:42.319 --> 00:18:47.200
<v Speaker 1>rigid computer programming create these cascades of disaster. So I

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<v Speaker 1>want to end by looking at the flip side. What

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00:18:49.559 --> 00:18:53.440
<v Speaker 1>happens when the system completely dies and fluid rule breaking

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<v Speaker 1>human ingenuity is the only backup plan we have. Let's

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<v Speaker 1>talk about the miracle at gimli Oh.

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<v Speaker 2>It's a perfect counterpoint. July nineteen, teen eighty three, Air

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<v Speaker 2>Canada Flight one forty three, a state of the art

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<v Speaker 2>Boeing seven to sixty seven, is cruising at twenty six

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<v Speaker 2>thousand feet over central Canada. Suddenly, warning alarms flood the tokpit,

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00:19:10.920 --> 00:19:14.880
<v Speaker 2>fuel pressure drops, the left engine dies. Wow minutes later,

395
00:19:15.000 --> 00:19:18.680
<v Speaker 2>the right engine dies. The cockpit goes totally dark and silent,

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00:19:18.839 --> 00:19:21.920
<v Speaker 2>save for a few battery powered stand by instruments. They

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00:19:21.920 --> 00:19:24.799
<v Speaker 2>are in a ninety five ton glider and the cause.

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<v Speaker 1>Of this is almost comical in its simplicity. It was

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00:19:27.279 --> 00:19:31.599
<v Speaker 1>a cascading human error. Based on elementary school math. Canada

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00:19:31.680 --> 00:19:33.599
<v Speaker 1>was transitioning into the metric system at the time. The

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00:19:33.599 --> 00:19:35.640
<v Speaker 1>seven sixty seven was the first plane in the fleet

402
00:19:35.680 --> 00:19:39.039
<v Speaker 1>to use kilograms instead of pounds for fuel calculations. The

403
00:19:39.079 --> 00:19:41.240
<v Speaker 1>ground crew and the pilots, who double checked the work

404
00:19:41.240 --> 00:19:44.000
<v Speaker 1>at the conversion factor mixed up. The plane required twenty

405
00:19:44.000 --> 00:19:46.759
<v Speaker 1>two thousand, three hundred kilograms that fuel to reach its destination,

406
00:19:47.079 --> 00:19:49.559
<v Speaker 1>but they loaded twenty two three hundred pounds, which is.

407
00:19:49.599 --> 00:19:52.319
<v Speaker 2>Roughly half the fuel they actually needed, right.

408
00:19:52.039 --> 00:19:53.680
<v Speaker 1>So they literally run out of gas in the middle

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00:19:53.720 --> 00:19:56.720
<v Speaker 1>of the sky. Incredible, But here is where human intuition

410
00:19:56.839 --> 00:19:59.640
<v Speaker 1>steps in. Captain Bob Pearson just happens to be a

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<v Speaker 1>high experienced glider pilot in his spare time.

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00:20:02.759 --> 00:20:03.279
<v Speaker 2>What luck.

413
00:20:03.559 --> 00:20:08.559
<v Speaker 1>Seriously, he flies small engineless planes on the weekends. So

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00:20:08.680 --> 00:20:12.200
<v Speaker 1>he now has to somehow glide a massive commercial jet

415
00:20:12.480 --> 00:20:16.960
<v Speaker 1>to a decommissioned Air Force base in Gimli, Manitoba, without engines,

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00:20:17.359 --> 00:20:20.640
<v Speaker 1>without full hydraulics, and without most of his instruments.

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00:20:20.680 --> 00:20:23.960
<v Speaker 2>And as they approach Gimli, Pearson realizes they're coming in

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00:20:24.000 --> 00:20:26.559
<v Speaker 2>too high and too fast. Normally you just circle around

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00:20:26.559 --> 00:20:28.839
<v Speaker 2>for another try or apply thrust.

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00:20:28.519 --> 00:20:30.960
<v Speaker 1>But without engines, he can't do either exactly.

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00:20:31.000 --> 00:20:33.599
<v Speaker 2>He has one single shot at the runway, so.

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00:20:33.559 --> 00:20:36.759
<v Speaker 1>He uses a radical maneuver called a forward slip. If

423
00:20:36.799 --> 00:20:40.160
<v Speaker 1>you've never seen this, it is wild. You cross the controls,

424
00:20:40.440 --> 00:20:42.880
<v Speaker 1>turning the steering yoke hard one way while pushing the

425
00:20:42.960 --> 00:20:47.119
<v Speaker 1>ruttor pedals hard the opposite way. It intentionally unbalances the plane,

426
00:20:47.640 --> 00:20:52.000
<v Speaker 1>turning the entire massive fuselage sideways into the wind, basically

427
00:20:52.000 --> 00:20:54.480
<v Speaker 1>turning the body of the plane into a giant air brake.

428
00:20:55.000 --> 00:20:59.960
<v Speaker 1>You drop altitude incredibly fast without gaining forward speed. Passengers

429
00:21:00.119 --> 00:21:02.599
<v Speaker 1>are looking out their side windows, not at the horizon,

430
00:21:02.680 --> 00:21:03.920
<v Speaker 1>but straight down at the ground.

431
00:21:04.119 --> 00:21:07.359
<v Speaker 2>It's an aggressive, violent maneuver that goes against everything a

432
00:21:07.400 --> 00:21:10.839
<v Speaker 2>commercial jet is designed to do, but it works. However,

433
00:21:11.440 --> 00:21:15.119
<v Speaker 2>as they approach the runway, they face another horrifying surprise.

434
00:21:15.279 --> 00:21:16.680
<v Speaker 1>Right the airbase wasn't empty.

435
00:21:16.880 --> 00:21:19.440
<v Speaker 2>No, the decommissioned airbase is being used that day for

436
00:21:19.559 --> 00:21:25.000
<v Speaker 2>a sportscar rally. There are campers, families and drag racers everywhere.

437
00:21:24.599 --> 00:21:26.920
<v Speaker 1>On the tarmac, and because they have no hydraulic power,

438
00:21:26.960 --> 00:21:29.079
<v Speaker 1>they have to use gravity to drop the landing gear.

439
00:21:29.119 --> 00:21:32.160
<v Speaker 1>They literally just let them fall. The heavy back wheels

440
00:21:32.200 --> 00:21:35.240
<v Speaker 1>lock into place, but the lighter nose gear fails to

441
00:21:35.319 --> 00:21:38.480
<v Speaker 1>lock so they hit the runway, the nose gear classes

442
00:21:38.839 --> 00:21:41.640
<v Speaker 1>and the front of the plane slams onto the concrete

443
00:21:41.880 --> 00:21:45.759
<v Speaker 1>send them this massive blinding shower of sparks. The plane

444
00:21:45.839 --> 00:21:49.000
<v Speaker 1>grinds down the runway, shedding speed, and stops just short

445
00:21:49.000 --> 00:21:51.920
<v Speaker 1>of two young boys who are riding their bicycles right down.

446
00:21:51.839 --> 00:21:54.279
<v Speaker 2>The middle of the strip, and everyone survived. I mean,

447
00:21:54.359 --> 00:21:57.680
<v Speaker 2>the sheer airmanship and lateral thinking required to pull off

448
00:21:57.680 --> 00:22:00.400
<v Speaker 2>a forward slip in a commercial airliner is stagger It

449
00:22:00.440 --> 00:22:01.599
<v Speaker 2>wasn't in any Boeing manual.

450
00:22:01.720 --> 00:22:05.400
<v Speaker 1>No, it is the ultimate irony. You have the most sophisticated, computerized,

451
00:22:05.720 --> 00:22:08.640
<v Speaker 1>state of the art passenger jet in the sky. It

452
00:22:08.720 --> 00:22:12.319
<v Speaker 1>totally fails because of a simple metric conversion error. And

453
00:22:12.319 --> 00:22:14.680
<v Speaker 1>what saved to everyone wasn't a backup computer or a

454
00:22:14.680 --> 00:22:19.440
<v Speaker 1>safety system. It was a grassroots, almost archaic wind in

455
00:22:19.480 --> 00:22:22.920
<v Speaker 1>your hair gliding technique performed by a guy relying entirely

456
00:22:22.960 --> 00:22:23.440
<v Speaker 1>on feel.

457
00:22:23.759 --> 00:22:25.920
<v Speaker 2>And if we synthesize everything we've looked at today, I

458
00:22:25.920 --> 00:22:28.319
<v Speaker 2>think this is the grand takeaway from a single mud

459
00:22:28.359 --> 00:22:32.000
<v Speaker 2>dauber wasp plugging a tube to a hidden reversing servovalve

460
00:22:32.160 --> 00:22:35.279
<v Speaker 2>to a catastrophic gentleman's agreement over a cargo door to

461
00:22:35.359 --> 00:22:38.720
<v Speaker 2>a pounds to kilograms mix up. Aviation safety, like so

462
00:22:38.839 --> 00:22:41.720
<v Speaker 2>many complex systems we rely on, is just an incredibly

463
00:22:41.759 --> 00:22:42.400
<v Speaker 2>fragile web.

464
00:22:42.599 --> 00:22:46.079
<v Speaker 1>And that's exactly why understanding this matters to you. We

465
00:22:46.160 --> 00:22:49.319
<v Speaker 1>all exist in complex webs of technology in our daily lives,

466
00:22:49.480 --> 00:22:52.279
<v Speaker 1>from the semi autonomous cars we drive to the algorithmic

467
00:22:52.359 --> 00:22:56.319
<v Speaker 1>medical systems we rely on. Understanding the weak points, how

468
00:22:56.400 --> 00:23:00.039
<v Speaker 1>human panic, rigid hierarchy, or expectation bias plays into them.

469
00:23:00.519 --> 00:23:03.039
<v Speaker 1>It makes us better navigators of our own lives and

470
00:23:03.160 --> 00:23:06.240
<v Speaker 1>our personal systems fail when the screens go dark, Do

471
00:23:06.279 --> 00:23:08.160
<v Speaker 1>we have our own backup skills to rely on?

472
00:23:08.480 --> 00:23:11.960
<v Speaker 2>Exactly? We build the machines to be as perfect as possible,

473
00:23:11.960 --> 00:23:14.160
<v Speaker 2>but we have to be prepared to step in with raw,

474
00:23:14.200 --> 00:23:17.759
<v Speaker 2>fluid human ingenuity when the machines inevitably fail us.

475
00:23:18.039 --> 00:23:20.559
<v Speaker 1>So I'll leave you with this provocative thought. As we

476
00:23:20.680 --> 00:23:24.319
<v Speaker 1>rapidly approach an era of fully autonomous AI flown aircraft,

477
00:23:24.559 --> 00:23:27.319
<v Speaker 1>we might finally eliminate the human errors that cause some

478
00:23:27.359 --> 00:23:30.359
<v Speaker 1>of these disasters. No more math mix ups, no more

479
00:23:30.400 --> 00:23:33.839
<v Speaker 1>tired pilots hallucinating runway lights. But when the AI gets

480
00:23:33.839 --> 00:23:38.000
<v Speaker 1>confused by a blocked sensor or encounters a cascading mechanical failure.

481
00:23:38.200 --> 00:23:41.079
<v Speaker 1>It wasn't programmed to understand who will be sitting in

482
00:23:41.119 --> 00:23:43.400
<v Speaker 1>the cockpit to break the rules, who will pull off

483
00:23:43.400 --> 00:23:46.000
<v Speaker 1>a miracle side slip to save the day. We're removing

484
00:23:46.079 --> 00:23:48.880
<v Speaker 1>human error also remove the very human intuition required for

485
00:23:48.960 --> 00:23:49.799
<v Speaker 1>our greatest saves.
