Transcript for:
Analysis of US Bangla Flight 211 Incident

As a US Bangla plane approaches runway 20  at Kathmandu airport, alarms shriek in the   cockpit—"Too Low. Pull Up!" The weather is  unforgiving—thick fog surrounds Kathmandu,   and visibility is poor. The runway appears at the  very last moment, but the aircraft is not aligned,   they are descending too fast, and they are  perilously close to the ground. The captain   desperately tries to correct the course, but the  plane suddenly veers off track. Within seconds,   the plane flies dangerously over the domestic  terminal, hurtling towards the ATC tower just 100   meters away. Inside, eight controllers freeze in  terror, while 71 passengers onboard the plane and   hundreds in the terminal remain blissfully unaware  of the catastrophe closing in. Disaster seems   inevitable… What went wrong? Let's find out… This is the story of US Bangla Flight 211   DHAKA, Bangladesh. First Officer Prithula Rashid is the first   female pilot of US Bangla Airlines. She’s just  25, and she has already amassed 390 flight hours   of experience. And today she’s going to add a new  feather to her cap. She’s about to fly the tricky   approach into Kathmandu for the first time. The Kathmandu Airport in Nepal is a notoriously   challenging place to land as it is situated  in a narrow bowl-shaped valley. Pilots have   to navigate past the tall Himalayan mountains and  they require special training to land there.   To provide her with that training, she is  accompanied by 52 year old Captain Abid Sultan.   He’s a former Bangladesh Air Force pilot with  over 22 years of flying experience. He is also   an instructor for the airline. And with more  than 100 flights to Kathmandu under his belt,   he is well-acquainted with the route. There are 67 passengers on board US Bangla   211, most of them Nepali and Bangladeshi.  While the two pilots await taxi clearance,   the two cabin crew members complete the  passenger safety briefing. This plane,   though, is going to be anything but safe. First officer Rashid looks excited. It’s a   big day for her - she’s been looking forward  to the challenging landing. But to her left,   things aren’t looking too good. She notices that Captain Sultan is not looking   well. He looks very agitated and he is stressed  and short tempered. He’s cursing under his breath.   And when the operations staff talk to him on  radio, even they aren’t spared by the captain.   CAPTAIN: I don’t want two one two, I want  two one one(Very angry) … I don’t want to   read you again? Keep your mouth shut. But interestingly, as soon as he turns his   attention towards the female first officer,  his demeanor completely changes. He turns   calm and compassionate. CAPTAIN: Don’t be scared,   I am going to stay for another 3 months, I am  going to show these people right and left.   Just as he finishes saying these words  to the first officer, the ATC clears the   plane for taxiing. The plane pushes back, and  taxies to the runway. They then depart Dhaka,   headed for the Himalayan country. The weather on route and at the   destination is going to be marginal. It’s  overcast with some thunderstorms in the   area and visibility isn’t great. During the climb phase, the captain   overhears a communication between Operations  and another US-Bangla aircraft regarding their   fuel onboard. But even without verifying if  the message was meant for him, Captain Sultan   replies angrily at the Operations staff, Captain: Operations, Bangla Star Two One One.   Ops: Bangla Star 211, Operations. Go Ahead. Captain: (Angry) Why the hell do you need to   know the Onboard fuel? Why do you ask me for the  onboard fuel? YOU NEED TO TELL ME NOW. I WANT   a written explanation before I come to Dhaka. Ops: Copied Sir. Wilco. Have a safe flight sir.   Captain: (Very Angry) I don’t CARE  about a safe flight. You just do your   duty. Don’t talk to me unless I call you. The Captain’s behaviour is not just abnormal,   but it is also a severe violation of  the Sterile Cockpit Rule which forbids   the pilots from engaging in non essential  conversation during the critical takeoff   and landing phases of the flight. Captain: Even if I am abusing others,   you don’t be afraid Buri. See, I am calling  you Buri to show my love for you.   The copilot sees a big red flag but unfortunately  she choses not to speak up due to his seniority.   She realises that this short one-hour  flight was going to feel much longer.   15 minutes pass. The weather outside  the plane starts turning cloudy. The   weather inside the cockpit,  turns thunderous. Out of the   blue, he goes off on a rant about another  young female pilot, Farhat Lamia Khaled,   whom he had previously trained at the airline.  He angrily curses Lamia for filing a complaint   against him questioning his competency. Captain: Lamia was the worst trained in   US-Bangla . She said we made out in  the cockpit. She is not even worth   approaching - she is ugly and she is fat. There are rumours within the company that the   Captain was involved with Lamia, and Lamia had  filed a complaint against him. He breaks down   and starts weeping openly, telling  the first officer that he is quitting   the company because of Lamia. Captain: I don’t need Lamia. What   does SHE know about flying. If I wanted to  be with her, I can easily do that anytime.   She is not innocent.. your friend Lamia.  But because of HER, I had to resign.   The first officer is too stunned to know how  to react. She chooses to remain silent, hoping   and praying that they reach Kathmandu soon. Then, something bizzare happens. The captain   lights a cigarette inside the cockpit and  begins smoking. A blatant disregard for   every safety convention and common sense. Captain Abid Sultan has had a history of   depression. While in the Bangladesh Air Force,  back in 1993, he had been removed from active   duty after a psychiatric assessment. But then he  had himself re-evaluated by another psychiatrist,   9 years later, and this psychiatrist declared  him fit for flying. Based on that evaluation,   he joined US-Bangla in 2015. Many pilots refuse to seek treatment   for mental health issues because they fear  that their medical assessment will have   a negative impact on their career. And they  try to manage their mental health themselves,   without seeking proper attention and treatment.  And we’ve seen this before in other cases,   like Pakistan 8303 and Germanwings 9525. Now, one hour has passed and the flight has nearly   reached Kathmandu. The passengers and the cabin  crew remain blissfully unaware of the turmoil   inside the cockpit. They have enjoyed a relatively  peaceful flight thus far. But things are not   going to remain peaceful for too long... Inside the cockpit, Captain Sultan is still angry,   and he’s still crying… FO Rashid tries hard to get   the Captain back to his senses. But this is the point that marks the   beginning of a troubling turn of events. For the descent and approach into Kathmandu,   Captain Sultan was going to be pilot flying, and  the first officer was pilot monitoring. He needs   to complete the approach briefing, but he doesn’t  have the approach charts with him. He’s just not   adequately prepared for flight operations at this  time. He asks the first officer for her charts,   which she hands over. He then briefs their arrival  into Kathmandu while referring to her charts.   I need you to remember that the approach  into Kathmandu is extremely challenging   even for experienced pilots who are completely  focused. This cockpit is anything but..   The Captain does not carry out a complete briefing  of the Runway 02 approach. Given that he has   performed this approach multiple times before,  complacency seeps in. And important steps are   missed. Also, remember that the First Officer  was operating this route for the first time,   so she’s unable to pick up on any issues, and even  if she does, she’s not challenging the captain.   He hands over the charts back to the first  officer, and he instructs her to clip the charts   to her side console. This means that he would  have no access to the charts while performing   the approach into the airport. The chart  contains critical information for the approach,   like the minimum height at which they need to  fly, which direction they should be flying in,   and where the mountains that they need  to stay clear of, are. Without this,   he's essentially flying blind, trusting his  memory of how the approach should be flown.   To make matters worse, FO Rashid makes several  incorrect statements which indicates that she   has a poor understanding of the procedures to  follow during approach, but her confusion is   not resolved by the Pilot in Command. And in this state, the crew attempt to   begin their approach towards the runway. A few minutes after that, the plane is handed   off to Kathmandu approach who instructs  the aircraft to descend to 13500 feet and   to hold over this waypoint called “GURAS”. Based on their current position and speed, the   aircraft will arrive at GURAS 6 minutes earlier  than originally planned. Kathmandu is usually   a very crowded airspace, and so the pilots fully  expect to be asked to do this holding pattern.   And in preparation for this, the FO inserts  this HOLDing pattern into the computer.   If you zoom out a bit, there’s another plane  called, BUDDHA 282 that is following this plane.   Just keep this in mind, because this second  plane will soon play a part in this story.   Kathmandu Approach then calls up and  instructs US Bangla 211 to reduce   their speed and to descend to 12500ft. However, before the aircraft arrives at the   holding point, the approach controller  clears the flight to further descend and   to begin approaching runway 02 directly.  They are not asked to perform the HOLD.   The pilots acknowledged this transmission  from the ATC, but they crucially forgot   to remove the HOLD that was programmed into the  computer. Does this remind you of another story   that you might have seen on this channel??? The captain then turns the seat belt sign on and   tells the cabin crew to prepare for landing. Captain Sultan lights up another cigarette. The   aircraft is just 3 minutes away from the “GURAS”  waypoint. Now, holding his cigarette in one hand,   and trying to control the plane with the  other, the captain struggles and he drops   his cigarette on the cockpit floor. He  asks FO Rashid to search for it.   Captain: "Oh No, I’ve dropped the cigarette.  Where did it go? Oh it’s there on the left,   pick it up. It might catch fire." From the cabin, the flight attendant   informs the pilots that the cabin is secured. The  ATC clears the plane to continue their approach.   And all these transmissions happen within a few  seconds of each other. The pilots mental state,   and these concurrent transmissions become a  trigger for distraction and confusion.   The plane crosses GURAS, and the aircraft begins  to turn left automatically without any pilot   inputs. The aircraft is now starting to follow the  HOLD pattern that was programmed into the FMS.   The ATC immediately notices that the plane was  turning left and warns the crew. The captain,   hurriedly, sets the plane on Heading mode  and turns the plane to 027 degrees to set it   back to the correct final approach path. A quick lesson.. This plane is now following   what’s called a VOR approach. VOR stands for Very  High Frequency Omnidirectional Range approach.   What this means is A very high frequency radio  wave is transmitted in all directions from a radio   station on the ground… In Kathmandu, that station  is located here, right near the runway.   Let’s add a clockface to this VOR..  So, this is 0 degrees, and this is   180 degrees here at the bottom. If the plane  was approaching the runway from GURAS normally,   the plane would be flying at a heading of  around 22 degrees to follow this outbound   radial. But because the plane made the unplanned  turn, the captain has set the plane to approach   at 27 degrees, with the intention that once the  plane reaches this point on the actual route,   he’ll turn the plane to 22 degrees and  follow the approach down to the runway.   The problem is that when heading mode is  selected, the auto pilot ignores he left and   right navigation programmed into the computer. So  the captain needs to manually perform the turn.   Also remember that the weather is overcast and  visual contact with the ground isn’t great.   To add to the problems, there’s also a strong  cross-wind coming from the left hand side   pushing the plane further to the right. Usually  when the plane is being flown by auto-pilot the   cross-wind is automatically accounted for and  corrected by the computer.. but unfortunately,   these pilots are flying manually and  aren’t correcting for this cross-wind.   The plane then arrives at the point where  it now returns to the original flight path,   and the pilots should have turned the plane to  22 degrees. But the pilots completely forget   to do this, and the plane continues to fly at 27  degrees. The westerly cross wind further continues   to push the plane away from the airport. And to make matters worse, the pilots don’t   review the landing checklist properly. The  captain instructs the first officer to complete   the before landing checklist. And as part of the checklist,   the first officer instructs the  captain to lower the landing gear.   Captain Sultan in gross negligence  informs FO Rashid that the landing   gears were down by stating 🧑‍✈️ *Gears Down. Three Green.*   But, the Landing gear, was in fact, Not down. The   captain said “Gear down” without checking  to actually confirm that it is down.   Just at that moment, as the plane  keeps descending towards the ground,   the landing gear unsafe alarm starts to go off… 👱‍♀️ *Sir, landing gear is not yet set.. Sir,   Speed Speed Speed…* Bizarrely, the captain asks   the first officer to ignore the warning. 🧑‍✈️ *(Non chalantly) No worry, No worry…*   Meanwhile, with the heading set to 027 degrees,  and with the winds pushing the plane to the right,   the plane starts drifting to the east of  the airport. And in the overcast conditions,   there’s no visual reference for the pilots either.  They are completely clueless that their plane has   now drifted off-course. ## KATHMANDU   The plane is now almost alongside the  airport, and heading further away. From   the ATC’s perspective it looks like the plane  is flying over the airport to try to land from   the other side. The ATC calls up the plane. 📡  *BS211, you were cleared for Runway 02 ….*   📡  *…. but you are going towards runway 20.* Assuming that the crew want to land on Runway 20,   the ATC now clears them to land on 20. The crew, completely lost, and expecting to see   the runway in front of them, are confused by the  clearance, and they continue to fly straight.   The captain confirms that he intends to land on  Runway 02. So, the ATC asks the plane to make a   U-Turn, and to join what’s called the downwind leg  to prepare for a landing on runway 02. Remember,   the pilots still think that they are here and  are expecting the runway in front of them,   but because the ATC has asked them to do a U turn,  the captain begins turning the plane right.   And as the aircraft descends to around 175  feet above ground level, a Ground Proximity   Warning Alarm goes off. After hearing the TOO  LOW GEARS warning, the First Officer finally   does a thorough scan and notices that  the landing gear was not actually down,   although the captain had initially said that it  WAS down, and she initiates its extension.   Recall the BUDDHA 282 plane that was following  them? That plane is now on final approach towards   the runway. The ATC orders the US Bangla plane  to keep clear of the Buddha Airlines plane,   and also to vacate the area where they are  currently in, because if BUDDHA282 fails to   land and needs to go-around, the go-around  procedure will take that plane exactly where   the US Bangla plane is right now. However, the confused captain of the   US Bangla plane, instead of just doing a  U-turn continues turning right, putting   his plane and BUDHA282 in danger. This move sends alarm bells ringing   across the ATC control room. The captain’s  actions could potentially put the two   aircrafts on direct collision course. The ATC controller scrambles to instruct   Captain Sultan to remain clear of runway 20. But the plane continues to turn right and remains   in the path of the Buddha airlines go-around  route… But thankfully, the Buddha Air plane lands   safely and doesn’t need to go around… One danger - averted.   But for Captain Sultan and US BANGLA, the  main problem still remains. They are still   not on the correct path to land and they  have no clue where they are. And Neither   pilot has visually sighted the runway. But  the captain has finally understood that they   aren’t where they thought they were at. > **🧑‍✈️ ***(Feeling guilty) So I have done   mistake, it happens isn’t it? (trying to shift  blame to the First officer) It can happen since   I was talking to you! Where is our VOR, gone left  isn’t it? So let me make a turn 15 degrees and   come back to final.* >   With no other planes approaching the airport,  the tower clears BS211 to land on any runway.   And By this time the plane has flown over the  airport and is now on the western side. The   captain again continues to turn his plane  to the right. During the turn, the bank   angles reach up to 45 degrees with descent  rates over 2000 feet per minute triggering   the EGPWS warnings one more time. But even after all this, the pilots   still aren’t able to locate the runway. > 📡  *BS211, Confirm you have runway in sight?*   > > **🧑‍✈️ ***Negative Sir… Where is the runway?*   > > 📡  *BS211, turn right. and uh… you have runway…   confirm you have the runway not in sight yet?* >   The phrasing by the ATC is poor.. You should  never ask to confirm a negative.. But that’s   the least of our worries right now. As the plane continues to turn,   the plane comes to the vicinity of  Runway 20. At this point the FO finally   manages to visually locate the runway. > 👱‍♀️ *Sir runway. runway. Sir 3 o clock.*   > But this relief is short-lived. Because,   in their haste, they make another mistake. From their current location, they are in no   position to land on the runway. They need to be  vectored in back around this route, to attempt a   safe landing. However, Captain Sultan, eager  to put this embarrassing episode behind him,   makes a desperate attempt to land the plane at the  closer runway 20, and not on runway 02 that he has   been cleared for. In a rush, he is determined to  get the aircraft on the ground at any cost.   Captain Sultan makes a sharp and abrupt right  turn back to the west in an attempt to return   to the approach end of the runway. The plane dives at a steep angle towards   the runway. The plane hurtles towards the ground  at a very high speed. The ATC is stunned at this   turn of events. They had never imagined that  the pilots would attempt to land the plane   from there. The plane approached very close  to the threshold of runway 20. Spotting the   aircraft maneuvering at very close proximity  to the ground and not aligned with the runway,   the Tower Controller hurriedly cancels the  landing clearance of the aircraft by saying,   incorrectly, "Takeoff clearance cancelled". Hearing the cancelled clearance, the captain   pulls the plane up with a very high bank angle,  turns left, and flies the plane over the parked   aircraft on the domestic terminal. Suddenly, there’s a more immediate danger,   and both the captain and the FO realize this  simultaneously. In all their erratic direction   changes, the plane is now headed straight  for the ATC tower. As the aircraft barrels   towards the control tower, the situation is  turning into a potential catastrophe.   All the operators inside the tower jump from  their seats and duck for cover. The captain   struggles and puts the plane into a steep climb  and just barely manages to miss the tower…   The captain is now stressed out  and not thinking straight.   After missing the control tower, the plane  now flies over the taxiway, aiming to make   one last attempt to land on the runway. The aircraft finally touches down with only   its right landing gear hitting the runway  almost 1.7kms from the start of the runway,   at a bank angle of almost 15 degrees. This  causes the plane to skid off course and veer   off the runway. The plane then bounced  on the unpaved part of the airport,   and then crashed through the airport's  perimeter. It came to a halt in a nearby   field. Within six seconds, a fire erupted. Both pilots, the two cabin crew members,   and 47 passengers unfortunately perished in  the accident. Only the passengers seated on   the right side of the plane or those  in the front managed to survive.