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Saturday, April 28, 2001

Technical binder sucked into F-15C jet
engine costs Air Force over $1 million

KADENA AIR BASE — A misplaced technical binder sucked through the engine of a F-15C Eagle fighter jet will cost the Air Force more than $1 million in damage and repairs.

The Class A mishap happened after take-off in November. Class A mishaps include incidents involving death or damages exceeding $1 million.

"The cost to exchange two F-15 engine cores with two from a U.S.-based repair depot exceeds $1 million," said Masao Doi, spokesman for Kadena Air Base.

Although no final determination of the actual damage costs has been made, the repair costs could exceed the cap of $1 million. A lesser cost would allow the incident to be re-categorized to a lesser class.

An accident investigation board faulted Airman 1st Class William J. Heimann Jr., the F-15’s crew chief, for failing "to adequately finish preparing the aircraft for scheduled mission," the report stated. The documents were stowed on the plane’s nose landing gear door, an unusual storage location that hid them from view of safety inspections. The incident occurred Nov. 3, 2000.

The pilot was cleared of any responsibility for the incident.

The pilot left Kadena at 8:25 a.m. for a routine training flight to Korea during Exercise Foal Eagle. He was to return to Kadena following the mission.

The pilot performed an afterburner takeoff, the summary stated. "Immediately after raising the landing gear handle, [the pilot] heard a loud bang," the report said.

Noticing engine temperatures climbing, the pilot declared an in-flight emergency, and landed safely back at Kadena.

Maintenance crews discovered a foreign object had damaged engines and found debris in the nose wheel well and right main landing door, the report noted. The debris consisted of paper and plastic sleeves from the aircraft’s maintenance binder.

The investigation uncovered that flight binders for F-15s are normally held by crew chiefs or stored with the crew chief’s equipment and tools. Only missions where pilots do not plan on returning to base are the forms stored on the aircraft.

Investigators pointed to several human errors during pre-flight preparations that led to the incident. Heimann ordered Airman Michael W. Gates Jr., the launch assistant, to store the binder. Gates testified he "placed the binder and forms on the nose landing gear forward drag brace next to the nose gear safety pin."

It was a method Gates learned during technical school training, but one where engines weren’t running. For a training environment, the Air Force deemed the nose landing gear to be an acceptable place to stow the binder. But informal polling by the investigators found Kadena crewmen rarely, if ever, stow binders forward of the engine intakes. Additionally, investigators found the launch assistant never touched flight binders during local training.

Ultimately, investigators found Heimann at fault. Investigators concluded that he moved the binder from the nose landing gear to the landing gear door. They said Heimann did this to reset switches and pull safety pins, tasks requiring use of both hands.

The report made no indication of punitive action or any order for retraining. Accident investigators did, however, cite "inadequate training" as a significant factor.

Investigators noted, "Unfortunately, unit-level training also does not specifically emphasize the need to store the aircraft forms aft of the intake engines."


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