Flashback: Ayrton Senna Fatal Crash
I want to live fully, very intensely. I would never want to live partially, suffering from illness or injury. If I ever happen to have an accident that eventually costs my life, I hope it happens in one instant.
The death of Formula One triple world champion Ayrton Senna, on May 1, 1994, resulted from a crash that occurred while he was leading the 1994 San Marino Grand Prix at the Autodromo Enzo e Dino Ferrari in Italy. The accidents of Senna and Roland Ratzenberger (the previous day) were the first fatal accidents in a Formula One race in twelve years, and were the worst of several accidents to take place during the race meeting.
There have been many attempted explanations for the cause of his death, but no consensus has been reached. His death was a turning point in the safety of Formula One, as many safety measures have since been implemented. The Grand Prix Drivers’ Association was reformed later in 1994, and the association has contributed to these changes.
On May 1, 1994, Senna took part in his third race for the Williams team, the San Marino Grand Prix at the Imola circuit. Although he would not finish it, Senna started his final Formula One race from pole position.
That weekend, he was particularly upset by two events. On Friday, during the afternoon qualifying session, Senna’s protégé, F1 newcomer Rubens Barrichello, was involved in a serious accident that prevented him from competing in the race. On Saturday, the death of Austrian driver Roland Ratzenberger in qualifying deeply upset Senna, reinforcing his safety concerns and made him consider retiring from the sport. Ironically, he spent his final morning meeting fellow drivers, determined after Ratzenberger’s accident to take on a new responsibility to re-create the Grand Prix Drivers’ Association, a Drivers’ Safety group to increase safety in Formula One. As the most senior driver, he was offered to take the role of leader in this effort.
On Sunday, Pedro Lamy and JJ Lehto were involved in a starting-line accident. Track officials deployed the safety car to slow down the field and allow the debris from the starting accident to be removed. The cars proceeded under the safety car for 5 laps.
On lap 6, from the onboard camera of Michael Schumacher‘s Benetton, Senna’s car was seen to bottom out heavily (as on the previous lap and during his first laps in the warmup session) and then seen to break traction twice at the rear and strike an unprotected concrete barrier at Tamburello corner. Telemetry shows he left the track at 310 km/h (190 mph) and was able to slow the car down by braking to 218 km/h (135 mph) in slightly under 2 seconds before hitting the wall.
A map of the circuit per 1994 layout, with the Tamburello corner encircled.
The car understeered strongly off the track, hit the wall at a shallow angle, tearing off the right front wheel and nosecone, lifted slightly with the nose as it straightened, and spun to a halt. After Senna’s car came to a halt, he remained motionless in the cockpit.
After the crash it was immediately evident that Senna had suffered some form of injury because of the manner in which his helmet was seen to be motionless and leaning slightly to the side. In the seconds that followed his head was seen to move to one side slightly causing false hopes to be raised. A considerable amount of time passed before medical units came to his aid, with fire marshals having arrived at the car and unable to touch Senna before qualified medical personnel arrived. Television coverage from an overhead helicopter was seen around the world, as rescue workers gave medical attention. Close inspection of the area in which the medical staff treated Senna revealed a considerable amount of blood on the ground. From visible injuries to Senna’s head it was evident to Prof. Sid Watkins and attending medical professionals that Senna had sustained a grave head trauma. An emergency tracheotomy was conducted trackside to artificially induce breathing on Senna. The race was stopped 1 min. 9 seconds after Senna’s crash.
Approximately 10 minutes after Senna’s crash, a miscommunication in the pits caused a Larrousse car piloted by Érik Comas to leave the pit lane and attempt to rejoin the now red flagged Grand Prix. That incident with Comas was spotted by Eurosport Commentator John Watson as the “most ridiculous incident I ever saw at any time in my life”. Frantic waving by the marshals at Senna’s crash site prevented the Larrousse from risking a collision with the medical helicopter that had landed on the track.
Professor Sidney Watkins, a world-renowned neurosurgeon and Formula One Safety Delegate and Medical Delegate, head of the Formula One on-track medical team, who performed an on-site tracheotomy on Ayrton Senna, reported:
He looked serene. I raised his eyelids and it was clear from his pupils that he had a massive brain injury. We lifted him from the cockpit and laid him on the ground. As we did, he sighed and, although I am totally agnostic, I felt his soul depart at that moment.
Senna was 34 years old at the time of his death. What had likely happened was that the right front wheel had shot up after impact like a catapult and entered the cockpit area where Senna was sitting. It struck the right frontal area of his helmet, and the violence of the wheel’s impact pushed his head back against the headrest, causing fatal skull fractures. A piece of upright attached to the wheel had partially penetrated his Bell M3 helmet and caused a trauma to his head. In addition, it appeared that a jagged piece of the upright assembly had penetrated the helmet visor just above his right eye. Senna was using a medium sized (58 cm M3 helmet with a new “thin” Bell visor). Any one of the three injuries would probably have killed him.
The FIA and Italian authorities still maintain that Senna was not killed instantly, but rather died in hospital, to where he had been rushed by helicopter after an emergency tracheotomy and IV administration were performed on track. There is an ongoing debate as to why Senna was not declared dead at the track. Under Italian law when a person dies at a sporting event, that death must be investigated, causing the sporting event to be cancelled. The former Director of the Oporto (Portugal) Legal Medicine Institute, Professor José Eduardo Pinto da Costa, has stated the following:
From the ethical viewpoint, the procedure used for Ayrton’s body was wrong. It involved dysthanasia, which means that a person has been kept alive improperly after biological death has taken place due to brain injuries so serious that the patient would never have been able to remain alive without mechanical means of support. There would have been no prospect of normal life and relationships. Whether or not Ayrton was removed from the car while his heart was beating or whether his supply of blood had halted or was still flowing, is irrelevant to the determination of when he died. The autopsy showed that the crash caused multiple fractures at the base of the cranium, crushing the forehead and rupturing the temporal artery with haemorrhage in the respiratory passages. It is possible to resuscitate a dead person immediately after the heart stops through cardio-respiratory processes. The procedure is known as putting the patient on the machine. From the medical-legal viewpoint, in Ayrton’s case, there is a subtle point: resuscitation measures were implemented. From the ethical point of view this might well be condemned because the measures were not intended to be of strictly medical benefit to the patient but rather because they suited the commercial interest of the organisation. Resuscitation did in fact take place, with the tracheotomy performed, while the activity of the heart was restored with the assistance of cardio-respiratory devices. The attitude in question was certainly controversial. Any physician would know there was no possibility whatsoever of successfully restoring life in the condition in which Senna had been found.
The people who conducted the autopsy stated that, on the evidence of his injuries, Senna was dead. They could not say that. He had injuries which led to his death, but at that point the heart may still have been functioning. Medical personnel attending an injured person, and who perceive that the heart is still beating, have only two courses of action: One is to ensure that the patient’s respiratory passages remain free, which means that he can breathe. They had to carry out an emergency tracheotomy. With oxygen, and the heart beating, there is another concern, which is loss of blood. These are the steps to be followed in any case involving serious injury, whether on the street or on a racetrack. The rescue team can think of nothing else at that moment except to assist the patient, particularly by immobilising the cervical area. Then the injured person must be taken immediately to the intensive care unit of the nearest hospital.
Rogério Morais Martins states that:
According to the first clinical bulletin read by Dr. Maria Teresa Fiandri at 4.30 p.m. Ayrton Senna had brain damage with haemorrhaged shock and deep coma. However, the medical staff did not note any chest or abdomen wound. The haemorrhage was due to the rupture of the temporal artery. The neurosurgeon who examined Ayrton Senna at the hospital mentioned that the circumstances did not call for surgery because the wound was generalised in the cranium. At 6.05 p.m. Dr. Fiandri read another communiqué, her voice shaking, announcing that Senna was dead. At that stage he was still connected to the equipment that maintained his heartbeat. The release by the Italian authorities of the results of Ayrton Senna’s autopsy, revealing that the driver had died instantaneously during the race at Imola, ignited still more controversy. Now there were questions about the reactions of the race director and the medical authorities. Although spokespersons for the hospital had stated that Senna was still breathing on arrival in Bologna, the autopsy on Ratzenberger [who died the day before] indicated that death had been instantaneous. Under Italian law, a death within the confines of the circuit would have required the cancellation of the entire race meeting. That, in turn, could have prevented Senna’s death. The relevant Italian legislation stipulates that when a death takes place during a sporting event, it should be immediately halted and the area sealed off for examination. In the case of Ratzenberger, this would have meant the cancellation of both Saturday’s qualifying session and the San Marino Grand Prix on Sunday. Medical experts are unable to state whether or not Ayrton Senna died instantaneously. Nevertheless, they were well aware that his chances of survival were slight. Had he remained alive, the brain damage would have left him severely handicapped. Accidents such as this are almost always fatal, with survivors suffering irreversible brain damage. This is due to the effects on the brain of sudden deceleration, which causes structural damage to the brain tissues. Estimates of the forces involved in Ayrton’s accident suggest a rate of deceleration equivalent to a 30 metre vertical drop, landing head-first. Evidence offered at the autopsy revealed that the impact of this 208 km/h crash caused multiple injuries at the base of the cranium, resulting in respiratory insufficiency. There was crushing of the brain (which was forced against the wall of the cranium causing oedema and haemorrhage, increasing intra-cranial pressure and causing brain death), together with the rupture of the temporal artery, haemorrhage in the respiratory passages and the consequent heart failure. There are two opposing theories on the issue of whether the drivers were still alive when they were put in the helicopters that carried them to hospital. Assuming both Ratzenberger and Senna had died instantaneously, the race organisers might have delayed any announcement in order to avoid being forced to cancel the meeting, thus protecting their financial interests. Had the meeting been cancelled, Sagis – the organisation which administers the Imola circuit – stood to lose an estimated US$6.5 million.
The FIA dismisses that allegation as an unfounded conspiracy theory.
To many within the F1 world including some drivers of that era who had raced at Imola, the conclusions drawn from low tyre pressure as a cause of the accident seem implausible. Telemetry recorded that Senna took the bend at 306 km/h (190 mph) on lap 6 with cold tyres. The information released in the trial stated that Senna started the race with 86 litres of fuel and had planned a two stop race strategy, one fewer than Schumacher, who started the race lighter on a 3 stop strategy. The theory that low tyre pressure caused the crash was defeated in court when Stefano Stefanini, head of Bologna’s traffic accident unit, testified that Senna, with a heavier car than Michael Schumacher and Damon Hill, recorded a time of 1.24.887 on the sixth lap, Senna’s only lap at race speed and the 3rd fastest lap of the race. Michele Alboreto and other drivers of the era claimed that given Senna’s lap time, his tyres would have been at race temperature by the 7th lap and could not have been a factor in the crash. Max Angelelli (driver of the Safety Car at Imola in 1994) has stated in interviews that on numerous occasions during the safety car period at the start of the race, Senna had pulled up alongside him and had frantically urged him to drive faster to maintain tyre temperatures. In addition, an explanation of losing control by bottoming from a reduced ride height due to lower tyre pressures seems unlikely, as on Senna’s previous lap the tyre temperatures and resulting ride height would have been even lower.
Some drivers indicated that Senna’s crash was due to driver error. Michael Schumacher, who had followed closely behind the Brazilian before the crash, gave the following account at the subsequent winners’ press conference:
I saw that his car was already touching quite a lot at the back on the lap before, the car was very nervous in this corner, and he nearly lost it. On the next lap he did lose it. The car touched with the rear skids, went a bit sideways, and he just lost it.
Damon Hill, Senna’s teammate at the time of his death, had this to say in an interview given on the subject 10 years later:
I am convinced that he made a mistake, but many people will never believe that he could. Why not? He made many mistakes in his career. I have listened to and read endless theories about why, or how, he could have crashed on such a ‘simple’ corner like Tamburello. No-one other than Ayrton Senna and I know what it was like to drive that car, through that corner, in that race, on that day, on cold tyres. He was identified with pushing to the limit and beyond. It was not the fault of anyone else that he kept his foot flat when he could have lifted.
The ban on active suspension affected Williams more than any other team as it was the key development that had helped make the Williams car the class of the field during 1992 and 1993 seasons. After active suspension was banned in 1994 the Williams drivers complained of severe handling problems and a twitchy rear-end grip. The FW16‘s new handling modifications were introduced at Imola. It was ironic that at the beginning of 1994 Senna himself told the press that he would be surprised if there would be no large accidents that year. He referred to the fact that after the wide “white label” 18 inch wide Goodyear slicks were replaced for 1993 by the narrower “yellow label” 15 inch wide slick, now the technology at the very core of the cars, the science around which they had been based for the last few years (active suspension, traction control and ABS) was also banned for 1994. He surmised that the cars would have trouble staying on the road, which is exactly what was observed at the beginning of 1994. J. J. Lehto damaged his vertebrae at Silverstone in January (as did Jean Alesi, causing him to miss Imola) prior to Ratzenberger’s and Senna’s fatal accidents at Imola. During qualifying for the next race at Monaco, Karl Wendlinger suffered an accident which left him in an induced coma; Ratzenberger’s replacement, Andrea Montermini, broke his feet in the Simtek in Barcelona and Eddie Irvine was banned for three races after causing an accident during the season-opening Brazilian Grand Prix. None of these accidents were deemed to be caused by driver error (except Irvine’s), although there is no evidence to suggest that the accidents were caused by the ban on driver aids.
Senna commented as follows on the FW16 during Estoril testing at the start of the year:
“I have a very negative feeling about driving the car and driving it on the limit and so on. Therefore I didn’t have a single run or a single lap that I felt comfortable or reasonably confident.”
“I am uncomfortable in the car, it all feels wrong. We changed the seat and the wheel, but even so I was already asking for more room.” “Going back to when we raced at Estoril last September (on testing the passive Williams at the same track 4 months later), it feels much more difficult. Some of that is down to the lack of electronic change. Also, the car has its own characteristics which I’m not fully confident in yet. It makes you a lot more tense and that stresses you.”
There are other factors – Senna did not like the position of the steering column relative to his seating position and had repeatedly asked for it to be changed. Patrick Head and Adrian Newey agreed to Senna’s request to lengthen the FW16‘s steering column, but there was no time to manufacture a longer steering shaft. The existing shaft was instead cut, extended by inserting a smaller diameter piece of tubing and welded together with reinforcing plates. Many surmise, based on the “yellow button tracking analysis” done in 1997 that the movement of the steering wheel during the final seconds into Tamburello were abnormal. A reference point (yellow button) on the onboard video is seen to move several centimetres in its own plane, due to the steering wheel moving up and down, indicating a fully or partially buckled steering column.
It had been accepted in court that the steering column exhibited stress signs on three quarters of the circumference and on 40% of the cross section, but that it had probably not snapped entirely. Due to the fact that the rigidity of the column when partially broken in this manner had never been examined publicly, the possibility exists that Senna may have felt the column buckle partially and physically “pushed” the steering wheel forwards to maintain torsional forces on the front wheels / sensing an imminent breakage, and continuing to do so while braking in a straight line to decrease impact speed. The buckling of the column would be a slow process in the seconds leading up to the final opposite lock at 11.2 seconds in the CINECA footage and would manifest itself as the steering wheel tilting on its own plane.
Williams released its own video to prove the movement was normal by Coulthard manhandling an FW16B steering wheel, yet the effort required by Coulthard to deflect the wheel in the demonstration is termed to be “quite considerable”. The nature of Tamburello requiring a light and anticipatory grip on the wheel (because of the high speed and bumps) coupled with Senna’s slight frame causes some to question whether or not the movement of the yellow button was indeed as “normal” as Williams has claimed.
No analysis has been done on the tracking of the yellow button at other laps of the FW16 around Imola or other racing circuits.
Senna on his final lap is seen turning the wheel left to full lock with no movement of the front wheels. Others have raised suspicion at what can clearly be seen on the onboard footage as Senna looking down at his steering wheel seconds before entering Tamburello.
The irony of the on board video available from Senna’s car is that the final seconds of footage are missing. The approximately 1.5 seconds of remaining video which would have provided a definite answer as to the cause of Senna’s death were lost in an act of astounding coincidence when the TV race director decided to switch camera signals at the very instant the Williams started to leave the track.
Perhaps unsurprisingly, numerous rumours abound that the remaining 1.5 seconds are not lost and reportedly show Senna’s steering wheel clearly coming off in his hands as his car is leaving the track. In addition to this, the video shown in the Court Room on May 14, 1997 stopped 0.9 seconds before the impact, causing numerous questions. Although allegations exist that this video has been seen by a number of people at the top level of motorsport, there is no evidence to support its existence.
The Williams team was entangled for many years in a court case with the Italian prosecutors over manslaughter charges, but they were found not guilty and no action was taken against Williams. In 2004, the case was re-opened, but closed again in 2005 when there was no new evidence.
During the trials, Fabrizio Nosco, a Regional technical commissioner, testified that both of the vehicle’s black boxes were intact, except for minor scratches. He said “I have seen thousands of these devices and removed them for checks. The two boxes were intact, even though they had some scratches. The Williams device looked to have survived the crash.”. In a move that apparently breached FIA regulations, Charles Whiting, a FIA official, handed the black boxes to Williams before the regulating body’s own investigation into the accident. Williams claimed the black boxes were unreadable, and the boxes returned for the court proceedings were indeed unreadable, a full month after the accident. The black boxes might have put to rest the cause of the accident.
At the conclusion of the Italian trial, Senna’s FW16, chassis number 02, was returned to the Williams team. The team reported that the car was in an advanced state of deterioration and was subsequently destroyed. The car’s engine was returned to Renault, and its fate is unknown.
His death was considered by many of his Brazilian fans to be a national tragedy, and the Brazilian government declared three days of national mourning. Senna is buried at the Cemitério do Morumbi in his hometown of São Paulo.
Following the deaths of Senna and Ratzenberger, many safety improvements were made. Although other drivers had died before him, Senna had arguably the highest profile. Improved crash barriers, redesigned tracks and tyre barriers, higher crash safety standards, and higher sills on the driver cockpit are among the measures that were subsequently introduced. Since Senna’s death, no drivers have died behind the wheel of a Formula One car, despite large accidents still occurring.
After the crash, race officials found a furled but bloodied Austrian flag in the cockpit of Senna’s car. It seems that Senna had intended to dedicate his 42nd victory to the memory of Roland Ratzenberger. At his funeral an estimated one million people lined the streets of São Paulo to give their salute.
Senna remains the last driver to die in a Formula 1 crash. However, two trackside marshals have been killed since then as a result of flying debris from crashes. These fatalities occurred at the 2000 Italian Grand Prix and the 2001 Australian Grand Prix.
Notes and references
- ^ http://www.formula1.com/teams_and_drivers/hall_of_fame/45/
- ^ Watkins, Sid (1996). Life at the Limit: Triumph and Tragedy in Formula One. Pan Books. p. 10. ISBN 0-330-35139-7.
- ^ SportsPro: Sport’s money magazine
- ^ a b c Ayrton Senna : The Senna Files: Ayrton Senna trial news etc : NewSfile #2
- ^ Paul Windsor F1 Decade Imola
- ^ 1994 San Marino GP winners’ press conference transcript at Motorsport.com
- ^ BBC Sport – Motorsport from Tuesday, 20 April, 2004
- ^ Autosport 24 Jan 1994 Vol 134 #4 p.28
- ^ The Ayrton Senna Files: #7, the Last Shot
- ^ http://www.ayrton-senna.com/s-files/newsfle5.html
- ^ Tom Rubython, “Life of Senna”, chapter 33, “The Trial”, pg.473.
- ^ Longmore, Andrew (1994-10-31). “Ayrton Senna: The Last Hours”. The Times. p. 30. http://docs.newsbank.com/openurl?ctx_ver=z39.88-2004&rft_id=info:sid/iw.newsbank.com:UKNB:LTIB&rft_val_format=info:ofi/fmt:kev:mtx:ctx&rft_dat=0F9242ED73BC537B&svc_dat=InfoWeb:aggregated4&req_dat=63FF7C9CECF24CA8828B27BFD2B2546B. “Back at the track, in the shattered remains of Senna’s car, they discovered a furled Austrian flag Senna had intended to dedicate his 42nd grand prix victory to Ratzenberger’s memory.”
- List of Formula One fatal accidents
- 1994 San Marino Grand Prix
- Death of Dale Earnhardt — another fatal crash whose impact on NASCAR was similar to that of Senna’s crash on F1