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Mr. Bob Hahn Associate Director, School of Aviation Safety Naval Aviation Schools Command

MISHAP PREVENTION EDUCATION IN NAVAL AVIATION. Mr. Bob Hahn Associate Director, School of Aviation Safety Naval Aviation Schools Command NAS Pensacola. SIGNAL CHARLIE Dallas TX 29-30 Mar 2011. It’s a big outfit. We have a lot (over 300) Squadrons

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Mr. Bob Hahn Associate Director, School of Aviation Safety Naval Aviation Schools Command

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  1. MISHAP PREVENTION EDUCATION IN NAVAL AVIATION Mr. Bob Hahn Associate Director, School of Aviation Safety Naval Aviation Schools Command NAS Pensacola

  2. SIGNAL CHARLIE Dallas TX 29-30 Mar 2011

  3. It’s a big outfit • We have a lot (over 300) Squadrons • We have a lot of people – staff, maintainers, pilots, aircrew • We have a broad span of operations • How to daily make the right decisions at all levels, and operate the airline company safely …

  4. It’s a big outfit • … that’s the mission of the USN/USMC School of Aviation Safety and the Naval Safety Center

  5. Navy/Marine Corps Challenge “I challenge all of you to reduce mishaps . . . at least 75% by FY 12.” --Secretary of Defense

  6. Purpose of the ASO Course • Prepare officers in the policy, philosophy, and techniques of managing and effective command aviation safety program • Teach mishap investigation and preparation of investigation reports • Educate officers in aeronautical topics to add to the professional knowledge base in fleet squadrons in order to cultivate critical thinking skills which in turn contribute to safety in the dynamic environment of naval aviation.

  7. NAVAL SAFETY STRATEGY • Enhance Combat Readiness! • Operational Risk Management • Training and Education • Accountability • Leverage New Technologies • Proactive vs Reactive • Mishaps vs Accidents

  8. Naval Aviation Safety Programs (SMS)

  9. SAFETY EDUCATION • Aviation Safety Officer Course • Aviation Safety Officers • 4+ Weeks Intensive Instruction • Aviation Safety Command Course • 6 Days • Commanding Officers • Crew Resource Management Course • 5 Days • Train the Trainer

  10. SAFETY EDUCATION Its more than just education, its about leveraging the Navy-Marine Corps culture and inspiring our students to create a climate within the command that influences good decision making at all levels. Navy-Marine Corps leadership translates into practices and behaviors that result in safe operations which in turn enhance mission effectiveness

  11. COMMANDING OFFICERS • Entrusted with every aspect of Squadron Operations • “Naval Aviation Safety program is an inherent responsibility of command.” • Set Standards and Ensure Accountability • Enable a Just Culture to establish a Command Climate that will promote safe and professional operations to achieve mission accomplishment

  12. AVIATION SAFETY OFFICER • Act as principal advisor to Commanding Officer on all aviation safety matters • Advise and assist Commanding Officer in complying with instructions • Maintain safety records & mishap statistics • “ASO” shall be primary billet assignment • Coordinate safety matters among squadron staff • Graduate of ASO course (recommended within 4 yrs.) • Principal Investigator for mishaps and near misses

  13. The “Swiss Cheese” Model of Accident Causation (Reason, 1990) • Excessive cost cutting • Reduction in flight hours resulting from inability to control cost of spare parts Organizational Factors Unsafe Supervision • Deficient training program • Improper crew pairing Preconditions for Unsafe Acts • Loss of Situational Awareness • Poor Crew Resource Management Unsafe Acts • Failed to Scan Instruments • Penetrated IMC when VMC only Failures in the System • Mishap & Injury • Crashed into side of mountain

  14. SAFETY INVESTIGATION REPORTS (SIR) • The final product written by the Aircraft Mishap Board after a mishap • Used to Report Hazards Uncovered by the Investigation • Offers Opportunity to Make Recommendations • Assigns Risk Assessment to Each Hazard • Command Influence Strictly Prohibited • Requires “Special Handling” Due to Privileged Info

  15. HAZARD REPORTING • Every mishap represents many more near misses and incidents that may go unreported • “Obligation” to report Hazards • Identify Human or Material Causal Factors • Recommend corrective action to Eliminate the Hazard (Minimize/Mitigate Risk) • Document a continuing hazard to establish severity/probability and FUNDING to eliminate Hazard • Proactive vs Reactive

  16. SUMMARY Mishap Prevention Leads to Combat Effectiveness Active Safety Climate Set by Leadership and Required by All Hands

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