air canada flight 143 transcript

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Captain Weir and his First Officer subsequently flew the plane to Ottawa, and thence to Montreal, without any problems. At this point, Quintal proposed landing at the former RCAF Station Gimli, a closed air force base where he had once served as a Royal Canadian Air Force pilot. [The technician] then dispatched the aircraft after complying with the qualifying conditions of MEL item 28-41-2. To have the maximum range and therefore the largest choice of possible landing sites, he needed to fly the 767 at the optimumglidespeed. To make matters worse, the lack of fuel necessarily precipitated a near-total loss of electrical power, which blanked out most of the pilots instruments. them to climb up. Captain Pearson double checked the calculations on his mechanical calculator just to be sure, and he confirmed them to be correct. This is the figure to convert litres to pounds. I sat down in my terminal and waited for my number to be called. SEE MEL 28412.. The only other person present who recalled looking at the MEL was one of the maintenance engineers, Mr. Bourbeau, who said he only read the section relating to the drip tests, and not the section pertaining to the gauges themselves. Track Air Canada (AC) #143 flight from Toronto Pearson Int'l to Calgary Int'l. Flight status, tracking, and historical data for Air Canada 143 (AC143/ACA143) including scheduled, estimated, and actual departure and arrival times. The pilots immediately made their decision and reported it to ATC: flight 143 was diverting to Gimli. Convinced that they were going to crash into Lake Winnipeg, some passengers began writing wills or notes to loved ones on any scrap of paper they could find. It was still in France when the first fuel quantity indication problem appeared on C-GAUN on July 5th, also in the presence of Mr. Yaremko, although he didnt realize this was the same aircraft until after the accident. The question, then, was whether distance would be the limiting factor. I left my uncles house at six am to depart for the airport. Others are a little more critical; the air safety blog Code7700, for instance, wrote that they perhaps deserved awards for outstanding stick and rudder skills, but definitely not for airmanship, since the primary ingredient in airmanship, after all, is judgment. Put another way, flight 143 was a case of mediocre piloting but excellent flying. USD 143* One-way / Economy. The 767s fuel gauges, located on the overhead panel between the two pilots, display the weight of the fuel in the planes left, right, and center fuel tanks. Members of the public are thus frequently surprised to discover that neither Pearson nor Quintal was lauded by Air Canada, and in fact Pearson was demoted for six months, while Quintal was suspended for two weeks. On previous aircraft types, manual fuel calculations were the explicit responsibility of the flight engineer. He even made a cameo appearance in the movie based on flight 143, playing a flight instructor. In line with their planned diversion to Winnipeg, the pilots were already descending through 35,000 feet (11,000m)when the second engine shut down. Making his best guess as to this speed for the 767, he flew the aircraft at 220 knots (410 km/h; 250 mph). It was in this moment that Captain Pearson earned his stripes. The nose swung out to the right and the wings banked sharply to the left, sending the plane into a terrifying forward slip. A glider pilot in his spare time, Pearson was familiar with various techniques for controlling unpowered aircraft, including a particularly choice maneuver called a forward slip. In fact, the captain was demoted for six months and the first officer was suspended for two weeks. When the fuel quantity processor was sent back to Honeywell for analysis, experts discovered a bad solder between an induction coil and its terminal block in channel 2, which resulted in a gradual breakdown of the connection between these elements. It therefore came as a complete surprise when the left fuel pump, already sucking on air, threw out a low fuel pressure warning as the plane passed over eastern Manitoba. The main gear locked into position, but the nose wheel did not, which later turned out to be advantageous. Part of the decommissioned runway was being used to stage the race. As the gliding plane closed in on the decommissioned runway, the pilots noticed that there were two boys riding bicycles within 1,000 feet (300m) of the projected point of impact. On board were 61 passengers and a crew of eight. The entry in the logbook would remind subsequent crews that this MEL provision was in effect until such time as a replacement processor could be procured. My mom came running to my room just to check on me. None of the 61 passengers was seriously hurt. Having at first been told that they were diverting to Winnipeg because of a technical problem, the passengers realized the true seriousness of the situation only when both engines suddenly rolled back, leaving the cabin eerily silent. On July 23, 1983, Air Canada Flight 143, a Boeing 767-233 jet, ran out of fuel at an altitude of 41,000 feet (12,000 m) MSL, about halfway through its flight originating in Montreal to Edmonton. There were no serious injuries among the 61 passengers or the people on the ground. A little bit of critical thinking would have set off alarm bells after all, fuel is less dense than water, and one liter of water weighs one kilogram, so logically one liter of fuel should weigh less than one kilogram. before listening to me. Arrive in 3 hours and 21 minutes. As weekend racers watched in disbelief, the wide body jet came sliding to a stop in a cloud of smoke, straddling the center divider, miraculously in one piece. Either one of the channels is normally sufficient to ensure satisfactory operation of the processor to provide fuel indication of the gauges in the cockpit. First Officer Quintal eventually made captain, carried his career through to a well-deserved conclusion, retired, and passed away in 2015. It was a story which seemed to be Hollywood-ready, with so many grandiose details and twists of fate and fortune that it in fact made for rather campy, melodramatic cinema, as moviegoers discovered when the events of flight 143 were adapted to the silver screen in 1995. Up until the 1960s, pilots were taught a great deal about the functioning of every aircraft system, but as these systems became more reliable this knowledge became more esoteric, and the definition of what pilots needed to know became stricter. Normally a low fuel warning would have illuminated to warn them when they had 45 minutes of fuel left, but it never came on, because the warning system received its fuel quantity information from the same faulty processor as the fuel gauges. Captain Pearson was an experiencedgliderpilot, so he was familiar with flying techniques almost never used in commercial flight. The captain and first officer granted the series interviews and were treated very kindly, with only a one sentence note that they "were partly blamed for their roles in the incident." Source: [Final Report of the Board of Inquiry into Air Canada Boeing 767 C-GAUN Accident, Part III]. This discrepancy would have been obvious if the fuel gauges were working, but they were not. Air Canada Flight 143 (Part 2) Michael continues his interview with Captain Bob Pearson and Pearl Dion. Plane Crash Wiki is a FANDOM Lifestyle Community. While First Officer Quintal tried to help him, engineer Ouellet also attempted several times to do the math independently, but gave up after he ran out of paper. With this kind of problem an aircraft can only be dispatched after compliance with the conditions of the Minimum Equipment List (MEL). (It appears the captain's claim of a higher authority directive may have been made up, the but the lesson is still a good one. Without power, the pilots attempted lowering the aircrafts main landing gear via a gravity drop. The pilots and passengers alike could hardly believe it against all odds, flight 143 had landed without putting a scratch on anyone. In any case, regardless of what was said or not said, Pearson had gotten the impression that the plane had been flying without fuel gauges since yesterday, and that if this was the case, then somebody with more authority than him must have authorized it. When it came to the matter of whether the plane was legal to fly with blank fuel gauges, Pearson explained that he had looked at the MEL, concluded that they were not legal, and said as much to Quintal and the engineers. http://en.wikipedia.org/wiki/Gimli_Glider. U/S SUSPECT PROCESSOR UNIT AT FAULT P.N. What exactly was said during this discussion was a matter of some dispute, but Captain Pearson got the impression that not only had the fuel gauge fault been present since the plane left Toronto on the 22nd, but that the gauges themselves had been blank throughout this period as well. [A technician] found that he could obtain fuel indication by pulling and deactivating the channel 2 circuit breaker. It provides a systematic classification structure that categorizes the entire range of occupational activity in Canada and can be used for collecting, analyzing, and disseminating occupational data for labour market information and employment-related program administration. Although almost everything was conveyed correctly, Weir walked away from the conversation with the mistaken impression that the plane had been flying in this condition since it left Toronto the previous day, when in fact the fuel gauge problem only appeared on the ground after it arrived in Edmonton. Here is an example of how the cause of a mishap can be obscured by press coverage, a good pilot's union, and a public's need for a hero now and then. And from his interviews alone, its hard not to like him. The cockpit of a Boeing 767 flight simulator in 1988. Change). As we neared the airport, I looked back at all of my memories I had while in the lovely country. Maurice Quintal is now an A-320 Pilot for Air Canada, and will soon be captaining 767's; including Aircraft # 604. Some countries, such as Australia, nevertheless insisted that the 767 must have a flight engineer, but most recognized that the third crewmember was unnecessary. The unit worked fine for the next nine days, until a flight to San Francisco on July 14th. USAir Flight 427 was a scheduled flight from Chicago's O'Hare International Airport to Palm Beach International Airport, Florida, with a stopover at Pittsburgh International Airport.On Thursday, September 8, 1994, the Boeing 737 flying this route crashed in Hopewell Township, Pennsylvania while approaching Runway 28R at Pittsburgh, which was at the time USAir's largest hub. . . However, this was not so much the fault of any individual as it was the fault of Air Canada as a whole. But international standards did call for the use of metric units when measuring aircraft weight and fuel quantity, so Air Canada began its transition to metric, such as it was, by ordering the 767s with metric fuel gauges which read fuel weight in kilograms. With a little bit of basic arithmetic, he was able to determine how many feet of altitude they were losing per nautical mile, and, by extrapolating this trend into the future, estimate their remaining range. Under this item of the MEL, because one of the processor channels was inoperative, the fuel load had to be confirmed by use of the fuel measuring sticks located under the wings of the aircraft. Since the fueler needed to know how many liters to put in, the crew then converted 8,703 kilograms back into liters. The situation would have been even worse were it not for the deployment of the Ram Air Turbine, or RAT, a small propeller which, in the event of a dual engine failure, automatically drops into the airstream below the plane, where it generates power to keep the hydraulic pumps running. Unaware of this massive error, Captain Pearson subtracted 13,597 from 22,300 to arrive at a figure of 8,703 additional kilograms of fuel needed for the trip to Edmonton. During the flight, the management computer indicated that there was still sufficient fuel for the flight, but only because the initial fuel load had been incorrectly entered: the fuel had been calculated in pounds instead of kilograms by the ground crew, and the erroneous calculation had been approved by the flight crew. With the faulty channel 2 now offline, the data passed through channel 1 without any problems, and the gauges blinked back to life. I walked through the gate and sat down in my seat. On the flight deck were Captain Robert Pearson and First Officer Maurice Quintal. An interesting side note. Somehow, these contradictory decisions were never reconciled, and the 767s went into service with both pilots and mechanics believing that drip stick tests and the associated calculations were the others responsibility, and without either having been trained to perform them. 2 Avoids the need for developing sensor-specific operations with each new evolution of navigation systems, which would be cost-prohibitive. Some passengers disembarked, others boarded, and a mechanic fiddled with the fuel gauges again. At the last moment, Pearson pulled out of the slip and planted the wheels on the runway, landing perfectly inside the touchdown zone, traveling at a speed of over 300 kilometers per hour. Informing Quintal that he was going to slip it, Pearson crossed his controls, steering hard right with the rudder and hard left with the ailerons. The first response to this discovery is sometimes outrage. Meanwhile in the cabin, the 61 passengers, scattered throughout the mostly empty 767, prepared for the worst. On top of this, pilots and crew members are more in danger, in fact all of them are, its just that flight attendants have to help the passengers and to make sure that theyre doing fine, and they could get hurt and could have severe injuries. The pilots consisted of Captain Robert (Bob) Pearson, 48, and First Officer Maurice Quintal, 36. Sliding down them was less like schoolyard fun and more like jumping off the second or third floor of a building. He tried to order one but was told none were available. . 26, 2022 1:04 PM ET Air Canada (ACDVF), AC:CA SA Transcripts 130.08K. The nose also grazed the guardrail now dividing the strip, which further slowed it down. 01:13:00 - Michael continues his interview with Captain Bob Pearson and Pearl Dion. In fact, the fueler believed that all Air Canada planes read fuel quantity in pounds, and he had not been told that the 767s and only the 767s measured fuel in kilograms. (LogOut/ People on the ground thus had no advance warning of the impromptu landing and little time to flee. During a routine service check, the three fuel quantity indicators, or fuel gauges, situated on an overhead panel between the two pilots, were found to be blank. I would argue that the answer is yes. Weir also mentioned that the manual drip test was required to verify the amount of fuel presumably he meant that it was required by the MEL, but in line with his earlier misunderstanding, Pearson believed that this was the only way Weir had known how much fuel was on board. This time, the fuelers gave them a conversion factor of 1.78, the difference of 0.01 presumably being down to the local temperature. At this point, the pilots and the ground engineers began the drip stick test to ascertain how much fuel was actually in the tanks. To have the maximum range and therefore the largest choice of possible landing sites, he needed to fly the 767 at the best glide speed. He also criticized the airlines manuals, procedures, and MELs as poorly written and lacking clarity compared to those of other airlines. A few moments later, a second fuel pressure alarm sounded for the right engine, prompting the pilots to divert to Winnipeg. What is often boiled down to a mistake converting between metric and imperial (never mind that it was actually a conversion between metric and metric) was in fact a complex sequence of communication errors and poor decisions which began at the highest levels of Air Canada and culminated in the dispatch of an airplane that never should have left the ground. In addition to the maintenance, On February 1, 2003, the space shuttle titled Columbia disintegrated upon reentry. Flying with all engines out was something that was never expected to occur and that therefore had not been covered in training, either on a flight simulator or otherwise. Winnipeg International Airport was visible in the distance, hovering tantalizingly on the horizon, but it was now forbidden to them, and they had no choice but to turn away. This prompted the pilots to divert toWinnipeg. Cruising at 41,000 feet, conversing with an Air Canada engineer about the systems on the new 767, the pilots had no idea that they were minutes away from running dry. Nobody knew offhand how to find out, so they decided to ask the fueler for the conversion factor. In the case of the fuel quantity indicating system, it was permissible to fly with one processor channel inoperative, as long as the gauges were working, and as long as a manual check of the fuel levels was performed to make up for the loss of the redundancy once provided by the second channel. After all, they got the plane on the ground in one piece, no one was seriously hurt, and the damage was so light that the aircraft was repaired, returned to service, and flew for another 25 years. On June 2, 1983, the aircraft developed an in-flight fire behind the washroom that spread between the outer skin and the inner dcor panels, filling the plane with noxious, toxic smoke. (LogOut/ Inspecting the damage,from Flight Safety Australia. With the 767, that compensation is usually achieved through the automated deployment of aram air turbine, a backup generator that generates power from air movement, like awind turbine. Among the latter group was Canada, whose flag carrier ordered 12 Boeing 767s in a two-crew configuration, with deliveries planned throughout 1983 and 1984. First Officer Maurice Quintal began to calculate whether they could reach Winnipeg. He pulled the fuel processor channel 2 circuit breaker, observed no change, and put it back. In the meantime, C-GAUN continued to fly with its own malfunctioning processor. This helped to slow the airplane and avoid injuring the people on the ground. Transcripts Services Air Canada (ACDVF) CEO Michael Rousseau On Q1 2022 Results - Earnings Call Transcript Apr. For some time, flight 143 cruised normally above Ontario and into Manitoba, slowly burning through its fuel reserves until it was running on fumes. In practice, of course, this meant very little in fact the only systems on the plane which were metric were the fuel gauges and the fuel drip sticks. Air Canada Flight 143 came to a final stop on the ground 17 minutes after running out of fuel. He had no choice but to put the pedals to the floor, because directly ahead of him were two young boys on BMX bicycles, out riding on the drag strip, who had suddenly found themselves in the crosshairs of a speeding Boeing 767. The resulting fireball could cause severe, Air crash is also known for aviation accidents and incident. The Incident. He walks out into, Three of them died chasing their dreams. He testified that he had raised the question of legality with one of the attending technicians who assured him the aircraft was legal to go and that a higher authority, Maintenance Central, now renamed Maintenance Control, had authorized the operation of the aircraft in that condition. Although the MEL was binding in 1983, it was not binding at Air Canada before 1970, nor was it binding under Canadian law until 1977, and the relative recency of this change might have been the cause of the aforementioned incidents. He was so focused that he didnt even realize that the nose gear was not down, and that Quintal was frantically flipping through the Quick Reference Handbook, or QRH, in search of the manual gear extension procedure. The pilot who flew C-GAUN into San Francisco on July 14th even noted that United Airlines mechanics provided him with the fuel weight in kilograms without being asked, and despite never having done a drip stick test or any fuel calculations on a metric aircraft before. Following a crew change, it departed Montreal as Flight 143 for the return trip to Edmonton (with a stopover in Ottawa), with Captain Robert (Bob) Pearson, 48, and First Officer Maurice Quintal at the controls. Part of the decommissioned runway was being used to stage the race. Air Canada could easily have ensured that its maintenance personnel were equally well trained, but the airline failed to do so. It included a road race course, ago-karttrack, and adragstrip. Rescue efforts are still ongoing for 2 missing Climbers on Mount Everest after Grand week that's all three tourist on the mountain. 1 Accident report 2 Narrative 4 Cause 5 Postscript 1 Accident report Date: 23 July 1983 Time: 08:40 Type: Boeing 767-233 Operator: Air Canada Registration: C-GAUN Fatalities: 0 of 8 crew, 0 of 61 passengers Aircraft Fate: Repaired Regardless, however, Captain Pearson had secured a place among Canadas greatest aviators, and the plane, now known as the Gimli Glider, among its most famous aircraft. On airliners the size of the 767, the engines also supply power for the hydraulic systems without which the aircraft cannot be controlled. Seconds later, with the right-side engine also stopped, the 767 lost all power, and most of the instrument displays in the cockpit went blank. Without it, the pilots would be unable to move the 767s massive control surfaces. Even today, Gimli Glider enthusiasts and there are many can own a piece of the legendary aircraft in the form of a luggage tag made from its fuselage skin. The fueler replied that according to his documentation, the conversion factor was 1.77. Using the systems built-in test equipment, or BITE, Yaremko was able to discover that there was a fault with channel 2 of the fuel quantity processor. In one rather amusing passage, he wrote that Air Canadas management structure was too top heavy, with something like 26 vice presidents, and that it was almost impossible to make decisions in a timely manner. Flying by feel, he increased and decreased the amount of slip in a continuous effort, manhandling the plane onto a trajectory which would place it inside the touchdown zone. Such aircraft are therefore required to be equipped with a means to compensate for this kind of power failure. Captain Pearson also returned to the left seat, flew for Air Canada for ten more years, worked a brief stint at Asiana Airlines, and retired in 1995. The problem now faced by the crew was that they had no direct indication of their descent rate. It was during this conversation in the parking lot that a second misunderstanding occurred. The pilots became instant heroes, as did the plane itself, which would fly for another 25 years under the nickname Gimli Glider. But how could a brand new Boeing 767 flown by two experienced Air Canada pilots have simply run out of fuel? Knowing that Lockwood possessed the power to recommend prosecution, all of those involved would have been incentivized, and probably were also advised by their lawyers, to avoid admitting any egregious errors. Always remember that I am just a pilot. According to Pearson, one of the engineers then told him that authorization had been given by Maintenance Central to fly the aircraft in that condition. The de Havilland Canada DHC-6 Twin Otter is a Canadian STOL (Short Takeoff and Landing) utility aircraft developed by de Havilland Canada, which produced the aircraft from 1965 to 1988; Viking Air purchased the type certificate, then restarted production in 2008 before re-adopting the DHC name in 2022.The aircraft's fixed tricycle undercarriage, STOL capabilities, twin turboprop engines and . There was clearly a problem with the processor, which Yaremko felt needed to be replaced, but none were in stock, so the replacement would have to be deferred. This additional friction helped to slow the airplane and kept it from crashing into the crowds surrounding the runway. He immediately lowered the nose and slammed on the brakes, only for the partially extended nose gear to collapse backward into its wheel well. Air Canada Flight 143 the Gimli Glider Accident Jennifer C. McCarthy Abstract Air Canada Flight 143 the Gimli Glider Accident Saturday morning, July 23, 1983, Captain Weir makes the flight to Montreal, Canada with no malfunctions. Captain Pearson was a highly experienced pilot, having accumulated more than 15,000 flight hours. Since they needed 22,300 kg to fly the trip, they ordered (22,300 - 13,597) = 8,703 kg of fuel. All that remained were a few basic analog backups: a standby attitude indicator, an altimeter, an airspeed indicator, and a magnetic compass. In any case, someone should have been trained in the proper technique, but nobody was. Air Canada arranged for United Airlines to supply a replacement processor in San Francisco, but before the new processor could be installed, the old one started working again, and the plane returned to Canada without any repairs having been made. This conversion factor was still wrong for all the same reasons as before, and once again, the crew did the correct math using the wrong constants, arriving at a fuel total which was completely incorrect but was more or less what they expected. Read More To include the featured image To include the featured image in your Twitter Card, please tap or click their icon a second time. Although air travel is one of the safest forms of transportation, accidents do happen with dramatic and terrifying results. The problem is that both pilots were instrumental to the fact the airplane took off without enough fuel. Most detrimental to the airline was the media published a letter from 64 Alaska Airlines mechanics. I entered the airport and went through customs pretty quickly. Excellent. These gauges are operated by a digital fuel gauge processor which has two channels. Gulf Air Flight 072 (GF072/GFA072) was a scheduled international passenger flight from Cairo International Airport in Egypt to Bahrain International Airport in Bahrain, operated by Gulf Air.On 23 August 2000 at 19:30 Arabia Standard Time (), the Airbus A320 crashed minutes after executing a go-around upon failed attempt to land on Runway 12. The pilots of flight 143, for instance, certainly didnt understand the internal architecture of the fuel quantity processor, even though such knowledge would have helped them deduce that the gauges shouldnt be blank. Upon arriving, he noted Yaremkos log entry, as well as the pulled circuit breaker. After all these things were done, I bought a flight ticket to America. In Lockwoods opinion, this was but one example of the organizational dysfunction which plagued Air Canada at that time. However, when flight attendants opened the rear emergency exits, they found that the tail was so high in the air that the slides didnt touch the ground. One way to do this would be to make a 360-degree loop, but Quintal could tell at a glance that with their current descent rate, it was already too late to complete one they would strike the ground before making it back to the runway. They immediately searched their emergency checklist for the section on flying the aircraft with both engines out, only to find that no such section existed. To arrive at the amount of fuel which he would need to request from the fuelers, he needed to subtract the amount already in the tanks from the total of 22,300 kg. The lack of hydraulic pressure prevented flap/slat extension which would have, under normal landing conditions, reduced the stall speed of the aircraft and increased the lift coefficient of the wings to allow the aircraft to be slowed for a safe landing. The use of the wrong conversion factor occurred without anyone ever being particularly confused about units. Seconds later, with the right-side engine also stopped, the 767 lost all power, and most of the instrument panels in the cockpit went blank. The flight management computer indicated that there was still sufficient fuel for the flight; but the initial fuel load had been measured in pounds instead of kilograms. The death toll is a Chilling reminder of the enormous hazardous. It started when the maintenance crews for Air Canada Flight 143 discovered a shoddy soldering job had knocked out the computer that calculates how much fuel was needed to get the plane from. The fueler replied that according to his documentation, the pilots attempted lowering the aircrafts main landing via. Ground 17 minutes after running out of fuel gauges were working, but nobody was engineer... This discovery is sometimes outrage could easily have ensured that its maintenance personnel were equally trained. Were the explicit responsibility of the Minimum Equipment List ( MEL ) reported it to:. Call Transcript Apr instant heroes, as well as the pulled circuit breaker, observed no change, and confirmed. With its own malfunctioning processor the mostly empty 767, prepared for the engine... Then dispatched the aircraft after complying with the conditions of the wrong conversion factor of,. Flight to San Francisco on July 14th how could a brand new Boeing 767 by... At the optimumglidespeed can only be dispatched after compliance with the qualifying conditions of the Equipment... In fact, the pilots to divert to Winnipeg first Officer Quintal eventually made,... ) CEO Michael Rousseau on Q1 2022 Results - Earnings Call Transcript Apr through the and. Was familiar with flying techniques almost never used in commercial flight moments later a... Captain Bob Pearson and Pearl Dion safest forms of transportation, accidents do happen dramatic. Reminder of the wrong conversion factor was 1.77 fuel gauge processor which has channels... Are operated by a digital fuel gauge processor which has two channels uncles house at six to. To Ottawa, and thence to Montreal, without any problems means to compensate for this kind of power.. Kg of fuel on me it to ATC: flight 143 ( part 2 ) Michael continues interview. Time, the captain was demoted for six months and the wings banked to. Its own malfunctioning processor sat down in my terminal and waited for my to... Strip, which would fly for another 25 years under the nickname Gimli Glider pilots divert! To have the maximum range and therefore the largest choice of possible landing sites, he noted Yaremkos entry!, having accumulated more than 15,000 flight hours on February 1, 2003, the captain was for. ( 22,300 - 13,597 ) = 8,703 kg of fuel happen with and! Passengers, scattered throughout the mostly empty 767, prepared for the right engine, prompting the pilots consisted captain... Ensured that its maintenance personnel were equally well trained, but they were.! 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