Basic Definitions CAPT James R. Fraser Naval Safety Center
The Naval Aviation Safety Program ( To preserve human and material resources and eliminate hazards ( OPNAVINST R
Definitions ( HAZARD ( Cause of damage or injury ( Synonymous with mishap cause factors ( UNDER HUMAN CONTROL ( All hazards can be eliminated ( INTENT FOR FLIGHT ( Prerequisite for classification as mishap ( Aircraft brakes released, or first motion of cat ( Until taxi clear of runway or weight on wheels
What is a Naval Aircraft Mishap? ( Unplanned events involving Naval air: ($10,000 or more of damage (Injury causing at least one lost workday ( Exceptions: (Intentional (Criminal damage (FOD (Occupational illness (Injury during planned egress
When is a Mishap Over? ( If fires are out and the area is safe ( If pyrotechnics are secured ( If survivors are safely rescued ( If severely injured survivors are under medical care ( If fatalities have been recovered
Damage and Injury ( Mishap damage or injury ( “Other” damage or injury ( Damage less than that of a mishap ( In the course of a mishap, not causal ( Physical Injuries ( Bodily harm while involved with Naval Air, resulting in: ( Fatality ( Permanent total disability ( Permanent partial disability ( One or more lost workdays
Injury Classification ( Fatal Injury ( Permanent Total Disability ( Permanent Partial Disability
Injury Classification ( Permanent Total Disability ( Results in total incapacitation OR ( Loss of both hands, both eyes ( Permanent Partial Disability ( Results in permanent impairment OR ( Loss of any part of the body, great toe, thumb, with exceptions: ( Teeth ( Four smaller toes ( Distal phalanx of any finger, 2 of little finger ( Repairable hernia ( Subcutaneous tissue
Injury Classification ( Lost Workday Injury: an injury resulting in one or more lost workdays ( Major: ( >5 lost workdays, requires hospitalization OR ( Unconsciousness >5 minutes due to head trauma ( Fx of any bone ( Traumatic dislocation of major joints ( Moderate to severe lacs resulting in hemorrhage ( Injury to any internal organ ( Any 3rd degree burn, or 1st/2nd over 5% ( Minor: ( Injury less than major, results in >1 lost workday
Injury Classification ( First Aid Injury ( No Injury ( Lost at Sea/Missing ( Missing/Unknown
Class A Mishap ( Aircraft destroyed or missing ( Fatality or ( Permanent Total Disability ( Total cost $1,000,000
Class B Mishap ( An injury resulting in permanent partial disability ( Hospitalization of 5 or more personnel ( Total cost $200,000 to $1,000,000
Class C Mishap ( An injury resulting in one or more lost workdays ( Total cost $10,000 to $200,000
Mishap Categories ( Flight Mishap ( $10,000 or more damage ( Intent for Flight ( Flight Related Mishap ( Less than $10,000 aircraft damage ( Intent for Flight ( $10,000 total damage or injury ( Aircraft Ground Mishap ( No intent for flight ( $10,000 total damage or injury
Aircraft Mishap Board 4 4 Each Naval FM, FRM, and AGM shall be investigated in accordance with by an Aviation Mishap Board (AMB) 4 4 Mishap investigation and reporting shall take precedence over all other duties of members
Aircraft Mishap Board 4 4Membership: Minimum of 4: 4 4 Flight surgeon 4 4 Aviation Safety Officer 4 4 Officer qualified in aircraft maintenance 4 4 Officer qualified in aircraft operations
Aircraft Mishap Board 4Personnel directly involved in the mishap shall not serve on the AMB 4 Personnel directly involved in the mishap shall not serve on the AMB 4 For mishaps involving aircraft with crew, at least one member of AMB shall be NATOPS-qualified pilot 4 Individual with personal interests that might conflict with impartial AMB duties shall not be assigned to AMB
Aircraft Mishap Board 4 4 Under no circumstances may an expected endorser of an MIR serve as an AMB member 4 4 AMB members may not serve on other investigations (JAG)
Aircraft Mishap Board 4 4 Officers from other services are authorized to serve on AMB, but may not be the Senior Member 4 4 Individuals whose expertise is not needed may be excused at the prerogative of the Senior Member
Aircraft Mishap Board The Senior Member 4 4 Naval Aviator or Naval Flight Officer 4 4 Senior to the PIC and Mission Commander involved in the mishap 4 4 On all Class As, appointed by aircraft controlling custodian 4 4 On all Class As, Grade O-5 or higher and a graduate of ASO/ASC
Aircraft Mishap Board 4 4 Each squadron maintains a standing AMB to immediately assume investigation responsibilities 4 4 It may be replaced entirely, in part, or not at all 4 4 Members shall maintain knowledge of , Guide to Mishap Investigation, squadron safety program, and squadron premishap plan
Privilege 4One of the AMB’s most important tools 4Responsibility of each AMB member to understand: 4Information from AMB’s work is privileged 4May be used only to improve Naval Aviation safety
Consultants to the AMB 4Often requires the services of specialized personnel 4Technical reps 4Medical experts 4 Only necessary information will be given to consultants 4Privileged information will be limited to AMB members
Hazard Reporting ( Purposes of HAZREPS ( Report hazard and action taken ( Report hazard and recommend corrective action ( Report hazard so corrective action can be determined
Hazard Report or MIR? HAZREP: ( Potential hazard only ( Actual damage or injury < mishap level ( If discovered during mishap investigation ( Not a causal factor of mishap, and ( NOT causal of other damage or injury MIR: ( Actual damage or injury at mishap level ( If discovered during mishap investigation ( Not a causal factor of mishap, but ( Causal of other damage or injury
Hazard Reports with Special Formats ( Bird (and bat) strikes ( Near midair collisions ( Embarked landing hazards ( Physiological episodes
Physiological Episode Hazard Reporting ( Proven or suspected hypoxia ( CO poisoning/toxic exposure ( Decompression sickness/trapped gas reaction ( Hyperventilation ( Spatial disorientation ( Loss of consciousness ( Rapid decompression to FL 250 ( Other physiological problems ( HAZREP SHOULD INCLUDE FS!!!
(SHALL NOT CONTAIN PRIVILEGED INFO! ( May be sent to NSC only if reluctant to report ( All severe risk HAZREPS within 24 hrs ( All others within 30 days ( COMMAND MAY NOT CENSURE OR EDIT HAZREPS Any HAZREP: