Air Emergency (2003–…): Season 4, Episode 7 - Out of Sight - full transcript
A badly damaged Aeroméxico DC-9 crashes into a residential neighborhood of Cerritos, California, after being hit by a privately owned Piper light aircraft not seen by the air traffic controller.
due to the graphic nature of this program,
viewer discretion is advised
East of Los Angeles
A calm Holiday weekend is shattered
by a devastating explosion
A neighbourhood is destroyed.
I turned inside my house,
totally on fire
All the houses behind me were all on fire.
Fiery wreckage is strune for blocks
Investigators must discover
why this airliner crashed
and find a way to stop it
from ever happening again.
This is a true story
The reconstructions are based
on eyewitness accounts,
CVRs and official reports
BROKKENPILOTEN S04E07
OUT OF SIGHT
Los Angeles International Airport,
LAX
is one of the busiest in the world
It is used by 40 million passengers each year
More than 1500 planes take off and land
More than 1500 planes take off and land
every day
It is August, 31st 1986,
Laborday Weekend
Today, a junior controller,
Walter White
will be handling some of that traffic
White isn't a full-fledged controller yet
He has to put in more time
before he gets his final certification
Hey, Carl,
How is it going?
Slow, slow slow
It was a long weekend
It was a beautiful day on Los Angeles,
it was absolutely clear outside
which we call chamber that day
Want to take a break?
Have a cigarette?
Walter wanted to work the sector
As I remember correctly,
he wanted to work proficiency time
He had worked a while
Several hundreds km South,
In Loreto, Mexico
passengers are boarding an Aeromexico DC-9.
Dr Donald Wong and his sons
are returning
from a highly successful fishing trip.
Jason, I think we should put it up in the kitchen
They caught an enormous shellfish
which they plan to display back home
Labor day weekend
was the last weekend before school was to start
Donald decided that it would be fun
to take the boys fishing down to Mexico
to go deep sea fishing,
which he had only done one at a time in his life
This would be alike father-son bonding weekend
it was also the first time that
they had travelled without me
Just East of LA, the suburban city of Cerritos
wakes up slowly
In the 1970's,
this buzzing community has been one
of the fastest growing in Los Angeles County
My husband had been working out of town all week
He was coming home for the weekend
That Sunday morning we decided:
Let's just stay home and not go to church
I'm getting to go out and
get your favourite things for a good breakfast.
Javier,
go and take a shower
I left to go to the grocery store
In the home was Alex, he was 14
his twin sister Anjelica
she was asleep, he was asleep, still
and Javier, that was my 16 year old
and my husband
As Estrada leaves on her errand
Aeromexico Flight 498 is just 20 minutes from LA
Captain Arturo Valdes Prom is acting as a copilot
as they approach the city.
First officer Jose Valencia
is piloting this leg of their journey.
About 22 km South of LAX sits the Torrance Airport
operating in the shadow of LAX,
Torrance services private planes
and amateur pilots
It is one of several small airports
that operate near LA
A region that has over 6000 weekend flyers
At the end of a busy summer,
William Kramer,
his daughter Caroline and wife Kathleen
are finally taking to the skies
Piper 4891,
all cleared to take off
Good Morning, Piper 4891,
this is Torrance Tower
You are cleared for take off of runway...
They are heading to Big Bear Lake
about 200 km North East
A meticulous man , William Kramer
is an executive for an engineering company
6 years ago, at the age of 47
Kramer bought his first airplane,
a stylish and swift Piper Cherokee.
South East of LAX,
the crew of AM Flight 4891
is still a few minutes from their first contact
with air-traffic controller Walter White
but in the skies above Los Angeles
a deadly series of events is about to unfold.
Dozens of people who have never met
will be bound together forever
in a tragedy that will effect everyone who flies.
August 31st, 1986
Laborday weekend
Just South of Los Angeles,
William Kramer and his family are
finally on their way for a long awaited holiday
Just an hour to go and we are in Big Bear Lake
As the Torrance Airport recedes behind him,
Kramer begins climbing to 3,000 m
on his way North East to Big Bear Lake
Several kilometres away,
a half full DC-9 from
Mexico is approaching LAX
It is not a busy morning
and one by one arrivals,
Controller White guides his planes in safety
At 11:47 AM,
he gets his first call from Aero-Mexico 498
Los Angeles approach,
Good morning, this is Aero-Mexico 498
Aero-Mexico 498, Los Angeles approach,
25L,
final approach course
The jet is now officially inside
what is known as the terminal control area
Or TCA
Sometimes referred to as the birdcage
The TCA is a complex piece of 3-D airspace
around the airport
It is restricted airspace that is normally
found around heavily congested airports
or hub airports
where the traffic density is extremely high
and you need to control
the access into and out of that airspace
As the Aero-Mexico plane descends,
William Kramer and his family continue climbing
I hope it is like this when we get to Big Bear
We should be able to see the ocean by now
Honey, take a look at the map
look around the 45 and see if you could see any
any kind of landmarks that we can use
Walter White is keeping his eye
on the Aero-Mexico-jet
when his attention is abruptly drawn to
another plane that has just appeared on his radar
It is not one he is expecting
One approach, 66R
Flight from Fullerton
cruising altitude is 4,500
we'd like following
The pilot of a small Grumman Tiger
asks White to help him guide
him through the crowded TCA
Pilots are supposed to contact LAX approach
before they enter the controlled airspace.
This pilot could be in the path of incoming jets
but before White can deal with the private plane
he gets a call from the Aero-Mexico DC-9
What speed do you want
We are reducing to 290...
No, 2190
White decides to give the Aero-Mexico jet
the runway closest to their gate
Roger 498
With the DC-9 on hold,
White turns to the intruder
Grumman 66R,
remain clear of the TCA!
White tells the pilot of the Grumman
to use a unique radio channel
but he seems confused
50 or are they two numbers?
00:10:48,988 --> 00:10:51,956
66R, are you at 4,500 ft now?
Negative, we are at 3,400 and climbing
OKAY, you are right in the middle of the TCA, sir
Grumman 66R and I suggest in the future
that you look at your TCA chart
You just had an aircraft,
passing at your left above you at 5,000
and we run a lot of jets,
right through there at 4,500 ft
Well, what do you suggest I do now?
As the crew of Aero-Mexico flight 498
continue to close in the airport
their DC-9 is rocked by a violent shutter
First Officer Valencia tries desperately
to control their dive
This cannot be
A crippled DC-9 falls
from the skies over Los Angeles
Fighting to control their jet,
the captain and First Officer have no
idea what has happened to their plane
Air Traffic Controller Walter White
is getting no response from the Aero-Mexico jet
And now, he cannot find it on his radar-screen.
I am sitting there,
talking with the departure controllers
Not really thinking,
I hear Walter say something like
I think I lost one
Aero-Mexico 498, Los Angeles approach
Where was Aero-Mexico?
at this point,
we weren't absolutely sure what has happened
White calls to an incoming jet for help
American 333,
want you take a look around 11 o'clock?
I just lost contact with a DC-9
11 O' clock, 5 miles
What altitude?
he is no longer on my radar-scope, AA333
OKAY, I see a very large smoke stream
on the left side of the aircraft about 11 O' clock
I went down the street
to go down to my house
and I saw a woman's head
Her body had been cut in a diagonal
and she was just laying there
There is nothing but debris and fire
spread across all over the place
I could see fire in the whole neighbourhood
Nearby, an engine from a local fire station
had been on a training exercise
led by fire-captain Larry Hambleton
All of a sudden,
one of the firemen tapped on my shoulders
There is smoke after our left
So, I picked up the microphone
and made a guess at the address
responding to a large fire,
North of 91 North of Carmenita
I came back and I said:
Wow, we got a report of an airliner down
So I upgraded the response to triple
what I had initially asked for
As we approached,
I realized that, in addition to
the aircraft parts in the street
there were people, body parts
which changed the complexion of the whole thing.
Hello!
At Los Angeles approach,
Walter White, deeply shaken by the crash
is relieved of duty
I remember watching Walter get up
and walking out of the room by himself
and something inside of me was just saying:
This is not right,
This is not right,
somebody has to go with him
Tony, you cannot go out alone
I could have been sitting there
just as easy as him
And I don't know if I had done anything different
than he did.
Helicopter news crews are quickly on the scene
There was a lot of fire in front of me
and my house was totally on fire
Frank,
Anjelica,
Javier
When I saw my neighbour,
Where are they?
I said to her, Rose where is my family?
What happened?
And she goes:
Oh, honey, your family is in here
We are looking for you
I think to myself: all I could do is
thank God, they are safe and sound
She took me into her home
and I saw Alex
What happened?
Where is Anjelica?
Where is Javier?
Where is Papa?
No, mama, I'm sorry
He started crying right away
and said: mama,
Sorry, I am the only one that came out alive
And all i could do was hugging.
Pieces of fuselage have torn to nearby homes,
setting them in fire.
The tail-section of the jet has been catapulted
more than a block from the crash-site
Hello!
Is there anybody in here?
As I surveyed the houses
and the crash site around me
it was a very surreal experience
to stand right there,
for probably 4 or 5 minutes
before anybody else showed up
and not seeing another living soul.
There are no survivors, just fatalities
I dealt with dead on 2 or 3 people
in a residential fire
but never a whole airliner fall on people
I don't think I ever saw a whole human being
The game of the job was finding body-parts
and covering them with yellow rescue-blanket
No matter whatever so small,
a hand or a torso or a leg, whatever
That became life to us
it was treated with respect
My memory of the incident is in
a muted shade of brown
It is not black and white,
it is not a definite color
The grass is not green,
the houses don't have paint
all some muted brown shade
I'm told that is my brains a way of
taking something violent and horrible
and softening it a little bit
so I can live with it and deal with it
16 houses have been damaged
many of them completely destroyed
At Los Angeles International Airport,
Mary Wong is waiting for her husband
and two young sons.
You are thinking
Customs might take a little while
Maybe 12:20 or 12:30 I started seeing
a man walk around
with a pack on his back
with a green cross
We were taken up to a lounge upstairs
and on the elevator up
I looked at the man and said:
They are dead
I just know they are gone
In Cerritos, emergency workers are shocked
by another grizzly discovery
In the playground of a local school
they find the wreckage
of a Piper Cherokee Archer
remarkably intact,
the plane's canopy is sliced off
Its three occupants are found still belted
into their seats
William Kramer and his family are dead.
All the passengers and crew
on Aero-Mexico Flight 498 are also dead.
Another 15 people on the ground have been killed
It is a horrifying situation.
Two planes have crashed
into a Californian neighbourhood
Something has gone terribly wrong in the skies
above one of the biggest airports in the world
Now, investigators have to find out exactly
what has happened
On the last day of August 1986
a lazy Laborday weekend is shattered
by an enormous explosion
Two planes crash in LA county,
destroying several homes
It is a grisly scene,
bodies are scattered throughout
the devastated neighbourhood.
82 people are dead
15 people on the ground have been killed
Another 67 have died in the tangled wreckage
of the 2 planes involved
Investigators from the NTSB arrived that night
They include experts in human performance,
flight-systems
and Air-traffic Control
From the beginning,
investigators focus on the fact that
there are two planes on the ground
It suggests a disturbing conclusion
that this was a mid air collision
With that idea in mind,
John White and his team
has painstakingly examined the wreckage
It is more of
documenting where the major pieces were
and then looking at the pieces to see
if you can determine how the aircraft were angled
the aircraft may have come together at.
Propeller marks on the tail of the DC-9,
and paint from the Piper Cherokee
reveal how the planes crashed.
It looks like
the Piper collided at the tail section of the DC-9
To piece together the tragedy,
investigators examine the DC-9's FDR
It helps them pin-point the exact location
and altitude of Aero-Mexico Flight 498
The DC-9 was inside the TCA,
the restricted airspace of the Los Angeles Airport
It was right where it was supposed to be
But the Piper Cherokee was also
inside the Terminal Controlled Area
With all of the jets taking off and landing at LAX
private planes must first get permission
to enter this area
Piper 4891
All clear for take off Torrance
William Kramer was a newcomer to Los Angeles
but investigators learned that
he was well aware of the limits,
imposed by the Terminal Control Area
He knew that it was restricted airspace
And in the cockpit of Kramer's Cherokee
the confirmation:
Investigators find a map of the TCA
Investigators make another puzzling discovery
They learned that Kramer's proposed flight-plan
took him from Torrance to Long Beach
Then up to Ontario
and finally to Big Bear Lake
At a cruising altitude of 3,000 meter
that plan keeps him well out
of the Terminal Controlled Area.
The fact and the matter is
The Cherokee flew
into the Terminal Controlled Area
and hit the DC-9
A restricted airspace without a clearance
So, how had Kramer flown into danger?
And why hadn't he let anyone know?
On the ground in Cerritos,
one possible answer emerges
Are you alright. Bill?
Heart disease runs in Kramer's family
and the initial autopsy-result
shows a major blockage
Samples of William Kramer's heart-tissue
were sent to the Armed Forces
Institute of Pathology for testing
If he suffered a heart attack,
it might explain why
he didn't call in to LA approach
It is totally possible
that he could have had a heart-attck
fell back, pulled the airplane up
and that is why he didn't try and avoid the DC-9
But nomatter why
Kramer was flying in restricted airspace
Air Traffic Controller Walter White
should have been able to see him
Kramer's plane should have appeared
on White's radar
Before he is questioned
by investigators,
White reviews the radiocalls
from that morning
He needs to be sure
of what he said
and what he saw.
Richard Wentworth was one of the investigators
who talked to White
At any time
did you see the Piper Cherokee on your scope?
No!
No, sir,
the Piper was not displayed
It is my believe
that it was not on my radar scope
He was positive
that the aircraft was not
there for him to see
NTSB investigators are not satisfied
with White's memory
While the radar data is being analysed,
news arrives from
the Armed Forces Institute of Pathology
about William Kramer's heart
Results from a detailed study of his body show
that wwhile he had an advanced heart disaese
William Kramer was not fighting a heart-attack
before the collision.
Investigators must find
another explanation
for why the Kramer's flight went
into the Los Angeles TCA
While he had submitted a flight-plan,
small planes like Kramer's Cherokee
don't have sophisticated instruments
Like most private pilots,
Kramer was navigating by landmarks, like free-ways
That meant keeping an eye
both on the landscape below
and the airspace around him
New to California,
perhaps bewildered by the
tangle of freeways below him
Kramer may have flown into the TCA
without knowing it.
There are no lines on the ground that says:
The Terminal Controlled Area starts here
and at this altitude
you have to look at a chart
You have to interpret that
Investigators are now confident
they can explain why Kramer was inside the TCA
But when he finally gets a look
at the ATC radar record
Richard Wentworth is convinced that Walter White
should have been able to see the Piper
We were able to determine that the aircraft
that collided with AM498
was there to be seen
So why hadn't White reacted
to the Kramer's plane if it was on his radar?
When Walter White came to work that day
the arrival station was being controlled
by Karl Grundmann
Grundmann believes that low sending radarproblems
were the reason
why White didn't see
the Kramer's plane
Controllers have been complaining
about the radars for a long time
We had reported problems with the radar
not picking up targets,
several times.
When radar signals strike a target
they bounce back to the receiver
But if buildings or mountains interrupt the radar
the return signal can disappear.
A blind spot is only an instantaneous thing,
it is not a continuous thing.
I think I lost one
There are also holes that were
just because the radar was old
It was just not as accurate as it might have been
It was not state of the art equipment,
that is for damn sure.
We reviewed that data
We had no evidence that there were
any malfunctions of any systems
in Los Angeles
There is another possible explanation
If the Cherokee had appeared on the radar
White still could have missed it
Investigators focus on the other plane in the sky
that day:
The Grumman Tiger
Private planes are required to contact ATC
if they are entering the TCA
But the Tiger was already deep into the Terminal
Controlled Area before it radioed Walter White
One approach 66R flight from Fullerton
The cruising altitude is 4,500
we'd like following
Grumman 66R, you are at 4,500 ft now?
Negative, we are at 3,400 and climbing
OKAY, you are right in the middle of the TCA, sir
There was an aircraft that was East of the airport
which he became involved in.
That was what they called a violator
Grumman 66R, I suggest in the future
you look at your TCA chart
The problem with the conversation
between the controller
and the pilot of the Grumman is
that it went on too long.
Why were you so mesmerized by the Grumman?
I thought he posed a risk
This occurred during a critical time at which
the two aircraft to the SouthWest of his display
which was the AeroMexico and the Cherokee...
...were merging
But even if the Cherokee's signal
did appear on White's radar
and even if he seen it
investigators discover that White still
would not have had all the information he needed.
Radar signals only show controllers
that a plane is in range.
Transponders on planes
can broadcast other information
including height and speed.
But at the site of the Cherokee wreckage
investigators discover
the plane's transponder is a basic model
It only sends out information
of the plane's direction
It povides no information
about the plane's altitude.
So, these controllers were pretty much used
to see a little triangle which represented
the VFR aircraft with no altitude read-out
diverging all over the place
And the lesson they learned,
first hand from the pilot
They had an expectation that
the aircraft would not intrude into that airspace
Investigators believe that
White's divided attention
perhaps made worse by an older radar system
explains why he never warned the DC-9
of the danger, posed by Kramer's Cherokee
But there is another mystery
that hasn't been solved
Studying the radar records from that day
NTSB investigators are startled by what they find
Neither the crew of the DC-9,
nor the pilot of the smaller Cherokee
took any evasive action before the crash
Both pilots appear completely unaware
of each other
Why hadn't the pilots of either airplane reacted?
Visibility was over 20 km.
How could two planes collide
in the clear blue sky?
A terrifying mid-air collision over a
Los Angeles suburb takes the lives of 82 people
The day of the disaster, the sky was clear.
A major question in the investigation has become
Why didn't the two planes takes action
to avoid the collision?
The radar information paints a puzzling picture
It indicates that for more than a minute,
the Kramer's Cherokee was there to be seen
by the Aero-Mexico crew
And if the Kramers had looked
out their right-side window
they would also have seen the Aero-Mexico jet
But neither plane altered its course.
Neither plane took any action
to avoid the deadly collision.
Investigators believe that
if William Kramer was indeed lost
and using the highways as a guide,
he might never have seen the approaching DC-9
The window he would have been looking out
was the pilot's window
but the DC-9 was coming from the other direction
For the crew of the DC-9,
the very size of the much smaller Cherokee
could have prevented them from seeing the plane
before it was too late
In some cases,
when the small aircraft is closing very rapidly
by the time the aircraft becomes large enough
for you to easily see it
it is almost too late to avoid the collision
The design of the cockpit wind-shield
may also have contributed to the disaster
It is possible that during part of the approach,
at least for one of the pilots,
the aircraft was actually behind the centerpost
unless the pilot moved his head back and forth
to clear that airspace.
Unless he had a reason to do that,
it is possible the aircraft was
obscured during part of the time
in which he might have had a chance
of seeing the other aircraft
The disaster over Cerritos reveals
several tragic weaknesses in the ATC-system
One of the most glaring
was that pilots could not be relied on
to see and avoid each other.
They'd need new technology
to keep a mid-air collision from happening again.
A small Californian neighbourhood is rocked
by a terrifying plane crash
82 people are killed when
a private plane slams into a large passenger jet.
The devastation is enormous
More than a dozen homes are damaged,
several levelled completely
The NTSB accident report makes it clear
that there are glaring problems
across the Air Traffic system
and these concerns must be
addressed before inevitably
there is another mid-air disaster.
The FAA, which regulates the airline-industry
in the United States
acted swiftly
to improve safety around major airports.
A new kind of transponder was required
for smaller planes:
the kind that might have helped
air traffic controllers
recognize that the private aircraft
posed the danger.
If you had an aircraft that flew
under controlled airspace
you would have a transponder and you
would be required to have altitude,
in coding or reporting
That way there would be no mistake
as to whether you had in an intruder in eye
A new system, called Mode C Intruder
was also developed
to warn Air traffic Controllers
Mode C Intruder is
an automated program
that is now incorporated
in all our major radar facilities
That if an aircraft should inadvertently intrude
the controller will now be given
a visual and an aural alert
thus giving him time
to give a warning to the pilot
Even for the most diligent pilot
the old strategy of see and avoid
had serious limitations
Those limitations would be addressed
by the most important innovation of all
The major technological innovation
that came out of the Cerritos mid-air
was the congressional mandate
that all air-carried aircraft
operating within the United States
would be outfitted with TCAS
Traffic Collision and Avoidance System
John Andrews worked on the team
that developed TCAS
The TCAS that which was under development
quite possibly could have prevented this accident.
TCAS gives the pilot a traffic advisory
45 seconds before the potential collision
And then, approx. 25 seconds
before the potential collision,
a resolution advisory is given to actually
tell the pilots to climb or descend
to avoid the altitude of the other aircraft
Today, commercial airlines around the world
use TCAS
The pilot of the Grumman Tiger,
the so called 3rd pilot
who's action may have played a part in the crash
was eventually charged for
flying into controlled airspace
in a careless and
reckless manner
For Walter White,
the effect of the disaster over Cerritos
could not be overcome.
Walter came back
and I think it was probably a month or so later
I cannot give you exactly how long he stayed there
but it was not very long
and he just got up and said:
No!
No, thank you!
And as far as I know,
he didn't talk to airplanes again
Within a year of the incident,
the old radars at LAX were replaced.
In Cerritos, a memorial garden now
marks the day of the disaster
Mary Wong has since remarried
but the pain of returning home that day
will never go away.
There is nobody here
the house is empty
Derrick was already living
in an apartment in San Diego
and here I was,
I was no longer a mother,
except to Derrick
And I was no longer a wife
and so it shattered my whole world.
Days after the disaster,
Mary Wong found one of the few people
who could fully understand her loss
I went to the memorial service
it was very important to try to meet
somebody else who had gone through this
I knew from reading stories that
Theresa had lost her husband and two children
So I saw someone there,
who I thought it was Theresa
She said: Are you Theresa Estrada?
She said, well, my name is Mary Wong,
and she says:
I lost my husband and children also
I just wanted to grab her and hug her
because...
...she was feeling what I was feeling.
So, we had an immediate connection
we maintained our friendship over these 20 years
Everyone who flies today has been affected
by the mid-air collision over Cerritos
The disaster led to historic improvements
in aviation safety.
Since the full adoption of TCAS
there has not been another mid air collision
in North America.
Narrator
Stephen Bogaert
Subtitles
Rein Croonen
viewer discretion is advised
East of Los Angeles
A calm Holiday weekend is shattered
by a devastating explosion
A neighbourhood is destroyed.
I turned inside my house,
totally on fire
All the houses behind me were all on fire.
Fiery wreckage is strune for blocks
Investigators must discover
why this airliner crashed
and find a way to stop it
from ever happening again.
This is a true story
The reconstructions are based
on eyewitness accounts,
CVRs and official reports
BROKKENPILOTEN S04E07
OUT OF SIGHT
Los Angeles International Airport,
LAX
is one of the busiest in the world
It is used by 40 million passengers each year
More than 1500 planes take off and land
More than 1500 planes take off and land
every day
It is August, 31st 1986,
Laborday Weekend
Today, a junior controller,
Walter White
will be handling some of that traffic
White isn't a full-fledged controller yet
He has to put in more time
before he gets his final certification
Hey, Carl,
How is it going?
Slow, slow slow
It was a long weekend
It was a beautiful day on Los Angeles,
it was absolutely clear outside
which we call chamber that day
Want to take a break?
Have a cigarette?
Walter wanted to work the sector
As I remember correctly,
he wanted to work proficiency time
He had worked a while
Several hundreds km South,
In Loreto, Mexico
passengers are boarding an Aeromexico DC-9.
Dr Donald Wong and his sons
are returning
from a highly successful fishing trip.
Jason, I think we should put it up in the kitchen
They caught an enormous shellfish
which they plan to display back home
Labor day weekend
was the last weekend before school was to start
Donald decided that it would be fun
to take the boys fishing down to Mexico
to go deep sea fishing,
which he had only done one at a time in his life
This would be alike father-son bonding weekend
it was also the first time that
they had travelled without me
Just East of LA, the suburban city of Cerritos
wakes up slowly
In the 1970's,
this buzzing community has been one
of the fastest growing in Los Angeles County
My husband had been working out of town all week
He was coming home for the weekend
That Sunday morning we decided:
Let's just stay home and not go to church
I'm getting to go out and
get your favourite things for a good breakfast.
Javier,
go and take a shower
I left to go to the grocery store
In the home was Alex, he was 14
his twin sister Anjelica
she was asleep, he was asleep, still
and Javier, that was my 16 year old
and my husband
As Estrada leaves on her errand
Aeromexico Flight 498 is just 20 minutes from LA
Captain Arturo Valdes Prom is acting as a copilot
as they approach the city.
First officer Jose Valencia
is piloting this leg of their journey.
About 22 km South of LAX sits the Torrance Airport
operating in the shadow of LAX,
Torrance services private planes
and amateur pilots
It is one of several small airports
that operate near LA
A region that has over 6000 weekend flyers
At the end of a busy summer,
William Kramer,
his daughter Caroline and wife Kathleen
are finally taking to the skies
Piper 4891,
all cleared to take off
Good Morning, Piper 4891,
this is Torrance Tower
You are cleared for take off of runway...
They are heading to Big Bear Lake
about 200 km North East
A meticulous man , William Kramer
is an executive for an engineering company
6 years ago, at the age of 47
Kramer bought his first airplane,
a stylish and swift Piper Cherokee.
South East of LAX,
the crew of AM Flight 4891
is still a few minutes from their first contact
with air-traffic controller Walter White
but in the skies above Los Angeles
a deadly series of events is about to unfold.
Dozens of people who have never met
will be bound together forever
in a tragedy that will effect everyone who flies.
August 31st, 1986
Laborday weekend
Just South of Los Angeles,
William Kramer and his family are
finally on their way for a long awaited holiday
Just an hour to go and we are in Big Bear Lake
As the Torrance Airport recedes behind him,
Kramer begins climbing to 3,000 m
on his way North East to Big Bear Lake
Several kilometres away,
a half full DC-9 from
Mexico is approaching LAX
It is not a busy morning
and one by one arrivals,
Controller White guides his planes in safety
At 11:47 AM,
he gets his first call from Aero-Mexico 498
Los Angeles approach,
Good morning, this is Aero-Mexico 498
Aero-Mexico 498, Los Angeles approach,
25L,
final approach course
The jet is now officially inside
what is known as the terminal control area
Or TCA
Sometimes referred to as the birdcage
The TCA is a complex piece of 3-D airspace
around the airport
It is restricted airspace that is normally
found around heavily congested airports
or hub airports
where the traffic density is extremely high
and you need to control
the access into and out of that airspace
As the Aero-Mexico plane descends,
William Kramer and his family continue climbing
I hope it is like this when we get to Big Bear
We should be able to see the ocean by now
Honey, take a look at the map
look around the 45 and see if you could see any
any kind of landmarks that we can use
Walter White is keeping his eye
on the Aero-Mexico-jet
when his attention is abruptly drawn to
another plane that has just appeared on his radar
It is not one he is expecting
One approach, 66R
Flight from Fullerton
cruising altitude is 4,500
we'd like following
The pilot of a small Grumman Tiger
asks White to help him guide
him through the crowded TCA
Pilots are supposed to contact LAX approach
before they enter the controlled airspace.
This pilot could be in the path of incoming jets
but before White can deal with the private plane
he gets a call from the Aero-Mexico DC-9
What speed do you want
We are reducing to 290...
No, 2190
White decides to give the Aero-Mexico jet
the runway closest to their gate
Roger 498
With the DC-9 on hold,
White turns to the intruder
Grumman 66R,
remain clear of the TCA!
White tells the pilot of the Grumman
to use a unique radio channel
but he seems confused
50 or are they two numbers?
00:10:48,988 --> 00:10:51,956
66R, are you at 4,500 ft now?
Negative, we are at 3,400 and climbing
OKAY, you are right in the middle of the TCA, sir
Grumman 66R and I suggest in the future
that you look at your TCA chart
You just had an aircraft,
passing at your left above you at 5,000
and we run a lot of jets,
right through there at 4,500 ft
Well, what do you suggest I do now?
As the crew of Aero-Mexico flight 498
continue to close in the airport
their DC-9 is rocked by a violent shutter
First Officer Valencia tries desperately
to control their dive
This cannot be
A crippled DC-9 falls
from the skies over Los Angeles
Fighting to control their jet,
the captain and First Officer have no
idea what has happened to their plane
Air Traffic Controller Walter White
is getting no response from the Aero-Mexico jet
And now, he cannot find it on his radar-screen.
I am sitting there,
talking with the departure controllers
Not really thinking,
I hear Walter say something like
I think I lost one
Aero-Mexico 498, Los Angeles approach
Where was Aero-Mexico?
at this point,
we weren't absolutely sure what has happened
White calls to an incoming jet for help
American 333,
want you take a look around 11 o'clock?
I just lost contact with a DC-9
11 O' clock, 5 miles
What altitude?
he is no longer on my radar-scope, AA333
OKAY, I see a very large smoke stream
on the left side of the aircraft about 11 O' clock
I went down the street
to go down to my house
and I saw a woman's head
Her body had been cut in a diagonal
and she was just laying there
There is nothing but debris and fire
spread across all over the place
I could see fire in the whole neighbourhood
Nearby, an engine from a local fire station
had been on a training exercise
led by fire-captain Larry Hambleton
All of a sudden,
one of the firemen tapped on my shoulders
There is smoke after our left
So, I picked up the microphone
and made a guess at the address
responding to a large fire,
North of 91 North of Carmenita
I came back and I said:
Wow, we got a report of an airliner down
So I upgraded the response to triple
what I had initially asked for
As we approached,
I realized that, in addition to
the aircraft parts in the street
there were people, body parts
which changed the complexion of the whole thing.
Hello!
At Los Angeles approach,
Walter White, deeply shaken by the crash
is relieved of duty
I remember watching Walter get up
and walking out of the room by himself
and something inside of me was just saying:
This is not right,
This is not right,
somebody has to go with him
Tony, you cannot go out alone
I could have been sitting there
just as easy as him
And I don't know if I had done anything different
than he did.
Helicopter news crews are quickly on the scene
There was a lot of fire in front of me
and my house was totally on fire
Frank,
Anjelica,
Javier
When I saw my neighbour,
Where are they?
I said to her, Rose where is my family?
What happened?
And she goes:
Oh, honey, your family is in here
We are looking for you
I think to myself: all I could do is
thank God, they are safe and sound
She took me into her home
and I saw Alex
What happened?
Where is Anjelica?
Where is Javier?
Where is Papa?
No, mama, I'm sorry
He started crying right away
and said: mama,
Sorry, I am the only one that came out alive
And all i could do was hugging.
Pieces of fuselage have torn to nearby homes,
setting them in fire.
The tail-section of the jet has been catapulted
more than a block from the crash-site
Hello!
Is there anybody in here?
As I surveyed the houses
and the crash site around me
it was a very surreal experience
to stand right there,
for probably 4 or 5 minutes
before anybody else showed up
and not seeing another living soul.
There are no survivors, just fatalities
I dealt with dead on 2 or 3 people
in a residential fire
but never a whole airliner fall on people
I don't think I ever saw a whole human being
The game of the job was finding body-parts
and covering them with yellow rescue-blanket
No matter whatever so small,
a hand or a torso or a leg, whatever
That became life to us
it was treated with respect
My memory of the incident is in
a muted shade of brown
It is not black and white,
it is not a definite color
The grass is not green,
the houses don't have paint
all some muted brown shade
I'm told that is my brains a way of
taking something violent and horrible
and softening it a little bit
so I can live with it and deal with it
16 houses have been damaged
many of them completely destroyed
At Los Angeles International Airport,
Mary Wong is waiting for her husband
and two young sons.
You are thinking
Customs might take a little while
Maybe 12:20 or 12:30 I started seeing
a man walk around
with a pack on his back
with a green cross
We were taken up to a lounge upstairs
and on the elevator up
I looked at the man and said:
They are dead
I just know they are gone
In Cerritos, emergency workers are shocked
by another grizzly discovery
In the playground of a local school
they find the wreckage
of a Piper Cherokee Archer
remarkably intact,
the plane's canopy is sliced off
Its three occupants are found still belted
into their seats
William Kramer and his family are dead.
All the passengers and crew
on Aero-Mexico Flight 498 are also dead.
Another 15 people on the ground have been killed
It is a horrifying situation.
Two planes have crashed
into a Californian neighbourhood
Something has gone terribly wrong in the skies
above one of the biggest airports in the world
Now, investigators have to find out exactly
what has happened
On the last day of August 1986
a lazy Laborday weekend is shattered
by an enormous explosion
Two planes crash in LA county,
destroying several homes
It is a grisly scene,
bodies are scattered throughout
the devastated neighbourhood.
82 people are dead
15 people on the ground have been killed
Another 67 have died in the tangled wreckage
of the 2 planes involved
Investigators from the NTSB arrived that night
They include experts in human performance,
flight-systems
and Air-traffic Control
From the beginning,
investigators focus on the fact that
there are two planes on the ground
It suggests a disturbing conclusion
that this was a mid air collision
With that idea in mind,
John White and his team
has painstakingly examined the wreckage
It is more of
documenting where the major pieces were
and then looking at the pieces to see
if you can determine how the aircraft were angled
the aircraft may have come together at.
Propeller marks on the tail of the DC-9,
and paint from the Piper Cherokee
reveal how the planes crashed.
It looks like
the Piper collided at the tail section of the DC-9
To piece together the tragedy,
investigators examine the DC-9's FDR
It helps them pin-point the exact location
and altitude of Aero-Mexico Flight 498
The DC-9 was inside the TCA,
the restricted airspace of the Los Angeles Airport
It was right where it was supposed to be
But the Piper Cherokee was also
inside the Terminal Controlled Area
With all of the jets taking off and landing at LAX
private planes must first get permission
to enter this area
Piper 4891
All clear for take off Torrance
William Kramer was a newcomer to Los Angeles
but investigators learned that
he was well aware of the limits,
imposed by the Terminal Control Area
He knew that it was restricted airspace
And in the cockpit of Kramer's Cherokee
the confirmation:
Investigators find a map of the TCA
Investigators make another puzzling discovery
They learned that Kramer's proposed flight-plan
took him from Torrance to Long Beach
Then up to Ontario
and finally to Big Bear Lake
At a cruising altitude of 3,000 meter
that plan keeps him well out
of the Terminal Controlled Area.
The fact and the matter is
The Cherokee flew
into the Terminal Controlled Area
and hit the DC-9
A restricted airspace without a clearance
So, how had Kramer flown into danger?
And why hadn't he let anyone know?
On the ground in Cerritos,
one possible answer emerges
Are you alright. Bill?
Heart disease runs in Kramer's family
and the initial autopsy-result
shows a major blockage
Samples of William Kramer's heart-tissue
were sent to the Armed Forces
Institute of Pathology for testing
If he suffered a heart attack,
it might explain why
he didn't call in to LA approach
It is totally possible
that he could have had a heart-attck
fell back, pulled the airplane up
and that is why he didn't try and avoid the DC-9
But nomatter why
Kramer was flying in restricted airspace
Air Traffic Controller Walter White
should have been able to see him
Kramer's plane should have appeared
on White's radar
Before he is questioned
by investigators,
White reviews the radiocalls
from that morning
He needs to be sure
of what he said
and what he saw.
Richard Wentworth was one of the investigators
who talked to White
At any time
did you see the Piper Cherokee on your scope?
No!
No, sir,
the Piper was not displayed
It is my believe
that it was not on my radar scope
He was positive
that the aircraft was not
there for him to see
NTSB investigators are not satisfied
with White's memory
While the radar data is being analysed,
news arrives from
the Armed Forces Institute of Pathology
about William Kramer's heart
Results from a detailed study of his body show
that wwhile he had an advanced heart disaese
William Kramer was not fighting a heart-attack
before the collision.
Investigators must find
another explanation
for why the Kramer's flight went
into the Los Angeles TCA
While he had submitted a flight-plan,
small planes like Kramer's Cherokee
don't have sophisticated instruments
Like most private pilots,
Kramer was navigating by landmarks, like free-ways
That meant keeping an eye
both on the landscape below
and the airspace around him
New to California,
perhaps bewildered by the
tangle of freeways below him
Kramer may have flown into the TCA
without knowing it.
There are no lines on the ground that says:
The Terminal Controlled Area starts here
and at this altitude
you have to look at a chart
You have to interpret that
Investigators are now confident
they can explain why Kramer was inside the TCA
But when he finally gets a look
at the ATC radar record
Richard Wentworth is convinced that Walter White
should have been able to see the Piper
We were able to determine that the aircraft
that collided with AM498
was there to be seen
So why hadn't White reacted
to the Kramer's plane if it was on his radar?
When Walter White came to work that day
the arrival station was being controlled
by Karl Grundmann
Grundmann believes that low sending radarproblems
were the reason
why White didn't see
the Kramer's plane
Controllers have been complaining
about the radars for a long time
We had reported problems with the radar
not picking up targets,
several times.
When radar signals strike a target
they bounce back to the receiver
But if buildings or mountains interrupt the radar
the return signal can disappear.
A blind spot is only an instantaneous thing,
it is not a continuous thing.
I think I lost one
There are also holes that were
just because the radar was old
It was just not as accurate as it might have been
It was not state of the art equipment,
that is for damn sure.
We reviewed that data
We had no evidence that there were
any malfunctions of any systems
in Los Angeles
There is another possible explanation
If the Cherokee had appeared on the radar
White still could have missed it
Investigators focus on the other plane in the sky
that day:
The Grumman Tiger
Private planes are required to contact ATC
if they are entering the TCA
But the Tiger was already deep into the Terminal
Controlled Area before it radioed Walter White
One approach 66R flight from Fullerton
The cruising altitude is 4,500
we'd like following
Grumman 66R, you are at 4,500 ft now?
Negative, we are at 3,400 and climbing
OKAY, you are right in the middle of the TCA, sir
There was an aircraft that was East of the airport
which he became involved in.
That was what they called a violator
Grumman 66R, I suggest in the future
you look at your TCA chart
The problem with the conversation
between the controller
and the pilot of the Grumman is
that it went on too long.
Why were you so mesmerized by the Grumman?
I thought he posed a risk
This occurred during a critical time at which
the two aircraft to the SouthWest of his display
which was the AeroMexico and the Cherokee...
...were merging
But even if the Cherokee's signal
did appear on White's radar
and even if he seen it
investigators discover that White still
would not have had all the information he needed.
Radar signals only show controllers
that a plane is in range.
Transponders on planes
can broadcast other information
including height and speed.
But at the site of the Cherokee wreckage
investigators discover
the plane's transponder is a basic model
It only sends out information
of the plane's direction
It povides no information
about the plane's altitude.
So, these controllers were pretty much used
to see a little triangle which represented
the VFR aircraft with no altitude read-out
diverging all over the place
And the lesson they learned,
first hand from the pilot
They had an expectation that
the aircraft would not intrude into that airspace
Investigators believe that
White's divided attention
perhaps made worse by an older radar system
explains why he never warned the DC-9
of the danger, posed by Kramer's Cherokee
But there is another mystery
that hasn't been solved
Studying the radar records from that day
NTSB investigators are startled by what they find
Neither the crew of the DC-9,
nor the pilot of the smaller Cherokee
took any evasive action before the crash
Both pilots appear completely unaware
of each other
Why hadn't the pilots of either airplane reacted?
Visibility was over 20 km.
How could two planes collide
in the clear blue sky?
A terrifying mid-air collision over a
Los Angeles suburb takes the lives of 82 people
The day of the disaster, the sky was clear.
A major question in the investigation has become
Why didn't the two planes takes action
to avoid the collision?
The radar information paints a puzzling picture
It indicates that for more than a minute,
the Kramer's Cherokee was there to be seen
by the Aero-Mexico crew
And if the Kramers had looked
out their right-side window
they would also have seen the Aero-Mexico jet
But neither plane altered its course.
Neither plane took any action
to avoid the deadly collision.
Investigators believe that
if William Kramer was indeed lost
and using the highways as a guide,
he might never have seen the approaching DC-9
The window he would have been looking out
was the pilot's window
but the DC-9 was coming from the other direction
For the crew of the DC-9,
the very size of the much smaller Cherokee
could have prevented them from seeing the plane
before it was too late
In some cases,
when the small aircraft is closing very rapidly
by the time the aircraft becomes large enough
for you to easily see it
it is almost too late to avoid the collision
The design of the cockpit wind-shield
may also have contributed to the disaster
It is possible that during part of the approach,
at least for one of the pilots,
the aircraft was actually behind the centerpost
unless the pilot moved his head back and forth
to clear that airspace.
Unless he had a reason to do that,
it is possible the aircraft was
obscured during part of the time
in which he might have had a chance
of seeing the other aircraft
The disaster over Cerritos reveals
several tragic weaknesses in the ATC-system
One of the most glaring
was that pilots could not be relied on
to see and avoid each other.
They'd need new technology
to keep a mid-air collision from happening again.
A small Californian neighbourhood is rocked
by a terrifying plane crash
82 people are killed when
a private plane slams into a large passenger jet.
The devastation is enormous
More than a dozen homes are damaged,
several levelled completely
The NTSB accident report makes it clear
that there are glaring problems
across the Air Traffic system
and these concerns must be
addressed before inevitably
there is another mid-air disaster.
The FAA, which regulates the airline-industry
in the United States
acted swiftly
to improve safety around major airports.
A new kind of transponder was required
for smaller planes:
the kind that might have helped
air traffic controllers
recognize that the private aircraft
posed the danger.
If you had an aircraft that flew
under controlled airspace
you would have a transponder and you
would be required to have altitude,
in coding or reporting
That way there would be no mistake
as to whether you had in an intruder in eye
A new system, called Mode C Intruder
was also developed
to warn Air traffic Controllers
Mode C Intruder is
an automated program
that is now incorporated
in all our major radar facilities
That if an aircraft should inadvertently intrude
the controller will now be given
a visual and an aural alert
thus giving him time
to give a warning to the pilot
Even for the most diligent pilot
the old strategy of see and avoid
had serious limitations
Those limitations would be addressed
by the most important innovation of all
The major technological innovation
that came out of the Cerritos mid-air
was the congressional mandate
that all air-carried aircraft
operating within the United States
would be outfitted with TCAS
Traffic Collision and Avoidance System
John Andrews worked on the team
that developed TCAS
The TCAS that which was under development
quite possibly could have prevented this accident.
TCAS gives the pilot a traffic advisory
45 seconds before the potential collision
And then, approx. 25 seconds
before the potential collision,
a resolution advisory is given to actually
tell the pilots to climb or descend
to avoid the altitude of the other aircraft
Today, commercial airlines around the world
use TCAS
The pilot of the Grumman Tiger,
the so called 3rd pilot
who's action may have played a part in the crash
was eventually charged for
flying into controlled airspace
in a careless and
reckless manner
For Walter White,
the effect of the disaster over Cerritos
could not be overcome.
Walter came back
and I think it was probably a month or so later
I cannot give you exactly how long he stayed there
but it was not very long
and he just got up and said:
No!
No, thank you!
And as far as I know,
he didn't talk to airplanes again
Within a year of the incident,
the old radars at LAX were replaced.
In Cerritos, a memorial garden now
marks the day of the disaster
Mary Wong has since remarried
but the pain of returning home that day
will never go away.
There is nobody here
the house is empty
Derrick was already living
in an apartment in San Diego
and here I was,
I was no longer a mother,
except to Derrick
And I was no longer a wife
and so it shattered my whole world.
Days after the disaster,
Mary Wong found one of the few people
who could fully understand her loss
I went to the memorial service
it was very important to try to meet
somebody else who had gone through this
I knew from reading stories that
Theresa had lost her husband and two children
So I saw someone there,
who I thought it was Theresa
She said: Are you Theresa Estrada?
She said, well, my name is Mary Wong,
and she says:
I lost my husband and children also
I just wanted to grab her and hug her
because...
...she was feeling what I was feeling.
So, we had an immediate connection
we maintained our friendship over these 20 years
Everyone who flies today has been affected
by the mid-air collision over Cerritos
The disaster led to historic improvements
in aviation safety.
Since the full adoption of TCAS
there has not been another mid air collision
in North America.
Narrator
Stephen Bogaert
Subtitles
Rein Croonen