Boeing's Door Plug Blowouts: Missing Bolts and New Safety Measures

Renton, Washington United States of America
Boeing needs to fully roll out its safety management system (SMS)
Boeing under scrutiny for door plug blowouts on 737 MAX planes
New procedures implemented to prevent similar incidents: weekly meetings, production stops, simplified processes, enhanced training for new hires and peer mentoring programs
Root cause identified as missing bolts in one incident
Two separate incidents occurred: one at Alaska Airlines mid-flight and another at the factory with no paperwork generated
Boeing's Door Plug Blowouts: Missing Bolts and New Safety Measures

Boeing, the leading airplane manufacturer, has been under scrutiny following a series of incidents involving door plug blowouts on its 737 MAX planes. In response to these incidents, Boeing has made significant changes to ensure the safety and quality of its production processes. One incident occurred at Alaska Airlines in January 2024 when a door plug blew off mid-flight due to missing bolts. The root cause was later identified as a failure by one employee to fill out the necessary paperwork.

Boeing has implemented new procedures to prevent similar incidents from happening again. Employees are now empowered to stop production if they identify any issues, and each team holds weekly meetings for an hour to discuss concerns or improvements. Additionally, Boeing is rethinking its training methods due to the high volume of new hires and the lack of on-the-job training from experienced employees.

Boeing has also made changes to its production lines by evaluating existing workflows and simplifying processes. The company is sending more inspectors to its suppliers and keeping airplanes in place until they pass a daily quality inspection. Boeing is also enhancing training for new hires by reinforcing peer mentoring programs and reinvigorating foundational training.

Despite these efforts, Boeing still needs to fully roll out its safety management system (SMS), which is a formal, top-down, organization-wide approach to managing safety risk and assuring the effectiveness of safety risk controls. The FAA has been closely monitoring Boeing's progress in implementing these changes.

The Alaska incident was not an isolated occurrence. In October 2023, a door plug on a relatively new Boeing 737 MAX plane did not have all its bolts installed before it left the factory. Two different groups of employees were responsible for removing and reinstalling the door plug, but no paperwork was generated to indicate that it had been removed or that its bolts were missing.

Boeing has acknowledged these incidents and is taking steps to prevent them from happening again. The company is committed to ensuring the safety of its planes and restoring public trust.



Confidence

85%

Doubts
  • Are there any other potential causes for these incidents that have not been identified?
  • How effective will Boeing's new procedures be in preventing future incidents?
  • Is it confirmed that the root cause of all door plug blowouts was missing bolts?

Sources

79%

  • Unique Points
    • Boeing disclosed that missing paperwork was the reason why four bolts needed to hold a door plug in place were never installed on an Alaska Airlines 737 Max plane before it left the factory in October.
    • Two different groups of employees were responsible for removing and reinstalling the door plug on the plane, but no paperwork was generated to indicate that it had been removed or that its bolts were missing.
  • Accuracy
    • The lack of paperwork made it difficult to determine who was responsible for removing the door plug and its bolts during the assembly process.
    • Without the bolts, the door plug incident was inevitable but non-fatal.
  • Deception (30%)
    The article contains selective reporting as it only reports details that support Boeing's position and fails to mention any potential faults on the part of Alaska Airlines or the NTSB. The authors also make editorializing statements such as 'It was already well known that no documentation was found to show who worked on the door plug.' and 'The paperwork may have caused the problem in the first place, Boeing disclosed this week.' These statements are not facts but rather interpretations of events.
    • It was already well known that no documentation was found to show who worked on the door plug.
    • The paperwork may have caused the problem in the first place, Boeing disclosed this week.
  • Fallacies (75%)
    The article contains a few informal fallacies and an example of a dichotomous depiction. The author states that 'lack of paperwork is why the four bolts needed to hold the door plug in place were never installed before the plane left the factory.' This is an example of post hoc ergo propter hoc, implying causation based on temporal order. Additionally, there's a slight overgeneralization when saying 'Boeing disclosed this week...lack of paperwork is causing headaches for airlines and passengers around the globe.', as it implies all Boeing's paperwork issues stem from the same cause. The author also presents Boeing as having intentionally provided non-public investigative information, which creates a dichotomous depiction of Boeing as either incompetent or deliberately misleading. Despite these fallacies, the article does provide valuable information and analysis.
    • Implying causation based on temporal order: 'lack of paperwork is why the four bolts needed to hold the door plug in place were never installed before the plane left the factory.'
    • Overgeneralization: 'Boeing disclosed this week...lack of paperwork is causing headaches for airlines and passengers around the globe.'
    • Dichotomous depiction: 'Boeing...had blatantly violated [the rules]' creates an either incompetent or deliberately misleading portrayal of Boeing.
  • Bias (100%)
    None Found At Time Of Publication
  • Site Conflicts Of Interest (100%)
    None Found At Time Of Publication
  • Author Conflicts Of Interest (100%)
    None Found At Time Of Publication

97%

  • Unique Points
    • Boeing is changing how it trains new hires at the factory where it assembles the 737 Max
    • Boeing has made changes to ensure work is performed in the right sequence and documented correctly after a door plug panel blew off a relatively new plane in midair
    • Boeing is rethinking how it trains new hires due to high quantity of new people coming on board and lack of on-the-job training from experienced employees
  • Accuracy
    • Boeing is changing how it trains new hires due to high quantity of new people coming on board and lack of on-the-job training from experienced employees.
    • Boeing has made changes to ensure work is performed in the right sequence and documented correctly after a door plug panel blew off a relatively new plane in midair.
  • Deception (100%)
    None Found At Time Of Publication
  • Fallacies (100%)
    None Found At Time Of Publication
  • Bias (100%)
    None Found At Time Of Publication
  • Site Conflicts Of Interest (100%)
    None Found At Time Of Publication
  • Author Conflicts Of Interest (0%)
    None Found At Time Of Publication

99%

  • Unique Points
    • One employee’s failure to fill out paperwork led to the incident.
    • ξEmployees can stop production if they identify an issue.
    • ξEach team stands down for one hour each week to discuss concerns or improvements.
    • ξEmpoyees spend several months at Boeing’s training center learning the basics before starting work on jets.
    • Boeing has made changes to ensure work is performed in the right sequence and documented correctly
    • Boeing is rethinking how it trains new hires due to high quantity of new people coming on board and lack of on-the-job training from experienced employees
  • Accuracy
    • The fuselage came to Boeing damaged from a supplier and needed door plug removed for repairs.
    • Boeing brought reporters into the Boeing 737 MAX factory in Renton, Washington for the first time since the Alaska door plug blowout incident.
    • Boeing is currently producing roughly 20 737s per month due to slowed production.
  • Deception (100%)
    None Found At Time Of Publication
  • Fallacies (100%)
    None Found At Time Of Publication
  • Bias (100%)
    None Found At Time Of Publication
  • Site Conflicts Of Interest (100%)
    None Found At Time Of Publication
  • Author Conflicts Of Interest (100%)
    None Found At Time Of Publication

92%

  • Unique Points
    • Boeing is beefing up training and skills testing for recent hires
    • Boeing is paying more attention to how work assignments and parts are handed off between shifts of workers
  • Accuracy
    • Boeing is seeing a sharp drop in fuselage defects from supplier Spirit AeroSystems
    • Boeing planes are moving through its factory south of Seattle at an increased pace
  • Deception (100%)
    None Found At Time Of Publication
  • Fallacies (100%)
    None Found At Time Of Publication
  • Bias (100%)
    None Found At Time Of Publication
  • Site Conflicts Of Interest (100%)
    None Found At Time Of Publication
  • Author Conflicts Of Interest (100%)
    None Found At Time Of Publication

98%

  • Unique Points
    • Boeing is addressing its safety challenges head-on and insists that its planes remain generally safe.
    • Boeing is making changes to its training, production processes, and safety management system.
    • Boeing is enhancing training by reinforcing peer mentoring programs and reinvigorating foundational training for new hires.
    • Boeing is simplifying production processes by evaluating existing workflows to ensure they are efficient and easier to replicate.
    • Boeing is trying to identify and address defects as soon as possible in the production chain by sending more inspectors to its suppliers and keeping airplanes in place until they pass a daily quality inspection.
    • Boeing still needs to fully roll out its safety management system (SMS) which is a formal, top-down, organization-wide approach to managing safety risk and assuring the effectiveness of safety risk controls.
  • Accuracy
    • Boeing has faced scrutiny due to a series of high-profile incidents including two deadly 737 Max crashes and an explosive decompression incident.
    • Since 2018, Boeing has faced scrutiny due to a series of high-profile incidents including two deadly 737 Max crashes and an explosive decompression incident.
    • The company is making changes to its training, production processes, and safety management system.
  • Deception (100%)
    None Found At Time Of Publication
  • Fallacies (100%)
    None Found At Time Of Publication
  • Bias (100%)
    None Found At Time Of Publication
  • Site Conflicts Of Interest (100%)
    None Found At Time Of Publication
  • Author Conflicts Of Interest (0%)
    None Found At Time Of Publication