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1a. FROM (Original Office Mailing Address - include DoDAAC) 1b. ORIGINATOR NAME, TELEPHONE NUMBER &
E-MAIL ADDRESS
W81WCJ
AVIATION AND MISSILE COMMAND STOP 55 DONALD M MENDEZ
131 MIDWAY ST 361-961-2921
CORPUS CHRISTI, TX 78419-5260 US donald.m.mendez.ctr@mail.mil
3. DESCRIPTION OF DEFICIENCY (Describe in detail what is wrong, circumstances prior to the difficulty, probable cause, 4. DATE
any action taken, and recommendations. Attach copy of supporting documents. Continue on separate sheet if necessary. DEFICIENCY WAS
Ensure that the description answers the questions listed in the instructions on the back of this form.) DISCOVERED
11/05/2019
(SEE ATTACHED SHEET)
5. DEFICIENT ITEM NATIONAL STOCK NUMBER 6. DEFICIENT ITEM NOMENCLATURE 7. OPERATING TIME AT
(NSN) FAILURE
BEARING,BALL,ANNULAR
3110-011146328 (SEE ATTACHED SHEET)
8. DEFICIENT ITEM 9a. MANUFACTURER'S 9b. MANUFACTURER /CITY /STATE
PART NUMBER CAGE CODE TIMKEN CO THE
336 MECHANIC ST
145DS522-2 21335 LEBANON, NH 03766-2614 US
10. QUANTITY 11. SERIAL, LOT, OR 12a. ITEM 12b. DATE 12c. LAST REPAIR FACILITY
BATCH NUMBER MANUFACTU CAGE /DODAAC REPAIR DEPOT /
a. RECEIVED: 1 RED,
ORIGINAL EQUIPMENT CITY /STATE
b. INSPECTED: 1 REPAIRED, OR
SERIAL NO. ZV526 OVERHAULED
c. DEFICIENT: 1
d. IN STOCK: 0
13a. CONTRACT NUMBER 13b. REQUISITION/DOCUMENT NUMBER 13c. PURCHASE ORDER NUMBER
NOT PROVIDED/UNKNOWN NOT PROVIDED/UNKNOWN
14. GOVERNMENT 15a. ITEM UNDER WARRANTY 15b. 16. END ITEM EIC/WUC/TAMCN
FURNISHED MATERIAL NO WARRANTY RCH
YES EXPIRATION
DATE
17. NEXT HIGHER ASSEMBLY b. NOMENCLATURE c. PART d. SERIAL NUMBER
a. NSN TRANSMISSION,MECHANICAL,H NUMBER 2011A1118
1615-014643974 145D5300-20
18. END ITEM b. NOMENCLATURE c. TYPE/ d. SERIAL NUMBER
a. NSN HELICOPTER,CARGO-TRANSPOR MODEL 0808057
1520-014575179 CH-47F
RCN: W81WCJ-19-0055
W90BWX
USA CCDC AVIATION AND MISSILE CENTE BLDG 5400 FOWLER RD
CENTER SUPPORT FACILITIES LOGISTICS
REDSTONE ARSENAL, AL 35898-5000 US
MICHAEL R JUDD
256-313-3382
michael.r.judd4.ctr@mail.mil
CATEGORY I JUSTIFICATION: THE BEARING BALL ANNULAR, P/N 145DS522-2, S/N ZV526, IS CRITICAL TO AIRWORTHINESS AND
FAILURE OF THE BEARING COULD BE EXPECTED TO CAUSE LOSS OF THE AIRCRAFT AND/OR SERIOUS INJURIES TO THE AIR
CREW OR GROUND PERSONNEL.
ARMY CSI: N
ARMY CAI: Y
THE BOEING CO
RT 291 AND STEWART AVE
RIDLEY PARK, PA 19078-1099 US
LOCATION OF EXHIBIT NARRATIVE: THE EXHIBIT IS LOCATED IN THE CCAD PSA DISASSEMBLY SHOP AREA. THE EXHIBIT WILL
BE TRANSFERRED BY THE RIMFIRE INSPECTION SERVICES TO SAFR WHEN DIRECTED VIA PEDREP DISPOSITION INSTRUCTION.
DETAIL F RECOMMENDATIONS:
RECOMMEND THAT THE SPALLED BEARING BALL ANNULAR, P/N 145DS522-2, S/N ZV526, BE INDUCTED INTO THE PDREP SYSTEM
AS A CAT 1 PQDR EXHIBIT. ALSO RECOMMEND SAFR TRANSPORT THE INVESTIGATION EXHIBIT TO THE CORPUS CHRISTI ARMY
DEPOT ANALYTICAL INVESTIGATION BRANCH (AIB) FOR EVALUATION AND LABORATORY ANALYSIS.
MATCAT: T22BKX
CAUSE OF DEFICIENCY: B-10 BEARING FAILURE DUE TO NORMAL WEAR AND TEAR.
REMARKS AND RECOMMENDATIONS: A COPY OF THIS PQDR WILL BE MAINTAINED IN PDREP FOR TRENDING PURPOSES. THE
BEARING SHOULD BE SCRAPPED.
TTS# 207825
TIMELINE:
INVESTIGATION RESULTS: CARGO AMA-C HAS REVIEWED THE SUBJECT PQDR AND HAS DETERMINED THIS TO BE A B-10
BEARING FAILURE DUE TO NORMAL WEAR AND TEAR.
ATTACHMENTS:
IMG_0002.JPG
IMG_0001.JPG
IMG_0003.JPG
DD FORM 1577-2.JPG
ILLUSTRATED PARTS BREAKDOWN.docx
DA FORM 2410 COPY 1 COMBINING TRANSMISSION.pdf
IMG_0004_PQDR_19-0055.JPG
IMG_0005_PQDR_19-0055.JPG
IMG_0006_PQDR_19-0055.JPG
IMG_0007_PQDR_19-0055.JPG
IMG_0008_PQDR_19-0055.JPG
W81WCJ190055-M19H92505_Final Report.pdf
NOTE: PQDR COUNTS ARE CALCULATED FROM 3 YEARS PRIOR TO THIS PQDR DATE OF SUBMISSION.