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Final report on Alaska Airlines Flight 1282 in-flight exit door plug separation
On January 5, 2024, a Boeing 737-9 airplane operated by Alaska Airlines as flight 1282 experienced an in-flight separation of the left mid exit door (MED) plug and rapid depressurization when climbing through about 14,830 ft after takeoff from Portland International Airport (PDX), Portland, Oregon. One flight attendant and 7 passengers received minor injuries; the captain, the first officer, 3 flight attendants, and 164 passengers were uninjured; and the airplane sustained substantial damage.
Contributing to the accident was the FAA’s ineffective compliance enforcement surveillance and audit planning activities, which failed to adequately identify and ensure that Boeing addressed the repetitive and systemic nonconformance issues associated with its parts removal process. (A-25-16) Revise your audit planning activities to ensure that they provide the necessary functionality for Federal Aviation Administration managers and inspectors overseeing production approval holders to effectively identify, record, track, and resolve recurring and systemic discrepancies and nonconformance issues, including those related to specific manufacturing processes. (A-25-29) Develop a structured on-the-job training program that identifies and defines tasks necessary for manufacturing personnel to be considered fully qualified in their job series and includes a grading system for trainers and trainees to track progress and determine competence.
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