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Qantas Towing Accident

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  • Concrete Alternatives

    Alternative to Disaster
    Short runways are an unavoidable problem when there is a shortage of land and it is not possible to have the standard 1,000 feet overrun. Judging by the Tam air disaster, not all country’s airports have the technology to prevent major aircraft mishaps, technology such as EMAS. EMAS–Engineered Material Arresting Systems–was developed by the Federal Aviation Administration (FAA) and ESCO (Engineered Arresting Systems Corporation). EMAS acts as a buffer to slow down aircraft that overrun the length of the runway. All it takes is a bed of crushable concrete–cellular cement material that crushes under the weight of an aircraft, resulting in guaranteed deceleration of the aircraft.
    Features of Engineered Material Arresting Systems
    FAA-approved
    Permits reduction of standard RSA
    Shortens standard RSA to 600 feet
    Meets FAA AC 150/5220-22
    Features material customized to each runway’s aircraft fleet
    After arrestment, ARFF vehicles can easily maneuver on even damaged EMAS surface

    EMAS Fact Sheet

    For Immediate Release

    June 15, 2007
    Contact: Marcia Adams

    Phone: (202) 267-3488

    Engineered Material Arresting System (EMAS)

    Background

    The Federal Aviation Administration (FAA) requires that commercial airports, regulated under Part 139 safety rules, have a standard Runway Safety Area (RSA) where possible. At most commercial airports the RSA is 500 feet wide and extends 1000 feet beyond each end of the runway. The FAA has this requirement in the event that an aircraft overruns, undershoots, or veers off the side of the runway. The most dangerous of these incidents are overruns, but since many airports were built before the 1000-foot RSA length was adopted some 20 years ago, the area beyond the end of the runway is where many airports cannot achieve the full standard RSA. This is due to obstacles such as bodies of water, highways, railroads, and populated areas or severe drop-off of terrain.

    The FAA has a high-priority program to enhance safety by upgrading the RSAs at commercial airports and provide federal funding to support those upgrades. However, it still may not be practical for some airports to achieve the standard RSA. The FAA, knowing that it would be difficult to achieve a standard RSA at every airport, began conducting research in the 1990s to determine how to ensure maximum safety at airports where the full RSA cannot be obtained. Working in concert with the University of Dayton, the Port Authority of New York and New Jersey, and the Engineered Arresting Systems Corporation (ESCO) of Logan Township, NJ, a new technology emerged to provide an added measure of safety. An Engineered Materials Arresting System (EMAS) uses materials of closely controlled strength and density placed at the end of a runway to stop or greatly slow an aircraft that overruns the runway. The best material found to date is a lightweight, crushable concrete. When an aircraft rolls into an EMAS arrestor bed, the tires of the aircraft sink into the lightweight concrete and the aircraft is decelerated by having to roll through the material.

    Benefits of the EMAS Technology

    The EMAS technology provides safety benefits in cases where land is not available, where it would be very expensive for the airport sponsor to buy the land off the end of the runway, or where it is otherwise not possible to have the standard 1,000-foot overrun. This technology is now in place at 18 airports with installation under contract at six additional airports. A standard EMAS installation extends 600 feet from the end of the runway. An EMAS arrestor bed can still be installed to help slow or stop an aircraft that overruns the runway, even if less than 600 feet of land is available.

    Current FAA Initiatives

    The Office of Airports prepared an RSA improvement plan for the runways at approximately 575 commercial airports in 2005. This plan allows the agency to track the progress and to direct federal funds for making all practicable improvements, including the use of EMAS technology.

    Presently, the EMAS system developed by ESCO using crushable concrete is the only system that meets the FAA standard. However, FAA is conducting research through the Airport Cooperative Research Program (project number 07-03) that will examine alternatives to the existing approved system. The results of this effort are expected in 2009. More information on the project can be found at the Transportation Research Board website at http://www.trb.org/CRP/ACRP/ACRP.asp.

    EMAS Arrestments

    To date, there have been four incidents where the technology has worked successfully to keep aircraft from overrunning the runway and in several cases has prevented injury to passengers and damage to the aircraft.

    • May 1999: A Saab 340 commuter aircraft overran the runway at JFK
    • May 2003: Gemini Cargo MD-11 was safely decelerated at JFK
    • January 2005: A Boeing 747 overran the runway at JFK
    • July 2006: Mystere Falcon 900 airplane ran off the runway at the Greenville Downtown Airport in South Carolina

    EMAS Installations

    Currently, EMAS is installed at 24 runway ends at 19 airports in the United States. With plans to install 12 additional EMAS systems at seven more U.S. airports.

    Airport Location # of Systems Installation Date
    JFK International Jamaica, NY 1 1996
    Minneapolis St. Paul Minneapolis, MN 1 1999
    Little Rock Little Rock, AR 2 2000/2003
    Rochester International Rochester, NY 1 2001
    Burbank Burbank, CA 1 2002
    Baton Rouge Metropolitan Baton Rouge, LA 1 2002
    Greater Binghamton Binghamton, NY 2 2002
    Greenville Downtown Greensville, SC 1 2003
    Barnstable Municipal Hyannis, MA 1 2003
    Roanoke Regional Roanoke, VA 1 2004
    Fort Lauderdale International Fort Lauderdale, FL 2 2004
    Dutchess County Poughkeepsie, NY 1 2004
    LaGuardia Flushing, NY 2 2005
    Boston Logan Boston, MA 2 2005/2006
    Laredo International Laredo, TX 1 2006
    San Diego International San Diego, CA 1 2006
    Teterboro Teterboro , NJ 1 2006
    Chicago Midway Chicago, IL 1 2006
    Merle K (Mudhole) Smith Cordova, AK 1 2007

    Additional Projects Currently Under Contract

    Location # of Systems Expected Installation Date
    Charleston, WV 1 June 2007
    Chicago Midway 3 Spring/Summer 2007
    Wilkes-Barre Scranton, PA 1 Fall 2007
    JFK International 1 Fall 2007
    Chicago O’Hare 2 Spring 2008
    Telluride, CO 2 TBD
    Manchester, NH 1 Spring 2008
    Newark Liberty, NJ 1 Spring 2008
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  • Alligator Airways Suspended

    After Australia’s CASA suspended Alligator Airways over safety risks, Alligator’s legal representative told the media that the suspension was costing the airline tens of thousands of dollars and that they believe the grounding is unwarranted.

    CASA is concerned over “aircraft maintenance, failure to report incidents, inadequate pilot training records, a deficient safety culture, an inability of key personnel to carry out their safety obligations and key positions unoccupied or not functional.”

    Alligator flies charter flights from both Kununurra, Broome, and Kimberley.

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  • | |

    53 Trent Engines Removed from Service

    Rolls-Royce removed 53 Trent Engines from service over pipe thickness problems in the oil feed pipes. Thinned pipe walls and cracking from a manufacturing defect led to an internal oil fire on a Qantas Airways Airbus A380, which made an emergency landing in Singapore in 2010. This is the flaw that led to Qantas grounding its entire A380 fleet, and other carriers like Singapore Airlines. Several modification standards were published: FW48020, FW59326, and FW64481.

    The ATSB does not expect a complete analysis of the data it is gathering on these engines until May 2012.

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  • | |

    Fact Sheet – FAA Initiatives to Improve Helicopter Air Ambulance Safety

    For Immediate Release
    October 7, 2010

    Helicopter air ambulance operations are unique due to the urgent nature of the flight. The FAA, operators, and the medical community all play a vital role in promoting a positive safety culture that ensures the safety of passengers, flight crews, and medical professional on these flights.

    Since August 2004, the FAA’s has:

    • Encouraged risk management training to flight crews so that they can make more analytical decisions about whether to launch on a flight.
    • Promoted better training for night operations and responding to inadvertent flight into deteriorating weather conditions.
    • Promoted technology such as night vision goggles (NVGs), terrain awareness and warning systems (TAWS) and radar altimeters.
    • Provided airline-type FAA oversight for operators. Identify regional FAA helicopter operations and maintenance inspectors to help certificate new operators and review the operations of existing companies.

    Background

    The helicopter air ambulance industry grew by 54 percent between 2003 and 2008. There are currently 74 air ambulance companies that operate approximately 850 helicopters in the United States. The NTSB estimates that 400,000 patients and transplant organs are transported by helicopter each year.

    The Role of the Medical Community

    Aviation safety decisions are separate from medical decisions. The decision to conduct a flight with a patient on board does not mean that flight safety can be compromised in any way. Once the medical need for air transportation is determined, it is up to the operator to make the air transportation decision based on pre-flight factors such as weather conditions, maintenance, and crew readiness.

    FAA Oversight

    The FAA inspects air ambulance operators, but the agency’s oversight goes beyond inspection and surveillance. Rather, the FAA uses a risk-based system that includes the initiatives outlined below which focus on the leading causes of accidents.

    FAA Actions

    • In August 2004, the FAA established a task force to review and guide government and industry efforts to reduce air ambulance accidents.
    • On January 14, 2005, the FAA hosted a meeting with industry representatives to discuss safety issues and gain feedback. Representatives from the Association of Air Medical Services, Helicopter Association International, the National EMS Pilots Association and several operators attended.
    • Decision-making skills:On January 28, 2005, the FAA published a notice providing guidance for safety inspectors to help operators review pilot and mechanic decision-making skills, procedural adherence, and crew resource management practices. It includes both FAA and industry intervention strategies (Notice 8000.293 Helicopter Emergency Medical Service Operations). These principles were reinforced in the Safety Alert for Operators (SAFO) 06001 issued on January 28, 2006.
    • Risk assessment programs: On August 1, 2005, the FAA issued guidance to inspectors promoting improved risk assessment and risk management tools and training to all flight crews, including medical staff (Notice 8000.301 Operational Risk Assessment Programs for Helicopter Emergency Medical Services).
    • Air Medical Resource Management (AMRM): On September 22, 2005, the FAA issued guidance to operators establishing minimum guidelines for Air Medical Resource Management (AMRM) training. The training focuses on pilots, maintenance technicians, flight nurses, flight paramedics, flight physicians, medical directors, specialty team members (such as neonatal teams), communications specialists (dispatchers), program managers, maintenance staff, operational managers, support staff, and any other air medical team members identified by specific needs (AC No. 00-64 Air Medical Resource Management).
    • Special emphasis inspection program: On September 27, 2005, the FAA issued revised standards for inspection and surveillance of air ambulance operators, with special emphasis on operations control, risk assessment, facilities and training, especially at outer locations away from the certificated holder’s principal base on operations.
    • FAA establishes new office: In December 2005, the FAA’s Flight Standards Service’s Air Transportation Division established the new Commuter, On Demand, and Training Center Branch (AFS-250) to work Part 135 and Part 142 policy issues. The FAA has begun hiring aviation safety inspectors with specific “helicopter only” experience in order to keep pace with industry growth.
    • Loss of Control (LOC) and Controlled Flight Into Terrain (CFIT): On January 24, 2006 the FAA issued a handbook bulletin to inspectors describing acceptable models for LOC and CFIT avoidance Programs. The bulletin provides inspectors with information to provide to operators for developing LOC/CFIT accident avoidance programs and clarifies existing guidance (HBAT 06-02 Helicopter Emergency Medical Services (HEMS) Loss of Control (LOC) and Controlled Flight Into Terrain (CFIT) Accident Avoidance Programs).
    • HBAT 06-01 & OpSpec A021: On January 24, 2006 the FAA issued revised guidance to inspectors regarding HEMS OpSpecs, amending the Visual Flight Rule (VFR) weather requirements for HEMS operations, including consideration of the adverse affects of reduced ambient lighting at night and mountainous terrain (HBAT 06-01 Helicopter Emergency Medical Services; OpSpec A021/A002 Revisions).
    • Guidance to Part 142 training centers: On February 24, 2006, the FAA issued a Notice to Training Center Program Managers assigned to oversee Part 142 training Centers advising them of recent changes to air ambulance operations and training standards (Notice 8000.317, Operator Training Provided by Part 142 Training Centers for Helicopter Emergency Medical Services.)
    • Public air ambulance operators:On March 2, 2006, the FAA issued guidance to inspectors on the surveillance and oversight of public aircraft operators for air ambulance operations (Notice 8000.318 Public Helicopter Emergency Medical Services (HEMS) Operations).
    • Terrain Awareness and Warning Systems (TAWS): On June 27, 2006, at the FAA’s request, RTCA, Inc. established a Special Committee to develop Helicopter Terrain Awareness and Warning System (H-TAWS) standards. These standards will be used to develop FAA requirements for H-TAWS systems, installation and operations.
    • Aeronautical Information Manual: In August 2006, the FAA revised the Aeronautical Information manual (AIM) to provide guidance to pilots on assessing ambient lighting for night VFR operations and for off-airport/heliport landing zone operations.
    • International Helicopter Safety Team (IHST): The helicopter industry has formed the IHST to gather data and draft strategies to reduce helicopter accidents globally by 80 percent by 2015. The effort is modeled on the Commercial Aviation Safety Team (CAST) which has achieved a significant reduction in the commercial fatal accident rate in the United States. Members include the FAA, European Aviation Safety Agency (EASA), Transport Canada, the International Civil Aviation Organization (ICAO), and industry representatives.
    • Surveillance of large HEMS operators: The FAA’s Flight Standards Service established a task group to focus on the certification and surveillance requirements for large air ambulance operators that support diverse medical programs throughout the United States. The group’s findings resulted in the increase in the cadre of inspectors assigned to air ambulance operations.
    • Operational Control Centers:On May 5, 2008, the FAA’s Flight Standards Service issued an advisory circular (AC 120-96) highlighting the “best practices” for use by air ambulance operators in establishing their control centers and training their specialists.
    • FAA/Association of Air Medical Service (AAMS) Safety Meeting: On July 11, 2008, 80 representatives from the FAA and operators met in response to recent accidents. Discussions focused on night operations in poor or deteriorating weather, risk management, complacency, the agency’s policies on the use of NVGs, as well as helicopter shopping.
    • Notice to FAA Inspectors:On January 12, 2009, the FAA issued a notice (Notice 8900.63) to agency inspectors with oversight of air ambulance operators to find out how many operators have adopted FAA-recommended best practices. With reports in from all of the 74 operators surveyed, the percentages that have adopted various programs are:

    –Decision-making skills and risk assessment programs – 94 percent

    –Response to FAA guidance on Loss of Control (LOC) and Controlled Flight Into Terrain (CFIT) avoidance – 89 percent

    –Integration of operation control center – 89 percent

    –Installation of Flight Data Recorders and devices that can re-create a flight. – 11 percent

    –TAWS equipage – 41 percent

    –Use of radar altimeters – 89 percent

    Operations Specifications

    On November 14, 2008, the FAA published a Notice in the Federal Register that advised operators of important mandatory changes to air ambulance flights. The agency also included a provision to encourage the use of NVGs and Terrain Awareness Warning Systems. Consistent with NTSB recommendations, all air ambulance operators will comply with Part 135 weather minimums, including repositioning flights with medical crew onboard. The FAA is also providing greater access to weather reporting facilities, and requiring the flight crew to determine a minimum safe altitude and obstacle clearance prior to each flight. The compliance date is no later than February 22, 2009.

    Weather

    In March 2006, the FAA and the University Corporation for Atmospheric Research hosted a weather summit in Boulder, Colorado to identify the air ambulance-specific issues related to weather products and services. Attendees explored possible regulatory improvements, weather product enhancements, and operational fixes specific to HEMS operations. Attendees included the National Weather Service, National Center for Atmospheric Research (NCAR), Helicopter Association International, American Helicopter Society International, Association of Air Medical Services, National EMS Pilots Association, National Association of Air Medical Communications Specialists, manufacturers, and many operators.

    As a result, the FAA funded the development and implementation of a graphical flight planning tool for ceiling and visibility assessment along direct flights in areas with limited available surface observations capability. It improves the quality of go/no-go decisions for air ambulance operators. The tool was fielded in November 2006.

    Night Vision Goggles

    The FAA has a solid record of facilitating safety improvements and new technologies for EMS helicopters, including certification of NVGs. Since 1994, the FAA has worked 28 projects or design approvals called Supplemental Type Certificates (STCs) for installation of NVGs on helicopters. This number includes EMS, law enforcement and other types of helicopter operations. Of the 28 projects, the FAA has approved approximately 15 NVGs STC’s for EMS helicopters. The FAA initiated and wrote (in coordination with RTCA) the minimum standards for NVGs/cockpit lighting.

    Technical Standard Order (TSO) C164 was published on September 30, 2004 referencing RTCA document DO 275 Minimum Operational Performance Standards (MOPS), published October 12, 2001. The FAA has hosted workshops to help applicants work with the FAA to obtain NVG certification. One set of NVGs costs approximately $7,000 and an operator must carry multiple sets per flight. Certification is just one step. The operator must also have an FAA-approved training program for using NVGs.

    The FAA has revised the NVG guidance in the Operations Inspectors Handbook, Order 8900.1. Produced using considerable industry input, the revision includes the establishment of a cadre of NVG national resource inspectors (Notice 8000.349, Night Vision Imaging Systems).

    While the FAA encourages use of NVGs where appropriate, they are not a one-size-fits-all solution. Flying at night is not inherently dangerous if rules and procedures are followed. In fact, many operators who do not use NVGs have never had an accident at night.

    Flight Data Recorders

    Flight Data Recorders (FDRs) are not required for air ambulance operations. FDRs offer value in any accident investigation by providing information on aircraft system status, flight path and attitude. The weight and cost of FDR systems are factors. Research and development is required to determine the appropriate standards for FDR data and survivability in the helicopter environment, which typically involves substantially lower speeds and altitudes than airplanes. Funds are currently best invested in preventive training.

    However, the FAA is considering alternatives to expensive and heavy airliner-style FDRs, especially in light of the relatively low-impact forces in most helicopter accidents. By establishing a standard appropriate to the helicopter flight envelope, the FAA may be able to make meaningful future FDR rulemaking efforts.

    Terrain Awareness Warning Systems

    The FAA supports the voluntary implementation of TAWS and did consider the possibility of including rotorcraft in the previous TAWS rulemaking process. Through this process, however, the FAA concluded that there are a number of issues unique to VFR helicopter operations that must be resolved before the FAA considers mandating the use of TAWS in this area, such as modification of the standards used for these systems. For example, helicopters typically operate at lower altitudes so TAWS could potentially generate false alerts and “nuisance” warnings that could negatively impact the crew’s response to a valid alert. TAWS use in air ambulance operations required study of TAWS interoperability within the lower altitude environment, and possible modification of TAWS system standards.

    At the FAA’s request, RTCA, Inc. established a Special Committee (SC-212) to develop H-TAWS standards for use in future FAA rulemaking projects. The final report was delivered to RTCA in March 2008. Those standards were subsequently reviewed by the FAA’s Aircraft Certification Service and on December 17, 2008, the FAA issued Technical Standards Order (TSO) C-194 to standardize the manufacture of H-TAWS within the industry.

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  • High-level Safety Conference 2010

    ICAO Headquarters, Montréal, 29 March – 1 April 2010

    The goals of the High-level Safety Conference are to bring together the Directors General of Civil Aviation, or equivalent senior executives and stakeholders, to build consensus, obtain commitments and formulate recommendations deemed necessary for the effective and efficient progress of key safety activities by ICAO.

    HIGH-LEVEL SAFETY CONFERENCE 2010
    Montréal, 29 March to 1 April 2010
    DRAFT DECLARATION
    Whereas the Convention on International Civil Aviation and its Annexes provide the essential
    framework required to meet the safety needs of a global aviation system;
    Whereas Contracting States have a collective responsibility for international civil aviation safety;
    Recognizing that the safety framework must be fully utilized by all stakeholders and that it must
    continuously evolve to ensure its sustained effectiveness and efficiency in the changing regulatory, economic and technical environment of the 21st century;
    Recalling that transparency and sharing of safety information are fundamental tenets of a safe air
    transportation system and that one of the objectives of sharing information is to ensure a consistent,fact-based and transparent response to safety concerns at the State and at the global levels;
    Recalling that mutual trust between States, as well as public confidence in the safety of air
    transportation, is contingent upon access to adequate safety information;
    Recognizing that safety is a shared responsibility, and advancements in global safety can only be
    possible through a cooperative, collaborative and coordinated effort among all stakeholders, with ICAO’s
    active participation and leadership role;
    Recognizing that further improvements in aviation safety within and among States require a
    cooperative and proactive approach in which safety risks are identified and managed;
    Recognizing that the safety data necessary to support an effective safety management process require
    adequate protection from inappropriate use;
    Recognizing the difficulties that many ICAO States have in establishing and operating an efficient
    safety oversight system and the need for these States to pool resources and work together within Regional
    Safety Oversight Organizations;
    Recognizing that the Universal Safety Oversight Audit Programme’s Continuous Monitoring
    Approach (CMA) being established by ICAO will be implemented in stages during a two-year transition
    period from 2011 to 2012;

    HLSC 2010-WP/90
    – 2 –
    The Directors General of Civil Aviation:
    1. Commit to reinforce the global aviation safety framework by:
    a) supporting the CMA and providing ICAO with accurate and timely information;
    b) implementing expeditiously the State Safety Programme (SSP) in their own States and
    ensuring the implementation of safety management systems across the aviation industry;
    c) maintaining the confidence of the public in the safe air transportation system through
    enhanced transparency of safety information;
    d) developing sustainable safety solutions, including the creation or strengthening of regional
    and sub-regional safety oversight organizations and initiatives;
    e) sharing appropriate safety-related information among States and all other aviation
    stakeholders; and
    f) working with ICAO to identify actions that can be taken to reduce the burden for certificate
    holders to comply with multiple sets of similar, yet different, requirements;
    The Conference:
    2. Calls upon States and other stakeholders to enter into agreements with one another for the
    exchange of safety information;
    3. Calls upon States and other stakeholders to provide ICAO with accurate and timely information
    in support of the CMA and its transition plan as requested;
    4. Calls upon States to examine their existing legislation and adjust, as necessary, or enact laws and
    regulations to protect safety information and its sources where the purpose is to improve safety;
    5. Calls upon States, ICAO, industry, and donor organizations to direct resources towards the
    establishment of sustainable safety oversight solutions;
    6. Calls upon States, ICAO and industry to support the coordinated implementation of safety
    management principles;
    7. Calls upon ICAO to:
    a) act as facilitator of safety information provided by the international community, and as the
    responsible party for dissemination of safety intelligence, as appropriate;
    b) develop a new Annex dedicated to safety management processes which would define the
    safety management responsibilities of States under the SSP; and
    c) identify actions which can be taken to reduce the burden for certificate holders to comply
    with multiple sets of similar, yet different, requirements;
    HLSC 2010-WP/90
    – 3 –
    d) continue to support the establishment of Regional Safety Oversight Organizations (RSOOs)
    and explore the development of alternative solutions for situations where the establishment of
    RSOO is not possible;
    8. Calls upon States to demonstrate the political will needed to address aviation safety
    shortcomings, including the creation, strengthening and, where necessary, participation in RSOOs;
    9. Calls upon States, ICAO and industry to increase their efforts to further improve the
    competencies and professionalism of aviation personnel;
    10. Calls upon States and industry to closely coordinate with ICAO their safety initiatives to ensure
    optimum benefits to global aviation safety and to reduce duplication in effort; and
    11. Re-emphasizes the need for States, ICAO and industry to act effectively and in a timely fashion
    on lessons learnt from accidents.
    — END —

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    EASA Proposes Fatigue Across the Board

    New European rules ‘harmonizing’ the workload limits across 27 member states could allow pilots to fly aircraft for 22 hours without sleep, increasing a pilot’s work day from 16 hours 15 minutes to 20 hours, and the maximum shift time for a long haul flight with two pilots from 12 to 14 hours, as well as eliminating the need of a third pilot on long-haol flights.

    The proposals have raised the attention of BALPA, The British Airline Pilots Association.

    The seventeen percent increase in workload will result in a 5.5% higher chance of an accident.

    It is inconceivable how EASA can call “flying farther with less rest-time, more frequently (7 starts in a row), no back up crew and more fatigue” bringing standards “up” when it is actually leveling down safety standards. Such a workload flies in the face of the constructs of human biology.

    But the UK’s Civil Aviation Authority (CAA) “has said they have no fundamental problem with the rules.”

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