1 / 12

Your Role on a Safety Investigation Board

Your Role on a Safety Investigation Board. Maj Kent Koran. Purpose of SIB. Determine what happened Step-by-step account Determine why it happened Provide recommendations on how to prevent it from happening again. SIB Members. Core Primary Members Board President Investigating Officer

chakra
Download Presentation

Your Role on a Safety Investigation Board

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Your Role on a Safety Investigation Board Maj Kent Koran

  2. Purpose of SIB • Determine what happened • Step-by-step account • Determine why it happened • Provide recommendations on how to prevent it from happening again

  3. SIB Members • Core Primary Members • Board President • Investigating Officer • Pilot Member • Maintenance Member • Medical Officer • Conditional Primary Members • ATC Officer or SNCO--if ATC might have been a factor • WX, technical experts, etc. • As a Primary Member, equal standing with other primary members

  4. What SIB Members Do • Interview witnesses • May be conducted by group or by individual board member • Privileged information • Review documentation: logs, tapes, transcripts, interview transcripts • Research • Publications: AF, FAA, LOPs • Reconstruct wreckage • Model sequence of events

  5. Hashing it Out • SIB members jointly determine: • Findings • Based on evidence, knowledge, judgement • Essential step in mishap sequence • Listed in chronological order • Causal factors • Things that should have happened and didn’t or shouldn’t have happened and did • Had it been done properly, the mishap may not have occurred • Reasonable person concept

  6. Hashing it Out • Recommendations • Feasible solutions related to the causes • Other findings of significance • Didn’t contribute to this mishap but could contribute to future mishaps or warrant action • Tough decisions • Board president has final say

  7. The Report • Huge undertaking • Report in two parts • First part contains • Factual information, findings, causes, recommendations • Released as report • Second part contains • Privileged information • Goes to AFSC • Primary members may submit minority report

  8. Lessons Learned • Board members very professional • Highly qualified • Open minded • Looked for truth, not scapegoat • It’s hard work • Expect to take 30 days • Long hours • Tough decisions • AMIC would have been beneficial

  9. Lessons for AOFs • Have good mishap checklists • Gather and secure evidence: tapes, logs, strips, training records • Start making recordings/transcripts • Make sure personnel understand what is happening • Brief on SIB process • Provide maximum support to SIB But most importantly...

  10. Lessons for AOFs ...Do everything right in the first place so they won’t blame it on you!

  11. Questions?

More Related