QANTAS AIRBUS A380-842 VH-OQL (MSN 0074) |
The tool remained undetected during the routine foreign object inspection following the three-day maintenance stint in December. It was present for 34 flights, including passenger services between LAX and Melbourne, before being found.
Although the tool was deformed, it did not damage the engine. "The ATSB investigation determined that maintenance engineers overlooked the tool in the engine's low-pressure compressor case during foreign object checks after the borescope inspection," stated ATSB Chief Commissioner Angus Mitchell. "Additionally, the engineers did not initiate the lost tool procedure once the tool was missing, and the certifying engineer cleared the aircraft for service without accounting for the tool."
Following the incident, Qantas engineering staff received briefings on the critical nature of tool retrieval post-maintenance. The airline also conducted an internal review, leading to new protocols for tool management. Mitchell emphasized the significant safety hazard that foreign objects, particularly those introduced during maintenance, pose to flight operations.
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