Pushkin Air New Zealand Flight nine oh one is flying straight towards a mountain. Two hundred and fifty seven people are on board, most of them sipping champagne and hearing eagerly out of the windows. It's November nineteen seventy nine. This is a sightseeing trip to Antarctica. They took off from New Zealand this morning. They'll enjoy some views of spectacular icy landscapes. If it's not too cloudy, of course, then they'll loop around and land back in New Zealand
in time for dinner. Captain Jim Collins talks to the passengers.
The cloud cover in the McMurdo area has.
Increased, although ground.
Visibility is good. We will be taking advantage of the raidar facilities at McMurdo for letdown, which should take us below the cloud and give us a view of the McMurdo area.
McMurdo the McMurdo Sound, an inlet between mainland Antarctica and Ross Island. There's an American research base at McMurdo with a small airstrip on the ice. Captain Collins calls them on the radio to check there are no other planes around. They assume they'll see him soon flying low over the inlet. But Captain Collins isn't flying towards the water of McMurdo Sound. He's flying towards a mountain, a twelve thousand foot active volcano to be exact. Also in the cockpriit is famed
and Arctic explorer Peter Mulgrew. He's there to entertain the passengers, telling stories and pointing out landmarks.
This is Peter Mulgrew again, folks.
I still can't see very much at the moment. Keep you informed as soon as I see something that gives me a clue.
As to where we are. Peter Mulgrew can't see where they are as Collins takes the plane down to a gap in the cloud. But a display in the cockpit should tell them where they are. It shows their distance to the next pre programmed waypoint in their computerized flight path. That morning, the crew got a print out of the coordinates for those waypoints, which they manually entered into the plane's navigation system. The flight engineer wants to check something.
Where's Erebus in relation to us at the moment?
To the left, He's told Erebus that's the twelve thousand foot volcano.
I'm just thinking of any high ground in the area, that's all.
But Mount Erebus isn't to their left, it's straight in front of them. Captain Collins keeps descending to fifteen hundred feet. The old Antarctic hand Peter Mulgrew, peering through the window, sees enough to get his bearings, or so he thinks.
Ross Island.
Eh, they've now lost radio contact with the Americans at McMurdo. The flight engineer is feeling uneasy.
I don't like this.
Captain Collins also seems to sense that something isn't right.
We're twenty six miles north. We'll have to climb out of this.
Twenty six miles north. That'll be north of the next pre programmed waypoint. We'll come back to that, climb out of this. We'll come back to that too. The dialogue in this cockpit recording will be bitterly debated. But now the ground proximity alert is going off. Wood woop, pull up, wood whoop, pull up.
Five hundred food.
They shouldn't be that low. Maybe it's a false alarm four hundred food. Anyway, there's a routine procedure when this alert, goes off, boost the engine power and climb. Captain Collins doesn't sound concerned.
Go around power please wood whoop, pull up.
I'm Tim Harford and you're listening to cautionary tales. When Jim Collins put his name forward for a sightseeing flight to Antarctica, it was more in hope than expectation. Collins was experienced and respected by his colleagues. He was cautious, methodical, always taking notes, but aged just forty five, he wasn't one of the top guys, the senior pilots who were also company executives. When Air New Zealand started their sightseeing flights,
the executive pilots called dibbs. They wanted to see Antarctica too. But now the flights had been running for a couple of years, ordinary pilots were also getting a turn. Collins was thrilled to see his name on the roster. The evening before the flight, he sat at home with a big map, drawing lines and pointing things out to his teenage daughters. In the morning, Colin's wife, Maria waved him off with a reminder of her call at the shop
on the way home. Don't forget the fish, but The early evening brought a phone call from Air New Zealand. We're just a bit concerned about Jim's flight. We haven't heard from him for a while. Are you on your own?
Will the cutter here?
Have you got another adult there with you? No, might be an idea in that moment, said Maria Collins. Later she was struck by cold. At nine o'clock, the television news led with the missing plane. By now it would be out of fuel. Wherever it was, it wasn't still flying. In the early hours of the morning, another phone call the Americans had spotted what remained of the plane smudged across the frozen slopes of Mount Erebus. Police from New Zealand were flown out to help with the cleanup. They
had no specialist training or experience of Antarctica. One had never even seen snow, he recalled.
My senses were overloaded. All the bodies in the wreckage an overpowering smell of kerosene. I almost fell through thin ice into a crevise.
Strewn across the snow or champagne, bodies and money and cameras and people's diaries. The policeman couldn't resist taking a peek inside.
One described the trip so far and how beautiful the Antarctic was. The last words in the diary were jee, it's great to be alive.
The policeman finds Captain Collins's body and nearby his ringbinder. He looks inside that too. It's intact, and the pages are filled with what looked like briefing notes. It might be important. He carefully seals it in a bag. Jim had friends among the executive pilots the company men. Collins noticed that when they called on her, they started saying things like, of course Jim was too low, or it was so unlike Jim to contravene any regulations. Maria says, I.
Gained the impression that they were trying to break it to me gently, that Jim would be hill to blame.
Then they stopped calling at all. One spelled it out as he stood in her doorway, Maria, I won't be able to see you anymore. I've got to be with the company. Jim had been a groomsman at his wedding, but not all of Jim's mentors deserted him. One senior pilot, who taught Jim to fly, told Maria.
This isn't Jim, Maria, this is not Jim's behavior. Something's wrong. I'm going to find out.
Just as Maria Collins had feared. When the Chief Inspector of Air Accidents published his investigation report, it left no doubt that Jim was to blame. He had contravened the regulations flying well below the minimum safe altitude of sixteen thousand feet, and he had done so when the visibility obviously wasn't good. You could tell that from the transcript of the cockpit voice recording. It was damning. We heard some of it earlier. Antarctic expert Peter mulgrew, not having
a clue where they were. At one point, just two minutes before impact, a voice says, a bit thick here, Ahbert, a bit thick. They must be referring to cloud right. The report also mentioned some sort of error with the waypoint coordinates, but that had been fixed before Colin's flight, and anyway, it didn't matter. If Collins had kept to the minimums safe altitude, he wouldn't have crashed, simple as that. Still, a disaster this big couldn't be left to the Chief
Inspector of Air Accidents. There need to be a proper formal inquiry with evidence given in public. The government appointed a Judge Peter Marn to conduct a Royal commission, with technical advice from a distinguished Air Marshal. Marn was no fool. He understood that the Chief Inspector's report was convenient for the government. Air New Zealand was state owned. If the company had screwed up, the government could face expensive claims
for compensation. But if the pilot's screwed up insurance would fit the bill. Marn knew the government hoped hid back up the report, and the report did seem convincing. Marn later recalled.
I presumed that after testing the evidence at first hand, I would see no difficulty in confirming the Chief Inspector's opinion.
Still, though, if Jim Collins had known his flight path took him straight towards a twelve thousand foot volcano, why was he flying at fifteen hundred feet. Maybe it had to do with that error in the waypoint coordinates.
Marn recalls, I had the impression that there might be a great deal more to this than was admitted on the surface.
There was cautionary tales will be back after the break on a normal flight that goes from A to B. Your final waypoint is obvious. It's the destination airport that air New Zealand sight seeing flights weren't going to land in Antarctica. They were going to see some sights then fly back home. So what to choose is the final waypoint for their computerized flight path. In a way, it didn't matter if visibility was good, they'd just fly around
for a bit. But the computer needed a waypoint, so they picked a radio beacon near the American base at McMurdo. It seemed as good a choice as any. Actually it was stupid. It meant the flight path went right over an active volcano, Mount Erebus. Even stupider when Erebus was between the plane and the base, the Americans wouldn't see the plane on their radar, and you'd struggle to get
a connection on the radio. Then the flight path stored in the company's computer was changed with a new waypoint twenty five miles west, near the end of McMurdo Sound. This was much more sensible. Now the flight path took you over open water. For over a year, pilots of the Antarctic flights got printouts with these sensible new coordinates. But the night before Jim Collins flight, the final waypoint was shifted back again, back over Mount Erebus, and nobody
told Jim Collins. The public hearings in Peter Mah's courtroom began in July nineteen eighty seven, months after the air New Zealand's lawyers told Man that the waypoint change was irrelevant for two reasons. The first reason, they said, is that Jim Collins would have been briefed that his flight path went over Mount Erebus. You see, it might have looked like a sensible decision to change the flight path
to over McMurdo Sound, but it wasn't. In fact, it was a mistake, a typographical error when the coordinates got transferred to a new computer system for over a year, the airline said nobody noticed that mistake. The officer who briefed the pilots told Peter marn that he always believed the flight path went over Mount Erebus. The executive pilots agreed nobody had ever noticed that the waypoint coordinates took
them over McMurdo Sound instead. Then Peter Mahn heard from the non executive pilots who told a very different story. They all said they had been briefed to fly down McMurdo Sound. This all gave Peter Marn a problem. He put it in diplomatic language.
I could not help but be struck by the direct conflict of evidence which had emerged.
What he meant was someone was telling lies. Marn believed the non executive pilots one had been at the same briefing as Jim Collins. He told Marn there'd been shown print outs of the coordinates given to other flights. Marn understood what must have happened. Jim Collins, the habitual note taker, wrote down the coordinates during the briefing. The night before the flight, when his teenage daughters saw him drawing lines on a map he was plotting his flight path. It
took him down Murdo Sound. Then, on the morning of the flight, Collins was given a print out of the coordinates to enter into the plane's computer. He assumed they must be the same coordinates he had seen at his briefing. Why wouldn't they be Remember when Colins said.
We're twenty six miles north.
Collins was looking at the cockpit display, which told him he was twenty six miles north of the next waypoint. Because he had plotted his route the night before. He thought that meant he was over the water, but no, the coordinates had been changed. It actually meant they were about to hit a mountain. It seemed to Peter Marn
that Air New Zealand had made a hideous mistake. They'd briefed Jim Collins on one flight path, then changed it and didn't tell him, And it seemed to Marn that they were trying to cover up their mistake by lying that Collins had been briefed he'd be flying over Mount Erebus. One piece of evidence would confirm what Collins had been told that his briefing. The notes he had made. Colin's ringbinder, remember, had been found on the mountain side, perfectly readable.
Wow.
But when Peter Marn got his hands on that ringbinder, it was empty. The pages had been damaged by kerosene and someone at Air New Zealand had thrown them away. I said there were two reasons the airline claimed the change in waypoint was irrelevant. So what if Jim Collins believed his flight path lay twenty five miles west of Mount Erebus, if he hadn't been flying too low, he would still have passed safely over the top. The minimum
safe altitude, remember, was sixteen thousand feet. If Collins had followed the regulations, he wouldn't have hit the mountain, simple as that. So about those regulations, Peter Mahn noticed once again that Air New Zealand's executives were saying one thing and the non executive pilots were saying something else. The executives insisted that the minimum safe altitude was sacrisanct. The others said everyone knew those flights to Antarctica flew low.
They were sightseeing flights. You can't see many sights from sixteen thousand feet. The non executive pilots told Peter Mann they had been briefed that they could fly as low as they wanted as long as they cleared it with the American radar station at McMurdo, which is exactly what Jim Collins had done.
We will be taking advantage of the raidar facilities at McMurdo for letdown.
Once again, Petermann was struck by the lack of documentary evidence about what had been said to Collins at his briefing. It wasn't just the pages from Colin's ring binder, that had mysteriously disappeared. The first officer had forgotten his briefing notes at home. The day after the crash, someone from Air New Zealand called on his grieving widow and took
those notes away. Then the company lost them. Soon after the crash, the airline's CEO ordered that all relevant documents be gathered together and surplus documents put through a shredder. His rationale, he said, was to avoid any leaks. But was it only surplus documents that were being shredded or
inconvenient ones. Some inconvenient documents remained at large, like magazine articles about the sightseeing flights, which made it very clear they were flying far lower than the minimum's safe altitude. If that was strictly forbidden, Why had no executives taken action after seeing these articles? The executive said, we never saw them. We had no idea. One of those articles was by the boss of the McDonell Douglas Corporation, which made the plane that Air New Zealand flew to Antarctica.
In a trade magazine, he published an enthusiastic account of flying low down McMurdo sound. He sent a copy to the CEO of Air New Zealand. When the CEO gave evidence in Peter Mann's courtroom, he insisted he had never seen it. He doesn't read all his mail, he explained. Then it transpired that Air New Zealand's marketing department had printed a million copies of this article and sent one to every household in New Zealand. Peter Mann asked the CEO to explain. Marn recalled.
He gave no verbal answer. He simply turned towards me and spread his arms outwards in a despairing gesture. He was indicating his total lack of comprehension that such a thing could have happened. I knew the feeling.
The airline's case was falling apart. Jim Collins did have permission to fly low. He didn't know his flight path went over Erebus. But there remained one final mystery to unravel. How had Jim Collins failed to see Mount Erebus when it was right in front of him. The answer seemed obvious, Collins must have been flying through cloud. The transcript of the cockpit voice recording was damning a bit thick here, Ahber, but that line in the transcript came as a surprise
to other pilots who'd listened to the recording. The quality of that recording was poor. Many parts were hard to make out. They didn't remember hearing anything like that, and anyway, nobody on the flight deck was called Bert. Remember what the police had found among the wreckage on the side of the mountain. Passengers cameras, some were undamaged, and the films inside were developed. They showed the plane hadn't been
in thick cloud at all, far from it. Jim Collins had descended below the clouds and visibility was clear for miles around. That made Petermann suspicious about the transcript, so he flew to America to listen with an expert. The quality was poor, but it didn't sound like bit thicker a Bert. The expert thought he heard this is Cape byrd. So Marn arranged to be flown to Antarctica, following the exact same route as Jim Collins. At the moment of the disputed line and the transcript man looked out of
the cockpit window, he saw a cape. It wasn't Cape Bird. That was twenty five miles west on the flight path. Jim Collins thought he was following, but by tragic coincidence. This cape just happened to look very much like cape Bird. It was confirmation bias twice over. The pilots assumed they were flying over cape Bird, so they saw cape Bird. The chief inspector assumed the pilots were flying through cloud, so he heard a bit thicker a Bert. Still, though
that didn't solve the mystery, it deepened it. If visibility was good, how on earth had Jim Collins failed to see Mount Erebus Cautionary tales will be back in a moment. Most of the senior pilots had turned their backs on Jim Collins' widow, Maria, but one had not, the man who taught Jim Collins to fly.
This isn't Jim Maria. This is not Jim's behavior. Something's wrong. I'm going to find out.
The pilot's name was Gordon Vetti. He talked to experienced Antarctic pilots who told him about a phenomenon called whiteout. The Air New Zealand pilots who flew to Antarctica, including Vetti himself, had never been there before, and nobody at Air New Zealand had briefed them about whiteout. The more Vetty learned the more horrified he became at the risk hid unknown taken. White Out, Vetti discovered, is a peculiar visual illusion that can happen in polar regions in overcast conditions.
When the land is white and the clouds are white and the light shines in a certain way, you lose all ability to perceive depth or distance. One expert told Vetti, It's like being inside a big milk bottle. It can come on suddenly and you don't necessarily realize that anything's wrong until you walk into a snowbank, or fall into a hole, or crash or plane into a frozen mountain. Gordon Vetti understood what had happened in the final moments of the flight.
I don't like this.
We're twenty six miles north. We'll have to climb.
Out of this, climb out of this. What did Jim Collins want to climb out of? Vetti says it must have been that disconcerting sense of being in a milk bottle. Collins was below the cloud. He could see for miles to the left and right, but he hadn't been briefed about white out. He had no idea that right in front of him he'd be unable to tell a flat expanse of frozen water from the rising slopes of a
frozen hillside. It just have sensed that something was off, so his instinct was to climb, but it was too late. Vetty shudders to think of it.
If I had been in their position at that time, I would probably have been misled the same respect as they were, and now myself may well have crashed on Mount Erebus.
Gordon Vetti wanted to make sure Peter Marn knew about white out, so he flew in an expert at his own expense, to give evidence to Marn's Royal Commission. Later, when Marn himself visited Antarctica, the Australian Air Force offered him a lift home. The crew were experienced Antarctic flyers and they'd been following the news about Marn's Royal Commission. They invited Marm to the cockpit for takeoff. They wanted
to show him something. The day was overcast. The pilots flew towards a ridge of snow and pointed out how it ended in a black, rocky outcrop.
Marn recalls could just make out the top of the ridge.
Then they told him, now raise your hand to cover that black, rocky outcrop.
The top of the snow ridge disappeared, and stuntly.
All that Marn could see was undifferentiated white. He was stunned. It was one thing to hear about white out from an expert, quite another to experience it for himself. The Australian crew were satisfied. That's the illusion that doomed Jim Collins. Marn had spent months growing more and more frustrated that Air New Zealand executives were trying to pull the wool over his eyes. He appreciated that these young men from
another country's air force wanted to help him understand. When he wrote up the findings of his Royal Commission, he thanked every one of them by name and rank. Peter Mahn's findings turned the Chief Inspector's report on its head. The cause of the accident, said Marn, wasn't Jim Collins flying too low. It was Air New Zealand failing to brief him properly about the risk of whiteout, and failing to tell him that they'd changed his waypoint coordinates between
the briefing and the flight. The Chief Inspector had heaped all the blame on Jim Collins. Marn said Collins deserved no blame at all. Not everyone agrees. On internet discussion boards, pilots still expressed strong views either way. Did Collins rely too much on the computerized navigation system to tell him where he was? Peter Mann didn't think so. He points out how accurate that system is, although perhaps we've since grown more mistrustful of the idea that the machine could
never fly us into a mountain. The Distinguished Air Marshal, who had served as Man's technical advisor, thought that the judge had overstepped he reckoned Collins was maybe ten percent to blame. As it happens, I too have strong views on the question of how much to blame Jim Collins. I think it's the wrong question. The right question, as with every plane that crashes on this show, is what can we learn. When you read Peter Man's report, you get a sense that he's writing in a different era.
You can feel Mann groping to towards concepts that in nineteen eighty one, accident investigators didn't yet have the vocabulary to articulate concepts like cognitive biases and human factors. Such concepts have since been popularized by thinkers such as James Reason, a psychologist and expert on human error. Both Peter Mann and Gordon Vetti instinctively grasped an idea that was then very new, that organizational failings can set a trap into
which even the most skilled of pilots might fall. James Reason said that the Man Report was ten years ahead of its time. Peter Mann was a subtle and elegant writer. You'll often find him raising an eyebrow through his prose, making it clear what he thinks without spelling it out. When he wrote up his commission's findings, he could have crafted a memorable turn of phrase that left no doubt air New Zealand executives had lied to him without actually
saying it. But Marn was too angry to pull his punches. Instead, he crafted a memorable turn of phrase that made the accusation explicit.
I am forced reluctantly to say that I had to listen to an orchestrated litany of lies.
An orchestrated litany of lies. Devastating, satisfying, but unwise. Marn was a judge, but he wasn't writing as a judge. He was writing as a Royal commissioner that mattered. The verdicts of a judge can be appealed. There was no legal mechanism to appeal the findings of a royal commission It's hard to imagine that Air New Zealand would have got far if they could have appealed.
What would they have said?
That it was an improvised litany of lies, a choreographed cacophony of cock ups. The point was that they couldn't appeal. Air New Zealand's lawyers found a clever way to fight back. They took Marm to court for breaching the principles of natural justice by accusing the company of a cover up in a way that gave them no right to respond. The case went to the Privy Council, the highest court in the land. The Privy Council bent over backwards to
praise Marm's investigative work. Brilliant, they said, but agreed that Air New Zealand had a point. Legally Marn had overstepped. Marn was devastated. He resigned as a judge. His health declined rapidly, and he died soon after, aged just sixty two. The legal wrangles created just enough MRK to let Air
new Zealand Wriggle off the hook. It wasn't until twenty nineteen, the fortieth anniversary of the disaster, that New Zealand's government formally accepted Marn's report and apologized for Air New Zealand's role in the crash. Gordon Vetti, too, found that Air New Zealand were in no mood to forgive and forget his research into Whiteout. He says, I'd hoped that we might all be able to admit that in ignorance they made a terrible mistake and get on with rebuilding and
learning from our mistakes. Nopevett hounded out of his job.
I am somewhat said that the price I've had to pay for my attempts to find the truth has been much greater than I expected.
Gordon Vetti and Peter Marn are the heroes of the Erebus affair, But if the question is what can we learn, perhaps they too have something to teach us. From Gordon Vetti we get the sad lesson that seeking the truth can make you powerful enemies. And from Peter Marn, tempting as it is to speak the truth, sometimes it's wiser to let the truth speak for itself. For a full list of our sources, see the show not at Timharford dot com. Cautionary Tales is written by me Tim Harford
with Andrew Wright, Alice Fines, and Ryan Dilly. It's produced by Georgia Mills and Marilyn Rust. The sound design and original music are the work of Pascal Wise. Additional sound design by Carlos San Juan at Brain Audio and Dan Jackson. Bend A. Dafh Haffrey edited the scripts. It features the voice talents of Melanie Guttridge, Genevieve Gaunt, Stella Harford, Messee Munroe,
Jamal Westman, and Rufus Wright. The show also wouldn't have been possible without the work of Jacob Weisberg, Greta Cohne, Eric Sandler, Carrie Brody, Christina Sullivan, Kira Posey, and Owen Miller. Cautionary Tales is a production of Pushkin Industries. If you like the show, please please remember to share, rate, and review. It really does make a difference to us and if you want to hear it, add free and receive a bonus audio episode, video episode, and members only newsletter every month.
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