Editor’s Note: The National Aeronautics and Space Agency (NASA) on Feb. 19 released its investigative report of the failures in 2024 of the Boeing Starliner space vehicle. Defects in the Starliner resulted in its crew being housed in the International Space Station for nine months before being returned to earth in a SpaceX capsule.
Boeing Starliner, docked at the International Space Station. Source: Boeing.
The investigation into the failures faulted NASA and Boeing. The 311 page report was triggered by the Starliner incident, and examines the NASA-Boeing Defense, Space and Security (BDS) cultures that led to the Starliner problems. The Boeing Co. is engaged in high profile efforts to change the culture at Boeing Commercial Airplanes (BCA). The Starliner incidents reveal similar cultural and safety issues at BDS that corporate CEO Kelly Ortberg must address.
The NASA report may be downloaded here: nasa-Starliner report 021926
In this Special Report, LNA dissects the NASA study. The shortcomings at BDS are eerily similar to those at BCA.
Special Report
By the Leeham News Team
Three Disasters
Lion Air and Ethiopian Airlines
The first Boeing 737-8 delivered, in May 2017, which happened to be to Lion Air. Source: Leeham News.
March 30, 2026, (c) Leeham News: On Oct. 29, 2018, Lion Air Flight 610—a Boeing 737 MAX 8—crashed into the Java Sea, killing all 189 aboard. The Maneuvering Characteristics Augmentation System (MCAS), a flight control system that Boeing had withheld information about from airlines and the Federal Aviation Administration (FAA)—including its existence and how it works—drove the aircraft into an unrecoverable dive.
The pilots had never been trained on it because Boeing determined that disclosing MCAS would require simulator training, which would make the MAX less competitive against the Airbus A320neo. Southwest Airlines, for example, which ordered hundreds of MAXes, required Boeing to pay $1m per airplane if simulator training was required.
Less than five months later, on March 10, 2019, Ethiopian Airlines Flight 302 crashed under virtually identical circumstances. It was another MAX 8 with another MCAS-driven dive. Another 157 people were killed. Combined death toll: 346 passengers and crew, plus one recovery diver in the Lion Air accident. The global fleet was grounded for 21 months.
Congressional investigations revealed what investigators called Boeing’s “culture of concealment” and the FAA’s systematic overreliance on Boeing’s Organization Designation Authorization (ODA) for self-certification. While federal government agencies routinely designate company employees to represent the overseeing agencies, the level of the FAA’s hand-off to Boeing came under withering criticism.
Following the long recovery period, the FAA clamped down on Boeing’s production of the 737 and to a lesser extent (and for different reasons), production of the 787. By late 2022, Boeing executives appeared confident that BCA was on the path to normal operations.