TWAnr said:
It was determined, in the course of the NTSB investigation, that the engine and the pylon separated from the wing due to improper and unauthorized maintenance procedures.
Specifically, the issue involved the installation of pylon-mounted engines on the DC-10. Two smaller bolts attach the pylon to the wing, while one larger bolt attaches the engine to the pylon. MacDAC said that the pylon needed to be attached to the wing first, then the engine to the pylon.
This required two forklift operations, one for the pylon and then another for the engine. AA decided to attach the pylon to the engine first, and then attach the whole assembly to the wing, thus saving time and money by having only a single forklift operation. They asked MacDAC for approval in doing this, but got a lukewarm recommendation against it instead.
Turns out that part of the problem was related to how forklifts work. When the hydraulics lift the whole assembly, the fork tends to settle slightly over time. Apparently, one of the results of this is that the first bolt would be installed with the whole assembly, then as the second is being installed, the fork slowly sinks, placing the whole weight of the assembly on the single bolt. This resulted in premature failure of the pylon bolts, as witnessed in AA191's case.
I'm doing all of this from memory, so I might not have all of these facts right.