For NTSB accident data from 1962 through 1981, see the NTSB Pre 1982 Accident query. Two minutes into the flight, the captain retracted the movable flaps on the wings, which is typical as a plane climbs away from an airport. But both the French and American agencies state that, in order to understand the full safety implications of the accident, its important to list every causal factor. The accident flight was intended to reposition the airplane for maintenance at Dryden Regional Airport in Ontario, so the forestry air attack officer was not on board. Air France Flight 447 (AF447 or AFR447) was a scheduled international passenger flight from Rio de Janeiro, Brazil, to Paris, France.On 1 June 2009, inconsistent airspeed indications led to the pilots inadvertently stalling the Airbus A330 serving the flight, failing to recover from it and eventually crashing into the Atlantic Ocean at 02:14 UTC, killing all 228 passengers and crew on board. [9] He also has a passion in the arts and loves writing and had his own aviation blog prior to joining AirlineGeeks. You may be trying to access this site from a secured browser on the server. The tower controller radioed: That was fantastic, adding thanks for the little show. The pilot replied I can get closer if youd like, and the controller answered, Sure., Before the second takeoff, the pilot transmitted: Get your camera ready if youd like, and a second (trainee) controller responded Sure! Instead, the flight data analysis indicates the sensor did not fail internally. 2 . << /Filter /FlateDecode /Length 14738 >> Synopsis Following the title is a synopsis describing briefly all relevant information regarding: Notification of accident to national and foreign authorities; A summary of the final accident report released Friday said Lion Air flight 610, from Indonesia's capital Jakarta to the island of Sumatra, crashed partly because the pilots were never told how to quickly respond to malfunctions of the Boeing 737 Max 8 jet's automated flight-control system. MP successfully ejected from the aircraft, sustaining minor injuries (Tabs N-5 and V-1.7). 213 (1) 1. september. The false angle of attack reading immediately initiated a stick shaker warning, a loud, heavy vibration of the control column, falsely alerting the pilots that the plane was flying too slowly and was about to stall. The electronic Library (e-Library) contains the Final Reports of investigated accidents and incidents which were sent to ICAO. Footage recorded by a witness in an adjacent building corroborated his account, showing the helicopter slowly rotating clockwise during its descent and rolling left prior to impact. Human Error in Aviation and Legal Process, Stabilised Approach Awareness Toolkit for ATC, Flight Deck Procedures (A Guide for Controllers), International Civil Aviation Organisation. UPS1354 Birmingham-Shuttlesworth International Airport, Birmingham, AL. At 09:20, they tuned in the Le Bourget ATIS recording. Most reports focus on a single accident, though the NTSB also produces reports addressing issues common to a set of similar accidents. 8 june 20 - amc - c-130 mishap, ali al salem air base, iraq - report. If fire occurred, information on the nature of the occurrence, and of the fire fighting equipment used and its effectiveness. The co-pilot located the QRH checklist for primary (instead of autopilot) stabilizer trim failure. zyYwzsWizSXn$=, T. ozz{l^P8$kl. NTSB Accident Query This NTSB aviation accident database contains information for civil aviation accidents and selected incidents that occurred from 1982 and later within the United States, its territories and possessions, and in international waters. you understand and agree with Airline Geeks, LLC's Terms of Use. 3: SIB-350: Final Investigation Report of Boeing 737-236A aircraft accident: Bhoja Air: 20-Apr-2012 21-Jan-2015 Flight Phase: Landing (descent or approach) . The Final Report begins with a title comprising: name of the operator; manufacturer, model, nationality and registration marks of the aircraft; place and date of the accident or incident. Denver, Colorado 80201. The consent submitted will only be used for data processing originating from this website. The procedures for flying this airplane are so complicated that it is impossible to not screw up something, de Luis said. The pilot also did not wear his airbag-equipped shoulder harness. The airplane slid some 1,050 meters (3,445 feet), then veered off the left side of Runway 27. Radar and ADS-B track data showed that it reached a maximum altitude of 19,400 feet before entering a spiralling descent at a rate that exceeded 30,000 fpm. On 8 March 2014, a Boeing 777 aircraft operated as Malaysia Airlines flight 370 (MH370) was lost during a flight from Kuala Lumpur in Malaysia to Beijing in the People's Republic of China carrying 12 crew and 227 passengers. These led the manufacturer to issue five successive technical bulletins, the EASA to issue Emergency Airworthiness Directive (EAD) 2012-1095E, and the FAA to issue AD 2014-02-08, later superseded by AD 2015-11-08. endobj 13 0 obj However, Javier de Luis, an Massachusetts Institute of Technology aerospace professor whose sister Graziella de Luis died on Flight ET302, expressed anguish that the accounts that dispute the agencys report could sow doubt about the primary cause of the two MAX accidents just four months apart, which together killed 346 people in Indonesia and Ethiopia. The NTSB and BEA criticize the Ethiopian report for removing key parts of the cockpit voice recorder transcript that would have made clear the difficulties encountered by the first officer in reacting to the emergency. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Shortly before both planes were scheduled to arrive at Gran Canaria Airport (LPA) in Las Palmas, a terrorist group exploded a bomb in the airport, causing injuries and panic. They also call for appointment of a wildlife control officer, but that position was open at the time, leaving those duties to air traffic control and firefighting crews. Please turn on JavaScript and try again. The pilots and other two passengers were unharmed. Software to make your business safer and more productive. By pressing 'Agree.' They also disputed the Ethiopian contention that the sensor that triggered the crash likely failed due to production quality defects.. Final Report. 6 0 obj Downtown Seattle pins its hopes on Amazons May Day office mandate, Trouble in tulipville: Flower farm duel roils Skagit Valley bloomtown, Rates on CDs are soaring, but the high rates may not last, First Republic Bank seized, sold in fire sale to JPMorgan, Buying down your mortgage rate: Its not just one way or the other, Congress clears Boeing 737 MAX 7 and 10 jets, adding a condition, Ethiopia reiterates Boeing 737 MAX crash due to unfit safety feature, Boeings 737 MAX crisis: The essential stories from the coverage, Families of Boeing 737 MAX victims disappointed by Justice Dept. The BEA also noted that the increased landing speeds and distances the manufacturer required with deicing systems in use would have precluded landing at Le Bourget due to insufficient runway length and inadequate climb performance. 5 0 obj The Preliminary and the Final reports, along with any safety recommendations are sent to the relevant parties to the investigation, States and organisations. , https://www.ainonline.com/aviation-news/business-aviation/2023-05-01/business-aircraft-accident-reports-may-2023, Copyright 2023 AIN Media Group, Inc. All Rights Reserved. The Taiwanese carrier just began its first flights to the United States two days ago, on April 27, 2023, which operated from the country's capital in Taipei to Los Angeles, which is an Alaska Airlines hub. The first officer was the pilot flying. 2 0 obj Phone: 1-720-383-4963 The pilot and one of the two passengers suffered serious injuries when the helicopter crashed onto the rooftop helipad of the USC Keck Medical Center at the conclusion of an organ procurement flight. In addition, he loves travelling, writing, arts and while his speaking engagements have taken him around the world, he is proud to call Nairobi home. Contrary to initial reports, the in-flight upset that fatally injured one of three passengers was not caused by turbulence. Thats the message that will linger in the court of public opinion. Released on Friday (December 23), the state investigators in their final report on ET302 confirm that a software bug is the main cause of the 2019 Boeing 737 Max crash. f-15c, 15 june 2020, raf lakenheath, england . | Terms of Use | Privacy Policy | Content Policy, U.S. . Details concerning the location and state of the different pieces of the wreckage are not normally required unless it is necessary to indicate a break-up of the aircraft prior to impact. At 05:37:34, ATC issued take off clearance to ET-302 and to . You can find aircraft accident and incident information on the National Transportation Safety Board website. Any errors in this report will be corrected when the final repor Shane Pennington, II August 1, 2002 January 24, 2023 ~ Aviation Investigation Preliminary Report - National Transportation Safety Board In WARRANTY: There is no warranty, express or implied for the information provided herein or the condition, useability, workability, operabil LARIMER COUNTY, Colorado The pilot of a small plane that crashed in northern Colorado in September last year has been criminally charged. After takeoff, Flight ET302 was in the air for just 6 minutes before slamming into the earth. The pilots strained to bring the nose up, pulling the control column back with a force between 100 and 125 pounds. The purpose of aircraft accident investigations is not to allocate blame, but to identify the often complex factors that led to the accident in order to prevent another one. endobj The Maltese-registered charter flight departed from Venice at 08:17, cruising at FL 340. Aviation investigations | ATSB Aviation investigations Back to top Investigation number: Investigation title keywords: Location: State: Investigation status: Report status: Highest injury level: Occurrence type: Sector: Registration: Operation type: Damage: Occurrence category: Occurrence date: Max Anticipated completion: Max Report release date: The BEA narrative lays out how the pilots lack of control began during the first 2 minutes of the flight, before MCAS activated. a) Pertinent information concerning each of the flight crew members including: age, validity of licences, ratings, mandatory checks, flying experience (total and on type) and relevant information on duty time. The main causes are: The hijacking of the aircraft by the Colombian National Liberation Army. Source: NTSB Aviation Accident Final Report, #ERA20MA001, section "Probable Cause and Findings", page 5, which reads in part: "Contributing to the accident was the pilot/maintenance director's inadequate maintenance while the airplane was on tour, which resulted in the partial loss of power to the Nos. Pertinent information concerning the organizations and their management involved in influencing the operation of the aircraft. Both the U.S. National Transportation Safety Board and the equivalent French agency identified pilot error as a critical contributing factor. Final Report - Oct 17 2022 Aircraft Accident Analysis: Final Reports - Mar 22 2023 Fascinating and factual accounts of the world's most recent and compelling crashes Industry insiders James Walters and Robert Sumwalt, trained aviation accident investigators and commercial airline pilots, The airplane was as operated as a Title 14 Code of Federal Regulations (CFR) Part 91 personal flight. Copyright SKYbrary Aviation Safety, 2021-2023. Repetitive and uncommanded airplane-nose-down inputs from a new flight control system on the MAX, triggered by a single faulty sensor, put the airplane in an unrecoverable dive, the Ethiopian report, released Dec. 23, concludes. Brief description of the results of the investigation undertaken and pertinent data available therefrom. The failure of either pilot to lock the cockpit door. The NTSB cites factual errors in the Ethiopian report, all of which appear aimed at piling blame on Boeing while denying any responsibility by Ethiopian Airlines, its pilots or the airport authority. Guzzetti agreed Boeing did not effectively communicate to airlines the danger posed by the MCAS system and that its bulletin should have been much more clear and transparent and had a higher sense of urgency.. Include, as appropriate, any other pertinent information considered necessary for the understanding of the report. While the investigators in Ethiopia identified the malfunction of the Maneuvering Characteristics Augmentation System MCAS as the cause of the accident, the NTSB agrees that in the United States, too, the faulty system inputs that led to the nosedive are believed to be the primary cause.if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[300,250],'airlinegeeks_com-large-leaderboard-2','ezslot_6',108,'0','0'])};__ez_fad_position('div-gpt-ad-airlinegeeks_com-large-leaderboard-2-0');if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[300,250],'airlinegeeks_com-large-leaderboard-2','ezslot_7',108,'0','1'])};__ez_fad_position('div-gpt-ad-airlinegeeks_com-large-leaderboard-2-0_1');.large-leaderboard-2-multi-108{border:none!important;display:block!important;float:none!important;line-height:0;margin-bottom:7px!important;margin-left:auto!important;margin-right:auto!important;margin-top:7px!important;max-width:100%!important;min-height:250px;padding:0;text-align:center!important}. 2017. Website National Transportation Safety Board (NTSB) Contact After back-taxiing on Runway 16, the jet was cleared for takeoff. In the final report issued Thursday on the Air France 447 crash that killed 228 people in May 2009, . The opinions expressed in reader comments are those of the author only and do not reflect the opinions of The Seattle Times. x,qo9@A@RPuvsV]:+vU3oufaPv:g'>2CiisUB5/MXSafXea|GTco~WR"y&x? In a press release dated 03 Jan 23 , it said , On December 23, 2022, the EAIB . AVweb's General Aviation Accident Bulletin is taken from the pages of our sister publication, Aviation Safety magazine. Both the pilots and co-pilots airbags activated during the crash and the pilots head hit the cabin ceiling, causing serious life-changing injuries. Rescuers needed two hours to extricate him from the wreckage. After fueling at the Rangiora Aerodrome, he proceeded northward at 2,000 feet, reaching the coast in about an hour. 1 weather alerts 1 closings/delays. This information is added by users of ASN. Perhaps panicking, he cut power to the horizontal tail prematurely, with the plane still in a nose-down posture. A consultant to the Still, with the Lion Air crash scenario surely at the forefront of their minds, the captain seems to have realized MCAS was the problem. 01-APR-2023 - Bank of Utah Trustee Cessna 750 Citation X accident: A Cessna 750 Citation X jet, N85AV, sustained substantial damage when it suffered a runway excursion during a landing attempt on runway 32 at Monmouth Executive Airport (BLM/KBLM), Belmar, New Jersey. Both agencies suggest that Ethiopian Airlines failed to ensure its pilots were adequately trained in the measures that Boeing recommended to counter an erroneous MCAS activation after the first MAX crash. The e-Library provides tools for the user to perform some research and analysis of the conclusions of some 2 000 occurrences. A line of thunderstorms with 40-knot wind gusts was reportedly passing through the area at the time, and the National Weather Service had issued a Special Weather Statement about 30 minutes before the accident. Secure .gov websites use HTTPS We and our partners use cookies to Store and/or access information on a device. meeting (Nov. 18), Why did our daughter fall out of the sky? Boeing 737 MAX tragedies leave anguish, anger, lots of questions (2019), Maneuvering Characteristics Augmentation System, or MCAS, pilots couldnt budge the manual wheel to bring the nose back up, As part of a settlement in a civil lawsuit brought on behalf of the Ethiopian Airlines crash victims. The electronic Library (e-Library) contains the Final Reports of investigated accidents and incidents which were sent to ICAO. The trainee radioed, Thanks for the show. LATEST SAFETY OCCURRENCES. That is not the way to improve aviation safety in todays global environment.. The last radar hit came at 11,000 feet; two hours later first responders found the main wreckage about 25 miles southeast of the airport. Accident Trend Monitoring and Exploratory Analysis. The pilot reported that there were no preaccident mechanical failures or malfunctions with the airplane that would have precluded normal operation. 866.835.5322 (866-TELL-FAA)Contact Us. Someones going to say, well, those airplanes fell because a bird hit them. Seattle-based Alaska Airlines has just begun its partnership with Taiwan-based STARLUX. Abstract: This report describes the January 15, 2009, accident involving the ditching of US Airways flight 1549 on the Hudson River about 8.5 miles from LaGuardia Airport, New York City, after an almost Rather, an apparent flight--control anomaly caused a series of violent pitch oscillations as the two-pilot crew attempted to follow quick reference handbook (QRH) procedures to resolve multiple caution messages on the Engine Indicating and Crew Alerting System (EICAS). By. The captain did not. Note.-Medical information related to flight crew licences should be included in Personnel information. The pilots couldnt budge the manual wheel to bring the nose back up. Apparently, the collision with a bird could have damaged the sensor that fed the MCAS erroneous input. Final Report: Crash of a Convair CV-340 in Pretoria: 1 killed. 14 0 obj However, the authoritys statement states that the Ethiopian colleagues fail to mention other relevant factors. In Popular Culture An official website of the United States government Here's how you know. Having received training as an aircraft accident investigator from the NTSB, he participates in air carrier accident investigations and also in aviation safety research. Analyse, as appropriate, only the information documented in section Factual information and which is relevant to the determination of conclusions and causes. But still, he said, its crucial that pilots monitor their airspeed, and this crew missed multiple clues that they were moving too fast, not too slow. stream Its instructions, which later proved distressingly inadequate, expressed in spare terms how a standard pilot procedure could get the crew out of trouble. One day before the report was released, the U.S. Export-Import Bank finalized $281 million in loan guarantees for state-owned Ethiopian Airlines to finance its purchase of several new MAX aircraft. The pilot, who was among the seven killed, had a commercial pilot certificate and a private pilot certificate. Other Phenom 100 pilots interviewed acknowledged that they had unofficially been taught to use deicing just long enough to dislodge visible ice to avoid having to divert. Flight manual charts for non-icing conditions led them to calculate a final approach speed of 121 knots and reference landing speed (Vref) of 97 knots. The remaining two passengers escaped with minor injuries. The seriously injured passenger was only secured by a lap belt and was struck by unsecured baggage in the cabin. This makes SkyWest the second major, Seattle-based Alaska Airlines has just begun its partnership with Taiwan-based STARLUX. In practice, not all State Investigation Agencies automatically issue Preliminary Reports but many do issue Interim Reports if significant matters, which it is judged deserve prompt disclosure, come to light during a major investigation. Generally, a preliminary report is available online within a few days of an accident. << /Author /CreationDate (D:20221005201400Z) /Creator /ModDate (D:20221118163800Z) /Producer >> Yet de Luis regrets how the competing accounts of the accident elevate these secondary causes to the same level as the primary cause of this accident, which was Boeings design of the MCAS system.. The main rotor blades struck first, followed by the left main landing gear and then the fuselage, and the helicopter came to rest on its left side. Dont sink! which was a warning the jet was close to the ground. MCAS pushed nose-down one more time. In a press conference on February 26, NTSB vice chairman Bruce Landsberg cited evidence that the airplane had broken up in flight: the outboard portion of the right wing and one horizontal stabilizer and elevator were found half to three-quarters of a mile from the fuselage. Aircraft Accident Investigation Bureau Preliminary Report March, 2019 1 of 33 Federal Democratic Republic of Ethiopia Ministry of Transport Aircraft Accident Investigation Bureau . You can also find other aircraft accident and incident databases on the FAA's National Aviation Safety Data Analysis Center website. << /Contents 19 0 R /Group << /CS /DeviceRGB /S /Transparency /Type /Group >> /MediaBox [ 0 0 612 792 ] /Parent 3 0 R /Resources << /Font << /FAAAAI 16 0 R /FAAABC 17 0 R >> >> /Type /Page >> Brief description of search, evacuation and rescue, location of crew and passengers in relation to injuries sustained, failure of structures such as seats and seat-belt attachments. The Ethiopian Airlines flight bound [] Moments later the camera began to shake and captured images of blowing debris and heavy rain on the ramp. You can learn more about the final probable . The manufacturer has since developed an improved dual-lock bearing support retrofittable to current aircraft. . and regulatory framework. endobj The final report was published on January 7, 2024. List the findings and causes established in the investigation. endobj How do I find accident and incident records? Following the title is a synopsis describing briefly all relevant information regarding: The body of the Final Report comprises the following main headings: History of the flight. Confused, he tried to execute Boeings instructions, but messed up the sequence. 12 0 obj The accident aircraft was registered JA8119 and was a Boeing 747-146SR (Short Range). The KLM aircraft flew on and crashed out of control 150 m further on, sliding another 300 m bursting into flames. Meanwhile the autothrottle was stuck at full takeoff thrust. The acceleration decreased to +2.2 g before the FDR stopped recording, apparently from activation of its impact g switch. After these instructions were given, a passenger elected to leave his seat to use the lavatory. By David Kaminski-Morrow11 March 2021. ]3C'{h\VJ@g=tSx+u^ % Critically, the jets speed was then so high that the air pressure jammed the horizontal tail surfaces, rendering them immovable. The pilot received minor injuries. On March 24, 2022, at 1845 mountain daylight time, a Czech Sport Aircraft Sportcruiser airplane, N823MM, was substantially damaged when it was involved in an accident near Lanark, New Mexico. The pilot had no further difficulty controlling the airplane using the manual trim switch, and did not reengage the autopilot. The tail rotor assembly and 90-degree gearbox were separated from the tail boom, and examination of the tail rotor rotating controls found that the ring nut had separated from the thrust sleeve assembly, disconnecting the tail rotor control servo actuator from the pitch-change links. Page 1 of 11 Aviation Investigation Final Report Location: Smyrna, Tennessee Accident Number: ERA21FA234 Date & Time: May 29, 2021, 10:55 Local Registration: N66BK Aircraft: Cessna 501 Aircraft Damage: Destroyed Defining Event: Loss of control in flight Injuries: 7 Fatal Flight Conducted Under: Part 91: General aviation - Personal Analysis The instrument-rated pilot of the business jet . Washington, DC 20591 The pilot stopped lowering collective as the aircraft was engulfed in blowing snow, rolling forward and right until the main rotor blades struck the ground. I got the camera ready. The pilot opted to go south, banking earlier and harder, this time passing some 600 feet behind the tower. The U.S. and French agencies expressed clear dissatisfaction with the outcome. The solo pilot was killed and the airplane destroyed when it stalled into the ground from approximately 45 feet, igniting a fire that consumed three-quarters of the airframe in the less than three minutes it took airport rescue and firefighting crews to reach and extinguish the blaze. He and the guide escaped through the broken windshield. No distress call was received. The crews inadequate actions played a role in the chain of events that led to the accident, in particular during the first phase of the flight, before the first MCAS activation, the BEA wrote. You can find aircraft accident and incident informationon the National Transportation Safety Boardwebsite. << /Contents 23 0 R /Group << /CS /DeviceRGB /S /Transparency /Type /Group >> /MediaBox [ 0 0 612 792 ] /Parent 3 0 R /Resources << /Font << /FAAAAI 16 0 R >> >> /Type /Page >> On the first, the pilot made a steep left turn immediately after takeoff from Runway 12, passing within 200 feet of the front of the control tower. National Transportation Safety Board Aviation Accident Final Report Location:Clarence Center, NYAccident Number:DCA09MA027 Date & Time:02/12/2009, 2017 EST Registration:N200WQ Aircraft:BOMBARDIER INC DHC-8-402Aircraft Damage:Destroyed Defining Event:Loss of control in flightInjuries:50 Fatal Flight Conducted Under:Part 121: Air Carrier - Scheduled << /Contents 15 0 R /Group << /CS /DeviceRGB /S /Transparency /Type /Group >> /MediaBox [ 0 0 612 792 ] /Parent 3 0 R /Resources << /Font << /FAAAAI 16 0 R /FAAABC 17 0 R >> /XObject << /X1 18 0 R >> >> /Type /Page >> The current presentation of the transcript prevents one from obtaining a full and objective understanding of the event, the NTSB concluded. Airport rescue and firefighting crews extinguished the fire and the two pilots and sole passenger were evacuated without injury. Washington, DC. When the threat was called in, the group responsible mentioned numerous devices that the police started to search for. Annex 13 - Aircraft accident and incident investigation; ICAO Doc 6920 - Manual of Aircraft Accident Investigation. The air ambulance flight departed at 21:00 local time with a destination of Salt Lake City. The aircraft had first flown on April 12, 2001. The pilots lost control and ET302 plowed deeply into the earth. The investigation also cited similar accidents in Gaithersburg, Maryland, in 2014 and Berlin in 2013 attributed to failure to properly use deicing systems. The flight originated from the pilots home near Rangiora. Please enable scripts and reload this page. One man died and another was seriously injured in this April 11, 2023 plane crash in Climax, N.C. On that sunny Tuesday morning, the plane first took flight from Greensboro Executive Airport at 11 . Boeing declined to comment on the crash investigation reports. Victor Shalton's love for aviation can be traced to when he was 11-years-old. The private pilot and one passenger suffered serious injuries when the turboprop single rolled inverted and crashed during an attempted go-around following a bounced landing. a) Brief statement on the meteorological conditions appropriate to the circumstances including both forecast and actual conditions, and the availability of meteorological information to the crew. 941 likes, 2 comments - Free Malaysia Today (FMT News) (@freemalaysiatoday) on Instagram: "A host of human errors and organisational negligence are to blame for the crash of a two-seat lig." Free Malaysia Today (FMT News) on Instagram: "A host of human errors and organisational negligence are to blame for the crash of a two-seat light . The system, initiated by that one sensor indicating falsely a very high angle of attack, immediately began swiveling the horizontal tail to push the jets nose down. While the crew in the earlier Lion Air crash in Indonesia had never heard of MCAS Boeing didnt put it in the pilot manuals the pilots on ET302 knew about the new system from that accident. Airport procedures require four scheduled daily inspections for wildlife hazards, with additional inspections 10 minutes prior to scheduled arrivals and departures in peak wildlife season. The most recent had been conducted 35 minutes before the accident. The NTSB Aviation Accident and Incident database includes reports concerning events that occurred between . While climbing on autopilot through 6,000 feet, the EICAS displayed warnings for autopilot stabilizer trim failure, Mach trim failure, and autopilot holding nose down. Neither pilot could recall the precise order in which they appeared.
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