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01x01 - Columbia, Eschede Train, Grenfell Tower

Episode transcripts for the TV show, "Disaster Autopsy". Aired: August 17, 2024.*
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Expert analysis recreates real-world disasters in 3D graphics to uncover hidden causes like paperwork errors, bad glue jobs, or changed restaurant hours.

01x01 - Columbia, Eschede Train, Grenfell Tower

Post by bunniefuu »

[Narrator] In a

high-rise building.

-There was no warning.

[Narrator] At sea.

-Innocent people died.

[Narrator] In a train.

-Everything was on fire.

Everything was burning.

[Narrator] Disasters can begin

with the smallest things.

-Changing the opening

hours of a restaurant.

-The bad glue job.

-A paperwork error.

[Narrator]

Now, combining the

latest research with every

available source of evidence,

experts will forensically

analyze three disasters

down to each tiny detail.

-You've really got to

think outside the box.

-You have to work your

way back and understand

each link in the chain.

[expl*si*n]

[Narrator] State-of-the-art

graphics reveal every critical

detail at every

critical moment.

-This whole disaster

could have been averted.

[Narrator]

We can dissect them.

Get inside.

Or underneath.

Freeze time.

And even reverse it.

To conduct a complete

Disaster autopsy.

Houston, Texas.

February 1st, 2003,

Mission Control.

Space shuttle Columbia is

returning to Earth after

a flawless 16-day mission.

-Things seem to be going well,

what they call nominal.

[Narrator] 15 minutes into

re-entry, mission control

radios Shuttle Commander

Rick Husband.

[mission control] And Columbia,

Houston, we see your

tire pressure messages and

we did not copy your last.

This is instrumentation max.

[overlapping radio chatter]

[astronaut] Roger.

[Narrator] Mission control

never hear from Columbia again.

People on the ground realize

something has gone

terribly wrong.

[mission control]

Columbia, Houston comm check.

Columbia, Houston

UHF comm check.

[Margaret Harris] You see

these streaks of light going

across the sky behind

the shuttle and, you know,

something awful has happened.

[Narrator] All seven

astronauts are lost.

-It was clear that no one

walked away from that.

No one survived that.

[Narrator] Now, using

evidence from the wreckage,

NASA telemetry, and

scientific analysis,

we will reconstruct

the entire disaster.

What brings down

space shuttle Columbia?

More than 84,000 pieces

of debris are recovered

across Louisiana and Texas.

Including one

miraculous discovery.

A data recorder from

Columbia is found

almost completely intact.

It holds vital readings

from sensors all over the

spacecraft before and

during the disaster.

We also have the data

transmitted from Columbia

back to Earth.

-NASA has lots and lots of

telemetry from Columbia.

In fact, mission control could

see far more about what was

going on Columbia

than the flight crew could.

[Narrator] This data tells

us that immediately before

entering Earth's atmosphere,

Columbia is in the correct

40-degree nose-up orientation.

But just minutes later anomalies

appear in the flight data.

-The spacecraft is being

pulled to the left.

So, the onboard computer is

using the control systems

on the wings to try

and pull it back.

[Narrator] This is alarming.

It's critical the shuttle

continues pointing nose forward,

because it is still traveling

at over 18,000 miles per hour.

[Peter Hollingsworth] If you're

not flying straight ahead,

if you're tilted the side,

the forces are so great,

the spacecraft

will break apart.

[Narrator] But examination

of the flight data

reveals a rapidly

deteriorating situation.

-Not only is the aircraft

turning to the left,

but it's rolling to the left,

indicating the left

wing is losing lift.

[Narrator] The control

surfaces on the wing are

struggling to keep the

shuttle pointing straight.

-About 15 minutes

after re-entry the

flight computer fires the RCS.

[Narrator] The RCS is a system

of tiny rockets designed to

orientate the shuttle.

[Margaret Harris] At

this point, you've got two

different systems trying to

control the left yaw,

you've got the RCS and you've

got the aileron trim.

But despite their best efforts,

the drag is still increasing,

the left yaw is

still increasing.

the problem, whatever it is,

is getting worse.

[Narrator] Returning to

space is not an option.

-The shuttle is effectively

an unpowered, massive glider

and it's only going one way.

[Margaret Harris] Eyewitnesses

on the ground start to see

pieces of debris

coming off the shuttle.

[Maggie Aderin-Pocock] What

we think happened is that the

nose went up,

the spacecraft goes

into a flat spin

and the aerodynamic forces

working on the spacecraft,

which is still traveling

at 10,000 miles per hour,

the spacecraft just

gets ripped to shreds.

[Narrator] Why do they

lose control of the shuttle?

The data shows Columbia is

turning and rolling to the left.

[Sophie Harker] The only thing

that would really cause that

is if the wing was

changing shape mid-flight.

[Narrator] How can a

solid wing change shape?

-Being NASA, they have

sensors everywhere.

They measure temperature,

load, other conditions

on the spacecraft.

[Narrator] The sensors inside

the wing transmit vital clues.

-About four and a half minutes

after the re-entry interface,

four of those temperature

sensors started sending

some very strange responses.

One of those sensors started,

that was expected to be around

30 degrees Fahrenheit was

showing 65 degrees Fahrenheit,

which is still high, but okay.

Then a second sensor that

was expected to be around

20 degrees Fahrenheit started

showing 450 Fahrenheit,

which is a very big anomaly.

[Narrator] As the shuttle

descent continues there are

more and more data anomalies.

-The sensors on the landing gear

suddenly start going haywire.

The landing gear is up.

It's down.

It's locked.

It's not locked.

-All these different sensors

start failing simultaneously,

but they're not connected.

So, what's happening?

[Narrator] The only common

factor is that they are all

inside the left wing.

Temperature sensors suggests the

wing interior is getting hot,

hot enough to

damage the other sensors.

-The question is, where

is the heat coming from?

[Narrator] During re-entry,

the shuttle slows from around

18,000 miles an hour to just

a couple of hundred

miles an hour.

-All spacecraft use

what's called Aerobraking.

They use the drag generated

by entering the atmosphere

to slow them down.

[Sophie Harker] The amount

of heat that that generates

actually means the air

itself starts to separate.

Particles start to separate

and it turns into something

we call plasma.

[Narrator] The glowing

white-hot plasma surrounding

the shuttle on re-entry

can reach temperatures

of 5,000 degrees Fahrenheit.

[Margaret Harris] If all these

sensors are failing at once,

the most likely culprit is

that the superheated air

generated during

re-entry is actually

getting inside the wing.

[Narrator] That would

inflict catastrophic damage.

-With this plasma

inside the wing,

things are just distorting

and it explains many of the

strange readings

that we're getting.

[Narrator] But the parts of

Columbia in contact with the

plasma should be protected by

ceramic tiles on the underside

and reinforced carbon-carbon

panels, known as RCC

on the wings' leading edge.

This is the

spacecraft's heat shield.

[Peter Hollingsworth] There's

only one way the white-hot

plasma can get in the wing and

that's if there's a hole in it.

[Narrator] Columbia is

unprotected from

the super-hot plasma.

[Margaret Harris] It's eating up

the shuttle one chunk at a time.

-How did a hole get punched

into the left wing of Columbia?

[Narrator] Analysis of the

pattern of sensor anomalies

points to a hole on the thin

leading edge of the wing,

on RCC panel eight.

-It looks as if the shuttle

flew into something.

[Narrator] Could the shuttle

have flown into debris in orbit?

-It's a possibility because

there's around 8,000 tons of

human-made junk circling the

planet at any one time.

[Narrator] Even a microscopic

piece of debris can be lethal.

-In 2016, a window on the

International Space Station

had a seven-millimeter gouge

created by a paint chip that was

less than a few thousandths

of a millimeters wide.

-Even if it's very small,

it's very dangerous

because it's going so fast.

[Narrator] Given the hole is

on the front of the wing,

it makes sense that the

shuttle might have flown

into a piece of debris.

Except that's not how

things work in space.

[Peter Hollingsworth] Because

in space, there's no air.

You can fly in

any orientation.

So instead of flying forward

like an aircraft, you often

are oriented differently, so

it's very rarely that you're

flying in that kind

of normal position.

[Narrator] So, there is no

reason the hole should be

on the thin front of the

wing rather than elsewhere.

[Peter Hollingsworth] Having

that hole in the leading edge

indicates that it's less likely

to be from space debris.

It's more likely that it

occurred on launch when

the shuttle is flying in that

facing forward orientation.

[Narrator] Was Columbia's fate

sealed 16 days earlier

before it even reached space?

[Narrator] Launch day for

Columbia's mission, STS-107,

is January 16th.

[mission control] Ten

-The space shuttle is actually

made of three main components,

the orbiter, the main fuel tank,

and then the booster

rockets on the side.

[Narrator] At 10:39 a.m.

Columbia lifts off.

[Margaret Harris] Okay, so

we've kind of narrowed it down

to something that must

have happened at launch.

[Narrator] NASA uses powerful

telephoto cameras to

track every launch.

This footage reveals

one critical moment.

-So 81 seconds after launch,

an object falls down from

high up of the space

shuttle's configuration and

hits the wing, RCC Panel eight,

and that is exactly where we

think the problem started.

[Narrator] The location of

this object suggests it's a

piece of lightweight

insulating foam from the

outside of the

external fuel tank.

[Maggie Aderin-Pocock]

Analysis of the footage shows

that the piece that breaks off

is 21 to 27 inches long

and 12 to 18 inches wide.

It's thought to

weigh about 1.7 pounds,

which is quite light.

[Narrator] Could such a tiny

chunk of foam really

bring down the

billion-dollar spaceship?

[Maggie Aderin-Pocock] It's

not the mass, it's the speed

at which it's traveling.

Double the speed, four

times the impact energy.

-We can estimate that

the speed of that foam,

when it impacted the wing

was somewhere between

416 and 573 miles per hour.

That is a hell of a speed.

That is fast.

That is like the

speed of a jetliner.

[Narrator] Is that enough for

such a light piece of foam to

fatally damage the spacecraft?

NASA records show that after

the loss of Columbia,

they test this theory.

-They took an old panel

from another shuttle

and shot foam at that

panel at the expected speeds.

[Narrator] The

results are shocking.

[firing]

[Maggie Aderin-Pocock] I think

we can say pretty unequivocally

that the foam strike on the

leading edge of that left wing

brought down the shuttle.

[Narrator] Which

leaves just one question.

Why did the foam fall off

the tank in the first place?

Rewinding the critical moment,

this foam appears to fall from

the attachment between

the tank and the shuttle,

known as the bipod.

Critically, the foam

here is applied by hand.

[Sophie Harker] The problem

with hand spraying is that you

end up with these gaps and

voids right between the foam

and the tank that you just

can't avoid and they're tiny

but they're there.

[Narrator] Could these voids

cause the foam to detach?

Before the tank is filled,

NASA protocols dictate blowing

any residual gases from

it using inert nitrogen.

[Sophie Harker] The external

fuel tanks carry about half a

million gallons of liquid

oxygen and liquid hydrogen and

those things need to be

stored cryogenically,

so they need to be

stored very, very cold.

[Narrator] Any remaining

nitrogen that comes into

contact with these ultra-low

temperatures condenses into

a liquid and this can flow into

the voids in the

insulating foam.

So, at launch, some voids may

be filled with liquid nitrogen.

[Margaret Harris] The problem

is it doesn't stay liquid.

As the shuttle launches there's

all sorts of heat sources that

cause it to turn from

a liquid into a gas,

and a gas takes up much

more space than a liquid,

and as it expands,

it pops the foam off.

[Narrator] These tiny pockets

of nitrogen are just one link

in a deadly chain of

events that ends in disaster.

[Margaret Harris]

Columbia's mission, STS 107,

leaves the launch pad

on January 16th at 10:39.

[Maggie Aderin-Pocock]

At 81 seconds,

a small piece of foam is

dislodged from the tank

due to the expansion

of the liquid nitrogen.

[Narrator] The foam strikes

the leading-edge RCC panel eight

on the left wing and

punches a hole in it.

-Columbia's fate is now sealed.

[Maggie Aderin-Pocock] Upon

re-entry as soon as the air

starts to heat up around the

spacecraft, the plasma gets in

through that hole and

starts wreaking havoc

within that left wing.

The increasing drag on

that left wing overwhelms

the control system.

The spacecraft goes

into a flat spin and at

10,000 miles per hour

it's torn to shreds.

[Narrator] All seven

astronauts are k*lled.

Following the Columbia disaster,

NASA removes the

insulating foam in the

area around the bipod strut.

After Columbia, no

shuttle is ever lost again.

On July 21st, 2011,

the shuttle program

completes its final flight.

Columbia is brought down

by a flaw on its exterior.

But you don't have to be in a

spaceship for that to happen.

England, London.

Royal Borough of Kensington.

Grenfell tower.

-Grenfell Tower is a 24-story,

221 feet high,

residential building

that had been part of

the London skyline

since the 1970s.

[Narrator] At 1:00 a.m. on

Wednesday 14th June 2017,

a small fire breaks out in

one of the 129 apartments.

[Margaret Harris] What starts

out as a small, containable

blaze rapidly escalates

into something that's far more

dangerous and far more deadly.

[Narrator] The fire spreads

quickly across the whole tower.

-To see the fire spread,

it's just incredible.

I've never seen anything

like that before in my life.

[Narrator 297

people are inside.

-People are trapped

in their homes.

There's no way out and

they're absolutely desperate.

[Narrator] It takes 24 hours

to extinguish the inferno.

Almost the entire

building is gutted.

72 people,

including 18 children,

are k*lled.

It is the UK's deadliest

peacetime residential fire

for 800 years.

Now using all the

available data,

we will digitally

replay the disaster,

to analyze the chain of the

events and answer one question.

-How could a small

apartment fire result in

such an enormous catastrophe?

[Narrator] The first thing to

establish is a timeline of the

Grenfell Tower disaster.

-So how did this fire start?

Well, in this case,

we've actually got a

fairly definitive answer.

Just before 1:00 a.m., the

London Fire Brigade logged a

call from the

resident in Flat 16,

saying his fridge

freezer was on fire.

[Narrator] Flat 16, where

the fire breaks out,

is on the 4th floor,

on the east

side of the building.

Photographic evidence suggests

the most likely source of the

fire is a fridge freezer.

But how does a relatively

small electrical fire

escape the apartment?

-The windows in Flat 16, like

elsewhere on Grenfell Tower,

are made of UPVC.

[Narrator] UPVC is a durable

rigid plastic material with

one obvious flaw.

-UPVC isn't especially

heat resistant.

So, it's very likely that

the heat from the fire in the

kitchen in Flat 16 is

more than enough to make

the windows start to

deform and melt.

[Narrator] This is backed up

by the witness statement of

a tower resident.

-He says that he initially

saw flames and smoke

behind the window.

But then the whole

thing just fell out.

[Narrator] Once the fire

escapes the flat,

video evidence shows that

it spreads rapidly,

reaching the top of

the building by 1:26 a.m.

[Andrew Steele] Two hours

after the fire service were

first called, almost half

of the flats are ablaze,

and by 4:30, the whole

building's on fire.

[Narrator] How can a fire

take hold on the outside of

a concrete building?

Video evidence of the

disaster holds vital clues.

[Sunday Popo-Ola] When this

fire started, within minutes

you can see droplets of fire

materials and that was coming

right to the ground floor.

And as the fire spread

to the upper floor,

you see more and more

of this material dropping down.

[Narrator] But this material

is not the UPVC of the

window frames, it's a

different plastic altogether,

polyethylene.

What is the source

of this plastic?

[Andrew Steele] Comparing

photographs of the building

from when it was built to

photographs taken in the

few weeks before the fire,

you can see it just looks

completely different.

The entire exterior of

the building has changed.

[Narrator] Maintenance records

for the building show the

tower undergoes an

£8.6 million refurbishment

just over a year

before the fire.

The work includes

new exterior cladding.

-Part of the reason for this

refurbishment was to improve

the thermal insulation

of the building,

keep things warmer

for the residents.

But it was also designed to

update the appearance from

this 1970s brutalist aesthetic

to something more fitting

for the modern era.

[Narrator] Examining the

cladding in more detail,

shows that it is made up

of multiple layers.

The first layer is

plastic insulation called

polyisocyanurate, or PIR.

It is attached to the exterior

of the existing building.

-Next to that, there's an air

gap about two inches across

and then there's this

sandwich of what's called

ACM, aluminum

composite material.

There's a layer of aluminum.

There's a layer of

polyethylene in the middle

and then there's another

layer of aluminum.

[Narrator] The polyethylene in

these cladding panels is the

only possible source of the

burning, dripping material.

-That's incredibly serious

because the whole building

is literally

covered in these things.

[Narrator] This explains

how the outside of a concrete

building is able

to start burning.

It takes little more than an

hour for the entire east side

to catch fire.

How can the fire

spread so rapidly?

The cladding on the

Grenfell Tower is attached using

what is known as the

"cassette system,"

and evidence has emerged

about the cassette cladding

used on Grenfell Tower

that reveals

something shocking.

-When the company that made

them tested them in 2005,

the performance of the

cassette system was so poor

it just completely

burst into flames.

[Narrator] The manufacturers

later said they thought that

this was just a

rogue test result.

So how does using the

cassette installation

increase flammability?

-It's called a cassette system

because it's folded into

a sort of C shape,

a bit like the old liners

in a cassette tape.

[Andrew Steele] This

method of attachment creates a

series of channels

between the cladding itself and

the insulation foam

and that means in case of fire,

you can get something

called the "chimney" or

"stack effect" taking hold.

-Hot gases, which are less

dense than cold ones,

rise up in a

sort of chimney effect

between the building

and the cladding.

[Andrew Steele] Effectively

the fire breaks out between

the cladding and the

building and that creates

another problem, which is that

exterior cladding is essentially

protecting the fire from

the firefighter's water.

[Narrator] Driven by

the chimney effect,

the fire spreads rapidly

up the side of the building.

But in less than an hour

it begins spreading

around the building as well.

How does the

fire move sideways?

[Narrator]

The Grenfell Tower fire

begins on the

building's east face,

but surprisingly it

rapidly spreads to the

north, south, and west sides.

-The first clue is the fire

on the very top of the building.

[Narrator] This is

known as the crown.

-We can see from video of this

fire that when it reaches

the crown, it hasn't

got anywhere else to go

in the upwards direction.

So, it starts to

spread around the tower.

[Narrator] The crown of

the tower is covered in

the same ACM panels.

-And that gives an almost

continuous path for

the fire to spread.

[Narrator] Thermal images from

a police helicopter show that

the burning crown ignites

cladding on the other faces

of the tower.

[Margaret Harris] There's

actually a waterfall of

burning material cascading

off the upper floors of the

building, off the crown.

[Andrew Steele] You've

got these flaming globs of

polyethylene falling down the

side of the building,

setting fires lower down,

which can then travel up the

face of the building again.

[Narrator] This explains how the

tower ends up engulfed in flame.

But this escalating disaster

plays out over several hours.

Why don't more

people manage to escape?

According to

eyewitness statements,

many remain in place

because that's what

they've been told to do.

[Margaret Harris] So,

Grenfell Tower, like a lot of

buildings of this type,

has a stay-put policy and

what this means is that

residents in the case of

some sort of emergency are

not advised to

leave the building.

[Sascha Auerbach] The reason

residents are advised to

shelter in place is because

each flat in the building,

each apartment in the building

is a discrete concrete box

that is kept separate

from the others,

specifically for the purpose

of fire prevention.

[Narrator] The entire policy

is built around the original

design of the building in

non-flammable concrete.

[Margaret Harris] The

problem is that by the time

this fire starts,

Grenfell is wrapped

in this flammable cladding and

it's nothing like

concrete anymore.

[Narrator] When the cladding

is fitted, the stay-put policy

is not reviewed.

By the time it is

revoked at 2:47 a.m.

so much of the

building is ablaze,

that most people still

in the tower are trapped.

Just one obvious

question remains;

how does Grenfell end

up clad in material

that is intensely combustible?

[Sascha Auerbach] If you look at

the original planning document

from 2012 for the cladding

that was going to be

added to Grenfell,

it was not aluminum with

a polyethylene core.

It was meant to be zinc with

a non-flammable core and this

was the design approved by

the residents of the tower.

[Narrator] An updated planning

application, submitted in 2014

is the first evidence of a

change to the cladding type.

[Andrew Steele] And we can see

from correspondence between

Kensington and Chelsea Council

and the contractors

why this decision was made.

The correspondence lists

requested financial savings

to decrease the overall

cost of the refurbishment.

[Narrator] This includes

£290,000 that would be saved

by fitting aluminum cladding

instead of zinc cladding.

There is nothing in these

papers to suggest that they

are aware this

will impact safety.

But the consequence

is that it does.

Ultimately, that decision

costs 72 people their lives.

[Margaret Harris] So we know

how this disaster unfolds.

It all begins with an attempt

to reduce costs by replacing

one type of

cladding for another.

-On June the 14th, 2017, just

a few minutes before 1:00 a.m.,

a call is made to the

London Fire Brigade.

The caller alerts them that

the fridge freezer in his

fourth-floor flat is on fire.

[Narrator] The fire brigade

arrives minutes later.

[Sascha Auerbach] But the fire

has started to expand rapidly.

The UPVC windows of the

apartment have fallen out

and the fire has now

escaped its initial location.

[Narrator] The flames

set light to the flammable

cladding on the

outside of the building.

-Thanks to the

arrangement of the panels,

which creates

this chimney effect.

The fire races up this

side of the building.

[Narrator] Once it

reaches the roof,

the fire moves sideways.

[Andrew Steele] The flames

spread laterally

around the crown,

dripping burning polyethylene

onto the rest of the

building and starting new fires.

[Narrator] The obsolete

stay-put policy means

many residents remain

in their apartments.

By the time the fire

is under control,

72 people have lost their lives.

Many more are

seriously injured.

[Sascha Auerbach] Immediately

in the wake of the tragedy,

both the bereaving families

and people across the country

demand an explanation.

The ramifications for the

Grenfell Tower fire are

ongoing and don't look to

be resolved any time soon.

[Andrew Steele] After the

disaster, there was a scramble

to identify other

high-rise buildings

with this kind of cladding,

and it turned out there

were around 500 of them.

[Narrator] The work to replace

this cladding is ongoing.

[Margaret Harris] So far, more

than 900 people, survivors,

bereaved people from the tower

disaster have received

£150 million in compensation

from the civil courts.

[Narrator] Despite the scale

of the disaster, so far,

there have been no

criminal charges.

The Grenfell tragedy

took hours to play out.

But disaster can

also strike in seconds.

Eschede, Germany.

A sleepy town in the

district of Celle.

[Andrew Steele] It's June 1998

and a high-speed train is

zooming round the gently

curved section of track just

outside of town and

this is a popular service.

Families, business people,

all trying to get to their

destination as

fast as possible.

[Narrator] The high-speed

train is the pride of the

German railways.

As it approaches Eschede

it is traveling at

125 miles an hour.

[Maggie Aderin-Pocock] Still

going flat out, the train

comes off the tracks and

smashes into a bridge.

[Narrator]

101 people are k*lled.

88 more are seriously injured.

It is the worst high-speed

train crash in history.

Now, combining all the

available evidence

with cutting-edge

digital technology,

we will recreate

the disaster and

piece together the

deadly chain of events

leading up to it,

to answer the question:

What causes this catastrophe?

[Narrator] The disaster at

Eschede begins as a completely

routine train journey.

[Andrew Steele] The train

in question is ICE 884.

It left Munich on the morning

of the 3rd and was heading to

Hamburg, a journey

of about 6 hours.

-The ICE 884

has 12 coaches,

including a passenger coach,

a restaurant, a service coach,

and then a locomotive

on each end.

[Narrator] No footage exists

of the accident happening,

but careful examination of

the photographic evidence

helps create a

disaster timeline.

-Immediately after the accident,

the front of the train,

the locomotive and the first

two carriages come to a stop,

a fair way down the track and

they're actually

largely undamaged.

[Narrator] The concrete bridge

the train hits has collapsed.

[Shini Somara] Carriage 4

clears the bridge but

slams into some nearby trees.

Carriage 5, half makes

it under the bridge,

the other half is crushed.

And carriage 6,

a restaurant car,

is completely compressed

to just six inches.

[Narrator] This suggests that

the accident begins between

carriage 2 and carriage 4

and the evidence

backs this up.

[Andrew Steele] It's the

third carriage that's

really suffered here.

The back of that has derailed,

and it's swung off to the right.

[Narrator] This points to

the disaster beginning

with the derailment

of carriage 3.

What causes that?

A piece of vital

evidence comes from

the minutes before the crash.

-We have various witness

statements, but there's one

that is particularly important.

This comes from Jorg Dittman,

who was sitting in

the front carriage.

According to

Mr. Dittman's statement,

a huge piece of metal shoots up

between his wife and son.

So, he runs off

to tell the guard.

-Dittman says that the

attendant refuses to pull

the emergency brake until

he has personally verified

the damage because that is

standard Deutsch Bahn policy.

But unfortunately, just as

they walk through that door,

the train crashes.

[Narrator] Analysis of the

piece of metal that Dittman

sees reveals there is only

one thing it can be,

the outer rim of a train wheel,

and photographic

evidence shows damage

to railway sleepers

several miles back

from the crash site.

Which must have been caused by

the bottom of the broken rim

protruding down through

the carriage floor

and hitting the track.

-And that ties in with

Dittman's witness statement

because he says that the

carriage was swaying around

quite violently,

probably because of this

piece of loose metal.

[Narrator] But if this rim

causes the disaster,

why doesn't the accident

happen immediately,

rather than miles

down the track?

Very close to the

collapsed bridge,

there is evidence of

an anomaly in the track.

A section of guard

rail is missing.

Guard rail is used along the

edges of the track to keep

the wheels on the

rails at junctions.

At Eschede it

has been torn out.

[Maggie Aderin-Pocock]

This guardrail must have been

ripped up by this

protruding piece of metal

from the rim of the wheel.

[Narrator] That fits with the

evidence found in carriage 1.

-They find the guardrail a few

feet away from the wheel rim

and it's penetrating

from floor to ceiling.

[Narrator] This is a much

larger piece of metal than

the thin wheel rim.

[Andrew Steele] Imagine this

huge rail smashing up through

the bottom of the carriage.

That would be enough to

lift that whole carriage up.

[Narrator] Video show that the

rear axle of carriage 1 is

off the tracks.

The obvious cause appears to be

the impact with the guardrail.

But carriage 1 is

almost undamaged

and it's clear from

the accident scene

that the disaster

begins with carriage 3.

So, what actually happens?

[Shini Somara] If you look at

the track layout, there's a

set of points and switches

which divert the train off

the main line to

the branch line.

[Narrator] By the time the

train reaches these points

all the evidence suggests that

the rear wheels of carriage 1

have already derailed.

[Andrew Steele] Those

switch rails can be knocked by

something hitting them.

So, for example, a pair of

wheels are no longer

fully on the track and if that

switching were to happen,

then the train would be

diverted from the main line

that it's currently speeding

along onto the branch line.

[Narrator] The evidence from

the crash damage suggests the

front of carriage 3 clears

the points before they finish

swapping to the branch line.

But the rear is diverted,

taking all the carriages

behind with it.

[Andrew Steele] So now we've

got a situation where the

front part of the train is

sh**ting down the main line

and then those rear carriages

have been directed onto a

branch line and all of this is

happening at 125 miles an hour

and that's enough force to

rip the train into two and

explains why the locomotive

was found basically intact,

quite a long way

down the main track.

[Narrator] It's now clear what

causes the initial derailment,

but most of the devastating

damage is caused by the

bridge collapse that follows.

Why does the bridge fail?

[Narrator] The high-speed

train at Eschede is traveling

at 125 miles per hour when

it derails just before

reaching the road bridge.

-If we're trying to work out

why the bridge collapsed

we need to look at

the pattern of damage

on those carriages.

And carriages 1 and 2

are looking largely intact,

but the right-hand side

of carriage 3 is really,

really badly damaged.

[Narrator] Carriage 3 must

have hit something side on and

that fits with the evidence

that the points are switched

while the train

passes over them.

[Shini Somara] The first

two carriages make it

under the bridge.

The second half of carriage 3,

the back wheels

go down the branch line,

twisting the whole carriage,

moving it sideways,

slamming it into the bridge.

[Narrator] The bridge is

supported by concrete pillars

at the trackside.

In this accident, they are

a fatal design weakness.

The damage to the derailing

carriage 3 tells us that

it must have hit these

vulnerable pillars at

very high speed.

Without their support, the

bridge collapses on the train

as it passes underneath.

-Any carriages coming along

behind have nowhere to go.

So, they just plow

into the carnage.

[Narrator] 88 people

are severely injured.

101 are k*lled.

It all begins with the

failure of a steel wheel rim.

-We know how the disaster

happens, but the big question is

how does the rim come off

the wheel in the first place?

[Narrator] The maintenance

history of these trains

reveals that the wheels have

been an issue in the past.

-If you look at the

early high-speed trains,

their wheels are made

out of a monoblock,

a solid piece of steel.

The problem with the

monoblocks is they cause

lots of vibration and this was

particularly noticeable in the

restaurant car where the

glasses would clink together.

-So to provide a more

comfortable ride

for the passengers,

these monoblock wheels

were replaced with

what is called a

duo block wheel.

This is a wheel

in three parts.

There's a central hub,

then a thin layer of rubber,

about 20 millimeters thick.

That's a bit less than an

inch, that absorbs some of

those shocks and then a

steel ring around the outside,

which is called the tire and

this construction makes a

much more smooth ride for those

who are inside the train.

[Narrator] Duo block wheels

are fitted on the Eschede train.

-We know that somehow

that steel tire around

one of these duo block wheels

comes completely off and

shoots through the floor

carriage number one,

the question is how and why?

[Narrator] The clues lie in

understanding the mechanics

of how the duo block wheel

behaves at high speed.

[Shini Somara] Because of

the flexible nature of the

rubber inner rim, you've got

this constant distortion

of two steel parts.

That's what contributes to

the vibration because at

high speeds you're moving

from a circular shape

to an oval shape.

[Narrator] This constant

flexing slowly weakens the rim

through a process

called metal fatigue.

-If you wanted to break

a paperclip, for example,

you would just keep bending it,

fatiguing it, making it weak

and that's exactly what happened

to the outer wheel rim.

[Narrator] But fatigue

cracks take time to form.

Why aren't the warning

signs spotted during

routine maintenance?

[Maggie Aderin-Pocock] One of

the most shocking things were

the witness statements by

the Deutsche Bahn Engineers.

Rather than conducting vigorous

safety checks on the wheels,

they were just doing

a visual inspection.

[Andrew Steele] The obvious

problem with a visual inspection

is that crack needs

to be big enough to see,

and you're just never going to

pick up these tiny hairline

fractures that are typically

found with metal fatigue.

[Narrator] There is one final

alarming piece of eyewitness

evidence about the

actual train that crashes.

-On the weeks leading

up to the crash,

staff traveling on ICE 884

mentioned increased

noise and vibration

coming from that

particular set of wheels.

[Narrator] This is almost

certainly a warning sign

that the wheel rim is failing.

-Unfortunately,

nothing was done about it.

-The sad thing is that this

whole disaster might have

been averted if the

train company had just been

more diligent with the way

it maintained its trains

and their wheels.

[Narrator] There is

now enough information to

reconstruct the

chain of events that leads

to this tragedy.

It begins seven years earlier,

with the introduction

of a new type of wheel.

-A few minutes

before 11:00 a.m.,

the ICE 884 is traveling

towards Hamburg at

125 miles per hour.

The outer rim of the wheel

snaps off and punches up

through carriage 1.

[Narrator] The broken wheel

rim rips up a guard rail.

This lifts the rear axle of

carriage 1 off the track,

derailing it.

[Andrew Steele] Seconds later,

as that derailed wheel hits a

switch rail, it switches the

points and redirects the back

part of the train

onto that branch line.

[Shini Somara] The locomotive

and the first two carriages

make it under the bridge,

but the third carriage

twists sideways,

slamming into the bridge

and the bridge collapses.

[Andrew Steele] The rear part

of the train smashes into the

collapsed bridge in the

massive carriages that have

been crushed beneath them.

This whole thing has just

taken a few seconds,

and yet 101 people are dead.

[Narrator]

Following the disaster,

there are major changes.

The bridge is rebuilt with

a cantilevered design that

doesn't have the

vulnerable pillars.

Duo block wheels are

immediately removed from

every ICE train

and replaced with

the original monoblock design.

Today, ICE trains

remain in service,

carrying millions of

passengers every year.