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<v Speaker 1>So picture a really warm, late summer morning over the

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<v Speaker 1>sprawling farms and cattle ranches of southern Texas.

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<v Speaker 2>Well, yeah, just one of those perfectly clear days exactly.

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<v Speaker 1>The sky is just this endless, pristine blue, and up

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<v Speaker 1>at about fifteen thousand feet you've got Continental Express flight

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<v Speaker 1>twenty five seven four. It's beginning what you know, should

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<v Speaker 1>be a completely routine descent into Houston, right.

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<v Speaker 2>And it's an Embryer one twenty, which is a twin

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<v Speaker 2>turboprop plane.

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<v Speaker 1>Yeah. And inside the cockpit, the atmosphere is just incredibly relaxed.

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<v Speaker 1>You have twenty nine year old Captain Brad Patridge and

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<v Speaker 1>forty three year old First Officer Clint Rossovich. They're laughing,

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<v Speaker 1>they're talking about their upcoming days off, making plans to

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<v Speaker 1>play a little golf down on the coast.

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<v Speaker 2>It's just, by all accounts, of perfectly normal day, just

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<v Speaker 2>another morning commuter flight, really right, and crucially, I mean

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<v Speaker 2>it was actually their second flight of the day in

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<v Speaker 2>that very same aircraft. They had already flown from Houston

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<v Speaker 2>down to Laredo entirely without a hitch. Now they were

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<v Speaker 2>just making their return trip home.

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<v Speaker 1>But then on the ground you have these two brothers,

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<v Speaker 1>Carrie and Clifton, and they're just working on their tattle

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<v Speaker 1>farm and the quiet of that morning is suddenly just

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<v Speaker 1>shattered by a massive explosion up in the sky.

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<v Speaker 2>Wow.

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<v Speaker 1>Yeah. They look up and what they see is terrifying,

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<v Speaker 1>and aircraft is spiraling downward, completely out of control. It

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<v Speaker 1>plummets two thousand feet in mere seconds.

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<v Speaker 2>That's incredibly fast it is.

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<v Speaker 1>It slams into the earth at over five hundred kilometers

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<v Speaker 1>per hour, which sends this secondary earth shaking explosion echoing

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<v Speaker 1>across the Texas planes.

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<v Speaker 2>The sheer speed and while the violence of it left

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<v Speaker 2>observers on the ground in absolute shock.

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<v Speaker 1>Which brings us to our topic. Welcome to today's deep dive.

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<v Speaker 1>We have gathered a really fascinating stack of sources for

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<v Speaker 1>this one, declassified NTSB accident reports, aviation engineering blueprints, historical

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<v Speaker 1>flight data, original investigative notes.

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<v Speaker 2>It's a lot of material and our mission today is

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<v Speaker 2>to step directly into the shoes of the real life

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<v Speaker 2>aviation accident investigators who are tasked with solving this mystery.

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<v Speaker 1>Going to meticulously piece together how a perfectly functioning modern

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<v Speaker 1>aircraft was doomed not by a violent storm and not

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<v Speaker 1>by a bomb, but by a chain of seemingly microscopic,

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<v Speaker 1>well intentioned human errors, errors that culminated in a catastrophic

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<v Speaker 1>inflight breakup.

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<v Speaker 2>Right, because the story really is a masterclass in how

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<v Speaker 2>complex systems fail.

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<v Speaker 1>It really is. It proves that for you, in literally

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<v Speaker 1>any job, skipping what feels like a routine, tedious, administrative

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<v Speaker 1>step can have unimaginable consequences.

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<v Speaker 2>Absolutely, and setting the scene on the ground near Eagle Lake, Texas,

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<v Speaker 2>which is about one hundred and ten kilometers west of Houston,

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<v Speaker 2>he was just absolute devastation. I can only imagine, Yeah,

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<v Speaker 2>when the NTSB GO team arise at a crash site,

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<v Speaker 2>I mean they're trained to process trauma, but this scene

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<v Speaker 2>was particularly daunting. The smell of jet fuel and charred

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<v Speaker 2>earth hung really.

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<v Speaker 1>Heavy in the air, right, and the impact was so

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<v Speaker 1>violent that the aircraft was completely pulverized into the soil.

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<v Speaker 1>Like I was reading the one local observer set, if

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<v Speaker 1>you didn't know what was an airplane, you would have

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<v Speaker 1>just thought it was a pile of pop trash.

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<v Speaker 2>It's just horrifying. All fourteen souls on board, so that's

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<v Speaker 2>twelve passengers and the two pilots were gone. The investigators

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<v Speaker 2>are walking into this chaotic, heartbreaking scene and they need

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<v Speaker 2>answers immediately.

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<v Speaker 1>Right away, a leading theory emerges, and honestly, if I'm

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<v Speaker 1>listening to this and looking at the initial facts, I'm

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<v Speaker 1>thinking it has to be a bomb. Oh, totally right,

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<v Speaker 1>because you have eyewitnesses who are unanimous. They all swore

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<v Speaker 1>they saw an explosion in mid air. One of them

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<v Speaker 1>even said it looked like a hole the size of

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<v Speaker 1>a Volkswagen was blown right into the side of the plane.

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<v Speaker 2>And you know, the radar data seemed to support that

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<v Speaker 2>initial hypothesis too. Oh really, Yeah, When air traffic controllers

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<v Speaker 2>review the FAA radar tapes, they saw the plane drop

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<v Speaker 2>off the screen instantly, which is unusual, very Usually, a

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<v Speaker 2>struggling plane will leave a descending trail of radar hits.

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<v Speaker 2>Disappearing instantly is the hallmark of an aircraft just disintegrating

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<v Speaker 2>in the sky.

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<v Speaker 1>And to make the bomb theory feel like a total

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<v Speaker 1>slam dunk, the FBI receives this emergency tip. A federally

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<v Speaker 1>detected witness in a major drug trial was supposedly booked

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<v Speaker 1>on this exact flight.

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<v Speaker 2>I mean, you can't write that, no.

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<v Speaker 1>You have fire in the sky, instant radar disappearance, and

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<v Speaker 1>this clear cinematic motive for foul play.

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<v Speaker 2>So the FBI naturally swarmed the wreckage. They began meticulously

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<v Speaker 2>swabbing the twisted metal, sending samples to their labs to

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<v Speaker 2>test for chemical residue you know, nitrates, PTN, anything that

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<v Speaker 2>would indicate high explosives. But the results, the lab results

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<v Speaker 2>came back completely clean, zero chemical residue. There was absolutely

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<v Speaker 2>no forensic evidence of a bomb.

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<v Speaker 1>Okay, so the investigation has to pivot hard because if

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<v Speaker 1>there was no bomb, how does a commercial plane just

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<v Speaker 1>fall out of the sky in pieces? Right?

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<v Speaker 2>And this is where structural experts like the NTSBS depack

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<v Speaker 2>Joshi takeover. Joshi's first order of business at any crash

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<v Speaker 2>site is to locate the four corners of.

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<v Speaker 1>The airplane the nose, the tail, and the two wing tips.

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<v Speaker 2>Exactly, and the embry are one twenty is what we

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<v Speaker 2>call a ttail aircraft. So if you picture a commercial airplane,

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<v Speaker 2>instead of the horror horizontal wings on the tail being

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<v Speaker 2>down at the bottom near the fuselage, they sit all

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<v Speaker 2>the way up on top of.

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<v Speaker 1>The vertical fin so it looks like a giant capital.

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<v Speaker 2>T precisely, but Joji can't find that horizontal stabilizer in

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<v Speaker 2>the main crater. He eventually locates it a full two

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<v Speaker 2>hundred meters away from the rest of the pulverized wreckage. Wow.

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<v Speaker 1>Two hundred meters.

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<v Speaker 2>Yeah, and finding heavy components scattered that far away from

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<v Speaker 2>the main impact zone, Well, it confirms the eyewitness reports.

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<v Speaker 2>The plane did break apart while it was still high

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<v Speaker 2>in the air.

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<v Speaker 1>Okay, let me ask a question here. If it wasn't

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<v Speaker 1>a bomb, how does a tail just snap off a

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<v Speaker 1>plane in midair? My first thought goes to the age

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<v Speaker 1>of the aircraft. Could it be metal fatigue?

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<v Speaker 2>Like taking a paper clip and bending.

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<v Speaker 1>It back and forth exactly until the metal finally just

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<v Speaker 1>gives out.

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<v Speaker 2>It's a good thought, and investigators can actually read broken

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<v Speaker 2>metal like a book to answer that exact question. When

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<v Speaker 2>a piece of aircraft illuminum fails from fatigue, it's a

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<v Speaker 2>slow process, right. The metal bends back and forth over

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<v Speaker 2>thousands of flights, and as the crack grows, the edges

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<v Speaker 2>up against each other, smoothing the metal out. By the

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<v Speaker 2>time it finally snaps, the brake is often smooth, clean

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<v Speaker 2>and shows clear signs of dark oxidation or rust where

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<v Speaker 2>air has been seeping in over time.

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<v Speaker 1>So they put the embreyer's tail under a microscope. What

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<v Speaker 1>did the fracture surfaces look like?

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<v Speaker 2>They were jagged, bright, and violently torn. There were no

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<v Speaker 2>smooth striations, no rust, and no signs of long term

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<v Speaker 2>wear and tear.

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<v Speaker 1>It's not metal fatigue, not at all.

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<v Speaker 2>This is known as ductile overload. It told the investigators

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<v Speaker 2>that the tail was ripped off suddenly by a massive,

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<v Speaker 2>instantaneous aerodynamic force. It's a perfectly healthy piece of metal

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<v Speaker 2>that was violently snapped by a force that was never

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<v Speaker 2>designed to handle.

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<v Speaker 1>Man. So, if the tail was ripped off by aerodynamic force,

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<v Speaker 1>something else must have triggered the instability, right, because airplanes

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<v Speaker 1>are designed to handle immense pressure, something had to disrupt

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<v Speaker 1>the airflow exactly.

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<v Speaker 2>To figure this out, investigators had to find the very

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<v Speaker 2>first piece that fell off the plane, the ocean. His

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<v Speaker 2>team examined the severed tail section resting in the field.

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<v Speaker 2>They noticed a critical component was missing entirely. What was

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<v Speaker 2>it the left leading edge of the horizontal stabilizer.

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<v Speaker 1>Okay, so for those of you trying to picture this,

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<v Speaker 1>the leading edge is a ten foot or roughly three

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<v Speaker 1>meter piece of molded composite material. It sits on the

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<v Speaker 1>very front lip of the tailwing.

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<v Speaker 2>Right, and its job is to cleanly slice through the

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<v Speaker 2>air and direct the airflow smoothly over the surface of

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<v Speaker 2>the tail. It is absolutely critical for the plane's aerodynamic.

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<v Speaker 1>And because it was missing from the tail assembly, it

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<v Speaker 1>kicked off this exhausting massive search operation. Finding a grayish

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<v Speaker 1>composite piece in the rough, grayish brown Texas scrubland is

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<v Speaker 1>incredibly difficult.

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<v Speaker 2>Well, it's like finding a needle in a haystack.

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<v Speaker 1>Totally. They mapped out a twelve square kilometer grid. They

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<v Speaker 1>had teams on four wheelers and helicopters flying overhead scouring

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<v Speaker 1>the landscape and the oppressive Texas heat for three full days.

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<v Speaker 2>They even brought in engineers from the aircraft manufacturer. They

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<v Speaker 2>calculated the exact weight and aerodynamic drag of that specific

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<v Speaker 2>ten foot piece.

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<v Speaker 1>Right, and then they cross referenced it with the radar

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<v Speaker 1>timestams and the wind vectors from that morning, just to

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<v Speaker 1>calculate the mathematical trajectory of where it might have drifted there.

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<v Speaker 2>Finally, on the third day, a searcher in a helicopter

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<v Speaker 2>spots it.

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<v Speaker 1>Where was it?

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<v Speaker 2>It was resting against a cattle fence over a kilometer

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<v Speaker 2>away from the tail section. It was perfectly camouflaged against

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<v Speaker 2>the wire and the dirt. Ground teams had likely walked

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<v Speaker 2>right past it multiple times.

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<v Speaker 1>But when investigators finally get their hands on it, they

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<v Speaker 1>make a chilling discovery. They look closely at the screw holes,

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<v Speaker 1>the mounting points where this piece attaches to the rest

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<v Speaker 1>of the tail.

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<v Speaker 2>And what do they find.

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<v Speaker 1>The screw holes on the bottom of the piece are

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<v Speaker 1>heavily elongated. They're violently cracked and torn, which proves they

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<v Speaker 1>had been forcefully ripped right through the metal fasteners during

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<v Speaker 1>the breakup. Right But the screw holes on the top

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<v Speaker 1>of the piece, they.

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<v Speaker 2>Were pristine, absolutely perfect, no elongation, no tearing, no stress

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<v Speaker 2>marks of any kind.

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<v Speaker 1>Wait, if the top holes are perfect, that means there

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<v Speaker 1>was no force rooping them out. The screws weren't torn out,

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<v Speaker 1>they just simply weren't there to begin with.

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<v Speaker 2>The forensic evidence was undeniable. There were absolutely no screws

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<v Speaker 2>holding the top of that leading edge to the tail.

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<v Speaker 2>It was essentially flapping in the wind, held onto the

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<v Speaker 2>airplane only by the screws on the bottom.

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<v Speaker 1>Okay, knowing those top screws were missing is an incredible breakthrough,

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<v Speaker 1>but it creates a whole new mystery. We have a

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<v Speaker 1>plane flying without its screws. To understand how that translates

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<v Speaker 1>into a sudden, violent crash, we need to know what

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<v Speaker 1>was happening in the cockpit.

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<v Speaker 2>We need the black boxes exactly.

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<v Speaker 1>So, the cockpit voice recorder, the CVR and the flight

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<v Speaker 1>data recorder the FDR were recovered and rushed to the

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<v Speaker 1>NTSB lab in Washington.

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<v Speaker 2>And when you recover a CVR from an inflight breakup,

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<v Speaker 2>you brace yourself. You expect to hear the chaotic sounds

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<v Speaker 2>of an emergency blaring, master alarms, engine screaming, pilots frantically

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<v Speaker 2>shouting and trying to muscle the flight.

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<v Speaker 1>But the investigators put their headphones on and they hear

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<v Speaker 1>none of that.

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<v Speaker 2>Nothing.

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<v Speaker 1>The audio is crystal clear and it is entirely routine.

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<v Speaker 1>The pilots are calm. First Officer Roseovic even makes a

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<v Speaker 1>joke as he begins their descent into Houston. He says,

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<v Speaker 1>pushing this descent making like the Space Shuttle.

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<v Speaker 2>Wow.

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<v Speaker 1>And then nothing new, warning, alarms, no shouts, just the abrupt,

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<v Speaker 1>violent end of the recording.

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<v Speaker 2>Yeah, because the speed of the breakup was beyond human

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<v Speaker 2>reaction time. The sudden loss of the tail threw the

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<v Speaker 2>plane into what we call a massive negative G force maneuver.

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<v Speaker 1>What does that actually mean for the human body? Like,

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<v Speaker 1>what do negative five g's do to a person in

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<v Speaker 1>a fraction of a second.

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<v Speaker 2>Well, when you ride a roller coaster and get pushed

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<v Speaker 2>down into your seat, those are positive G forces. Blood

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<v Speaker 2>drains from your head. Negative G forces do the exact opposite.

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<v Speaker 2>You are violently thrown upward against your seatbelt, oh man,

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<v Speaker 2>and negative five g's all the blood in your body

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<v Speaker 2>rushes instantly into your brain. It causes a phenomenon called

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<v Speaker 2>a red out, followed by immediate unconsciousness.

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<v Speaker 1>So they didn't even know.

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<v Speaker 2>No, the pilots and passengers were completely incapacitated before they

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<v Speaker 2>even had time to register that something was wrong.

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<v Speaker 1>Which I guess is a small mercy in a horrific situation.

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<v Speaker 1>But I keep coming back to a glaring contradiction in

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<v Speaker 1>the timeline here. This was the crew's second flight of

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<v Speaker 1>the day in this exact plane. They had already flown

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<v Speaker 1>over eight hundred kilometers from Houston down to Laredo that morning,

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<v Speaker 1>presumably with those exact same screws missing, and they landed safely.

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<v Speaker 1>Why did the plane decide to fall apart? Now on

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<v Speaker 1>the way back, the flight.

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<v Speaker 2>Data recorder solves that puzzle, and it all comes down

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<v Speaker 2>to aero dynamic pressure. On their first flight of the

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<v Speaker 2>day down to Laredo, the flight data shows the plane's

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<v Speaker 2>maximum speed was two hundred and sixteen knots, which is

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<v Speaker 2>about two hundred and fifty miles per hour. Okay, the

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<v Speaker 2>aerodynamic forces pushing against that loose leading edge were strong,

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<v Speaker 2>but the bottom screws held on.

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<v Speaker 1>But on the fatal return trip they went faster.

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<v Speaker 2>Remember First Officer Roseovich saying that or making like this

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<v Speaker 2>space shuttle, He initiated a steep, rapid descent into Houston.

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<v Speaker 2>The FDR data graph shows the plane speed surging to

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<v Speaker 2>two hundred and sixty knots, that is almost three hundred

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<v Speaker 2>miles per hour.

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<v Speaker 1>Let's put this an everyday perspective for you guys. Imagine

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<v Speaker 1>you're driving your car and your hood latch is broken,

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<v Speaker 1>but you don't realize it. If you're just driving around

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<v Speaker 1>your neighborhood at thirty miles an hour, the weight of

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<v Speaker 1>the hood keeps it down. The wind isn't strong enough

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<v Speaker 1>to lift it. But the second you merge onto the

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<v Speaker 1>highway and hit eighty miles an hour, that increased wind

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<v Speaker 1>resistance gets under the front lip of the hood, catches

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<v Speaker 1>it like a parasuit, and violently rips it open.

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<v Speaker 2>That mechanism is exactly what happened at fifteen thousand feet

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<v Speaker 2>at three hundred miles per hour. The intense aerodynamic drag

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<v Speaker 2>finally caught the unattached top lip of that leading edge.

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<v Speaker 2>The wind literally got inside the structure of the tailwing

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<v Speaker 2>and it just bent it back. It bent the composite

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<v Speaker 2>material downward further and further until the sheer force of

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<v Speaker 2>the oncoming air snapped the piece completely off.

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<v Speaker 1>Okay, I understand how the piece fell off, But earlier

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<v Speaker 1>you said the main wings ripped off the fuselage. Wait,

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<v Speaker 1>the tail piece falls off, but the main wings rip off.

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<v Speaker 1>How does that work?

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<v Speaker 2>Yeah, So to understand the catastrophic chain reaction, you need

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<v Speaker 2>to know how a horizontal stabilizer functions. It operates essentially

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<v Speaker 2>like an upside down wing. While the main wings of

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<v Speaker 2>an airplane create lift to pull the plane up, the

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<v Speaker 2>horizontal statilizer creates downward aerodynamic pressure to push the tail down.

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<v Speaker 2>This acts as a counterbalance against the heavy engines and fuselage,

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<v Speaker 2>keeping the nose of the plane up and level.

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<v Speaker 1>So when that leading edge stepped.

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<v Speaker 2>Off, it instantly destroyed that downward pressure on the tail.

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<v Speaker 2>Without that aerodynamic counterbalance pushing down, the tail violently popped

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<v Speaker 2>up into the air. This forced the heavy nose of

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<v Speaker 2>the plane down into that unrecoverable negative five g dies.

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<v Speaker 2>Oh wow, And now to your question about the wings.

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<v Speaker 2>Commercial airframes are incredibly strong, but they're designed to handle

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<v Speaker 2>upward lift positive gs. They are meant to be supported

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<v Speaker 2>by the air underneath them. Right when the nose violently

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<v Speaker 2>pitched down, the entire aircraft was subjected to extreme downward

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<v Speaker 2>structural stress. It was never engineered to handle. The main

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<v Speaker 2>wing spars simply snapped upward as the fuselage was thrown

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<v Speaker 2>violently down. The plane literally disassembled itself in the sky.

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<v Speaker 1>So the physics explained the crash perfectly. A steep descent

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<v Speaker 1>created extreme drag, which caught a loose piece of composite,

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<v Speaker 1>which destroyed the counterbalance, which forced the plane into a

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<v Speaker 1>dive that tore the airframe apart exactly but airplane parts

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<v Speaker 1>don't just unscrew themselves. To find the true culprit, we

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<v Speaker 1>have to figure out who touched that tail last.

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<v Speaker 2>And this is where the investigation shifted from a mystery

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<v Speaker 2>of physics to a tragedy of human error. Investigators trace

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<v Speaker 2>the aircraft tailed number seven oh one back to a

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<v Speaker 2>maintenance hangar at the Houston Intercontinental Airport the night before

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<v Speaker 2>the crash.

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<v Speaker 1>What were they doing to it?

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<v Speaker 2>Well? In preparation for winter, the crew had a ten

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<v Speaker 2>hour overnight window to replace the rubber the ice boots

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<v Speaker 2>on both the left and right sides of the horizontal

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<v Speaker 2>stabilizer right.

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<v Speaker 1>These d ice boots are pneumatic rubber bladders on the

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<v Speaker 1>leading edges that inflate to break off ice during winter flights.

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<v Speaker 1>To replace them, mechanics have to completely remove the leading

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<v Speaker 1>edge to access the pneumatic lines, strip the old boot,

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<v Speaker 1>glue the new one on, and screw the whole heavy

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<v Speaker 1>assembly back onto the tail.

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<v Speaker 2>Doing both sides is a massive job for one night shift,

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<v Speaker 2>it really is, and they were heavily pressed for time.

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<v Speaker 2>The mechanics were struggling to remove stripped screws on the

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<v Speaker 2>bottom of the right side. This is where we meet

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<v Speaker 2>an inspector named Troy Anderson. Seeing that the mechanics were

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<v Speaker 2>falling behind, Anderson decided to climb up on a three

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<v Speaker 2>story man lift and help out by removing the top

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<v Speaker 2>screws on the left side of the tail.

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<v Speaker 1>Wait, hold on, I'm putting myself in their shoes if

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<v Speaker 1>they are behind schedule. Isn't teamwork a good thing? Like

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<v Speaker 1>why wouldn't you want an extra pair of hands to

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<v Speaker 1>help get a plane ready for the morning.

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<v Speaker 2>In a normal office. Yes, in aviation maintenance, it is

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<v Speaker 2>what we call the cardinal sin of structure. Really, oh yeah,

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<v Speaker 2>the entire philosophy of aviation safety relies on rigid redundancy.

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<v Speaker 2>You have one group, the mechanics, who are the doers

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<v Speaker 2>they preferm the physical labor. Then you have an entirely separate,

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<v Speaker 2>independent group, the inspectors, who are the checkers.

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<v Speaker 1>Ah I say, their sole.

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<v Speaker 2>Job is to verify that the work was done perfectly.

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<v Speaker 2>By picking up a screwdriver and doing the physical labor himself,

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<v Speaker 2>Anderson compromised his role. He could no longer be an

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<v Speaker 2>independent set of eyes on that section of the plane.

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<v Speaker 1>Because he stepped out of his designated role. This deadly

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<v Speaker 1>chain of unseen errors began. So step one, Anderson removes

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<v Speaker 1>the top screws on the left leading edge. He puts

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<v Speaker 1>them in a little bag about forty screws and just

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00:16:42.000 --> 00:16:44.720
<v Speaker 1>leaves that bag sitting on top of the elevated man

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<v Speaker 1>lift three stories up by the tail.

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<v Speaker 2>Then step two involves the paperwork. In aviation, if it

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<v Speaker 2>isn't documented, it didn't happen right. Mechanics are required to

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<v Speaker 2>fill out shift work cards detailing exactly what parts were removed,

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<v Speaker 2>so the next shift knows where to pick up. But

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<v Speaker 2>Anderson wasn't a mechanic, he was an inspector, so he

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<v Speaker 2>didn't do it. He figured he just took out a

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00:17:03.120 --> 00:17:05.319
<v Speaker 2>few screws to be helpful, and it wasn't worth the

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00:17:05.359 --> 00:17:09.319
<v Speaker 2>administrative hassle of filling out the labor cards, so he

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<v Speaker 2>documented absolutely nothing.

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<v Speaker 1>Then we hit step three, the shift change. It's ten

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<v Speaker 1>years zero pm, the evening shift is clocking out and

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<v Speaker 1>the midnight shift supervisor takes over. The mechanics realize they

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00:17:20.599 --> 00:17:22.559
<v Speaker 1>only have time to finish one side of the plane

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<v Speaker 1>before the morning flight schedule.

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<v Speaker 2>And this leads to the most critical tragic communication failure

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<v Speaker 2>of the night. The midnight shift supervisor asks the departing

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<v Speaker 2>evening shift, have you started on the left.

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<v Speaker 1>Side yet, And because the evening mechanics had only worked

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<v Speaker 1>on the bottom of the right side, and because Inspector

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<v Speaker 1>Anderson hadn't filled out any paperwork documenting that he had

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<v Speaker 1>removed the top screws on the left side, the evening

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<v Speaker 1>supervisor looks at him and says, no, we haven't touched

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<v Speaker 1>the left side.

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<v Speaker 2>Operating on that false information, the midnight shift makes a

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<v Speaker 2>fateful decision. They decide to forget the left side for

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<v Speaker 2>the night, finish with lacing the boot on the right side,

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<v Speaker 2>and get the plane out of the hangar.

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<v Speaker 1>So they spend all night working on the right side.

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00:18:05.200 --> 00:18:08.000
<v Speaker 1>They reattach it perfectly, and then the plane is rolled

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<v Speaker 1>out onto the tarmac for its morning flights. YEP sitting

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00:18:11.240 --> 00:18:13.759
<v Speaker 1>three stories up in the air, entirely out of sight

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<v Speaker 1>from anyone standing on the ground. The left leading edge

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<v Speaker 1>of the tail is resting in place, but it has

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00:18:18.640 --> 00:18:21.480
<v Speaker 1>absolutely no screws holding the top of it to the aircraft.

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<v Speaker 2>It held together just long enough for the slower flight

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<v Speaker 2>to Laredo, but the high speed descent back into Houston

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<v Speaker 2>was the breaking point.

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<v Speaker 1>It is genuinely hard to process this. It wasn't malice,

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00:18:31.920 --> 00:18:35.279
<v Speaker 1>wasn't sabotage. No mechanic woke up wanting to do a

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00:18:35.279 --> 00:18:35.920
<v Speaker 1>bad job.

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00:18:36.119 --> 00:18:36.599
<v Speaker 2>No not.

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00:18:36.839 --> 00:18:41.240
<v Speaker 1>It was a terrifying comedy of errors, a series of tiny,

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00:18:41.359 --> 00:18:45.480
<v Speaker 1>seemingly helpful shortcuts, and inspector deciding to lend a hand,

393
00:18:46.119 --> 00:18:48.920
<v Speaker 1>a worker deciding to skip a tedious form for taking

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00:18:48.920 --> 00:18:53.200
<v Speaker 1>out a few screws, of verbal miscommunication during a shift change.

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00:18:53.680 --> 00:18:57.640
<v Speaker 1>Those tiny, invisible choices doomed fourteen people, and.

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00:18:57.640 --> 00:19:01.319
<v Speaker 2>This crash became a massive watershed moment in aviation history.

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<v Speaker 2>When the NTSB released their final report, they did something unprecedented.

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00:19:06.279 --> 00:19:08.119
<v Speaker 2>For the first time ever. They didn't just point the

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00:19:08.160 --> 00:19:09.920
<v Speaker 2>finger at the mechanics on the hangar floor.

400
00:19:10.000 --> 00:19:10.839
<v Speaker 1>They looked higher up.

401
00:19:11.000 --> 00:19:14.000
<v Speaker 2>Yes, they placed a significant portion of the blame directly

402
00:19:14.039 --> 00:19:15.960
<v Speaker 2>on Continental Expresses corporate management.

403
00:19:16.079 --> 00:19:19.039
<v Speaker 1>The NTSB stated that leadership had fostered a maintenance culture

404
00:19:19.079 --> 00:19:22.880
<v Speaker 1>where cutting corners, rushing turnarounds, and skipping tedious paperwork was

405
00:19:22.920 --> 00:19:26.400
<v Speaker 1>normalized and accepted. Management had allowed a climate where the

406
00:19:26.480 --> 00:19:29.640
<v Speaker 1>rules were viewed as flexible guidelines rather than rigid laws.

407
00:19:30.000 --> 00:19:35.160
<v Speaker 2>This tragedy completely revolutionized airline maintenance. It forced the industry

408
00:19:35.200 --> 00:19:39.680
<v Speaker 2>to adopt strict computerized tracking systems for every single bolt

409
00:19:39.720 --> 00:19:42.000
<v Speaker 2>and screw removed from an aircraft.

410
00:19:41.680 --> 00:19:43.400
<v Speaker 1>Which is so necessary it is.

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00:19:43.759 --> 00:19:46.319
<v Speaker 2>It also birthed the modern speak up culture we see

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00:19:46.359 --> 00:19:49.839
<v Speaker 2>in high stakes industries today, where frontline workers are rigorously

413
00:19:49.880 --> 00:19:53.440
<v Speaker 2>trained and encouraged to question everything, to stop the line

414
00:19:53.440 --> 00:19:56.079
<v Speaker 2>if something doesn't feel right, and to never step outside

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00:19:56.279 --> 00:19:57.480
<v Speaker 2>their designated roles.

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00:19:57.839 --> 00:20:00.319
<v Speaker 1>So what does this all mean for you listening right now?

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00:20:01.240 --> 00:20:04.200
<v Speaker 1>We started this deep dive talking about a clear Texas

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00:20:04.200 --> 00:20:07.279
<v Speaker 1>morning where a perfectly good machine suddenly fell out of

419
00:20:07.279 --> 00:20:10.279
<v Speaker 1>the sky. We all have our own version of paperwork

420
00:20:10.319 --> 00:20:13.960
<v Speaker 1>in our jobs. The tedious administrative steps, the sign offs,

421
00:20:14.000 --> 00:20:16.240
<v Speaker 1>the ship change notes that we assume don't really matter

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00:20:16.240 --> 00:20:18.839
<v Speaker 1>in the grand scheme of things. But flight two five

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00:20:18.960 --> 00:20:22.599
<v Speaker 1>seventy four proves that in any complex system, the most mundane,

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00:20:22.799 --> 00:20:25.599
<v Speaker 1>invisible skip step can be the very thing that brings

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00:20:25.640 --> 00:20:29.480
<v Speaker 1>the whole structure crashing down. The paperwork isn't just bureaucracy.

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00:20:29.519 --> 00:20:33.279
<v Speaker 1>Sometimes it is the unseen load bearing wall holding everything together.

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00:20:33.680 --> 00:20:37.000
<v Speaker 2>There's a concept in engineering called the normalization of deviance.

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00:20:37.799 --> 00:20:40.039
<v Speaker 2>When we break a rule or skip a step and

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<v Speaker 2>nothing bad happens, we start to think the rule is pointless,

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<v Speaker 2>we do it again and again.

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<v Speaker 1>Yeah, it becomes a habit exactly.

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<v Speaker 2>But you aren't proving the rule wrong. You are just

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<v Speaker 2>slowly removing layers of safety until the holes finally line up.

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<v Speaker 1>The Next time you're attempted to skip a routine step

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<v Speaker 1>because you already did the work, or you'd just want

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<v Speaker 1>to lend a hand, ask yourself who else is depending

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<v Speaker 1>on that paper trail? What invisible load bearing wall are

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<v Speaker 1>you removing? Keep questioning the systems around you. Thanks for

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<v Speaker 1>joining us on this deep dive
