Backstory Report
Air Canada Boeing 767 C-GAUN in flight in 2007, the aircraft in this case, in its later colours

AirCase File 006: Air Canada 143

A 767 Runs Out of Fuel Mid-Flight

The gauges were blank, so the fuel was measured by hand. One factor turned litres into the wrong unit.

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C-GAUN in flight at Vancouver, 26 Jun 2007, in its later colours, not the day of the event. Photo: Ken Fielding, CC BY-SA 3.0, cropped, sky extended at the left and below · Source

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Case File 005

Both Engines Fail Over New York

Climbing out of LaGuardia, flight 1549 struck a flock of Canada geese and both engines lost almost all their thrust. Controllers offered runways at LaGuardia and Teterboro. The captain answered: we're gonna be in the Hudson.

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Try it yourself

Three pieces of evidence you can work, straight from the cases
Case File 006 · The fuel sum

Type the factor the fueller gave. Watch the tanks.

With 1.77 the tanks held about 10,200 kg of the 22,300 kg needed: the Board's "only half" (pp. 28, 42).

The sum in Case File 006
Case File 004 · Two ways to the Gulf

Follow the water from Old River. Which way is shorter?

Lengths: Corps of Engineers, Old River Control, 2009, p. 5.

Case File 004
Case File 002 · Land from water

Drag through the years. Watch the polders fall dry.

Wieringermeer: 1930, about 20,000 haNoordoostpolder: 1942, about 48,000 haEastern Flevoland: 1957, about 54,000 haSouthern Flevoland: 1968, about 43,000 haBeemster: Haarlemmermeer: Zuidplas: WieringermeerNoordoostpolderBeemsterHaarlemmermeerFallen dry by this yearDelta Works, finished by this year
Map: drawn from the coast and polder outlines used in the film (Natural Earth, OpenStreetMap ODbL, Rijkswaterstaat). Outlines simplified.

1612 Beemster dry (43 windmills)

Case File 002

In their words

  • “To suggest that the accident was the result of a metric mix-up is simplistic and inaccurate.”
    The Board of Inquiry, on the idea that this was a units error and nothing more: Board of Inquiry, Final Report, April 1985, p. 35 Case File 006: Air Canada 143
  • “The National Transportation Safety Board determines that the probable cause of this accident was the ingestion of large birds into each engine, which resulted in an almost total loss of thrust in both engines and the subsequent ditching on the Hudson River.”
    The National Transportation Safety Board, probable cause: NTSB AAR-10/03, adopted 4 May 2010, p. 123 Case File 005: US Airways 1549
  • “A critical stage is to be expected at some time before 50 per cent of the flow is diverted. Following this critical stage, closure of the Mississippi River below Old River will be rapid and diversion will be uncontrollable.”
    Harold N. Fisk, in his 1952 report for the Mississippi River Commission: Fisk, Geological investigation of the Atchafalaya Basin and the problem of Mississippi River diversion, 1952, paras. 216 and 217 Case File 004: Old River
  • “The flight and cabin crew managed the event as a competent team in accordance with standard operating procedures and practices.”
    The Australian Transport Safety Bureau, on the crew: ATSB AO-2010-089, final report, 27 June 2013, p. 146 Case File 003: Qantas 32
  • “This should have read that 55 per cent of the Netherlands is at risk of flooding; 26 per cent of the country is below sea level, and 29 per cent is susceptible to river flooding.”
    The planning agency's figure, in its own correction: PBL Netherlands Environmental Assessment Agency, correction note Case File 002: Below sea level
  • “Think of the paralysis of intellect that gave that idea birth”
    Mark Twain, changing trains at Albury in September 1895: Mark Twain, Following the Equator, 1897, chapter XIV Case File 001: Three gauges

This week

11 November 1966

Gemini 12 lifts off at 3:46 p.m. Eastern time. It splashes down four days later, on 15 November.

How a case is made

The method
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    The report

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  2. 2

    The reconstruction

    Maps, timelines and diagrams redrawn from that record. Every figure keeps its page.

  3. 3

    The film and the file

    A film for YouTube, and here the full story in writing, with the pictures, the facts and the sources.

Case File 005 · 15 January 2009, 15:28 EST

Both engines have lost their thrust. You are at about 1,770 ft over the Bronx. Where do you go?

Heights from the flight recorder; times from the cockpit voice recorder transcript. Nothing you pick is recorded or counted.

Lines from the aircraft's position at each offer to the runway end or the river touchdown point. NTSB docket item 85, Table 1a; FAA runway data.

The controller offered LaGuardia three times.

  • 15:28:05 do you want to try to land runway one three? p. 174
    15:28:10.6 we're unable. we may end up in the Hudson. p. 174
  • 15:28:31 its gonna be left traffic for runway three one. p. 175
    15:28:35 unable. p. 175
  • 15:28:46 runway four's available if you wanna make left traffic to runway four. p. 176
    15:28:49.9 I'm not sure we can make any runway. uh what's over to our right anything in New Jersey maybe Teterboro? p. 176

The captain asked about New Jersey; Teterboro was offered.

  • 15:29:21 turn right two eight zero, you can land runway one at Teterboro. p. 178
    15:29:25 we can't do it. p. 179

The crew chose the river.

  • 15:28:10.6 we're unable. we may end up in the Hudson. p. 174
    15:29:28 we're gonna be in the Hudson. p. 179

What the crew chose, and what the simulator found

The crew ditched on the Hudson at 15:30:43, 211.6 seconds after the bird strike. All 155 on board survived (pp. 48, 6).

In simulator runs that turned back at once, 8 of 15 reached a runway, with pilots briefed in advance. A turn back to runway 13 after a 35-second delay, to allow for recognising the problem and deciding, did not succeed (p. 50).

Every option, mapped, in Case File 005