Supplemental Initial Decision That Certain Frontal Driver and Passenger Air Bag Inflators Manufactured by ARC Automotive Inc. and Delphi Automotive Systems LLC, and Vehicles in Which Those Inflators Were Installed, Contain a Safety Defect, 63473-63490 [2024-17251]
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Based on a specific set of train
movement and infrastructure inputs for
a given case, OA outputs can capture
the way in which trains move over the
subject territory and include trainspecific metrics that allow for
evaluation of operational performance
and reliability. OA output data includes
but is not limited to: train performance
calculator outputs; time-distance
diagrams; tabular results of operational
performance metrics with description of
variables calibrated for the OA (e.g.,
locomotive performance); proposed
infrastructure improvements under
analyzed scenarios, including existing,
no-action, and action scenarios; and
native OA software files of both inputs
and outputs.
Access to the underlying information
supporting an OA (i.e., input and output
data) is essential for understanding the
OA model itself and the results it
produces. Moreover, access to OA data
allows stakeholders, including FRA, to
understand the nature of existing and
proposed future railroad operations and
to better assess the feasibility of
Federally funded transportation
investments and projects. Access to OA
data also supports a more collaborative
OA approach, allows stakeholders to
have greater confidence in the OA
model and output, and may reduce
disputes related to OA data that can
increase the time and costs for a railroad
project.
Information Requested
FRA seeks to ensure that the creative
and problem-solving process at the core
of OA is as effective and collaborative
as possible. As such, with the questions
below, FRA is requesting public
comment to gain a better understanding
of the potential challenges involved in
the development of OA and the review
of OA results to assess what
improvements can be made for
Federally funded railroad projects.
Respondents to this RFI are encouraged
to consider the full range of railroad
development efforts in which FRA may
be involved or otherwise support,
including, but not limited to intercity
passenger rail development projects.
FRA requests that responses include, as
applicable, a reference to the numbered
questions. Respondents are also
encouraged to address in their responses
any topics they believe to be relevant
and are not limited to addressing the
questions listed below.
1. What challenges and issues have
you experienced with the development
of OA?
2. What challenges and issues have
you experienced with the review of OA
results for Federally funded projects?
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3. What type of assistance from FRA
would be beneficial for the development
of OA?
4. Have you experienced any
challenges or issues that limit access to
OA data? Please explain.
5. How do you suggest FRA encourage
data sharing for OA?
6. What roles and responsibilities
should participants undertake to
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7. What factors contribute to the
success of a collaborative OA?
8. In the absence of access to all data
inputs required for an OA, are there
alternative methods or means to obtain
sufficient information to conduct an OA
or review OA results?
9. Please share any other additional
feedback or comments on OA and/or
data sharing.
FRA will review responses to this RFI
to better understand challenges
involved in OA by responsive parties.
FRA will determine how and whether
FRA may address those challenges, and
what further steps FRA should take with
respect to OA.
Privacy Act Statement
FRA notes that anyone is able to
search (at https://www.regulations.gov)
the electronic form of all filings received
into any of DOT’s dockets by the name
of the individual submitting the filing
(or signing the filing, if submitted on
behalf of an association, business, labor
union, or other organization). You may
review DOT’s complete Privacy Act
Statement published in the Federal
Register on April 11, 2000 (65 FR
19476), or you may view the privacy
notice of regulations.gov at https://
www.regulations.gov/privacy-notice.
Issued in Washington, DC.
Paul Nissenbaum,
Associate Administrator, Office of Railroad
Development.
[FR Doc. 2024–17185 Filed 8–2–24; 8:45 am]
BILLING CODE 4910–06–P
DEPARTMENT OF TRANSPORTATION
National Highway Traffic Safety
Administration
[Docket No. NHTSA–2023–0038]
Supplemental Initial Decision That
Certain Frontal Driver and Passenger
Air Bag Inflators Manufactured by ARC
Automotive Inc. and Delphi Automotive
Systems LLC, and Vehicles in Which
Those Inflators Were Installed, Contain
a Safety Defect
National Highway Traffic
Safety Administration (NHTSA),
Department of Transportation (DOT).
AGENCY:
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63473
Notice of supplemental initial
decision; request for public comments.
ACTION:
NHTSA is confirming its
initial decision that certain frontal
driver and passenger air bag inflators
manufactured by ARC Automotive Inc.
and Delphi Automotive Systems LLC,
and vehicles in which those inflators
were installed, contain a defect related
to motor vehicle safety. NHTSA is
issuing this supplemental initial
decision to address in greater detail the
basis for the agency’s initial decision
and to ensure that all vehicles and
manufacturers that would be impacted
by any recall order are included within
the scope of the initial decision.
DATES: Comments must be received on
or before September 4, 2024.
ADDRESSES: You may submit written
submissions to the docket number
identified in the heading of this
document by any of the following
methods:
• Federal eRulemaking Portal: Go to
https://www.regulations.gov. Follow the
online instructions for submitting
comments.
• Mail: Docket Management Facility:
U.S. Department of Transportation, 1200
New Jersey Avenue SE, West Building
Ground Floor, Room W12–140,
Washington, DC 20590–0001.
• Hand Delivery or Courier: 1200
New Jersey Avenue SE, West Building
Ground Floor, Room W12–140, between
9 a.m. and 5 p.m. ET, Monday through
Friday, except Federal holidays.
• Fax: (202) 493–2251.
Instructions: All submissions must
include the agency name and docket
number. Note that all written
submissions received will be posted
without change to https://
www.regulations.gov, including any
personal information provided. Please
see the Privacy Act discussion below.
We will consider all written
submissions received before the close of
business on September 4, 2024.
Docket: For access to the docket to
read background documents or written
submissions received, go to https://
www.regulations.gov at any time or to
1200 New Jersey Avenue SE, West
Building Ground Floor, Room W12–140,
Washington, DC 20590, between 9 a.m.
and 5 p.m., Monday through Friday,
except Federal holidays. Telephone
202–366–9826.
Privacy Act: In accordance with 49
U.S.C. 30118(b)(1), NHTSA will make a
final decision only after providing an
opportunity for manufacturers and any
interested person to present
information, views, and arguments.
DOT posts written submissions
submitted by manufacturers and
SUMMARY:
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interested persons, without edit,
including any personal information the
submitter provides, to
www.regulations.gov, as described in
the system of records notice (DOT/ALL–
14 Federal Docket Management System
(FDMS)), which can be reviewed at
www.transportation.gov/privacy.
Confidential Business Information: If
you wish to submit any information
under a claim of confidentiality, you
must submit your request directly to
NHTSA’s Office of the Chief Counsel.
Requests for confidentiality are
governed by 49 CFR part 512. NHTSA
is currently treating electronic
submission as an acceptable method for
submitting confidential business
information (CBI) to the agency under
part 512. If you would like to submit a
request for confidential treatment, you
may email your submission to Allison
Hendrickson in the Office of the Chief
Counsel at allison.hendrickson@dot.gov
or you may contact her for a secure file
transfer link. At this time, you should
not send a duplicate hardcopy of your
electronic CBI submissions to DOT
headquarters. If you claim that any of
the information or documents provided
to the agency constitute confidential
business information within the
meaning of 5 U.S.C. 552(b)(4) or are
protected from disclosure pursuant to
18 U.S.C. 1905, you must submit
supporting information together with
the materials that are the subject of the
confidentiality request, in accordance
with part 512, to the Office of the Chief
Counsel. Your request must include a
cover letter setting forth the information
specified in NHTSA’s confidential
business information regulation (49 CFR
512.8) and a certificate, pursuant to
§ 512.4(b) and part 512, appendix A. In
addition, you should submit a copy,
from which you have redacted the
claimed confidential business
information, to the Docket at the address
given above.
FOR FURTHER INFORMATION CONTACT:
Allison Hendrickson, Office of the Chief
Counsel, National Highway Traffic
Safety Administration, 1200 New Jersey
Avenue SE, Washington, DC 20590;
(202) 366–2992.
The publicly available information on
which this supplemental initial decision
is based is available on the agency’s
website at https://www.nhtsa.gov/
recalls?nhtsaId=EA16003, https://
www.nhtsa.gov/recalls?nhtsaId=
PE15027, and on the public docket
under Docket No. NHTSA–2023–0038.
The information in the investigative
file for which confidential treatment has
been requested was shared with the
manufacturers that would be affected in
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the event of a recall order, as required
under 49 U.S.C. 30118(a) and 49 CFR
554.10(b). That information was shared
with the manufacturers under a
protective agreement. The information
subject to confidentiality requests
remains unredacted in this document
pursuant to 49 U.S.C. 30167(b). Filepath citations to the investigative file
have been shared with the
manufacturers in a confidential
appendix to this decision.
SUPPLEMENTARY INFORMATION: Pursuant
to 49 U.S.C. 30118(a) and 49 CFR
554.10, NHTSA confirms its initial
decision that certain frontal driver and
passenger air bag inflators manufactured
by ARC Automotive Inc. (ARC) and
Delphi Automotive Systems LLC
(Delphi), and vehicles in which those
inflators were installed, contain a defect
related to motor vehicle safety.
NHTSA previously issued an initial
decision on September 5, 2023.1 After
additional consideration of the totality
of the evidence, including comments
previously submitted in this proceeding,
NHTSA is issuing this supplemental
initial decision to address in greater
detail the basis for the agency’s initial
decision and to ensure that all vehicles
and vehicle manufacturers that would
be impacted by any recall order are
included within the scope of the initial
decision. This action allows for
additional transparency and additional
comment from any interested persons.2
The additional information provided
in this notice confirms the agency’s
initial decision that certain frontal
driver- and passenger-side hybrid
toroidal air bag inflators manufactured
by ARC and Delphi from 2000 through
the full implementation of the
automated borescope (the subject
inflators) contain a defect related to
motor vehicle safety. The
implementation of the borescope,
beginning in August of 2017, was fully
completed in June of 2018. The latter
date is a correction from the January
2018 completion date identified in the
September 5, 2023 initial decision.3
1 88
FR 62140 (Sept. 8, 2023).
is addressing certain comments in this
supplemental initial decision to describe the basis
of its initial decision more fully and, in certain
instances, to update certain information, including
its calculation of predicted future ruptures. NHTSA
reviewed and considered all written and oral
comments previously submitted in this proceeding.
NHTSA intends to further and more fully address
all comments it ultimately receives if and when it
issues a final decision in this proceeding.
3 ARC completed implementation of the
automated borescope process on lines producing
PH7 inflators (which are passenger-side inflators) in
January 2018, and then completed implementation
on the remaining lines producing toroidal inflators
in June 2018.
2 NHTSA
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Based on available information,
approximately 51 million subject
inflators were manufactured and
installed in approximately 49 million
vehicles in the United States.4 The
subject inflators were incorporated into
air bag modules manufactured by five
air bag module suppliers and ultimately
used in vehicles manufactured by 13
vehicle manufacturers: BMW of North
America, LLC (BMW), FCA US LLC
(FCA), Ford Motor Company (Ford),
General Motors LLC (GM), Hyundai
Motor America, Inc. (Hyundai), Jaguar
Land Rover North America (JLR), LLC,
Kia America, Inc. (Kia), Maserati North
America, Inc., Mercedes-Benz USA LLC,
Porsche Cars North America, Inc.
(Porsche), Tesla Inc., Toyota Motor
North America, Inc. (Toyota), and
Volkswagen Group of America, Inc.
(Volkswagen).5 Although JLR was not
included in the September 2023 initial
decision, the agency has confirmed that
it has vehicles in the U.S. with the
subject inflators.
These air bag inflators are at risk of
rupturing when the vehicle’s air bag is
commanded to deploy, causing metal
debris to be forcefully ejected into the
occupant compartment of the vehicle. A
rupturing air bag inflator poses an
unreasonable risk of serious injury or
death to vehicle occupants. At least
seven people have been injured and one
person has been killed by these
rupturing air bag inflators within the
United States. NHTSA has identified
evidence during its investigation that
connects these ruptures to the friction
welding process, which has created, in
some instances, blockage material,
including excessive weld flash, and, in
others, insufficient friction weld bonds.
Upon air bag deployment, any loose
debris in the center support, including
weld flash, can block the exit orifice,
causing over-pressurization and rupture.
Additionally, friction welds with
insufficient bonds have also led to
inflator ruptures. The same friction
welding process was used across ARC
and Delphi’s various manufacturing
plants and lines to produce the subject
inflators. When an inflator ruptures,
shrapnel or metal fragments from the
4 While the correction to June 2018 increases the
number of subject inflators, based on best available
information, the agency is adjusting its estimate to
approximately 51 million inflators. The exact
number of recalled inflators and vehicles would be
confirmed by the manufacturers as part of any recall
filings that may result.
5 In the event of a recall order, BMW would be
responsible for recalling vehicles manufactured by
Rolls Royce Motor Cars, General Motors would be
responsible for recalling vehicles manufactured by
Isuzu Motors Limited, and Volkswagen would be
responsible for recalling vehicles manufactured by
Audi AG.
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inflator are forcefully propelled through
the air bag cushion and into the
occupant compartment. Additional
inflator ruptures are expected to occur
in the future, risking more serious
injuries and deaths, if they are not
recalled and replaced.
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I. Investigation and Proceeding
Background
On July 13, 2015, NHTSA’s Office of
Defects Investigation (ODI) opened a
Preliminary Evaluation (PE) defect
investigation, designated PE15–027, to
investigate an alleged safety defect in
hybrid toroidal inflators designed by
ARC and manufactured by ARC and
Delphi for use in vehicles sold or leased
in the United States. NHTSA opened the
investigation after receiving reports of
ruptures in vehicles (field ruptures).
Specifically, driver-side air bag inflators
in a model year (MY) 2002 Chrysler
Town & Country and a MY 2004 Kia
Optima ruptured upon air bag
deployment during crashes.
In the early stages of the investigation,
NHTSA collected information from ARC
regarding the design and manufacturing
process for frontal driver- and
passenger-side hybrid toroidal inflators.
Frontal driver-side and passenger-side
inflators are used to inflate air bags
immediately in front of vehicle
occupants in those seats. A hybrid
inflator uses stored gas that is excited by
propellant to fill the air bag cushion,
and toroidal inflators are round, noncylindrical inflators. NHTSA’s
investigation involved both single-stage
and dual-stage inflators. Single-stage
inflators deploy at a preset speed and at
full force. Dual-stage inflators deploy at
two different stages depending on the
size of the occupant as measured by the
load sensor in the front seat and the
severity of the impact.6 ARC licensed its
design and manufacturing specifications
to Delphi, which manufactured
approximately 11 million of the
approximate 51 million subject inflators
using the same friction welding process
at issue.7 ARC manufactured the other
6 The two inflation stages can deploy sequentially
or simultaneously. Typically, the first stage is
approximately 80% of the full force of the air bag,
and the second stage is approximately 20% of the
full force of the air bag. The second stage can
deploy simultaneously with the first stage should
the severity of the impact warrant dual deployment.
The second stage can deploy subsequent to the
deployment of the first stage for lower severity
impacts.
7 Delphi stopped manufacturing the inflators in
2004. The Delphi entity that manufactured these
inflators no longer exists. NHTSA indicated in its
April 27, 2023 recall request letter that the entity
was acquired by Autoliv ASP, Inc. (‘‘Autoliv’’).
Autoliv has since provided NHTSA with some
information indicating that it may not have legal
liability for the Delphi-manufactured inflators. At
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subject inflators at several different
manufacturing facilities.
NHTSA learned that, based on ARC’s
inflator design, part of the
manufacturing process for these
inflators involves a welding method
known as friction welding. Through this
method, once certain pieces of the
inflator are ready to be joined together,
they are aligned. One piece is held
stationary while the other is rotated at
a high velocity and simultaneously
pressed together with the stationary
piece. The friction generated by the
high-velocity rotation creates heat,
which melts the metal. Once the proper
temperature has been reached, the
rotation is stopped, and the pressure is
increased to weld the parts together.
Each inflator undergoes three friction
welds at two points in the
manufacturing process.8 Friction
welding produces a byproduct called
‘‘weld flash’’ or ‘‘weld slag’’ that
accumulates along the weld seam. In an
attempt to prevent weld flash from
blocking the gas flow during
deployment, a pin, known as a flashdam pin, is inserted through the exit
orifice during the friction welding
process between the center support and
upper half of the inflator housing. The
flash-dam pin is removed after the weld
is complete. This friction welding
process was used in all five ARC plants
where the subject inflators were made—
located in Knoxville, Tennessee;
Reynosa, Mexico; Xi’an, China; Ningbo,
China; and Skopje, Macedonia—and on
all manufacturing lines that produced
the subject inflators. It was also used by
Delphi when it produced subject
inflators under a license agreement.
During a crash that triggers an air bag
deployment, a signal is sent to the
inflator. When it receives this signal, the
inflator’s initiator ignites the propellant
that is stored inside the inflator.9 The
propellant burns and excites
pressurized gas stored in the inflator.10
To fill the air bag cushion, the gas flows
through the inflator’s hollow center
support and exits through the exit
orifice at the top of the center support.11
The inflator’s exit orifice is the single
path for the gas to exit the inflator and
fill the air bag cushion. If the exit orifice
is blocked during deployment such that
this time, NHTSA has not verified the entity that
has legal responsibility under 49 U.S.C. chapter 301
for those inflators. However, regardless of that
responsibility, the vehicle manufacturers that used
the inflators as original equipment would be
responsible for carrying out any recalls.
8 See ARC Presentation on CADH Inflator Design;
ARC Presentation on PH7 Inflator Process Details.
9 See ARC Response to Request 1 of NHTSA Aug.
25, 2015 IR Letter at p. 16.
10 See id.
11 See id.
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the gas cannot escape, the inflator will
likely over-pressurize and rupture. In
this event, the center support typically
elongates, splits into two pieces, and
ejects from the inflator housing. These
characteristics indicate that a rupture
was caused by over-pressurization of the
inflator.12 In some instances, the
blockage can still be seen in the upper
half of the center support after the
rupture. In others, the blockage may
become knocked loose by the force of
the rupture but can leave small
indentations on the edge of the exit
orifice, which are known as ‘‘witness
marks.’’ 13
During the PE phase of the
investigation, NHTSA collected a list of
air bag module (or Tier 1) manufacturers
to which ARC sold the inflators from
2000 through 2004, which covered the
timeframe between when ARC had
begun manufacturing hybrid toroidal
inflators and the manufacture dates of
the two inflators that ruptured in
vehicles. NHTSA then obtained
information from the air bag module
manufacturers to identify the vehicle
manufacturers that had purchased those
air bag modules and incorporated them
into their vehicles. In addition, NHTSA
ordered vehicle and inflator
manufacturers, including ARC, to report
any alleged or suspected inflator field
rupture under Standing General Orders
(SGO) 2015–01 and 2015–02.14
Manufacturers subject to these orders
must submit an initial report upon
notification of an alleged field rupture
incident, as well as ongoing
supplemental reports as the
investigation into the incident
progresses and until it is complete.
On July 11, 2016, an ARCmanufactured inflator in a MY 2009
Hyundai Elantra ruptured in Canada.
The driver was killed. ARC confirmed
that this inflator was manufactured
using the same manufacturing processes
12 See ARC Presentation dated Mar. 1, 2016 on
MY 2004 Kia Optima Rupture at pp. 5, 22; ARC
Presentation dated Aug. 25, 2017 on SGO 2016–01/
2017–01 Report 39 at pp. 6, 11, 37; ARC Response
to Request 1 of NHTSA Aug. 25, 2015 IR Letter at
p. 72.
13 See ARC Presentation dated Apr. 1, 2017 on
SGO 2016–01/2017–01 Report 80 at pp. 8–11; ARC
Presentation dated Nov. 10, 2017 on SGO 2016–01/
2017–01 Report 120 at p. 7; ARC Presentation dated
Apr. 5, 2017 on SGO 2016–01/2017–01 Report 130
at pp. 8–11; ARC Presentation dated Nov. 8, 2017
on SGO 2016–01/2017–01 Report 178 at pp. 13–14.
14 Those orders were not limited to ARC or the
vehicle manufacturers that used ARC inflators.
They were intended to help NHTSA learn of any
alleged inflator ruptures, including inflators not
designed or manufactured by ARC. Since their
original issuance, these orders have been updated
and superseded by SGO 2015–01A and SGO 2015–
02A. https://static.nhtsa.gov/odi/inv/2015/INLMEA15001-62640.pdf; https://static.nhtsa.gov/odi/
inv/2015/INLM-EA15001-62642.pdf.
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described above in this section. ODI
upgraded the investigation to an
Engineering Analysis, designated EA16–
003, on August 4, 2016. During this
phase of the investigation, ODI issued
information request letters to ARC,
Delphi, air bag module manufacturers,
and vehicle manufacturers in 2016,
2020, 2021, and 2022. These letters
requested information for an expanded
timeframe on the production volume of
the subject inflators, air bag modules
with the subject inflators and vehicles
with the subject inflators, testing
procedures and results, complaints, and
air bag deployments.
Also during this phase of the
investigation, NHTSA issued Standing
General Order 2016–01. Standing
General Order 2016–01 required ARC to
notify the agency of non-field ruptures
of inflators. It was superseded by SGO
2017–01, which revised the reportable
rupture incidents to include only those
occurring during lot acceptance tests.
Lot acceptance tests (also referred to as
‘‘LATs’’) are random tests of completed
air bag inflators produced for use in
consumer vehicles.15 If an inflator
ruptures or fails in some way during a
lot acceptance test, the entire lot of
inflators is quarantined. Under these
SGOs, ARC reported thirty-four ruptures
of frontal driver- and passenger-side
hybrid toroidal inflators during lot
acceptance testing.16
ARC’s lot acceptance testing process
evidenced a problem, but the problem
was not addressed by actions limited to
specific lots. Since NHTSA issued SGOs
2015–01 and 2015–02, manufacturers
have reported to the agency and
confirmed five ruptures in vehicles in
the United States of ARC-manufactured
frontal driver- and passenger-side
hybrid toroidal inflators, for a total of
15 A lot acceptance test is conducted at the
beginning, middle, and end of a manufacturing
shift, or at any time the assembly line is shifted to
production of a different part. The term ‘‘lot’’ refers
to the inflators that were manufactured in an
identified manufacturing plant on a specific
assembly line for a specific shift.
16 Two vehicle manufacturers have conducted
small inflator recalls associated with lot acceptance
testing. First, BMW recalled thirty-six vehicles after
learning that the production lot in which there had
been a rupture was not fully contained, and some
inflators from the lot were shipped by ARC to a
module supplier and ultimately were incorporated
into vehicles. NHTSA Recall Nos. 17V–189
(describing the safety risk as ‘‘impaired gas flow
could create excessive internal pressure, which
could result in the body of the inflator rupturing
upon deployment’’). Second, Ford recalled 650
vehicles after its air bag module supplier notified
Ford of ‘‘an abnormal deployment’’ of an inflator
during a lot acceptance test at the supplier’s
engineering facility. NHTSA Recall Nos. 17V–529
(‘‘Preliminary analysis indicates that weld flash
from the inflator canister welding process at the
Tier 2 inflator supplier may obstruct the gas exhaust
port.’’).
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seven confirmed field ruptures in the
United States, plus the fatal rupture in
Canada. In response to some of the field
ruptures, the relevant vehicle
manufacturer issued a small recall
targeted at the production lot of the
ruptured inflator.17 Such recalls, like
the quarantine process for lot
acceptance test ruptures, are premised
on the idea that there is some sort of
manufacturing problem limited to that
short period of production at that
particular facility. As detailed below,
however, the evidence collected in
NHTSA’s investigation shows that
ruptures have occurred in inflators
manufactured across different time
periods, plants, and manufacturing
lines, thus warranting a broader recall.
In a recall request letter sent to ARC
on April 27, 2023, the agency tentatively
concluded that the subject inflators
present a defect related to motor vehicle
safety.18 NHTSA explained that a defect
resulting in metal fragments being
projected toward vehicle occupants
creates an unreasonable risk of death
and injury.19 The agency, therefore,
demanded that ARC file a recall
identifying the subject inflators as
defective.20 In its response on May 11,
2023, ARC described the seven U.S.
field ruptures as ‘‘random ‘one-off’
manufacturing anomalies’’ that had
been properly addressed by the lot
recalls.21 ARC refused to acknowledge
the safety defect or file a recall.22
When a safety defect exists in original
equipment used by more than one
vehicle manufacturer, as in this case,
the equipment supplier and each
vehicle manufacturer must notify the
agency by filing a recall report. 49 CFR
573.3(f). A defect in original equipment
(meaning equipment originally installed
in or on a vehicle) is considered a defect
in the vehicle. 49 U.S.C. 30102(b)(1)(C),
(F). Therefore, vehicle manufacturers
are generally responsible for carrying
out recalls of their vehicles containing
defective parts, such as air bag inflators,
by notifying vehicle owners and
providing a free remedy. See id. sections
17 See NHTSA Recall Nos. 19V–019 (recalling
1,145 vehicles), 21V–782 (recalling 555 vehicles),
22E–040 (recalling 74 replacement air bag
modules), 22V–246 (recalling 2,687 vehicles), and
22V–543 (recalling 1,216 vehicles). Following the
most recent rupture, GM also expanded on its
earlier lot recalls by recalling four model years of
three vehicle makes. NHTSA Recall No 23V–334.
18 See NHTSA Recall Request Letter to ARC,
https://static.nhtsa.gov/odi/inv/2016/INRMEA16003-90615.pdf.
19 See id.
20 See id.
21 See ARC Response to NHTSA Recall Request
Letter, https://static.nhtsa.gov/odi/inv/2016/INRREA16003-90616.pdf at p. 2.
22 See id. at p. 1.
PO 00000
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30118–20. An equipment manufacturer
is also responsible under the Safety Act
for recalling its replacement equipment.
See id. 30118. Replacement equipment
is ‘‘motor vehicle equipment . . . that is
not original equipment.’’ Id. section
30102(b)(1)(D).
The National Traffic and Motor
Vehicle Safety Act (Safety Act) imposes
an affirmative obligation on a
manufacturer to initiate a recall if it
‘‘learns the vehicle or equipment
contains a defect and decides in good
faith that the defect is related to motor
vehicle safety.’’ Id. section 30118(c)(1).
To date, the manufacturers of the
subject inflators, and the manufacturers
of the vehicles containing the subject
inflators, have not commenced broader
recalls addressing the full scope of the
problem. Thus, NHTSA is using its
authority under the Safety Act to
consider ordering a recall.
The Safety Act authorizes NHTSA to
order a recall when the Administrator 23
determines that a vehicle or
replacement equipment ‘‘contains a
defect related to motor vehicle safety.’’
Id. section 30118(b). The Safety Act
defines a ‘‘defect’’ as ‘‘any defect in
performance, construction, a
component, or material of a motor
vehicle or motor vehicle equipment.’’
Id. section 30102(a)(3). A defect is
related to motor vehicle safety if it
presents an unreasonable risk of an
accident or of death or serious injury in
an accident. Id. section 30102(a)(9).
Before it can order a recall, the agency
first issues an initial decision finding a
defect in a vehicle or replacement
equipment, notifies the manufacturer of
the decision and provides it with the
information on which the decision was
based, and publishes notice of the
decision in the Federal Register. Id.
section 30118(a); 49 CFR 554.10. The
manufacturer and the public are
afforded an opportunity to present
information, views, and arguments at a
public meeting, in written comments, or
both. 49 CFR 554.10. After considering
the available information, the
Administrator may make a final
decision finding a safety defect and
ordering a recall. 49 U.S.C. 30118(b); 49
CFR 554.11.
In the instant proceeding, NHTSA
issued an initial decision of a safety
defect on September 5, 2023 regarding
frontal driver- and passenger-side
hybrid toroidal inflators manufactured
23 As authorized by statute, the Secretary has
delegated the authority in the Safety Act to the
NHTSA Administrator. 49 U.S.C. 105(d); 49 CFR
1.95(a). In the absence of an Administrator, the
Deputy Administrator performs the functions and
duties of the Administrator. 49 CFR 501.4(a),
501.5(a).
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by ARC and Delphi from 2000 through
January 2018. 88 FR 62140 (Sept. 8,
2023). NHTSA held a public meeting on
October 5, 2023, during which the
agency presented information about its
investigation and initial decision, and
manufacturers and members of the
public were invited to make their own
statements.24 ARC and certain other
members of the public, including the
son of the person killed by a subject
inflator rupture, made statements at the
public meeting.25 NHTSA also provided
manufacturers and the public the
opportunity to submit written
comments in response to the initial
decision,26 which were due December
18, 2023.27
II. Initial Determination of Defect
Related to Motor Vehicle Safety
After further consideration of all
available information, including from its
investigation and this proceeding,
NHTSA is confirming its initial
determination that the subject inflators
contain a defect and that the defect is
related to motor vehicle safety. The
subject inflators may rupture upon
deployment and project shrapnel into
the occupant compartment, which is
likely to cause and has caused serious
injury and death to vehicle occupants.
A. The Subject Inflators Are Defective
Air bag inflators that have an
established risk of rupturing when
commanded to deploy are defective
within the meaning of the Safety Act.
The Safety Act defines ‘‘defect’’ as
including ‘‘any defect in performance,
construction, a component, or material
of a motor vehicle or motor vehicle
equipment.’’ 49 U.S.C. 30102(a)(3).
‘‘Defect’’ must be understood by its
plain meaning: a flaw, shortcoming, or
abnormality.28 An inflator that is at risk
of rupturing when commanded to
deploy is flawed. It turns a lifesaving
device into one that can do great harm,
including causing death or serious
injury.
Air bags and related components can
be defective in multiple ways. Among
other things, the air bag may fail to
deploy when appropriate, deploy when
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24 See
Public Meeting Transcript and Addenda,
Docket No. NHTSA–2023–0038, https://
www.regulations.gov/document/NHTSA-2023-00380003.
25 Id.
26 Public versions of all written comments are
posted on the public docket at https://
www.regulations.gov/docket/NHTSA-2023-0038/
comments.
27 See Second Extension of Deadline for Written
Submissions, https://www.regulations.gov/
document/NHTSA-2023-0038-0005.
28 https://www.merriam-webster.com/dictionary/
defect.
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it should not, or only partially deploy.
All of these defects are issues that the
agency takes seriously and that have
resulted in recalls.29 An air bag inflator
that has a risk of rupturing when
commanded to deploy—sending
shrapnel into the occupant
compartment—presents a particularly
dangerous type of defect. This is why
the industry standard calls for tests to
confirm that ‘‘an inflator shall not eject
any components or fragments.’’ 30 In
other words, an inflator rupture is not
an industry-accepted failure mode.
The subject inflators exhibit this
especially dangerous defect, which
warrants NHTSA’s taking the significant
step of proposing to order a recall. To
date, there have been seven confirmed
field ruptures of the subject inflators in
vehicles in the United States, each of
which presented evidence of overpressurization or weld insufficiency as
a likely cause of the failure. In addition,
there have been twenty-three reported
ruptures during lot acceptance testing
that share over-pressurization or weld
insufficiency commonalities with the
seven field ruptures. Moreover, at least
an additional four inflators have
ruptured in vehicles outside the United
States, killing at least one person.
To be sure, the overwhelming
majority of the subject inflators will not
rupture upon deployment. However,
based on the evidence linking past
ruptures to the same friction welding
process, all of the subject inflators are at
risk of rupturing. The unpredictable
nature of this defect has played out with
some inflators passing lot acceptance
testing but later rupturing in a vehicle
and causing injury or death. The only
way to know which of the subject
inflators remaining in vehicles will
rupture is for them to deploy. The
Safety Act does not allow such a defect
to go unaddressed.
In recognition of the commonsense
understanding that an inflator that may
rupture is defective, some vehicle
manufacturers have already issued
limited recalls following field
29 See, e.g., NHTSA Recall 24V–064 (recall issued
by Honda addressing air bags that may deploy in
a crash when they should have been suppressed);
NHTSA Recall 23V–865 (recall issued by Toyota
addressing air bags that may not deploy in a crash
when intended); NHTSA Recall No. 12V–055 (recall
issued by Nissan for vehicles equipped with curtain
air bags with incorrect propellant mixture, possibly
resulting in partial deployment); NHTSA Recall No.
01V–318 (recall issued by Ford for vehicles with
replacement inflators having insufficient welds,
possibly preventing proper inflation of the air bag).
30 See USCAR Inflator Technical Requirements
and Validation, p. 7 ¶ 3.2.2 (SAE Int’l, 2023). See
also USCAR Inflator Technical Requirements and
Validation, p. 10 ¶ 3.2.2 (SAE Int’l, 2013).
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63477
ruptures.31 This approach is insufficient
to address the defect. The evidence
shows that the risk of rupture pervades
the entire subject inflator population
and, as such, a recall for all subject
inflators is needed. Ruptures have
continued to occur outside the scope of
these lot-based recalls and in lots that
passed lot acceptance testing. There is
no reasonable basis to conclude that the
recalls issued to this point have
captured the full scope of the defect.
Instead, NHTSA has preliminarily
concluded, based on the available
evidence, that all the subject inflators
are defective.
Whether there is a ‘‘defect’’ depends
on the specific facts and circumstances
of each case, including the nature of the
component involved and its importance
to the safe operation of the vehicle, the
circumstances in which failures
occurred, and the number of failures
experienced. U.S. v. General Motors
Corp., 518 F.2d 420, 427, 438 n.84 (D.C.
Cir. 1975) (‘‘Wheels’’). Considering all of
the available information, NHTSA finds
that there is sufficient evidence that the
total population of subject inflators is
defective within the meaning of the
Safety Act.
1. An Air Bag Is Critical to the Safe
Operation of a Vehicle
Factors to be considered in
determining whether a defect exists
include the relationship between the
component and safe vehicle operation
and the circumstances of the failures
involved. An air bag is vital to the safe
operation of a vehicle. It is a required
safety device.32 In the event of a crash
where the air bag is commanded to
deploy, which can include a minor
crash, the air bag helps protect the
occupant’s upper body and head from
impact with hard objects such as the
windows, dashboard, and steering
wheel. NHTSA estimates that air bags
saved more than fifty thousand lives
between 1987 and 2017. The defect in
this case turns this life-saving purpose
on its head, instead introducing a risk
of serious injury or death from flying
metal fragments ejected into the
occupant compartment. As described
below in section II.A.3, rupturing
inflators have caused severe injuries, the
most common of which are injuries to
31 After the most recent rupture, GM apparently
recognized that a lot-based recall was no longer
sufficient. However, the ensuing recall was limited
to specific model years and models of vehicles and
fails to address the full population of GM vehicles
containing the subject inflators. See Recall No.
23V–334 (recalling 2014–2017 Buick Enclave,
Chevrolet Traverse, and GMC Acadia vehicles).
32 Federal Motor Vehicle Safety Standard 208 sets
requirements for occupant crash protection,
including air bags. 49 CFR 571.208.
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the face, head, jaw, and neck. In three
instances, a piece of the inflator became
lodged in the driver’s neck or arm and
had to be surgically removed.33 In
another, the shrapnel caused permanent
muscle and nerve damage to the
driver.34 In two instances, the driver
died after being struck by a piece of the
inflator. By forcefully propelling metal
shrapnel into the occupant
compartment, often aimed directly at an
occupants’ face, the rupturing inflator
creates a high risk of severe injury or
death, potentially converting a minor
crash into a life-threatening event.
The circumstances in which these
failures occur are also severe. The
ruptures occur with no warning to the
driver or other vehicle occupants.35 A
vehicle owner can neither prevent this
failure from occurring nor take action to
mitigate the severity of its outcome,
given the rapid pace of an air bag
deployment and the already vulnerable
position of the occupants in the midst
of a collision. A vehicle’s air bags can
deploy even in minor crashes, meaning
this defect can turn an incident from
which the occupants could have walked
away unscathed into one that will likely
cause serious injury or death. There is
no way for a vehicle owner, or anyone
else, to know that a particular subject
inflator will rupture until it is too late.
The safety of vehicle occupants is
significantly compromised by the
rupture of the subject inflators—a
considerable factor in the agency’s
determination that the subject inflators
are defective under the Safety Act.
2. Problems That Lead to OverPressurization and Weld Failure May Be
Present Throughout the Entire
Population of Inflators
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While the actual occurrence of
ruptures is rare, the subject inflators’
risk of rupture nevertheless constitutes
a defect, especially when considering
the nature and purpose of an inflator
and the severity of the risk to vehicle
33 See Email dated Apr. 5, 2023 to NHTSA from
Hurley Medical Center; Photos attached to email
dated Apr. 5, 2023 to NHTSA from Hurley Medical
Center; Medical Discharge Summaries, Report ID
****8352 at p. 3; Information package provided by
the Saudi Ministry of Commerce and Industry;
Hyundai Report submitted for MY 2011 Hyundai
Elantra Rupture.
34 See VOQ dated Dec. 20, 2014.
35 Severity, frequency, and detectability are
factors that NHTSA and manufacturers consider
when deciding whether there is a safety defect
requiring a recall. See Risk-Based Process for Safety
Defect Analysis and Management of Recalls, DOT
HS 812 984 (Nov. 2020), https://www.nhtsa.gov/
sites/nhtsa.gov/files/documents/14895_odi_
defectsrecallspubdoc_110520-v6a-tag.pdf. These
factors are interrelated so high severity and nondetectible failures warrant a recall with a lower
frequency of occurrence. See id.
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occupants. For a component that is
designed to function without
replacement, courts have found that a
defect may be established by showing
that a significant—or non-de minimis—
number of failures occurred in normal
operation. E.g., Wheels, 518 F.2d at 427,
438 n.84. As mentioned in the section
above, the number of failures is one of
the factors among the various facts and
circumstances that assists in the
agency’s determination of whether there
is a defect related to motor vehicle
safety, requiring a recall. Indeed, ‘‘[t]he
purpose of the Safety Act . . . is not to
protect individuals from the risks
associated with defective vehicles only
after serious injuries have already
occurred; it is to prevent serious injuries
stemming from established defects
before they occur.’’ United States v.
General Motors Corp., 565 F.2d 754, 759
(D.C. Cir. 1977) (‘‘Carburetors’’).
Air bags are not subjected to wear and
do not require maintenance. As such,
they are not replaced unless and until
they deploy. The subject inflators are
hermetically sealed, protecting the
interior from elements that may cause
propellant degradation.36 Nevertheless,
ruptures have continued to occur
despite manufacturers’ assertions that
narrower recalls have addressed the
safety defect. NHTSA’s investigation
and analysis of the ruptures supports its
preliminary determination that all
subject inflators are at risk of rupturing
and, therefore, contain a defect.
During its investigation, NHTSA
obtained evidence of issues in the
friction welding process of the subject
inflators that resulted in either overpressurization or weld failure when the
inflators were commanded to deploy.
This propensity for over-pressurization
or weld failure, based on one or more
variables, can cause and has caused
repeated ruptures of the subject
inflators. All seven known field
ruptures in vehicles in the United
States, along with at least twenty-three
lot acceptance testing ruptures, were
caused by over-pressurization or weld
failure. Thus, the evidence demonstrates
that the same friction welding process
used to manufacture all of the subject
inflators creates a risk of rupture. Stated
more plainly, any of the subject inflators
is subject to over-pressurization or weld
failure leading to rupture when
commanded to deploy. There is no
evidence-based means to predict which
specific subject inflators will rupture
when commanded to deploy. Limitedscope recalls initiated in response to
some of the ruptures were reactionary
36 See USCAR Inflator Technical Requirements
and Validation at ¶ 3.2.11 (SAE Int’l, 2023).
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and narrowly focused and did not
proactively address the propensity of
the larger population of subject inflators
to rupture. As a result, ruptures
continued to occur.
The ruptures that have already
occurred in vehicles have demonstrated
the unpredictable nature of the defect.
As detailed below, these ruptures have
involved inflators manufactured at
different times and in different
manufacturing facilities, both singlestage and dual-stage air bag inflators,
driver-side and passenger-side inflators,
inflators incorporated into air bag
modules by different module suppliers,
and inflators used in different vehicle
manufacturers’ vehicles. The inflators
that ruptured due to over-pressurization
or weld failure in lot acceptance testing
likewise had been manufactured at
different times in different
manufacturing facilities, included both
single-stage and dual-stage air bag
inflators, driver-side and passenger-side
inflators, and were intended to be sold
to different air bag module suppliers.
The critical element that the subject
inflators have in common is the friction
welding process—significant evidence
indicates that this process has led to
ruptures caused by over-pressurization
and weld failure.
3. The Inflators Have Ruptured in the
Field Seven Times
The defect in the subject inflators has
manifested in seven confirmed ruptures
in vehicles in the United States, injuring
at least seven people and killing
another.
First Field Rupture—January 2009, Ohio
The first known field rupture of a
subject inflator in the United States
occurred on January 29, 2009 in Ohio.
The driver of a MY 2002 Chrysler Town
& Country was turning into a driveway
and collided with another vehicle. The
crash triggered air bag deployment, and
the driver-side, dual-stage air bag
inflator—manufactured in ARC’s
Knoxville, Tennessee plant—ruptured,
sending pieces of metal through the air
bag cushion and into the occupant
compartment. The driver sustained
severe injuries to the face, neck,
shoulder, and jaw, causing permanent
muscle and nerve damage.37
During an inspection of the vehicle,
ARC took photographs of the pieces of
the ruptured inflator, including the
center support. When the inflator in the
MY 2002 Chrysler Town & Country
ruptured, the center support elongated,
split into two pieces, and ejected from
37 See
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the inflator housing.38 These
characteristics indicate that a rupture
was caused by over-pressurization of the
inflator.39 The photos of the upper
portion of the center support show a
blockage in the exit orifice.40 NHTSA
and ARC agree that because this
blockage prevented the gas from
escaping through the exit orifice, the
pressure inside the inflator built and
exceeded the inflator’s strength limit
and, ultimately, the inflator overpressurized and broke apart (i.e.,
ruptured). ARC posited that the
blockage was caused by a piece of the
flash-dam pin, a tool that is inserted
through the exit orifice during the
friction welding process in an attempt to
prevent weld flash from blocking the gas
flow. The flash-dam pin is normally
removed after completion of the weld,
but based on visual inspection of the
photographs, ARC suggested that a piece
of this pin broke off during the
manufacturing process and, during
deployment, blocked the inflator’s exit
orifice.41 No metallurgical testing was
done to determine the composition of
the blockage material.
The vehicle manufacturer, FCA,42 has
not advanced any contrasting potential
explanation for this field rupture.
Second Field Rupture—April 2014, New
Mexico
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The second known field rupture of a
subject inflator occurred on April 8,
2014 in New Mexico. The driver of a
MY 2004 Kia Optima collided with a
roadside barrier, triggering air bag
deployment. The driver-side, single
stage air bag inflator—manufactured in
ARC’s Knoxville, Tennessee plant—
ruptured, and fragments were propelled
through the air bag cushion and into the
occupant compartment. At the hospital,
a piece of the shrapnel was removed
from the driver’s neck.43 The driver was
also treated for head trauma, a jaw
fracture, and lacerations to the lip, neck,
and cheek.44
38 See Photos of air bag parts from MY 2002
Chrysler Town & Country Rupture at pp. 6–9.
39 See ARC Presentation dated Mar. 1, 2016 on
MY 2004 Kia Optima Rupture at pp. 5, 22; ARC
Presentation dated Aug. 25, 2017 on SGO 2016–01/
2017–01 Report 39 at pp. 6, 11, 37; ARC Response
to Request 1 of NHTSA Aug. 25, 2015 IR Letter at
p. 72.
40 See Photos of air bag parts from MY 2002
Chrysler Town & Country Rupture at pp. 6–9.
41 See Written Response of ARC Automotive, Inc.
to the September 5, 2023, Initial Decision Docket
No. NHTSA–2023–0038 at p. 32, https://
www.regulations.gov/comment/NHTSA-2023-00380027.
42 Then known as Chrysler.
43 See Medical Discharge Summaries, Report ID
****8352 at p. 3.
44 See id.
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ARC conducted a visual, on-site
inspection of the vehicle and inflator
parts and took photographs of the
vehicle and inflator pieces. As with the
MY 2002 Chrysler Town & Country
rupture, the center support of the
inflator elongated, broke into two
pieces, and ejected from the inflator
housing.45 ARC concluded that the
inflator ruptured due to overpressurization,46 a conclusion with
which NHTSA agrees. ARC’s analysis
identified exit orifice blockage as the
most likely cause of the overpressurization and rupture.47 The
photographs of the center support taken
after the rupture occurred do not show
that a blockage remained in the exit
orifice.48 ARC surmised that an internal
blockage of the exit orifice was unlikely
based on this observation and three
additional indicators: (1) during
manufacturing, the inflator had been
filled with the stored, internal gas
through the exit orifice, (2) the lot
acceptance test data for the associated
lot of inflators was compliant, and (3)
the exit orifice diameter was an
acceptable size.49 ARC hypothesized,
instead, that the over-pressurization was
caused by an external blockage of the
exit orifice and conducted tests to
mimic this condition.50
The photos of the center support in
this instance do not show exit orifice
blockage; however, the blockage could
have been knocked out of the exit orifice
when the inflator ruptured, as likely
happened in several of the lot
acceptance test ruptures believed to
have been caused by internal exit orifice
blockage.51 Debris found inside the air
bag cushion after this rupture was of a
sufficient size to block the exit orifice.52
Therefore, the evidence does not
undermine internal blockage as the
underlying reason for the overpressurization in this incident. The
three additional indicators listed above
45 See ARC Presentation dated Mar. 1, 2016 on
MY 2004 Kia Optima Rupture at pp. 5, 22.
46 See id.
47 See id. at pp. 5, 7, 32.
48 See id. at pp. 8–9.
49 See id. at p. 68.
50 See id. at pp. 70–71, 74.
51 See ARC Presentation dated Apr. 1, 2017 on
SGO 2016–01/2017–01 Report 80 at pp. 8–11; ARC
Presentation dated Nov. 10, 2017 on SGO 2016–01/
2017–01 Report 120 at p. 7; ARC Presentation dated
Apr. 5, 2017 on SGO 2016–01/2017–01 Report 130
at pp. 8–11; ARC Presentation dated Nov. 8, 2017
on SGO 2016–01/2017–01 Report 178 at pp. 13–14.
52 See Photo 25 from inspection of MY 2004 Kia
Optima rupture; Photo 27 from inspection of MY
2004 Kia Optima rupture; Photo 29 from inspection
of MY 2004 Kia Optima rupture; Photo 31 from
inspection of MY 2004 Kia Optima rupture; Photo
33 from inspection of MY 2004 Kia Optima rupture;
Photo 34 from inspection of MY 2004 Kia Optima
rupture.
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and cited by ARC are present for each
of the U.S. field ruptures and do not,
separately or combined, refute internal
blockage of the exit orifice as the cause
of over-pressurization.
In comments, Kia disputed that the
rupture may have been caused by weld
slag blocking the inflator orifice and
noted a number of observations.
However, in attempting to explain the
rupture, Kia could only conclude that it
was ‘‘an isolated case of unknown
cause.’’
Third Field Rupture—September 2017,
Pennsylvania
The third known field rupture
occurred on September 22, 2017 in
Pennsylvania. The driver of a MY 2011
Chevrolet Malibu rear-ended another
vehicle, triggering air bag deployment.
The driver-side, dual stage air bag
inflator—manufactured in ARC’s
Reynosa, Mexico plant 53—ruptured.
Pieces of the inflator shot through the
air bag cushion and into the occupant
compartment. The shrapnel caused
multiple fractures to the driver’s face,
nose, and jaw as well as other trauma,
lacerations, and nerve damage to the
face.54
General Motors (GM) took
photographs of the vehicle and inflator
during an on-site inspection. A visual
inspection of photos of the inflator
shows that the center support did not
elongate, split in two, or eject from the
inflator.55 These characteristics are
unique to this field rupture. Based on
observations made during physical
inspections on December 13, 2018 and
January 22, 2019, GM noted the lack of
center support elongation as an
indication that the exit orifice was not
blocked in this rupture.56 Neither GM
nor ARC nor NHTSA were able to
conduct destructive testing on the
inflator, so all conclusions and
hypotheses were based on visual
inspection of the photographs.
Based on information available to it,
ARC proffered a potential explanation
that partially attributed the rupture to
issues with Operation 50 of the inflator
manufacturing process.57 Similarly, GM
53 In the September 5, 2023 Initial Decision, the
description of this field rupture incorrectly stated
that the vehicle was a MY 2010 Chevrolet Malibu
and that the inflator had been manufactured in
Xi’an China.
54 See Complaint filed in lawsuit arising from the
crash on Sept. 22, 2017 at pp. 11–12.
55 See Photos from inspection of MY 2011
Chevrolet Malibu rupture at p. 65; GM Presentation
dated Jan. 29, 2019 on MY 2011 Chevrolet Malibu
rupture at pp. 4–6.
56 See GM Presentation dated Jan. 29, 2019 on MY
2011 Chevrolet Malibu rupture at pp. 1, 3.
57 See ARC Presentation dated Mar. 21, 2019 on
MY 2011 Chevrolet Malibu rupture at p. 4.
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noted that the inflator ruptured
specifically at the Operation 50 weld,
along with another weld.58 For driverside subject inflators, Operation 50 is
the point in the manufacturing process
at which two friction welds occur: The
center support is friction welded to the
inside of the lower half of the inflator
housing, and, at the same time, the
lower and upper halves of the inflator
housing are friction welded together.59
In their analyses of this field rupture,
ARC and GM identified issues with this
particular friction weld and posited
those issues as potential causes of the
rupture. These descriptions are repeated
in ARC’s analyses of certain ruptures
that occurred during lot acceptance
testing where deficiencies in this same
friction weld were identified as having
contributed to each failure.60
While NHTSA acknowledges that
characteristics of this field rupture differ
from those seen in the other U.S. field
ruptures, they do not undermine the
agency’s defect determination. These
characteristics are not anomalous or
isolated; they also appear in several lot
acceptance test ruptures. After studying
each such rupture, ARC attributed all of
these ruptures partially to friction weld
failures.61 Moreover, manufacturers
attributed other field and lot acceptance
test ruptures to additional issues related
to the friction welding process,
including excessive weld flash—created
by friction welding—that blocked the
exit orifice, and a broken piece of the
flash-dam pin—a tool used to try to
prevent weld flash blockage—that
blocked the exit orifice. In fact, the
extent to which the MY 2011 Chevrolet
Malibu rupture differs from other field
ruptures serves as evidence that there
are variations in the friction welding
process, intentional or unintentional,
that can lead and have led to ruptures.
Appearing to recognize these
variations, several commenters
suggested that more testing and analysis
of the variables in the subject inflators’
58 See GM Presentation dated Jan. 29, 2019 on MY
2011 Chevrolet Malibu rupture at p. 3.
59 See ARC Presentation on CADH Inflator Design
at slide 12.
60 See ARC Presentation dated Oct. 17, 2016 on
SGO 2016–01/2017–01 Report 3 at pp. 14–16; ARC
Report dated Nov. 4, 2016 under SGO 2016–01/
2017–01 Report 5 at p. 2; ARC Report dated Nov.
4, 2016 under SGO 2016–01/2017–01 Report 5 at p.
2; ARC Presentation dated Nov. 7, 2016 on SGO
2016–01/2017–01 Report 12 at slides 39–40; ARC
Report dated Dec. 12, 2016 under SGO 2016–01/
2017–01 Report 13; ARC Report dated Dec. 12, 2016
under SGO 2016–01/2017–01 Report 18; ARC
Presentation dated Feb. 8, 2017 on A9/ZB Model
Inflators at pp. 2–3; ARC Presentation dated May
14, 2017 on SGO 2016–01/2017–01 Report 20 at
slides 27–30; ARC Report dated Dec. 14, 2016 under
SGO 2016–01/2017–01 Report 22 at p. 2.
61 See id.
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design and manufacturing process is
needed to support NHTSA’s initial
decision. However, in the many years
since the first ruptures occurred and the
investigation opened, the agency and
the manufacturers have conducted
extensive analyses. To the extent some
commenters point to a lack of confirmed
root cause for every incident, the agency
notes that a root cause determination is
not required to determine that a defect
exists, as discussed further below in
section II.A.6. The agency also does not
believe that additional analysis is likely
to shed meaningful light on issues that
remain unsettled at this point. In light
of the severe safety risk, the Safety Act
warrants a recall based on the already
clear evidence of a defect.
Fourth Field Rupture—August 2021,
Michigan
The fourth known field rupture
occurred on August 15, 2021. In
Michigan, the driver of a MY 2015
Chevrolet Traverse vehicle, returning
from a family outing with her
children,62 was turning onto a highway
and was struck by another vehicle. The
air bags deployed, and the driver-side,
dual stage air bag inflator—
manufactured in ARC’s Reynosa,
Mexico plant—ruptured, sending
fragments of metal through the air bag
cushion and into the occupant
compartment. The pieces of the center
support struck the driver in the neck,
and the driver died from the injury.
One of the driver’s children traveled
from Michigan to Washington, DC to
speak at the public meeting on October
5, 2023 in support of NHTSA’s initial
determination that the subject inflators
are defective and should be recalled.
During the meeting, he described in
detail his presence at the crash scene
and how the air bag, rather than
protecting his mother from injury,
exploded, sent metal shrapnel into her
face and neck, and ultimately killed
her.63
Photos taken by Michigan State Police
personnel after the crash show that the
center support elongated, split in two,
and ejected from the inflator,64
demonstrating that over-pressurization
caused the rupture. The Michigan State
Police also performed X-rays of the
inflator pieces and provided the images
62 Public Meeting Transcript and Addenda at pp.
73–74, Docket No. NHTSA–2023–0038, https://
www.regulations.gov/document/NHTSA-2023-00380003.
63 Id.
64 See Photos from inspection of MY 2015
Chevrolet Traverse rupture in Michigan at pp. 188–
229.
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to GM.65 The X-rays do not show any
obstruction in the exit orifice.66 NHTSA
does not believe the X-ray images negate
the possibility of exit orifice blockage.
The force of the rupture could have
knocked any blockage material loose, as
the evidence suggests happened in lot
acceptance test ruptures. 67 Moreover,
an X-ray image is not always detailed
enough to identify witness marks
caused by debris in the exit orifice.
GM noted that the X-ray images for
this field rupture did not show material
in the exit orifice and that CT scans of
inflators retrieved from the same lot did
not show exit orifice blockage.68 As
explained above, X-ray images cannot
rule out exit orifice blockage as the
cause of over-pressurization, and,
furthermore, lot-based comparisons are
not broad enough to guarantee that the
risk is contained. GM studied this
rupture in tandem with the subsequent
fifth field rupture (discussed in more
detail below) and a lot acceptance test
rupture.69 The remainder of GM’s
analysis related to propellant was not
specifically applicable to this field
rupture.70 ARC likewise has not offered
any potential explanations for this fatal
field rupture incident, though it is
undisputed that over-pressurization
ultimately caused the rupture.
Fifth Field Rupture—October 2021,
Kentucky
The fifth known field rupture
occurred on October 20, 2021. In
Kentucky, the driver of a MY 2015
Chevrolet Traverse vehicle collided
with another vehicle at an intersection,
which triggered the air bags to deploy.
65 See GM Presentation dated Oct. 6, 2021 on MY
2015 Chevrolet Traverse rupture in Michigan at p.
10.
66 See id.
67 See ARC Presentation dated Apr. 1, 2017 on
SGO 2016–01/2017–01 Report 80 at pp. 8–11; ARC
Presentation dated Nov. 10, 2017 on SGO 2016–01/
2017–01 Report 120 at p. 7; ARC Presentation dated
Apr. 5, 2017 on SGO 2016–01/2017–01 Report 130
at pp. 8–11; ARC Presentation dated Nov. 8, 2017
on SGO 2016–01/2017–01 Report 178 at pp. 13–14.
68 See GM Presentation dated Jun. 15, 2022 on
DAB ARC Inflator Ruptures at p. 2.
69 See id. at p. 1.
70 GM enlisted the help of an independent
research firm to study propellant-related issues
more broadly. The group studied 329 driver-side
subject inflators manufactured between 2013 and
2021. While the study identified ‘‘[m]any areas of
manufacturing variability,’’ it concluded that
‘‘moisture migration into the propellant,’’ which is
the cause of propellant degradation, ‘‘is not a
concern in this inflators design.’’ See Northrop
Grumman Presentation dated May 5, 2023 on GM
ARC Inflator Investigation at p. 48. GM did not
identify a specific explanation for the inflator
ruptures but proposed that too much propellant,
low propellant density, and ‘‘possible other
unknown factors’’ may be considered as
contributors. See GM Presentation dated Jun. 15,
2022 on DAB ARC Inflator Ruptures at p. 1.
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The driver-side, dual stage air bag
inflator—manufactured in ARC’s
Reynosa, Mexico plant—ruptured, and
fragments of the metal inflator were
projected through the air bag cushion
and into the occupant compartment.
The driver sustained injuries to the face.
Photographs were taken of the vehicle
as well as the ruptured inflator pieces.
The photos show that the center support
elongated, split in two, and ejected from
the inflator,71 demonstrating that overpressurization caused the rupture. The
upper portion of the broken center
support shot through the air bag cushion
and into the driver-seat head rest.72 The
photos of this piece of the center
support show material blocking the exit
orifice.73 GM suggests the material may
be fabric from the head rest,74 however,
a determination of the blockage material
has not been confirmed as the
manufacturers were not able to perform
an analysis of the material to identify its
makeup.
GM assessed this field rupture in
tandem with the previous field rupture
and a lot acceptance test rupture, as
explained above in discussing the fourth
rupture (2021 Michigan). As GM stated
in that analysis, no parts from the same
lot as the inflator in this field rupture
were available for analysis,75 so the
conclusions in its report are not
particularly relevant. GM did not
perform a separate analysis for this field
rupture. Similarly, ARC has not
provided a potential explanation for this
rupture.
Sixth Field Rupture—December 2021,
California
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The sixth known field rupture
occurred on December 18, 2021 in
California. The driver of a MY 2016
Audi A3 e-Tron collided with another
vehicle. The air bags deployed, and the
passenger-side, dual stage inflator—
manufactured in ARC’s Reynosa,
Mexico plant—ruptured, with some of
the fragments projecting through the air
bag cushion and into the occupant
compartment. The passenger suffered
serious injuries to the face and ear.76
The pieces of the inflator also struck the
driver, causing lacerations to the right
hand and right shin.77
71 See GM Presentation dated Apr. 6, 2022 on MY
2015 Chevrolet Traverse rupture in Kentucky at p.
3.
72 See id. at p. 4.
73 See id. at p. 3.
74 See id.
75 See GM Presentation dated Jun. 15, 2022 on
DAB ARC Inflator Ruptures at p. 2.
76 See Complaint filed in lawsuit arising from the
crash on Dec. 18, 2021 at p. 2.
77 See State of California Crash Report dated Dec.
18, 2021 at p. 3.
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Photos from the vehicle inspection
indicate that the center support split in
two and ejected from the inflator,78
demonstrating that over-pressurization
caused the rupture. The upper portion
of the center support ultimately ejected
through the windshield and the lower
portion became lodged in the
instrument panel.79 The upper portion
of the center support was never
recovered and, therefore, never analyzed
for blockage. Neither ARC nor
Volkswagen has offered potential
explanations for this rupture.
Seventh Field Rupture—March 2023,
Michigan
The seventh, and most recent, known
field rupture occurred on March 22,
2023 in Michigan. The driver of a MY
2017 Chevrolet Traverse vehicle
collided with a tree, causing the air bags
to deploy. The driver-side, dual stage
inflator—manufactured in ARC’s
Reynosa, Mexico plant—ruptured,
sending fragments through the air bag
cushion and into the occupant
compartment. The driver suffered
injuries to the face, teeth, and neck. A
child in the back seat also suffered
lacerations to the face, potentially
caused by shrapnel from the inflator
rupture or other debris from the crash.
The upper portion of the center support
struck the driver in the neck and had to
be surgically removed from the driver’s
airway.80
Photos taken of the vehicle and pieces
of the inflator show that the center
support elongated, split in two, and
ejected from the inflator,81 once again
demonstrating that over-pressurization
caused the rupture. Photos of the
removed upper center support show
that the exit orifice was completely
blocked.82 No further explanation for
this rupture has been advanced by ARC
or GM.
78 See Photos from inspection of MY 2016 Audi
A3 e-Tron rupture.
79 See id.
80 See Email dated Apr. 5, 2023 to NHTSA from
Hurley Medical Center; Photos attached to email
dated Apr. 5, 2023 to NHTSA from Hurley Medical
Center.
81 See Photo 10 from inspection of MY 2017
Chevrolet Traverse rupture; Photo 35 from
inspection of MY 2017 Chevrolet Traverse rupture;
Photo 38 from inspection of MY 2017 Chevrolet
Traverse rupture; Photo 17 from inspection of MY
2017 Chevrolet Traverse rupture.
82 See Photos attached to email dated Apr. 5, 2023
to NHTSA from Hurley Medical Center; Photo 38
from inspection of MY 2017 Chevrolet Traverse
rupture; Photo 36 from inspection of MY 2017
Chevrolet Traverse rupture; Photo 48 from
inspection of MY 2017 Chevrolet Traverse rupture;
Photo 45 from inspection of MY 2017 Chevrolet
Traverse rupture.
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Foreign Field Ruptures
In addition to the seven confirmed
field ruptures in the U.S., there are four
confirmed ruptures of frontal driverand passenger-side hybrid toroidal ARC
inflators that occurred in other
countries. In July of 2016, a driver-side
hybrid toroidal ARC inflator
manufactured in ARC’s Xi’an, China
plant ruptured in a MY 2009 Hyundai
Elantra in Canada.83 The center support
split into two pieces and ejected, a piece
of which struck and killed the driver.84
In October of 2017, a passenger-side
hybrid toroidal ARC inflator
manufactured in ARC’s Knoxville,
Tennessee plant ruptured in a MY 2015
Volkswagen Golf in Turkey.85 The
center support split in two and ejected
from the inflator housing, and
Volkswagen hypothesized that weld
flash blockage of the exit orifice caused
the rupture.86 Fortunately, there was no
passenger in the vehicle, and no one
was injured.87 In March of 2020, a
passenger-side hybrid toroidal ARC
inflator manufactured in ARC’s Xi’an,
China plant ruptured in a 2009 Hyundai
Elantra in Saudi Arabia, sending
fragments of metal into the occupant
compartment.88 The driver sustained
injuries in the incident.89 In October of
2021, a driver-side hybrid toroidal ARC
inflator manufactured in ARC’s Xi’an,
China plant ruptured in a MY 2011
Hyundai Elantra Touring in Saudi
Arabia.90 The center support broke into
two pieces and ejected from the inflator
housing.91 The driver was seriously
injured when a piece of the center
support struck the driver’s arm and had
to be surgically removed.92
83 See Hyundai Report dated Jul. 20, 2016 under
SGO 2015–01/2015–02; Hyundai Letter to NHTSA
dated Apr. 15, 2020 at p. 2.
84 See Hyundai Report dated Jul. 20, 2016 under
SGO 2015–01/2015–02; Hyundai Letter to NHTSA
dated Apr. 15, 2020 at p. 2; Photo 1 from inspection
of MY 2009 Hyundai Elantra rupture; Photo 2 from
inspection of MY 2009 Hyundai Elantra rupture;
Photo 375 from inspection of MY 2009 Hyundai
Elantra rupture.
85 See Key Safety Systems Report dated Dec. 1,
2017 under SGO 2015–01/2015–02.
86 See Photos from inspection of MY 2015
Volkswagen Golf rupture; Volkswagen Presentation
on MY 2015 Volkswagen Golf rupture.
87 See Key Safety Systems Report dated Dec. 1,
2017 under SGO 2015–01/2015–02.
88 See Hyundai Letter to NHTSA dated Apr. 15,
2020 at p. 2.
89 See Hyundai Report dated Mar. 30, 2020 under
SGO 2015–01/2015–02.
90 See Hyundai Report dated Apr. 7, 2023 under
SGO 2015–01/2015–02; Hyundai Report dated May
26, 2023 on Canada Safety Recall R0239 ARC
Inflator.
91 See Information package provided by the Saudi
Ministry of Commerce and Industry.
92 See id.
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4. A Comparison to Peer Inflators
Supports a Defect Determination
While the overall incidence of rupture
is rare, these failures can result and
have resulted in severe injury or death.
As such, and considering the evidence
of problems in the friction welding
process, the subject inflators present a
defect. Moreover, the number of field
ruptures in the United States described
here stands in stark contrast to the near
absence of such occurrences from other
manufacturers of frontal air bag
inflators. In assessing a defect, courts
have considered how the number of
failures compares to the number seen
from other manufacturers particularly in
situations where—unlike here—the
circumstances of failure do not reveal an
obvious defect. See, e.g., Wheels, 518
F.2d at 438 n.84. Such a comparison
further bolsters the conclusion that the
subject inflators are defective.
As previously discussed in section I,
SGOs 2015–01A and 2015–02A require
all manufacturers to report alleged
inflator field ruptures to NHTSA. Out of
all of the field ruptures reflected in
reports received as of July 2024,93
NHTSA identified only one comparable
U.S. field rupture of a non-ARC air bag
inflator, which has resulted in three
recalls.94 The agency recognizes that the
predecessor SGOs, 2015–01 and 2015–
02 (with similar reporting
requirements), were first issued on July
27, 2015. NHTSA believes it likely,
however, that if other alleged ruptures
had occurred before the SGOs’ issuance,
the agency would have been made
aware of them through various
channels. For example, the first Takata
inflator ruptures occurred in 2007–
2008,95 and the first Takata recall was
initiated in 2008, so it is likely that, due
to the publicity, any inflator ruptures
after that time would have been
93 This does not include field ruptures—based on
the agency’s review of these reports and field
incidents—that involved inflators manufactured by
Takata, many of which have long been under recall.
As one commenter asserted (albeit in the context of
discussing how to define the defective population)
it is difficult to make ‘‘direct rate comparisons’’
between the inflators here and those in the Takata
recalls, and the Takata recalls ‘‘have limited
comparative value’’ given, among other things, the
apparent failure mechanisms and the number of
reported deaths and injuries associated with Takata
air bag inflators. Comments of Jay Logel at p. 7 (Dec.
18, 2023).
94 NHTSA Recall Nos. 20V–681, 21V–766, and
21V–800.
95 Approximately 67 million non-desiccated
Takata PSAN air bag inflators, across nineteen
vehicle manufacturers, are under recall because
they may rupture when deployed, causing serious
injury or even death. Certain other types of Takata
inflators are also under recall. For more information
about the Takata air bag inflator recalls, see Takata
Recall Spotlight (NHTSA), https://www.nhtsa.gov/
vehicle-safety/takata-recall-spotlight.
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reported to NHTSA through a
complaint, which is how NHTSA
learned of the subject inflator rupture in
the MY 2002 Chrysler Town &
Country.96
A collection of all SGO reports
involving confirmed ruptures of frontal
driver and passenger air bag inflators
thus yielded a total of eighteen
potentially relevant reports involving
non-ARC inflators. Of these eighteen,
ten of the reported ruptures occurred
outside of the United States. Relative to
the U.S. market, the agency does not
have the requisite depth of information
(e.g., the total inflator population
manufactured for each additional
relevant foreign market) to enable an
effective peer comparison that would
encompass inflators manufactured for
the various foreign markets. In addition,
the considerations relevant to
determining whether a defect exists
under U.S. law may not be the same in
other countries. The foreign ruptures
are, therefore, not included in a
comparison with seven U.S. subject
inflator field ruptures.97
Of the remaining eight ruptures in the
collection of reports, six inflators appear
to be substandard or imitation products
not designed or manufactured to meet
U.S. safety standards or based on the
same industry standards as legitimate
inflators. For this reason, they should
not be used as peer comparators. Of the
remaining two ruptures, one involved
reported damage—scratching—on the
inflator housing that appeared to have
been caused by a tool and not by
deployment or rupture. Further, while
the reporting inflator manufacturer
confirmed a rupture, the reporting
vehicle manufacturer did not.98 Given
that none of the seven ruptures
involving the subject inflators contained
similar evidence, it is inappropriate to
use this event in a comparison.
96 In addition, since 2002, manufacturers have
been required under NHTSA’s early warning
reporting regulations to report on incidents
involving injury or death. See 49 CFR part 579,
subpart C.
97 To the extent any of the foreign field ruptures
evidence a pattern, the agency is taking a closer
look to ensure such trends do not implicate vehicles
or equipment in the U.S.
98 Compare Air Bag Inflator Rupture Incident
Report (Initial & Final), Autoliv (Dec. 2, 2016)
(confirming rupture but noting that ‘‘scratching’’ on
areas of the inflator are ‘‘not consistent with
Autoliv’s quality requirements and the inflator
exhibits damage/scratches inconsistent with normal
deployment or a rupture’’) with Air Bag Inflator
Rupture Incident Report (Final), Nissan (Dec. 20,
2016) (‘‘There is damage on the outside of the
housing which appears to be caused by an external
tool, as evidenced by the multiple witness marks
surrounding the hole in the inflator. Nissan does
not believe that a rupture occurred in this
incident.’’).
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Appropriately filtering the list of
confirmed ruptures of frontal driverand passenger-side air bag inflators to
include true peer incidents, there is
only a single field rupture from all other
inflator manufacturers to compare to the
seven subject inflator field ruptures. As
noted above, that rupture already
resulted in three recalls, and the scope
of vehicles under these recalls is
broader than just a particular lot.
NHTSA is not aware of further ruptures
of that type of inflator, which is
distinguishable from the repeated
ruptures of the subject inflators. After
each lot recall of subject inflators,
another inflator outside the scope of the
recall eventually ruptured in a vehicle,
supporting the need for a more
comprehensive recall to address the full
defective population.
5. ARC’s Addition of an Automated
Borescope Examination Process
Recognizes and Mitigates the Risk of a
Field Rupture Due to Exit Orifice
Blockage
In August of 2017, ARC began adding
an automated borescope to the
manufacturing process.99 After the last
friction weld is complete, the borescope
inspects the inside of the center support
to detect any debris, including weld
flash.100 By June of 2018, ARC had fully
implemented this process by installing
these automated borescopes on all
assembly lines used to manufacture the
subject inflators. ARC rejects any
inflator for which the borescope detects
material or debris in excess of the
specified parameters,101 and, from the
first borescope installation to March
2023, ARC rejected 195,166 inflators
based on the borescope’s inspection.102
The automated borescope
examination process, which detects
excessive weld flash or other debris in
the inflator center support, recognizes
and mitigates the risk of a field rupture
due to exit orifice blockage. The agency
is unaware of a field rupture of a frontal,
driver- or passenger-side hybrid toroidal
inflator manufactured using the
borescope examination process. Thus,
the subject inflators subject to this
initial determination are the inflators
manufactured before the full
implementation of this process change.
The borescope process provides
additional evidence of the likelihood
that problematic levels of debris are
present in the subject inflator
population. Inflators built after the
99 See ARC Presentation dated Oct. 2017 on
Automated Borescope.
100 See id.
101 See id.
102 See ARC Response to Request 8 of NHTSA
May 31, 2023 Special Order.
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borescope process was introduced
continued to otherwise undergo the
same friction welding process as before
the borescope inspection began. This
means that the rejection rates from the
borescope inspections provide insight
into the extent of debris present in the
subject inflators, which were produced
under similar manufacturing
procedures. Before implementation of
the borescope process, there was no
analogous mechanism in place for
detecting—and removing from the
manufacturing line—inflators with
excessive and dangerous levels of
debris.
Moreover, ARC’s representations
during this investigation suggest that the
number of inflators with excessive
debris before 2017 was potentially even
higher than the extent of debris present
in inflators manufactured after
borescope implementation. By 2017,
ARC claims that it had already taken
numerous other steps to update the
manufacturing process for the inflators,
such as upgrading the welding
equipment on several production lines
and refining welding tolerances in
response to field and testing ruptures.103
In this investigation, ARC has claimed
that the manufacturing procedures and
equipment in place by 2017 were
improvements on the procedures and
equipment in place in the preceding
years of inflator production. If so, the
rate of unacceptable inflators due to
debris as revealed by the borescope
inspections likely would have been
even higher for inflators built during the
years in which the manufacturing
processes were less stringent. At the
very least, the nearly 200,000 inflators
rejected between the start of the
borescope implementation process and
March 2023 corroborate the other
evidence from analyses of the field
ruptures and lot acceptance testing
ruptures that suggests a large number of
inflators in the subject population
contain unacceptable levels of debris,
posing a risk of rupture.
6. The Field and LAT Ruptures Show a
Defect Common to All of the Subject
Inflators
The evidence demonstrates that the
friction welding process is responsible
for debris and weld insufficiencies,
which have led to over-pressurization
and weld failures, causing ruptures. The
seven confirmed ruptures of the subject
inflators in vehicles in the United States
each presented evidence of overpressurization or weld insufficiency as
a likely cause of the rupture. In
103 See, e.g., ARC Working Group Meeting
Minutes dated Dec. 5, 2017.
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addition, at least twenty-three of the
reported lot acceptance test ruptures
share over-pressurization or weld
insufficiency commonalities with the
seven field ruptures. These instances of
over-pressurization and weld
insufficiency are linked to the friction
welding process.
As described in section II.A.3, ARC
and GM identified problems with one of
the friction welds in their analyses of
the rupture of the MY 2011 Chevrolet
Malibu inflator, attributing the rupture
as most likely caused by a failure of the
friction weld.104 ARC reiterated the
cause of the rupture as a ‘‘welding
issue’’ in its response to the agency’s
September 2023 initial decision.105 In
six of the subject inflator ruptures that
occurred during lot acceptance tests,
ARC identified similar issues related to
the same friction weld, again noting that
friction weld failure as a potential
causes of the ruptures.106 In addition,
the investigative file contains significant
evidence that the friction welding
process has led to exit orifice blockage,
causing over-pressurization and rupture.
Information gathered in three of the U.S.
field incidents includes evidence of
material in the exit orifice: photos of the
upper portion of the center support in
the MY 2002 Chrysler Town & Country
show an unmistakable blockage in the
exit orifice; 107 photos of the upper piece
of the center support in the MY 2015
Chevrolet Traverse in Kentucky show
material blocking the exit orifice; 108 and
photos of the upper portion of the center
support in the MY 2017 Chevrolet
Traverse show that the exit orifice was
completely blocked.109 Exit orifice
104 See
ARC Presentation dated Mar. 21, 2019 on
MY 2011 Chevrolet Malibu rupture at p. 4; GM
Presentation dated Jan. 29, 2019 on MY 2011
Chevrolet Malibu rupture at p. 3.
105 See Written Response of ARC Automotive, Inc.
to the September 5, 2023, Initial Decision Docket
No. NHTSA–2023–0038 at p. 32, https://
www.regulations.gov/comment/NHTSA-2023-00380027 at n. 31.
106 See ARC Presentation dated Oct. 17, 2016 on
SGO 2016–01/2017–01 Report 3 at pp. 14–16; ARC
Report dated Nov. 4, 2016 under SGO 2016–01/
2017–01 Report 5 pdf at p. 2; ARC Report dated
Nov. 9, 2016 under SGO 2016–01/2017–01 Report
8 at p. 2; ARC Presentation dated Nov. 7, 2016 on
SGO 2016–01/2017–01 Report 12 at slides 39–40;
ARC Report dated Dec. 12, 2016 under SGO 2016–
01/2017–01 Report 13; ARC Report dated Dec. 12,
2016 under SGO 2016–01/2017–01 Report 18; ARC
Presentation dated Feb. 8, 2017 on A9/ZB Model
Inflators at pp. 2–3; ARC Presentation dated May
14, 2017 on SGO 2016–01/2017–01 Report 20 at
slides 27–30; ARC Report dated Dec. 14, 2016 under
SGO 2016–01/2017–01 Report 22 at p. 2.
107 See id.
108 See id. at p. 3.
109 See Photos attached to email dated Apr. 5,
2023 to NHTSA from Hurley Medical Center; Photo
38 from inspection of MY 2017 Chevrolet Traverse
rupture; Photo 36 from inspection of MY 2017
Chevrolet Traverse rupture; Photo 48 from
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blockage remains a possible cause based
on the evidence for three other
incidents—the MY 2004 Kia Optima,
the MY 2015 Chevrolet Traverse in
Michigan, and the MY 2016 Audi A3 eTron. In addition, Volkswagen
attributed weld flash blockage leading to
over pressurization as a potential cause
for the inflator rupture in the MY 2015
Volkswagen Golf in Turkey.
Other data support exit orifice
blockage as a common factor in these
ruptures. In May of 2017, a group of
manufacturers involved in the
investigation that has been described as
the ‘‘Collaboration Group’’ joined
together to study the subject inflators.
The Collaboration Group analyzed
fourteen reports submitted pursuant to
SGOs 2016–01 and 2017–01 of
passenger-side hybrid toroidal inflator
ruptures during lot acceptance test
deployments and conducted related
testing. The Collaboration Group
concluded that all fourteen ruptures
were caused by over-pressurization; in
all fourteen incidents, the center
support elongated, split in two, and
ejected from the inflator housing; and,
in all fourteen incidents, the upper
portion of the center support had
material in the exit orifice, witness
marks around the exit orifice (indicating
debris was forced into the exit orifice
upon deployment but was subsequently
knocked loose), or other evidence of exit
orifice blockage or obstruction.110 ARC
has acknowledged the exit orifice
blockage issue by implementing changes
in its Failure Mode and Effects Analysis
(FMEA) 111 and manufacturing process
inspection of MY 2017 Chevrolet Traverse rupture;
Photo 45 from inspection of MY 2017 Chevrolet
Traverse rupture.
110 See ARC Presentation dated Feb. 8, 2017 on
SGO 2016–01/2017–01 Report 4; ARC Presentation
dated Dec. 8, 2016 on Inflator Incidents Update at
p. 17; ARC Presentation dated Jan. 10, 2017 on SGO
2016–01/2017–01 Report 39; ARC Presentation
dated Mar. 9, 2017 on ZC Anomaly; ARC
Presentation dated Apr. 1, 2017 on SGO 2016–01/
2017–01 Report 80; ARC Presentation dated Apr. 1,
2017 on SGO 2016–01/2017–01 Report 94; ARC
Presentation dated Apr. 5, 2017 on SGO 2016–01/
2017–01 Report 95; ARC Presentation dated Nov.
10, 2017 on SGO 2016–01/2017–01 Report 120;
ARC Presentation dated Apr. 5, 2017 on SGO 2016–
01/2017–01 Report 130; ARC Presentation dated
Nov. 10, 2017 on SGO 2016–01/2017–01 Report
158; ARC Presentation dated Nov. 10 2017 on SGO
2016–01/2017–01 Report 176; ARC Presentation
dated Nov. 8, 2017 on SGO 2016–01/2017–01
Report 178; ARC Presentation dated Nov. 10 2017
on SGO 2016–01/2017–01 Report 184; ARC
Presentation dated Nov. 10 2017 on SGO 2016–01/
2017–01 Report 186; ARC Presentation dated Nov.
10 2017 on SGO 2016–01/2017–01 Report 192.
111 In general, a Failure Mode and Effects
Analysis is a qualitative tool associated with the
design and manufacturing process that businesses
use to identify and analyze potential failures in
processes, such as those involving equipment,
systems, and personnel. The goal of this analysis is
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to mitigate it.112 In fact, ARC
implemented the automated borescope
to identify excessive weld flash and
other debris inside the inflator on all of
its toroidal air bag inflator
manufacturing lines as a direct response
to the Collaboration Group’s findings.113
The borescope inspection process has
identified unacceptable levels of debris
in inflators produced on all ARC
production lines using friction welding
to manufacture hybrid toroidal inflators,
which include 20 different production
lines across five different ARC
manufacturing plants. This extensive
range illustrates that problems with
excessive debris apply broadly across
the subject inflators.
Some commenters suggested that the
results of a field recovery program
conducted by certain manufacturers
during NHTSA’s investigation show
there is no defect in the subject inflator
population. This program was initiated
in the early stages of the investigation
during the Preliminary Evaluation.
During the field recovery program, 918
inflators from a subpopulation of the
total subject inflator population were
collected from salvage yards and
deployed, with none of the inflators
rupturing. Given the fact that this
testing program was developed after just
the first two U.S. field ruptures (the MY
2002 Chrysler Town & Country and the
MY 2004 Kia Optima), the inflators
tested represent a limited portion of the
total subject population. They were
selected based on (1) production date,
with the vast majority being
manufactured between 2001 and 2004,
and (2) the vehicles into which the
inflators were incorporated, which were
Chrysler, Kia, and GM vehicles.114 As
such, the overall number of inflators
recovered and deployed under the field
recovery program was low compared to
what ultimately became the total
number of inflators in the subject
population. While there were no
ruptures under the field recovery
program, ruptures in the field
continued: after the program’s initiation,
there were five additional U.S. ruptures
of the subject inflators.
The field recovery program
confirmed, however, that some inflators
in the field contain large amounts of
debris. Prior to their deployment, the
recovered inflators underwent X-ray
imaging and, in some cases, CT
to prevent failures, improve processes, and reduce
the likelihood of failure causes and effects.
112 See ARC Presentation dated Apr. 5, 2017 on
SGO 2016–01/2017–01 Report 95 at p. 86.
113 See ARC Working Group 8D Technical Closure
Statement at p. 1.
114 See Field Recovery Program Data Sheet dated
May 10, 2018.
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scanning to determine whether debris
intruded upon the exit orifice
opening.115 Seven of the recovered
inflators were identified as containing
such debris, including from weld
flash.116 All of those inflators deployed
normally, which is consistent with the
large number of complex variables that
may factor into whether debris in the
inflator leads to over-pressurization.
The existence of this debris around the
exit orifice of inflators in the field
demonstrates the prevalence of this
issue in the subject inflator population.
ARC’s own failure analysis
throughout the investigation has also
indicated that, even if the company has
been unable to identify the full universe
of variables that can lead to a rupture,
the commonalities in the failures are
sufficient to reveal the nature of the
problem—including the failure mode
and the aspects of the inflator design
and welding process most likely to
contribute to it. In 2016, ARC was even
able to conduct testing that replicated
four ruptures out of 50 deployments.117
In doing so, ARC identified five
manufacturing variables in the assembly
process that, when out of limits,
appeared to contribute to the likelihood
of a rupture.118 ARC’s fault trees and
failure mode effects analyses similarly
isolate the specific steps in the
manufacturing process most likely
relevant to the ruptures. The existence
of factual differences or different
variables that led to the ruptures does
not establish that the ruptures lacked a
common defect.
Outside of this investigation, ARC has
openly acknowledged the problems
with its friction welding process that
have led to the defect NHTSA seeks to
remedy. For instance, in representations
to the United States government outside
of this investigation, ARC has
acknowledged that the ‘‘problematic’’
characteristics of the subject inflators
are not limited to isolated production
lots. Specifically, in a patent application
filed with the United States Patent and
Trademark Office in 2020, ARC
requested a patent on an improved air
bag inflator design. When explaining the
background of existing designs that
prompted the need for an improved
115 See ARC Inspection Procedure and Evaluation
dated Feb. 28, 2017.
116 See Field Recovery Program Deployment Data
Sheet; ARC Presentation dated Aug. 1, 2017 on
Field Recovery Program.
117 See ARC Presentation on Design of
Experiment #5.
118 Id. Additional efforts in 2017 to replicate the
failure mode in a more precise manner were
unsuccessful, further indicating that different
variables may combine to contribute to the risk of
rupture. See ARC Working Group Meeting Minutes
dated Feb. 13, 2018.
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design, ARC’s application represented
that ‘‘[s]ome existing inflator assemblies
utilize a center support structure that
requires two simultaneous welds, which
is problematic in respect of
manufacturing and also increases the
potential for weld particles to exit the
inflator upon deployment. Existing
designs have also been configured to
fragment during deployment as a
consequence, in the event of excessive
pressure increase within the inflator due
to some failure or external condition or
the like, these existing inflator designs
can be potentially hazardous for vehicle
occupants.’’ 119
The claimed improvements to
mitigate these problems with prior
inflators focused on the precise aspects
of the inflator that are at issue in
NHTSA’s proceeding. Specifically, ARC
intentionally redesigned its inflator in a
way that would avoid the friction
welding process that caused problems
for the subject inflator, such as the step
of simultaneously friction welding the
top and bottom of the inflator housing
to the center support.120 As ARC
explained in the patent application,
‘‘[t]he described inflator also eliminates
the requirement for simultaneous welds,
which facilitates manufacturing and
reduces potential weld particles.’’ 121 In
addition, the redesigned inflator
included a pressure relief valve to create
a failure mode that would avoid rupture
if over pressurization occurred.122 These
representations and redesign efforts
demonstrate that, at the same time ARC
was insisting in the NHTSA
investigation that the subject inflators
were neither defective nor inappropriate
in their performance, the company was
actively trying to correct the problems
with its inflators and conceding the
existence of those problems to another
agency in the United States government.
Ignoring the evidence of a common
defect attributable to the friction
welding process, certain commenters
have nevertheless argued that there is,
as of yet, no definitive, established ‘‘root
cause.’’ 123 While comments from two
119 U.S. Pat. App. Pub. No. 2022/0185224 A1 to
Rose et al., at ¶¶ 0005–06.
120 For the subject inflators, ARC refers to this
step of the manufacturing process as Operation 50
for the driver-side inflator and Operation 42 for the
passenger-side inflator. See, e.g., ARC Presentation
on CADH Inflator Design.
121 U.S. Pat. App. Pub. No. 2022/0185224 A1 to
Rose et al., at ¶ 0047.
122 ‘‘The inflator also advantageously includes a
pressure relief in the event of an elevated system
internal pressure without any rupture of the
inflator.’’ Id.
123 See, e.g., Comments of Kia America Inc. at pp.
1–2; Written Comments of General Motors LLC at
p. 13; Comments from Hyundai Motor America at
pp. 2, 20; Public Comment Submitted by Jacqueline
Glassman at p. 10 (stating that while the root cause
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individuals supported NHTSA’s
identification of weld-flash evidence 124
common to several of the ruptures, other
commenters incorrectly suggested that,
to establish a defect here, NHTSA must
identify a more specific cause that is
identical in each of the failures. Some
of these comments hinge, at least in
part, on the notion that a specific root
cause of the defect in the Takata air bag
inflators had been identified.125 For
example, Hyundai asserted that the
agency’s September 2023 initial
decision was ‘‘entirely inconsistent with
its decision-making in the Takata case,’’
citing in part a consensus root cause at
the time of the Takata recall request
letter.126 Whether a particular recall had
an identified cause before or at the time
it was filed does not establish that such
a particularized root cause is a
requirement for a recall. It is not.127A
‘‘ ‘defect’ includes any defect in
performance, construction, component,
or material of a motor vehicle or motor
vehicle equipment.’’ 49 U.S.C.
30102(a)(3) (emphasis added).
Accordingly, ‘‘a determination of
‘defect’ does not require any predicate
‘‘may not necessarily be a prerequisite to
understanding that there is a safety related defect,’’
there must ‘‘be some meaningful relationship in
order to infer that the underlying problem is a
‘class-wide’ problem.’’).
This is despite the years of analysis the industry
has undertaken during the agency’s investigation.
The agency does not believe that it is either
necessary or appropriate to allow for additional
time for such analysis.
124 See John Keller P.E., Comments on NHTSA’s
Initial decision to Declare ARC Automotive
Toroidal Airbag Inflators Defective (Dec. 6, 2023) at
p. 1; Jerry W. Cox, Esq., Comments in Support of
the National Highway Traffic Safety
Administration’s Initial Decision to Declare 52
Million ARC Automotive Airbag Inflators Defective
at p. 2.
125 Commenters appear to overstate NHTSA’s
reliance on the Takata recalls as a basis for the
initial decision here. Takata was discussed
essentially twice in the initial decision: in a section
providing general background on air bags and in
another providing background on the agency’s past
practices regarding recall request letters. NHTSA’s
references to Takata in the initial decision were
made to provide context on recalls involving
inflator ruptures and not as a particularized
substantive argument.
126 In fact, NHTSA’s recall request letter to Takata
makes clear that the agency believed that multiple
variables could result in propellant degradation,
which caused ruptures. Letter from F. Borris,
NHTSA, to K. Higuchi, TK Holdings Inc. (Nov. 26,
2014), https://static.nhtsa.gov/odi/inv/2014/INRMPE14016-60978.pdf (describing high absolute
humidity as one variable, but explaining that other
ruptures occurred outside areas of high absolute
humidity). That is also the case here, where the
evidence points to multiple variables that may
result in over pressurization, causing rupture.
127 Pointing to the specific facts in the Takata
recalls as precedent for necessary elements to order
a recall, among other things, ignores that each recall
is fact specific—and suggests, incorrectly, that the
agency must match the bases for the Takata recalls
to order a recall here.
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of a finding identifying engineering,
metallurgical, or manufacturing failures.
A determination of ‘defect’ may be
based exclusively on the performance
record of the vehicle or component.’’
Wheels, 518 F.2d at 432 (emphasis
added); see also United States v.
General Motors Corp., 841 F.2d 400, 413
(D.C. Cir. 1988) (explaining that a defect
can be established by the performance
record alone and does not require an
engineering explanation).128 A nondefective inflator does not rupture when
it is commanded to deploy, absent some
extraordinary circumstance such as
tampering.129 The repeated ruptures of
the subject inflators would not have
occurred absent a defect.130
Manufacturers’ arguments related to a
‘‘root cause’’ finding are inconsistent
with their legal obligations and actions
they have taken pursuant to those
obligations. Under the Safety Act, a
manufacturer is required to initiate a
recall once it ‘‘learns the vehicle or
equipment contains a defect and
decides in good faith that the defect is
related to motor vehicle safety.’’ 49
U.S.C. 30118(c)(1). It is common for the
industry to recognize obvious defects
without identifying a specific cause
when, based on the performance record,
they present a severe risk to safety.131
128 It is well established that a safety defect
determination does not require an engineering
explanation or root cause. See NHTSA Enforcement
Guidance Bulletin 2016–02: Safety-Related Defects
and Automated Safety Technologies, 81 FR 65705,
65708 (Sept. 23, 2016).
129 See NHTSA, Special Crash Investigations: OnSite Air Bag Inflator Rupture Crash Investigation;
Vehicle: 2009 Honda Civic; Location: Maryland;
Crash Date: September 2017 (June 2020), https://
crashstats.nhtsa.dot.gov/Api/Public/Publication/
812972 (explaining, in investigation into ruptured
inflator, that ‘‘[t]he wiring harness for the driver’s
frontal air bag inflator had been tampered with
since the vehicle’s date of manufacture’’).
130 In much of the prior litigation under Safety
Act the issue of whether there was a defect was not
in question, in part due to the obvious nature of the
defect. See, e.g., United States v. General Motors
Corp., 561 F.2d 923, 924 (D.C. Cir. 1977) (‘‘Pitman
Arms’’); United States v. Ford Motor Co., 453 F.
Supp. 1240, 1249 (D.D.C. 1978).
131 See Defect Notices, NHTSA Recall Nos. 23V–
867 (In describing the cause of the defect that ‘‘may
lead to thermal overload, possibly resulting in
smoke or a fire,’’ Volkswagen stated that ‘‘[t]he root
cause is still under investigation, but the risk is
associated with the battery modules exhibiting the
potentially critical self-discharge behavior.’’); 23V–
840 (In its description of the cause of a defect that
‘‘can lead to thermal events and in some cases
fires,’’ Porsche states that ‘‘[t]he root cause is still
under investigation.’’); 23V–369 (JLR provides
‘‘NR,’’ commonly understood to mean ‘no
response,’ to describe the cause of a ‘‘thermal
overload’’ condition that ‘‘may show as smoke or
fire’’ and ‘‘can result in increased risk of occupant
injury.’’); 23V–626 (In determining a defect exists
that can ‘‘result in a loss of motive power,’’ Ford
identified one contributing factor but stated that ‘‘a
second factor must be present or induced,’’ and that
‘‘[t]his factor is still unknown and under
investigation.’’); 24V–099 (For a defect affecting
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Related to air bags in particular,
manufacturers have recalled inflators
susceptible to rupture without
identifying the type of particularized
cause demanded by the commenters.132
In fact, ARC and other manufacturers
have done so here. For example, BMW,
GM, and Volkswagen initiated recalls
without identifying a cause based on the
severity of the risk as shown by one
rupture.133 ARC acknowledged that it
has ‘‘supported targeted recalls by
vehicle manufacturers related to field
ruptures and production lots with an
identified potential risk of defect.’’ 134
These actions are consistent with a
manufacturer’s obligations under the
Safety Act to recall vehicles when it
decides a defect related to motor vehicle
safety exists. The Safety Act does not
allow a manufacturer to evade or delay
a recall because it has not identified a
specific ‘‘root cause.’’ NHTSA routinely
takes enforcement actions against
manufacturers for failure to timely make
recall determinations, including where
the lack of an identified root cause
contributed to the delay.135
seatbelt function that ‘‘may result in injury in the
event of a crash,’’ Ford attributed the issue to
corrosion ‘‘caused by an undefined supplier
manufacturing issue.’’); and 24V–418 (For a defect
resulting in seatbelts becoming ‘‘unavailable as an
occupant restraint’’ and resulting in ‘‘an increased
risk of injury if the vehicle is involved in a crash,’’
GM describes the cause as ‘‘[t]wo internal
components’’ that ‘‘may be slightly our of
dimensional specifications’’ but does not explain
how the components came to be out of
specifications.)
132 See Defect Notice, NHTSA Recall No. 16V–045
(‘‘The cause is yet not determined. Takata and
Volkswagen are still under investigation of the root
cause.’’).
133 See Defect Notices, NHTSA Recall Nos. 17V–
189 (‘‘The root cause has not yet been determined
and is still under investigation.’’); 19V–019
(providing no response (‘‘NR’’) as to the description
of the cause); 21V–782 (providing no response
(‘‘NR’’) as to the description of the cause); 22E–040
(‘‘GM’s investigation has not identified the specific
root cause of the LAT rupture’’); 22V–246
(providing no response (‘‘NR’’) as to the description
of the cause); 22V–543 (‘‘The root cause is currently
unknown . . . .’’). Even in GM’s most recent ARCrelated recall, which it no longer sought to limit to
a specific production lot, it indicated as to cause
that ‘‘GM is continuing its investigation into this
incident.’’ See Defect Notice, NHTSA Recall No.
23V–334.
134 See Written Response of ARC Automotive, Inc.
to the September 5, 2023, Initial Decision Docket
No. NHTSA–2023–0038 at p. 20, https://
www.regulations.gov/comment/NHTSA-2023-00380027.
135 See, e.g., Consent Order between NHTSA and
Daimler Trucks North America, LLC, In re: AQ18–
002 ¶ 29 (Dec. 29, 2020), https://www.nhtsa.gov/
sites/nhtsa.gov/files/documents/aq18-002_consent_
order_executed.pdf (‘‘DTNA acknowledges that the
failure to identify a specific root cause, develop an
adequate repair or remedy, or confirm the affected
population of vehicles are not bases for delaying the
identification of a defect or noncompliance, the
determination of whether a defect related to motor
vehicle safety, or the timely reporting a defect or
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Commenters’ arguments regarding
root cause also ignore the evidence of a
common defect collected during
NHTSA’s investigation and described
above in this section and II.A.2–3 & 5.
The evidence indicates that problems
related to friction welding can lead to
both over-pressurization due to exit
orifice blockage and insufficient friction
welds. All of the field ruptures and a
majority of the lot acceptance test
ruptures share these commonalities.
The evidence collected in NHTSA’s
investigation establishes that the subject
inflators have an unacceptable risk of
rupturing. Therefore, the entire subject
inflator population is defective and
must be recalled. As demonstrated by
past ruptures, the occurrence of a
rupture is unpredictable. Ruptures have
occurred outside of narrower inflator
populations previously identified by the
manufacturers to be the defective
population. There is substantial
evidence tying the defect to the friction
welding process, and this process was
used across all manufacturing lines and
plants that produced the subject
inflators. After multiple years of
thorough investigation and analysis, the
evidence does not identify another
element linking the ruptures. As such,
the subject inflator population
identified in this decision is the
narrowest defective population
supported by the evidence.
ARC claims the subject inflator
population is too broad due to
variations in design and manufacturing
of the subject inflators. Similarly, other
commenters have pointed out these
variations and assert that certain
subpopulations of the subject inflators
should be excluded from the scope of a
recall, e.g., passenger-side subject
inflators and subject inflators installed
in certain makes and models. Despite
years of comprehensive analysis,
NHTSA has found no design or
manufacturing evidence that shows
these subpopulations are less
susceptible to rupture. In addition to the
field rupture of a passenger-side
inflator, passenger-side inflators also
ruptured in fourteen lot acceptance
tests. While NHTSA recognizes there
may be practical and logistical
challenges to implementing a recall for
the full defective population, these
noncompliance to NHTSA.’’); Consent Order
between NHTSA and General Motors Company, In
re: TQ14–001 ¶ 24 (May 16, 2014), https://
www.nhtsa.gov/sites/nhtsa.gov/files/2021-11/TQ14001-General-Motors-Consent-Order-5-6-2014tag.pdf (‘‘GM shall not delay holding any meeting
. . . to decide whether or not to recommend or.
conduct a safety recall because GM has not yet
identified the precise cause of a defect, a remedy
for the defect, or prepared a plan for remedying the
defect.’’).
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concerns do not warrant a narrower
scope. Under the Safety Act,
unreasonable risks cannot be
countenanced simply because of
logistical challenges that may be
involved in remedying them.
None of the manufacturers have
provided compelling technical evidence
that connects any of these variations to
the defect or to a particular subset of
inflators that rebuts the need to recall
the subject inflators, ‘‘[a]nd there is
justice in this allocation to the
manufacturer[s] of the burden of
compiling significant data on the causes
and consequences of mishaps in [their]
cars.’’ United States v. General Motors
Corp., 561 F.2d 923, 931 (D.C. Cir. 1977)
(‘‘Pitman Arms’’). And contrary to
Hyundai’s comment that there is ‘‘little
downside’’ for the agency to ‘‘complete
the necessary investigation and make a
rational judgment as to whether’’ and to
what extent a recall is needed, there is
already sufficient evidence that the full
population of subject inflators is
defective. There is significant
‘‘downside’’ at this point to further
investigation in lieu of a recall.136
Absent a recall, vehicle owners are not
notified of the defect or entitled to have
it addressed when a remedy is available.
NHTSA has, accordingly, initially
determined that the full population of
subject inflators is defective.
B. The Defect Is Related to Motor
Vehicle Safety
NHTSA has also preliminarily
concluded based on the available
evidence that the defect in the subject
inflators (as described in section II.A) is
related to motor vehicle safety because
a risk of inflator rupture presents an
unreasonable risk of death or injury in
the event of an accident. It is
undisputed that rupturing inflators have
forcefully propelled pieces of metal at
occupants, resulting in grave,
permanent injuries and death. Future
rupture events likely would have
similar outcomes. An air bag’s lifesaving purpose also has bearing on the
unreasonableness of this defect.
The Safety Act defines ‘‘motor vehicle
safety’’ as ‘‘the performance of a motor
vehicle or motor vehicle equipment in
a way that protects the public against
136 Hyundai also noted that ‘‘no other country
with a similar safety recall legal framework’’ has
required a recall for the subject inflators. There are
seven confirmed U.S. ruptures of the subject
inflators, and over 20 million fewer ARC inflators
were distributed globally (across all countries) than
to the U.S. In any case, NHTSA’s action is based
on U.S. law. NHTSA is not bound by other
jurisdictions and their respective authorities and is
making this decision based on the facts before it (all
of which may, or may not, be available to other
jurisdictions).
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unreasonable risk of accidents occurring
because of the design, construction, or
performance of a motor vehicle, and
against unreasonable risk of death or
injury in an accident and includes
nonoperational safety of a motor
vehicle.’’ 49 U.S.C. 30102(a)(9). The
statute does not further define what
constitutes an ‘‘unreasonable risk.’’
Based on the ordinary meaning of that
term, the high severity of an inflator
rupture coupled with the inability of a
vehicle owner or occupant to detect that
the rupture will occur or otherwise
mitigate the risk warrants a finding that
the risk is unreasonable despite the low
probability that a rupture will occur
when the inflator is commanded to
deploy.
In considering this issue, courts have
found that an assessment of whether a
risk is unreasonable requires a
‘‘ ‘commonsense’ approach.’’
Carburetors, 565 F.2d at 757. The most
obvious, or ‘‘commonsense,’’
consideration in this assessment is, of
course, the safety risk itself. A defect
that ‘‘leads to failures in a vital
component . . . is prima facie an
‘unreasonable risk.’ ’’ Pitman Arms, 561
F.2d at 929. In other words, there is ‘‘no
question’’ that a risk of an ‘‘extremely
dangerous’’ situation ‘‘should be
considered an unreasonable risk to
safety.’’ Carburetors at 757. If the risk is
sufficiently severe, even an
‘‘exceedingly small’’ or ‘‘negligible’’
number of expected incidents is
‘‘unreasonably large.’’ Id. at 759.137 This
is so regardless of whether any injuries
have already occurred, or whether the
projected number of failures or injuries
in the future is trending down. See id.
Courts have also considered certain
particularly severe defects to be ‘‘per se’’
safety-related defects regardless of how
many injuries or accidents are likely to
occur in the future. These decisions
have involved defects that cause the
failure of a critical component, a vehicle
fire, a loss of vehicle control, and a
137 Commenters asserted that NHTSA did not use
or follow risk matrices used by NHTSA’s Office of
Defects Investigation (ODI). NHTSA’s risk matrices
are not recall-determination tools. Rather, the
matrices are used ‘‘[t]o assist in objectively
evaluating whether a potential defect issue should
be advanced to the next stage for an
investigation. . . . ODI uses these matrices as
deliberative tools to assist in evaluating the risk
posed by a potential defect and identifying issues
that should be elevated to an investigation.’’ RiskBased Process for Safety Defect Analysis and
Management of Recalls, DOT HS 812 984 (Nov.
2020), https://www.nhtsa.gov/sites/nhtsa.gov/files/
documents/14895_odi_defectsrecallspubdoc_
110520-v6a-tag.pdf. NHTSA decided back in 2015
that this issue warranted investigation under its
risk-based processes. Further, ODI’s risk matrices
and their application are not binding on NHTSA or
any outside entity, and they are not ‘‘guidance’’;
they are a tool for ODI personnel.
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defect that suddenly moves the driver
away from the steering wheel,
accelerator, and brake controls. See
Carburetors, 565 F.2d 754 (engine fires);
Pitman Arms, 561 F.2d 923 (loss of
control); United States v. Ford Motor
Co., 453 F. Supp. 1240 (D.D.C. 1978)
(‘‘Wipers’’) (loss of visibility); United
States v. Ford Motor Co., 421 F. Supp.
1239, 1243–44 (D.D.C. 1976)
(‘‘Seatbacks’’) (loss of control); see also
NHTSA, Motor Vehicle Safety Defects
and Recalls: What Every Vehicle Owner
Should Know, available at https://
www.nhtsa.gov/sites/nhtsa.gov//
documents/14218-mvsdefects
andrecalls_041619-v2-tag.pdf
(providing examples of safety-related
defects, including ‘‘[a]ir bags that
deploy under conditions for which they
are not intended to deploy’’ and
‘‘[c]ritical vehicle components that
break, fall apart, or separate from the
vehicle, causing potential loss of vehicle
control or injury to people inside or
outside the vehicle’’).
1. The Risk Posed by an Inflator Rupture
Is Severe
Here, there is no question that an
inflator rupture presents an extreme
danger. As already described, a rupture
turns a component with the sole
purpose of preventing serious injury
and death into a device that can cause
serious injury or death; the defect
simultaneously undermines the
component’s life-saving purpose and
introduces a life-threatening danger. To
reiterate, the consequences of these
ruptures thus far include lacerations to
the legs, harm to the jaw and ear, severe
injuries to the face, neck, head,
shoulder, and arm, injury to the airway
requiring a tracheostomy, and death.
Commonsense dictates that the defect
here poses an unreasonable risk. See
Carburetors, 565 F.2d at 757–59.
Even if a vehicle occupant is fortunate
enough not to be struck by the metal
fragments ejected out of the inflator
upon a rupture, the rupture also
undermines the intended effectiveness
of the air bag in protecting an occupant
in a crash. An air bag is designed to
deploy in a precise manner under very
strict timeframes. Over the course of
milliseconds, numerous vehicle systems
working in tandem must perform a
multitude of functions in a particular
order to ensure that the airbag protects
the occupant.138 An air bag inflator is a
138 Such functions include but are not limited to
detecting an impact, classifying the impact as
severe enough to warrant an air bag deployment,
understanding the likely positioning of the vehicle
occupant based on the occupant’s seating position
and seatbelt status, commanding deployment of the
air bag at a specified inflation rate to match the
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critically important component in this
sequence as it is responsible for
ensuring that an air bag inflates a
precise amount at a precise time in
order to be in the right position when
it meets the vehicle’s occupant. When
an inflator ruptures, the pressure
accumulating in the inflator to is
suddenly released, resulting in a
complete disruption of the tightly
controlled gas flow intended for the
inflator.139 This disrupts the air bag
inflation timing, undermining the air
bag’s ability to perform its intended
safety function. Thus, even apart from a
rupture’s dangerous explosion of metal
fragments towards a vehicle occupant,
the rupture deprives a vehicle occupant
of the benefit of an air bag.140
Manufacturers have issued recalls to
address the increased safety risk to
vehicle occupants when air bags do not
properly inflate.141
Hundreds of recalls are issued each
year for safety-related defects. In 2023
alone, there were nearly 800 such
vehicle recalls. The vast majority of
these recalls were uninfluenced by a
NHTSA investigation.142 The nature of
the defects and potential consequences
ranged widely. While some involved
fire risks or loss of vehicle control (and
certain such recalls were accompanied
by a ‘‘do not drive’’ advisory), others
involved a variety of components and
other potential consequences: sun visors
that may detach (may distract or
obstruct view); aluminum siding that
may detach from a trailer; incorrectly
assembled door latches that may allow
the door to open unexpectedly during
operation; incorrectly installed
headlights (reducing visibility); and
detached rearview mirror lenses
(reducing visibility).143 When viewed
occupant’s expected position, and reaching a level
of air bag inflation necessary for the cushion of the
air bag to reduce the expected crash forces. This is
a very complex dynamic in which numerous lifecritical systems are interdependent and all
components must perform exactly as intended to
protect the vehicle occupants.
139 This release causes the gas flow rate into the
air bag to suddenly spike before dramatically
dropping as the inflator’s pressure equalizes with
the ambient air.
140 During the investigation, both ARC and at
least one vehicle manufacturer acknowledged that
the rupture of one of the subject inflators could
cause an air bag to underinflate. See ARC
Presentation dated Mar. 1, 2016 on MY 2004 Kia
Optima Rupture; Hyundai Letter to NHTSA dated
Apr. 15, 2020.
141 See NHTSA Recall Nos. 12V–055 and 01V–
318.
142 NHTSA 2023 Annual Report: Safety Recalls
(Mar. 2024), available at https://www.nhtsa.gov/
sites/nhtsa.gov/files/2024-03/NHTSA-2023-AnnualRecalls-Report_0.pdf. ‘‘Uninfluenced’’ recalls are
recalls issued by a manufacturer not influenced by
NHTSA investigation into the issue.
143 See NHTSA Recall Dashboard, https://
datahub.transportation.gov/Automobiles/NHTSA-
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broadly against the backdrop of the
hundreds of recalls issued each year for
various types of components and
attendant consequences, the severity of
an inflator rupture—where the
consequence of the defect is the
projection of shrapnel into the occupant
compartment—is extreme. The latent
nature of the defect further exacerbates
its severity. This defect cannot be
discerned by a diligent vehicle owner or
even as the result of an inspection. The
defect only becomes apparent upon a
deployment but, by then, the danger has
already manifested. As a result, this
defect provides no opportunity for a
driver to take any mitigating actions
absent a recall—either ahead of
manifestation of the defect, or when the
defect manifests.
The air bag inflator industry itself has
long recognized the severity of the risk
posed by an inflator rupture and the
importance of preventing it. The United
States Council for Automotive Research
(USCAR) has published specifications
establishing performance and validation
requirements for air bag inflators. These
requirements include assurance against
certain behaviors in the event of an
inflator rupture, which USCAR refers to
as a burst. The specifications provide a
testing procedure to confirm the
structural integrity of an inflator,
instructing the tester to block any exit
orifices and increase the pressure until
the inflator ruptures.144 This test is to
ensure that ‘‘[a]n Inflator shall not eject
any components or fragments during
any portion of [design validation] and
[production validation] testing.’’ 145 In
the event of a rupture, any separation
must be ductile and ‘‘the inflator shall
not fragment or eject any part of the
structural components.’’ 146
ARC’s own design practices similarly
recognize that inflator ruptures present
an unacceptable level of risk. Similar to
the USCAR specifications described
above, ARC’s own internal mistake
proofing protocol acknowledged that it
was critical during the Operation 50
step of the manufacturing process to
ensure that ‘‘no vent orifice or weld
flash blockage’’ occurred.147 This is
because ARC recognized that if those
conditions exist, ‘‘[t]he inflator can
‘‘over pressurize and result in parts
Recalls-by-Manufacturer/mu99-t4jn; Recall Nos.
23V–781, 23V–612, 23V–373, 23V–650, 23V–856.
The recall dashboard is a user-friendly platform that
can be used to sort, filter, visualize, and export
recall data.
144 USCAR Inflator Technical Requirements and
Validation at p. 30 ¶ 5.2.3.1 (SAE Int’l, 2023).
145 Id. at p. 7 ¶ 3.2.2.
146 Id at p. 7 ¶ 3.2.2.1.
147 See ARC Response to Requests 2 & 3 of
NHTSA Aug. 25, 2015 IR Letter at p. 40.
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ejecting.’’ 148 ARC assigned this type of
over pressurization and rupture an
FMEA severity number of 10 out of 10—
the highest level of severity of all risks
in ARC’s FMEA. Any inflators in which
such blockage occurred were to be
‘‘manually scrapped’’ and prompt a
supervisor notification. As these
materials illustrate, at the design and
manufacturing planning stages, ARC
expected a strict lack of tolerance for
conditions that created a risk of
ruptures, out of concern for the precise
dangers at issue in this proceeding.
As previously discussed in section
II.A.6, manufacturers in the instant case
have also recognized the severity of the
defective inflators in several ways. A
single rupture was enough to prompt
BMW, GM, and Volkswagen to issue
recalls.149 Some manufacturers engaged
private research firms to try to better
understand the defect.150 In an effort to
eliminate this severe risk from future
inflators with the same design as the
subject inflators, ARC implemented the
automated borescope on all of its
toroidal air bag inflator manufacturing
lines.151 Going a step further, ARC has
taken steps to remove the potential for
this defect and the associated risk by
considering other inflator designs.152
All of these actions underscore the
commonsense recognition that a piece
of equipment intended to protect people
from injury and save lives that, instead,
explodes and propels metal toward
vehicle occupants presents an
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148 Id.
149 See Defect Notices, NHTSA Recall Nos. 17V–
189, https://static.bnhtsa.gov/odi/rcl/2017/RCLRPT17V189-8204.PDF (‘‘The root cause has not yet been
determined and is still under investigation.’’); 19V–
019, https://static.nhtsa.gov/odi/rcl/2019/RCLRPT19V019-2023.PDF (providing no response (‘‘NR’’) as
to the description of the cause); 21V–782, https://
static.bnhtsa.gov/odi/rcl/2021/RCLRPT-21V7823621.PDF (providing no response (‘‘NR’’) as to the
description of the cause); 22E–040, https://
static.nhtsa.gov/odi/rcl/2022/RCLRPT-22E0409723.PDF (‘‘GM’s investigation has not identified
the specific root cause of the LAT rupture’’); 22V–
246, https://static.bnhtsa.gov/odi/rcl/2022/RCLRPT22V246-3538.PDF (providing no response (‘‘NR’’) as
to the description of the cause); 22V–543, https://
static.nhtsa.gov/odi/rcl/2022/RCLRPT-22V5433225.pdf (‘‘The root cause is currently unknown
. . . .’’). Even in GM’s most recent ARC-related
recall, which it no longer sought to limit to a
specific production lot, it indicated as to cause that
‘‘GM is continuing its investigation into this
incident.’’ See https://static.bnhtsa.gov/odi/rcl/
2023/RCLRPT-23V334-3445.PDF.
150 See Northrop Grumman Presentation dated
May 5, 2023 on GM ARC Inflator Investigation;
Memorandum—Meeting with HMA with Enclosure,
Docket No. NHTSA–2023–0038, https://
www.regulations.gov/document/NHTSA-2023-00380029.
151 See ARC Working Group 8D Technical Closure
Statement at p. 1.
152 See U.S. Pat. App. Pub. No. 2022/0185224 A1
to Rose et al., at ¶¶ 0005–06.
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unreasonable risk to motor vehicle
safety.
Some commenters contended that the
‘‘commonsense’’ approach to the
assessment of unreasonable risk requires
a cost consideration, and that NHTSA
did not consider costs in issuing its
decision. This contention is essentially
based on language in Wheels, in which
the U.S. Court of Appeals for the D.C.
Circuit discussed an approach to safety
in the context of defects—specifically, a
‘‘ ’commonsense’ balancing of safety
benefits and economic cost’’ that
recognizes that ‘‘manufacturers are not
required to design vehicles or
components that never fail.’’ The court
stated that ‘‘[i]t would appear
economically, if not technologically,
infeasible for manufacturers to use tires
that do not wear out, lights that never
burn out, and brakes that do not need
adjusting or relining. Such parts cannot
reasonably be termed defective if they
fail because of age and wear.’’ Wheels,
518 F.2d at 435–36.
The subject air bag inflators are not
the type of ‘‘wear and tear’’ component
to which the cost consideration
described in Wheels would be apposite.
Similar to the defective component in
Carburetors, ‘‘[h]ere we do not deal with
a part which is subject to failure because
of age and wear, or a part which drivers
reasonably expect to have to check and
replace because of the particular
problem involved.’’ Carburetors, 565
F.2d at 759–60. The inflator industry
already designs inflators never to
rupture. In any case, by requiring a
recall of the subject inflators, the agency
is not requiring manufacturers to
produce ‘‘perfect, accident-free vehicles
at any expense.’’ See Carburetors, 565
F.2d at 760. Rather, it is requiring the
notification of owners about these
inflators ‘‘which did not, from the
beginning, meet the manufacturer’s own
standards.’’ See id. at 760.
2. Future Inflator Ruptures Are
Expected
As the agency observed in its
September 2023 initial decision, new
ruptures have occurred outside of the
sub-populations of vehicles previously
recalled, and it is expected that
additional ruptures will occur in the
future. See Carburetors, 565 F.2d at 758
(‘‘[W]here a defect—a term used in the
sense of an ‘error or mistake’—has been
established in a motor vehicle, and
where this defect results in hazards as
potentially dangerous as a sudden
engine fire, and where there is no
dispute that at least some such hazards,
in this case fires, can definitely be
expected to occur in the future, then the
defect must be viewed as one ‘related to
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motor vehicle safety.’ ’’) (footnotes
omitted). However, just as the agency
(and manufacturers) could not have
predicted the vehicles in which
ruptures have already occurred, nor can
it predict the vehicles in which ruptures
will occur for vehicles that remain
equipped with subject inflators. Each of
those inflators remains at risk. What is
predictable is that the consequences of
a rupture will be severe and possibly
deadly. Thus, even though the risk of
any individual inflator rupturing is low,
it is nevertheless unreasonable. ‘‘The
purpose of the Safety Act . . . is not to
protect individuals from risks associated
with defective vehicles only after
serious injuries have already occurred;
it is to prevent serious injuries
stemming from established defects
before they occur.’’ Id. at 759.
NHTSA is supplementing its
statistical evaluation of the rupture risk
of the subject inflators as a result of
several adjustments made since the
initial decision and partially as
informed by the comments received.153
Upon additional analysis, NHTSA finds
that the subject inflators have a higher
risk of rupture than initially believed,
based on a lowered estimate of the
number of subject inflators that have
previously deployed in the field.
NHTSA’s estimate is based on
38,480,407 vehicles that have subject
inflators in the driver-side air bag only,
8,992,543 vehicles that have subject
inflators in the passenger-side air bag
only, and 1,873,066 vehicles that have
subject inflators in both driver- and
passenger-side air bags, totaling
approximately 49 million vehicles.
NHTSA now estimates that 1,349,802 of
the subject air bag inflators (combined
driver-side and passenger-side)
deployed in vehicles between 2000 and
2023.154 Based on the known field
ruptures, the rupture rate of the subject
inflators is therefore 7 out of 1,349,802.
In other words, the risk of any subject
inflator rupturing when commanded to
deploy was and is 1 in 192,829.155
NHTSA is adding to the docket a report
more fully explaining its statistical
considerations and findings. See
NHTSA, Estimating the Rupture Rate
and Projecting Future Ruptures for
153 Changes include applying different
deployment rates to driver- and passenger-side
inflators based on historical crash data, refining the
classification of vehicles for purposes of accounting
for attrition, and accounting for vehicles being
driven fewer miles as they age. These changes
address a number of comments directed at this
analysis.
154 NHTSA previously estimated that
approximately 2,600,000 of the subject air bag
inflators had deployed in the field.
155 This is an increase from the prior estimate of
7 in 2.6 million (or 1 in 371,429).
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Subject Inflators in NHTSA’s
Proceeding Related to EA16–003.
NHTSA does not conduct statistical
analyses as a matter of course in every
defect investigation. Nor was a
statistical analysis strictly necessary
here—particularly given that the
unreasonable risk here is self-evident
and one of ‘‘common sense.’’ The
analysis was initiated in response to a
statement by ARC. In its response to the
agency’s recall request letter, ARC
asserted that seven ruptures as
compared to the total subject inflator
population was insufficient to
determine that a defect exists in the
subject inflator population.156 However,
a rupture only occurs if the air bag
deploys. As such, it is more appropriate
and accurate to compare the number of
past field ruptures to the number of past
field deployments to determine the rate
at which the subject inflators have
ruptured. Determining an estimated
number of past field deployments
required statistical calculations, which
yielded the initial analysis. NHTSA
disagrees with General Motors’
characterization of NHTSA’s reliance on
that statistical analysis as ‘‘heavy.’’
Indeed, the analysis was previously
addressed in just a few sentences of
NHTSA’s September 2023 initial
decision.157 The statistical analysis,
now updated, is not a prediction of the
future. It is, rather, additional
information that supplements the
agency’s ordinary consideration of what
constitutes an unreasonable risk,
including engineering and investigative
evidence. Although it supports
NHTSA’s conclusion, the statistical
analysis was not necessary to NHTSA’s
September 2023 initial decision. That
remains the case here as well.158
While NHTSA’s updated statistical
analysis confirms the commonsense
understanding that inflator ruptures will
continue to be rare, the severity of
rupture renders that risk unacceptable
under the Safety Act. Unsurprisingly,
156 ARC’s May 11, 2023 Response to NHTSA’s
Recall Request Letter, p. 2, https://static.nhtsa.gov/
odi/inv/2016/INRR-EA16003-90616.pdf.
157 A NHTSA statistician also further explained
her work, in the interest of transparency, at the
October 2023 public meeting.
158 GM asserted that NHTSA’s statistical analysis
is inconsistent with the agency’s previous rejection
of an earlier, separate statistical analysis (which GM
characterizes as a ‘‘much more sophisticated
predictive model’’) in a previously submitted
petition for inconsequentiality. See 85 FR 76159
(Nov. 27, 2020) (decision on petition). The
statistical analysis that GM provided in its previous
inconsequentiality petition was submitted to
support the argument that the defect in an air bag
inflator (i.e., an air bag inflator in which a defect
had already been determined to exist) was,
nonetheless, inconsequential to motor vehicle
safety as installed in GM vehicles.
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the manufacturers who have continued
to dispute the need for a broader recall
disagree that the risk is unreasonable. A
number of commenters challenged the
persuasiveness of the future rupture
risk, asserting that the estimated number
of future ruptures is too low to present
an unreasonable risk to motor vehicle
safety. Comments emphasizing the low
number of expected future ruptures are
unconvincing. Up to this point, the
subject inflators have ruptured rarely,
and yet they have still injured or killed
at least eight people in the United
States. The evidence is sufficient for the
agency to find that the rare, though
expected, occurrence of future rupture
is unreasonable given the severity.
Under the plain language of the Safety
Act, such a severe, undetectable, and
unpredictable risk of an inflator
rupturing and sending shrapnel at high
speed into the occupant compartment of
a vehicle is ‘‘unreasonable.’’ Even a
‘‘negligible’’ number of future ruptures
is unreasonable given that a foreseeable
outcome is severe injury or death. See
Carburetors, 565 F.2d 754 at 759;
Pitman Arms, 561 F.2d at 924.
While an inflator rupture occurs if the
inflator has been commanded to deploy
in a crash, several commenters
nevertheless asserted that the relevant
population of inflators from which to
derive a rupture rate should be the
entire subject inflator population (51
million, rather than the number of
inflators estimated to have actually
deployed). The reasons were varied,
including that all inflators have the
same potential to undergo deployment
and rupture in a crash, that use of the
entire population best accounts for both
the risk of a deployment and the risk of
a rupture and, as commented by ARC,
‘‘permits a more accurate comparison to
peer inflator data and more
appropriately compares the risk to
comparable peer populations.’’ 159
NHTSA agrees that, in the event of a
deployment, each of the subject inflators
is equally at risk of rupture. None can
be eliminated as not at risk, and it is not
possible to know whether a particular
inflator will rupture unless a
deployment occurs. But a deployment is
159 Written Response of ARC Automotive, Inc. to
the September 5, 2023, Initial Decision (Dec. 18,
2023 (Corrected—February 12, 2024), at p. 23. ARC
also asserted that such an approach would be based
on two directly observable inputs (number of
inflators and known field events) instead of one
(number of field events) with a separate estimated
input (deployments). See id. at p. 22. Whether an
input is ‘‘directly observable’’ has little import in
determining appropriate variables to use as a
statistical matter in developing risk assessments.
While the total inflator population may be more
accurately estimated, that does not render it the
more appropriate metric.
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a necessary condition for a failure, and
the vast majority of inflators have not
deployed. Including the entire
population of manufactured inflators in
deriving a rupture rate—knowing that
the overwhelming majority have not
deployed—vastly understates the
prevalence of the defect by ignoring the
necessary condition for a failure. This
would lead to a vast understatement of
the true rupture rate and predicted
future ruptures. For this reason, it is
wholly appropriate to ground the
predicted future rupture rate with
reference to ruptures experienced in
past deployments, and not to the total
number of manufactured inflators.160
The notion that the total population of
inflators allows for better peer
comparison is also unconvincing. As
explained above in II.A.4, there has
been only one U.S. rupture of a nonTakata air bag inflator (other than an
ARC air bag inflator), and any reference
to the comparative rupture rates is of
limited import, because that inflator was
recalled after the first rupture.
Therefore, it is unknown whether
ruptures would have continued to occur
in the absence of a recall. As is the case
here, NHTSA believed the risk was
unreasonable and a recall was
warranted. The severity of inflator
ruptures was also evident there, as the
rupture resulted in a fatality. In that
case, however, the manufacturer agreed
to broad recalls of entire models (all
model years) of vehicles that used the
same type of inflator without the need
for the agency to exercise its statutory
authority to order a recall.161
Some commenters asserted that
NHTSA improperly assumed that
manufacturing variables in different
variants of the subject inflators have no
impact on the rupture rate. However,
there is no evidence-based justification
for treating any subpopulation of the
subject inflators as presenting more or
less risk. FCA stated that certain field
ruptures should not be included in the
analysis—the ruptures in the MY 2002
Chrysler Town & Country and the MY
160 General Motors refers to a previous
investigation regarding Mini Cooper S exhaust pipe
tips in which the total population was used to refer
to a failure rate. The product at issue there,
however, did not involve a necessary condition like
a deployment of the subject air bags for the defect
to manifest. And notably, in previously evaluating
certain statistical analyses in a General Motors
inconsequentiality petition regarding Takata air bag
inflators, NHTSA described the risk at issue in
terms consistent with that here. See 85 FR 76159
(Nov. 27, 2020) (describing the fleet-level risk as
‘‘the probability that at least one air bag will rupture
among the thousands of air bag deployments
expected to occur in the nearly 5.9 million affected
GMT900 vehicles over the coming years’’).
161 See NHTSA Recall Nos. 20V–681, 21V–766,
and 21V–800.
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2011 Chevrolet Malibu—because of
these incidents did not have an
underlying cause or failure mode in
common with the other ruptures.162
NHTSA does not agree that these
incidents lack sufficient commonality to
be considered, as described in section
II.A. Additionally, as previously
explained, root cause is not necessary
for a defect determination. It is not
appropriate to eliminate any of the
ruptures in vehicles—the very incidents
where people have already been
harmed—from its evaluation of whether
there is an unreasonable risk.
Consumer safety ‘‘would be most ill
served by extending [a] delay based on
new predictions that the number of
injuries caused by the defect will
diminish.’’ Carburetors, 565 F.2d at 759.
The agency also does not believe that
logistical and cost-related concerns
raised by commenters about a recall of
the subject inflators warrants leaving the
unreasonable risk unaddressed by a
recall. NHTSA acknowledges the
potential ramifications of a recall of this
magnitude and does not take its
decision lightly. However, the crux of
this issue is not a variety of potential (or
even attenuated or largely hypothetical)
reverberations stemming from a recall—
it is that there is defect in the subject
inflators that presents an unreasonable
risk of death or injury in the event of a
crash, and that defect must be
addressed.
Every subject inflator that deploys is
at risk of rupture, and rupture events are
unpredictable and dangerous. Three of
the seven field ruptures in the United
States occurred between 2009 and 2017,
and three more field ruptures occurred
in the span of just over four months in
2021. The last field rupture occurred
very recently, in 2023. While it is
impossible to predict when the next
rupture will occur, each inflator that
deploys is at risk. NHTSA’s statistical
evaluation of the future rupture risk,
while not imperative to its decision
here, reinforces that field ruptures are
expected to occur in the future, and any
hopes premised simply on the relatively
low odds of an inflator rupturing are
insufficient to warrant inaction. Cf.
Carburetors, 565 F.2d at 759 (‘‘[T]he fact
that in past reported cases good luck
and swift reactions have prevented
many serious injuries does not mean
that luck will continue to work in favor
of passengers of burning cars. As a
matter of statistics their chances may
well . . . appear quite favorable. The
purpose of the Safety Act, however, is
not to protect individuals from the risks
162 See Comments of FCA US LLC Regarding
Initial Decision at pp. 5–6.
VerDate Sep<11>2014
18:38 Aug 02, 2024
Jkt 262001
associated with defective vehicles only
after serious injuries have already
occurred; it is to prevent serious injuries
stemming from established defects
before they occur.’’). With each subject
inflator that deploys, the vehicle
occupants are at risk of severe injury or
death from a rupture. That risk is
plainly unreasonable under the Safety
Act.
III. Conclusion
Every field rupture of the subject
inflators in the United States has
resulted in at least one vehicle occupant
being injured, several have resulted in
severe injury, and one has resulted in
death. Seven of the subject inflators
have already ruptured in vehicles the
United States. The facts and
circumstances surrounding these U.S.
field ruptures, the four foreign field
ruptures, and the twenty-three lot
acceptance test ruptures underscore the
severe impact of the defect on motor
vehicle safety. Based on its
comprehensive analysis, NHTSA has
concluded that the evidence shows that
the causes of these ruptures stem from
use of a friction welding process
without adequate inspection safeguards
in place and that all of the subject
inflators were produced using this same
process. As such, all of the subject
inflators have a risk of rupture and are
defective. The pattern and evidence of
these ruptures confirms that the
reactionary, limited-scope recalls are
insufficient to address the safety risk
and that a recall for the full subject
inflator population is necessary. Given
the severity of a rupture and the known
ruptures there is ample evidence of a
defect in the subject inflators. Common
sense demands acknowledging that
metal shrapnel projecting at high speeds
and causing injury or death presents an
unreasonable risk to safety, and the
Safety Act does not allow for such a risk
to remain unaddressed.
Pursuant to the Safety Act, NHTSA
may make a final decision ‘‘only after
giving the manufacturer[s] an
opportunity to present information,
views, and arguments showing that
there is no defect or noncompliance or
that the defect does not affect motor
vehicle safety. Any interested person
also shall be given an opportunity to
present information, views, and
arguments.’’ 49 U.S.C. 30118(b)(1).
Given the more extensive detail and
discussion of the technical issues in this
notice, and to ensure opportunity for
additional public feedback, NHTSA is
providing an additional 30-day
comment period. No additional public
meeting will be held.
PO 00000
Frm 00093
Fmt 4703
Sfmt 4703
If NHTSA makes a final decision that
the subject inflators contain a safety
defect, NHTSA will order ARC to
comply with the obligation to file notice
of the safety defect with the agency and
will order the vehicle manufacturers to
carry out recalls by providing notice and
a free remedy. See id. section
30118(b)(2).
Authority: 49 U.S.C. 30118(a), (b); 49
CFR 554.10; delegations of authority at
49 CFR 1.50(a) and 49 CFR 501.8.
Eileen Sullivan,
Associate Administrator for Enforcement.
[FR Doc. 2024–17251 Filed 8–2–24; 8:45 am]
BILLING CODE 4910–59–P
DEPARTMENT OF THE TREASURY
Office of the Comptroller of the
Currency
Agency Information Collection
Activities: Revision of an Approved
Information Collection; Submission for
OMB Review; Customer Complaint
Form
Office of the Comptroller of the
Currency (OCC), Treasury.
ACTION: Notice and request for comment.
AGENCY:
The OCC, as part of its
continuing effort to reduce paperwork
and respondent burden, invites
comment on a continuing information
collection, as required by the Paperwork
Reduction Act of 1995 (PRA). In
accordance with the requirements of the
PRA, the OCC may not conduct or
sponsor, and the respondent is not
required to respond to, an information
collection unless it displays a currently
valid Office of Management and Budget
(OMB) control number. The OCC is
soliciting comment concerning a
revision of its information collection
titled, ‘‘Customer Complaint Form’’ The
OCC also is giving notice that it has sent
the collection to OMB for review.
DATES: Comments must be received by
September 4, 2024.
ADDRESSES: Commenters are encouraged
to submit comments by email, if
possible. You may submit comments by
any of the following methods:
• Email: prainfo@occ.treas.gov.
• Mail: Chief Counsel’s Office,
Attention: Comment Processing, Office
of the Comptroller of the Currency,
Attention: 1557–0232, 400 7th Street
SW, Suite 3E–218, Washington, DC
20219.
• Hand Delivery/Courier: 400 7th
Street SW, Suite 3E–218, Washington,
DC 20219.
• Fax: (571) 293–4835.
SUMMARY:
E:\FR\FM\05AUN1.SGM
05AUN1
Agencies
[Federal Register Volume 89, Number 150 (Monday, August 5, 2024)]
[Notices]
[Pages 63473-63490]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-17251]
-----------------------------------------------------------------------
DEPARTMENT OF TRANSPORTATION
National Highway Traffic Safety Administration
[Docket No. NHTSA-2023-0038]
Supplemental Initial Decision That Certain Frontal Driver and
Passenger Air Bag Inflators Manufactured by ARC Automotive Inc. and
Delphi Automotive Systems LLC, and Vehicles in Which Those Inflators
Were Installed, Contain a Safety Defect
AGENCY: National Highway Traffic Safety Administration (NHTSA),
Department of Transportation (DOT).
ACTION: Notice of supplemental initial decision; request for public
comments.
-----------------------------------------------------------------------
SUMMARY: NHTSA is confirming its initial decision that certain frontal
driver and passenger air bag inflators manufactured by ARC Automotive
Inc. and Delphi Automotive Systems LLC, and vehicles in which those
inflators were installed, contain a defect related to motor vehicle
safety. NHTSA is issuing this supplemental initial decision to address
in greater detail the basis for the agency's initial decision and to
ensure that all vehicles and manufacturers that would be impacted by
any recall order are included within the scope of the initial decision.
DATES: Comments must be received on or before September 4, 2024.
ADDRESSES: You may submit written submissions to the docket number
identified in the heading of this document by any of the following
methods:
Federal eRulemaking Portal: Go to https://www.regulations.gov. Follow the online instructions for submitting
comments.
Mail: Docket Management Facility: U.S. Department of
Transportation, 1200 New Jersey Avenue SE, West Building Ground Floor,
Room W12-140, Washington, DC 20590-0001.
Hand Delivery or Courier: 1200 New Jersey Avenue SE, West
Building Ground Floor, Room W12-140, between 9 a.m. and 5 p.m. ET,
Monday through Friday, except Federal holidays.
Fax: (202) 493-2251.
Instructions: All submissions must include the agency name and
docket number. Note that all written submissions received will be
posted without change to https://www.regulations.gov, including any
personal information provided. Please see the Privacy Act discussion
below. We will consider all written submissions received before the
close of business on September 4, 2024.
Docket: For access to the docket to read background documents or
written submissions received, go to https://www.regulations.gov at any
time or to 1200 New Jersey Avenue SE, West Building Ground Floor, Room
W12-140, Washington, DC 20590, between 9 a.m. and 5 p.m., Monday
through Friday, except Federal holidays. Telephone 202-366-9826.
Privacy Act: In accordance with 49 U.S.C. 30118(b)(1), NHTSA will
make a final decision only after providing an opportunity for
manufacturers and any interested person to present information, views,
and arguments. DOT posts written submissions submitted by manufacturers
and
[[Page 63474]]
interested persons, without edit, including any personal information
the submitter provides, to www.regulations.gov, as described in the
system of records notice (DOT/ALL-14 Federal Docket Management System
(FDMS)), which can be reviewed at www.transportation.gov/privacy.
Confidential Business Information: If you wish to submit any
information under a claim of confidentiality, you must submit your
request directly to NHTSA's Office of the Chief Counsel. Requests for
confidentiality are governed by 49 CFR part 512. NHTSA is currently
treating electronic submission as an acceptable method for submitting
confidential business information (CBI) to the agency under part 512.
If you would like to submit a request for confidential treatment, you
may email your submission to Allison Hendrickson in the Office of the
Chief Counsel at [email protected] or you may contact her for
a secure file transfer link. At this time, you should not send a
duplicate hardcopy of your electronic CBI submissions to DOT
headquarters. If you claim that any of the information or documents
provided to the agency constitute confidential business information
within the meaning of 5 U.S.C. 552(b)(4) or are protected from
disclosure pursuant to 18 U.S.C. 1905, you must submit supporting
information together with the materials that are the subject of the
confidentiality request, in accordance with part 512, to the Office of
the Chief Counsel. Your request must include a cover letter setting
forth the information specified in NHTSA's confidential business
information regulation (49 CFR 512.8) and a certificate, pursuant to
Sec. 512.4(b) and part 512, appendix A. In addition, you should submit
a copy, from which you have redacted the claimed confidential business
information, to the Docket at the address given above.
FOR FURTHER INFORMATION CONTACT: Allison Hendrickson, Office of the
Chief Counsel, National Highway Traffic Safety Administration, 1200 New
Jersey Avenue SE, Washington, DC 20590; (202) 366-2992.
The publicly available information on which this supplemental
initial decision is based is available on the agency's website at
https://www.nhtsa.gov/recalls?nhtsaId=EA16003, https://www.nhtsa.gov/recalls?nhtsaId=PE15027, and on the public docket under Docket No.
NHTSA-2023-0038.
The information in the investigative file for which confidential
treatment has been requested was shared with the manufacturers that
would be affected in the event of a recall order, as required under 49
U.S.C. 30118(a) and 49 CFR 554.10(b). That information was shared with
the manufacturers under a protective agreement. The information subject
to confidentiality requests remains unredacted in this document
pursuant to 49 U.S.C. 30167(b). File-path citations to the
investigative file have been shared with the manufacturers in a
confidential appendix to this decision.
SUPPLEMENTARY INFORMATION: Pursuant to 49 U.S.C. 30118(a) and 49 CFR
554.10, NHTSA confirms its initial decision that certain frontal driver
and passenger air bag inflators manufactured by ARC Automotive Inc.
(ARC) and Delphi Automotive Systems LLC (Delphi), and vehicles in which
those inflators were installed, contain a defect related to motor
vehicle safety.
NHTSA previously issued an initial decision on September 5,
2023.\1\ After additional consideration of the totality of the
evidence, including comments previously submitted in this proceeding,
NHTSA is issuing this supplemental initial decision to address in
greater detail the basis for the agency's initial decision and to
ensure that all vehicles and vehicle manufacturers that would be
impacted by any recall order are included within the scope of the
initial decision. This action allows for additional transparency and
additional comment from any interested persons.\2\
---------------------------------------------------------------------------
\1\ 88 FR 62140 (Sept. 8, 2023).
\2\ NHTSA is addressing certain comments in this supplemental
initial decision to describe the basis of its initial decision more
fully and, in certain instances, to update certain information,
including its calculation of predicted future ruptures. NHTSA
reviewed and considered all written and oral comments previously
submitted in this proceeding. NHTSA intends to further and more
fully address all comments it ultimately receives if and when it
issues a final decision in this proceeding.
---------------------------------------------------------------------------
The additional information provided in this notice confirms the
agency's initial decision that certain frontal driver- and passenger-
side hybrid toroidal air bag inflators manufactured by ARC and Delphi
from 2000 through the full implementation of the automated borescope
(the subject inflators) contain a defect related to motor vehicle
safety. The implementation of the borescope, beginning in August of
2017, was fully completed in June of 2018. The latter date is a
correction from the January 2018 completion date identified in the
September 5, 2023 initial decision.\3\
---------------------------------------------------------------------------
\3\ ARC completed implementation of the automated borescope
process on lines producing PH7 inflators (which are passenger-side
inflators) in January 2018, and then completed implementation on the
remaining lines producing toroidal inflators in June 2018.
---------------------------------------------------------------------------
Based on available information, approximately 51 million subject
inflators were manufactured and installed in approximately 49 million
vehicles in the United States.\4\ The subject inflators were
incorporated into air bag modules manufactured by five air bag module
suppliers and ultimately used in vehicles manufactured by 13 vehicle
manufacturers: BMW of North America, LLC (BMW), FCA US LLC (FCA), Ford
Motor Company (Ford), General Motors LLC (GM), Hyundai Motor America,
Inc. (Hyundai), Jaguar Land Rover North America (JLR), LLC, Kia
America, Inc. (Kia), Maserati North America, Inc., Mercedes-Benz USA
LLC, Porsche Cars North America, Inc. (Porsche), Tesla Inc., Toyota
Motor North America, Inc. (Toyota), and Volkswagen Group of America,
Inc. (Volkswagen).\5\ Although JLR was not included in the September
2023 initial decision, the agency has confirmed that it has vehicles in
the U.S. with the subject inflators.
---------------------------------------------------------------------------
\4\ While the correction to June 2018 increases the number of
subject inflators, based on best available information, the agency
is adjusting its estimate to approximately 51 million inflators. The
exact number of recalled inflators and vehicles would be confirmed
by the manufacturers as part of any recall filings that may result.
\5\ In the event of a recall order, BMW would be responsible for
recalling vehicles manufactured by Rolls Royce Motor Cars, General
Motors would be responsible for recalling vehicles manufactured by
Isuzu Motors Limited, and Volkswagen would be responsible for
recalling vehicles manufactured by Audi AG.
---------------------------------------------------------------------------
These air bag inflators are at risk of rupturing when the vehicle's
air bag is commanded to deploy, causing metal debris to be forcefully
ejected into the occupant compartment of the vehicle. A rupturing air
bag inflator poses an unreasonable risk of serious injury or death to
vehicle occupants. At least seven people have been injured and one
person has been killed by these rupturing air bag inflators within the
United States. NHTSA has identified evidence during its investigation
that connects these ruptures to the friction welding process, which has
created, in some instances, blockage material, including excessive weld
flash, and, in others, insufficient friction weld bonds. Upon air bag
deployment, any loose debris in the center support, including weld
flash, can block the exit orifice, causing over-pressurization and
rupture. Additionally, friction welds with insufficient bonds have also
led to inflator ruptures. The same friction welding process was used
across ARC and Delphi's various manufacturing plants and lines to
produce the subject inflators. When an inflator ruptures, shrapnel or
metal fragments from the
[[Page 63475]]
inflator are forcefully propelled through the air bag cushion and into
the occupant compartment. Additional inflator ruptures are expected to
occur in the future, risking more serious injuries and deaths, if they
are not recalled and replaced.
I. Investigation and Proceeding Background
On July 13, 2015, NHTSA's Office of Defects Investigation (ODI)
opened a Preliminary Evaluation (PE) defect investigation, designated
PE15-027, to investigate an alleged safety defect in hybrid toroidal
inflators designed by ARC and manufactured by ARC and Delphi for use in
vehicles sold or leased in the United States. NHTSA opened the
investigation after receiving reports of ruptures in vehicles (field
ruptures). Specifically, driver-side air bag inflators in a model year
(MY) 2002 Chrysler Town & Country and a MY 2004 Kia Optima ruptured
upon air bag deployment during crashes.
In the early stages of the investigation, NHTSA collected
information from ARC regarding the design and manufacturing process for
frontal driver- and passenger-side hybrid toroidal inflators. Frontal
driver-side and passenger-side inflators are used to inflate air bags
immediately in front of vehicle occupants in those seats. A hybrid
inflator uses stored gas that is excited by propellant to fill the air
bag cushion, and toroidal inflators are round, non-cylindrical
inflators. NHTSA's investigation involved both single-stage and dual-
stage inflators. Single-stage inflators deploy at a preset speed and at
full force. Dual-stage inflators deploy at two different stages
depending on the size of the occupant as measured by the load sensor in
the front seat and the severity of the impact.\6\ ARC licensed its
design and manufacturing specifications to Delphi, which manufactured
approximately 11 million of the approximate 51 million subject
inflators using the same friction welding process at issue.\7\ ARC
manufactured the other subject inflators at several different
manufacturing facilities.
---------------------------------------------------------------------------
\6\ The two inflation stages can deploy sequentially or
simultaneously. Typically, the first stage is approximately 80% of
the full force of the air bag, and the second stage is approximately
20% of the full force of the air bag. The second stage can deploy
simultaneously with the first stage should the severity of the
impact warrant dual deployment. The second stage can deploy
subsequent to the deployment of the first stage for lower severity
impacts.
\7\ Delphi stopped manufacturing the inflators in 2004. The
Delphi entity that manufactured these inflators no longer exists.
NHTSA indicated in its April 27, 2023 recall request letter that the
entity was acquired by Autoliv ASP, Inc. (``Autoliv''). Autoliv has
since provided NHTSA with some information indicating that it may
not have legal liability for the Delphi-manufactured inflators. At
this time, NHTSA has not verified the entity that has legal
responsibility under 49 U.S.C. chapter 301 for those inflators.
However, regardless of that responsibility, the vehicle
manufacturers that used the inflators as original equipment would be
responsible for carrying out any recalls.
---------------------------------------------------------------------------
NHTSA learned that, based on ARC's inflator design, part of the
manufacturing process for these inflators involves a welding method
known as friction welding. Through this method, once certain pieces of
the inflator are ready to be joined together, they are aligned. One
piece is held stationary while the other is rotated at a high velocity
and simultaneously pressed together with the stationary piece. The
friction generated by the high-velocity rotation creates heat, which
melts the metal. Once the proper temperature has been reached, the
rotation is stopped, and the pressure is increased to weld the parts
together. Each inflator undergoes three friction welds at two points in
the manufacturing process.\8\ Friction welding produces a byproduct
called ``weld flash'' or ``weld slag'' that accumulates along the weld
seam. In an attempt to prevent weld flash from blocking the gas flow
during deployment, a pin, known as a flash-dam pin, is inserted through
the exit orifice during the friction welding process between the center
support and upper half of the inflator housing. The flash-dam pin is
removed after the weld is complete. This friction welding process was
used in all five ARC plants where the subject inflators were made--
located in Knoxville, Tennessee; Reynosa, Mexico; Xi'an, China; Ningbo,
China; and Skopje, Macedonia--and on all manufacturing lines that
produced the subject inflators. It was also used by Delphi when it
produced subject inflators under a license agreement.
---------------------------------------------------------------------------
\8\ See ARC Presentation on CADH Inflator Design; ARC
Presentation on PH7 Inflator Process Details.
---------------------------------------------------------------------------
During a crash that triggers an air bag deployment, a signal is
sent to the inflator. When it receives this signal, the inflator's
initiator ignites the propellant that is stored inside the inflator.\9\
The propellant burns and excites pressurized gas stored in the
inflator.\10\ To fill the air bag cushion, the gas flows through the
inflator's hollow center support and exits through the exit orifice at
the top of the center support.\11\ The inflator's exit orifice is the
single path for the gas to exit the inflator and fill the air bag
cushion. If the exit orifice is blocked during deployment such that the
gas cannot escape, the inflator will likely over-pressurize and
rupture. In this event, the center support typically elongates, splits
into two pieces, and ejects from the inflator housing. These
characteristics indicate that a rupture was caused by over-
pressurization of the inflator.\12\ In some instances, the blockage can
still be seen in the upper half of the center support after the
rupture. In others, the blockage may become knocked loose by the force
of the rupture but can leave small indentations on the edge of the exit
orifice, which are known as ``witness marks.'' \13\
---------------------------------------------------------------------------
\9\ See ARC Response to Request 1 of NHTSA Aug. 25, 2015 IR
Letter at p. 16.
\10\ See id.
\11\ See id.
\12\ See ARC Presentation dated Mar. 1, 2016 on MY 2004 Kia
Optima Rupture at pp. 5, 22; ARC Presentation dated Aug. 25, 2017 on
SGO 2016-01/2017-01 Report 39 at pp. 6, 11, 37; ARC Response to
Request 1 of NHTSA Aug. 25, 2015 IR Letter at p. 72.
\13\ See ARC Presentation dated Apr. 1, 2017 on SGO 2016-01/
2017-01 Report 80 at pp. 8-11; ARC Presentation dated Nov. 10, 2017
on SGO 2016-01/2017-01 Report 120 at p. 7; ARC Presentation dated
Apr. 5, 2017 on SGO 2016-01/2017-01 Report 130 at pp. 8-11; ARC
Presentation dated Nov. 8, 2017 on SGO 2016-01/2017-01 Report 178 at
pp. 13-14.
---------------------------------------------------------------------------
During the PE phase of the investigation, NHTSA collected a list of
air bag module (or Tier 1) manufacturers to which ARC sold the
inflators from 2000 through 2004, which covered the timeframe between
when ARC had begun manufacturing hybrid toroidal inflators and the
manufacture dates of the two inflators that ruptured in vehicles. NHTSA
then obtained information from the air bag module manufacturers to
identify the vehicle manufacturers that had purchased those air bag
modules and incorporated them into their vehicles. In addition, NHTSA
ordered vehicle and inflator manufacturers, including ARC, to report
any alleged or suspected inflator field rupture under Standing General
Orders (SGO) 2015-01 and 2015-02.\14\ Manufacturers subject to these
orders must submit an initial report upon notification of an alleged
field rupture incident, as well as ongoing supplemental reports as the
investigation into the incident progresses and until it is complete.
---------------------------------------------------------------------------
\14\ Those orders were not limited to ARC or the vehicle
manufacturers that used ARC inflators. They were intended to help
NHTSA learn of any alleged inflator ruptures, including inflators
not designed or manufactured by ARC. Since their original issuance,
these orders have been updated and superseded by SGO 2015-01A and
SGO 2015-02A. https://static.nhtsa.gov/odi/inv/2015/INLM-EA15001-62640.pdf; https://static.nhtsa.gov/odi/inv/2015/INLM-EA15001-62642.pdf.
---------------------------------------------------------------------------
On July 11, 2016, an ARC-manufactured inflator in a MY 2009 Hyundai
Elantra ruptured in Canada. The driver was killed. ARC confirmed that
this inflator was manufactured using the same manufacturing processes
[[Page 63476]]
described above in this section. ODI upgraded the investigation to an
Engineering Analysis, designated EA16-003, on August 4, 2016. During
this phase of the investigation, ODI issued information request letters
to ARC, Delphi, air bag module manufacturers, and vehicle manufacturers
in 2016, 2020, 2021, and 2022. These letters requested information for
an expanded timeframe on the production volume of the subject
inflators, air bag modules with the subject inflators and vehicles with
the subject inflators, testing procedures and results, complaints, and
air bag deployments.
Also during this phase of the investigation, NHTSA issued Standing
General Order 2016-01. Standing General Order 2016-01 required ARC to
notify the agency of non-field ruptures of inflators. It was superseded
by SGO 2017-01, which revised the reportable rupture incidents to
include only those occurring during lot acceptance tests. Lot
acceptance tests (also referred to as ``LATs'') are random tests of
completed air bag inflators produced for use in consumer vehicles.\15\
If an inflator ruptures or fails in some way during a lot acceptance
test, the entire lot of inflators is quarantined. Under these SGOs, ARC
reported thirty-four ruptures of frontal driver- and passenger-side
hybrid toroidal inflators during lot acceptance testing.\16\
---------------------------------------------------------------------------
\15\ A lot acceptance test is conducted at the beginning,
middle, and end of a manufacturing shift, or at any time the
assembly line is shifted to production of a different part. The term
``lot'' refers to the inflators that were manufactured in an
identified manufacturing plant on a specific assembly line for a
specific shift.
\16\ Two vehicle manufacturers have conducted small inflator
recalls associated with lot acceptance testing. First, BMW recalled
thirty-six vehicles after learning that the production lot in which
there had been a rupture was not fully contained, and some inflators
from the lot were shipped by ARC to a module supplier and ultimately
were incorporated into vehicles. NHTSA Recall Nos. 17V-189
(describing the safety risk as ``impaired gas flow could create
excessive internal pressure, which could result in the body of the
inflator rupturing upon deployment''). Second, Ford recalled 650
vehicles after its air bag module supplier notified Ford of ``an
abnormal deployment'' of an inflator during a lot acceptance test at
the supplier's engineering facility. NHTSA Recall Nos. 17V-529
(``Preliminary analysis indicates that weld flash from the inflator
canister welding process at the Tier 2 inflator supplier may
obstruct the gas exhaust port.'').
---------------------------------------------------------------------------
ARC's lot acceptance testing process evidenced a problem, but the
problem was not addressed by actions limited to specific lots. Since
NHTSA issued SGOs 2015-01 and 2015-02, manufacturers have reported to
the agency and confirmed five ruptures in vehicles in the United States
of ARC-manufactured frontal driver- and passenger-side hybrid toroidal
inflators, for a total of seven confirmed field ruptures in the United
States, plus the fatal rupture in Canada. In response to some of the
field ruptures, the relevant vehicle manufacturer issued a small recall
targeted at the production lot of the ruptured inflator.\17\ Such
recalls, like the quarantine process for lot acceptance test ruptures,
are premised on the idea that there is some sort of manufacturing
problem limited to that short period of production at that particular
facility. As detailed below, however, the evidence collected in NHTSA's
investigation shows that ruptures have occurred in inflators
manufactured across different time periods, plants, and manufacturing
lines, thus warranting a broader recall.
---------------------------------------------------------------------------
\17\ See NHTSA Recall Nos. 19V-019 (recalling 1,145 vehicles),
21V-782 (recalling 555 vehicles), 22E-040 (recalling 74 replacement
air bag modules), 22V-246 (recalling 2,687 vehicles), and 22V-543
(recalling 1,216 vehicles). Following the most recent rupture, GM
also expanded on its earlier lot recalls by recalling four model
years of three vehicle makes. NHTSA Recall No 23V-334.
---------------------------------------------------------------------------
In a recall request letter sent to ARC on April 27, 2023, the
agency tentatively concluded that the subject inflators present a
defect related to motor vehicle safety.\18\ NHTSA explained that a
defect resulting in metal fragments being projected toward vehicle
occupants creates an unreasonable risk of death and injury.\19\ The
agency, therefore, demanded that ARC file a recall identifying the
subject inflators as defective.\20\ In its response on May 11, 2023,
ARC described the seven U.S. field ruptures as ``random `one-off'
manufacturing anomalies'' that had been properly addressed by the lot
recalls.\21\ ARC refused to acknowledge the safety defect or file a
recall.\22\
---------------------------------------------------------------------------
\18\ See NHTSA Recall Request Letter to ARC, https://static.nhtsa.gov/odi/inv/2016/INRM-EA16003-90615.pdf.
\19\ See id.
\20\ See id.
\21\ See ARC Response to NHTSA Recall Request Letter, https://static.nhtsa.gov/odi/inv/2016/INRR-EA16003-90616.pdf at p. 2.
\22\ See id. at p. 1.
---------------------------------------------------------------------------
When a safety defect exists in original equipment used by more than
one vehicle manufacturer, as in this case, the equipment supplier and
each vehicle manufacturer must notify the agency by filing a recall
report. 49 CFR 573.3(f). A defect in original equipment (meaning
equipment originally installed in or on a vehicle) is considered a
defect in the vehicle. 49 U.S.C. 30102(b)(1)(C), (F). Therefore,
vehicle manufacturers are generally responsible for carrying out
recalls of their vehicles containing defective parts, such as air bag
inflators, by notifying vehicle owners and providing a free remedy. See
id. sections 30118-20. An equipment manufacturer is also responsible
under the Safety Act for recalling its replacement equipment. See id.
30118. Replacement equipment is ``motor vehicle equipment . . . that is
not original equipment.'' Id. section 30102(b)(1)(D).
The National Traffic and Motor Vehicle Safety Act (Safety Act)
imposes an affirmative obligation on a manufacturer to initiate a
recall if it ``learns the vehicle or equipment contains a defect and
decides in good faith that the defect is related to motor vehicle
safety.'' Id. section 30118(c)(1). To date, the manufacturers of the
subject inflators, and the manufacturers of the vehicles containing the
subject inflators, have not commenced broader recalls addressing the
full scope of the problem. Thus, NHTSA is using its authority under the
Safety Act to consider ordering a recall.
The Safety Act authorizes NHTSA to order a recall when the
Administrator \23\ determines that a vehicle or replacement equipment
``contains a defect related to motor vehicle safety.'' Id. section
30118(b). The Safety Act defines a ``defect'' as ``any defect in
performance, construction, a component, or material of a motor vehicle
or motor vehicle equipment.'' Id. section 30102(a)(3). A defect is
related to motor vehicle safety if it presents an unreasonable risk of
an accident or of death or serious injury in an accident. Id. section
30102(a)(9).
---------------------------------------------------------------------------
\23\ As authorized by statute, the Secretary has delegated the
authority in the Safety Act to the NHTSA Administrator. 49 U.S.C.
105(d); 49 CFR 1.95(a). In the absence of an Administrator, the
Deputy Administrator performs the functions and duties of the
Administrator. 49 CFR 501.4(a), 501.5(a).
---------------------------------------------------------------------------
Before it can order a recall, the agency first issues an initial
decision finding a defect in a vehicle or replacement equipment,
notifies the manufacturer of the decision and provides it with the
information on which the decision was based, and publishes notice of
the decision in the Federal Register. Id. section 30118(a); 49 CFR
554.10. The manufacturer and the public are afforded an opportunity to
present information, views, and arguments at a public meeting, in
written comments, or both. 49 CFR 554.10. After considering the
available information, the Administrator may make a final decision
finding a safety defect and ordering a recall. 49 U.S.C. 30118(b); 49
CFR 554.11.
In the instant proceeding, NHTSA issued an initial decision of a
safety defect on September 5, 2023 regarding frontal driver- and
passenger-side hybrid toroidal inflators manufactured
[[Page 63477]]
by ARC and Delphi from 2000 through January 2018. 88 FR 62140 (Sept. 8,
2023). NHTSA held a public meeting on October 5, 2023, during which the
agency presented information about its investigation and initial
decision, and manufacturers and members of the public were invited to
make their own statements.\24\ ARC and certain other members of the
public, including the son of the person killed by a subject inflator
rupture, made statements at the public meeting.\25\ NHTSA also provided
manufacturers and the public the opportunity to submit written comments
in response to the initial decision,\26\ which were due December 18,
2023.\27\
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\24\ See Public Meeting Transcript and Addenda, Docket No.
NHTSA-2023-0038, https://www.regulations.gov/document/NHTSA-2023-0038-0003.
\25\ Id.
\26\ Public versions of all written comments are posted on the
public docket at https://www.regulations.gov/docket/NHTSA-2023-0038/comments.
\27\ See Second Extension of Deadline for Written Submissions,
https://www.regulations.gov/document/NHTSA-2023-0038-0005.
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II. Initial Determination of Defect Related to Motor Vehicle Safety
After further consideration of all available information, including
from its investigation and this proceeding, NHTSA is confirming its
initial determination that the subject inflators contain a defect and
that the defect is related to motor vehicle safety. The subject
inflators may rupture upon deployment and project shrapnel into the
occupant compartment, which is likely to cause and has caused serious
injury and death to vehicle occupants.
A. The Subject Inflators Are Defective
Air bag inflators that have an established risk of rupturing when
commanded to deploy are defective within the meaning of the Safety Act.
The Safety Act defines ``defect'' as including ``any defect in
performance, construction, a component, or material of a motor vehicle
or motor vehicle equipment.'' 49 U.S.C. 30102(a)(3). ``Defect'' must be
understood by its plain meaning: a flaw, shortcoming, or
abnormality.\28\ An inflator that is at risk of rupturing when
commanded to deploy is flawed. It turns a lifesaving device into one
that can do great harm, including causing death or serious injury.
---------------------------------------------------------------------------
\28\ https://www.merriam-webster.com/dictionary/defect.
---------------------------------------------------------------------------
Air bags and related components can be defective in multiple ways.
Among other things, the air bag may fail to deploy when appropriate,
deploy when it should not, or only partially deploy. All of these
defects are issues that the agency takes seriously and that have
resulted in recalls.\29\ An air bag inflator that has a risk of
rupturing when commanded to deploy--sending shrapnel into the occupant
compartment--presents a particularly dangerous type of defect. This is
why the industry standard calls for tests to confirm that ``an inflator
shall not eject any components or fragments.'' \30\ In other words, an
inflator rupture is not an industry-accepted failure mode.
---------------------------------------------------------------------------
\29\ See, e.g., NHTSA Recall 24V-064 (recall issued by Honda
addressing air bags that may deploy in a crash when they should have
been suppressed); NHTSA Recall 23V-865 (recall issued by Toyota
addressing air bags that may not deploy in a crash when intended);
NHTSA Recall No. 12V-055 (recall issued by Nissan for vehicles
equipped with curtain air bags with incorrect propellant mixture,
possibly resulting in partial deployment); NHTSA Recall No. 01V-318
(recall issued by Ford for vehicles with replacement inflators
having insufficient welds, possibly preventing proper inflation of
the air bag).
\30\ See USCAR Inflator Technical Requirements and Validation,
p. 7 ] 3.2.2 (SAE Int'l, 2023). See also USCAR Inflator Technical
Requirements and Validation, p. 10 ] 3.2.2 (SAE Int'l, 2013).
---------------------------------------------------------------------------
The subject inflators exhibit this especially dangerous defect,
which warrants NHTSA's taking the significant step of proposing to
order a recall. To date, there have been seven confirmed field ruptures
of the subject inflators in vehicles in the United States, each of
which presented evidence of over-pressurization or weld insufficiency
as a likely cause of the failure. In addition, there have been twenty-
three reported ruptures during lot acceptance testing that share over-
pressurization or weld insufficiency commonalities with the seven field
ruptures. Moreover, at least an additional four inflators have ruptured
in vehicles outside the United States, killing at least one person.
To be sure, the overwhelming majority of the subject inflators will
not rupture upon deployment. However, based on the evidence linking
past ruptures to the same friction welding process, all of the subject
inflators are at risk of rupturing. The unpredictable nature of this
defect has played out with some inflators passing lot acceptance
testing but later rupturing in a vehicle and causing injury or death.
The only way to know which of the subject inflators remaining in
vehicles will rupture is for them to deploy. The Safety Act does not
allow such a defect to go unaddressed.
In recognition of the commonsense understanding that an inflator
that may rupture is defective, some vehicle manufacturers have already
issued limited recalls following field ruptures.\31\ This approach is
insufficient to address the defect. The evidence shows that the risk of
rupture pervades the entire subject inflator population and, as such, a
recall for all subject inflators is needed. Ruptures have continued to
occur outside the scope of these lot-based recalls and in lots that
passed lot acceptance testing. There is no reasonable basis to conclude
that the recalls issued to this point have captured the full scope of
the defect. Instead, NHTSA has preliminarily concluded, based on the
available evidence, that all the subject inflators are defective.
---------------------------------------------------------------------------
\31\ After the most recent rupture, GM apparently recognized
that a lot-based recall was no longer sufficient. However, the
ensuing recall was limited to specific model years and models of
vehicles and fails to address the full population of GM vehicles
containing the subject inflators. See Recall No. 23V-334 (recalling
2014-2017 Buick Enclave, Chevrolet Traverse, and GMC Acadia
vehicles).
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Whether there is a ``defect'' depends on the specific facts and
circumstances of each case, including the nature of the component
involved and its importance to the safe operation of the vehicle, the
circumstances in which failures occurred, and the number of failures
experienced. U.S. v. General Motors Corp., 518 F.2d 420, 427, 438 n.84
(D.C. Cir. 1975) (``Wheels''). Considering all of the available
information, NHTSA finds that there is sufficient evidence that the
total population of subject inflators is defective within the meaning
of the Safety Act.
1. An Air Bag Is Critical to the Safe Operation of a Vehicle
Factors to be considered in determining whether a defect exists
include the relationship between the component and safe vehicle
operation and the circumstances of the failures involved. An air bag is
vital to the safe operation of a vehicle. It is a required safety
device.\32\ In the event of a crash where the air bag is commanded to
deploy, which can include a minor crash, the air bag helps protect the
occupant's upper body and head from impact with hard objects such as
the windows, dashboard, and steering wheel. NHTSA estimates that air
bags saved more than fifty thousand lives between 1987 and 2017. The
defect in this case turns this life-saving purpose on its head, instead
introducing a risk of serious injury or death from flying metal
fragments ejected into the occupant compartment. As described below in
section II.A.3, rupturing inflators have caused severe injuries, the
most common of which are injuries to
[[Page 63478]]
the face, head, jaw, and neck. In three instances, a piece of the
inflator became lodged in the driver's neck or arm and had to be
surgically removed.\33\ In another, the shrapnel caused permanent
muscle and nerve damage to the driver.\34\ In two instances, the driver
died after being struck by a piece of the inflator. By forcefully
propelling metal shrapnel into the occupant compartment, often aimed
directly at an occupants' face, the rupturing inflator creates a high
risk of severe injury or death, potentially converting a minor crash
into a life-threatening event.
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\32\ Federal Motor Vehicle Safety Standard 208 sets requirements
for occupant crash protection, including air bags. 49 CFR 571.208.
\33\ See Email dated Apr. 5, 2023 to NHTSA from Hurley Medical
Center; Photos attached to email dated Apr. 5, 2023 to NHTSA from
Hurley Medical Center; Medical Discharge Summaries, Report ID
****8352 at p. 3; Information package provided by the Saudi Ministry
of Commerce and Industry; Hyundai Report submitted for MY 2011
Hyundai Elantra Rupture.
\34\ See VOQ dated Dec. 20, 2014.
---------------------------------------------------------------------------
The circumstances in which these failures occur are also severe.
The ruptures occur with no warning to the driver or other vehicle
occupants.\35\ A vehicle owner can neither prevent this failure from
occurring nor take action to mitigate the severity of its outcome,
given the rapid pace of an air bag deployment and the already
vulnerable position of the occupants in the midst of a collision. A
vehicle's air bags can deploy even in minor crashes, meaning this
defect can turn an incident from which the occupants could have walked
away unscathed into one that will likely cause serious injury or death.
There is no way for a vehicle owner, or anyone else, to know that a
particular subject inflator will rupture until it is too late. The
safety of vehicle occupants is significantly compromised by the rupture
of the subject inflators--a considerable factor in the agency's
determination that the subject inflators are defective under the Safety
Act.
---------------------------------------------------------------------------
\35\ Severity, frequency, and detectability are factors that
NHTSA and manufacturers consider when deciding whether there is a
safety defect requiring a recall. See Risk-Based Process for Safety
Defect Analysis and Management of Recalls, DOT HS 812 984 (Nov.
2020), https://www.nhtsa.gov/sites/nhtsa.gov/files/documents/14895_odi_defectsrecallspubdoc_110520-v6a-tag.pdf. These factors are
interrelated so high severity and non-detectible failures warrant a
recall with a lower frequency of occurrence. See id.
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2. Problems That Lead to Over-Pressurization and Weld Failure May Be
Present Throughout the Entire Population of Inflators
While the actual occurrence of ruptures is rare, the subject
inflators' risk of rupture nevertheless constitutes a defect,
especially when considering the nature and purpose of an inflator and
the severity of the risk to vehicle occupants. For a component that is
designed to function without replacement, courts have found that a
defect may be established by showing that a significant--or non-de
minimis--number of failures occurred in normal operation. E.g., Wheels,
518 F.2d at 427, 438 n.84. As mentioned in the section above, the
number of failures is one of the factors among the various facts and
circumstances that assists in the agency's determination of whether
there is a defect related to motor vehicle safety, requiring a recall.
Indeed, ``[t]he purpose of the Safety Act . . . is not to protect
individuals from the risks associated with defective vehicles only
after serious injuries have already occurred; it is to prevent serious
injuries stemming from established defects before they occur.'' United
States v. General Motors Corp., 565 F.2d 754, 759 (D.C. Cir. 1977)
(``Carburetors'').
Air bags are not subjected to wear and do not require maintenance.
As such, they are not replaced unless and until they deploy. The
subject inflators are hermetically sealed, protecting the interior from
elements that may cause propellant degradation.\36\ Nevertheless,
ruptures have continued to occur despite manufacturers' assertions that
narrower recalls have addressed the safety defect. NHTSA's
investigation and analysis of the ruptures supports its preliminary
determination that all subject inflators are at risk of rupturing and,
therefore, contain a defect.
---------------------------------------------------------------------------
\36\ See USCAR Inflator Technical Requirements and Validation at
] 3.2.11 (SAE Int'l, 2023).
---------------------------------------------------------------------------
During its investigation, NHTSA obtained evidence of issues in the
friction welding process of the subject inflators that resulted in
either over-pressurization or weld failure when the inflators were
commanded to deploy. This propensity for over-pressurization or weld
failure, based on one or more variables, can cause and has caused
repeated ruptures of the subject inflators. All seven known field
ruptures in vehicles in the United States, along with at least twenty-
three lot acceptance testing ruptures, were caused by over-
pressurization or weld failure. Thus, the evidence demonstrates that
the same friction welding process used to manufacture all of the
subject inflators creates a risk of rupture. Stated more plainly, any
of the subject inflators is subject to over-pressurization or weld
failure leading to rupture when commanded to deploy. There is no
evidence-based means to predict which specific subject inflators will
rupture when commanded to deploy. Limited-scope recalls initiated in
response to some of the ruptures were reactionary and narrowly focused
and did not proactively address the propensity of the larger population
of subject inflators to rupture. As a result, ruptures continued to
occur.
The ruptures that have already occurred in vehicles have
demonstrated the unpredictable nature of the defect. As detailed below,
these ruptures have involved inflators manufactured at different times
and in different manufacturing facilities, both single-stage and dual-
stage air bag inflators, driver-side and passenger-side inflators,
inflators incorporated into air bag modules by different module
suppliers, and inflators used in different vehicle manufacturers'
vehicles. The inflators that ruptured due to over-pressurization or
weld failure in lot acceptance testing likewise had been manufactured
at different times in different manufacturing facilities, included both
single-stage and dual-stage air bag inflators, driver-side and
passenger-side inflators, and were intended to be sold to different air
bag module suppliers. The critical element that the subject inflators
have in common is the friction welding process--significant evidence
indicates that this process has led to ruptures caused by over-
pressurization and weld failure.
3. The Inflators Have Ruptured in the Field Seven Times
The defect in the subject inflators has manifested in seven
confirmed ruptures in vehicles in the United States, injuring at least
seven people and killing another.
First Field Rupture--January 2009, Ohio
The first known field rupture of a subject inflator in the United
States occurred on January 29, 2009 in Ohio. The driver of a MY 2002
Chrysler Town & Country was turning into a driveway and collided with
another vehicle. The crash triggered air bag deployment, and the
driver-side, dual-stage air bag inflator--manufactured in ARC's
Knoxville, Tennessee plant--ruptured, sending pieces of metal through
the air bag cushion and into the occupant compartment. The driver
sustained severe injuries to the face, neck, shoulder, and jaw, causing
permanent muscle and nerve damage.\37\
---------------------------------------------------------------------------
\37\ See VOQ dated Dec. 20, 2014.
---------------------------------------------------------------------------
During an inspection of the vehicle, ARC took photographs of the
pieces of the ruptured inflator, including the center support. When the
inflator in the MY 2002 Chrysler Town & Country ruptured, the center
support elongated, split into two pieces, and ejected from
[[Page 63479]]
the inflator housing.\38\ These characteristics indicate that a rupture
was caused by over-pressurization of the inflator.\39\ The photos of
the upper portion of the center support show a blockage in the exit
orifice.\40\ NHTSA and ARC agree that because this blockage prevented
the gas from escaping through the exit orifice, the pressure inside the
inflator built and exceeded the inflator's strength limit and,
ultimately, the inflator over-pressurized and broke apart (i.e.,
ruptured). ARC posited that the blockage was caused by a piece of the
flash-dam pin, a tool that is inserted through the exit orifice during
the friction welding process in an attempt to prevent weld flash from
blocking the gas flow. The flash-dam pin is normally removed after
completion of the weld, but based on visual inspection of the
photographs, ARC suggested that a piece of this pin broke off during
the manufacturing process and, during deployment, blocked the
inflator's exit orifice.\41\ No metallurgical testing was done to
determine the composition of the blockage material.
---------------------------------------------------------------------------
\38\ See Photos of air bag parts from MY 2002 Chrysler Town &
Country Rupture at pp. 6-9.
\39\ See ARC Presentation dated Mar. 1, 2016 on MY 2004 Kia
Optima Rupture at pp. 5, 22; ARC Presentation dated Aug. 25, 2017 on
SGO 2016-01/2017-01 Report 39 at pp. 6, 11, 37; ARC Response to
Request 1 of NHTSA Aug. 25, 2015 IR Letter at p. 72.
\40\ See Photos of air bag parts from MY 2002 Chrysler Town &
Country Rupture at pp. 6-9.
\41\ See Written Response of ARC Automotive, Inc. to the
September 5, 2023, Initial Decision Docket No. NHTSA-2023-0038 at p.
32, https://www.regulations.gov/comment/NHTSA-2023-0038-0027.
---------------------------------------------------------------------------
The vehicle manufacturer, FCA,\42\ has not advanced any contrasting
potential explanation for this field rupture.
---------------------------------------------------------------------------
\42\ Then known as Chrysler.
---------------------------------------------------------------------------
Second Field Rupture--April 2014, New Mexico
The second known field rupture of a subject inflator occurred on
April 8, 2014 in New Mexico. The driver of a MY 2004 Kia Optima
collided with a roadside barrier, triggering air bag deployment. The
driver-side, single stage air bag inflator--manufactured in ARC's
Knoxville, Tennessee plant--ruptured, and fragments were propelled
through the air bag cushion and into the occupant compartment. At the
hospital, a piece of the shrapnel was removed from the driver's
neck.\43\ The driver was also treated for head trauma, a jaw fracture,
and lacerations to the lip, neck, and cheek.\44\
---------------------------------------------------------------------------
\43\ See Medical Discharge Summaries, Report ID ****8352 at p.
3.
\44\ See id.
---------------------------------------------------------------------------
ARC conducted a visual, on-site inspection of the vehicle and
inflator parts and took photographs of the vehicle and inflator pieces.
As with the MY 2002 Chrysler Town & Country rupture, the center support
of the inflator elongated, broke into two pieces, and ejected from the
inflator housing.\45\ ARC concluded that the inflator ruptured due to
over-pressurization,\46\ a conclusion with which NHTSA agrees. ARC's
analysis identified exit orifice blockage as the most likely cause of
the over-pressurization and rupture.\47\ The photographs of the center
support taken after the rupture occurred do not show that a blockage
remained in the exit orifice.\48\ ARC surmised that an internal
blockage of the exit orifice was unlikely based on this observation and
three additional indicators: (1) during manufacturing, the inflator had
been filled with the stored, internal gas through the exit orifice, (2)
the lot acceptance test data for the associated lot of inflators was
compliant, and (3) the exit orifice diameter was an acceptable
size.\49\ ARC hypothesized, instead, that the over-pressurization was
caused by an external blockage of the exit orifice and conducted tests
to mimic this condition.\50\
---------------------------------------------------------------------------
\45\ See ARC Presentation dated Mar. 1, 2016 on MY 2004 Kia
Optima Rupture at pp. 5, 22.
\46\ See id.
\47\ See id. at pp. 5, 7, 32.
\48\ See id. at pp. 8-9.
\49\ See id. at p. 68.
\50\ See id. at pp. 70-71, 74.
---------------------------------------------------------------------------
The photos of the center support in this instance do not show exit
orifice blockage; however, the blockage could have been knocked out of
the exit orifice when the inflator ruptured, as likely happened in
several of the lot acceptance test ruptures believed to have been
caused by internal exit orifice blockage.\51\ Debris found inside the
air bag cushion after this rupture was of a sufficient size to block
the exit orifice.\52\ Therefore, the evidence does not undermine
internal blockage as the underlying reason for the over-pressurization
in this incident. The three additional indicators listed above and
cited by ARC are present for each of the U.S. field ruptures and do
not, separately or combined, refute internal blockage of the exit
orifice as the cause of over-pressurization.
---------------------------------------------------------------------------
\51\ See ARC Presentation dated Apr. 1, 2017 on SGO 2016-01/
2017-01 Report 80 at pp. 8-11; ARC Presentation dated Nov. 10, 2017
on SGO 2016-01/2017-01 Report 120 at p. 7; ARC Presentation dated
Apr. 5, 2017 on SGO 2016-01/2017-01 Report 130 at pp. 8-11; ARC
Presentation dated Nov. 8, 2017 on SGO 2016-01/2017-01 Report 178 at
pp. 13-14.
\52\ See Photo 25 from inspection of MY 2004 Kia Optima rupture;
Photo 27 from inspection of MY 2004 Kia Optima rupture; Photo 29
from inspection of MY 2004 Kia Optima rupture; Photo 31 from
inspection of MY 2004 Kia Optima rupture; Photo 33 from inspection
of MY 2004 Kia Optima rupture; Photo 34 from inspection of MY 2004
Kia Optima rupture.
---------------------------------------------------------------------------
In comments, Kia disputed that the rupture may have been caused by
weld slag blocking the inflator orifice and noted a number of
observations. However, in attempting to explain the rupture, Kia could
only conclude that it was ``an isolated case of unknown cause.''
Third Field Rupture--September 2017, Pennsylvania
The third known field rupture occurred on September 22, 2017 in
Pennsylvania. The driver of a MY 2011 Chevrolet Malibu rear-ended
another vehicle, triggering air bag deployment. The driver-side, dual
stage air bag inflator--manufactured in ARC's Reynosa, Mexico plant
\53\--ruptured. Pieces of the inflator shot through the air bag cushion
and into the occupant compartment. The shrapnel caused multiple
fractures to the driver's face, nose, and jaw as well as other trauma,
lacerations, and nerve damage to the face.\54\
---------------------------------------------------------------------------
\53\ In the September 5, 2023 Initial Decision, the description
of this field rupture incorrectly stated that the vehicle was a MY
2010 Chevrolet Malibu and that the inflator had been manufactured in
Xi'an China.
\54\ See Complaint filed in lawsuit arising from the crash on
Sept. 22, 2017 at pp. 11-12.
---------------------------------------------------------------------------
General Motors (GM) took photographs of the vehicle and inflator
during an on-site inspection. A visual inspection of photos of the
inflator shows that the center support did not elongate, split in two,
or eject from the inflator.\55\ These characteristics are unique to
this field rupture. Based on observations made during physical
inspections on December 13, 2018 and January 22, 2019, GM noted the
lack of center support elongation as an indication that the exit
orifice was not blocked in this rupture.\56\ Neither GM nor ARC nor
NHTSA were able to conduct destructive testing on the inflator, so all
conclusions and hypotheses were based on visual inspection of the
photographs.
---------------------------------------------------------------------------
\55\ See Photos from inspection of MY 2011 Chevrolet Malibu
rupture at p. 65; GM Presentation dated Jan. 29, 2019 on MY 2011
Chevrolet Malibu rupture at pp. 4-6.
\56\ See GM Presentation dated Jan. 29, 2019 on MY 2011
Chevrolet Malibu rupture at pp. 1, 3.
---------------------------------------------------------------------------
Based on information available to it, ARC proffered a potential
explanation that partially attributed the rupture to issues with
Operation 50 of the inflator manufacturing process.\57\ Similarly, GM
[[Page 63480]]
noted that the inflator ruptured specifically at the Operation 50 weld,
along with another weld.\58\ For driver-side subject inflators,
Operation 50 is the point in the manufacturing process at which two
friction welds occur: The center support is friction welded to the
inside of the lower half of the inflator housing, and, at the same
time, the lower and upper halves of the inflator housing are friction
welded together.\59\ In their analyses of this field rupture, ARC and
GM identified issues with this particular friction weld and posited
those issues as potential causes of the rupture. These descriptions are
repeated in ARC's analyses of certain ruptures that occurred during lot
acceptance testing where deficiencies in this same friction weld were
identified as having contributed to each failure.\60\
---------------------------------------------------------------------------
\57\ See ARC Presentation dated Mar. 21, 2019 on MY 2011
Chevrolet Malibu rupture at p. 4.
\58\ See GM Presentation dated Jan. 29, 2019 on MY 2011
Chevrolet Malibu rupture at p. 3.
\59\ See ARC Presentation on CADH Inflator Design at slide 12.
\60\ See ARC Presentation dated Oct. 17, 2016 on SGO 2016-01/
2017-01 Report 3 at pp. 14-16; ARC Report dated Nov. 4, 2016 under
SGO 2016-01/2017-01 Report 5 at p. 2; ARC Report dated Nov. 4, 2016
under SGO 2016-01/2017-01 Report 5 at p. 2; ARC Presentation dated
Nov. 7, 2016 on SGO 2016-01/2017-01 Report 12 at slides 39-40; ARC
Report dated Dec. 12, 2016 under SGO 2016-01/2017-01 Report 13; ARC
Report dated Dec. 12, 2016 under SGO 2016-01/2017-01 Report 18; ARC
Presentation dated Feb. 8, 2017 on A9/ZB Model Inflators at pp. 2-3;
ARC Presentation dated May 14, 2017 on SGO 2016-01/2017-01 Report 20
at slides 27-30; ARC Report dated Dec. 14, 2016 under SGO 2016-01/
2017-01 Report 22 at p. 2.
---------------------------------------------------------------------------
While NHTSA acknowledges that characteristics of this field rupture
differ from those seen in the other U.S. field ruptures, they do not
undermine the agency's defect determination. These characteristics are
not anomalous or isolated; they also appear in several lot acceptance
test ruptures. After studying each such rupture, ARC attributed all of
these ruptures partially to friction weld failures.\61\ Moreover,
manufacturers attributed other field and lot acceptance test ruptures
to additional issues related to the friction welding process, including
excessive weld flash--created by friction welding--that blocked the
exit orifice, and a broken piece of the flash-dam pin--a tool used to
try to prevent weld flash blockage--that blocked the exit orifice. In
fact, the extent to which the MY 2011 Chevrolet Malibu rupture differs
from other field ruptures serves as evidence that there are variations
in the friction welding process, intentional or unintentional, that can
lead and have led to ruptures.
---------------------------------------------------------------------------
\61\ See id.
---------------------------------------------------------------------------
Appearing to recognize these variations, several commenters
suggested that more testing and analysis of the variables in the
subject inflators' design and manufacturing process is needed to
support NHTSA's initial decision. However, in the many years since the
first ruptures occurred and the investigation opened, the agency and
the manufacturers have conducted extensive analyses. To the extent some
commenters point to a lack of confirmed root cause for every incident,
the agency notes that a root cause determination is not required to
determine that a defect exists, as discussed further below in section
II.A.6. The agency also does not believe that additional analysis is
likely to shed meaningful light on issues that remain unsettled at this
point. In light of the severe safety risk, the Safety Act warrants a
recall based on the already clear evidence of a defect.
Fourth Field Rupture--August 2021, Michigan
The fourth known field rupture occurred on August 15, 2021. In
Michigan, the driver of a MY 2015 Chevrolet Traverse vehicle, returning
from a family outing with her children,\62\ was turning onto a highway
and was struck by another vehicle. The air bags deployed, and the
driver-side, dual stage air bag inflator--manufactured in ARC's
Reynosa, Mexico plant--ruptured, sending fragments of metal through the
air bag cushion and into the occupant compartment. The pieces of the
center support struck the driver in the neck, and the driver died from
the injury.
---------------------------------------------------------------------------
\62\ Public Meeting Transcript and Addenda at pp. 73-74, Docket
No. NHTSA-2023-0038, https://www.regulations.gov/document/NHTSA-2023-0038-0003.
---------------------------------------------------------------------------
One of the driver's children traveled from Michigan to Washington,
DC to speak at the public meeting on October 5, 2023 in support of
NHTSA's initial determination that the subject inflators are defective
and should be recalled. During the meeting, he described in detail his
presence at the crash scene and how the air bag, rather than protecting
his mother from injury, exploded, sent metal shrapnel into her face and
neck, and ultimately killed her.\63\
---------------------------------------------------------------------------
\63\ Id.
---------------------------------------------------------------------------
Photos taken by Michigan State Police personnel after the crash
show that the center support elongated, split in two, and ejected from
the inflator,\64\ demonstrating that over-pressurization caused the
rupture. The Michigan State Police also performed X-rays of the
inflator pieces and provided the images to GM.\65\ The X-rays do not
show any obstruction in the exit orifice.\66\ NHTSA does not believe
the X-ray images negate the possibility of exit orifice blockage. The
force of the rupture could have knocked any blockage material loose, as
the evidence suggests happened in lot acceptance test ruptures. \67\
Moreover, an X-ray image is not always detailed enough to identify
witness marks caused by debris in the exit orifice.
---------------------------------------------------------------------------
\64\ See Photos from inspection of MY 2015 Chevrolet Traverse
rupture in Michigan at pp. 188-229.
\65\ See GM Presentation dated Oct. 6, 2021 on MY 2015 Chevrolet
Traverse rupture in Michigan at p. 10.
\66\ See id.
\67\ See ARC Presentation dated Apr. 1, 2017 on SGO 2016-01/
2017-01 Report 80 at pp. 8-11; ARC Presentation dated Nov. 10, 2017
on SGO 2016-01/2017-01 Report 120 at p. 7; ARC Presentation dated
Apr. 5, 2017 on SGO 2016-01/2017-01 Report 130 at pp. 8-11; ARC
Presentation dated Nov. 8, 2017 on SGO 2016-01/2017-01 Report 178 at
pp. 13-14.
---------------------------------------------------------------------------
GM noted that the X-ray images for this field rupture did not show
material in the exit orifice and that CT scans of inflators retrieved
from the same lot did not show exit orifice blockage.\68\ As explained
above, X-ray images cannot rule out exit orifice blockage as the cause
of over-pressurization, and, furthermore, lot-based comparisons are not
broad enough to guarantee that the risk is contained. GM studied this
rupture in tandem with the subsequent fifth field rupture (discussed in
more detail below) and a lot acceptance test rupture.\69\ The remainder
of GM's analysis related to propellant was not specifically applicable
to this field rupture.\70\ ARC likewise has not offered any potential
explanations for this fatal field rupture incident, though it is
undisputed that over-pressurization ultimately caused the rupture.
---------------------------------------------------------------------------
\68\ See GM Presentation dated Jun. 15, 2022 on DAB ARC Inflator
Ruptures at p. 2.
\69\ See id. at p. 1.
\70\ GM enlisted the help of an independent research firm to
study propellant-related issues more broadly. The group studied 329
driver-side subject inflators manufactured between 2013 and 2021.
While the study identified ``[m]any areas of manufacturing
variability,'' it concluded that ``moisture migration into the
propellant,'' which is the cause of propellant degradation, ``is not
a concern in this inflators design.'' See Northrop Grumman
Presentation dated May 5, 2023 on GM ARC Inflator Investigation at
p. 48. GM did not identify a specific explanation for the inflator
ruptures but proposed that too much propellant, low propellant
density, and ``possible other unknown factors'' may be considered as
contributors. See GM Presentation dated Jun. 15, 2022 on DAB ARC
Inflator Ruptures at p. 1.
---------------------------------------------------------------------------
Fifth Field Rupture--October 2021, Kentucky
The fifth known field rupture occurred on October 20, 2021. In
Kentucky, the driver of a MY 2015 Chevrolet Traverse vehicle collided
with another vehicle at an intersection, which triggered the air bags
to deploy.
[[Page 63481]]
The driver-side, dual stage air bag inflator--manufactured in ARC's
Reynosa, Mexico plant--ruptured, and fragments of the metal inflator
were projected through the air bag cushion and into the occupant
compartment. The driver sustained injuries to the face.
Photographs were taken of the vehicle as well as the ruptured
inflator pieces. The photos show that the center support elongated,
split in two, and ejected from the inflator,\71\ demonstrating that
over-pressurization caused the rupture. The upper portion of the broken
center support shot through the air bag cushion and into the driver-
seat head rest.\72\ The photos of this piece of the center support show
material blocking the exit orifice.\73\ GM suggests the material may be
fabric from the head rest,\74\ however, a determination of the blockage
material has not been confirmed as the manufacturers were not able to
perform an analysis of the material to identify its makeup.
---------------------------------------------------------------------------
\71\ See GM Presentation dated Apr. 6, 2022 on MY 2015 Chevrolet
Traverse rupture in Kentucky at p. 3.
\72\ See id. at p. 4.
\73\ See id. at p. 3.
\74\ See id.
---------------------------------------------------------------------------
GM assessed this field rupture in tandem with the previous field
rupture and a lot acceptance test rupture, as explained above in
discussing the fourth rupture (2021 Michigan). As GM stated in that
analysis, no parts from the same lot as the inflator in this field
rupture were available for analysis,\75\ so the conclusions in its
report are not particularly relevant. GM did not perform a separate
analysis for this field rupture. Similarly, ARC has not provided a
potential explanation for this rupture.
---------------------------------------------------------------------------
\75\ See GM Presentation dated Jun. 15, 2022 on DAB ARC Inflator
Ruptures at p. 2.
---------------------------------------------------------------------------
Sixth Field Rupture--December 2021, California
The sixth known field rupture occurred on December 18, 2021 in
California. The driver of a MY 2016 Audi A3 e-Tron collided with
another vehicle. The air bags deployed, and the passenger-side, dual
stage inflator--manufactured in ARC's Reynosa, Mexico plant--ruptured,
with some of the fragments projecting through the air bag cushion and
into the occupant compartment. The passenger suffered serious injuries
to the face and ear.\76\ The pieces of the inflator also struck the
driver, causing lacerations to the right hand and right shin.\77\
---------------------------------------------------------------------------
\76\ See Complaint filed in lawsuit arising from the crash on
Dec. 18, 2021 at p. 2.
\77\ See State of California Crash Report dated Dec. 18, 2021 at
p. 3.
---------------------------------------------------------------------------
Photos from the vehicle inspection indicate that the center support
split in two and ejected from the inflator,\78\ demonstrating that
over-pressurization caused the rupture. The upper portion of the center
support ultimately ejected through the windshield and the lower portion
became lodged in the instrument panel.\79\ The upper portion of the
center support was never recovered and, therefore, never analyzed for
blockage. Neither ARC nor Volkswagen has offered potential explanations
for this rupture.
---------------------------------------------------------------------------
\78\ See Photos from inspection of MY 2016 Audi A3 e-Tron
rupture.
\79\ See id.
---------------------------------------------------------------------------
Seventh Field Rupture--March 2023, Michigan
The seventh, and most recent, known field rupture occurred on March
22, 2023 in Michigan. The driver of a MY 2017 Chevrolet Traverse
vehicle collided with a tree, causing the air bags to deploy. The
driver-side, dual stage inflator--manufactured in ARC's Reynosa, Mexico
plant--ruptured, sending fragments through the air bag cushion and into
the occupant compartment. The driver suffered injuries to the face,
teeth, and neck. A child in the back seat also suffered lacerations to
the face, potentially caused by shrapnel from the inflator rupture or
other debris from the crash. The upper portion of the center support
struck the driver in the neck and had to be surgically removed from the
driver's airway.\80\
---------------------------------------------------------------------------
\80\ See Email dated Apr. 5, 2023 to NHTSA from Hurley Medical
Center; Photos attached to email dated Apr. 5, 2023 to NHTSA from
Hurley Medical Center.
---------------------------------------------------------------------------
Photos taken of the vehicle and pieces of the inflator show that
the center support elongated, split in two, and ejected from the
inflator,\81\ once again demonstrating that over-pressurization caused
the rupture. Photos of the removed upper center support show that the
exit orifice was completely blocked.\82\ No further explanation for
this rupture has been advanced by ARC or GM.
---------------------------------------------------------------------------
\81\ See Photo 10 from inspection of MY 2017 Chevrolet Traverse
rupture; Photo 35 from inspection of MY 2017 Chevrolet Traverse
rupture; Photo 38 from inspection of MY 2017 Chevrolet Traverse
rupture; Photo 17 from inspection of MY 2017 Chevrolet Traverse
rupture.
\82\ See Photos attached to email dated Apr. 5, 2023 to NHTSA
from Hurley Medical Center; Photo 38 from inspection of MY 2017
Chevrolet Traverse rupture; Photo 36 from inspection of MY 2017
Chevrolet Traverse rupture; Photo 48 from inspection of MY 2017
Chevrolet Traverse rupture; Photo 45 from inspection of MY 2017
Chevrolet Traverse rupture.
---------------------------------------------------------------------------
Foreign Field Ruptures
In addition to the seven confirmed field ruptures in the U.S.,
there are four confirmed ruptures of frontal driver- and passenger-side
hybrid toroidal ARC inflators that occurred in other countries. In July
of 2016, a driver-side hybrid toroidal ARC inflator manufactured in
ARC's Xi'an, China plant ruptured in a MY 2009 Hyundai Elantra in
Canada.\83\ The center support split into two pieces and ejected, a
piece of which struck and killed the driver.\84\ In October of 2017, a
passenger-side hybrid toroidal ARC inflator manufactured in ARC's
Knoxville, Tennessee plant ruptured in a MY 2015 Volkswagen Golf in
Turkey.\85\ The center support split in two and ejected from the
inflator housing, and Volkswagen hypothesized that weld flash blockage
of the exit orifice caused the rupture.\86\ Fortunately, there was no
passenger in the vehicle, and no one was injured.\87\ In March of 2020,
a passenger-side hybrid toroidal ARC inflator manufactured in ARC's
Xi'an, China plant ruptured in a 2009 Hyundai Elantra in Saudi Arabia,
sending fragments of metal into the occupant compartment.\88\ The
driver sustained injuries in the incident.\89\ In October of 2021, a
driver-side hybrid toroidal ARC inflator manufactured in ARC's Xi'an,
China plant ruptured in a MY 2011 Hyundai Elantra Touring in Saudi
Arabia.\90\ The center support broke into two pieces and ejected from
the inflator housing.\91\ The driver was seriously injured when a piece
of the center support struck the driver's arm and had to be surgically
removed.\92\
---------------------------------------------------------------------------
\83\ See Hyundai Report dated Jul. 20, 2016 under SGO 2015-01/
2015-02; Hyundai Letter to NHTSA dated Apr. 15, 2020 at p. 2.
\84\ See Hyundai Report dated Jul. 20, 2016 under SGO 2015-01/
2015-02; Hyundai Letter to NHTSA dated Apr. 15, 2020 at p. 2; Photo
1 from inspection of MY 2009 Hyundai Elantra rupture; Photo 2 from
inspection of MY 2009 Hyundai Elantra rupture; Photo 375 from
inspection of MY 2009 Hyundai Elantra rupture.
\85\ See Key Safety Systems Report dated Dec. 1, 2017 under SGO
2015-01/2015-02.
\86\ See Photos from inspection of MY 2015 Volkswagen Golf
rupture; Volkswagen Presentation on MY 2015 Volkswagen Golf rupture.
\87\ See Key Safety Systems Report dated Dec. 1, 2017 under SGO
2015-01/2015-02.
\88\ See Hyundai Letter to NHTSA dated Apr. 15, 2020 at p. 2.
\89\ See Hyundai Report dated Mar. 30, 2020 under SGO 2015-01/
2015-02.
\90\ See Hyundai Report dated Apr. 7, 2023 under SGO 2015-01/
2015-02; Hyundai Report dated May 26, 2023 on Canada Safety Recall
R0239 ARC Inflator.
\91\ See Information package provided by the Saudi Ministry of
Commerce and Industry.
\92\ See id.
---------------------------------------------------------------------------
[[Page 63482]]
4. A Comparison to Peer Inflators Supports a Defect Determination
While the overall incidence of rupture is rare, these failures can
result and have resulted in severe injury or death. As such, and
considering the evidence of problems in the friction welding process,
the subject inflators present a defect. Moreover, the number of field
ruptures in the United States described here stands in stark contrast
to the near absence of such occurrences from other manufacturers of
frontal air bag inflators. In assessing a defect, courts have
considered how the number of failures compares to the number seen from
other manufacturers particularly in situations where--unlike here--the
circumstances of failure do not reveal an obvious defect. See, e.g.,
Wheels, 518 F.2d at 438 n.84. Such a comparison further bolsters the
conclusion that the subject inflators are defective.
As previously discussed in section I, SGOs 2015-01A and 2015-02A
require all manufacturers to report alleged inflator field ruptures to
NHTSA. Out of all of the field ruptures reflected in reports received
as of July 2024,\93\ NHTSA identified only one comparable U.S. field
rupture of a non-ARC air bag inflator, which has resulted in three
recalls.\94\ The agency recognizes that the predecessor SGOs, 2015-01
and 2015-02 (with similar reporting requirements), were first issued on
July 27, 2015. NHTSA believes it likely, however, that if other alleged
ruptures had occurred before the SGOs' issuance, the agency would have
been made aware of them through various channels. For example, the
first Takata inflator ruptures occurred in 2007-2008,\95\ and the first
Takata recall was initiated in 2008, so it is likely that, due to the
publicity, any inflator ruptures after that time would have been
reported to NHTSA through a complaint, which is how NHTSA learned of
the subject inflator rupture in the MY 2002 Chrysler Town &
Country.\96\
---------------------------------------------------------------------------
\93\ This does not include field ruptures--based on the agency's
review of these reports and field incidents--that involved inflators
manufactured by Takata, many of which have long been under recall.
As one commenter asserted (albeit in the context of discussing how
to define the defective population) it is difficult to make ``direct
rate comparisons'' between the inflators here and those in the
Takata recalls, and the Takata recalls ``have limited comparative
value'' given, among other things, the apparent failure mechanisms
and the number of reported deaths and injuries associated with
Takata air bag inflators. Comments of Jay Logel at p. 7 (Dec. 18,
2023).
\94\ NHTSA Recall Nos. 20V-681, 21V-766, and 21V-800.
\95\ Approximately 67 million non-desiccated Takata PSAN air bag
inflators, across nineteen vehicle manufacturers, are under recall
because they may rupture when deployed, causing serious injury or
even death. Certain other types of Takata inflators are also under
recall. For more information about the Takata air bag inflator
recalls, see Takata Recall Spotlight (NHTSA), https://www.nhtsa.gov/vehicle-safety/takata-recall-spotlight.
\96\ In addition, since 2002, manufacturers have been required
under NHTSA's early warning reporting regulations to report on
incidents involving injury or death. See 49 CFR part 579, subpart C.
---------------------------------------------------------------------------
A collection of all SGO reports involving confirmed ruptures of
frontal driver and passenger air bag inflators thus yielded a total of
eighteen potentially relevant reports involving non-ARC inflators. Of
these eighteen, ten of the reported ruptures occurred outside of the
United States. Relative to the U.S. market, the agency does not have
the requisite depth of information (e.g., the total inflator population
manufactured for each additional relevant foreign market) to enable an
effective peer comparison that would encompass inflators manufactured
for the various foreign markets. In addition, the considerations
relevant to determining whether a defect exists under U.S. law may not
be the same in other countries. The foreign ruptures are, therefore,
not included in a comparison with seven U.S. subject inflator field
ruptures.\97\
---------------------------------------------------------------------------
\97\ To the extent any of the foreign field ruptures evidence a
pattern, the agency is taking a closer look to ensure such trends do
not implicate vehicles or equipment in the U.S.
---------------------------------------------------------------------------
Of the remaining eight ruptures in the collection of reports, six
inflators appear to be substandard or imitation products not designed
or manufactured to meet U.S. safety standards or based on the same
industry standards as legitimate inflators. For this reason, they
should not be used as peer comparators. Of the remaining two ruptures,
one involved reported damage--scratching--on the inflator housing that
appeared to have been caused by a tool and not by deployment or
rupture. Further, while the reporting inflator manufacturer confirmed a
rupture, the reporting vehicle manufacturer did not.\98\ Given that
none of the seven ruptures involving the subject inflators contained
similar evidence, it is inappropriate to use this event in a
comparison.
---------------------------------------------------------------------------
\98\ Compare Air Bag Inflator Rupture Incident Report (Initial &
Final), Autoliv (Dec. 2, 2016) (confirming rupture but noting that
``scratching'' on areas of the inflator are ``not consistent with
Autoliv's quality requirements and the inflator exhibits damage/
scratches inconsistent with normal deployment or a rupture'') with
Air Bag Inflator Rupture Incident Report (Final), Nissan (Dec. 20,
2016) (``There is damage on the outside of the housing which appears
to be caused by an external tool, as evidenced by the multiple
witness marks surrounding the hole in the inflator. Nissan does not
believe that a rupture occurred in this incident.'').
---------------------------------------------------------------------------
Appropriately filtering the list of confirmed ruptures of frontal
driver- and passenger-side air bag inflators to include true peer
incidents, there is only a single field rupture from all other inflator
manufacturers to compare to the seven subject inflator field ruptures.
As noted above, that rupture already resulted in three recalls, and the
scope of vehicles under these recalls is broader than just a particular
lot. NHTSA is not aware of further ruptures of that type of inflator,
which is distinguishable from the repeated ruptures of the subject
inflators. After each lot recall of subject inflators, another inflator
outside the scope of the recall eventually ruptured in a vehicle,
supporting the need for a more comprehensive recall to address the full
defective population.
5. ARC's Addition of an Automated Borescope Examination Process
Recognizes and Mitigates the Risk of a Field Rupture Due to Exit
Orifice Blockage
In August of 2017, ARC began adding an automated borescope to the
manufacturing process.\99\ After the last friction weld is complete,
the borescope inspects the inside of the center support to detect any
debris, including weld flash.\100\ By June of 2018, ARC had fully
implemented this process by installing these automated borescopes on
all assembly lines used to manufacture the subject inflators. ARC
rejects any inflator for which the borescope detects material or debris
in excess of the specified parameters,\101\ and, from the first
borescope installation to March 2023, ARC rejected 195,166 inflators
based on the borescope's inspection.\102\
---------------------------------------------------------------------------
\99\ See ARC Presentation dated Oct. 2017 on Automated
Borescope.
\100\ See id.
\101\ See id.
\102\ See ARC Response to Request 8 of NHTSA May 31, 2023
Special Order.
---------------------------------------------------------------------------
The automated borescope examination process, which detects
excessive weld flash or other debris in the inflator center support,
recognizes and mitigates the risk of a field rupture due to exit
orifice blockage. The agency is unaware of a field rupture of a
frontal, driver- or passenger-side hybrid toroidal inflator
manufactured using the borescope examination process. Thus, the subject
inflators subject to this initial determination are the inflators
manufactured before the full implementation of this process change.
The borescope process provides additional evidence of the
likelihood that problematic levels of debris are present in the subject
inflator population. Inflators built after the
[[Page 63483]]
borescope process was introduced continued to otherwise undergo the
same friction welding process as before the borescope inspection began.
This means that the rejection rates from the borescope inspections
provide insight into the extent of debris present in the subject
inflators, which were produced under similar manufacturing procedures.
Before implementation of the borescope process, there was no analogous
mechanism in place for detecting--and removing from the manufacturing
line--inflators with excessive and dangerous levels of debris.
Moreover, ARC's representations during this investigation suggest
that the number of inflators with excessive debris before 2017 was
potentially even higher than the extent of debris present in inflators
manufactured after borescope implementation. By 2017, ARC claims that
it had already taken numerous other steps to update the manufacturing
process for the inflators, such as upgrading the welding equipment on
several production lines and refining welding tolerances in response to
field and testing ruptures.\103\ In this investigation, ARC has claimed
that the manufacturing procedures and equipment in place by 2017 were
improvements on the procedures and equipment in place in the preceding
years of inflator production. If so, the rate of unacceptable inflators
due to debris as revealed by the borescope inspections likely would
have been even higher for inflators built during the years in which the
manufacturing processes were less stringent. At the very least, the
nearly 200,000 inflators rejected between the start of the borescope
implementation process and March 2023 corroborate the other evidence
from analyses of the field ruptures and lot acceptance testing ruptures
that suggests a large number of inflators in the subject population
contain unacceptable levels of debris, posing a risk of rupture.
---------------------------------------------------------------------------
\103\ See, e.g., ARC Working Group Meeting Minutes dated Dec. 5,
2017.
---------------------------------------------------------------------------
6. The Field and LAT Ruptures Show a Defect Common to All of the
Subject Inflators
The evidence demonstrates that the friction welding process is
responsible for debris and weld insufficiencies, which have led to
over-pressurization and weld failures, causing ruptures. The seven
confirmed ruptures of the subject inflators in vehicles in the United
States each presented evidence of over-pressurization or weld
insufficiency as a likely cause of the rupture. In addition, at least
twenty-three of the reported lot acceptance test ruptures share over-
pressurization or weld insufficiency commonalities with the seven field
ruptures. These instances of over-pressurization and weld insufficiency
are linked to the friction welding process.
As described in section II.A.3, ARC and GM identified problems with
one of the friction welds in their analyses of the rupture of the MY
2011 Chevrolet Malibu inflator, attributing the rupture as most likely
caused by a failure of the friction weld.\104\ ARC reiterated the cause
of the rupture as a ``welding issue'' in its response to the agency's
September 2023 initial decision.\105\ In six of the subject inflator
ruptures that occurred during lot acceptance tests, ARC identified
similar issues related to the same friction weld, again noting that
friction weld failure as a potential causes of the ruptures.\106\ In
addition, the investigative file contains significant evidence that the
friction welding process has led to exit orifice blockage, causing
over-pressurization and rupture. Information gathered in three of the
U.S. field incidents includes evidence of material in the exit orifice:
photos of the upper portion of the center support in the MY 2002
Chrysler Town & Country show an unmistakable blockage in the exit
orifice; \107\ photos of the upper piece of the center support in the
MY 2015 Chevrolet Traverse in Kentucky show material blocking the exit
orifice; \108\ and photos of the upper portion of the center support in
the MY 2017 Chevrolet Traverse show that the exit orifice was
completely blocked.\109\ Exit orifice blockage remains a possible cause
based on the evidence for three other incidents--the MY 2004 Kia
Optima, the MY 2015 Chevrolet Traverse in Michigan, and the MY 2016
Audi A3 e-Tron. In addition, Volkswagen attributed weld flash blockage
leading to over pressurization as a potential cause for the inflator
rupture in the MY 2015 Volkswagen Golf in Turkey.
---------------------------------------------------------------------------
\104\ See ARC Presentation dated Mar. 21, 2019 on MY 2011
Chevrolet Malibu rupture at p. 4; GM Presentation dated Jan. 29,
2019 on MY 2011 Chevrolet Malibu rupture at p. 3.
\105\ See Written Response of ARC Automotive, Inc. to the
September 5, 2023, Initial Decision Docket No. NHTSA-2023-0038 at p.
32, https://www.regulations.gov/comment/NHTSA-2023-0038-0027 at n.
31.
\106\ See ARC Presentation dated Oct. 17, 2016 on SGO 2016-01/
2017-01 Report 3 at pp. 14-16; ARC Report dated Nov. 4, 2016 under
SGO 2016-01/2017-01 Report 5 pdf at p. 2; ARC Report dated Nov. 9,
2016 under SGO 2016-01/2017-01 Report 8 at p. 2; ARC Presentation
dated Nov. 7, 2016 on SGO 2016-01/2017-01 Report 12 at slides 39-40;
ARC Report dated Dec. 12, 2016 under SGO 2016-01/2017-01 Report 13;
ARC Report dated Dec. 12, 2016 under SGO 2016-01/2017-01 Report 18;
ARC Presentation dated Feb. 8, 2017 on A9/ZB Model Inflators at pp.
2-3; ARC Presentation dated May 14, 2017 on SGO 2016-01/2017-01
Report 20 at slides 27-30; ARC Report dated Dec. 14, 2016 under SGO
2016-01/2017-01 Report 22 at p. 2.
\107\ See id.
\108\ See id. at p. 3.
\109\ See Photos attached to email dated Apr. 5, 2023 to NHTSA
from Hurley Medical Center; Photo 38 from inspection of MY 2017
Chevrolet Traverse rupture; Photo 36 from inspection of MY 2017
Chevrolet Traverse rupture; Photo 48 from inspection of MY 2017
Chevrolet Traverse rupture; Photo 45 from inspection of MY 2017
Chevrolet Traverse rupture.
---------------------------------------------------------------------------
Other data support exit orifice blockage as a common factor in
these ruptures. In May of 2017, a group of manufacturers involved in
the investigation that has been described as the ``Collaboration
Group'' joined together to study the subject inflators. The
Collaboration Group analyzed fourteen reports submitted pursuant to
SGOs 2016-01 and 2017-01 of passenger-side hybrid toroidal inflator
ruptures during lot acceptance test deployments and conducted related
testing. The Collaboration Group concluded that all fourteen ruptures
were caused by over-pressurization; in all fourteen incidents, the
center support elongated, split in two, and ejected from the inflator
housing; and, in all fourteen incidents, the upper portion of the
center support had material in the exit orifice, witness marks around
the exit orifice (indicating debris was forced into the exit orifice
upon deployment but was subsequently knocked loose), or other evidence
of exit orifice blockage or obstruction.\110\ ARC has acknowledged the
exit orifice blockage issue by implementing changes in its Failure Mode
and Effects Analysis (FMEA) \111\ and manufacturing process
[[Page 63484]]
to mitigate it.\112\ In fact, ARC implemented the automated borescope
to identify excessive weld flash and other debris inside the inflator
on all of its toroidal air bag inflator manufacturing lines as a direct
response to the Collaboration Group's findings.\113\ The borescope
inspection process has identified unacceptable levels of debris in
inflators produced on all ARC production lines using friction welding
to manufacture hybrid toroidal inflators, which include 20 different
production lines across five different ARC manufacturing plants. This
extensive range illustrates that problems with excessive debris apply
broadly across the subject inflators.
---------------------------------------------------------------------------
\110\ See ARC Presentation dated Feb. 8, 2017 on SGO 2016-01/
2017-01 Report 4; ARC Presentation dated Dec. 8, 2016 on Inflator
Incidents Update at p. 17; ARC Presentation dated Jan. 10, 2017 on
SGO 2016-01/2017-01 Report 39; ARC Presentation dated Mar. 9, 2017
on ZC Anomaly; ARC Presentation dated Apr. 1, 2017 on SGO 2016-01/
2017-01 Report 80; ARC Presentation dated Apr. 1, 2017 on SGO 2016-
01/2017-01 Report 94; ARC Presentation dated Apr. 5, 2017 on SGO
2016-01/2017-01 Report 95; ARC Presentation dated Nov. 10, 2017 on
SGO 2016-01/2017-01 Report 120; ARC Presentation dated Apr. 5, 2017
on SGO 2016-01/2017-01 Report 130; ARC Presentation dated Nov. 10,
2017 on SGO 2016-01/2017-01 Report 158; ARC Presentation dated Nov.
10 2017 on SGO 2016-01/2017-01 Report 176; ARC Presentation dated
Nov. 8, 2017 on SGO 2016-01/2017-01 Report 178; ARC Presentation
dated Nov. 10 2017 on SGO 2016-01/2017-01 Report 184; ARC
Presentation dated Nov. 10 2017 on SGO 2016-01/2017-01 Report 186;
ARC Presentation dated Nov. 10 2017 on SGO 2016-01/2017-01 Report
192.
\111\ In general, a Failure Mode and Effects Analysis is a
qualitative tool associated with the design and manufacturing
process that businesses use to identify and analyze potential
failures in processes, such as those involving equipment, systems,
and personnel. The goal of this analysis is to prevent failures,
improve processes, and reduce the likelihood of failure causes and
effects.
\112\ See ARC Presentation dated Apr. 5, 2017 on SGO 2016-01/
2017-01 Report 95 at p. 86.
\113\ See ARC Working Group 8D Technical Closure Statement at p.
1.
---------------------------------------------------------------------------
Some commenters suggested that the results of a field recovery
program conducted by certain manufacturers during NHTSA's investigation
show there is no defect in the subject inflator population. This
program was initiated in the early stages of the investigation during
the Preliminary Evaluation. During the field recovery program, 918
inflators from a subpopulation of the total subject inflator population
were collected from salvage yards and deployed, with none of the
inflators rupturing. Given the fact that this testing program was
developed after just the first two U.S. field ruptures (the MY 2002
Chrysler Town & Country and the MY 2004 Kia Optima), the inflators
tested represent a limited portion of the total subject population.
They were selected based on (1) production date, with the vast majority
being manufactured between 2001 and 2004, and (2) the vehicles into
which the inflators were incorporated, which were Chrysler, Kia, and GM
vehicles.\114\ As such, the overall number of inflators recovered and
deployed under the field recovery program was low compared to what
ultimately became the total number of inflators in the subject
population. While there were no ruptures under the field recovery
program, ruptures in the field continued: after the program's
initiation, there were five additional U.S. ruptures of the subject
inflators.
---------------------------------------------------------------------------
\114\ See Field Recovery Program Data Sheet dated May 10, 2018.
---------------------------------------------------------------------------
The field recovery program confirmed, however, that some inflators
in the field contain large amounts of debris. Prior to their
deployment, the recovered inflators underwent X-ray imaging and, in
some cases, CT scanning to determine whether debris intruded upon the
exit orifice opening.\115\ Seven of the recovered inflators were
identified as containing such debris, including from weld flash.\116\
All of those inflators deployed normally, which is consistent with the
large number of complex variables that may factor into whether debris
in the inflator leads to over-pressurization. The existence of this
debris around the exit orifice of inflators in the field demonstrates
the prevalence of this issue in the subject inflator population.
---------------------------------------------------------------------------
\115\ See ARC Inspection Procedure and Evaluation dated Feb. 28,
2017.
\116\ See Field Recovery Program Deployment Data Sheet; ARC
Presentation dated Aug. 1, 2017 on Field Recovery Program.
---------------------------------------------------------------------------
ARC's own failure analysis throughout the investigation has also
indicated that, even if the company has been unable to identify the
full universe of variables that can lead to a rupture, the
commonalities in the failures are sufficient to reveal the nature of
the problem--including the failure mode and the aspects of the inflator
design and welding process most likely to contribute to it. In 2016,
ARC was even able to conduct testing that replicated four ruptures out
of 50 deployments.\117\ In doing so, ARC identified five manufacturing
variables in the assembly process that, when out of limits, appeared to
contribute to the likelihood of a rupture.\118\ ARC's fault trees and
failure mode effects analyses similarly isolate the specific steps in
the manufacturing process most likely relevant to the ruptures. The
existence of factual differences or different variables that led to the
ruptures does not establish that the ruptures lacked a common defect.
---------------------------------------------------------------------------
\117\ See ARC Presentation on Design of Experiment #5.
\118\ Id. Additional efforts in 2017 to replicate the failure
mode in a more precise manner were unsuccessful, further indicating
that different variables may combine to contribute to the risk of
rupture. See ARC Working Group Meeting Minutes dated Feb. 13, 2018.
---------------------------------------------------------------------------
Outside of this investigation, ARC has openly acknowledged the
problems with its friction welding process that have led to the defect
NHTSA seeks to remedy. For instance, in representations to the United
States government outside of this investigation, ARC has acknowledged
that the ``problematic'' characteristics of the subject inflators are
not limited to isolated production lots. Specifically, in a patent
application filed with the United States Patent and Trademark Office in
2020, ARC requested a patent on an improved air bag inflator design.
When explaining the background of existing designs that prompted the
need for an improved design, ARC's application represented that
``[s]ome existing inflator assemblies utilize a center support
structure that requires two simultaneous welds, which is problematic in
respect of manufacturing and also increases the potential for weld
particles to exit the inflator upon deployment. Existing designs have
also been configured to fragment during deployment as a consequence, in
the event of excessive pressure increase within the inflator due to
some failure or external condition or the like, these existing inflator
designs can be potentially hazardous for vehicle occupants.'' \119\
---------------------------------------------------------------------------
\119\ U.S. Pat. App. Pub. No. 2022/0185224 A1 to Rose et al., at
]] 0005-06.
---------------------------------------------------------------------------
The claimed improvements to mitigate these problems with prior
inflators focused on the precise aspects of the inflator that are at
issue in NHTSA's proceeding. Specifically, ARC intentionally redesigned
its inflator in a way that would avoid the friction welding process
that caused problems for the subject inflator, such as the step of
simultaneously friction welding the top and bottom of the inflator
housing to the center support.\120\ As ARC explained in the patent
application, ``[t]he described inflator also eliminates the requirement
for simultaneous welds, which facilitates manufacturing and reduces
potential weld particles.'' \121\ In addition, the redesigned inflator
included a pressure relief valve to create a failure mode that would
avoid rupture if over pressurization occurred.\122\ These
representations and redesign efforts demonstrate that, at the same time
ARC was insisting in the NHTSA investigation that the subject inflators
were neither defective nor inappropriate in their performance, the
company was actively trying to correct the problems with its inflators
and conceding the existence of those problems to another agency in the
United States government.
---------------------------------------------------------------------------
\120\ For the subject inflators, ARC refers to this step of the
manufacturing process as Operation 50 for the driver-side inflator
and Operation 42 for the passenger-side inflator. See, e.g., ARC
Presentation on CADH Inflator Design.
\121\ U.S. Pat. App. Pub. No. 2022/0185224 A1 to Rose et al., at
] 0047.
\122\ ``The inflator also advantageously includes a pressure
relief in the event of an elevated system internal pressure without
any rupture of the inflator.'' Id.
---------------------------------------------------------------------------
Ignoring the evidence of a common defect attributable to the
friction welding process, certain commenters have nevertheless argued
that there is, as of yet, no definitive, established ``root cause.''
\123\ While comments from two
[[Page 63485]]
individuals supported NHTSA's identification of weld-flash evidence
\124\ common to several of the ruptures, other commenters incorrectly
suggested that, to establish a defect here, NHTSA must identify a more
specific cause that is identical in each of the failures. Some of these
comments hinge, at least in part, on the notion that a specific root
cause of the defect in the Takata air bag inflators had been
identified.\125\ For example, Hyundai asserted that the agency's
September 2023 initial decision was ``entirely inconsistent with its
decision-making in the Takata case,'' citing in part a consensus root
cause at the time of the Takata recall request letter.\126\ Whether a
particular recall had an identified cause before or at the time it was
filed does not establish that such a particularized root cause is a
requirement for a recall. It is not.\127\A `` `defect' includes any
defect in performance, construction, component, or material of a motor
vehicle or motor vehicle equipment.'' 49 U.S.C. 30102(a)(3) (emphasis
added). Accordingly, ``a determination of `defect' does not require any
predicate of a finding identifying engineering, metallurgical, or
manufacturing failures. A determination of `defect' may be based
exclusively on the performance record of the vehicle or component.''
Wheels, 518 F.2d at 432 (emphasis added); see also United States v.
General Motors Corp., 841 F.2d 400, 413 (D.C. Cir. 1988) (explaining
that a defect can be established by the performance record alone and
does not require an engineering explanation).\128\ A non-defective
inflator does not rupture when it is commanded to deploy, absent some
extraordinary circumstance such as tampering.\129\ The repeated
ruptures of the subject inflators would not have occurred absent a
defect.\130\
---------------------------------------------------------------------------
\123\ See, e.g., Comments of Kia America Inc. at pp. 1-2;
Written Comments of General Motors LLC at p. 13; Comments from
Hyundai Motor America at pp. 2, 20; Public Comment Submitted by
Jacqueline Glassman at p. 10 (stating that while the root cause
``may not necessarily be a prerequisite to understanding that there
is a safety related defect,'' there must ``be some meaningful
relationship in order to infer that the underlying problem is a
`class-wide' problem.'').
This is despite the years of analysis the industry has
undertaken during the agency's investigation. The agency does not
believe that it is either necessary or appropriate to allow for
additional time for such analysis.
\124\ See John Keller P.E., Comments on NHTSA's Initial decision
to Declare ARC Automotive Toroidal Airbag Inflators Defective (Dec.
6, 2023) at p. 1; Jerry W. Cox, Esq., Comments in Support of the
National Highway Traffic Safety Administration's Initial Decision to
Declare 52 Million ARC Automotive Airbag Inflators Defective at p.
2.
\125\ Commenters appear to overstate NHTSA's reliance on the
Takata recalls as a basis for the initial decision here. Takata was
discussed essentially twice in the initial decision: in a section
providing general background on air bags and in another providing
background on the agency's past practices regarding recall request
letters. NHTSA's references to Takata in the initial decision were
made to provide context on recalls involving inflator ruptures and
not as a particularized substantive argument.
\126\ In fact, NHTSA's recall request letter to Takata makes
clear that the agency believed that multiple variables could result
in propellant degradation, which caused ruptures. Letter from F.
Borris, NHTSA, to K. Higuchi, TK Holdings Inc. (Nov. 26, 2014),
https://static.nhtsa.gov/odi/inv/2014/INRM-PE14016-60978.pdf
(describing high absolute humidity as one variable, but explaining
that other ruptures occurred outside areas of high absolute
humidity). That is also the case here, where the evidence points to
multiple variables that may result in over pressurization, causing
rupture.
\127\ Pointing to the specific facts in the Takata recalls as
precedent for necessary elements to order a recall, among other
things, ignores that each recall is fact specific--and suggests,
incorrectly, that the agency must match the bases for the Takata
recalls to order a recall here.
\128\ It is well established that a safety defect determination
does not require an engineering explanation or root cause. See NHTSA
Enforcement Guidance Bulletin 2016-02: Safety-Related Defects and
Automated Safety Technologies, 81 FR 65705, 65708 (Sept. 23, 2016).
\129\ See NHTSA, Special Crash Investigations: On-Site Air Bag
Inflator Rupture Crash Investigation; Vehicle: 2009 Honda Civic;
Location: Maryland; Crash Date: September 2017 (June 2020), https://crashstats.nhtsa.dot.gov/Api/Public/Publication/812972 (explaining,
in investigation into ruptured inflator, that ``[t]he wiring harness
for the driver's frontal air bag inflator had been tampered with
since the vehicle's date of manufacture'').
\130\ In much of the prior litigation under Safety Act the issue
of whether there was a defect was not in question, in part due to
the obvious nature of the defect. See, e.g., United States v.
General Motors Corp., 561 F.2d 923, 924 (D.C. Cir. 1977) (``Pitman
Arms''); United States v. Ford Motor Co., 453 F. Supp. 1240, 1249
(D.D.C. 1978).
---------------------------------------------------------------------------
Manufacturers' arguments related to a ``root cause'' finding are
inconsistent with their legal obligations and actions they have taken
pursuant to those obligations. Under the Safety Act, a manufacturer is
required to initiate a recall once it ``learns the vehicle or equipment
contains a defect and decides in good faith that the defect is related
to motor vehicle safety.'' 49 U.S.C. 30118(c)(1). It is common for the
industry to recognize obvious defects without identifying a specific
cause when, based on the performance record, they present a severe risk
to safety.\131\ Related to air bags in particular, manufacturers have
recalled inflators susceptible to rupture without identifying the type
of particularized cause demanded by the commenters.\132\ In fact, ARC
and other manufacturers have done so here. For example, BMW, GM, and
Volkswagen initiated recalls without identifying a cause based on the
severity of the risk as shown by one rupture.\133\ ARC acknowledged
that it has ``supported targeted recalls by vehicle manufacturers
related to field ruptures and production lots with an identified
potential risk of defect.'' \134\ These actions are consistent with a
manufacturer's obligations under the Safety Act to recall vehicles when
it decides a defect related to motor vehicle safety exists. The Safety
Act does not allow a manufacturer to evade or delay a recall because it
has not identified a specific ``root cause.'' NHTSA routinely takes
enforcement actions against manufacturers for failure to timely make
recall determinations, including where the lack of an identified root
cause contributed to the delay.\135\
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\131\ See Defect Notices, NHTSA Recall Nos. 23V-867 (In
describing the cause of the defect that ``may lead to thermal
overload, possibly resulting in smoke or a fire,'' Volkswagen stated
that ``[t]he root cause is still under investigation, but the risk
is associated with the battery modules exhibiting the potentially
critical self-discharge behavior.''); 23V-840 (In its description of
the cause of a defect that ``can lead to thermal events and in some
cases fires,'' Porsche states that ``[t]he root cause is still under
investigation.''); 23V-369 (JLR provides ``NR,'' commonly understood
to mean `no response,' to describe the cause of a ``thermal
overload'' condition that ``may show as smoke or fire'' and ``can
result in increased risk of occupant injury.''); 23V-626 (In
determining a defect exists that can ``result in a loss of motive
power,'' Ford identified one contributing factor but stated that ``a
second factor must be present or induced,'' and that ``[t]his factor
is still unknown and under investigation.''); 24V-099 (For a defect
affecting seatbelt function that ``may result in injury in the event
of a crash,'' Ford attributed the issue to corrosion ``caused by an
undefined supplier manufacturing issue.''); and 24V-418 (For a
defect resulting in seatbelts becoming ``unavailable as an occupant
restraint'' and resulting in ``an increased risk of injury if the
vehicle is involved in a crash,'' GM describes the cause as ``[t]wo
internal components'' that ``may be slightly our of dimensional
specifications'' but does not explain how the components came to be
out of specifications.)
\132\ See Defect Notice, NHTSA Recall No. 16V-045 (``The cause
is yet not determined. Takata and Volkswagen are still under
investigation of the root cause.'').
\133\ See Defect Notices, NHTSA Recall Nos. 17V-189 (``The root
cause has not yet been determined and is still under
investigation.''); 19V-019 (providing no response (``NR'') as to the
description of the cause); 21V-782 (providing no response (``NR'')
as to the description of the cause); 22E-040 (``GM's investigation
has not identified the specific root cause of the LAT rupture'');
22V-246 (providing no response (``NR'') as to the description of the
cause); 22V-543 (``The root cause is currently unknown . . . .'').
Even in GM's most recent ARC-related recall, which it no longer
sought to limit to a specific production lot, it indicated as to
cause that ``GM is continuing its investigation into this
incident.'' See Defect Notice, NHTSA Recall No. 23V-334.
\134\ See Written Response of ARC Automotive, Inc. to the
September 5, 2023, Initial Decision Docket No. NHTSA-2023-0038 at p.
20, https://www.regulations.gov/comment/NHTSA-2023-0038-0027.
\135\ See, e.g., Consent Order between NHTSA and Daimler Trucks
North America, LLC, In re: AQ18-002 ] 29 (Dec. 29, 2020), https://www.nhtsa.gov/sites/nhtsa.gov/files/documents/aq18-002_consent_order_executed.pdf (``DTNA acknowledges that the failure
to identify a specific root cause, develop an adequate repair or
remedy, or confirm the affected population of vehicles are not bases
for delaying the identification of a defect or noncompliance, the
determination of whether a defect related to motor vehicle safety,
or the timely reporting a defect or noncompliance to NHTSA.'');
Consent Order between NHTSA and General Motors Company, In re: TQ14-
001 ] 24 (May 16, 2014), https://www.nhtsa.gov/sites/nhtsa.gov/files/2021-11/TQ14-001-General-Motors-Consent-Order-5-6-2014-tag.pdf
(``GM shall not delay holding any meeting . . . to decide whether or
not to recommend or. conduct a safety recall because GM has not yet
identified the precise cause of a defect, a remedy for the defect,
or prepared a plan for remedying the defect.'').
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[[Page 63486]]
Commenters' arguments regarding root cause also ignore the evidence
of a common defect collected during NHTSA's investigation and described
above in this section and II.A.2-3 & 5. The evidence indicates that
problems related to friction welding can lead to both over-
pressurization due to exit orifice blockage and insufficient friction
welds. All of the field ruptures and a majority of the lot acceptance
test ruptures share these commonalities.
The evidence collected in NHTSA's investigation establishes that
the subject inflators have an unacceptable risk of rupturing.
Therefore, the entire subject inflator population is defective and must
be recalled. As demonstrated by past ruptures, the occurrence of a
rupture is unpredictable. Ruptures have occurred outside of narrower
inflator populations previously identified by the manufacturers to be
the defective population. There is substantial evidence tying the
defect to the friction welding process, and this process was used
across all manufacturing lines and plants that produced the subject
inflators. After multiple years of thorough investigation and analysis,
the evidence does not identify another element linking the ruptures. As
such, the subject inflator population identified in this decision is
the narrowest defective population supported by the evidence.
ARC claims the subject inflator population is too broad due to
variations in design and manufacturing of the subject inflators.
Similarly, other commenters have pointed out these variations and
assert that certain subpopulations of the subject inflators should be
excluded from the scope of a recall, e.g., passenger-side subject
inflators and subject inflators installed in certain makes and models.
Despite years of comprehensive analysis, NHTSA has found no design or
manufacturing evidence that shows these subpopulations are less
susceptible to rupture. In addition to the field rupture of a
passenger-side inflator, passenger-side inflators also ruptured in
fourteen lot acceptance tests. While NHTSA recognizes there may be
practical and logistical challenges to implementing a recall for the
full defective population, these concerns do not warrant a narrower
scope. Under the Safety Act, unreasonable risks cannot be countenanced
simply because of logistical challenges that may be involved in
remedying them.
None of the manufacturers have provided compelling technical
evidence that connects any of these variations to the defect or to a
particular subset of inflators that rebuts the need to recall the
subject inflators, ``[a]nd there is justice in this allocation to the
manufacturer[s] of the burden of compiling significant data on the
causes and consequences of mishaps in [their] cars.'' United States v.
General Motors Corp., 561 F.2d 923, 931 (D.C. Cir. 1977) (``Pitman
Arms''). And contrary to Hyundai's comment that there is ``little
downside'' for the agency to ``complete the necessary investigation and
make a rational judgment as to whether'' and to what extent a recall is
needed, there is already sufficient evidence that the full population
of subject inflators is defective. There is significant ``downside'' at
this point to further investigation in lieu of a recall.\136\ Absent a
recall, vehicle owners are not notified of the defect or entitled to
have it addressed when a remedy is available. NHTSA has, accordingly,
initially determined that the full population of subject inflators is
defective.
---------------------------------------------------------------------------
\136\ Hyundai also noted that ``no other country with a similar
safety recall legal framework'' has required a recall for the
subject inflators. There are seven confirmed U.S. ruptures of the
subject inflators, and over 20 million fewer ARC inflators were
distributed globally (across all countries) than to the U.S. In any
case, NHTSA's action is based on U.S. law. NHTSA is not bound by
other jurisdictions and their respective authorities and is making
this decision based on the facts before it (all of which may, or may
not, be available to other jurisdictions).
---------------------------------------------------------------------------
B. The Defect Is Related to Motor Vehicle Safety
NHTSA has also preliminarily concluded based on the available
evidence that the defect in the subject inflators (as described in
section II.A) is related to motor vehicle safety because a risk of
inflator rupture presents an unreasonable risk of death or injury in
the event of an accident. It is undisputed that rupturing inflators
have forcefully propelled pieces of metal at occupants, resulting in
grave, permanent injuries and death. Future rupture events likely would
have similar outcomes. An air bag's life-saving purpose also has
bearing on the unreasonableness of this defect.
The Safety Act defines ``motor vehicle safety'' as ``the
performance of a motor vehicle or motor vehicle equipment in a way that
protects the public against unreasonable risk of accidents occurring
because of the design, construction, or performance of a motor vehicle,
and against unreasonable risk of death or injury in an accident and
includes nonoperational safety of a motor vehicle.'' 49 U.S.C.
30102(a)(9). The statute does not further define what constitutes an
``unreasonable risk.'' Based on the ordinary meaning of that term, the
high severity of an inflator rupture coupled with the inability of a
vehicle owner or occupant to detect that the rupture will occur or
otherwise mitigate the risk warrants a finding that the risk is
unreasonable despite the low probability that a rupture will occur when
the inflator is commanded to deploy.
In considering this issue, courts have found that an assessment of
whether a risk is unreasonable requires a `` `commonsense' approach.''
Carburetors, 565 F.2d at 757. The most obvious, or ``commonsense,''
consideration in this assessment is, of course, the safety risk itself.
A defect that ``leads to failures in a vital component . . . is prima
facie an `unreasonable risk.' '' Pitman Arms, 561 F.2d at 929. In other
words, there is ``no question'' that a risk of an ``extremely
dangerous'' situation ``should be considered an unreasonable risk to
safety.'' Carburetors at 757. If the risk is sufficiently severe, even
an ``exceedingly small'' or ``negligible'' number of expected incidents
is ``unreasonably large.'' Id. at 759.\137\ This is so regardless of
whether any injuries have already occurred, or whether the projected
number of failures or injuries in the future is trending down. See id.
---------------------------------------------------------------------------
\137\ Commenters asserted that NHTSA did not use or follow risk
matrices used by NHTSA's Office of Defects Investigation (ODI).
NHTSA's risk matrices are not recall-determination tools. Rather,
the matrices are used ``[t]o assist in objectively evaluating
whether a potential defect issue should be advanced to the next
stage for an investigation. . . . ODI uses these matrices as
deliberative tools to assist in evaluating the risk posed by a
potential defect and identifying issues that should be elevated to
an investigation.'' Risk-Based Process for Safety Defect Analysis
and Management of Recalls, DOT HS 812 984 (Nov. 2020), https://www.nhtsa.gov/sites/nhtsa.gov/files/documents/14895_odi_defectsrecallspubdoc_110520-v6a-tag.pdf. NHTSA decided
back in 2015 that this issue warranted investigation under its risk-
based processes. Further, ODI's risk matrices and their application
are not binding on NHTSA or any outside entity, and they are not
``guidance''; they are a tool for ODI personnel.
---------------------------------------------------------------------------
Courts have also considered certain particularly severe defects to
be ``per se'' safety-related defects regardless of how many injuries or
accidents are likely to occur in the future. These decisions have
involved defects that cause the failure of a critical component, a
vehicle fire, a loss of vehicle control, and a
[[Page 63487]]
defect that suddenly moves the driver away from the steering wheel,
accelerator, and brake controls. See Carburetors, 565 F.2d 754 (engine
fires); Pitman Arms, 561 F.2d 923 (loss of control); United States v.
Ford Motor Co., 453 F. Supp. 1240 (D.D.C. 1978) (``Wipers'') (loss of
visibility); United States v. Ford Motor Co., 421 F. Supp. 1239, 1243-
44 (D.D.C. 1976) (``Seatbacks'') (loss of control); see also NHTSA,
Motor Vehicle Safety Defects and Recalls: What Every Vehicle Owner
Should Know, available at https://www.nhtsa.gov/sites/nhtsa.gov//documents/14218-mvsdefectsandrecalls_041619-v2-tag.pdf (providing
examples of safety-related defects, including ``[a]ir bags that deploy
under conditions for which they are not intended to deploy'' and
``[c]ritical vehicle components that break, fall apart, or separate
from the vehicle, causing potential loss of vehicle control or injury
to people inside or outside the vehicle'').
1. The Risk Posed by an Inflator Rupture Is Severe
Here, there is no question that an inflator rupture presents an
extreme danger. As already described, a rupture turns a component with
the sole purpose of preventing serious injury and death into a device
that can cause serious injury or death; the defect simultaneously
undermines the component's life-saving purpose and introduces a life-
threatening danger. To reiterate, the consequences of these ruptures
thus far include lacerations to the legs, harm to the jaw and ear,
severe injuries to the face, neck, head, shoulder, and arm, injury to
the airway requiring a tracheostomy, and death. Commonsense dictates
that the defect here poses an unreasonable risk. See Carburetors, 565
F.2d at 757-59.
Even if a vehicle occupant is fortunate enough not to be struck by
the metal fragments ejected out of the inflator upon a rupture, the
rupture also undermines the intended effectiveness of the air bag in
protecting an occupant in a crash. An air bag is designed to deploy in
a precise manner under very strict timeframes. Over the course of
milliseconds, numerous vehicle systems working in tandem must perform a
multitude of functions in a particular order to ensure that the airbag
protects the occupant.\138\ An air bag inflator is a critically
important component in this sequence as it is responsible for ensuring
that an air bag inflates a precise amount at a precise time in order to
be in the right position when it meets the vehicle's occupant. When an
inflator ruptures, the pressure accumulating in the inflator to is
suddenly released, resulting in a complete disruption of the tightly
controlled gas flow intended for the inflator.\139\ This disrupts the
air bag inflation timing, undermining the air bag's ability to perform
its intended safety function. Thus, even apart from a rupture's
dangerous explosion of metal fragments towards a vehicle occupant, the
rupture deprives a vehicle occupant of the benefit of an air bag.\140\
Manufacturers have issued recalls to address the increased safety risk
to vehicle occupants when air bags do not properly inflate.\141\
---------------------------------------------------------------------------
\138\ Such functions include but are not limited to detecting an
impact, classifying the impact as severe enough to warrant an air
bag deployment, understanding the likely positioning of the vehicle
occupant based on the occupant's seating position and seatbelt
status, commanding deployment of the air bag at a specified
inflation rate to match the occupant's expected position, and
reaching a level of air bag inflation necessary for the cushion of
the air bag to reduce the expected crash forces. This is a very
complex dynamic in which numerous life-critical systems are
interdependent and all components must perform exactly as intended
to protect the vehicle occupants.
\139\ This release causes the gas flow rate into the air bag to
suddenly spike before dramatically dropping as the inflator's
pressure equalizes with the ambient air.
\140\ During the investigation, both ARC and at least one
vehicle manufacturer acknowledged that the rupture of one of the
subject inflators could cause an air bag to underinflate. See ARC
Presentation dated Mar. 1, 2016 on MY 2004 Kia Optima Rupture;
Hyundai Letter to NHTSA dated Apr. 15, 2020.
\141\ See NHTSA Recall Nos. 12V-055 and 01V-318.
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Hundreds of recalls are issued each year for safety-related
defects. In 2023 alone, there were nearly 800 such vehicle recalls. The
vast majority of these recalls were uninfluenced by a NHTSA
investigation.\142\ The nature of the defects and potential
consequences ranged widely. While some involved fire risks or loss of
vehicle control (and certain such recalls were accompanied by a ``do
not drive'' advisory), others involved a variety of components and
other potential consequences: sun visors that may detach (may distract
or obstruct view); aluminum siding that may detach from a trailer;
incorrectly assembled door latches that may allow the door to open
unexpectedly during operation; incorrectly installed headlights
(reducing visibility); and detached rearview mirror lenses (reducing
visibility).\143\ When viewed broadly against the backdrop of the
hundreds of recalls issued each year for various types of components
and attendant consequences, the severity of an inflator rupture--where
the consequence of the defect is the projection of shrapnel into the
occupant compartment--is extreme. The latent nature of the defect
further exacerbates its severity. This defect cannot be discerned by a
diligent vehicle owner or even as the result of an inspection. The
defect only becomes apparent upon a deployment but, by then, the danger
has already manifested. As a result, this defect provides no
opportunity for a driver to take any mitigating actions absent a
recall--either ahead of manifestation of the defect, or when the defect
manifests.
---------------------------------------------------------------------------
\142\ NHTSA 2023 Annual Report: Safety Recalls (Mar. 2024),
available at https://www.nhtsa.gov/sites/nhtsa.gov/files/2024-03/NHTSA-2023-Annual-Recalls-Report_0.pdf. ``Uninfluenced'' recalls are
recalls issued by a manufacturer not influenced by NHTSA
investigation into the issue.
\143\ See NHTSA Recall Dashboard, https://datahub.transportation.gov/Automobiles/NHTSA-Recalls-by-Manufacturer/mu99-t4jn; Recall Nos. 23V-781, 23V-612, 23V-373, 23V-
650, 23V-856. The recall dashboard is a user-friendly platform that
can be used to sort, filter, visualize, and export recall data.
---------------------------------------------------------------------------
The air bag inflator industry itself has long recognized the
severity of the risk posed by an inflator rupture and the importance of
preventing it. The United States Council for Automotive Research
(USCAR) has published specifications establishing performance and
validation requirements for air bag inflators. These requirements
include assurance against certain behaviors in the event of an inflator
rupture, which USCAR refers to as a burst. The specifications provide a
testing procedure to confirm the structural integrity of an inflator,
instructing the tester to block any exit orifices and increase the
pressure until the inflator ruptures.\144\ This test is to ensure that
``[a]n Inflator shall not eject any components or fragments during any
portion of [design validation] and [production validation] testing.''
\145\ In the event of a rupture, any separation must be ductile and
``the inflator shall not fragment or eject any part of the structural
components.'' \146\
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\144\ USCAR Inflator Technical Requirements and Validation at p.
30 ] 5.2.3.1 (SAE Int'l, 2023).
\145\ Id. at p. 7 ] 3.2.2.
\146\ Id at p. 7 ] 3.2.2.1.
---------------------------------------------------------------------------
ARC's own design practices similarly recognize that inflator
ruptures present an unacceptable level of risk. Similar to the USCAR
specifications described above, ARC's own internal mistake proofing
protocol acknowledged that it was critical during the Operation 50 step
of the manufacturing process to ensure that ``no vent orifice or weld
flash blockage'' occurred.\147\ This is because ARC recognized that if
those conditions exist, ``[t]he inflator can ``over pressurize and
result in parts
[[Page 63488]]
ejecting.'' \148\ ARC assigned this type of over pressurization and
rupture an FMEA severity number of 10 out of 10--the highest level of
severity of all risks in ARC's FMEA. Any inflators in which such
blockage occurred were to be ``manually scrapped'' and prompt a
supervisor notification. As these materials illustrate, at the design
and manufacturing planning stages, ARC expected a strict lack of
tolerance for conditions that created a risk of ruptures, out of
concern for the precise dangers at issue in this proceeding.
---------------------------------------------------------------------------
\147\ See ARC Response to Requests 2 & 3 of NHTSA Aug. 25, 2015
IR Letter at p. 40.
\148\ Id.
---------------------------------------------------------------------------
As previously discussed in section II.A.6, manufacturers in the
instant case have also recognized the severity of the defective
inflators in several ways. A single rupture was enough to prompt BMW,
GM, and Volkswagen to issue recalls.\149\ Some manufacturers engaged
private research firms to try to better understand the defect.\150\ In
an effort to eliminate this severe risk from future inflators with the
same design as the subject inflators, ARC implemented the automated
borescope on all of its toroidal air bag inflator manufacturing
lines.\151\ Going a step further, ARC has taken steps to remove the
potential for this defect and the associated risk by considering other
inflator designs.\152\ All of these actions underscore the commonsense
recognition that a piece of equipment intended to protect people from
injury and save lives that, instead, explodes and propels metal toward
vehicle occupants presents an unreasonable risk to motor vehicle
safety.
---------------------------------------------------------------------------
\149\ See Defect Notices, NHTSA Recall Nos. 17V-189, https://static.bnhtsa.gov/odi/rcl/2017/RCLRPT-17V189-8204.PDF (``The root
cause has not yet been determined and is still under
investigation.''); 19V-019, https://static.nhtsa.gov/odi/rcl/2019/RCLRPT-19V019-2023.PDF (providing no response (``NR'') as to the
description of the cause); 21V-782, https://static.bnhtsa.gov/odi/rcl/2021/RCLRPT-21V782-3621.PDF (providing no response (``NR'') as
to the description of the cause); 22E-040, https://static.nhtsa.gov/odi/rcl/2022/RCLRPT-22E040-9723.PDF (``GM's investigation has not
identified the specific root cause of the LAT rupture''); 22V-246,
https://static.bnhtsa.gov/odi/rcl/2022/RCLRPT-22V246-3538.PDF
(providing no response (``NR'') as to the description of the cause);
22V-543, https://static.nhtsa.gov/odi/rcl/2022/RCLRPT-22V543-3225.pdf (``The root cause is currently unknown . . . .''). Even in
GM's most recent ARC-related recall, which it no longer sought to
limit to a specific production lot, it indicated as to cause that
``GM is continuing its investigation into this incident.'' See
https://static.bnhtsa.gov/odi/rcl/2023/RCLRPT-23V334-3445.PDF.
\150\ See Northrop Grumman Presentation dated May 5, 2023 on GM
ARC Inflator Investigation; Memorandum--Meeting with HMA with
Enclosure, Docket No. NHTSA-2023-0038, https://www.regulations.gov/document/NHTSA-2023-0038-0029.
\151\ See ARC Working Group 8D Technical Closure Statement at p.
1.
\152\ See U.S. Pat. App. Pub. No. 2022/0185224 A1 to Rose et
al., at ]] 0005-06.
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Some commenters contended that the ``commonsense'' approach to the
assessment of unreasonable risk requires a cost consideration, and that
NHTSA did not consider costs in issuing its decision. This contention
is essentially based on language in Wheels, in which the U.S. Court of
Appeals for the D.C. Circuit discussed an approach to safety in the
context of defects--specifically, a `` 'commonsense' balancing of
safety benefits and economic cost'' that recognizes that
``manufacturers are not required to design vehicles or components that
never fail.'' The court stated that ``[i]t would appear economically,
if not technologically, infeasible for manufacturers to use tires that
do not wear out, lights that never burn out, and brakes that do not
need adjusting or relining. Such parts cannot reasonably be termed
defective if they fail because of age and wear.'' Wheels, 518 F.2d at
435-36.
The subject air bag inflators are not the type of ``wear and tear''
component to which the cost consideration described in Wheels would be
apposite. Similar to the defective component in Carburetors, ``[h]ere
we do not deal with a part which is subject to failure because of age
and wear, or a part which drivers reasonably expect to have to check
and replace because of the particular problem involved.'' Carburetors,
565 F.2d at 759-60. The inflator industry already designs inflators
never to rupture. In any case, by requiring a recall of the subject
inflators, the agency is not requiring manufacturers to produce
``perfect, accident-free vehicles at any expense.'' See Carburetors,
565 F.2d at 760. Rather, it is requiring the notification of owners
about these inflators ``which did not, from the beginning, meet the
manufacturer's own standards.'' See id. at 760.
2. Future Inflator Ruptures Are Expected
As the agency observed in its September 2023 initial decision, new
ruptures have occurred outside of the sub-populations of vehicles
previously recalled, and it is expected that additional ruptures will
occur in the future. See Carburetors, 565 F.2d at 758 (``[W]here a
defect--a term used in the sense of an `error or mistake'--has been
established in a motor vehicle, and where this defect results in
hazards as potentially dangerous as a sudden engine fire, and where
there is no dispute that at least some such hazards, in this case
fires, can definitely be expected to occur in the future, then the
defect must be viewed as one `related to motor vehicle safety.' '')
(footnotes omitted). However, just as the agency (and manufacturers)
could not have predicted the vehicles in which ruptures have already
occurred, nor can it predict the vehicles in which ruptures will occur
for vehicles that remain equipped with subject inflators. Each of those
inflators remains at risk. What is predictable is that the consequences
of a rupture will be severe and possibly deadly. Thus, even though the
risk of any individual inflator rupturing is low, it is nevertheless
unreasonable. ``The purpose of the Safety Act . . . is not to protect
individuals from risks associated with defective vehicles only after
serious injuries have already occurred; it is to prevent serious
injuries stemming from established defects before they occur.'' Id. at
759.
NHTSA is supplementing its statistical evaluation of the rupture
risk of the subject inflators as a result of several adjustments made
since the initial decision and partially as informed by the comments
received.\153\ Upon additional analysis, NHTSA finds that the subject
inflators have a higher risk of rupture than initially believed, based
on a lowered estimate of the number of subject inflators that have
previously deployed in the field. NHTSA's estimate is based on
38,480,407 vehicles that have subject inflators in the driver-side air
bag only, 8,992,543 vehicles that have subject inflators in the
passenger-side air bag only, and 1,873,066 vehicles that have subject
inflators in both driver- and passenger-side air bags, totaling
approximately 49 million vehicles. NHTSA now estimates that 1,349,802
of the subject air bag inflators (combined driver-side and passenger-
side) deployed in vehicles between 2000 and 2023.\154\ Based on the
known field ruptures, the rupture rate of the subject inflators is
therefore 7 out of 1,349,802. In other words, the risk of any subject
inflator rupturing when commanded to deploy was and is 1 in
192,829.\155\ NHTSA is adding to the docket a report more fully
explaining its statistical considerations and findings. See NHTSA,
Estimating the Rupture Rate and Projecting Future Ruptures for
[[Page 63489]]
Subject Inflators in NHTSA's Proceeding Related to EA16-003.
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\153\ Changes include applying different deployment rates to
driver- and passenger-side inflators based on historical crash data,
refining the classification of vehicles for purposes of accounting
for attrition, and accounting for vehicles being driven fewer miles
as they age. These changes address a number of comments directed at
this analysis.
\154\ NHTSA previously estimated that approximately 2,600,000 of
the subject air bag inflators had deployed in the field.
\155\ This is an increase from the prior estimate of 7 in 2.6
million (or 1 in 371,429).
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NHTSA does not conduct statistical analyses as a matter of course
in every defect investigation. Nor was a statistical analysis strictly
necessary here--particularly given that the unreasonable risk here is
self-evident and one of ``common sense.'' The analysis was initiated in
response to a statement by ARC. In its response to the agency's recall
request letter, ARC asserted that seven ruptures as compared to the
total subject inflator population was insufficient to determine that a
defect exists in the subject inflator population.\156\ However, a
rupture only occurs if the air bag deploys. As such, it is more
appropriate and accurate to compare the number of past field ruptures
to the number of past field deployments to determine the rate at which
the subject inflators have ruptured. Determining an estimated number of
past field deployments required statistical calculations, which yielded
the initial analysis. NHTSA disagrees with General Motors'
characterization of NHTSA's reliance on that statistical analysis as
``heavy.'' Indeed, the analysis was previously addressed in just a few
sentences of NHTSA's September 2023 initial decision.\157\ The
statistical analysis, now updated, is not a prediction of the future.
It is, rather, additional information that supplements the agency's
ordinary consideration of what constitutes an unreasonable risk,
including engineering and investigative evidence. Although it supports
NHTSA's conclusion, the statistical analysis was not necessary to
NHTSA's September 2023 initial decision. That remains the case here as
well.\158\
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\156\ ARC's May 11, 2023 Response to NHTSA's Recall Request
Letter, p. 2, https://static.nhtsa.gov/odi/inv/2016/INRR-EA16003-90616.pdf.
\157\ A NHTSA statistician also further explained her work, in
the interest of transparency, at the October 2023 public meeting.
\158\ GM asserted that NHTSA's statistical analysis is
inconsistent with the agency's previous rejection of an earlier,
separate statistical analysis (which GM characterizes as a ``much
more sophisticated predictive model'') in a previously submitted
petition for inconsequentiality. See 85 FR 76159 (Nov. 27, 2020)
(decision on petition). The statistical analysis that GM provided in
its previous inconsequentiality petition was submitted to support
the argument that the defect in an air bag inflator (i.e., an air
bag inflator in which a defect had already been determined to exist)
was, nonetheless, inconsequential to motor vehicle safety as
installed in GM vehicles.
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While NHTSA's updated statistical analysis confirms the commonsense
understanding that inflator ruptures will continue to be rare, the
severity of rupture renders that risk unacceptable under the Safety
Act. Unsurprisingly, the manufacturers who have continued to dispute
the need for a broader recall disagree that the risk is unreasonable. A
number of commenters challenged the persuasiveness of the future
rupture risk, asserting that the estimated number of future ruptures is
too low to present an unreasonable risk to motor vehicle safety.
Comments emphasizing the low number of expected future ruptures are
unconvincing. Up to this point, the subject inflators have ruptured
rarely, and yet they have still injured or killed at least eight people
in the United States. The evidence is sufficient for the agency to find
that the rare, though expected, occurrence of future rupture is
unreasonable given the severity. Under the plain language of the Safety
Act, such a severe, undetectable, and unpredictable risk of an inflator
rupturing and sending shrapnel at high speed into the occupant
compartment of a vehicle is ``unreasonable.'' Even a ``negligible''
number of future ruptures is unreasonable given that a foreseeable
outcome is severe injury or death. See Carburetors, 565 F.2d 754 at
759; Pitman Arms, 561 F.2d at 924.
While an inflator rupture occurs if the inflator has been commanded
to deploy in a crash, several commenters nevertheless asserted that the
relevant population of inflators from which to derive a rupture rate
should be the entire subject inflator population (51 million, rather
than the number of inflators estimated to have actually deployed). The
reasons were varied, including that all inflators have the same
potential to undergo deployment and rupture in a crash, that use of the
entire population best accounts for both the risk of a deployment and
the risk of a rupture and, as commented by ARC, ``permits a more
accurate comparison to peer inflator data and more appropriately
compares the risk to comparable peer populations.'' \159\
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\159\ Written Response of ARC Automotive, Inc. to the September
5, 2023, Initial Decision (Dec. 18, 2023 (Corrected--February 12,
2024), at p. 23. ARC also asserted that such an approach would be
based on two directly observable inputs (number of inflators and
known field events) instead of one (number of field events) with a
separate estimated input (deployments). See id. at p. 22. Whether an
input is ``directly observable'' has little import in determining
appropriate variables to use as a statistical matter in developing
risk assessments. While the total inflator population may be more
accurately estimated, that does not render it the more appropriate
metric.
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NHTSA agrees that, in the event of a deployment, each of the
subject inflators is equally at risk of rupture. None can be eliminated
as not at risk, and it is not possible to know whether a particular
inflator will rupture unless a deployment occurs. But a deployment is a
necessary condition for a failure, and the vast majority of inflators
have not deployed. Including the entire population of manufactured
inflators in deriving a rupture rate--knowing that the overwhelming
majority have not deployed--vastly understates the prevalence of the
defect by ignoring the necessary condition for a failure. This would
lead to a vast understatement of the true rupture rate and predicted
future ruptures. For this reason, it is wholly appropriate to ground
the predicted future rupture rate with reference to ruptures
experienced in past deployments, and not to the total number of
manufactured inflators.\160\
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\160\ General Motors refers to a previous investigation
regarding Mini Cooper S exhaust pipe tips in which the total
population was used to refer to a failure rate. The product at issue
there, however, did not involve a necessary condition like a
deployment of the subject air bags for the defect to manifest. And
notably, in previously evaluating certain statistical analyses in a
General Motors inconsequentiality petition regarding Takata air bag
inflators, NHTSA described the risk at issue in terms consistent
with that here. See 85 FR 76159 (Nov. 27, 2020) (describing the
fleet-level risk as ``the probability that at least one air bag will
rupture among the thousands of air bag deployments expected to occur
in the nearly 5.9 million affected GMT900 vehicles over the coming
years'').
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The notion that the total population of inflators allows for better
peer comparison is also unconvincing. As explained above in II.A.4,
there has been only one U.S. rupture of a non-Takata air bag inflator
(other than an ARC air bag inflator), and any reference to the
comparative rupture rates is of limited import, because that inflator
was recalled after the first rupture. Therefore, it is unknown whether
ruptures would have continued to occur in the absence of a recall. As
is the case here, NHTSA believed the risk was unreasonable and a recall
was warranted. The severity of inflator ruptures was also evident
there, as the rupture resulted in a fatality. In that case, however,
the manufacturer agreed to broad recalls of entire models (all model
years) of vehicles that used the same type of inflator without the need
for the agency to exercise its statutory authority to order a
recall.\161\
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\161\ See NHTSA Recall Nos. 20V-681, 21V-766, and 21V-800.
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Some commenters asserted that NHTSA improperly assumed that
manufacturing variables in different variants of the subject inflators
have no impact on the rupture rate. However, there is no evidence-based
justification for treating any subpopulation of the subject inflators
as presenting more or less risk. FCA stated that certain field ruptures
should not be included in the analysis--the ruptures in the MY 2002
Chrysler Town & Country and the MY
[[Page 63490]]
2011 Chevrolet Malibu--because of these incidents did not have an
underlying cause or failure mode in common with the other
ruptures.\162\ NHTSA does not agree that these incidents lack
sufficient commonality to be considered, as described in section II.A.
Additionally, as previously explained, root cause is not necessary for
a defect determination. It is not appropriate to eliminate any of the
ruptures in vehicles--the very incidents where people have already been
harmed--from its evaluation of whether there is an unreasonable risk.
---------------------------------------------------------------------------
\162\ See Comments of FCA US LLC Regarding Initial Decision at
pp. 5-6.
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Consumer safety ``would be most ill served by extending [a] delay
based on new predictions that the number of injuries caused by the
defect will diminish.'' Carburetors, 565 F.2d at 759. The agency also
does not believe that logistical and cost-related concerns raised by
commenters about a recall of the subject inflators warrants leaving the
unreasonable risk unaddressed by a recall. NHTSA acknowledges the
potential ramifications of a recall of this magnitude and does not take
its decision lightly. However, the crux of this issue is not a variety
of potential (or even attenuated or largely hypothetical)
reverberations stemming from a recall--it is that there is defect in
the subject inflators that presents an unreasonable risk of death or
injury in the event of a crash, and that defect must be addressed.
Every subject inflator that deploys is at risk of rupture, and
rupture events are unpredictable and dangerous. Three of the seven
field ruptures in the United States occurred between 2009 and 2017, and
three more field ruptures occurred in the span of just over four months
in 2021. The last field rupture occurred very recently, in 2023. While
it is impossible to predict when the next rupture will occur, each
inflator that deploys is at risk. NHTSA's statistical evaluation of the
future rupture risk, while not imperative to its decision here,
reinforces that field ruptures are expected to occur in the future, and
any hopes premised simply on the relatively low odds of an inflator
rupturing are insufficient to warrant inaction. Cf. Carburetors, 565
F.2d at 759 (``[T]he fact that in past reported cases good luck and
swift reactions have prevented many serious injuries does not mean that
luck will continue to work in favor of passengers of burning cars. As a
matter of statistics their chances may well . . . appear quite
favorable. The purpose of the Safety Act, however, is not to protect
individuals from the risks associated with defective vehicles only
after serious injuries have already occurred; it is to prevent serious
injuries stemming from established defects before they occur.''). With
each subject inflator that deploys, the vehicle occupants are at risk
of severe injury or death from a rupture. That risk is plainly
unreasonable under the Safety Act.
III. Conclusion
Every field rupture of the subject inflators in the United States
has resulted in at least one vehicle occupant being injured, several
have resulted in severe injury, and one has resulted in death. Seven of
the subject inflators have already ruptured in vehicles the United
States. The facts and circumstances surrounding these U.S. field
ruptures, the four foreign field ruptures, and the twenty-three lot
acceptance test ruptures underscore the severe impact of the defect on
motor vehicle safety. Based on its comprehensive analysis, NHTSA has
concluded that the evidence shows that the causes of these ruptures
stem from use of a friction welding process without adequate inspection
safeguards in place and that all of the subject inflators were produced
using this same process. As such, all of the subject inflators have a
risk of rupture and are defective. The pattern and evidence of these
ruptures confirms that the reactionary, limited-scope recalls are
insufficient to address the safety risk and that a recall for the full
subject inflator population is necessary. Given the severity of a
rupture and the known ruptures there is ample evidence of a defect in
the subject inflators. Common sense demands acknowledging that metal
shrapnel projecting at high speeds and causing injury or death presents
an unreasonable risk to safety, and the Safety Act does not allow for
such a risk to remain unaddressed.
Pursuant to the Safety Act, NHTSA may make a final decision ``only
after giving the manufacturer[s] an opportunity to present information,
views, and arguments showing that there is no defect or noncompliance
or that the defect does not affect motor vehicle safety. Any interested
person also shall be given an opportunity to present information,
views, and arguments.'' 49 U.S.C. 30118(b)(1). Given the more extensive
detail and discussion of the technical issues in this notice, and to
ensure opportunity for additional public feedback, NHTSA is providing
an additional 30-day comment period. No additional public meeting will
be held.
If NHTSA makes a final decision that the subject inflators contain
a safety defect, NHTSA will order ARC to comply with the obligation to
file notice of the safety defect with the agency and will order the
vehicle manufacturers to carry out recalls by providing notice and a
free remedy. See id. section 30118(b)(2).
Authority: 49 U.S.C. 30118(a), (b); 49 CFR 554.10; delegations of
authority at 49 CFR 1.50(a) and 49 CFR 501.8.
Eileen Sullivan,
Associate Administrator for Enforcement.
[FR Doc. 2024-17251 Filed 8-2-24; 8:45 am]
BILLING CODE 4910-59-P