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Printed page label not indexed. PDF page 1.
manufacturing facility that led to opening of the left MED plug without the required removal record to ensure that removed bolts and attachment hardware were properly replaced; the complexity of Boeing's business process instruction (BPI) for parts removals and itsOpen official document at PDF page 1NTSB AIR-25-04: In-Flight Separation of Left Mid Exit Door Plug, Alaska Airlines Flight 1282
Printed page label not indexed. PDF page 3.
................................................ 86 2.3.1 Opening of Left Mid Exit Door Plug without Required Removal Record ...................................................................................................................... 86 2.3.2 Incomplete Closure of Left Mid Exit Door POpen official document at PDF page 3NTSB AIR-25-04: In-Flight Separation of Left Mid Exit Door Plug, Alaska Airlines Flight 1282
Printed page label not indexed. PDF page 11.
was a disturbance of a previously accepted installation, required the generation of a removal record. The purpose of a removal record was to document that parts were removed from the airplane and to specify the tasks and quality assurance signoffsOpen official document at PDF page 11NTSB AIR-25-04: In-Flight Separation of Left Mid Exit Door Plug, Alaska Airlines Flight 1282
Printed page xiii. PDF page 13.
BPI for parts removals to include clear and concise guidance for determining when a removal record is needed and develop recurrent training for manufacturing personnel that emphasizes the importance of removal records for product safety, prepares personnel to consistenOpen official document at PDF page 13NTSB AIR-25-04: In-Flight Separation of Left Mid Exit Door Plug, Alaska Airlines Flight 1282
Printed page 45. PDF page 59.
opening the MED plug met the criteria for activities that required the initiation of a removal record.52 Per the BPI, the purpose of a removal record, in part, was to: Ensure that the product was restored according to allOpen official document at PDF page 59NTSB AIR-25-04: In-Flight Separation of Left Mid Exit Door Plug, Alaska Airlines Flight 1282
Printed page 46. PDF page 60.
Aviation Investigation Report AIR-25-04 No removal record for opening the left MED plug was identified in CMES, and Boeing's search of all other available record sources identified no evidence that one had been created. 1.11.2.1Open official document at PDF page 60NTSB AIR-25-04: In-Flight Separation of Left Mid Exit Door Plug, Alaska Airlines Flight 1282