Eastern Air Lines Flight 401

Eastern Air Lines Flight 401 was a Lockheed L-1011-1 Tristar jet that crashed into the Florida Everglades at 11:42 pm December 29, 1972, causing 101 fatalities (99 initial crash fatalities, two died shortly afterward). The Captain, along with one of 2 flight crew members, two of 10 flight attendants and 97 of 163 passengers, died. There were 75 survivors. The crash occurred as a result of the entire flight crew becoming preoccupied with a burnt-out landing gear indicator light, and failing to notice the autopilot had inadvertently been disconnected. As a result, while the flight crew was distracted with the indicator problem, the aircraft gradually lost altitude and crashed. It was the first crash of a wide-body aircraft and at the time, the second-deadliest single-aircraft disaster in the United States.^[1][2]

The crash

The aircraft flightpath summary, as shown in the NTSB report

Eastern Air Lines Flight 401, operating a four-month-old Lockheed L-1011-1 TriStar^[3][4] (the tenth example delivered to the carrier)^[5] carrying 163 passengers and 13 crew members,^[3] left New York's JFK Airport on Friday, December 29, 1972 at 9:20 p.m., en route to Miami International Airport.^[6] The aircraft was number 310 in Eastern's fleet, delivered to the airline on August 18 that year. The flight was under the command of Captain Robert Albin 'Bob' Loft, 55, a veteran Eastern Air Lines pilot ranked 50th in seniority at Eastern. Captain Loft had been with the airline for 32 years and had accumulated a total of 29,700 flight hours throughout his flying career. He had logged 280 hours in the L-1011. His flight crew included First Officer Albert John Stockstill, 39, who had 5,800 hours of flying experience, and Second Officer (flight engineer) Donald Louis 'Don' Repo, 51, who had 15,700 hours of flying experience.^[7] A company employee—technical officer, Angelo Donadeo, 47, returning to Miami from an assignment in New York—accompanied the flight crew for the journey.^[8] The ten woman flight attendant crew on Flight 401 included: Mercedes Ruiz, Sue Tebbs, Adrienne Hamilton (lead flight attendant), Trudy Smith, Dorothy Warnock, Patricia Ghyssels, Beverly Jean Raposa, Patricia 'Patty' Georgia, Stephanie Stanich and Sharon Transue. Pat Ghyssels (seated on jumpseat 3L) and Stephanie Stanich (seated on jumpseat 4L) died in the crash.

The flight was routine until 11:32 p.m., when the flight began its approach into Miami International Airport. After lowering the gear, first officer Stockstill noticed that the landing gear indicator, a green light identifying that the nose gear is properly locked in the "down" position, did not illuminate.^[6] This was discovered to be due to a burned-out light bulb.^[9] The landing gear could have been manually lowered either way.^[10] The pilots cycled the landing gear but still failed to get the confirmation light.^[6]

Loft, who was working the radio during this leg of the flight, told the tower that they would discontinue their approach to their airport and requested to enter a holding pattern. The approach controller cleared the flight to climb to 2,000 feet (610 m), and then hold west over the Everglades.^[6]

The cockpit crew removed the light assembly,^[11] and second officer Repo was dispatched to the avionics bay beneath the flight deck to confirm via a small porthole if the landing gear was indeed down.^[12] Fifty seconds after reaching their assigned altitude, captain Loft instructed first officer Stockstill to put the L-1011 on autopilot.^[12] For the next eighty seconds, the plane maintained level flight. Then, it dropped 100 feet (30 m), and then again flew level for two more minutes, after which it began a descent so gradual it could not be perceived by the crew.^[12] In the next seventy seconds, the plane lost only 250 feet (76 m), but this was enough to trigger the altitude warning C-chord chime located under the engineer's workstation.^[12] The engineer (second officer Repo) had gone below, and there was no indication by the pilot's voices recorded on the CVR that they heard the chime. In another fifty seconds, the plane was at half its assigned altitude.^[13]

As Stockstill started another turn, onto 180 degrees, he noticed the discrepancy. The following conversation was recovered from the flight voice recorder later:

Stockstill: We did something to the altitude.

Loft: What?

Stockstill: We're still at 2,000 feet, right?

Loft: Hey—what's happening here?^[13]

Less than 10 seconds after this exchange, the jetliner crashed at 25°51′53″N 80°35′43″W / 25.86472°N 80.59528°W / 25.86472; -80.59528Coordinates: 25°51′53″N 80°35′43″W / 25.86472°N 80.59528°W / 25.86472; -80.59528. The location was west-northwest of Miami, 18.7 miles (30.1 km) from the end of runway Nine Left (9L).^[13] The plane was traveling at 227 miles per hour (365 km/h) when it flew into the ground. With the aircraft in mid-turn, the left wingtip hit the surface first, then the left engine and the left landing gear,^[14] making three trails through the sawgrass, each five feet wide and more than 100 feet (30 m) long. When the main part of the fuselage hit the ground, it continued to move through the grass and water, breaking up as it went.^[15]

Rescue and aftermath

Robert "Bud" Marquis, an airboat pilot, was out frog gigging with Ray Dickinsin when they witnessed the crash. They rushed to rescue survivors. Marquis received burns to his face, arms and legs—a result of spilled jet fuel from the crashed TriStar—but continued shuttling people in and out of the crash site that night and the next day. For his efforts, he received the Humanitarian Award from the National Air Disaster Alliance/Foundation and the "Alumitec – Airboat Hero Award", from the American Airboat Search and Rescue Association.

In all, 77 survived the ordeal—69 of the 163 passengers and 8 of the 10 flight attendants survived the crash, with 99 initial fatalities.^[16] Of the cockpit crew, only flight engineer Repo survived the initial crash, along with technical officer Donadeo who was down in the nose electronics bay with Repo at the moment of impact.^[17] Stockstill was killed on impact, while Captain Loft died in the wreckage of the flightdeck before he could be transported to a hospital. Repo was evacuated to a hospital, but later succumbed to his injuries.^[18] Angelo Donadeo, the lone survivor of the four flightdeck occupants, recovered from his injuries. An autopsy of Loft showed that he had a brain tumor but it was not a factor in the accident.^[19]

Most of the dead were passengers in the aircraft's midsection.^[20] The swamp absorbed much of the energy of the crash, lessening the impact on the aircraft. The mud of the Everglades may have blocked wounds sustained by survivors, preventing them from bleeding to death. However, it also complicated the survivors' recuperation, as organisms in the swamp caused infection, with the potential for gas gangrene. Eight passengers became infected; doctors used hyperbaric chambers to treat the infections.^[1] All the survivors were injured; 60 received serious injuries and 17 suffered minor injuries that did not require hospitalization.^[18] The most common injuries were: fractures of ribs, spines, pelvises, and lower extremities. Fourteen survivors had various degrees of burns.^[21]

Cause of the crash

The NTSB investigation discovered that the autopilot had been inadvertently switched from altitude hold to CWS (Control Wheel Steering) mode in pitch.^[22] In this mode once the pilot releases pressure on the yoke (control column) the autopilot will maintain the pitch attitude selected by the pilot until he moves the yoke again. Investigators believe the autopilot switched modes when the captain accidentally leaned against the yoke while turning to speak to the flight engineer, who was sitting behind and to the right of him. The slight forward pressure on the stick would have caused the aircraft to enter a slow descent, maintained by the CWS system.^[23]

Investigation into the aircraft's autopilot showed that the force required to switch to CWS mode was different between the A and B channels (15 vs. 20 lb or 6.8 vs. 9.1 kg respectively). Thus it was possible that the switching to CWS in channel A did not occur in channel B thus depriving the first officer of any indication the mode had changed (Channel A provides the captain's instruments with data, while channel B provides the first officer's).^[24]

After descending 250 feet (76 m) from the selected altitude of 2,000 feet (610 m) a C-chord sounded from the rear speaker.^[12] This altitude alert, designed to warn the pilots of an inadvertent deviation from the selected altitude, went unnoticed^[22] by the fatigued and frustrated crew. Investigators believe this was due to the crew being distracted by the nose gear light, and because the flight engineer was not in his seat when it sounded and so would not have been able to hear it.^[23] Visually, since it was nighttime and the aircraft was flying over the darkened terrain of the Everglades, there were no ground lights or other visual indications that the TriStar was slowly descending.

It was also discovered that Captain Loft had an undetected tumor in his brain,^[25] and this was later found to be in an area controlling vision,^[1][26] but this was not thought to have contributed to the accident.^[27][28]

The final NTSB report cited the cause of the crash as pilot error, specifically: "the failure of the flight crew to monitor the flight instruments during the final four minutes of flight, and to detect an unexpected descent soon enough to prevent impact with the ground. Preoccupation with a malfunction of the nose landing gear position indicating system distracted the crew's attention from the instruments and allowed the descent to go unnoticed."^[29]

In response to the accident, many airlines started crew resource management training for their pilots. The training is designed to make problem solving in a cockpit much more efficient, thus causing less distraction for the crew. Flashlights are now standard equipment near jumpseats and all jumpseats are outfitted with shoulder harnesses.^[30]

In popular culture

The story of the crash and its aftermath was documented first in John G. Fuller's 1976 book The Ghost of Flight 401. Eastern Air Lines CEO (and former Apollo astronaut) Frank Borman called the ghost stories surrounding the crash "garbage".^[31] Eastern considered suing for libel, based on assertions of a cover-up by Eastern executives, but Borman opted not to, feeling a lawsuit would merely provide more publicity for the book.^[32] Loft's widow and children did sue Fuller, for infringement of Loft's right of publicity, for invasion of privacy, and for intentional infliction of emotional distress; but the lawsuit was dismissed and the dismissal upheld by the Florida Fourth District Court of Appeal.^[33]

The crash was also documented in Rob and Sarah Elder's 1977 book Crash.

Two made-for-television movies based on the crash were aired in 1978: Crash of Flight 401, aired in October, was based on the Elders' book, and dramatized the crash, rescue efforts and NTSB investigation; while The Ghost of Flight 401, aired earlier in February, was based on Fuller's book and focuses more on the ghost sightings surrounding the aftermath.

Musician Bob Welch recorded a song on his 1979 album Three Hearts titled "The Ghost of Flight 401".

The crash also appeared in a Season 5 episode of Mayday (also known as Air Crash Investigation). The episode was titled "Who's at the Controls?" (In some countries, the title "Fatal Distraction" was used.)

The flight was also mentioned in Season 1 episode 4 (entitled Phantom Traveler) of the television show Supernatural.

In addition, Air Disasters on the Smithsonian Channel has an episode on this crash titled Fatal Distraction ^[34]

Of note, the wife of Miami Dolphins nose tackle Manny Fernandez was scheduled to work as a stewardess on the flight, but switched with one of the stewardesses who died in the crash. Fernandez and his wife had married just weeks before the plane crash and are still married to this day.

See also

• Lady Be Good (aircraft), a B-24 reputed to be cursed after salvaged parts from it were reused in other aircraft
• Scandinavian Airlines Flight 933, a 1969 accident in which the crew were distracted by possible landing gear problems
• United Airlines Flight 173, a 1978 accident in which the crew were distracted by possible landing gear problems
• LOT Polish Airlines Flight 007, a 1980 accident which began with a burnt-out gear indicator lightbulb
• Aeroflot Flight 593, a 1994 accident in which an inadvertent change to the autopilot settings went unnoticed by the crew
• ValuJet Flight 592, a 1996 accident in which an aircraft crashed into the Florida Everglades not far from where Flight 401 crashed
• Northwest Orient Airlines Flight 705, a 1963 accident in which an aircraft broke up and crashed into the Florida Everglades
• United Airlines Flight 232, a 1989 accident in which an aircraft crash-landed in a shallow angle just like Flight 401 crashed
• Lists of accidents and incidents on commercial airliners

References

• NTSB report: Eastern Airlines, Inc, L-1011, N310EA, Miami, Florida, December 29, 1972, NTSB (report number AAR-73/14), June 14, 1973, retrieved October 9, 2012 
• Job, Macarthur (1994). "Chapter 12: Hey - what's happening here?". Air Disaster Volume 1. Aerospace Publications Pty Ltd. pp. 98–111. ISBN 1-875671-11-0. 
• Elder, Rob and Elder, Sarah (1977). Crash. Atheneum, New York. ISBN 0-689-10758-7. 
• Serling, Robert J. (1980). From the Captain to the Colonel: An Informal History of Eastern Airlines. Doubleday. ISBN 0-385-27047-X. OCLC 5447734. 

Footnotes

External links

Wikimedia Commons has media related to Eastern Air Lines Flight 401.

• NTSB Summary
• Flight 401 Survivors
• Flight 401 Survivors Tribute Fund
• CVR transcript
• The Crash of Eastern Airlines Flight 401
• "Eastern Flight 401 The Story of the Crash." The Miami Herald. Multimedia presentation on flight 401.
• The Crash of Eastern Air Lines Flight 401-Epilogue
• Crash at the Internet Movie Database
• The Ghost of Flight 401 at the Internet Movie Database
• ASN Aircraft accident Lockheed L-1011-385-1 TriStar 1 N310EA Everglades, FL