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NTSB SAFETY RECOMMENDATION
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National Transportation Safety Board
Washington, DC 20594
July 13, 2009
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The National Transportation Safety Board recommends
that the Federal Aviation Administration:
Require operators to replace electrically conductive
combustible oxygen hoses with electrically nonconductive hoses
so that the internal hose spring cannot be energized. (A-09-
43)
Prohibit the use of electrically conductive combustible oxygen
hoses unless the conductivity of the hose is an intentional
and approved parameter in the design. (A-09-44)
Formalize the airworthiness directive process so that, when
an aircraft manufacturer or other source identifies an
airworthiness issue with an appliance, coordination with the
appliance manufacturer occurs to ensure that the possible
safety risks to all products using the appliance are
evaluated and addressed. (A-09-45)
Require airplane manufacturers and modifiers to provide
positive separation between electrical wiring and oxygen
system tubing according to, at a minimum, the guidance in
Advisory Circular (AC) 43.13-1A, “Acceptable Methods,
Techniques, and Practices—Aircraft Inspection and Repair,” and
AC 65-15, “Airframe and Powerplant Mechanics Airframe
Handbook.” (A-09-46)
Require airplane manufacturers and operators to ensure that
oxygen system tubing in proximity to electrical wiring is made
of, sleeved with, or coated with nonconductive material or
that the tubing is otherwise physically isolated from
potential electrical sources. (A-09-47)
Develop minimum electrical grounding requirements for oxygen
system components and include these requirements as part of
the certification process for new airplanes and approved
supplemental type certificate modifications to existing
airplanes. (A-09-48)
Once electrical grounding requirements for oxygen system
components are developed, as requested in Safety
Recommendation A-09-48, require airplane operators and
modifiers to inspect their airplanes for compliance with these
criteria and modify those airplanes not in compliance
accordingly. (A-09-49)
Develop inspection criteria or service life limits for
flexible oxygen hoses to ensure that they meet current
certification and design standards. (A-09-50)
Once inspection criteria or service life limits for flexible
oxygen hoses have been developed, as requested in Safety
Recommendation A-09-50, require airplane operators to replace
those hoses that do not meet the inspection criteria or that
exceed the service life limits. (A-09-51)
Require transport-category airplane operators to (1) perform a
one-time inspection of all passenger service unit reading
lights installed on their airplanes to ensure that they
include rubber boots or use other means to isolate the
electrical parts of the assembly and (2) include, in
maintenance manuals or other maintenance documentation,
information about the importance of this electrical
protection. (A-09-52)
Require operators of transport-category cargo airplanes to
install smoke detectors in the supernumerary or similar
compartment of their airplanes. (A-09-53)
Also, the National Transportation Safety Board reiterates
the following recommendation to the Federal Aviation
Administration:
Provide guidance to aircraft rescue and firefighting personnel
on the best training methods to obtain and maintain proficiency
with the high-reach extendable turret with skin-penetrating
nozzle. (A-07-100)
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http://www.ntsb.gov/recs/letters/2009/A09_43_53.pdf
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The complete recommendation letter is available on the Web
at the URL indicated above.
The letter is in the Portable Document Format (PDF) and can
be read using the Acrobat Reader 5.0 or later from Adobe
(http://www.adobe.com/prodindex/acrobat/readstep.html).
An archive of recommendation letters is available at
http://www.ntsb.gov/recs/letters/letters.htm.
Electronic versions of letters may or may not include
enclosures; however, related publications, accident
briefs, and aviation accident synopses may be found
on the NTSB website.
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