The cylinder in question was a Luxfer 6351T6. It was brought to us by a customer for hydro, visual inspection, and filling. If I remember my timing correctly, this was at a time when there had been a recent accident up in Rhode Island (I think that is right) and there was a good deal of discussion going on about 6351T6 here on DecoStop and ScubaBoard. So, I was quite mindful of the SLC issues and it was very fresh on my mind.
Prior to taking the cylinder to the hydro shop, we performed a rather through visual inspection of the tank neck area. I personally inspected the tank neck area with proper mirrors and lights. I used a scratch awl to clean and completely "trace" all of the threads. I saw no evidence of any cracking or any other manufacturing process flaws (folds, tool marks, etc). Finding it in good order, we placed it with other tanks to go to the hydro shop.
At hydro, they cylinder was visually inspected and the expansion test was performed. A visual eddy inspection was done by the retest facility and the VE stamp was affixed to the cylinder. The retester also did a visual inspection. If I remember correctly, it was returned to us on a Tuesday morning.
Prior to filling, another employee did the "official" dive shop visual inspection and placed a sticker on the cylinder. It was then placed on the fill station for filling.
At approximately 2200 psi into the filling operation, an employee came to my office and asked me to come out and see if I could determine where this "leak" was coming from. The fill whip was still on, filling the cylinder at about a 200 PSI/minute rate. I walked out and ran my hand around the fill whip connections, looking at the logical places for the leak. It then become apparent to me that the leak was coming from BELOW the valve base. I immediately told everyone to leave the building. I returned to stop the fill process. By this time, the cylinder had reached a pressure of about 3400 PSI.
After opening the cylinder valve and going outside to wait with the other guys, the cylinder was finally drained. We removed the valve and there was a crack, visible with the naked eye, covering the bottom 5 threads and extending slightly below the threaded area.
This cylinder received three through visual inspections (one at hydro and two here), an expansion test, and one eddy current test....all performed by people that know what they are doing. We were able to see NO EVIDENCE of a crack in either of these tests.
I admit to the possibility that I might have missed one. Nobody is perfect. But, I know what I am doing and I take it seriously. IF I missed one, then it is completely possible for any skilled inspector to miss one. There were a lot of opportunities to have caught a crack if there was one. I personally believe it was not there when I looked at the cylinder. If it was, it fooled three people, a $4000 visual eddy machine, and the government mandated test to catch just this sort of thing.
I have not found another crack on a 6351T6 cylinder since then.....and I will not find another one in my lifetime. Why? We stopped that day servicing these cylinders and I don't intend to do another one in my lifetime.