←back to thread

Final report on Alaska Airlines Flight 1282 in-flight exit door plug separation

(www.ntsb.gov:443)
165 points starkparker | 5 comments | 10 Jul 25 20:51 UTC | HN request time: 0.909s | source
Show context
omgJustTest ◴[10 Jul 25 23:46 UTC] No.44526953[source]▶
long story short:

1. boeing and spirit both work on planes

2. damaged rivets discovered and lots of back and forth to get them repaired. boeing does the doors and spirit does the rivets.

3. rework on rivets needed door plug to be removed, someone at boeing (who is not onsite) sees that the door plug needs to be removed, escalates this request but notes that work must wait for the next week because the only door person who is qualified to remove plugs is on leave.

4. door manager - on the day of the plug removal - de-escalates the door plug removal request. later that day the door manager, door master and three door crew enter area near the fuselage & door plug - correct documentation of removal not generated and none of them were trained to remove door plug. No one knows who removed the plug.

5. a boeing technician moves a stand that has what he believed to be a door plug bolt on top of it. he "strapped it and let it hang" to the fuselage.

6. Spirit indicates plug was removed and reworks rivets

7. No one checks the door plug was reinstalled correctly

replies(5): >>44527203 #>>44527363 #>>44527667 #>>44527910 #>>44528287 #
1. tomcam ◴[11 Jul 25 00:51 UTC] No.44527363[source]▶
Damn son, thanks
replies(1): >>44527846 #
2. omgJustTest ◴[11 Jul 25 02:19 UTC] No.44527846[source]▶
I really love reading NTSB and Coast Guard break-downs... a lot of very interesting engineering!
replies(2): >>44529084 #>>44529568 #
3. tomcam ◴[11 Jul 25 06:54 UTC] No.44529084[source]▶
Pretty neat how you’ve become so good at summarizing what looks stupendously opaque to me.
replies(1): >>44544511 #
4. burnt-resistor ◴[11 Jul 25 08:17 UTC] No.44529568[source]▶
The Air Force and Navy aviation also usually release public reports outside of internal investigations and/or court-martials on their mishaps.
5. omgJustTest ◴[12 Jul 25 19:37 UTC] No.44544511{3}[source]▶
Thanks.

If a publisher was so inclined, I have like 20 or so of these breakdowns that I would like to put into a (<75pg) book. The goal would be 1-3 page distillations of events for broad appeal. 1 page for the introduction and impact of the event, 1-2 pages for summarization and conceptual distillation.

The goal is a somewhat reductive but sharply results-focused perspective on these events.