1. GENERAL AVIATION SAFETY REVIEW WORKING GROUP

2. TERMS OF REFERENCE Review GA fatal & serious accidents & incidents, focussing on causal factors to identify trends and develop and action plan. Make recommendations for intervention to reduce potential fatal & serious accidents & incidents.

3. MEMBERSHIP CAA –GAI, AWD, SAFETY ANALYSIS, PLD INDUSTRY –AAIB, RAES, BMAA, ALAE, HAA, GAPAN, AOPA, LAA, GASCO

4. METHODOLOGY Based on 2001 Safety Review of Large Transport Aeroplanes –Modified to meet GA situation. Causal Factors Contributory Factors Combine for Outcome

5. 5 MAIN CAUSAL FACTORS Flight handling skills Poor judgement or airmanship Omission or inappropriate action Engine failure or malfunction Lack of training or inexperience

6. CONTRIBUTARY FACTORS Lack of Training or Experience Poor Judgement or Airmanship Design Shortcomings Inadequate Pre-Flight Preparation Distraction

7. COMBINED FACTORS Flight Handling Skills Poor Judgement or Airmanship Lack of Training or inexperience Omission or Inappropriate Action

8. AREAS FOR ACTION PPL & NPPL SYLLABII INSTRUCTPR QUALIFICATIONS GA AIRCRAFT MODIFICATION PROCESS USE OF SIMULATION OVERSIGHT OF FTOS. CARBURRETTOR ICING

9. RECOMMENDATIONS GROUP ESTABLISHED LONG TERM ACTION PLANUSED AS BASIS FOR DEVELOPMENT OF SAFETY MEASURES.

10. CURRENT SITUATION GROUP MEETS TWICE PER YEAR AAIB USE METHODOLOGY ONGOING REVIEW OF MORS FACTORS REMAIN UNCHANGED

11. ACTION PLAN COMPLETED ITEMS Carb Icing Safety Standards at Unlicensed Aerodromes Safety Info at Licence Issue Reintroduction of Hard Copy SSLs GPS SSL Include with New Garmin GPS

12. ACTION PLAN ONGOING OR NEW ITEMS AAIB Adoption of GASRWG Factors Instructor Standards GA Accident Rates Regulatory Impact on GA Safety Human Factors for GA Pilots

13. SUMMATION Reviewed Over 600 MORS Group Continuing to Meet Biannually Main Factors Remain Unchanging Instructor Standards/Standardisation Main Issue