APPENDIX B

The Concorde Accident: A Case Study

The Beginning of the End

In July 2000, at Houston’s George Bush Intercontinental Airport, airline mechanic John Taylor riveted a 17-in. wear strip he had fabricated to a DC-10’s General Electric CF6-50 engine. Taylor had difficulty positioning all the rivets and used aircraft mastic to help hold the wear strip in place.

A wear strip is a piece of sacrificial metal that acts both as a cushion and a tight seal for the engine’s thrust reverser cowling. Replacing a wear strip is routine aircraft maintenance and is not considered a safety issue affecting operation or flight. John Taylor did not follow the manufacturer’s recommendations when he fabricated it and decided to use a piece of titanium, presumably ...

Get Lean Knowledge Management now with the O’Reilly learning platform.

O’Reilly members experience books, live events, courses curated by job role, and more from O’Reilly and nearly 200 top publishers.