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NTSB SAFETY RECOMMENDATION
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National Transportation Safety Board
Washington, DC 20594
April 14, 2010
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NTSB Safety Recommendations A-10-46 through A-10-59
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The National Transportation Safety Board recommends that the
Federal Aviation Administration:
Provide pilots and maintenance personnel with information
that (1) transport-category aircraft tires can lose up to 5
percent pressure per day, (2) it may take only a few days
for such tires to reach an underinflation level below what
the aircraft maintenance manual specifies for tire
replacement, and (3) the underinflation level that would
require tire replacement is not visually detectable. (A-10-
46)
Require that all 14 Code of Federal Regulations Part 121,
135, and 91 subpart K operators perform tire pressure checks
at a frequency that will ensure that the tires remain
inflated to within aircraft maintenance manual-specified
inflation pressures. (A-10-47)
Require that aircraft maintenance manuals specify, in a
readily identifiable and standardized location, required
maintenance intervals for tire pressure checks (as
applicable to each aircraft). (A-10-48)
Allow pilots to perform tire pressure checks on aircraft,
regardless of whether the aircraft is operating under 14
Code of Federal Regulations Part 91, Part 91 subpart K, or
Part 135. (A-10-49)
Require tire pressure monitoring systems for all transport-
category airplanes. (A-10-50)
Identify the deficiencies in Learjet's system safety
analyses, both for the original Learjet 60 design and for
the modifications after the 2001 accident, that failed to
properly address the thrust reverser system design flaws
related to this accident, and require Learjet to perform a
system safety assessment in accordance with 14 Code of
Federal Regulations 25.1309 for all other systems that also
rely on air-ground signal integrity and ensure that hazards
resulting from a loss of signal integrity are appropriately
mitigated to fully comply with this regulation. (A-10-51)
Revise available safety assessment guidance (such as
Advisory Circular 25.1309-1A) for manufacturers to
adequately address the deficiencies identified in Safety
Recommendation A-10-51, require that designated engineering
representatives and their Federal Aviation Administration
(FAA) mentors are trained on this methodology, and modify
FAA design oversight procedures to ensure that manufacturers
are performing system safety analyses for all new or
modified designs that effectively identify and properly
mitigate hazards for all phases of flight, including
foreseeable events during those phases (such as a rejected
takeoff). (A-10-52)
Revise Federal Aviation Administration Order 8110.48 to
require that the most current airworthiness regulations
related to equipment, systems, and installations (14 Code of
Federal Regulations 25.1309) are applied to all derivative
design aircraft certificated as changed aeronautical
products. (A-10-53)
Review the designs of existing derivative design aircraft
that were certificated as changed aeronautical products
against the requirements of the current revision of 14 Code
of Federal Regulations 25.1309 and require modification of
the equipment, systems, and installations to fully comply
with this regulation. (A-10-54)
Define and codify minimum simulator model fidelity
requirements for tire failure scenarios. These requirements
should include tire failure scenarios during takeoff that
present the need for rapid evaluation and execution of
procedures and provide realistic sound and motion cueing.
(A-10-55)
Once the simulator model fidelity requirements requested in
Safety Recommendation A-10-55 are implemented, require that
simulator training for pilots who conduct turbojet
operations include opportunities to practice responding to
events other than engine failures occurring both near V1 and
after V1, including, but not limited to, tire failures. (A-
10-56)
Require that pilots who fly in 14 Code of Federal
Regulations (CFR) Part 135 operations in aircraft that
require a type rating gain a minimum level of initial
operating experience, similar to that specified in 14 CFR
121.434, taking into consideration the unique
characteristics of Part 135 operations. (A-10-57)
Require that pilots who fly in 14 Code of Federal
Regulations (CFR) Part 135 operations in an aircraft that
requires a type rating gain a minimum level of flight time
in that aircraft type, similar to that described in 14 CFR
121.434, taking into consideration the unique
characteristics of Part 135 operations, to obtain
consolidation of knowledge and skills. (A-10-58)
Require that tire testing criteria reflect the actual static
and dynamic loads that may be imposed on tires both during
normal operating conditions and after the loss of one tire
and consider less-than-optimal allowable tire conditions,
including, but not limited to, the full range of allowable
operating pressures and acceptable tread wear. (A-10-59)
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http://www.ntsb.gov/Recs/letters/2010/A-10-046-059.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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