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IMPROVING GENERAL AVIATION SAFETY AND FOSTERING INDUSTRY GROWTH . GA Accident Statistics and Future Mitigation Work. Meeting Safety Challenges through Pilot Training Reform. SAFE Pilot Training Reform Symposium. Corey Stephens Office of Accident Investigation and Prevention.
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IMPROVING GENERAL AVIATION SAFETY AND FOSTERING INDUSTRY GROWTH
GA Accident Statistics and Future Mitigation Work Meeting Safety Challenges through Pilot Training Reform SAFE Pilot Training Reform Symposium Corey StephensOffice of Accident Investigation and Prevention May 4th, 2011
GA Metrics FY not CY, but can be converted N-registered aircraft only • Overall GA Fatal Accidents per 100,000 hrs • Everything not 121 or commuter • Alaska Fatal and Serious Injury Accidents per 100,000 hrs • Everything not 121, includes commuter • Experimental Aircraft Fatal Accidents • Interim until we can establish a rate-based metric and goal
General Aviation Fatal Accidents 2001-2010 by Top 10 CICTT Occurrence Category Note: Homebuilt category incorporates all homebuilt aircraft and is not limited to experimental and LSA.
How to Act on this Information We have identified types of accidents Now we determine why the accidents are occurring
GA Joint Steering Committee • Evolve GA JSC to a CAST like Model • Voluntary commitments • Consensus decision-making • Data driven risk management • Implementation-focused • The GA JSC is a means to… Focus Limited Government/Industry Resources on Data Driven Risks and Solutions
General Aviation Joint Steering Committee (GAJSC) Steering Committee Co-Chairs: Bruce Landsberg (ASI) Tony Fazio (FAA/AVP) Government - FAA (AFS, AIR, ATO & ARP) - NASA (Research) - NWS Industry - AOPA, EAA, GAMA, NATA, NBAA, LAMA, Insurance • Strategic guidance • Management/Approval of Safety Plan • Provide direction • Membership Outreach • Provides linkage to ASIAS • Identify future areas of study/risk • Charter safety studies • Provide guidance and direction • Draw data from various areas • Develop a prioritized Safety Plan • Develop metrics to measure effectiveness of safety solutions Safety Analysis Team (SAT) Co-chairs: Corey Stephens (FAA) Jens Hennig(GAMA) Members: FAA, NTSB, AOPA, EAA, FSF, CGAR, FAST, NAFI, LAMA, Insurance, SAFE, etc. Working Groups (WGs) (To include SMEs from various general aviation segments, depending on study) • Data analyses • Safety enhancement / mitigation development
What is the CAST model? • Work began in 1997 after two significant accidents in 1996 (TWA 800 & ValueJet 592) • CAST focus was set by: • White House Commission on Aviation Safety • The National Civil Aviation Review Commission (NCARC) • Opportunity for industry and government to focus resources on one primary aviation safety initiative
GA JSC Working Group Process • WGs to be formed based on risk (example: LOC) • Broad-based teams (30-40 specialists /team) • Teams can be divided by aircraft or operation type (example: turbine, reciprocating and homebuilt reciprocating/turbine) • Detailed event sequence - problem identification from US accidents and incidents
GA JSC Working Group Process • WGs to develop mitigations based on problems found and build Detailed Implementations Plans (DIPs) • DIPs will describe each mitigation and explain steps to implementation • Groups are identified for leadership and metrics are developed • DIPs then go to the SAT for resource/benefit evaluation
GA JSC SAT Process • SAT identifies the most effective solutions derived from all accident categories • Considers effectiveness vs. resources • Tests solutions against fatal accidents • Creates draft master strategic safety plan • Plan is submitted to GA JSC for approval
GA JSC SAT Process • Once plan is approved, industry and government begin implementation • SAT will track implementation schedules and levels (are mitigations on time and at levels we were expecting) • SAT will work to track effectiveness of the mitigations in place • SAT will identify and recommend areas for future study/mitigation
Summary: GA JSC, SAT & WGs Moving Forward • History shows focused action and introduction of new capabilities have led to accident risk reductions • Joint industry and government teams working together to a common goal can further enhance the safety of our very safe aviation system • Full implementation will require a coordinated effort between industry and government • The GA JSC is moving forward to meet the challenge
Risk Mismanagement as the Root Cause of Most Fatal Accidents presented by: Jim Lauerman, President
Our Unique Perspective • All the losses • Direct Insurer • Established Relationship
Personal Background • Then • Now Friday Meetings
Real Costs • Human • Financial • Public Relations • New Rules • Unintended Consequences
Why Aren’t We Solving the Problem? • Regulations? • Technology? • Training?
“It’s not so much what pilots know that gets them in trouble –” • But What They Care About
The Culture of General Aviation • More Ethical than Technical • Matters of the Heart, not Just the Head • We Pilots Aren’t Good at This • A More Professional Attitude • Accepting that there is risk • Being “grown ups” • Accepting Responsibility for Managing the Risks
Questions?877 359 2836avemco@ave.com 411 Aviation Way, Suite 100, Frederick, Maryland 21701
WHAT WE CAN LEARN FROM PROFESSIONAL ETHICS Bill Rhodes, Ph.D. Aerworthy Consulting, LLC
Acknowledgments • Portions of the research underlying this presentation were conducted under a Cooperative Research and Development Agreement with the Department of Philosophy, USAF Academy • Avemco is AERI’s charter sponsor
Who is this guy? • Former USAFA prof • Professional identity formation • Author in applied ethics • Private pilot/AC owner • AERI lead investigator
What I’ll Suggest • Hardware/software innovation • Improved technical skills, new rules etc. • …Address some pilot-induced mishaps • Professional ethics will address all • …And it’s not all that hard to do
Ethics: Why? • Mishap pilots • Pass the tests (know the rules) • But not the most relevant tests • Are products of a “perfect design” • Notice subcultures of aviators • Where would you like your kid to learn airmanship • Why?
Ethics??? • I AM NOT SUGGESTING • Additional regulation • Invasion of privacy • “Compliance” with a list of constraints • I AM SUGGESTING • Humble regard for aviation and the stakes • Determining selves to be trustworthy Airmen • Fostering the same in our community
Professional ethics • Do’s and Don’ts can only get us so far • Education in addition to instruction: limit • Professional identity formation • Professionally-minded don’t need to be told Judgment: figure out what’s best Self-mastery: do it (short run) Self-determination: habitually (long run)
Professionalism??? • I AM NOT SUGGESTING • A matter of jurisdiction • Or a matter of being paid • I AM SUGGESTING • Committing to functional identity—who pilot is • Able to reach goals reliably—what pilot does • Worthy of trust—OTG and OK
DEVELOPING PROFESSIONALS • Self-Mastery (short term) • …in today’s context Who pilot is (dispositions) What pilot does Outcome (OTG and OK Plus?) • Self-determination (long term) • …in cultural context
Where to begin • Forthright confrontation of problem • The culture (enemy is us) • Messages • What is admired • What is disdained—even mocked • Social norms are powerful • But what messages should be sent?
Aviation Insiders Know • What sort of pilot is scary? • What sort of pilot do you trust? • SME interviews: Insurance underwriters, investigators, CFI’s, and examiners convergent • Draft concepts are compiled • One example: professional detachment
Professionalism at home • Quality matters • Make no apologies for education and devotion • Admit that current cultural values • …may differ from professional imperatives • And select the professional imperatives • Reform demands seeing past “our way” to what works
Aerworthy Consulting, LLC. May, 2011 brhodes@aerworthy.com (719) 229-7369
IT’S TIME TO CREATE A CULTURAL SEA-CHANGE IN GENERAL AVIATION
There has been virtually no change • In the general aviation accident rate for the last 20 years
If we keep on doing what we have been doing • We are going to keep on getting what we’ve been getting • Even if we do it better
What we have been getting • Is unacceptable
Solutions to problems • Are not obvious until after they are solved
3 Counter-intuitive solutions • Ban low airspeed “phobia” • Ban the “big lie” • Ban “safety”
Ban low airspeed phobia • One-third of all fatalities come from stalls/spins while maneuvering • So therefore we should tell pilots to slow down when maneuvering
Most people think • Stall/spin accidents come from flying too slow
Let’s consider • That they may be caused by flying too fast