全部
← Back to Squawk list
Bolts Missing from Alaska 737 MAX 9’s Door Plug: NTSB
The NTSB has issued its preliminary report into the door plug failure on Alaska flight 1282 last month. (airlinegeeks.com) 更多...Sort type: [Top] [Newest]
So now we know why the plug separated from the fuselage. Now comes the next “why”. Why were the bolts missing in the first place. I suspect this will take more than 5 whys to get to the root cause.
I think the report is clear. It was assembled with the bolts retaining it at Spirit Aerosystems. It was removed/released to fix some rivets at Boeing Renton. The lack of procedure description and work checklist and possibly careless inspection overlooked the reinstatement of those 4 bolts when the plug was refitted. Boeing Renton QA procedures are faulty. Experienced people are asking, where was the bag containing the removed bolts so it was obvious to refit them. Where was the procedure description and diagrams to do the work. Where is the checklist to inspect the work for signoff (indeed is there a signoff?). Its all ambiguous, loose, arbitrary at Boeing Renton. My worry is, if this happens for this job, what about all the other bolts?
Your description is quite accurate. However, these bolts generally get installed at Spirit (Witchita), and NOT removed at Boeing (Renton) or any other place. So a rare event happened when the door plug needed to be opened to perform rework on rivets.
nobody at Renton was familiar with the plug installation. Not to excuse Boeing, but this clearly became a first- time task, done by first time workers, under time pressure, and resulted with a critical assembly error.
nobody at Renton was familiar with the plug installation. Not to excuse Boeing, but this clearly became a first- time task, done by first time workers, under time pressure, and resulted with a critical assembly error.
Plus I understand this repair was done before a weekend increasing the possibly of screw ups.
The only "why" needed is "Why aren't Boeing/contractor/sub duties/responsibilities more explicitly defined around work/rework?" Fragile methodology doesn't work so well when the struggle is bureaucratic.
FAA chief: Boeing isn't building safe planes. Boom. Not good.