NTSB Media Brief - Alaska Airlines Flight 1282 (Jan 8) livestream

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  • Опубликовано: 7 янв 2024
  • January 8, 2024: NTSB Chair Jennifer Homendy briefs the media in Portland, Oregon, on the NTSB investigation involving Alaska Airlines Flight 1282 on a Boeing 737-9 MAX.

Комментарии • 727

  • @jillfeatherman5523
    @jillfeatherman5523 4 месяца назад +159

    The media stalking the crew and the passengers just so they can be the “first” to report some sensationalized news that probably isn’t even true is gross.

    • @noelletakesthesky3977
      @noelletakesthesky3977 4 месяца назад +12

      Agreed. Chances are good that no one in that cabin knew that things were relatively stable once the pressure evened out, and so of course it would have been terrifying!! Let those poor people have a bit of time and speak when and if they want to.

    • @personaloregon3492
      @personaloregon3492 3 месяца назад

      3 people died? Or 4?

  • @blancolirio
    @blancolirio 4 месяца назад +163

    Lots of important information here. Thanks for posting!

    • @TheJttv
      @TheJttv 4 месяца назад +1

      What do you think of the the reinforced cockpit door blowing open?

    • @markplatt1784
      @markplatt1784 4 месяца назад +2

      @@TheJttv most have "blowout panels" but never heard of the door itself blowing open. My guess is the rapid decompression was so rapid given the size of the hole in the side of the airplane and overloaded the doors mechanical fasteners.

    • @SquawkCode
      @SquawkCode 4 месяца назад

      ​@@TheJttvis supposed to do that.

    • @SquawkCode
      @SquawkCode 4 месяца назад +14

      Juan, Your explanation and graphics today were 1000x better and easier to understand. Look forward to your next update! Thank you!

    • @Dstew57A
      @Dstew57A 4 месяца назад +7

      Trust your reporting more than almost anyone Juan Brown. Great Channel @blancolirio

  • @peterdilworth3110
    @peterdilworth3110 4 месяца назад +169

    Big thumbs up for NTSB, true servants of the People

    • @rexdavis9671
      @rexdavis9671 4 месяца назад +5

      Too bad all of them are in Boeing's pocket.

    • @samkosowick4912
      @samkosowick4912 4 месяца назад +2

      @@rexdavis9671 is that why another Federal admin (the FAA), grounded every MAX9 after an accident with 0 injuries and 0 fatalities?

    • @kaspju21
      @kaspju21 4 месяца назад +1

      They grounded for ability to look at that part and ensure a maintenance team secured all the bolts.

    • @kathrynmurphytechnology
      @kathrynmurphytechnology 4 месяца назад +1

      So you are telling that you understood what ?

    • @peterdilworth3110
      @peterdilworth3110 4 месяца назад +1

      dude are you serious, it is seriously not looking that way haha

  • @MichaelJM
    @MichaelJM 4 месяца назад +87

    I wish all federal agencies were as competent as the NTSB. Love the transparency and thoroughness.

    • @mytech6779
      @mytech6779 4 месяца назад +4

      NTSB [and NASA] are part of a tiny minority of agencies chartered for doing real jobs for the benefit of the public.
      Most other federal agencies fail because they are given arbitrary rulemaking and enforcement authority that is inevitably becomes self serving bureaucracy that puts public interest second to politics and gameing budgets. Said bureaucracy is not part of the original framework and intent of the federal constitution's division of powers; thus these agencies are really a square peg in a round hole and all this leads to a lack of viable direct individual acountability and waste.

    • @farmeronthedell
      @farmeronthedell 4 месяца назад

      It's a shame the NTSB has no regulatory powers and has to rely on the FAA to implement its recommendations.

    • @mytech6779
      @mytech6779 4 месяца назад +3

      ​@@farmeronthedell Not having any direct powers is the only thing that keeps the NTSB from becoming as rotten as all of the other alphabet swamp-soup.
      Beside that, not everything the NTSB recommends is good policy anyway, if for no other reason they have a very narrow focus and don't nessesarilly consider broader society-wide aspects of human action let alone legal and philisophical issues like delegated powers, case law, and natural rights.

    • @personaloregon3492
      @personaloregon3492 3 месяца назад

      My kids died there

  • @venomfall
    @venomfall 4 месяца назад +99

    Shoutout to all the NTSB staff who have given such clear communication. True professionalism in briefing!!

    • @br4nd0nh347
      @br4nd0nh347 4 месяца назад +2

      Agreed, I was glad to have caught this live. I just wish we could chat during the stream.

    • @TexasKid747
      @TexasKid747 4 месяца назад +7

      It was excrutiatingly difficult to listen to the explanations, without visual demonstrative tools, by those that are not mechanically educated to those that are not mechanically educated. As a retired A&P, my opinion is that there is lots of room for improvement. That being said, their efforts to disseminate information are admirable. I hope they can achieve better techniques soon. Cheers from Texas.

    • @MikeF1189
      @MikeF1189 4 месяца назад +4

      @@TexasKid747 You are def right. It was painful.

    • @jpcaretta8847
      @jpcaretta8847 4 месяца назад +1

      NO, THEY JUST TALK !
      Enough of these people !

  • @kelownatechkid
    @kelownatechkid 4 месяца назад +82

    This is the kind of professionalism I like to see. It's a pity so many want to gut the budgets and power of these agencies which have made such a positive difference.

    • @soeren72
      @soeren72 4 месяца назад +1

      Imagine if Boeing and FAA was the same

    • @revelry1969
      @revelry1969 4 месяца назад +2

      These guys are not pros. They can’t even explain the function. Talking about hi fiving. Geez you people are so easy to fool

    • @157294
      @157294 4 месяца назад +1

      @@revelry1969the general public are ignorant and are very impressionable. The chair person is a politician.

    • @Fs3i
      @Fs3i 4 месяца назад +7

      @@revelry1969 I've studied how it functions in the past couple of days, and I found the high-five explanation sufficient for a layperson audience. Sure, you can talk about forces, and I'm sure some of the people on that panel would've been happy to, but it's a good enough explanation imo.

    • @revelry1969
      @revelry1969 4 месяца назад

      @@Fs3i blah. Weak. It’s not a hi five

  • @mangos2888
    @mangos2888 4 месяца назад +99

    Jennifer Homindy is so great at communicating with the public.

    • @TheRealSergioBarrios
      @TheRealSergioBarrios 4 месяца назад +8

      🤣

    • @SquawkCode
      @SquawkCode 4 месяца назад +5

      Her nickname is "Scooter" 🛵

    • @geonerd
      @geonerd 4 месяца назад +12

      She's good at PR-speak, but IMO she's not nearly as clear and concise as a person in her position should be. And she needs to defer to the structural dude more often.

    • @Gnosticman00
      @Gnosticman00 4 месяца назад +3

      Sincerely, the Babylon Bee.

    • @rondadams
      @rondadams 4 месяца назад

      Also good at sharing the podium and letting the right people speak about details she doesn’t have a full grasp of.

  • @saberpv
    @saberpv 4 месяца назад +7

    Kudos to the NTSB for these updates. They are true professionals and a great example of folks who genuinely care. Thanks!!!

  • @noelletakesthesky3977
    @noelletakesthesky3977 4 месяца назад +28

    So what she was trying to say about the bolts is that the stop blocks are what technically hold the plug in place, and that the bolts help keep the plug from moving up and over those stops. Close your door handle, and the latch holds the door closed, but a door lock helps prevent the latch from being unlatched. The stop blocks are the latch. The clotter pins and the bolts serve as a lock.

    • @markplatt1784
      @markplatt1784 4 месяца назад +4

      Yup, and no sign of the four bolts...........

    • @noelletakesthesky3977
      @noelletakesthesky3977 4 месяца назад +7

      @@markplatt1784 Correct. The reporters’ questions show uncertainty in the difference, and it can seen like the bolts are what hold it in place, but it’s not. Her on-the-spot comparison to a high five makes sense, but doesn’t explain the job of the bolts. I’m not faulting her for that. She’s got a lot going on and has been doing a great job so far, and I’m still thrilled that she spend five solid minutes basically blasting the FAA for not even considering ordering the retrofitting of planes to have 25hr CVRs.

    • @delwoodkelp8590
      @delwoodkelp8590 4 месяца назад +3

      the question... could the door plug be installed and having made several flights without actually using any bolts during the installation. Each time just held in place by position and pressure. (same thing for the cotter pins)

    • @markplatt1784
      @markplatt1784 4 месяца назад

      @@noelletakesthesky3977 check this out, explains the mechanics of the door plug perfectly. ruclips.net/video/maLBGFYl9_o/видео.html

    • @noelletakesthesky3977
      @noelletakesthesky3977 4 месяца назад +10

      ​@@delwoodkelp8590 Yes. That doesn’t mean it would be a good thing to do. It means it was luck that nothing had happened before. You could walk with a bunch of dishes balanced in one hand and trust that the downward pressure of gravity, akin to the outward pressure of the inside of the cabin, to hold them to your hand (or the stops), and barring anything unforeseen or sudden, they’ll probably be fine for a short time. But one bump, one bit of normal use, and you’ve jeopardized that. To protect against dropping those dishes, you use a backup to gravity, like a hand on top of them, or a clotter pin and bolt. Your hand on top of that stack is technically a backup to gravity, not the thing keeping the dishes on your hand. Sure, you COULD rely on just gravity alone every time, but will you? Knowing how easily the slightest thing can cause then to crash down when a way to safeguard against disaster is as easy as your other hand? Or a clotter pin and bolt?
      FOUR of them should have been quadruple assurance. Even ONE of those in place should have kept that plug from being able to shift upward.

  • @TheRobertlonski
    @TheRobertlonski 4 месяца назад +89

    Jennifer Hominy is an OUTSTANDING representative of our government. We need our politicians to model their behavior after hers.

    • @SPIDERman9051
      @SPIDERman9051 4 месяца назад +3

      shes trying hard not to link cabin pressure alarms to the catastrophic depressurization event, THAT IS wrong.

    • @appleintosh
      @appleintosh 4 месяца назад

      @@SPIDERman9051They’re three days into the investigation they’re still gathering information. All she’s trying to do is stop the media from latching onto that theory and blowing it up.

    • @jpcaretta8847
      @jpcaretta8847 4 месяца назад +3

      SHE IS NOTHING ! She just list a serie of events I bet she doenst understand !

    • @MarkJohnson-zy4fd
      @MarkJohnson-zy4fd 4 месяца назад +7

      When the agency makes statements based on an incomplete record, it is usually a bad idea. It takes discipline to wait to make conclusions.

    • @Part_121
      @Part_121 4 месяца назад +6

      She's good from the standpoint that you could probably give her a class on just about anything, and she would do an acceptable job at a press conference, but she really doesn't understand the technical aviation details. When she said, earlier in the day, or maybe even yesterday, that the plane was not permitted to fly over water, I had wished then that she had said the airplane was forbidden from flying ETOPS as it "technically" has nothing to do with water. That would have saved a lot of dumb media questions because, of course, no one outside of the industry has any idea how ETOPS works.

  • @aaronbusi5703
    @aaronbusi5703 4 месяца назад +5

    Many thanks to the NTSB for all of their hard work to improve safety! Your professionalism will prevent future accidents and save lives.

  • @CarolinaGothic35
    @CarolinaGothic35 4 месяца назад +5

    Appreciate the highlighting of the cabin crew in this briefing. My parents are both F/As with another airline and my dad was literally in tears today thinking about having four unaccompanied minors seated in different locations across the plane during a decompression. It’s truly an impossible responsibility to place upon the crew. They did a damn good job but they’ll need a lot of support going forward.

  • @theresafreeman6426
    @theresafreeman6426 4 месяца назад +16

    Having some pictures or diagrams sure would help media and the general public understand how the components work 😊

    • @theresafreeman6426
      @theresafreeman6426 4 месяца назад +1

      Justa suggestion , I’m Thankful for the incredible work y’all are doing

    • @gorak9000
      @gorak9000 4 месяца назад

      Check out "The Boeing 737 Technical Channel" - they released a video in the last few days with labeled photos of the mechanism, and explain very clearly how it works.

    • @paulmorissette5863
      @paulmorissette5863 4 месяца назад +6

      Blancolirio has those..

    • @patpat5135
      @patpat5135 4 месяца назад

      Definitely such a talk should be supported by diagrams or schematics of the plug closing mechanism/ structure.

    • @gorak9000
      @gorak9000 4 месяца назад

      @@paulmorissette5863 Blancolirio got them from The Boeing 737 Technical Channel who had the video out a few days ago - days before blancolirio used them in his video (I'm sure he got permission, but still he wasn't the one that had those diagrams up first)

  • @SashaRed1
    @SashaRed1 4 месяца назад +9

    Great job NTSB and Chair! Giving updates as the information/facts are at the moment. Plainly stating we don't speculate/jump to conclusions. This 'briefing' is just that brief with easy to understand terms and well discussed topic. We will have to wait for awhile until the final report is done after the thourough investigate. Well done - thanks All for keeping us safe.

    • @alanm8932
      @alanm8932 4 месяца назад

      Didn't sound like she thought through what they were going to say...
      They gave some details about damaged roller guides that they've seen on the door plug that was recovered.
      Today's news would have been full of how Boeing's door roller guides had failed and caused this near catastrophe. Calls for all Boeings to be grounded as a similar roller guide is on many of their other types of door.
      Luckily a journalist was on his game and asked the very pertinent question of was this the cause of the door plug blowing out or is it just something that got damaged when the door plug got blown out.
      When asked, they said it was the latter but in their preplanned communication they were not going to say that.
      You think that's a great communicator?

    • @beenaplumber8379
      @beenaplumber8379 2 месяца назад

      @@alanm8932 A part that's called a "guide" is not a load-bearing part. Its failure might lead to something not going into place when operated (i.e., a door not closing, which would have been obvious in this case), not a failure under load of a part that is already in place. I think they tend to assume the journalists covering their press conferences are aviation reporters who know such things. Besides, they made previous statements about the role of the roller guides.

  • @HenryLoenwind
    @HenryLoenwind 4 месяца назад +2

    For anyone who still has issues understand how the door plug works:
    Do you have a TV remote where the battery cover is removed by sliding it in one direction and then lifting it up? That plug worked the same. The primary difference is that what goes "click" and holds the cover closed isn't a plastic spring but 4 locking bolts.

    • @dand2781
      @dand2781 3 месяца назад

      Is this like an over wing exit ?

  • @gorak9000
    @gorak9000 4 месяца назад +10

    The real question is the loose bolts found on the other planes, is that the retaining lock bolts with the castellated nuts and cotter pins, or is it the bolts that hold the hinge assembly that slides on the hinge pins to the door plug? The picture that has made it to the internet seems to show it's the bolts that hold the hinge assembly to the door plug that are loose, and in this case it sounds like the retaining bolts/castle nuts/cotter pins were completely missing. It actually seems like there are 2 separate issues with these door plugs surfacing.

    • @Part_121
      @Part_121 4 месяца назад +1

      T'his is a great question! I wish you were a journalist. Similarly, some designs using castellated nuts on bolts are not meant to be tightened very tight because the bolt passes through a cast aluminum or magnesium fitting with "ears" that you don't want to put too much of a compression load on. The upper bolts that trap the guide roller kind of look like that might be the case there. Unfortunately, they only brought one NTSB person who actually knew the technical aspects.

    • @gutrali
      @gutrali 4 месяца назад

      This question was answered in an article on the air current. Go check it out. UA reported finding fasteners holding the lower hinfe brackets , as well as the upper guide track and pins to be loose / Not properly screwed in. These are not bolts with castle nuts at all. these are also fasteners that would never be removed in order to open the door plug.

    • @HenryLoenwind
      @HenryLoenwind 4 месяца назад

      Right. The 4 locking bolts with the castellated nuts and cotter pins can be as loose as is possible without the nut coming off; they will still do 100% of their job. The bolts that connect the hinge to the door should be tightened to spec for the door to not disconnect from the hinge...

  • @Dolanidas
    @Dolanidas 4 месяца назад +32

    This is a wonderful briefing from the NTSB, nobody questions the capability they have of investigating and finding the issue that caused the accident. The problem is... Why so many security issues with Boeing airplanes on the last few years? Seems like the lobby power of this company has amazing reach and that allows them to get planes approved without all the safety measures required.
    It seems that profit is waaaaaay over safety on the boeing manufacturing policies in the last decade. We are talking about human lives here.
    Hold executives accountable for lives lost, then you will start observing the changes we need for aviation to be as safe as it has always tried to be, except when these money starving robots took over the leadership of aviation.

    • @OneAdam12Adam
      @OneAdam12Adam 4 месяца назад +1

      Amen.

    • @Part_121
      @Part_121 4 месяца назад +1

      Funny thing is, back in the 80s & 90s they used to come to my airline (Eastern Airlines) to ask if we could look at a particular item with our electron microscope because our lab had more capability than theirs. When the administrator mentioned "microscope" today, it made me wonder if they are still relying on the help of some other airline, or if they finally got their own equipment. There is only one person on that stage today who has demonstrated any technical knowledge.

    • @brettreed511
      @brettreed511 4 месяца назад

      Was thinking that I was the only one, they're trying to calm down the mass hysteria, which i can totally understand as there is a lot on the line with this incident worldwide, same business involved, you almost have to wonder how hard line they are going to be.

    • @personaloregon3492
      @personaloregon3492 3 месяца назад

      How many people died?

  • @jorgemachado1681
    @jorgemachado1681 4 месяца назад +26

    If the bolts were never installed, someone from Boeing is going to have a bad day. Someone signed off that they were there. The only other possibility is faulty bolts that sheared and failed. Hopefully more information soon!

    • @chrissmith7669
      @chrissmith7669 4 месяца назад +4

      Sounds more likely a post cabin install failure to properly replace that plug.

    • @cuisinart7899
      @cuisinart7899 4 месяца назад +17

      These bolts MAY have not been re-installed by a later maintenance operation. The NTSB will be able to tell if the bolts were ever torqued to spec by inspecting the surfaces of the bolt holes. They will also be able to tell if the bolts were there but fractured, causing marring of the bolt holes in a different way. This is an exceedingly unlikely scenario. If they were installed, then the question becomes when and by whom were they removed. Note that these 4 bolts, especially the top 2 bolts, DO NOT NEED TO BE TIGHT to fulfill their function. They simply need to be THERE, and the nut they attach to is a castle nut which locks in place with a cotter pin to ensure it doesn't spin off in vibration.

    • @Travisesty
      @Travisesty 4 месяца назад +12

      Here’s the deal either the bolts sheered or weren’t there. If they sheered the fittings will show it. My money is the bolts were left out. Loose bolts with a cotter pit in the castellated nut is not gonna gonna concern me. Bolts with no cotter pins is another story

    • @noelletakesthesky3977
      @noelletakesthesky3977 4 месяца назад +11

      @@cuisinart7899 This was a brand new plane, not on the line long enough for “later maintenance.” I believe it rolled out to AS on October 31st, and had its first flight in mid November. Not enough time to have enough hours for maintenance. This was an error in manufacturing.

    • @skywave12
      @skywave12 4 месяца назад +2

      Likely a second party service by a under trained worker forgetting the bolts. If properly qualified then they need to up their qualification requirement regarding paying attention to detail.

  • @keithpedersen3653
    @keithpedersen3653 4 месяца назад +1

    Glad to see some new subscibers! This is a great channel, and I really appreciate the Board meetings, press briefs, B-roll, and outreach. Keep up the great work media team!

  • @JimWhitaker
    @JimWhitaker 4 месяца назад +6

    I think that this sort of openness from the NTSB is what is missing from our equivalent bodies in the United Kingdom. (AAIB, MIAB and RIAB)

  • @beckyumphrey2626
    @beckyumphrey2626 4 месяца назад +17

    Almost impossible for all 4 safety bolts to fail simultaneously. They were never installed.

    • @omgsrsly
      @omgsrsly 4 месяца назад +2

      I agree with the last part. But assuming they were installed they would not have to have failed all at once. They could have fallen out one after another over a couple of weeks. The last remaining lock bolt could have prevented to door from translating upwards as there are no significant forces acting upon it

    • @ayersteiacapital
      @ayersteiacapital 4 месяца назад +1

      Agree 100%, there were no bolts

    • @someguy9778
      @someguy9778 4 месяца назад +1

      Possible no cotter pins were installed, or possibly only 1 bolt or 2, we really don't know. This plane flew 41,000 hours since October.

    • @ManCaveMachining
      @ManCaveMachining 4 месяца назад +3

      @@someguy9778 41,000 hours? You might want to go over your math again.

    • @MichaelOnines
      @MichaelOnines 4 месяца назад

      ​@@ManCaveMachiningGreat Scott!

  • @Johnny53kgb-nsa
    @Johnny53kgb-nsa 4 месяца назад +17

    FAA is the agency that has the authority to ground all these type of plane's. If the NTSB recommends grounding them, it's up to the FAA.

    • @someguy9778
      @someguy9778 4 месяца назад +2

      They did, hours before you posted this comment.

  • @beckyumphrey2626
    @beckyumphrey2626 4 месяца назад +10

    It is amazing the plug did not come off sooner with the door guide safety bolts missing. NO WAY they sheared! The factory goofed up.

    • @65gtotrips
      @65gtotrips 4 месяца назад +1

      Either that or a maintenance procedure which Alaska Airlines didn’t perform correctly. There’s aircraft maintenance people who have already said the plugs are routinely removed to allow for interior maintenance and fitting out which would include using the opening for air tool lines, power cables, communication cabling, ventilation piping and the like.

    • @gorak9000
      @gorak9000 4 месяца назад +3

      @@65gtotrips The plane was delivered at the end of October 2023 - there shouldn't be much maintenance activities happening on a 10 to 12 week old airplane requiring that door to be removed since it was delivered. As far as I understand, Boeing is the one that fits all the interior and seats, and should be handing over a ready to fly aircraft to the airline.

    • @antronx7
      @antronx7 4 месяца назад +2

      ​@@gorak9000 They had contactor in Oklahoma city install satellite internet antenna and returned the plane on Dec 7th. Thats exactly when first cabin pressure anomaly was reported. That shop must have taken that plug off and did not put those 4 locking bolts back.

    • @gorak9000
      @gorak9000 4 месяца назад +1

      @@antronx7 Ooh, that's new info I hadn't heard before - that could be very significant if they removed the door plug for some reason! I can't see what advantage there would be to removing that plug though, vs just moving in whatever they needed through one of the normal doors. You'd probably also have to remove and re-install at least one row of seats too to even make it worthwhile to open that plug. But running cables from the antenna to inside the cabin somewhere would be another penetration of the pressure vessel that is the inside of the cabin - maybe a contributing factor with the door, or it could be a contributing factor to the pressurization errors only, or it could be neither or both!

    • @RogerBurgess
      @RogerBurgess 4 месяца назад

      @@gorak9000 access?

  • @westaussie2006
    @westaussie2006 4 месяца назад +6

    Excellent presentation, thank you. Memo for future events, can you please request microphones and attendees step up. We, the interested audience, would get a lot from the questions asked. Thank you

    • @gorak9000
      @gorak9000 4 месяца назад +1

      They've been doing a good job of repeating the questions into the mic before answering on previous days, but a few today were missed. I think they're tired! They've had a few long days in a row now.

  • @bennettdickmann1602
    @bennettdickmann1602 4 месяца назад +2

    I am very pleased and impressed with the NTSB and specifically the chair. This is exceptional government transparency. She is a credit to the DOT.

    • @OwlRTA
      @OwlRTA 4 месяца назад

      The NTSB has not been under the DOT since 1974-75. It's a completely independent agency.

  • @Teribus13
    @Teribus13 4 месяца назад +6

    I'm going to shout out to Bob as well. I'm over the pond in Scotland and have been reading about Bob's discovery. I simply can't imagine being the one to find such a vital piece of the aircraft just lying in my garden 😮
    Bob will absolutely be a star with his pupils for many years to come!

    • @paulsherman51
      @paulsherman51 4 месяца назад +1

      I think we should rename this type of part a 'bob' rather than a plug or door, to his great honor.

    • @Teribus13
      @Teribus13 4 месяца назад +1

      @@paulsherman51 would that be great, if instead of a door plug it became known as a bob door?

    • @paulsherman51
      @paulsherman51 4 месяца назад +1

      That's precisely how we change the world, one door at a time. Bob door, fantastic! Must tell that NTSB spokeswoman. I think every student in his class, and everyone at his school, would be so proud forever to have him as teacher -- just might be our futue pilots?@@Teribus13

    • @Teribus13
      @Teribus13 4 месяца назад +2

      @@paulsherman51 perhaps one (or more) of his students may become a future NTSB investigator? 🤔

    • @paulsherman51
      @paulsherman51 4 месяца назад

      With great hope. How can we suggest they go there for show&tell, q&a day to that class? who to call or contact? @@Teribus13

  • @Robodebt1010
    @Robodebt1010 4 месяца назад +18

    These press conferences are so good. Well done to the NTSB. What an important organisation and how wonderful that they are so open and honest with their communication. I wish them well with their investigation.

  • @omgsrsly
    @omgsrsly 4 месяца назад +1

    The easiest comparison would be with a multi-lug rotating bolt locking mechanism. On the door plug system the engagement surfaces are aligned by vertical translation. On the bolt accordingly by rotation. Every other component only provides retaining and guiding functions without any load bearing capabilities.

  • @paul7232
    @paul7232 4 месяца назад +2

    Nice job on a relatively complex topic.
    Other videos have used sketches or diagrams to illustrate the restraining system (lock pads, roller / tracks, springs & bolts). This will no doubt be developed during the investigation but would surely have added value to the briefing. That said I don’t know about proprietary restrictions.

  • @josenanez3065
    @josenanez3065 4 месяца назад +2

    Another danger revealed by the incident lurking when emergency de- pressurization occurs…the auto opening of the cockpit door violently sucked/swung open with the same force that dislodged the door plug.
    The violent force banged the door of the adjacent lavatory damaging its lock and locked in.
    Also caused loose items in the cockpit flying out including the manual for emergency procedures
    that pilots depend upon.
    Potential IRREVERSIBLE CORRECTIVE ACTIONS?
    1. Disable the auto opening of the cockpit door, drill holes in it but add a secondary auto opening sliding door. The holes will balance the cockpit
    de-pressurization with the cabin.
    2. Replace the current auto open swing door to an
    auto sliding door.
    3. Ensure the emergency manual is not loose
    and other important materials. (The crew can also
    master the emergency procedures to not need
    the manual or just use short-contracted written
    steps posted permanently in view of both pilots.)
    This can injure anybody caught in between the cockpit and lavatory doors and can trap anyperson using the lavatory when de-pressurization occurs.

  • @tigersfan14
    @tigersfan14 4 месяца назад +9

    Maybe the hardest working government agency head in the US. So many accidents. Thank you for everything you do.

  • @jillfeatherman5523
    @jillfeatherman5523 4 месяца назад +24

    Jennifer Homendy is such a gem.

  • @Ched747
    @Ched747 4 месяца назад +3

    When one door closes , another one opens up.

  • @Carvin0
    @Carvin0 4 месяца назад +19

    Chances are, the stop bolts were not there. If so, then QA inspection procedures failed. Those QA failures would have far-reaching implications for the entire manufacturing process, not just the door plugs.

    • @teresadofredo9908
      @teresadofredo9908 4 месяца назад

      What QA? Are there even QA inspectors anymore?

    • @rickybungalow8839
      @rickybungalow8839 4 месяца назад

      ​@teresadofredo9908 don't be facetious

    • @theeaskey
      @theeaskey 4 месяца назад

      It will not have any implications..no voice recording.no proof . Like all things corporate lives mean nothing, the bottom dollar will be protected.

    • @gutrali
      @gutrali 4 месяца назад

      Jennifer said that the tracks broke off. That could mean the lock bolts were in place but the fasteners holding either the track or the pin were loose and what failed. I can see the bottom lock bolts through the hinge ripping the hinge once the top of the door was free. I have not seen a close-up of that lower hinge hanging out of the plane yet.

    • @SteamCrane
      @SteamCrane 4 месяца назад

      ​@@rickybungalow8839 In fact, Boeing *DID* get rid of QA at some plants. Workers are expected to self inspect, but no extra time to do it.

  • @40NoNameFound-100-years-ago
    @40NoNameFound-100-years-ago 4 месяца назад +7

    It looks like someone went to lunch and when he came back, he forgot where he left off......and forgot to install the bolts.

    • @gorak9000
      @gorak9000 4 месяца назад

      That's why there's checklists and sign offs though. I think you're right - the bolts weren't installed, and then someone else went and installed the insulation and the interior trim and covered it all up. But how did an uncompleted check list or sign off allow the plane to ever leave the factory?

    • @Part_121
      @Part_121 4 месяца назад +3

      I suspect you are very close to the actual answer. If there is a lot of work going on near those doors, they might be opening and closing them through various shifts with the understanding that the last person who closes the door should put the 4 bolts back in because they will no longer be repeatedly opening and closing it. Might have happened where the last guy closed the door, thinking more work was still ahead, and the next shift came in, saw it closed, didn't really have any additional work, and thought everything was good to go. Some piece of paper work should prevent mistakes like that, but things have been missed like this before. I think that if I was still working as an airline mechanic, and I had to temporarily close that door, I'd hang 2 orange streamers near 1 of the 4 bolts such that one streamer hung outside the aircraft, and one inside.

  • @mikedx2706
    @mikedx2706 4 месяца назад +2

    This briefing makes it clear that the all the humans involved (at both Alaska Airlines and the NTSB) refused to believe the airplane's pressure monitoring system when it was sending out warning signals and changing into its alternate operating modes as this door plug was slowly loosening up over time and allowing cabin air pressure to uncontrollably escape for weeks as the plane was flying. No one seemed concerned about the air pressure losses on a brand new airplane. WTF? They all turned a blind eye to it and said "let's just let the backup system deal with the air loss."

    • @KaneYork
      @KaneYork 4 месяца назад

      @blancolirio mentioned that the default assumption is a software or computer fault, but the pressurization system will ALSO give the exact same fault if it's losing pressure too fast.

    • @davegrant3968
      @davegrant3968 3 месяца назад

      @@KaneYork When the primary system indicated a fault. Aircrew switched to the backup which did not show a fault. Please explain how door plug affected one but not the other.

  • @Travisesty
    @Travisesty 4 месяца назад +7

    The question is was that door plug removed to facilitate installing seats/interior etc on the acft and in rush to get it assembled and out the door to Alaskan Air bolts were left out or weren’t cotter pinned etc

    • @65gtotrips
      @65gtotrips 4 месяца назад

      The answer is likely yes. Either at Boeing at manufacturing or Alaska Airlines. It’s important to note this particular aircraft is basically brand new being commissioned to fly in October 2023 and being accepted by Alaska Airlines approximate to October 2023.

    • @kellyparkinson2631
      @kellyparkinson2631 3 месяца назад

      Alaska Airlines. No”n”.

  • @larryg235
    @larryg235 4 месяца назад +2

    13:06 "We are still looking for the bottom hinge fitting…" If this part separated from the door frame because of improperly torqued bolts, the door might have rotated outward from the bottom enough to be sheared off due to the airstream, fracturing the upper roller guides.

  • @65gtotrips
    @65gtotrips 4 месяца назад +6

    I’m going out on the limb to say they won’t find the bolts because they weren’t installed. That plug wouldn’t have shifted up if the stop bolts were there. It’s a huge weak link in the chain but only because protocol was not followed by someone fitting out the interior. All they need to do is look at the serial number build manifest which will show those parts as being necessary as part of the build.

    • @gutrali
      @gutrali 4 месяца назад

      You did hear Jennifer say that the tracks broke off, right? If the bolts were not there the door would have just come free rather than breaking the tracks. And it probably would have happened a lot sooner than it did. I think that the fasteners holding either the track or the pins were the failure point, Because they were loose. Consistent what United airlines reported finding. Perhaps the tracks are missing along with the bolts!

    • @iScoTT29
      @iScoTT29 4 месяца назад

      @@gutrali The track fractured but it was provisionally discussed that this component was not fractured before the plug blowing, but the upward movement of the plug on the hinges caused the fracturing of the track. If the lower bolts were in place this would have prevented the upward motion preventing the fracturing. The door/plug has to go upwards to disengage from the track pins to come off. Boeing is a total mess and needs sorting out before more people are killed on their aircrafts.

    • @antronx7
      @antronx7 4 месяца назад

      ​@@gutraliGuide tracks are not air pressure load bearing. The 12 stop pads are. Bottom 2 hinge locking bolts would have kept the door from sliding up had they been installed.

    • @gutrali
      @gutrali 4 месяца назад

      @@antronx7 Not if the bracket holding the hinge to the door had loose bolts that came out, Which is what United airlines reported finding on more than one of their planes. Along with loose fasteners holding both the guide track and the pin to the upper portion of the door and fuselage. These were the portions that the NTSB reported breaking. If the upper portion of the door comes loose from the fuselage I'm pretty sure the bottom hinge bolts will be ripped right out as the door is pulled away. This is made even easier if the fasteners holding the bracket are loose to begin with....

    • @antronx7
      @antronx7 4 месяца назад +1

      @@gutrali Now we just have to wait and see the results of NTSB investigation. Hopefully they can fast track it.

  • @johnduffy532
    @johnduffy532 4 месяца назад +3

    It would have been helpful to use digital graphics in order to explain the door stops, bolts, pins, etc

    • @johnduffy532
      @johnduffy532 4 месяца назад +1

      A picture is worth a 1,000 words

    • @SquawkCode
      @SquawkCode 4 месяца назад +2

      ​@@johnduffy532go to @blancolirio for a clear explanation from an ATP pilot & A&P mechanic. The NTSB Chair isn't certified as either.

    • @schmal911
      @schmal911 4 месяца назад

      you could also take 5 seconds to google it and find plenty of diagrams made by other people

    • @paulsherman51
      @paulsherman51 4 месяца назад

      The Boeing 737 Technical Channel by @ChrisBrady737 is also excellent. @johnduffy532 @SquawkCode

  • @nuncasinrespeto
    @nuncasinrespeto 3 месяца назад

    Outstanding job from these people at NTSB. Truly inspiring. The Q&A is, by far, the most amazing part. A truly transparent exercise. I wish other public servants behave like this team, specially high level ones.

  • @jchock7503
    @jchock7503 4 месяца назад +4

    Very good and transparent briefing.

  • @jprkzoo3463
    @jprkzoo3463 4 месяца назад +5

    The bolts do not carry a structural load; they simply keep the plug, and the fuselage's "fittings" aligned and mated. The fittings do all work. What happened to the bolts, that allowed the plug to move out of alignment is the question. They seemed to have trouble explaining this.

    • @beckyumphrey2626
      @beckyumphrey2626 4 месяца назад +1

      They were not installed.

    • @gorak9000
      @gorak9000 4 месяца назад

      Yeah, pretty sure what happened to them is they were never there in the first place. The question is how was such an omission not flagged during assembly? The s/n of each bolt and nut should have to be recorded into the system before the insulation and trim is allowed to be installed, covering it all up.

    • @gutrali
      @gutrali 4 месяца назад

      I read this much differently. See the article on the air current website. United airlines reported finding fasteners that hold the lower hinge bracket, The upper guide tracks, and the pins to the door and the fuselage to be loose / not screwed in. If any of those parts come loose then the retaining bolts become useless

    • @annaduncan7524
      @annaduncan7524 4 месяца назад

      Because they don't know for sure yet. They have to complete the investigation. They could have not been installed, fallen out, been the wrong size, etc. etc. Investigators will know soon enough.

  • @jbar_85
    @jbar_85 4 месяца назад +4

    I feel so bad for the flight attendants. I could never go back to working on an airplane again.

  • @maestrovso
    @maestrovso 4 месяца назад +10

    How the NTSB staff had difficulty conveying these relative simple mechanisms on the plug-door is painful to watch. They should have included an illustration/drawing of the plug-door for this media brief. Given what were revealed so far the odds of none of the four bolts and nuts that function as stop pins to prevent the door from translate upwards were not installed. Once the door creeped upwards by the lift assist springs the stop fittings were no longer aligned to support the massive force that want to blow the door out. That left the upper hinge guide tracks and roller, and the two lower hinges to withstand the massive force as well as the aerodynamic drag force flying at circa 250 mph at the time. The fractures found on the upper guide tracks are the result of that.
    Evenything right now is pointing toward problems in the manufacturing of the plane, unless the plug-door had been worked on during Alaska maintenance.

    • @ImperrfectStranger
      @ImperrfectStranger 4 месяца назад +2

      They didn't describe how the stop fittings on the door plug go inboard of the door frame fittings. high-fiving is meaningless to the reporters.

    • @65gtotrips
      @65gtotrips 4 месяца назад

      Agreed.

    • @65gtotrips
      @65gtotrips 4 месяца назад +2

      @@ImperrfectStranger ​​⁠No the high-five isn’t a great analogy. After looking at this for hours, here’s my attempt to explain how the mechanism operates. If you research how the plug operates, it’ll become obvious to you or anyone with a mechanical aptitude. This may sound a bit convoluted but there’s plenty of photos and videos of how this is occurring.
      Briefly before all this stuff below. The movement when removing the plug is upwards and out. Installation is inwards and down. Removal = remove the retainer bolts. Install = install the retainer bolts.
      It’s all quite safe if the bolts are present, not to mention rather ingenious.
      There’s the (2) bottom hinges (one each side) for movement to and from, and at the top there’s (2) (L & R) roller pins on the fuselage which engage (2) (L & R) curved slotted raceways on the plug itself, acting as a latch mechanism. The two lower hinges have ‘helper’ springs such that the spring’s force pushing upwards help to move the mass of the plug as the plug is pushed outward by human means.
      The plug which has (6) ears on each side, is pushed into the fuselage via the (2) hinges above and past the fuselage’s (6) ears which are static in the opening, as the plug is moved downward; As this is happening, the curved raceways engage the rollers on the plug’s frame, where the (6) ears on each side of the plug overtake (overlap) the static ears on the fuselage, thus creating a ‘plug’.
      The plug is now in. Then the (4) bolts (2) which are placed through holes drilled through the lower (2) hinges and the hinge pins themselves, and the upper (2) surfaces having been drilled as well, all accept these AN aircraft grade bolts, which lock the entire plug into place using (4) AN castle nuts and hardened AN cotter pins such that the bolts cannot vibrate loose. These are hefty aircraft grade fasteners.
      The plug is now secured for pressurization. As the pressure differential increases, the (12) total ears push from the inside to outside onto the (12) static ears on the fuselage. This is what actually takes the forces of the air pressure and translating those forces into the strong frame and the rest of the fuselage.
      Again, the (4) bolts are designed to prevent vertical movement upwards; If the (4) bolts aren’t installed, then the plug is able to move vertically upward allowing the ears to move past each other.
      In maintenance, the (4) AN retaining bolts are removed such that the plug can move upward with the help of the force of the springs, then past the ears in an outward movement, whereby the plug is then opened. There’s about a 15 degree by about say 10 inches (not exactly sure) gap where the plug is attached to the fuselage with braided cabling to allow temporary access, or the entire plug can rotate down and out of the way.

  • @WillerASCruz
    @WillerASCruz 4 месяца назад +1

    Just a correction: ETOPS used to means Extented Twin-Engine Operations, but not anymore. Now it is just "Extended Operations". Indeed, the ETOPS FAA regulations does apply to airplanes with three or four engines.

  • @zacky5315
    @zacky5315 4 месяца назад +3

    Great work by NTSB. Looks like maintenance inspections or work are not being done properly, the way they're suppose be done. Who's accountable ?

    • @paulsherman51
      @paulsherman51 4 месяца назад

      Only the current economic system. Boards of Directors should only be full-time workers. Why would anyone expect an Amgen executive (i.e., Big Pharma) to know anything about running an aircraft company. No single human is accountable, it's fundamentally capitalism, profit, money, and greed.

  • @robertphillips360
    @robertphillips360 4 месяца назад +2

    Thank you to the NTSB. One thing I think of, is if the door to the cockpit is designed to open during an event like this, couldn't someone with ill intent cause a rapid decompression then storm the cockpit? Why would it be designed to open in an event like this? I understand the cockpit would need to equalize but why the entire door?

    • @WhyAnnika
      @WhyAnnika 3 месяца назад

      I hardly believe this could (or even would) be pulled off by anyone. Rapid decompressions don't go unnoticed and can't be done intentionally without intervention (that assuming the decompression is being forced by someone in the cockpit).
      A straightforward way to do this intentionally could be, for example, overspeeding the aircraft to its structural limits, causing the plane to tear apart. Depending on which part of the fuselage is torn off, the plane quickly decompresses or it simply freefalls to the ground.
      Now, aside from cockpit, the second way to cause a rapid decompression is through an explosion.
      Both are catastrophic scenarios on their own and therefore using them just to make a door open mid-flight seems illogical.
      Point being, if someone were to storm the cockpit to cause a disaster, this decompression-triggered door mechanism would hardly be the means for it. The very act of rapidly decompressing an aircraft is a disaster by itself and can only be made by a violent force, which would never go unnoticed. If the plane is capable to keep flying after a rapid decompression (which was the case for this flight) and the pilots are fine, the other crew members (sometimes even passengers) could intervene and try to suppress the person or group (IF they even managed to get inside the plane in the first place, being a terrorist group) while the pilots fly the plane back to the airport. This whole scenario is not exactly impossible, but tremendously unlikely.

  • @waynep343
    @waynep343 4 месяца назад

    How many other 737 variants have set the same pressuration trouble code .
    Will boeing and spirit aerospace perhaps supply a unfinished section of an air frame and 2 rear bulkhead sections for a pressure test fixture. If they don't already have that data.
    Is spirit running full speed on replacement door plugs less the castings so if modifications to the upper track have broken and need modification to the forging dies to assemble replacement plug doors for the almost 200 dash 9s in service.

  • @hayesj6698
    @hayesj6698 4 месяца назад +5

    my two cents. has to be an issue with the stop bolts. such as they were never there, they were installed wrong, too long, too short. or the holes were of the wrong tolerance (hogged out?), the beauty of the FAA is everything, down to every bolt nut and washer, has traceability. and the paperwork follows that aircraft. who worked it and who signed it off, and who signed off the sign off.

    • @gorak9000
      @gorak9000 4 месяца назад +3

      I have a feeling what happened is they put the door plug in, the lock bolts were missing, and someone else installed the insulation and interior panels covering it all up and they got missed. It's probably 2 separate people or 2 separate crews that do the bolts vs installing the trim panels - probably a lack of ensuring the door plug installation is complete before proceeding to install the interior trim panels by the other crew. There should still be a missing sign off on the actual door plug installation though.

    • @gutrali
      @gutrali 4 месяца назад

      I don't think this is the case because they said that the tracks broke off. The door would have come loose a lot sooner if there were zero fasteners holding it in. I think that the fasteners holding the track or the pins were loose enough to eventually cock outwards enough to compromise the door seal. At that point the decompression forced the tracks to break off in the door to fly. The retaining bolt in the tracks would be irrelevant at that point, and the lower two lock bolts could simply be ripped up off of the top part of the hinge (We have never been shown a close-up of the condition of the hinge sticking out of the lower part of the door hole from the fuselage. There could very well be damaged there we haven't been told about yet)

  • @peterjones6733
    @peterjones6733 3 месяца назад

    What a lovely lady Jennifer Homendy is. Respectful of her team and those around her. Clearly a great leader, doesn't take all the credit, passes to those who are more capable to answer specifics, but totally leading the process. I would enjoy working with... or for... this lady.

  • @John-nc4bl
    @John-nc4bl 4 месяца назад +1

    Will the person who worked on the final installation of the plug door be investigated for possible sabotage or compentence-?

  • @trevornelmes9331
    @trevornelmes9331 4 месяца назад +3

    Questions I did not hear, and this may have been because the media present are not aware of the basic design of the 737 airframe. The first is that 737 door plugs are fitted only on some planes operated by a few carriers. Most carriers have the full compliment of doors, in order that they can maximize the passenger capacity. Alaska choose to reduce the capacity to below that where the extra door is needed, and give their passengers more leg room, as do United on some planes. As the 737 airframe is a very old design, this is not the first version to have door plugs fitted, and the design has not changed much, and incidents of this type have not happened before, so why on this nearly brand new plane? It seems unlikely that the bolts preventing the plug from sliding up fractured, otherwise parts of the bolts would have been retained on the plane. This conference confirms the bolts are completely missing. That is very odd. Other carriers report finding loose bolts. It is really easy to see from the threaded insert whether a bolt was ever fitted, because inserting a bolt leaves marks on the receiving thread. My final question is this, and I suspect this is already known by maintenance crews and pilots. Have pilots on other 737s reported 'ghost' air pressure warnings where the maintenance crews were unable to find the cause? I have a feeling the answer is yes, and so, by now, the NTSB should already be calling on pilots and maintenance crews to search back (in records or memory) for such incidents).

    • @schmal911
      @schmal911 4 месяца назад

      i have an associate's in sociology and a casual interest in airplanes. here's what i think the ntsb should be doing to investigate this accident (part 1/26)

    • @personaloregon3492
      @personaloregon3492 3 месяца назад

      Door was blown from outside, that's why there on extra body

  • @BulletResistant
    @BulletResistant 4 месяца назад +1

    @NTSBgov Which bolts? (@34:46) The bolts in the mechanisms that prevent the upwards translation or the bolts holding the plug to the stop fittings (the actual heavy bolts)?

    • @rkan2
      @rkan2 4 месяца назад

      The 4 bolts holding the plug in would be the only ones touched since the fuselage left by train to Boeing.

    • @gorak9000
      @gorak9000 4 месяца назад +1

      The "stop fittings" and "stop pads" aren't "heavy bolts" - they're metal castings on the door and on the opening that align and don't allow the door to move outwards. When the door moves upwards, the "stop fittings" aren't aligned with the "stop pads" anymore and the door can move outwards. The lock bolts prevent the door from moving up and down so the "stop fittings" and "stop pads" stay engaged with each other (aka those lock bolts have very little load on them - only the weight of the door, and any additional forces due to vertical movement (acceleration).

    • @65gtotrips
      @65gtotrips 4 месяца назад

      Yea I know, I caught that. The NTSB is in the limelight and they don’t want to catch the heat from the press, and rightfully so because it’s their job to investigate; It’s the manufacturer, customer, and FAA responsibility for maintenance protocol and procedure.

    • @JohnHallgren
      @JohnHallgren 4 месяца назад

      @@gorak9000 right, because the stop fittings and pads are essentially just opposing tabs that meet up when the door is slid down into place.
      Now if the four bolts were not in place, as I understand it, the springs at the hinge, would force the door up, and potentially out at some point.

    • @gorak9000
      @gorak9000 4 месяца назад +3

      @@JohnHallgren Yeah, the springs are there to make the door "lighter than it actually is" and easier to open - the same way the springs in your garage door counterbalance the weight of the door itself so you, or the opener motor, don't have to work as hard. So the springs themselves won't push the door up and out, but they make it so less external force is needed - a little turbulence is probably enough. You also have to overcome the friction between the stop fittings and the stop pads - the higher the altitude, the more pressure difference between the inside and outside, so there would be more friction holding the door in too. At the lower altitude, it actually takes less force to overcome the friction and get the door to pop out

  • @paranormalsoulz
    @paranormalsoulz 4 месяца назад +1

    I wish some of these reported asked if they thought it may be a similar case to the locking mechanism failure of united 811

  • @gomez2724
    @gomez2724 4 месяца назад +2

    The NTSB would be better served if they would show slides/photos of what they are describing, so many media outlets will get this entirely wrong in their reports to the public...UGH

    • @schmal911
      @schmal911 4 месяца назад

      for their final report? sure. for their daily update? not really necessary considering they're a comparatively tiny government entity.

  • @russellhltn1396
    @russellhltn1396 4 месяца назад +1

    Yea! The video didn't cut off mid-sentence!

  • @FLYANDI
    @FLYANDI 4 месяца назад +20

    Great Job Jennifer and Team! Solid! .. and go Bob! :-)

  • @JamesAnderson-mr2sg
    @JamesAnderson-mr2sg 4 месяца назад

    I think that all the emergency exits should be checked as the mechanism are similar, loose bolts on the hinges is troubling

  • @AdAstraPerLamma
    @AdAstraPerLamma 4 месяца назад +2

    This comments section seems to be oddly lacking in apologies from the people from yesterday who were complaining, without a shred of evidence, that Alaska Airlines was “ignoring maintenance” and/or “putting passengers at risk by keeping the plane flying”… when, in fact, maintenance procedures of the triple-redundant pressurization system had been followed BY THE LITERAL BOOK, and Alaska Airlines went above and beyond what was required by the letter of the law by placing an additional ETOPS restriction on the aircraft in the name of keeping their passengers safe.
    I won’t hold my breath. People love to play internet expert and point fingers, even when they have not a clue how aircraft systems nor airline maintenance works.

    • @gorak9000
      @gorak9000 4 месяца назад +2

      I agree with you, but the real question will come once data is retrieved from the pressurization controller. Did the warning come up because there was an actual issue with the pressure, or did Boeing ship a plane that's about 12 weeks old with no door lock bolts AND a faulty pressurization controller? If there was a legit pressurization issue, then the maintenance procedure that checks the cause of the alarm, and incorrectly deemed it a failed controller instead of a real issue needs to be reviewed as well.

    • @AdAstraPerLamma
      @AdAstraPerLamma 4 месяца назад +1

      First of all, it still has not been determined that the two events are related. I understand that it seems probably. Second, the pressurization controller being faulty would have had zero impact on this event occurring. Even if the mechanics had decided to replace the pressurization controller before the flight out of an abundance of caution, or as a troubleshooting measure, the door plug still would have departed the aircraft. Pressurization controllers malfunction and/or fail all the time. Sometimes sensors throw erroneous readings and trigger false alarms. Sometimes the controllers hard fail and require alternate or manual reversion. I’ve seen it happen in almost every type of pressurized aircraft I’ve flown in the last 20 years. That’s why the system is triple redundant, and that’s why the manufacturer and the FAA have permitted airlines via the aircraft Minimum Equipment List to continue operations even if one of the controllers is malfunctioning. Pressurization issues are notoriously hard to duplicate on the ground because conditions on the ground are very different from those at altitude. Sometimes they cause intermittent problems that can be difficult to diagnose.
      There isn’t an aircraft mechanic on the planet that would see a logbook entry about a wonky pressurization controller and think, “Hmmm, I better check the bolts on that inaccessible door plug on this 2 month old aircraft.” When you hear hoofs on the ground, you think horse, not zebra. Aircraft maintenance procedures cannot possibly account for a scenario such as this. The fate of this event was written the day that door plug was installed in the fuselage. It’s a miracle it didn’t happen sooner.

    • @maybeafterlunch
      @maybeafterlunch 4 месяца назад

      @@AdAstraPerLamma Couldn’t a leaking pressure seal in, say, an improperly secured door plug, cause pressure instability while climbing or descending? Would it be unreasonable to consider these pressure fluctuations might cause the pressure controller to struggle to maintain pressure within acceptable parameters, act “wonky” and illuminate the trouble light?
      I’m pretty sure that nobody is saying that the pressure controller caused the plug to depart the aircraft. I think most people are wondering if the light coming on could have been an indication that there were issues with the pressure vessel. Perhaps issues that ought to have been investigated on an airframe with less than 200 compression cycles.

    • @AdAstraPerLamma
      @AdAstraPerLamma 4 месяца назад

      @@maybeafterlunch You’re misunderstanding what I’m saying. Yes, of course a large leak could cause the pressurization system to indicate a problem. But pressurization system issues are common, and the system worked fine when put into alternate. That’s very common info for a mechanic to see in a maintenance logbook when chasing a possibly pressurization issue. When mechanics troubleshoot issues such as these, they use the info they get from the flight crew about the problem and pattern match it to similar issues they’ve seen in the past. There would be no reason to suspect that part of the pressure vessel was fault/improperly installed at that time with the info they had. There are many common failure points in a pressurization system that they would likely try to repair or replace before anyone would suspect that the pressure vessel was compromised on a brand new aircraft. Again, when you hear hoofs on the ground you think horse, not zebra. Also, typically when a pressure vessel is compromised in some way, loud/high pitch noise will be reported by passengers or flight attendants on previous flights. That’s not the case here.
      To put it in terms you can better relate to, say your brand new car throws a check engine light. You take it to your trusty independent mechanic you’ve been using for years. He scans the code and it says that the engine temporarily experienced low fuel pressure. He manually checks the fuel pressure at the manifold and it checks good, and the car runs perfectly fine. He resets the code and tells you to keep an eye on it for any other issues. A month later the light comes on again, so you bring it back to him. He scans the code, same thing. He again manually checks the fuel pressure at the manifold and the engine is still running perfectly fine. No obviously faulty parts. Now he’s probably going to say something like “I suspect one of the many sensors could be faulty” or “could be an intermittent problem with the fuel pump” or any other number of parts. But, again, the car is running fine. Now he could begin replacing the dozens of parts in the fuel system one by one until he finds the problem. But each time he replaces one of the expensive parts you’ll have to leave the car with him for a while, which isn’t ideal, and the parts are expensive, so it would be silly to begin replacing parts if you aren’t even sure what’s causing the error in the first place. Again the car is running fine and he can’t seem to replicate the light coming on. But he’s a good mechanic, so he says, “Look, the car is running fine. Let’s keep an eye on it for any other clues as to what’s going on, but just to be safe don’t take it on any long road trips for now. Wouldn’t want you to have a problem in the middle of nowhere. I know you have to get to work now, so let’s schedule a more convenient time for you to come back and I’ll try to dig into it a bit more.”
      You leave the mechanic and on the drive home the fuel tank explodes. You walk away from the car unhurt, but obviously shaken from the experience. After further investigation it is discovered that there was a major problem with the fuel tank when it was manufactured at the factory just two months ago. The problem was on the topside of the fuel tank, tucked up underneath the car where no one could see or suspect a thing.
      Now, tell me, are you going to get all bent out of shape at your trusty old mechanic because the car had a manufacturing issue that he couldn’t have possibly known about or even suspected? If you had demanded that he replace the fuel pressure sensor before the car exploded, would it have changed the outcome of the scenario? The answer to both of those questions is “no”.

    • @maybeafterlunch
      @maybeafterlunch 4 месяца назад

      @@AdAstraPerLamma
      If my mechanic resets the warning light and sends me on my way, only for me to become stranded, or worse, because he couldn’t be bothered to download the available data and find out why the light came on multiple times? I would definitely be bent out of shape.
      That’s the entire purpose of most warning lights. “You need to download my data, and/or perform maintenance items; There is a problem.” “You need to take action, other than covering the light with tape”
      My previous reply was relating to your statement “Second, the pressurization controller being faulty would have had zero impact on this event occurring.”
      “Even if the mechanics had decided to replace the pressurization controller before the flight out of an abundance of caution, or as a troubleshooting measure, the door plug still would have departed the aircraft.”
      You might want to reread my reply based on this context. Nobody is saying the controller ejected the door. The light indicated a problem. Instead of downloading the data from the controller, it was simply reset and/or taken out of service THREE TIMES.
      The problem causing the light to illuminate will now be determined by the NTSB, since Alaska’s protocol seems to be resetting systems instead of immediately investigating why a warning light came on during multiple flights.
      When the NTSB completes their investigation we might find they were isolated events We might find they were related to one another. Or the results may be inconclusive.
      < I appreciate your comments and have learned from them. I hope you will not take my postulation as argumentative derision. Thank you for taking the time to share your knowledge and experiences>

  • @marth6271
    @marth6271 4 месяца назад +5

    Absolutely magnificent performance by the entire team. This Lady is a real leader, and her team respects her. That is my humble opinion. When the new federal budget is announced, I will marvel at the enormity but I hope these folks get their fair share, or more.

  • @isonlynameleft
    @isonlynameleft 4 месяца назад +3

    Sounds like no one bolted it in! 🤦

  • @Joel-st5uw
    @Joel-st5uw 4 месяца назад +1

    Wow, Reuters. That was one heck of a scenario. I would suggest looking into the difference between the "aircraft de-icing system" (i.e. mechanical systems built into the aircraft) and the procedure of "ground de-icing" (i.e. the airplane being sprayed with liquid before takeoff). two completely different systems/processes. Only the latter of which causes delays on the ground.

    • @MichaelOnines
      @MichaelOnines 4 месяца назад

      They should also check to see if the ice in the beverage carts is somehow involved.

    • @SteamCrane
      @SteamCrane 4 месяца назад

      Reuters. What did you expect?

  • @LR-kn8zo
    @LR-kn8zo 4 месяца назад +1

    very simple question. Did anyone remove or adjust the door/plug after delivery. Who was the last person to touch the door. The big question is why Alaska allowed this plane in service with pressurization warning lights activating on previous occasions. Alaska did not allow the plane to be flown long distance over water due to this issue but somehow it is deemed OK to fly over land without a resolution to the warning light issue. Also I find it quite coincidental that the two seats next to the plug were empty on a nearly full flight. Were they left empty on purpose?

    • @kinikinrd
      @kinikinrd 4 месяца назад

      If I had to guess, being a new plane, Alaska notified Boeing and Boeing told them to not fly over water until we figure this out. Just a guess......

  • @debbieashkar7384
    @debbieashkar7384 4 месяца назад +4

    My son was on this plane. 16 years old-minor & his first solo flight. Not once did any Alaska crew make sure he was ok or reach out to him. Seems they are covering their butts by saying they made sure the minors were ok. Very scary for us & luckily we had family that could make their way back to the airport to pick him up.

  • @fareedjavadi2122
    @fareedjavadi2122 4 месяца назад +5

    NTSB team are maginficent. Wish if they would have used diagrams as well for their breifing.

    • @stevemurnane1892
      @stevemurnane1892 4 месяца назад +1

      My only complaint is that, there was not enough microphones so they didn't have to keep swapping positions to speak, and one or two mic's in the room to hear the asked questions.

  • @glories2276
    @glories2276 4 месяца назад +1

    Everything on a plane is so important for saving a life !

  • @sandybourdeau9300
    @sandybourdeau9300 4 месяца назад +3

    Thank you for the service you perform

  • @uofmer30
    @uofmer30 4 месяца назад +1

    interesting that the cockpit door openned during the event. Not sure how the locking/latching mechanizim failed (door bowed or frame bowed?), but with the 911 security improvements, you would think that would be prevented (although decompression is a very violent, forceful event).

    • @MyOtherCarIsAPlane
      @MyOtherCarIsAPlane 4 месяца назад +1

      The cockpit door is something like 75x18 inches, for an area of 1350 square inches. If the cabin pressure lost 4 psi in a second or two, you could very reasonably end up with several thousand pounds force on the door, easily enough to banana a door designed to stop a person from getting in the cockpit.

    • @MyOtherCarIsAPlane
      @MyOtherCarIsAPlane 4 месяца назад +1

      Actually, watch a little longer, the cockpit door is designed to pop open during a rapid depressurization event as a "fuse" to prevent worse structural damage.

    • @uofmer30
      @uofmer30 4 месяца назад

      saw another video where they said they have blow-out panels in the doors to equalize the pressure. From the updates, seems the whole door popped open, not the blow-out panels. Stuff you learn!

  • @ManCaveMachining
    @ManCaveMachining 4 месяца назад +3

    It would be nice to know if the cotter pins were in place on the nuts that were loose on the United planes. The nuts shouldn't be able to come off the bolts with cotter pins installed.

    • @gutrali
      @gutrali 4 месяца назад +1

      You did hear them say that the tracks broke off right? The bolts being in place would be irrelevant if the tracks broke off completely. I think now this speaks to the fasteners holding the tracks to the door being loose, which is also something United airlines reported finding on their plans

    • @ManCaveMachining
      @ManCaveMachining 4 месяца назад

      No I must have missed that. I thought they just found cracks in the tracks. Anyway I was referring to the United planes not the plane that lost the plug door. It's also not clear which bolts United found that were loose. Were they the four bolts that keep the door plug from moving up or other bolts that hold the hinges, guides or tracks?

    • @gutrali
      @gutrali 4 месяца назад

      ​​@@ManCaveMachining see the article on the air current site. UA found the fasteners holding the lower hinge bracket to the fuselage were not screwed all the way in. If this bracket came off, then the bolt preventing the lower half of the door from moving upwards on the hinge would become ineffective. They also found loose fasteners holding the upper guide track as well as the guide pin. This was all found on aircraft That were still flying..... That's a devastating blow to Boeing because even if the door is opened for maintenance or retrofitting, The bolts that were found loose would never be removed. They are installed once from the factory and they remain installed unless the plug is swapped out with a real emergency door

    • @ManCaveMachining
      @ManCaveMachining 4 месяца назад

      Wow that's scary. Makes you wonder how many other bolts/nuts could be loose.@@gutrali

  • @PercyPruneMHDOIFandBars
    @PercyPruneMHDOIFandBars 4 месяца назад +1

    Well. They got the issue now for the cause. This is going to be an interesting report. I love these professionalism!

  • @BigEightiesNewWave
    @BigEightiesNewWave 4 месяца назад

    Clear communication would be handing out copies of the door-plug schematics. I have seen them, and have seen the memo sent to airlines to suggest they NOT, convert the door, to a plug, which involves modifying the door, after the plane is built.
    Boeing suggested in the memo, to go with a baseline configuration door, which would simply be deactivated.

  • @Tech-49
    @Tech-49 4 месяца назад +5

    Thank you NTSB for an open honest discourse which will inspire both confidence and trust from the public. Can you send some people over to train the medical profession please as they are the complete opposite.

  • @DougGrinbergs
    @DougGrinbergs 4 месяца назад +3

    0:44 official start

  • @christopherg2347
    @christopherg2347 4 месяца назад

    I think explanations about the door could use some graphics and/or images. Bonus points if it is the opposite door.

    • @JohnHallgren
      @JohnHallgren 4 месяца назад

      See this video for a better explanation of these doors
      ruclips.net/video/WhfK9jlZK1o/видео.html

  • @herceg6772
    @herceg6772 4 месяца назад

    Any news on how’s Bob doing?

  • @richardweiksner8644
    @richardweiksner8644 4 месяца назад

    Very impressed with the NTSB & there report

  • @M-Dash
    @M-Dash 4 месяца назад +4

    What's up with all the touchy-feely? Little has been investigated so far, and there is much work yet to be done... 🤔... "Just the facts, maam."
    Also, why didn't they prepare diagrams/images on paper, or computerrized slideshow, to demonstrate the technical aspects to the non-technical audience/reporters ("a picture speaks a thousand words")? This was neither well prepared for nor organized.

    • @daryllect6659
      @daryllect6659 4 месяца назад +2

      "why didn't they prepare diagrams/images on paper, or computerized slideshow, to demonstrate the technical aspects to the non-technical audience"
      Exactly.

    • @schmal911
      @schmal911 4 месяца назад +1

      "why didn't they prepare diagrams/images on paper, or computerrized slideshow"
      because it happened two days earlier and the NTSB is a publicly-funded investigative body, not a hollywood cgi studio
      also, believe it or not, employees of an organization do not pause whenever their leader gives a press conference. there's an interesting structure called "leadership," which speaks on behalf of their employees so said employees can continue to perform their duties.

    • @M-Dash
      @M-Dash 4 месяца назад +2

      @@schmal911, you don't make any sense. The fact that I have immediate access to such images from the Internet, which I did verify via a quick Google search, and, moreover such images have been in use by many RUclipsrs since the day the incident took place, makes your point moot.

    • @paulsherman51
      @paulsherman51 4 месяца назад

      Excellent point. If anyone wants to see how flashy high-tech 3d cgi virtual reality compromises research and transfer of knowledge and fact, look no further than the KPIX (CBS) weather virtual studio floor and the brainchild of Paul Heggen -- it is an embarrassment to human intelligence. NTSB is one of our national treasures.@@schmal911

    • @SteamCrane
      @SteamCrane 4 месяца назад

      The info is online on YT.

  • @johnjack6682
    @johnjack6682 4 месяца назад

    I AM REALLY CONFUSED NOW

  • @raybod1775
    @raybod1775 4 месяца назад +1

    NTSB should never allow a plane to fly that has multiple unknown losses of pressure.

  • @lk29392
    @lk29392 4 месяца назад

    The 12 stop fittings/pads take all the pressure of the plug trying to push outward against the frame during pressurization differentials (flight). The 4 locking bolts ONLY serve to prevent vertical movement of the plug roller track off of the upper guide roller (at the top of the plug) and the plug hinge guide fitting off of the lower hinge bracket (at the bottom of the plug). The plug must be able to travel vertically at these points so the the stop fittings on the plug can move vertically enough to clear the stop pads on the frame and release the door. My uneducated opinion is that it is EXTREMLY likely there were NO locking bolts in place at all. Why? Because there is very little to no shearing pressure on the bolts by design - 4 independent bolts would all have to sheared off and under low shearing pressure. If they were installed "improperly", for instance only hand tight with no locking pin then the likelihood that they all could have spun loose several rotations each and then all 4 bolts slide out out position is just not realistic. Simply 1 bolt in place would prevent vertical movement. I'm going to venture that somebody at the Boeing factory or somewhere else didn't install the bolts to secure the plug from moving vertically. More than likely everything was basically mechanically held in place by friction and the weight of the plug and with primary force being outward and not upward during pressurization all was good for some number of flights until just the right combination of pressure differential and jarring of the aircraft knocked the plug vertically enough that the top protruded up and out and was caught by passing air flowing along the exterior hull which ripped the plug out causing fracturing of the guide rollers on the plug. In summary NO BOLTS at all installed.

    • @MichaelOnines
      @MichaelOnines 4 месяца назад

      That's the most plausible scenario and pretty much everyone understands that is the case, but NTSB doesn't want to issue a statement like that and take the small risk of having to walk it back later. Better to let the aviation talking heads on the news or youtube read between the lines and do the speculating.

  • @dukeblue9999
    @dukeblue9999 4 месяца назад +2

    Nothing but grandstanding

  • @c1ph3rpunk
    @c1ph3rpunk 4 месяца назад +11

    I really hope she gets some time off here soon, seems she’s been all over the past 4 weeks.

  • @plnmech
    @plnmech 4 месяца назад +1

    Reactivate the door warning light for the plugs.

  • @grassfolk
    @grassfolk 4 месяца назад

    Very impressed again by the NTSB team.
    I’m a little disappointed that the what-broke-info was as a result of the depressurisation rather than the cause.
    I guess now we wait.

  • @CliffordStaley
    @CliffordStaley 4 месяца назад

    A key piece of information is if the plug was installed at Boeing or done by Alaska airlines?

    • @SquawkCode
      @SquawkCode 4 месяца назад +1

      It's built and installed by Spirit Wichita then reinstalled by Boeing Renton after interior installation. It hasn't been reported if Alaska opened it or messed with it. It may be part of routine or acceptance inspection by the airline.

  • @mauriceholder1386
    @mauriceholder1386 4 месяца назад

    How many times can they repeat the same thing ?

  • @eagleviewhd
    @eagleviewhd 4 месяца назад

    What do they mean when they say they found loose bolts?
    Does it mean that the cotter pins were missing and the nuts were backing off, or just that the nuts had not been completely tightened before they put the cotter pins on them.

    • @SteamCrane
      @SteamCrane 4 месяца назад

      Different bolts, that hold the fittings to the fuselage.

  • @jayestes_vids
    @jayestes_vids 4 месяца назад +1

    I find it odd that all aircraft doors are designed to be "pressure assist" seal, and they only open inwards (have to be installed from the inside). Why in the heck did these "door plugs" get designed to be installed from the outside? Why not make a door plug that looks alot like a door, and has the same trusted interface? I question why anyone would design a door plug that doesn't install from the inside - the plug should install like doors do, from the inside, so that it CANNOT come out!

  • @kingfishca30
    @kingfishca30 4 месяца назад +1

    what's the weight of this plug? Anyone know?

    • @gorak9000
      @gorak9000 4 месяца назад +3

      I think she said yesterday or the day before the door plug weighs about 60lb - she mentioned it when she was describing it for people to know what to look for in their yards.

  • @ddyeo503
    @ddyeo503 4 месяца назад +3

    I wonder when and how this plane will be moved. Would it be flown at a low altitude to Seattle to be repaired or to some other location? This was a very lucky day for everyone involved. It could have been so much worse,,,,,,,,,,,,,,,,

    • @noelletakesthesky3977
      @noelletakesthesky3977 4 месяца назад +1

      Oooohhhh, good question. I live so incredibly close to PDX, and if that happens, I want to watch it pass overhead.
      If this had happened at altitude, there would have been lives lost, guaranteed.

    • @billyp4850
      @billyp4850 4 месяца назад +1

      It'll be fixed in its current location.

    • @schmal911
      @schmal911 4 месяца назад

      they'll almost certainly install a new plug and fly it back to seattle unpressurized for permanent repairs

  • @glennchartrand5411
    @glennchartrand5411 4 месяца назад +16

    So it's what everybody said had happened from the first day.
    Boeing didn't put the 4 safety bolts back in after they removed the door to install the seats.

    • @geniferteal4178
      @geniferteal4178 4 месяца назад

      Are we sure boeing installed the seats?

    • @OneAdam12Adam
      @OneAdam12Adam 4 месяца назад

      Subcontractors?

    • @geniferteal4178
      @geniferteal4178 4 месяца назад

      @OneAdam12Adam I'm a little unclear of the steps to the process.
      It seems like the plane is built with the plug in place and then at some point it is determined where the seats go. The plug is then removed to Install the seats and then the plug is reinstalled. I'm not sure who installs the seats.

    • @tonyde6423
      @tonyde6423 4 месяца назад

      ​737 Max -9 has door blank fitted when manufactured . Depending on how the seating numbers are configured determines the number of emergency exit door are required if an airline adds more seats then the blanks are removed and they become a standard emergency door if an airline reduces its seating number then emergency door is removed and door blank is reinstalled Boeing designed the aircraft for multi configurations but in one size cheers

    • @geniferteal4178
      @geniferteal4178 4 месяца назад

      @tonyde6423 It is clear that the blank is put in initially, a compression test is done and then at some point the blank is removed for the seats to be installed. I have the impression this doesn't happen where the frame is initially made. I think the airline might reconfigure this seats themselves but I'm not sure. I'm confused why Boeing would do this at different locations.
      The one fact that is clear is that the plug is put in, then removed, then reinstalled at some point. I just don't know by who. that's my question.

  • @methanial73
    @methanial73 4 месяца назад +1

    Why did the lady on the right not speak at all? Why was she there?

  • @bgmckeown
    @bgmckeown 4 месяца назад +1

    How can they be certain that other models are not affected in some way given the quality issues highlighted here??

    • @SquawkCode
      @SquawkCode 4 месяца назад

      Doesn't the -900 have the same door plug?

    • @schmal911
      @schmal911 4 месяца назад

      @@SquawkCode it does, because the company you're fanboying for used to be competent at what they did.

    • @personaloregon3492
      @personaloregon3492 3 месяца назад

      Ты следующий

  • @matrafa
    @matrafa 4 месяца назад

    What’s interesting is the airplane’s first flight was 10/15/23 and it had flown 145 flights since then.

  • @lesfaust9634
    @lesfaust9634 4 месяца назад +1

    I would ask if they looked at the other plug on the opposite side of the plane,,,see if that one has issues

    • @annaduncan7524
      @annaduncan7524 4 месяца назад

      They said, in this video, that they did (and it did not have issues).

  • @DougGrinbergs
    @DougGrinbergs 4 месяца назад +9

    Suggestion: have visual aids for discussing door plug, stops, bumpers, track, hinges, bolts. Video, or even still sequence, might be best.

    • @jorgemachado1681
      @jorgemachado1681 4 месяца назад +2

      I bet they will, I doubt they had time.

    • @schmal911
      @schmal911 4 месяца назад +1

      you're right. they need to halt this investigation and pour their manpower into making animations so us smooth brains can understand it better

  • @geridayao8924
    @geridayao8924 4 месяца назад

    We're there lock pins on the locknuts that were fastened to the bolts?

    • @JohnHallgren
      @JohnHallgren 4 месяца назад +1

      Cliff said at 17:59 or so that they haven’t determined if the bolts were, in fact, even there, (which is most likely the case because even without a nut, the bolt would act as a pin)

    • @MichaelOnines
      @MichaelOnines 4 месяца назад

      When installed correctly all 4 bolts have castle nuts and a cotter pin inserted to prevent the nut from rotating. The ends of the cotter pin are bent out to prevent the cotter pin from coming out.

  • @dand2781
    @dand2781 3 месяца назад

    Great job by the cockpit crew to safely land the jet under extreme conditions. Saving everyone's lives.

  • @marcusstlouis2980
    @marcusstlouis2980 4 месяца назад +18

    Clint Crookshanks totally owned that NTSB briefing! His expertise and years of experience were crystal clear in how he broke down the details. Honestly, they should've put him in charge of the investigation. The NTSB chairwoman seemed a bit shaky on the 737 aircraft facts. Huge props to the whole team for standing up there and handling those absurd media questions like champs!

    • @appleintosh
      @appleintosh 4 месяца назад +1

      Never put subject matter experts in front of reporters answering questions unless you absolutely have to. They have a tendency to overshare or say the wrong things, because their expertise is not in politics and handling reporters. That’s why they put politicians up there to talk to the reporters