Botched takeoff ends up in disaster at Massachusetts Hanscom Field - 2014 Bedford Gulfstream crash
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- Опубликовано: 30 сен 2024
- Reconstruction of the takeoff attempt of a Gulfstream G-IV N121JM registered to SK Travels LLC and operated by Arizin Ventures, which was carrying american millionaire and philanthropist Lewis Katz and six others, including 2 pilots and 1 flight attendant.
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your videos are always great anyway !
Music in this video please.
I would like understand more.
My very first week of getting my PPL I was told: Never, ever, ever, ever think you've memorize the checklist and get complacent. Read it each time like it was the first time.
If only MDs followed this advice. I lost 2 friends to botched surgeries/hospital acquired infections.
TBH, I have wondered about this. If pilots get so much training, why do they need a checklist? Why can't they remember procedures?
@@Holliethedog It's a good question but the answer is multi-faceted and takes a long time to explain everything that can go wrong memorizing a checklist. I can share a common one though: A checklist has many pages and is performed throughout the startup, taxi, takeoff and up to cruise. While you're taxiing, you continue down the checklist but many situations can distract you including calls from ground or ATC. If you lose your train of thought based on memory on what you've done so far and what's left to do, you can see where this can become a problem. I hope this helped.
Yes, we were ALL told that. Unfortunately, people get big heads late in their careers and don't think they have to do that "beginners stuff." It usually ends badly.
If YOU can’t memorize a checklist…you SUCK! And should NOT be a PILOT!!
All those combined flight hours, and still failure. Checklist. Checklist. Checklist. It was drilled into me. Even when I fly alone I call out the items.
Good for you! Stay safe!
Trying to take off with a warning light on your instrument panel staring you in the face. And you just take off anyway?!
Maybe it was Friday.
Yes, I thought that was very unprofessional and wrong, to say the least.
Very negligent to say the least. Should have been a rejected takeoff when they first saw they didn't have enough power.
That really struck me.
@@muffs55mercury61 An RTO performed earlier would probably have saved all their lives ! What has 'enough power' got to do with it ?
Incompetent complacency on a staggering level. Any low-hour student grandmother knows you perform a minimum of two "full and free" control checks before even thinking about taking off. Their blatant disregard killed innocent people for no reason other than they couldn't be bothered. Unbelievable.
A hugely experienced ex-US navy pilot killed himself in a light plane because he forgot that check and a gust lock was on.
Should I insist from now on that my flight's captain and first officer each be a low-hour student grandmother ?
@@joemag6032 or insist upon a dei pilot
@@richardhead3211 Well, when it comes to pilot performance, "dei" is much too close to "die" to suit me 😞
@@joemag6032 LOL made my day
Tip - anything colored red in the cockpit is usually important and worth scrutiny. All of those years, flt hours, and training and wound up no better than having untrained idiots flying the plane. They killed all of those people. In some countries had those pilots survived they would been charged with crimes.
@@acbulgin2well said. I'm not a pilot yet I have met many. I would only add to your comment that arrogance is disturbingly common among pilots...at least, the ones I have met.
@@acbulgin2 It doesn't have to be recklessness, arrogance or egoism; it simply also can come out of decades of flying the same aircraft for thousands and thousands of hours. You then get used to things so much that they go automaticly, also in your mind, even when you look at a paper list...and if you then forget something you don't notice it as in your mind is the standard list which you cover. I always compare it with delivering newspapers which I did when I was young. The first few days you have to look at a paper with all streetnames and numbers, after less than a week your mind knows all and no paper is needed anymore. However, if then a few weeks later you get a notification that the day before you not delivered at street X nr Y you can not remember nor imagine: in your mind you have done it so often over and over again that your mind will tell you that you did deliver it to that address.
Even with checklists, it still happens that people forget to put flaps/slats before takeoff, or that they move the wrong lever...(remember we are no robots)
Red, means STOP! 👌
This is not supposed to happen with 2 Two experienced pilots, one should check the other but nothing.
It does when complacency sets in. I will take the newer crew
CRM was NOT in evidence.
A silent checklist is the same as no checklist at all. This was horrifying negligence.
@@claytonsanders508 You ever fly single pilot night freight?
@@jacknisen And what ?
I just made effectively the very same comment using slightly different words.
My first assignment at the NTSB ...my new career after leaving the Airlines as a tech. Unfortunately, a reoccurring cause of death. So glad I'm retired now. I never learned to understand pilot egotistical mindset and embedded arrogance. Good job with the video. Someone asked me to check out your channel. 👍
Thanks and welcome
You’d just assume 2 pilots with this experience level you’d be totally safe. Guess it speaks to the fallibility of human nature.
There IS no totally safe, which watching enough of these (from various sources) makes clear.
Things go wrong. Like equipment. Or weather. Or human error / confusion. What really GALLS me though is when a bunch of people get killed by something as BLATANT as this, and the bad habit re no checklists is done almost all the time for a LONG time.
When you're flying, it's NOT like you can just pull over and call for help when something serious goes wrong.
The thing about licenses and check rides is on one specific day you met the minimum requirements to pass the task. Does not guarantee good future performance.
All the warnings were there. This is why I'm always nervous on an aircraft. Some pilots are idiots. The worst ever aircraft disaster was caused by the actions of KLM's most senior Captain.
After watching a LOT of aircraft disaster videos, they fly an alarming amount with well known equipment problems, often not fixed to save money. Problems with planes, equipment at airports, maintence (cost cutting, wrong procedures, etc).
Flying gets safer over time, re commercial flights, but still -- no much nonsense that COCULD lead to big trouble is tolerated -- to save money.
@rogergeyer9851 not only money
@@rogergeyer9851 You are correct. Although flying is statistically low risk there are still many dangers lurking.
Very true!
That was a combination of factors. KLM had strict rules about pilots not getting overtime even for a delayed flight and punishments for captains who did regardless of circumstances. That was a policy that killed all those people. That captain was their senior trainer. He didn't want to lose his job. He gambled in the fog and lost. He disregarded the tower and lost, he didn't listen to his copilot, who at the time didn't clearly state his concern, and lost. Today, pilots are taught to communicate clearly and not see the captain as the commander of the cockpit but rather, the other person flying the plane. Communication has improved greatly because of crashes like that one.
I am a low time GA pilot with several thouusand hours. It's hard to believe that two experienced, knowledgable pilots would BOTH forget to disengage the gust lock before starting the takeoff roll. Makes you afraid to fly charter.
Makes you wonder about flight crew licencing !
@@grahamstevenson1740 Amen.
Vote Against trumpism Authoritarian Dictatorship!!
And the SIC replied to the PIC when he mentioned the GUST was on: "what's that?". Unbelievable!
@@rvnmedic1968 I do wish those terms hadn't been used. It should be Pilot Monitoring and Pilot Flying (PM and PF).
I always think it will be forgetting to set flaps and slats for takeoff that will be the cause, but this may be worse. For two pilots who have been flying for so long, it’s inconceivable that they would try to take off with so many obvious warnings and issues. Numbskulls.
And of course, that's what the checklists are FOR. If the checklists are actually FOLLOWED, in a careful way (not just auto-readoff mode), then things like slats and slats will be covered EVERY time. At least setting them for takeoff and landing.
I live not far from Hanscom and I remeber this incident and its aftermath/investigation/findings very well. Nothing short of criminal.
I had a full career in managing manufacturing operations. I learned early on that there are two very distinct times when a person is at risk of making a mistake 1) When you're learning. Obvious because mistakes are part of learning. Mistakes were expected so the team was on guard and the overall impact was minimal. 2) When you've got experience. This is the most dangerous time, the confidence is high, the focus on the task at hand drifts, corners are cut and the errors are likely to be missed because the teams radar is down given that "everyone knows what they're doing". When I asked one of my best most experienced operators why he made so few mistakes. His answer, "I come in every day convinced the machines are out to get me...something will screw up and I gotta be on my guard...I don't trust anything".
Wow my jaw just kept dropping with every screwup and the end result. Just wowwww.
To the many pilots who transport millions of souls daily....thank you for doing your checklists! Kenny Nash ABE ENTERTAINMENT
Can’t believe 2 experienced pilots could be so unbelievably complacent, so sad.
At the very least, you don't takeoff with a warning on your instrument panel. Wow. I had a last hope they would turn the plane somewhere safe to make it "drift" and have a better chance... I've seen that on other reproductions and it did make the difference. But gust lock let them do nothing but accelerate and try to brake... what a sad accident.
It is almost beyond belief that these two highly-experienced jet pilots would leave the control lock on. People rightly wonder, "How could that happen??" Easy! Two highly-experienced pilots who've flown with each other many, many times can become complacent. And that is apparently what happened here. They landed in Boston during daylight. One of them set the control lock for some reason (maybe it was gusty?). It was probably something that they normally didn't do. When they returned to the aircraft, it was dark. Jet cockpits are typically not brightly lit at nighttime. In their complacent and "silent" way of accomplishing checklists, the "Gust Lock - OFF" item was missed. It must have been in an unlit area of the console. Ironically, their jet had just enough play in the throttle lock to allow them "some" movement - enough to taxi and get the aircraft accelerating down the runway, evidently. They futzed around, trying to get the gust lock off, but it wasn't happening once air loads were imposed on the control surfaces. We can all chant, "They should have..." this, or "They should have..." that, but they did not do the thing that would have saved their (and their passengers') lives: Abort the takeoff at the first sign of trouble. Hey, even the best of us can make a mistake, I reckon.
Go right on reckoning I reckon.
That wasn’t a mistake that was incompetence
It's WORSE that they were so bad with the FIVE checklists. Habitually doing that ensure that at SOME point, something important gets missed. And THEN when they also ignore warning lights, power issues -- etc, it's like they were TRYING to crash at some point.
@@carlwalker3557 - You got something constructive to add, Carl? Or do you just enjoy making stupid comments on RUclips videos for...what...fun? You know that little voice in the back of your head that says, "Maybe I should just STFU once in a while." I reckon you should probably listen to it once in a while.
I watch a couple of RUclips pilots who never seem to run through the checklists except from their memory and they scare me. I commented on this a few times and their "fans" blasted me off their channels...
Thank you for this video. I live near Hanscom and bike Virginia Rd around the 5-23 runway pretty regularly, watching takeoffs from it and from the 11-29. The breaking news of this crash back in 2014 was haunting, clearly felt like something went very wrong very fast. This is the first place I've found that put all the puzzle pieces together to tell the whole story.
...complacency can kill.
I’ve been flying Boeings for most of my career and Boeing normal checklists are short and to the point, covering only items that have the potential to be catastrophic if overlooked. Flight controls being one of them.
Interesting.
Really rediculous especially for Two trained experienced pilots. Then the last minute attempt to abort when the pilot knew how long it would take stop and how short the remaining runway was.
This is really a strange one based on the experience of the two pilots. These excerpts are from the NTSB report:
"The PIC, age 45, who was seated in the left pilot seat, held an airline transport pilot certificate with a multiengine airplane rating and type ratings for the Gulfstream G-1159(Gulfstream G-II/G-III), Gulfstream G-IV, Beechcraft BE-400/Mitsubishi MU-300, and Gates Learjet LR-JET airplanes. He had commercial privileges in single-engine airplanes and held a flight instructor certificate with single-engine airplane and instrument airplane ratings."
"The PIC’s FAA medical records documented that he was a passenger in an airplane that crashed in 1992. As a result, he suffered multiple facial injuries, a fracture dislocation of his ankle, and a closed head injury; he was hospitalized for about 4 weeks."
"The SIC, age 61, who was seated in the right pilot seat, held an airline transport pilot certificate with a multiengine airplane rating and type ratings for the Gulfstream G-1159(Gulfstream G-II/G-III), Gulfstream G-IV, Gulfstream G-V, and Lockheed L-1329 (Jetstar/Jetstar II) airplanes. He had commercial privileges in single-engine airplanes and held a flight instructor certificate with single-engine airplane, multiengine airplane, and instrument airplane ratings. The SIC also held a mechanic certificate with airframe and powerplant ratings and a current inspection authorization... the SIC reported that he had accumulated 18,200 hours of flight time as PIC and 2,800 hours in G-IV airplanes."
Never ceases to amaze me I guess it’s just human nature or perhaps I am just OCD which having Tourette’s I probably am as it goes together LOL but anyway I’ve ridden motorbikes for 45 years and because I know what tarseal tastes like , every time I ride, I check over the bike if I hop on it and something feels a bit odd. I stop straight away But as I say it never ceases to amaze me with aviation when you’re even more committed than you are on a road going vehicle that people see something not right but they just continue rather than say it’s a shitload harder once we try and get it in the air let’s stop and see what that light is etc
If I'd looked at the history of both pilots I'd have had no reservations about travelling on that plane.. Obviously, the pairing of the two of them together over such a long period had led to departures from SOPs... maybe a good reason to monitor QARs periodically to pick up any anomalies developing as a result of overfamiliarity due to repetition.
Very sad and unprofessional that these before-take-off checks were not done, but why is it possible for this machine to be configured for flight and for the take-off roll to commence with the gust lock engaged? Why is there simply not an interlock mechanism to prevent the thrust levers being moved to take-off thrust if the gust lock is engaged? I can't conceive of a situation where take-off thrust and an engaged gust lock would ever be needed concurrently. At the very least an unignorable alarm, surely?
My husband is a Challenger 604 pilot he is early sixties. The plane you computer generated is not a G4.
Yep, the Cessna logo on the yoke was a dead give away.........
Wow... thanks for clearing that up! /s
Yeah, which computer simulation matters, that will change things.
@@carlwalker3557 /s...
Not a challenger either
the fuel tank was ripped open by a FAULTY ground mounted 'BREAK-AWAY' antenna bolt. Otherwise a runway overrun. PINTO! PINTO! PINTO! don't blame the driver.
The former PA Governor Rendell was offered a ride to go on that trip but was unable. Best decision he ever made. Some may have been disappointed.
Who would have been disappointed ? Your imagination really pinpoints people.
@@carlwalker3557 Those who didn't like that governor, obviously! Come on now. I assume you're not thinking clearly.
What’s crazy is I lived 3 miles from this base when this happened I don’t remember hearing anything about it.
CHECK LISTS SAVE LIVES ........... MORANS DON'T USE CHECKLISTS.
It's a good thing poor spelling is rarely fatal...
Manufacturer needs to improve “ communication “ between the planes electronics and a pilot......such that when a warning light pops on.....a second light should pop on that states....” TO attempt will fail”
I worked there with Allstate boiler Co of Farmington CT. Wow didn't hear of it till now. I knew the airport was a safe landing zone for vips.very sad to here of such loss at beautifully facility.Rip to all on board and by putting out this video should be a wake up call to those who think they got this .And fail.arrogance on their behalf. We are supposed to trust in others especially trained professionals.
As a retired ER doctor I understand the mental fatigue that comes with doing the same thing (ie, the same discharge instructions) many thousands of times. It’s not just numbing, you begin to resent it. Especially as you get older. When you get to the point where doing the same thing repetitively causes you to do anything to shorten it it’s time to stop and do something else.
I'm not giving the pilots a pass by any stretch of the imagination. It's inconceivable that any pilot of any kind of rating, I don't care how many hours, (2 or 20,000) would attempt to take off without checking freedom of movement of the flight controls. But it's also concerning That a G-IV has an indicator light that determines that rudder movement is limited, but didn't take the design a step further and configured that sensor to prevent an attempted take off! So many clues. Two clueless pilots. This is hard to watch.
Happy Hanscom AFB serves the 10th Special Forces Group (Airborne). at Ft. Devens
THe issue is too many flights together that they developed blind amnesia to the potential issues. False trust was built up by familiarization. What are the regulations regarding crew members switching up their flying partners?
I’m guilty of doing checklist items by memory e.g I do flap/trim settings, idle check, control check and instrument checks during taxi and the run up in a sequence manner. However, I always read out the checklists after completing my sequence memory items to make sure all was covered.
It's instilled in every pilot to conduct a flight controls check prior to flight. Sad.
Lazy pilots took innocents with them….
Even after all the errors, how do you start a take off will a rudder limiter warning light?
Complacency has no place in aviation. It doesn’t care how much experience is up front, it WILL kill you and just like the agent behind the glass at the Dept of Motor Vehicles…coldly say…
“NEXT”😢
Very similar to the Detroit 87’ crash where the TO configuration was set wrong (apparently they took out the circuit breaker to stop the visual/ audio warnings. Also, how is a 61 year old “First officer” not promoted to captain by now?
Not sure if he was only a F/O.
Two pilot ops I think are always designated…
PIC and F/O, even if both are Captains.
@@57Jimmy I’ve seen many videos where they state their ranks and state “acting as first officer” …also, when “flight engineer” was more prevalent to see one in their 50’s one would think they would want to be promoted to a Captain at that stage?
Crazy. I was just telling someone about this entirely preventable disaster a few days ago, (I think because I'd watched a video recently with similar cause and outcome) as the destination airport is not far away. This particular incident came to mind, but I couldn't recall Mr. Katz's name at the time.
So unfortunate (not to mention egregiously careless) that such experienced pilots are even capable of such recklessness. But as humans, such lax attitudes and results are always a possibility, however remote, and will remain so.
not even close to a g4
Blessing and prayers to all involved, to their families and friends. Seems like compliance and mental fatigue happens in all professions. It seems to happen to those more ‘experienced’ too. Especially when in a rush. It needs to be studied a lot more and with ongoing training. I am not a pilot, so I wonder: is there a way for an aircraft to automatically ‘prevent’ the start of a takeoff, if ANY warnings exist? Sorta like you have to pass a checklist test. -The stakes are so high it would be worth it. Thx.
Great easy follow video I learned a lot. Thank you.
DEI hires will only make this worse.
Total non sequitur, but on Christmas Eve 2014, (around 12:30AM) my wife and I saw 9 lights hovering above Hanscom that suddenly sped away and over the horizon in mere seconds. My only UFO sighting (and hers)
And the earth is flat. /s
Take the nonsense elsewhere.
When I live near there .
@@rogergeyer9851HA HA HA HA HA HA HA the joke is on YOU doofus. I've had a UFO experience, seen a sasquatch and experienced paranormal activity in my home.
Because YOU haven't seen a UFO, they're all fake, right? What a kindergarten mentality.
Secret USAF research done there. You may have seen Aurora.
That's flat out, Insane. What a waste, isn't there oversight to pilots actions in the cockpit, I had more oversight driving a semi.
Not a pilot but if I was having trouble with the controls I might move the giant red lever to a different position maybe.
Complaceny and familiarity killed everyone. This would not have happened with a major airline - billionaires take notice.
You forget the accidents where they forgot to put flaps/slats before takeoff? Spanair 5022, NWA 255, Delta 1141
You mean a major DOMESTIC airline. Not third world foreign airlines where you are taking a chance flying with them.
just subscribed. i really admire this content. keep it up
“Silent” checklists are recipes for disaster. Probably one of the worst cases ever of flight crew complacency. A simple “three free and correct” box flight control check would have saved all on board. Not the easiest thing to taxi a Gulfstream with the control lock on but these guys managed to do that as well.
Likely used differential braking?
All of the Gulfstream have a “tiller” used by the left seater to maneuver the aircraft on the ground, and it is not disabled by the control lock. Still mystified as to how this crew got enough power when starting taxi as the control lock significantly restricts throttle movement. They lined up all the holes in the Swiss cheese.
this is very scare, my cat is sad
. lol
I remember this. Very tragic. Some things fundamental were forgotten and everyone died because of it (they likely all burned to death) Even a non-pilot would know this should have been a rejected takeoff when they had time to. And never bothering to do check lists for that long (175 flights?????) Sheer insanity.
When in doubt, don't!!!
I don't flight instruct anymore, but I'll give you all this, and do it after your checklist before each takeoff: FFTTC/ Fuel, Flaps, Trim, Transponder and Cycle the controls. Those are the "Killer Items" that ensure safe flight from a 172 Skyhawk to an A320 and beyond. Happy landings.
cocky pilots (good people they may have been) but to act so non-chalant during pre-flight checklist is inexcusable. consequences were sadly revealed. so avoidable.
Lou, the owner, was very good to these pilots. They got a chance to visit family on trips, etc.
It's unfortunate that they weren't on the ball with routine tasks.
Everytime I would see a plane running toward takeoff on a runway, I would wonder what would happen if it couldn't actually take off, for whatever reason, once the runway ends. Now I see what'd happen.
Complacency kills.
Ummm....
This is not a G-IV, this is a Cessna Citation/750
The more you know I guess, but GulfStream G-IV videos are plenty and easy to find.
The video depicts a Cessna Citation Ten, or 750.
Lewis Katz! He owned the Philly Inquirer, and started a School of Medicine with his "miscellaneous millions", that has a Physican Assistant Program. + + + Thank you for another fine video!
Read the NTSB report. From the responding firefighters to the jammed exit door. This whole situation was a clusterf&#k from the get go.
Incompetence on everyone’s part.
NEVER perform a checklist 'silently'. It's as good as none at all. Far too many accidents have been due to incompletely performed checklists.
"We've done this 1000 times, what could possibly go wrong." (What both pilots were thinking till halfway down the runway.)
What the hell??? Waning indicators lite...and condition doesnt allow d
Full throttle??? Abort t/off taxi back....
If these pilots had survived, I believe they could have been charged criminally, given their practice of repeatedly ignoring formal checklists goes way beyond negligence. Why did they do it? Likely fell into the trap of believing that just because something adverse hasn't happened over repeated flights that it can't or won't happen.
After 21 years of airline bouncing, I looked for some stability (if there is such a thing in aviation) in 91/135. Unfortunately, none of the elements of this crash are a surprise in the light jet “world”.
It's amazing how pilots with so many hours logged could make such a careless mistake. There are checklist for a reason. I find it reckless what they did.
Wonder if Gulfstream was sued for not having a better fail safe for the gust lock.
Pretty amazing that the rudder limit light was on, which means the rudder movement is limited, yet they went ahead with the take off…what the hell.
Almost feels like the two pilots were going through divorces, they were losing their kids and large portions of their bank accounts, so decided to commit suicide
I'm trying to understand how both pilots were so lazy they couldn't do a check list. One of them should have demanded that this procedure be done. But sadly, they BOTH were guilty. I would NEVER consider trying to take of in my Piper Archer without reading the checklist. How can pilots become this complacent? A GIV is a very complicated aircraft. Missing one little thing could get you killed.
Gusséts Lõck Shoiđ behâvé Réd Strêëmar tâpé
say Removêđ Béfour Flýinğ
I recall this accident on KBED, my home base. Also, a client of mine was the Fire Chief (now retired) responding to the event, very sad.
Becoming a millionaire. To die because of a knob. That's my luck. What a stupid way to die. Without any control of it. A damn knob.
But wait! They are highly trained professionals! They MUST know what they are doing! Remember that when humans are in control of you and your processions. Like with firefighters. The first thing you learn is to check your controls before you move the plane.
Go to any airport and you may see the full and free movement of flight controls being performed in accordance with the check list, This accident was totally avoidable !
The visual is not a Gulfstream 4. The gust lock works on the ailerons, the rudder and the elevator ... not the "wings" as stated.
If you're going to pretend to know about these things, you could at least do some elementary research.
I don't fly anymore. Not only because some airlines are lowering the standards so a minority can be a pilot, but the hassle you get from tsa when checking in. On top of that, the airlines have the nerve to charge you if you don't check your luggage.
Any abnormality below 80 requires immediate abort.
Piss poor pilotage.
The complacency of experienced aircrew seems to be the reason for many of these accidents. Especially not bothering to do checklists properly or not complying with sterile flight deck rules.
who killed whom?....this is serious business NEVER deviate from a/the checlkist
They had plenty of chances to catch the error, but many aircraft have a "config warning" that would have set off an alarm. Hard to believe an aircraft as expensive as a Gulfstream didn't have this.
Complacency kills... Sad for the pilots and all on board. And the familys.
There is a reason they have those checklists!
Habitually not checking the controls before take off? I cannot even conceive of that. How is it possible? Did they think they were driving a toy?
It is safer to fly with rookie pilots since they are hyper-focused on not screwing up. Veteran pilots are complacent because they think they know everything.
Idiots at the controls. Unbelievable. And sad for the trusting passengers.
As a non-pilot...
I keep seeing these videos where the automated safety system causes the crash.
So the authorities load more automated safety systems on the pilots ...
Who actually have no idea how little control they have.
It sounds an aweful lot like pilots who liked to be high in the cockpit. No check list, tons of experience but missed three opportunities. High.
“It does not belong to man who is walking to direct his step.” - Jeremiah 10:23
While I enjoy your videos, could you tighten them up so all the writing can be seen. Thanks.
Peer pressure. One of the two is the main culprit, and probably bossed the other into disregarding the 'boring' checks, and the stronger personality wins in the process, but loses in the end.
The crew simply was complacent and did not go through the checklists required.
Not exactly a G4 model but ok. Also they departed RWY 11, not 5.