Maintenance Causal Class A Flight Mishaps and Maintenance Class B/C Mishaps

Maintenance causal class A Flight Mishaps

Of the last 34 class A mishaps in FY-12 and FY-13 12% (4) were maintenance related

- MH-53E engine in-flight fire, aircraft destroyed. • Human factors: Maintenance personnel used unauthorized intermediate-level maintenance publication versus organizational-level maintenance publication, and improper tool to torque fuel-boost-pump inlet line. - MH-53E engine failure during takeoff, aircraft destroyed. • Human factors: Maintenance mismanagement caused the release of an unsafe aircraft. Multiple issues revealed improper fueling, improper fuel sampling, lack of communication in maintenance department, A-sheet incorrect, inconsistent MAF generation and FOD. - FA-18E engine in-flight fire, engine damaged. • Human factors: Fleet Readiness Center maintainer failed to properly install engine anti-ice valve Rosan fitting O-ring. - FA-18E engine damaged during low power turn. • Human factors: Maintainer failed to properly seat the turn screen, bottom inboard quick-release pin during installation, and failed to check the security of each pin prior to entering the cockpit.

Maintenance class B/c Mishaps

63 class B/c Mishaps, totaling $15.5M in FY-13 1. Failure to follow pubs/supervision (44)

* 9 Class B ($7,730,000 with 2 pending and 1 injury, (permanent/partial disability (PPD)) * 35 Class C ($5,900,000 with 3 pending and 1 injury, (permanent/partial disability) * Common factors: Improper completion of special/conditional inspections, lack of QA/CDI/ SUP involvements/supervision, not heeding NOTES/CAUTIONS/WARNINGS, lack of knowledge/experience, panels blown overboard, improper daily/pre-flight inspections, poor communication/pass down, complacency.

2. low power/high power turn up (6)

* 1 Class B ($520,000) * 5 Class C ($450,000 with 2 pending) * Common factors: FOD, damage to aircraft spoiler and panels, flaps cycled with doors open.

3. Towing evolutions (6)

* 6 Class C ($880,000) * Common factors: Towing without a full move crew, rushing to complete task, failing to ensure proper clearance around obstacles.

4. Maintainer slipping/falling (6)

* 6 Class C (2 wrist fractures, two ankle fractures, fractured leg, injury)

5. Tool control (1)

* 1 Class C ($62,150)

Total cost = $15.5 million Total Injuries = 1 PPD and 6 others

Total by platforms

FA-18A-F 22 EA-6B/EA-18G 7 H-53 7 H-60 7 MV-22 5 AV-8B 2 C-2A 2 CH-46E 2 P-3C 2 C-40 1 F-16 1 F-35 1 F-5E 1 KC-130 1 T-6B 1 UH-1Y 1