Copyright 2019 by KPRC Click2Houston - All rights reserved. Ricky Blakely, First Officer Conrad Aska and Capt. The content and timing of release of the written transcript are strictly regulated: under federal law, transcripts of pertinent portions of cockpit voice recordings are released at a Safety Board public hearing on the accident or, if no hearing is held, when a majority of the factual reports are made public. Less than one minute later, unnoticed at first, the flight began to descend, losing altitude initially at 5,000, then 3,000 feet per minute steeper than a normal descent, but shallower than would be expected in an emergency. When the switch is selected to lock, all use of the keypad is disabled for five minutes. With the KLM aircraft now taxiing down Runway 12, Air Traffic Control turns its That was followed by a series of beeps. fog about nine seconds before impact. Although he eventually managed to get a medical certificate, it came with a clause that virtually guaranteed his career would end if he ever became depressed again. Sure, at first, open access to medical records might make it impossible to hide a diagnosis. In the end, the doctors treating Lubitz probably didnt even consider the possibility of reporting him to Lufthansa, because that simply wasnt done not in Germany, and realistically, not in most other Western countries either. According to documents collected by prosecutors and seen by GQ writer Joshua Hammer, Lubitz apparently tried to work with his psychiatrist, keeping a journal of positive thoughts, among other activities, which suggested that he wanted to recover. Here's it'll be standard. Using sophisticated computer and audio equipment, the information stored on the recorders is extracted and translated into an understandable format. In any case, what is known is that the FAA eventually received Lubitzs medical history and issued him a US medical certificate with the same limitations as the German one, and he went on to pass flight training in Arizona in 2011. By the time either flight crew saw the other plane in the fog, it was too late to avert the disaster, which arose out of a series of miscommunications among both flight crews and the control tower. Web[VHF] : Air France four four seven go-ahead 0 h 32 min 38 You see it was Air France three five nine 0 h 32 min 41 er, Air France four four seven squawk ident 0 h 32 min 46 Well get there, well get there ah forty five nine, four four seven, four five nine [VHF] : ok Air France four four seven, copied squawk ident for Air France four Covering the journey to net zero emissions in aviation. The flight departed from Miami International Airport (MIA), Miami, Florida, about 1033 (1133 eastern standard time) and was destined for IAH. It all unfolded in the last ten minutes: in a shocking turn of events, the First Officer locked the Captain out of the cockpit, instructed the autopilot to descend to 100 feet, and then watched his plane fly into the ground as the Captain beat on the door with a crowbar and passengers screamed in terror. Pilot suicide is one of the few remaining causes of catastrophic crashes in developed countries, and theres no evidence that its going anywhere any time soon. The cockpit voice recorder is one of the most important, but haunting, remains from a plane crash. What if Lubitz had believed it was possible to temporarily ground himself, and then regain his medical later, if his psychiatrist testified that he had recovered? The older analog units use one-quarter inch magnetic tape as a storage medium and the newer ones use digital technology and memory chips. Seconds later, he reduced it back to 288 knots, then moved it up again to 302 knots. At 4:58 p.m. on March 27, 1977, when this transcript begins, the KLM and Pan Am The two recorders are often colloquially known as the Black boxes. KLM aircraft is ahead of the Pan Am aircraft (see number 1 on the diagram In the majority of cases, FAA-appointed Aeromedical Examiners, or AMEs, have no way of verifying whether an applicant is telling the truth when they say they have no history of disqualifying health issues. But even an aviation expert they hired to poke holes in the official report didnt seem to believe their assertions, even though he dutifully did what they asked. This portion of the transcript comes Or perhaps the decision to crash the plane was a form of intrusive thought, which in his psychosis he failed to counter, and having taken the decision, fear of punishment should he reverse course overcame any dying shreds of conscience. The following messages are audible in the KLM cockpit, causing the KLM _______________________________________________________________, Join the discussion of this article on Reddit, Support me on Patreon (Note: I do not earn money from views on Medium! It took two minutes for the controller to notice, by which time flight 9525 was already approaching 30,000 feet. In Germany, as in most parts of the world, its a criminal offense to divulge a patients private medical information without their consent. communications with the tower. At 1706:47.44, the KLM pilot screams, and the collision occurs. he, maybe he counts these (are) three. He had multiple failures and didnt disclose a few of With about 6,000 flying hours over a 10-year career, Sondenheimer was moderately experienced, while Lubitz was still fairly new he had been flying for Germanwings since 2014 and had so far accumulated just 630 hours in the air. But there was no reply. AeroInside is a service provided by Tiny Ventures LLC/GmbH, Zurich, Switzerland. Transcript from crash of Atlas Air jet carrying Amazon, USPS cargo you want us to turn left at Charlie 1, taxiway Charlie 1? (202) 314-6100, First Officer, Captain Actions, Aviation Industry Practices, Led to Fatal Atlas Air Crash, WASHINGTON (July 14, 2020) The National Transportation Safety Board determined during a public board meeting held Tuesday that Atlas Air flight, NTSB Opens Public Docket for Investigation of Atlas Air Flight 3591 Cargo Plane Crash, WASHINGTON (Dec. 19, 2019) The National Transportation Safety Board opened the public docket Thursday as part of its ongoing investigation of the, National Transportation Safety Board 490 L'Enfant Plaza, SW Washington, DC 20594, Congressional and Regulatory Correspondence. He may have had other issues which he was hiding the fact that he was capable of mass murder means he almost certainly did but from a systemic point of view, the problems on his official record are the ones that matter. Legacy of a Lie: The crash of Atlas Air flight 3591 On November 5th, just two months after he started his initial training, he withdrew, citing medical reasons. I It was not the first time that an airline pilot had committed suicide by deliberately crashing a passenger plane in fact, it had happened at least five times before but the Germanwings tragedy brought the phenomenon into the public eye in a way which the others had not. Speculation ran wild, with proposed scenarios including a computer malfunction or pilot incapacitation due to lack of oxygen. Everything seemed to be on track, until the summer of 2008, when Lubitz suddenly fell into a deep, crushing depression. An Atlas Air Boeing 777-200 freighter, registration N704GT performing flight 5Y-8027 (dep Jun 5th) from Los Angeles,CA (USA) to Sao Paulo, An Atlas Air Boeing 747-800 freighter on behalf of Cathay Pacific, registration N856GT performing freight flight CX-86 from Hong Kong (China) to, An Atlas Air Boeing 767-300 on behalf of Amazon Prime Air, registration N1327A performing flight 5Y-3813 from Kahului,HI to Ontario,CA (USA), was, An Atlas Air Boeing 767-300, registration N641GT performing flight 5Y-8601 from Frankfurt/Hahn (Germany) to Portsmouth,NH (USA), landed on, An Atlas Air Boeing 747-400 freighter, registration N415MC performing flight 5Y-8086 from Dubai Al Maktoum (United Arab Emirates) to Hong Kong, An Atlas Air Boeing 767-300 freighter, registration N1381A performing flight 5Y-3701 from Baltimore,MD to Tampa,FL (USA) with 2 crew, was climbing, An Atlas Air Boeing 747-400 Dreamlifter, registration N780BA performing freight flight 5Y-4241 from New York JFK,NY to Wichita McConnell Airbase,KS, An Atlas Air Boeing 767-300, registration N649GT performing flight 5Y-8585 from Honolulu,HI (USA) to Guam (Guam) with 212 people on board, was in the, An Atlas Air Boeing 747-400 on behalf of DHL, registration N408MC performing flight 5Y-8939 from Seoul (South Korea) to Shanghai Pudong (China) with, An Atlas Air Boeing 747-400 freighter, registration N473MC performing flight 5Y-4402 from Zhengzhou (China) to Anchorage,AK (USA), was climbing out, An Atlas Air Boeing 767-300, registration N1181A performing freight flight 5Y-3713 from Miami,FL to Wilmington,OH (USA) with 2 crew, was in the, An Atlas Air Boeing 747-400 freighter, registration N416MC performing flight 5Y-8878 from Amsterdam (Netherlands) to Riga (Latvia), departed, An Atlas Air Boeing 747-400, registration N418MC performing flight 5Y-551 from New York JFK,NY to Chicago O'Hare,IL (USA) wi, was in the initial, An Atlas Air Boeing 767-300, registration N662GT performing flight 5Y-8327 from Frankfurt Hahn (Germany) to Portsmouth,NH (USA), was enroute at FL320, An Atlas Air Boeing 747-400, registration N480MC performing positioning flight 5Y-2868 from Manchester,EN (UK) to Orlando,FL (USA) with 20 crew on, An Atlas Air Boeing 747-400, registration N464MC performing flight 5Y-8591 from Nuremberg (Germany) to Portsmouth,NH (USA), was climbing out of, An Atlas Air Boeing 747-400 on behalf of Qantas, registration N493MC performing flight QF-9554 from New York JFK,NY to Chicago O'Hare,IL (USA), was, An Atlas Air Boeing 747-400 freighter, registration N407KZ performing positioning flight 5Y-9413 from Hong Kong (China) to Tokyo Narita (Japan), was, An Atlas Air Boeing 747-400 on behalf of El Al, registration N477MC performing flight LY-804 from Liege (Belgium) to Tel Aviv (Israel) with 73 tons, An Atlas Air Boeing 747-400, registration N498MC performing freight flight 5Y-8865 from Sao Paulo Viracopos,SP (Brazil) to Miami,FL (USA), was on, An Atlas Air Boeing 747-400 freighter, registration N415MC performing freight flight 5Y-5421 from Miami,FL (USA) to Amsterdam (Netherlands), was, An Atlas Air Boeing 767-200, registration N767MW performing flight 5Y-7531 from Dallas Love,TX to Phoenix,AZ (USA), was on approach to Phoenix when, An Atlas Air Boeing 747-800, registration N859GT performing freight flight 5Y-33 from Miami,FL (USA) to Buenos Aires,BA (Argentina) with 6 crew,, An Atlas Air Boeing 767-200 freighter on behalf of DHL, registration N658GT performing flight 5Y-105 from San Diego,CA to Phoenix,AZ (USA) with 2, An Atlas Air Boeing 747-400 freighter, registration N499MC performing freight flight 5Y-5421 from Miami,FL (USA) to Amsterdam (Netherlands) with 5, An Atlas Air Boeing 747-400 freighter, registration N477MC performing freight flight 5Y-33 from Buenos Aires Ezeiza,BA (Argentina) to Santiago de, An Atlas Air Boeing 747-400 freighter, registration N419MC performing flight 5Y-2884 from Dover-Cheswold,DE (USA) to Frankfurt Hahn (Germany) with 7, An Atlas Air Boeing 747-200, registration N808MC performing flight 5Y-8995 from Dubai (United Arab Emirates) to Dusseldorf (Germany) with 3 crew, was, An Atlas Air Boeing 747-400, registration N465MC performing flight 5Y-8656 from Anchorage,AK (USA) to Bishkek (Kyrgyzstan), stopped the climb out of, An Atlas Air Boeing 747-800 freighter, registration N850GT performing freight flight KK-605 (scheduled dep Jun 23rd, act dep Jun 24th) from, An Atlas Air Boeing 747-400 Dreamlifter, registration N718BA performing flight 5Y-4512 from Everett,WA (USA) to Nagoya (Japan), was in the initial, An Atlas Air Boeing 747-400 freighter, registration N497MC performing freight flight 5Y-8904 from Anchorage,AK to Cincinnati,KY (USA) with 5 crew on. Contributing to the accident was the captains failure to adequately monitor the airplanes flightpath and assume positive control of the airplane to effectively intervene. In the depths of despair, he experienced suicidal ideation, made a pact with his therapist not to commit suicide, and was briefly hospitalized. But the doctors at Lufthansas aeromedical center denied his application on account of his ongoing major depression and medication thereof, which rendered him unfit to fly under European and German law. One of many what-if questions that students of the tragedy ask is: Could the KLM 747 have cleared the taxiing Pan Am plane if the KLM's pilot hadn't insisted on refueling his aircraft before leaving Tenerife, thereby greatly increasing its weight? Germanwings flight 9525 should have been unremarkable. out of service. NetZero.aero And the problem is that if we keep denying everyone with that medical profile, most of whom are probably fit to fly, even if it turned out Lubitz wasnt, then the culture of deceit will remain. Last Words CVR's question the pilot: Perhaps because of the KLM pilot's very senior position, neither the copilot The plane never exceeded its normal flight envelope, no distress calls were made, and automated reporting systems never flagged any technical faults to the company. Applicants will continue to lie about their medical problems and not only innocuous problems, but real ones too, like Lubitzs eventual psychosis, which was disqualifying by any standard. Within seconds of go-around mode activation, manual elevator control inputs overrode the autopilot and eventually forced the airplane into a steep dive from which the crew did not recover. However, all that changed in December 2014, when Lubitzs depression suddenly returned. However, Sword of Damocles clauses like the one applied to Lubitz should be used sparingly, if at all. The pilot can then glance at a live video feed of the entry area in order to determine whether the person should be permitted to enter. (For illustrative purposes, I consider myself a Zillennial, and I can say with confidence that about 90% of my social circle would have difficulty passing a medical if they were honest.) PA 1Victor Grubbs, Pan Am Captain Atlas Air Flight 3591 crashed Feb. 23, 2019, about 30 miles from Houstons George Bush Intercontinental Airport, and the NTSB recovered the airplanes CVR March 1, 2019. The third one, sir, one, two, three, third, third one. the parties involved. The aircraft departed Miami International Airport, Florida at 11:33 hours local time (16:33 UTC) on a cargo flight to Houston-George Bush Intercontinental Airport, Texas, USA. Approach KLM 4805 on the ground in Tenerife. While this is, strictly speaking, true, its also incredibly dangerous, for reasons which Im about to explain. Were stalling. above). 4805 how many taxiwayahdid you pass? First Officer Andreas Lubitz hid his psychotic depression from his employer until he snapped, but instead of enacting broader exceptions to medical confidentiality, the real solution might be something completely different: to loosen, rather than tighten, the rules surrounding mental fitness to fly. The Pan Am captain says "There he is Other explanations were no doubt considered, but none fit the evidence. For French investigators with the Bureau of Inquiry and Analysis, or BEA, dispatched to handle the case under international law, the only answers would come from the planes two black boxes. After applying again, the Lufthansa aeromedical center decided to issue him a new medical certificate, but with strings attached: if he ever again suffered from depression, the document said, the certificate would immediately become invalid. Because of this sensitivity, a high degree of security is provided for the CVR audio and its transcript. In fact, both of these avenues of inquiry lead to one critical conclusion: that the entire process of aeromedical certification is fundamentally broken. But for those who deal with medical certification in their day-to-day lives that is to say, pilots this proposal is alarming not just because of the principle of reduced privacy, but because from the inside, its potentially damaging safety effects are self-evident. In fact, a study by the University of North Dakota found that 56% of all pilots in the United States have knowingly failed to disclose portions of their medical history at some point in their careers. The trouble seemed to occur within the last 30 seconds of the transcript. But with most medical conditions, there is insufficient data to say for sure whether a pilots particular case complies with the 1% rule or not, and so most certificating entities err on the side of caution and blanket-ban conditions with any perceived risk of incapacitation at all. On the other hand, had Lubitz been unconscious or otherwise unable to move the door lock switch, Sondenheimer could have entered an emergency override code known to all pilots, causing the door to unlock by itself after 15 seconds. Allegedly, he failed to disclose his history of depression on the form, but was somehow caught in the lie; the official report, however, makes no mention of any explicit rulebreaking. It transmits an acoustical signal on 37.5 KHz that can be detected with a special receiver. The agency released its findings Wednesday, nearly 10 months after the jet went down in Trinity Bay. HOUSTON, Texas (KTRK) -- The final words said by crew members on board the doomed Atlas Air flight that crashed this past February into Trinity Bay suggests a loss of control in the aircraft. A database containing CVR transcripts of aviation accidents and incidents Scroll 15 January 2009 - US Airways 1549 29 October 2018 - Lion Air 610 CVR Database - 160+ transcripts 10 March 2019 - Ethiopian Airlines 302 25 July 2000 - Air France 4590 31 January 2000 - Alaska Airlines 261 17 April 2018 - Southwest 1380 10 April 2010 - Polish Air Force Are you researching aviation incidents? It goes without saying that individuals at high risk of such incapacitation should not be allowed in the cockpit. Many pilots reading this are probably already aware that Lubitzs failure to disclose would not necessarily have seemed important, because the dark truth about the aeromedical process is that everyone lies.
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