auxair risk management and mitigation processesrdept.cgaux.org/documents/air/nacon aviation final...
TRANSCRIPT
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AuxAir Risk Management and Mitigation Processes
Commodore David Starr Division Chief – Aviation
Unclassified Response Directorate
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National Staff • Program Managers
• Advises on policy to NEXCOM and
CHDIRAUX
• The Districts, their leaders, and the
Aviators in the AuxAir fleet are our
customers.
UNCLASSIFIED 2
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Mission Statement
Provide the United States Coast Guard
and Coast Guard Auxiliary with a
Safe, Proficient, Effective and Efficient
Aviation Program.
Unclassified Response Directorate
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National Program Goals
• SAFE
• PROFICIENT
• EFFECTIVE
• EFFICIENT
• SUPPORTIVE
UNCLASSIFIED 4
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Safety Program Overview
• Auxiliary Aviation missions require the flight crew to understand they operate in an unforgiving environment.
• That understanding demands “Risk Management and Mitigation” as the flight crew uses best practices for information gathering, hazard recognition, decision making, flight proficiency and crew resource management techniques.
Unclassified Response Directorate
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Training Goals
• Understanding of:
• ACN 030/18 - MAR 2018 PROMULGATION OF RISK MANAGEMENT
• Risk Management Policy (COMDTINST
3500.3A)
• Mishap Data: Identifying Trends, Hazards,
and Causes of Accidents
Unclassified Response
Directorate
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Training Goals
– Identify 7 Types of Pilot Related Accidents
- Risk Assessment, Management and
Mitigation Processes
- I’M SAFE
- General Assessment of Risk (GAR) 2.0
Unclassified Response
Directorate
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Training Goals
• Understanding of:
- PEACE Model
- STAAR Model
- Flight Training to Proficiency…not just
Currency
- FAA WINGS Pilot Proficiency Program
Participation
Unclassified Response
Directorate
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NATIONAL AVIATION SAFETY GOALS
0% Accidents &
100% Voluntary Pilot Participation
Unclassified
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How Do We Achieve Our Goals
• Review and Adhere to Regulations and Policy Guidance… (FAA and USCG/USCG AUX)
• Expand and Improve Knowledge Base
• Recognition of Accident Trends and Hazards
• Risk Management and Mitigation
• Flight Training to Proficiency…not just to Currency
• Promote an Auxiliary Aviation Safety Culture
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The Scary Reality..
• Most Mishaps occur during flight perceived as low threat or routine
• Departure, Arrival, In route to search area, etc.
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Where Do We Start?
We start at the wreck…then work our way back to our safety goals.
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Where Do We Start?
• At the Wreck!
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Unclassified
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Unclassified
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Unclassified
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Unclassified
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• RM is a systematic and standardized process to identify, assess and mitigate hazard exposure and control risk.
• 5 Step Process: (1-3) Identify, Assess and Mitigate/Control Hazards (performed in advance of mission) and (4-5) Implement Mitigation Controls and Supervise/Evaluate for change during mission.
• RM is a continuous and dynamic process.
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Risk Management (RM) Process
• Most significant change in new RM COMDTINST is to promote more “deliberate” RM
• “Deliberate” (steps 1-3) versus “Real Time” (steps 4-5) Risk Assessment
• Deliberate RM promotes more rapid mission response as crews have had time and opportunities to mitigate potential hazards
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Back to the Future
• We study past accident reports and mishap trends with the hope of preventing future accidents and mishaps.
• “Bad News”… we keep seeing repeated patterns that cause general aviation accidents and mishaps.
• “Good News”…these repeated patterns give us a place to focus our RM efforts as we go forward.
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Joseph T. Nall Report
• Gold Standard for Interpreting General Aviation Accident Statistics and Trends.
• Accidents versus Accident Rates (commonly expressed as accidents per 100,000 flight hours)
• Final versus Preliminary Statistics (takes about 3 years to obtain firm data from NTSB investigations)
Unclassified
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Unclassified
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Take Aways from the Data
• Pilot Related Accident Causes- 75%
• Mechanical Related Causes- 15%
• “Other” Related Causes- 10%
• 7 Types of Pilot Related Accidents
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Take Aways from the Data
7 Types of Pilot Related Accidents
1.Weather
2.Takeoffs and Climbs
3.Maneuvering
4.Fuel Management
5.Decent/Approach
6.Landing
7.Other
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Addressing the Issues
Training Requirements
• FAA Biannual Flight Review (BFR)
• AUX Biannual Flight Check Review (alternate year between FAA BFR)
• Annual Safety Seminar
• Aux 14 C-School offered to DFSO and AirSta FSO
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Addressing the Issues
• I’M SAFE
• PEACE Model
• STAAR Model
• GAR 2.0
• Voluntary Pilot Participation in FAA Wings Pilot Proficiency Program
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I’M SAFE Acronym
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PEACE Model
• Planning
• Event Complexity
• Assets (equipment, platform, personnel)
• Communication and Supervision
• Environment
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STAAR Model
• Spread Out
• Transfer
• Avoid
• Accept
• Reduce
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General Assessment of Risk (GAR) 2.0
• The GAR 2.0 is a convenient tool to
capture deliberations of the PEACE and
STAAR elements, and integration of “Gain”
information to make “Warranted Risk”
decisions.
refer to handout GAR 2.0 for Aviation
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GAR 2.0
• GAR 2.0 includes a Risk versus Gain matrix to support risk-based decision making.
• This matrix incorporates a new Three-Zone Scale and institutes a Gain Component to help identify risk exposure and potential benefits/gain of the mission in order to make sound decisions.
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FAA Wings Pilot Proficiency
• The WINGS - Pilot Proficiency Program is
based on the premise that pilots who
maintain currency and proficiency in the
basics of flight will enjoy a safer and more
stress-free flying experience.
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FAA Wings Pilot Proficiency
• The objective of the WINGS Program is to
address the primary accident causal
factors that continue to plague the general
aviation community.
• By focusing on this objective, we hope to
reduce the number of accidents we see
each year for the same causes.
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FAA Wings Pilot Proficiency
• A true proficiency program, designed to
help improve our skills and knowledge as
pilots.
• Ongoing targeted knowledge training
through seminars, online study, etc.
• Ongoing targeted flight activity with
dedicated tasks and maneuvers.
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AuxAir Safety Culture
• Acknowledge we operate in an
unforgiving environment
• Facilitate Safety Culture Programs with
District Flight Safety Officers
• Encourage and provide a non-judgmental
environment for reporting and investigating
AuxAir safety issues and proficiency
through the DFSO.
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Practice Scenario
Mission Planning Scenario Handouts
PEACE
STAAR
GAR 2.0
Aviation Worksheet
Unclassified
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Review
- AuxAir program regulations and structure
- Source References for Accident /Mishap Data
- Mission Statement and Goals
- Identifying Trends, Hazards, and Causes of
Accidents
- 7 Types of Pilot Related Accidents
- Flight Training to Proficiency…not just
Currency
Unclassified
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Review
- FAA WINGS Pilot Proficiency Program
Participation
- Risk Assessment, Management and
Mitigation
- PEACE Model
- STAAR Model
- General Assessment of Risk (GAR) 2.0
- AuxAir Safety Culture
Unclassified
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Controlling Documents
• Coast Guard Auxiliary Manual COMDTINST
M16790.1G
• Auxiliary Operations Policy Manual
COMDTINST M16798.3E
• Auxiliary Aviation Training Manual COMDTINST
M16798.5B
• ACN 030/18-March 2018 Promulgation of Risk
Management-Commandant Instruction
Unclassified Response
Direcotrate
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Source References
• 26th Annual Joseph T. Nall Report-General Aviation Accidents in 2014 (latest edition from AOPA Air Safety Institute) https://www.aopa.org/-/media/files/aopa/home/training-and-safety/nall-report/26thnallreport2017.pdf
• FAR/AIM (Federal Air Regulations/Airmen Information Manual)
• General Assessment of Risk (GAR) 2.0
• PEACE Model
• STAAR Model
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Source References
• FAA WINGS Pilot Proficiency Program
• AUX Response Directorate for
Manuals/Procedures/Guides/Policy
Letters/Training/Quals/Etc. for Air Operations
http://wow.uscgaux.info/content.php?unit=R-
DEPT&category=air-documents
• AuxAir 101 for Leaders, (Aux Wilson Riggan)
Unclassified
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Source References
• FAA WINGS Pilot Proficiency Program
• AUX Response Directorate for
Manuals/Procedures/Guides/Policy
Letters/Training/Quals/Etc. for Air Operations
http://wow.uscgaux.info/content.php?unit=R-
DEPT&category=air-documents
• AuxAir 101 for Leaders, (Aux Wilson Riggan)
Unclassified
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Questions?
Unclassified
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Unclassified
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Space Holder Cut Slides moved behind
Unclassified