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<v Speaker 1>So I want you to picture a pitch black night

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<v Speaker 1>in October. The year is nineteen ninety six. You're standing

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<v Speaker 1>right on the tarmac at Jorge Hwavez International Airport in Lima, Peru.

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<v Speaker 1>The air is really heavy, and there's just this dark

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<v Speaker 1>expanse of the Pacific Ocean waiting just beyond the end

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<v Speaker 1>of the runway.

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<v Speaker 2>Right. It's a very atmospheric scene.

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<v Speaker 1>Yeah, And roaring down that tarmac is Aero Peru flight

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<v Speaker 1>six oh three. It's a state of the art, seventy

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<v Speaker 1>five million dollars Boeing seven five seven, and it's bound

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<v Speaker 1>for Santiago, Chili. Inside the cabin, you know, you've got

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<v Speaker 1>sixty one passengers and nine crew members just settling into

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<v Speaker 1>their seats, listening to that familiar hum of the jet engines.

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<v Speaker 2>Just a totally normal flight.

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<v Speaker 1>For them, exactly. But they are completely unaware that before

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<v Speaker 1>the wheels even lifted off the pavement, a catastrophic, literal

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<v Speaker 1>two cent mistake had already doomed their.

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<v Speaker 2>Flight, which is just a chilling thing to visualize, because

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<v Speaker 2>you know, what we're about to look at here isn't

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<v Speaker 2>a mechanical failure in the traditional sense of the word.

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<v Speaker 2>It's really the beginning of this agonizing thirty minute battle

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<v Speaker 2>between man and machine. We're looking at a scenario where

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<v Speaker 2>a highly advanced computer system, which was designed explicitly to

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<v Speaker 2>keep humans safe, suddenly just turns against its crew in

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<v Speaker 2>the total darkness of night.

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<v Speaker 1>Yeah, and in this deep dive, we are stepping directly

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<v Speaker 1>into the shoes of aviation accident investigators. We're going to

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<v Speaker 1>meticulously reconstruct those horrific thirty minutes, decode the cockpit voice recorders,

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<v Speaker 1>and unravel the whole chain of human errors that caused

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<v Speaker 1>a perfectly fliable, entirely physically intact aircraft to plunge into

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<v Speaker 1>the ocean. So, okay, let's unpack this.

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<v Speaker 2>To really understand how things deteriorated so quickly, we have

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<v Speaker 2>to look at who was actually at the controls that night. Okay,

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<v Speaker 2>Aero PERU six oh three was in the hands of

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<v Speaker 2>two of the airline's absolute best pilots. You had Captain

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<v Speaker 2>Eric Schreiber, who was fifty eight years old, and first

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<v Speaker 2>Officer David Fernandez, who was forty two. These were heavily

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<v Speaker 2>seasoned veterans, right, they knew what they were doing absolutely,

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<v Speaker 2>and they were flying a relatively new four year old

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<v Speaker 2>Boeing seven fifty seven. I mean, this was the dawn

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<v Speaker 2>of the new generation of computer controlled glass cockpit aircraft.

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<v Speaker 2>Pilots were specifically trained to rely heavily on this central

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<v Speaker 2>data system to reduce both mechanical and human errors.

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<v Speaker 1>Yeah, and you can see that confidence. I mean, they

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<v Speaker 1>go through their pre flight checklists and the captain even

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<v Speaker 1>makes a joke on the voice recorder about their precision.

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<v Speaker 1>He says something like not even Swiss, you know, joking

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<v Speaker 1>about how on time they are. And the takeoff roll

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<v Speaker 1>is just absolutely flawless. They hit their speeds, they rotate,

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<v Speaker 1>lift off, the landing gear comes up smoothly. But then

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<v Speaker 1>almost immediately the nightmare begins. The ltimeters, which are the

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<v Speaker 1>primary altitude instruments on their screens, they are inexplicably stuck

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<v Speaker 1>at zero like they are climbing up, but the plane

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<v Speaker 1>says they are still.

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<v Speaker 2>On the ground, which is terrifying.

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<v Speaker 1>It is, so, before we get into the ensuing panic,

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<v Speaker 1>can you just explain the mechanics here, like, how does

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<v Speaker 1>a modern jet actually know how high up it is?

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<v Speaker 2>Well, it's a great question, and it's completely fundamental to

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<v Speaker 2>this entire tragedy. Aircraft determine altitude and speed using something

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<v Speaker 2>called the pittastatic system. Okaystatic, Yeah, simply put, these are

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<v Speaker 2>small external sensors located on the outside of the fuselage.

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<v Speaker 2>You have static ports, which are basically just small flush

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<v Speaker 2>holes on the side of the plane that measure ambient

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<v Speaker 2>outside air pressure.

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<v Speaker 1>Got it.

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<v Speaker 2>As a plane climbs higher into the atmosphere, obviously, the

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<v Speaker 2>air gets thinner and the pressure drops. The altimeter measures

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<v Speaker 2>that drop in pressure and basically translates it into altitude

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<v Speaker 2>on the screen.

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<v Speaker 1>So if the altimeters are stuck in zero, that means

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<v Speaker 1>those static chords aren't sensing any change in outside air

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<v Speaker 1>pressure at all. Yeah, the computer basically thinks they're still

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<v Speaker 1>just sitting on the runway at sea level exactly.

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<v Speaker 2>But it doesn't stop with the altitude. The air speed

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<v Speaker 2>indicators also start to fail on them. Yeah, because air

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<v Speaker 2>speed is measured by the pit to tubes. These are

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<v Speaker 2>little forward facing probes that stick out and catch the

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<v Speaker 2>ram air as we call it. As the plane flies forward,

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<v Speaker 2>the computer compares that high pressure ram air entering the

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<v Speaker 2>front of the pit to tube with the ambient still

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<v Speaker 2>air from the static port.

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<v Speaker 1>So it's using the difference between the two to figure.

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<v Speaker 2>Out the speed right exactly. The difference between those two

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<v Speaker 2>pressures tells the plane exactly how fast it's moving through

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<v Speaker 2>the air. But at the static port is compromised, your

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<v Speaker 2>air speed calculations are completely corrupted to wow.

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<v Speaker 1>So they are climbing out over the dark Pacific Ocean.

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<v Speaker 1>There are no city lights reflecting below them, there is

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<v Speaker 1>no visible horizon ahead of them, and they have zero

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<v Speaker 1>accurate data on how high they are or how fast

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<v Speaker 1>they're going. I mean, they are flying entirely blind.

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<v Speaker 2>They are. And that's when the plane's central flight computers,

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<v Speaker 2>sensing that the aerodyamic physics aren't making any sense anymore,

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<v Speaker 2>begin to flood the pitch black cockpit with alarm, just

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<v Speaker 2>a wall of noise, a literal wall of noise. First,

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<v Speaker 2>they get a rudder ratio warning, which triggers an amber

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<v Speaker 2>light and a really loud horn. The rudder steers the

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<v Speaker 2>plane left and right, and normally the system restricts how

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<v Speaker 2>much the rudder can physically move as the plane goes faster,

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<v Speaker 2>just so a sudden pilot input doesn't snap the tail

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<v Speaker 2>off right.

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<v Speaker 1>That makes sense, but.

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<v Speaker 2>Because the computer has no idea how fast the plane

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<v Speaker 2>is flying, it just throws a fault warning, and next

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<v Speaker 2>the autopilot simply gives up and disconnects entirely.

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<v Speaker 1>I actually noticed in the accident reports that right after

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<v Speaker 1>the autopilot disconnects they get something called a mock trim warning.

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<v Speaker 1>What on earth is mock trim?

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<v Speaker 2>So when a heavy jet flies at very high speeds,

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<v Speaker 2>like approaching the speed of sound, the aerodynamic center of

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<v Speaker 2>lift on the wing physically moves backward. This causes the

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<v Speaker 2>nose of the aircraft to pitch down heavily, which is

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<v Speaker 2>something called mock tuck. The mock trim system automatically adjusts

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<v Speaker 2>the elevators on the tail to keep the nose level

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<v Speaker 2>at those high speeds.

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<v Speaker 1>But I'm guessing it needs the speed data to do that.

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<v Speaker 2>Exactly, to do that, the computer needs to know your speed.

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<v Speaker 2>Without speed data, the system fails, triggering a master caution

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<v Speaker 2>and a master warning. So now they have blaring red

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<v Speaker 2>lights and another loud oral alarm.

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<v Speaker 1>It's just a relentless cask of noise. Like, let's put

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<v Speaker 1>ourselves in that cockpit for a second and think about

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<v Speaker 1>the psychological terror of this. Imagine you are driving down

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<v Speaker 1>a pitch black, winding Mountain Highway at night, you can't

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<v Speaker 1>see out the windows. Suddenly your speometer starts violently fluctuating

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<v Speaker 1>from zero to one hundred and twenty miles per hour.

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<v Speaker 1>Your GPS map just starts spinning in rapid circles, and

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<v Speaker 1>your car's central computers starts screaming in audio alarm that

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<v Speaker 1>you are somehow simultaneously driving in reverse and accelerating into

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<v Speaker 1>a wall.

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<v Speaker 2>That is a perfect analogy.

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<v Speaker 1>It's just entirely disorienting, Like without visual references outside, your

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<v Speaker 1>brain just cannot process what the machine is telling you.

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<v Speaker 2>That analogy perfectly captures the psychological overload they were experiencing.

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<v Speaker 2>The plane's computer was generating all these cryptic advisories which

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<v Speaker 2>were designed to help, but because the foundational data that

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<v Speaker 2>static air pressure was corrupt, the warnings just created a

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<v Speaker 2>terrifying maze of confusion.

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<v Speaker 1>Yea.

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<v Speaker 2>And what's truly tragic here is that despite all of

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<v Speaker 2>this electronic screaming, the physical aircraft was perfectly fine. Captain

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<v Speaker 2>Schreiber could have kept that plane aloft for hours, but

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<v Speaker 2>very sensibly he decided to turn back to Lima first.

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<v Speaker 2>After Fernandez gets on the radio and immediately declares an emergency.

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<v Speaker 1>Right, They tell the air traffic controller in Lima they

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<v Speaker 1>have no basic instruments. They desperately ask for help. They

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<v Speaker 1>essentially ask the tower to tell them their speed and

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<v Speaker 1>their altitude from the ground radar. And here's where a

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<v Speaker 1>momentary sense of relief kind of washes over the cockpit

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<v Speaker 1>because the tower comes back and confidently reports that the

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<v Speaker 1>plane is climbing.

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<v Speaker 2>Yeah, a huge sigh of relief for them.

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<v Speaker 1>Exactly. The controller says they are at four thousand feet,

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<v Speaker 1>then six thousand, and eventually the tower confirms they are

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<v Speaker 1>maintaining a safe altitude of nine thousand, seven hundred feet.

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<v Speaker 1>So the pilots are reassured. They think, okay, our screens

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<v Speaker 1>are broken, but the tower has eyes on us.

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<v Speaker 2>But this is where the technical reality of the situation

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<v Speaker 2>turns a crisis into a fatal trap. The air traffic

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<v Speaker 2>controller genuinely believe he was helping them, but you have

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<v Speaker 2>to really understand how air traffic control radar actually works.

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<v Speaker 1>Okay, break that down for us.

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<v Speaker 2>His radar screen was not calculating the plane's true altitude

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<v Speaker 2>independently by say, bouncing a radio wave off the metal

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<v Speaker 2>hull of the Boeing. That would be called primary radar.

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<v Speaker 2>In commercial aviation, controllers rely heavily on secondary surveillance radar,

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<v Speaker 2>which basically interrogates the aircraft's transponder.

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<v Speaker 1>Wait, man, are you saying the transponder gets its data

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<v Speaker 1>from the plane's own computer.

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<v Speaker 2>I am.

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<v Speaker 1>So the broken aircraft was lying to the pilots, lying

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<v Speaker 1>to the transponder, beaming that lied down to the tower,

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<v Speaker 1>and then the tower was just echoing that exact same

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<v Speaker 1>lie back up to the cockpit as if it were

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<v Speaker 1>a confirmed fact.

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<v Speaker 2>That is precisely what happened. The plane's erratic air data

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<v Speaker 2>computer was sending junk altitude readings down to the radar

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<v Speaker 2>unit in LIMA, and the controller was just reading those

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<v Speaker 2>exact same junk numbers back to the crew.

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<v Speaker 1>Wow. That is an absolutely devastating design flaw. I mean,

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<v Speaker 1>it's like a doctor asking a delirious, hallucinating patient what

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<v Speaker 1>their heart rate is, writing it down, and then reassuring

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<v Speaker 1>the patient that their vitals are perfectly fine because the

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<v Speaker 1>chart says so, all without ever actually checking a real monitor.

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<v Speaker 2>That is a brilliant way to put it. Honestly, it

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<v Speaker 2>highlights a really critical mental model we use in systems engineering,

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<v Speaker 2>which is false redundancy.

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<v Speaker 1>False redundancy.

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<v Speaker 2>Yeah, a redundant safety system is only as strong as

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<v Speaker 2>its independent data sources. If two systems are relying on

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<v Speaker 2>the exact same corrupted data stream, you don't have redundancy

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<v Speaker 2>at all. You just have an echo chamber. The pilots

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<v Speaker 2>thought they had an independent lifeline, but they were actually

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<v Speaker 2>just being poisoned by their own corrupted.

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<v Speaker 1>Data and that false sense of security really sets the

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<v Speaker 1>stage for the most contradictory, totally impossible moments of the

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<v Speaker 1>entire flight, because while the tower is telling them they

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<v Speaker 1>are safe at nearly ten thousand feet, the plane's computer

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<v Speaker 1>just completely loses its mind.

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<v Speaker 2>Right, we reach a point where the pilots are trying

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<v Speaker 2>to manage their descent back to Lima, but the airspeed

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<v Speaker 2>indicator on the captain's screen suddenly plummets to zero, and

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<v Speaker 2>then it races all the way up to over three

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<v Speaker 2>hundred and fifty knots. They get a really loud over speed.

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<v Speaker 1>Warning, and overspeed means what exactly it means?

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<v Speaker 2>The computer thinks the plane is flying so incredibly fast

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<v Speaker 2>that the aerodynamic forces will literally rip the wings off

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<v Speaker 2>the aircraft in midair.

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<v Speaker 1>Okay, so their natural reaction is to throw on the

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<v Speaker 1>speed brakes, trying to slow this massive jet down. But

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<v Speaker 1>almost immediately, while that overspeed alarm is still blaring in

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<v Speaker 1>their ears, they get a stall warning. The computers now

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<v Speaker 1>saying they're falling out of the.

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<v Speaker 2>Sky, completely conflicting information.

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<v Speaker 1>Yeah, before we get to the pilot's reaction, I just

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<v Speaker 1>want to clarify something for our listeners who might just

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<v Speaker 1>think of a stall as like, you know, a car

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<v Speaker 1>engine dying. Can you explain the actual aerodynamics of an

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<v Speaker 1>aviation stall, like what is mechanically happening to the wing?

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<v Speaker 2>Absolutely, an aerodynamic stall has absolutely nothing to do with

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<v Speaker 2>the jet engines. It's all about the angle of attack,

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<v Speaker 2>which is the angle at which the wing meets the

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<v Speaker 2>oncoming air. Okay, So, for a wing to generate lift,

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<v Speaker 2>air has to flow smoothly over the curved top surface.

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<v Speaker 2>If the plane flies too slow or if the no

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<v Speaker 2>is pitched up way too high, that smooth airflow basically

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<v Speaker 2>detaches from the wing. It becomes turbulent. When that boundary

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<v Speaker 2>layer of air separates, the wing instantly loses its lift

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<v Speaker 2>and gravity just takes over. The plane literally drops out

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<v Speaker 2>of the sky. When this happens, it triggers a stick shaker.

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<v Speaker 2>The pilot's control column begins vibrating violently, just aggressively shaking

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<v Speaker 2>their hands to physically warn them that the wings are failing.

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<v Speaker 1>So we have an overspeed warning screaming that they are

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<v Speaker 1>flying too fast, and a violent stick shaker vibrating their

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<v Speaker 1>arms to the bone saying they are flying too slow

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<v Speaker 1>at the exact same second. Yes, how is that even

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<v Speaker 1>physically possible? I know you said the sensors are broken,

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<v Speaker 1>but how does the computer calculate two extreme opposites at once.

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<v Speaker 2>This goes back to the physics of that trapped air

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<v Speaker 2>we discussed earlier. Remember, the static port was somehow sealed

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<v Speaker 2>at sea level, so it trapped thick, dense, high pressure

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<v Speaker 2>air inside the system. Okay, as the plane climbed up

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<v Speaker 2>to what it thought was ten thousand feet, the outside

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<v Speaker 2>air actually became very thin and low pressure, but the

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<v Speaker 2>static port couldn't sense it. So the airspeed computer is

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<v Speaker 2>looking at the dynamic PTO tube which is bringing in

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<v Speaker 2>real thin air from the sky and comparing it against

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<v Speaker 2>that trapped, thick sea level air in the static port.

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<v Speaker 2>Oh easy, because of that massive artificial pressure differential, the

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<v Speaker 2>computer miscalculates and decides that the plane must be flying

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<v Speaker 2>at supersonic speeds, hence the overspeed alarm.

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<v Speaker 1>But the plan wasn't actually flying that fast.

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<v Speaker 2>No, it wasn't at all. In fact, because the pilots

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<v Speaker 2>were terrified of tearing the plane apart from the overspeed warning,

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<v Speaker 2>they pulled back the throttles and deployed the speed brakes.

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<v Speaker 2>They slowed the plane down so much that the wings

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<v Speaker 2>genuinely did lose lift. Wow, the actual physical wings began

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<v Speaker 2>to stall. So the air speed computer, totally blind by

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<v Speaker 2>the trapped air, was screaming overspeed, while the aerodynamic sensors

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<v Speaker 2>on the wings, which were working perfectly fine, felt the

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<v Speaker 2>loss of lift and triggered the stick shaker.

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<v Speaker 1>It is an im possible paradox, like, if you speed

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<v Speaker 1>up to fix the stall, you think you'll tear the

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<v Speaker 1>plane apart. If you slow down to fix the overspeed,

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<v Speaker 1>you drop into the ocean. And amid this absolute coffeity,

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<v Speaker 1>I mean the amber lights, the red lights, the horns,

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<v Speaker 1>the stick shaker, another voice suddenly cuts through the cockpit,

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<v Speaker 1>the ground proximity warning system, A very calm, automated voice

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<v Speaker 1>just says too low terrain and This.

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<v Speaker 2>Is the great heartbreaking irony of Flight six oh three.

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<v Speaker 2>Out of all the bells and whistles going off that night,

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<v Speaker 2>the ground proximity warning was the only accurate alarm in

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<v Speaker 2>the entire.

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<v Speaker 1>Cockpit, which is just awful to think about.

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<v Speaker 2>It is because it uses an independent radio altimeter that

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<v Speaker 2>bounces a beam directly down at the ground. It was

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<v Speaker 2>sensing their actual physical rate of descent.

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<v Speaker 1>Toward the water, but they didn't believe it.

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<v Speaker 2>How could they? I mean, they had been battered by

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<v Speaker 2>false data and severe alarm fatigue for twenty five minutes,

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<v Speaker 2>and tragically the air traffic controller had just reassured them

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<v Speaker 2>again when the ground proximity alarm goes off. Captain Schreiber

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<v Speaker 2>even asks the tower where you know? Are you sure

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<v Speaker 2>you have us on radar? And the tower replies, yes,

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<v Speaker 2>we have you. You are maintaining nine seven hundred feet.

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<v Speaker 1>So they ignore the one machine telling them the truth.

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<v Speaker 1>They just keep trying to fly the plane, trying to

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<v Speaker 1>intercept an instrument landing signal, just trying to make sense

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<v Speaker 1>of the absolute madness. The chilling climax comes when they

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<v Speaker 1>ask the tower, what do we do with the landing gear?

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<v Speaker 1>And in that split second the realization hits them. You

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<v Speaker 1>could hear the impact on the voice recorder. The left

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<v Speaker 1>wing violently clips the water. The aircraft flips, it cartwheels

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<v Speaker 1>and sinks into the dark Pacific, taking all seventy lives

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<v Speaker 1>with it.

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<v Speaker 2>It is a truly devastating end to a very heroic struggle.

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<v Speaker 2>They fought that plane all the way down to the water.

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<v Speaker 2>But you know, when a plane crash is intact into

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<v Speaker 2>the ocean, it becomes a ghost ship. For the investigators,

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<v Speaker 2>the task is incredibly daunting. You basically have to reverse

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00:14:48.679 --> 00:14:51.360
<v Speaker 2>engineer the physical city of the aircraft solely from the

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00:14:51.440 --> 00:14:53.559
<v Speaker 2>digital screams left on the black boxes.

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<v Speaker 1>Right, which brings us to Guido Fernandez. He had just

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<v Speaker 1>been appointed Peru's lead accident investment instigator, and the very

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00:15:01.279 --> 00:15:03.200
<v Speaker 1>first call he gets at four point thirty in the

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00:15:03.240 --> 00:15:06.919
<v Speaker 1>morning is about aero PERU six ZH three. But this

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00:15:07.080 --> 00:15:10.600
<v Speaker 1>wasn't just his first case. The co pilot, David Fernandez,

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<v Speaker 1>was his own nephew.

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<v Speaker 2>You really have to admire his stoicism. Here he flies

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00:15:15.559 --> 00:15:17.679
<v Speaker 2>out to the crash site in a Navy helicopter. He

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00:15:17.720 --> 00:15:19.799
<v Speaker 2>meets with the air traffic controller whose account of the

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00:15:19.799 --> 00:15:23.279
<v Speaker 2>plane's altitude is just baffling to him. Recognizing the massive

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00:15:23.279 --> 00:15:26.799
<v Speaker 2>conflict of interest and the sheer technical complexity, Fernandez calls

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00:15:26.799 --> 00:15:29.600
<v Speaker 2>in the National Transportation Safety Board from the United States,

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00:15:29.840 --> 00:15:32.480
<v Speaker 2>bringing in an investigator named Richard Rodriguez.

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00:15:32.799 --> 00:15:36.320
<v Speaker 1>Yeah, and Rodriguez actually suggested that Fernandez step down because

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00:15:36.320 --> 00:15:40.480
<v Speaker 1>of the emotional conflict, but Fernandez refused. He stayed completely

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00:15:40.519 --> 00:15:43.799
<v Speaker 1>objective through the whole thing. So together they start looking

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00:15:43.799 --> 00:15:47.480
<v Speaker 1>at the evidence. The Peruvia Navy finds the wreckage and

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00:15:47.519 --> 00:15:51.399
<v Speaker 1>the debris field is very tight. Why is that specific

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00:15:51.440 --> 00:15:52.600
<v Speaker 1>detail so important?

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00:15:52.799 --> 00:15:55.720
<v Speaker 2>A tight debris field is a crucial piece of forensic evidence.

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00:15:56.159 --> 00:15:58.559
<v Speaker 2>If a plane breaks up in mid air, say from

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00:15:58.600 --> 00:16:01.240
<v Speaker 2>an explosion or from an act will overspeed that tears

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00:16:01.240 --> 00:16:04.799
<v Speaker 2>the wings off, the debris is scattered over miles of ocean.

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00:16:05.480 --> 00:16:08.440
<v Speaker 2>A tight concentrated debris field proves the seven to fifty

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00:16:08.440 --> 00:16:11.759
<v Speaker 2>seven hit the water entirely intact at a high speed.

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00:16:12.440 --> 00:16:15.519
<v Speaker 2>They were flying a perfectly healthy airplane right into the ocean.

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00:16:15.840 --> 00:16:18.279
<v Speaker 1>So the US Navy brings in these remote operated underwater

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00:16:18.360 --> 00:16:20.799
<v Speaker 1>vehicles to find the black boxes. They pulled the flight

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00:16:20.879 --> 00:16:23.320
<v Speaker 1>data and cockpit voice recorders from the ocean floor, and

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00:16:23.360 --> 00:16:25.840
<v Speaker 1>they immediately dropped them into coolers full of fresh water

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00:16:26.320 --> 00:16:29.279
<v Speaker 1>just to stop the corrosive salt water from destroying magnetic tapes.

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00:16:29.399 --> 00:16:30.320
<v Speaker 2>A very smart move.

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00:16:30.600 --> 00:16:34.799
<v Speaker 1>Yeah. Back in Washington, the NTSB digitizes the faint audio

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00:16:35.480 --> 00:16:39.399
<v Speaker 1>revealing the sheer, overwhelming chaos of the alarms, but the

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00:16:39.480 --> 00:16:42.080
<v Speaker 1>voice recorder really only tells them how the pilots reacted.

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00:16:42.440 --> 00:16:44.559
<v Speaker 1>The flight data recorder is what actually solves the.

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00:16:44.519 --> 00:16:47.600
<v Speaker 2>Mystery, precisely because when the NTSB looked at the data

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00:16:47.639 --> 00:16:50.039
<v Speaker 2>points on the graph for the flight, everything was chaotic,

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00:16:50.200 --> 00:16:53.360
<v Speaker 2>the air speed wildly swinging the pitch and roll all

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00:16:53.360 --> 00:16:56.600
<v Speaker 2>over the place, but the data line for static air

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00:16:56.639 --> 00:17:01.000
<v Speaker 2>pressure was perfectly flat, perfectly flat, from the moment the

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00:17:01.039 --> 00:17:03.600
<v Speaker 2>plane sat at the gate and lima to the moment

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00:17:03.679 --> 00:17:06.640
<v Speaker 2>it hit the water. The static pressure never changed a

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00:17:06.720 --> 00:17:10.240
<v Speaker 2>single millibar. It was just a straight horizontal line. The

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00:17:10.279 --> 00:17:13.599
<v Speaker 2>investigators knew immediately the static ports were sealed.

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<v Speaker 1>Here's where it gets really interesting, because of that flatline

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00:17:16.480 --> 00:17:18.519
<v Speaker 1>on the graph, they know exactly what to look for,

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00:17:18.559 --> 00:17:21.279
<v Speaker 1>so they send the underwater robots back down scanning this

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00:17:21.319 --> 00:17:25.400
<v Speaker 1>submerged wreckage specifically for those static ports, and they find it.

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00:17:25.920 --> 00:17:29.000
<v Speaker 1>Captain Schreiber's static port was completely sealed over with a

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<v Speaker 1>piece of standards silver duct tape.

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00:17:30.839 --> 00:17:33.119
<v Speaker 2>A single piece of tape on a seventy five million

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00:17:33.160 --> 00:17:33.920
<v Speaker 2>dollar machine.

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<v Speaker 1>It's unbelievable, like, how does that even happen? As you

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00:17:36.920 --> 00:17:39.880
<v Speaker 1>dig into the NTSP reports, you see it's a textbook

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00:17:39.920 --> 00:17:42.839
<v Speaker 1>example of the Swiss cheese model of failure, where the

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00:17:42.880 --> 00:17:47.559
<v Speaker 1>holes in multiple layers of defense just perfectly align. Right

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00:17:48.359 --> 00:17:51.200
<v Speaker 1>before the flight, a maintenance worker was cleaning the outside

362
00:17:51.200 --> 00:17:54.759
<v Speaker 1>of the plane. Standard procedures to cover the static ports

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00:17:54.880 --> 00:17:57.200
<v Speaker 1>so you don't get high pressure water or cleaning fluid

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00:17:57.519 --> 00:18:02.000
<v Speaker 1>inside those sensitive tubes, taped them over, but he forgot

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00:18:02.000 --> 00:18:03.480
<v Speaker 1>to take the tape off when he was done.

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<v Speaker 2>That's the first hole in the cheese. Then the quality

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00:18:06.559 --> 00:18:08.599
<v Speaker 2>inspector who was supposed to sign off on his work

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00:18:08.640 --> 00:18:12.559
<v Speaker 2>simply didn't check it. Hole number two. The maintenance supervisor

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00:18:12.599 --> 00:18:15.680
<v Speaker 2>for that shift actually called in sick, and his replacement

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<v Speaker 2>didn't notice the tape either. So there's hole number three.

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<v Speaker 1>And finally whole number four. Captain Schreiber himself. Before every

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00:18:22.640 --> 00:18:25.640
<v Speaker 1>single flight, the pilot does a mandatory walk around to

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00:18:25.720 --> 00:18:29.599
<v Speaker 1>the aircraft to visually inspect it. But remember the context here.

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<v Speaker 1>It was late at night. The static port on a

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<v Speaker 1>Boeing seven fifty seven is fifteen to seventeen feet up

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<v Speaker 1>in the air.

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<v Speaker 2>That's high up.

378
00:18:35.640 --> 00:18:37.839
<v Speaker 1>Yeah, and the worker had used standard silver duct tape

379
00:18:37.839 --> 00:18:41.240
<v Speaker 1>which blended perfectly with the silver metallic fuselage of the

380
00:18:41.279 --> 00:18:44.880
<v Speaker 1>aero Peru jet. Schreiber stood on the dark tarmac with

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00:18:44.920 --> 00:18:47.640
<v Speaker 1>a flashlight, looked up and he simply missed it.

382
00:18:47.799 --> 00:18:50.279
<v Speaker 2>And when the plane took off, it carried that trapped

383
00:18:50.519 --> 00:18:53.839
<v Speaker 2>sea level air pressure inside those taped overports, setting off

384
00:18:53.839 --> 00:18:56.400
<v Speaker 2>the entire deadly chain reaction. We just discussed.

385
00:18:56.519 --> 00:18:59.680
<v Speaker 1>It's staggering, but as we look at the source material,

386
00:18:59.720 --> 00:19:03.640
<v Speaker 1>there's a detail that is just incredibly frustrating. This exact

387
00:19:03.640 --> 00:19:07.440
<v Speaker 1>scenario had happened before. Just eight months prior, in February

388
00:19:07.519 --> 00:19:11.839
<v Speaker 1>nineteen ninety six, a German charter flight called Burgeonaire crashed

389
00:19:11.880 --> 00:19:16.480
<v Speaker 1>in the Dominican Republic. One hundred and eighty nine people died. Wow,

390
00:19:16.799 --> 00:19:18.519
<v Speaker 1>it was a Boeing seven to fifty seven, It was

391
00:19:18.559 --> 00:19:21.039
<v Speaker 1>at night, and it was caused by a block Pittow

392
00:19:21.079 --> 00:19:24.400
<v Speaker 1>tube that triggered the exact same contradictory the rhetor ratio

393
00:19:24.400 --> 00:19:26.519
<v Speaker 1>of the max trim, the overspeed, the stall warning.

394
00:19:26.640 --> 00:19:28.720
<v Speaker 2>It was essentially a dress rehearsal for the Ara Peru

395
00:19:28.799 --> 00:19:30.279
<v Speaker 2>disaster exactly.

396
00:19:30.559 --> 00:19:32.799
<v Speaker 1>So if you were sitting there listening to this, you're

397
00:19:32.839 --> 00:19:36.079
<v Speaker 1>probably screaming the same question I am. If this exact

398
00:19:36.119 --> 00:19:39.680
<v Speaker 1>scenario just killed one hundred and eighty nine people, how

399
00:19:39.720 --> 00:19:43.079
<v Speaker 1>on earth did the Aero Peru crew not know about it?

400
00:19:43.559 --> 00:19:47.200
<v Speaker 1>How were they not trained to recognize this specific pattern

401
00:19:47.240 --> 00:19:47.839
<v Speaker 1>of alarms?

402
00:19:48.000 --> 00:19:51.839
<v Speaker 2>Well, that highlights a really tragic systemic failure in aviation

403
00:19:51.920 --> 00:19:54.640
<v Speaker 2>communications at the time. You'd have to remember airlines back

404
00:19:54.640 --> 00:19:58.559
<v Speaker 2>in the nineties were fierce siloed competitors. There wasn't this

405
00:19:58.759 --> 00:20:02.279
<v Speaker 2>high level of share to open source safety information that

406
00:20:02.319 --> 00:20:03.720
<v Speaker 2>we've come to expect today.

407
00:20:03.799 --> 00:20:05.319
<v Speaker 1>Right, They kept things close to the chest.

408
00:20:05.519 --> 00:20:08.880
<v Speaker 2>Yeah, three months after the Burgeon air crash, Boeing did

409
00:20:08.960 --> 00:20:12.960
<v Speaker 2>issue safety bulletins to airline carriers about these pittastatic problems.

410
00:20:13.599 --> 00:20:16.759
<v Speaker 2>But the urgent warnings about how confusing these cryptic advisories

411
00:20:16.799 --> 00:20:19.480
<v Speaker 2>could be, well, they simply hadn't trickled down to the

412
00:20:19.519 --> 00:20:21.400
<v Speaker 2>training departments at Aero Peru yet.

413
00:20:21.759 --> 00:20:25.039
<v Speaker 1>And because of that lack of communication, the families of

414
00:20:25.079 --> 00:20:28.920
<v Speaker 1>the Aero Peru victims were just left demanding answers. A

415
00:20:28.960 --> 00:20:31.200
<v Speaker 1>Miami lawyer took on the case on behalf of forty

416
00:20:31.200 --> 00:20:34.400
<v Speaker 1>one of the passengers and crew, and the legal argument

417
00:20:34.440 --> 00:20:37.759
<v Speaker 1>they used against Boeing is actually fascinating. They used a

418
00:20:37.799 --> 00:20:39.880
<v Speaker 1>concept called foreseeable misuse.

419
00:20:40.039 --> 00:20:43.279
<v Speaker 2>It's a very powerful legal concept and product design. The

420
00:20:43.400 --> 00:20:46.680
<v Speaker 2>argument is essentially this, if you build an airplane that

421
00:20:46.759 --> 00:20:50.599
<v Speaker 2>requires its highly sensitive mission critical sensors to be covered

422
00:20:50.640 --> 00:20:54.440
<v Speaker 2>with tape just to wash the airplane, you as the manufacturer,

423
00:20:54.559 --> 00:20:57.680
<v Speaker 2>must foresee that eventually a human being is going to

424
00:20:57.759 --> 00:20:59.079
<v Speaker 2>forget to take that tape off.

425
00:20:59.160 --> 00:21:00.000
<v Speaker 1>Right, it's bound to have.

426
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<v Speaker 2>Exactly if a simple, entirely predictable human error can bring

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00:21:04.240 --> 00:21:07.200
<v Speaker 2>down a jet and kill seventy people, the system design

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00:21:07.240 --> 00:21:10.599
<v Speaker 2>itself is fundamentally flawed. You just cannot design a system

429
00:21:10.799 --> 00:21:12.240
<v Speaker 2>that requires human perfection.

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00:21:12.599 --> 00:21:14.720
<v Speaker 1>But while Boeing and the lawyers were fighting that out

431
00:21:14.720 --> 00:21:17.960
<v Speaker 1>in civil court, the Peruvian justice system found a much

432
00:21:18.000 --> 00:21:22.000
<v Speaker 1>simpler scapegoat that two dollars an hour maintenance worker, the

433
00:21:22.000 --> 00:21:24.400
<v Speaker 1>guy who stuck the tape on the plane, was sent

434
00:21:24.440 --> 00:21:25.799
<v Speaker 1>to jail for criminal.

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00:21:25.400 --> 00:21:26.720
<v Speaker 2>Negligence, which is wild.

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00:21:27.000 --> 00:21:29.160
<v Speaker 1>I know, if you're listening to this, you're probably thinking

437
00:21:29.240 --> 00:21:31.680
<v Speaker 1>what I'm thinking, How is it fair to throw the

438
00:21:31.720 --> 00:21:34.079
<v Speaker 1>lowest guy on the ladder in a cell when the

439
00:21:34.240 --> 00:21:38.160
<v Speaker 1>multi billion dollar manufacturer designed a plane that could be

440
00:21:38.200 --> 00:21:40.359
<v Speaker 1>destroyed by a piece of stationary tape.

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00:21:40.720 --> 00:21:44.759
<v Speaker 2>It is deeply controversial in safety engineering. Blaming the lowest

442
00:21:44.759 --> 00:21:47.680
<v Speaker 2>person on the totem pole might satisfy a public desire

443
00:21:47.720 --> 00:21:51.319
<v Speaker 2>for a villain, but it really doesn't fix the system. However,

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00:21:51.440 --> 00:21:55.240
<v Speaker 2>this accident also sparked a massive ongoing debate among veteran

445
00:21:55.279 --> 00:21:59.079
<v Speaker 2>pilots about airmanship. Oh really, Yeah, there's a core aviation

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00:21:59.240 --> 00:22:03.160
<v Speaker 2>concept called flying by the numbers. Many seasoned pilots argue

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00:22:03.160 --> 00:22:06.319
<v Speaker 2>that the moment the computer screen started acting crazy, Schreiber

448
00:22:06.319 --> 00:22:09.119
<v Speaker 2>and Fernandez should have ignored all the alarms, turned off

449
00:22:09.119 --> 00:22:12.880
<v Speaker 2>the automated systems, and just flown the plane using basic physics.

450
00:22:13.319 --> 00:22:15.599
<v Speaker 1>What is flying by the numbers actually mean?

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00:22:15.680 --> 00:22:19.119
<v Speaker 2>Mechanically, though, it means setting a standard pitch, which is

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00:22:19.119 --> 00:22:22.240
<v Speaker 2>the physical angle of the airplane's nose relative to the horizon,

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00:22:22.720 --> 00:22:25.359
<v Speaker 2>and setting a standard engine power percentage. You know from

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00:22:25.440 --> 00:22:27.759
<v Speaker 2>your training that if you set the nose at three

455
00:22:27.799 --> 00:22:30.839
<v Speaker 2>degrees up and the engines at seventy percent thrust, the

456
00:22:30.880 --> 00:22:33.480
<v Speaker 2>airplane will fly straight and level at a safe speed.

457
00:22:33.720 --> 00:22:34.599
<v Speaker 2>It's just physics.

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00:22:34.640 --> 00:22:35.960
<v Speaker 1>So you just ignore the screens.

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00:22:36.039 --> 00:22:38.480
<v Speaker 2>You don't chase the false computer data. You rely on

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00:22:38.519 --> 00:22:41.720
<v Speaker 2>the fundamental aerodynamics of the aircraft. The argument is that

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00:22:41.759 --> 00:22:46.279
<v Speaker 2>we cannot reduce pilots to you know, push buttonists. The

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00:22:46.359 --> 00:22:48.759
<v Speaker 2>human being has to remain a pilot, especially when the

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00:22:48.759 --> 00:22:49.440
<v Speaker 2>machine breaks.

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00:22:49.640 --> 00:22:51.799
<v Speaker 1>Yeah, that makes a lot of sense. The fire out

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00:22:51.839 --> 00:22:55.279
<v Speaker 1>from this tragedy was immense, though. In nineteen ninety nine,

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00:22:55.720 --> 00:22:59.960
<v Speaker 1>Bowling in Aero Peru settled the lawsuits out of court.

467
00:23:00.000 --> 00:23:02.759
<v Speaker 1>Sham's families received an average of about one million dollars

468
00:23:02.799 --> 00:23:06.119
<v Speaker 1>per victim, and that's an exceptionally high amount, and it

469
00:23:06.119 --> 00:23:09.440
<v Speaker 1>was awarded specifically because the investigation proved the passengers and

470
00:23:09.480 --> 00:23:14.319
<v Speaker 1>crew were awake, aware, and experienced conscious terror during that

471
00:23:14.359 --> 00:23:16.440
<v Speaker 1>whole thirty minute plunge.

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00:23:15.920 --> 00:23:19.720
<v Speaker 2>And Aero Peru just couldn't survive the financial and reputational hit,

473
00:23:20.240 --> 00:23:23.799
<v Speaker 2>combined with rising debt. The national airline went bankrupt shortly after.

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00:23:24.440 --> 00:23:27.680
<v Speaker 2>But on the positive side, Boeing significantly changed its training

475
00:23:27.720 --> 00:23:31.519
<v Speaker 2>protocols regarding potote static failures. They changed the design of

476
00:23:31.559 --> 00:23:35.039
<v Speaker 2>the systems to better isolate faults and strict new regulations

477
00:23:35.039 --> 00:23:39.079
<v Speaker 2>were implemented, requiring brightly colored, standardized covers with long remove

478
00:23:39.440 --> 00:23:41.680
<v Speaker 2>before flight streamers for those ports.

479
00:23:41.920 --> 00:23:44.160
<v Speaker 1>So what does this all mean? We look back at

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00:23:44.200 --> 00:23:47.279
<v Speaker 1>nineteen ninety six, at this cascade of errors, and it's

481
00:23:47.319 --> 00:23:50.559
<v Speaker 1>really easy to dismiss it as a historical aviation anomaly.

482
00:23:51.079 --> 00:23:53.000
<v Speaker 1>But there is a much deeper lesson here that applies

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00:23:53.039 --> 00:23:55.680
<v Speaker 1>to all of us today. We spent our lives designing

484
00:23:55.720 --> 00:23:59.160
<v Speaker 1>brilliant automated systems to save us from our own human errors.

485
00:24:00.000 --> 00:24:03.880
<v Speaker 1>Lie on complex algorithms, GPS, networks, and digital sensors to

486
00:24:03.880 --> 00:24:07.880
<v Speaker 1>guide our cars, manage our finances, and dictate our daily decisions.

487
00:24:07.880 --> 00:24:08.599
<v Speaker 2>So we really do.

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00:24:08.759 --> 00:24:11.799
<v Speaker 1>But what happens when that very automation is corrupted by

489
00:24:11.839 --> 00:24:16.119
<v Speaker 1>a tiny two cent human mistake. We've become so incredibly

490
00:24:16.160 --> 00:24:18.599
<v Speaker 1>reliant on the computer telling us what is real, that

491
00:24:18.680 --> 00:24:21.079
<v Speaker 1>we are forgetting how to trust our own senses. Think

492
00:24:21.079 --> 00:24:23.279
<v Speaker 1>about your own life, your own work. If the screens

493
00:24:23.359 --> 00:24:25.680
<v Speaker 1>go dark, if your GPS spins out, if the algorithms

494
00:24:25.680 --> 00:24:27.920
<v Speaker 1>suddenly go blind, do you still know how to fly

495
00:24:27.960 --> 00:24:29.680
<v Speaker 1>by the numbers? Do you still know how to steer
