2. Executive Safety Course Col Bob Diduch, National Safety Officer, CAP Maj Chris Hamm, Director of Safety, CAP-USAF Frank Jirik, Chief of Safety, CAP NHQ

3. Hometown Citizens - Homeland Heroes Overview Scope Scope Mishap Definition Update Mishap Definition Update Practical Exercise Practical Exercise Good, Bad, Ugly in Notifications and Investigations Good, Bad, Ugly in Notifications and Investigations What is a “Safe” Commander What is a “Safe” Commander Conclusion Conclusion

4. Hometown Citizens - Homeland HeroesScope

5. Scope Introduction: Safely directing complex organizations, like Civil Air Patrol, requires an understanding of the program requirements and a safety mindset that is acquired by prior planning, ORM, and constant situational awareness. This is a key function of the corporate official in the wing. Safety requires vigilance to ensure the proper education and prevention oversight reaches all of our members in appropriate and relevant methods. When our organization fails to be compliant, the wing commander is a key individual in supporting investigations. A wing commander’s responsibility is to ensure subordinate commanders’ recommendations for remedial training are accomplished. Introduction: Safely directing complex organizations, like Civil Air Patrol, requires an understanding of the program requirements and a safety mindset that is acquired by prior planning, ORM, and constant situational awareness. This is a key function of the corporate official in the wing. Safety requires vigilance to ensure the proper education and prevention oversight reaches all of our members in appropriate and relevant methods. When our organization fails to be compliant, the wing commander is a key individual in supporting investigations. A wing commander’s responsibility is to ensure subordinate commanders’ recommendations for remedial training are accomplished.

6. Hometown Citizens - Homeland HeroesScope Introduction: Safely directing complex organizations, like Civil Air Patrol, requires an understanding of the program requirements and a safety mindset that is acquired by prior planning, ORM, and constant situational awareness. This is a key function of the corporate official in the wing. Safety requires vigilance to ensure the proper education and prevention oversight reaches all of our members in appropriate and relevant methods. When our organization fails to be compliant, the wing commander is a key individual in supporting investigations. A wing commander’s responsibility is to ensure subordinate commanders’ recommendations for remedial training are accomplished. Introduction: Safely directing complex organizations, like Civil Air Patrol, requires an understanding of the program requirements and a safety mindset that is acquired by prior planning, ORM, and constant situational awareness. This is a key function of the corporate official in the wing. Safety requires vigilance to ensure the proper education and prevention oversight reaches all of our members in appropriate and relevant methods. When our organization fails to be compliant, the wing commander is a key individual in supporting investigations. A wing commander’s responsibility is to ensure subordinate commanders’ recommendations for remedial training are accomplished.

7. Hometown Citizens - Homeland HeroesScope Introduction: Safely directing complex organizations, like Civil Air Patrol, requires an understanding of the program requirements and a safety mindset that is acquired by prior planning, ORM, and constant situational awareness. This is a key function of the corporate official in the wing. Safety requires vigilance to ensure the proper education and prevention oversight reaches all of our members in appropriate and relevant methods. When our organization fails to be compliant, the wing commander is a key individual in supporting investigations. A wing commander’s responsibility is to ensure subordinate commanders’ recommendations for remedial training are accomplished. Introduction: Safely directing complex organizations, like Civil Air Patrol, requires an understanding of the program requirements and a safety mindset that is acquired by prior planning, ORM, and constant situational awareness. This is a key function of the corporate official in the wing. Safety requires vigilance to ensure the proper education and prevention oversight reaches all of our members in appropriate and relevant methods. When our organization fails to be compliant, the wing commander is a key individual in supporting investigations. A wing commander’s responsibility is to ensure subordinate commanders’ recommendations for remedial training are accomplished.

8. Hometown Citizens - Homeland Heroes Definition Update Mishap (New definition): Any unplanned or unsought event, or series of events, that result, in or has the potential to cause death, injury, or damage to equipment or property. Mishap (New definition): Any unplanned or unsought event, or series of events, that result, in or has the potential to cause death, injury, or damage to equipment or property. What does this mean to CAP’s members and what is not required? What does this mean to CAP’s members and what is not required?

9. Hometown Citizens - Homeland Heroes Civil Air Patrol Rules!

10. Hometown Citizens - Homeland Heroes Practical Exercise

11. Hometown Citizens - Homeland Heroes Practical Exercise

12. Hometown Citizens - Homeland Heroes The Notification File the Mishap Notification – Form 78 Account: While flying an approach into XYZ airport that was VFR day, with winds from the east, CAP flight 4173, a C182 retractable gear flown by expert pilot Phillip Flysalot, CAP ID 123456, flying a stabilized approach, with all normal engine systems, landed smoothly, but upon stopping realized that the landing gear was not locked down.

13. Hometown Citizens - Homeland Heroes The Notification X

14. Hometown Citizens - Homeland Heroes Wing Commanders ROCK!

15. Hometown Citizens - Homeland Heroes The Notification File the Mishap Notification – Form 78 Account: Gear up landing, A/C N1234CP, a C182RG, occurred at XYZ airport. No injuries.

16. Hometown Citizens - Homeland Heroes The Notification

17. Hometown Citizens - Homeland Heroes Safety Officers are Cutting Edge! Safety Officers are Cutting Edge!

18. Hometown Citizens - Homeland Heroes The Investigation The Investigator is Appointed The Investigator is Appointed Select someone that isn’t: Select someone that isn’t: Unskilled Unskilled Slow to get stuff done Slow to get stuff done Biased or history of being opiniated, or dishonest Biased or history of being opiniated, or dishonest Close friends with the member(s) involved Close friends with the member(s) involved

19. Hometown Citizens - Homeland Heroes The Investigation The Investigator is Appointed The Investigator is Appointed Consider selecting: Consider selecting: Someone from a different wing or region Someone from a different wing or region A trained investigator A trained investigator Perceived of high character and professionalism Perceived of high character and professionalism Readily available Readily available

20. Hometown Citizens - Homeland Heroes Investigation Mistakes BUT NOT TOO FAST

21. Hometown Citizens - Homeland Heroes Investigation Mistakes TOP 10 10. Uncooperative People or System 9. Conflicting Objectives 8. Surface Causes Only 7. Politics 6. Unskilled Investigators 5. Interview Biases / Untruthfulness 4. Untimely Investigation 3. Investigator Biases 2. Ineffective Corrective Action 1. Not Investigating Near Misses

22. Hometown Citizens - Homeland Heroes Teamwork

23. We’ll be back in the air in ‘no time!’

24. Hometown Citizens - Homeland Heroes The Investigation The Investigation – Form 79 Factual Narrative: The pilots flying the C182RG aircraft did have a smooth landing as noted by the straight marks in the fuselage of the aircraft. No one was injured. The pilot and crew were long time CAP veterans and are very skilled. The gear was not lowered. This was a Form 5 check ride. The check ride was not completed.

25. Hometown Citizens - Homeland Heroes The Investigation XX

26. Hometown Citizens - Homeland Heroes The Investigation The Investigation – Form 79 Factual Narrative: The flight crew of this C182RG aircraft did not utilize the proper checklist or execute the before landing checks required. Sterile cockpit procedures were not observed. The gear up audible was checked and functioning. Checklists in the aircraft were available. What would you expect to see?

27. Hometown Citizens - Homeland Heroes CAP is the ONLY way to Fly!

28. Hometown Citizens - Homeland Heroes The Investigation The Investigation – Form 79 Recommended Corrective Action: Assess the Pilot the $500 deductible. Caution the crew on listening for the landing gear audible. Replace the checklists with a laminated copy for better use. Recommend crew be returned to full flight status.

29. Hometown Citizens - Homeland Heroes The Investigation XXX

30. Hometown Citizens - Homeland Heroes The Corrective Action The Investigation – Form 79 Recommended Corrective Action: Flight crew received remedial ground instruction on checklist use and crew communications responsibilities. Flight crew received remedial ground instruction on checklist use and crew communications responsibilities. The Pilot, the two CAP Check Pilots, received unique recertification in their positions of responsibility and demonstration of crew communication be required. The Pilot, the two CAP Check Pilots, received unique recertification in their positions of responsibility and demonstration of crew communication be required. The aircraft be checked by maintenance to ensure required warning notifications are operational. The aircraft be checked by maintenance to ensure required warning notifications are operational. The unit maintenance officer ensure the proper checklists are available within the aircraft. The unit maintenance officer ensure the proper checklists are available within the aircraft. What would you expect to see?

31. Hometown Citizens - Homeland Heroes If you can’t think, someone already HAS! A quick fix to a CAP Van?

32. Hometown Citizens - Homeland Heroes If you can’t think, someone already HAS! No frost issues here

33. Hometown Citizens - Homeland Heroes If you can’t think, someone already HAS! Where is the nosewheel?

34. Hometown Citizens - Homeland Heroes If you can’t think, someone already HAS! Hey cadet, pass me your flashlight.

35. Hometown Citizens - Homeland Heroes If you can’t think, someone already HAS! Don’t scratch my door when you get in.

36. Hometown Citizens - Homeland Heroes If you can’t think, someone already HAS! Cadets always have chips!

37. Hometown Citizens - Homeland Heroes The Corrective Action The Investigation – Form 79 Wings Corrective Action: THESE PILOTS WILL NOT ACT AS PIC OF CAP AIRCRAFT OR AS MEMBERS OF CAP AIR CREW EXCEPT TO COMPLETE THE THESE PILOTS WILL NOT ACT AS PIC OF CAP AIRCRAFT OR AS MEMBERS OF CAP AIR CREW EXCEPT TO COMPLETE THE FOLLOWING REMEDIAL TRAINING, GIVEN BY A XXWG OR XXR CHECK PILOT EXAMINER: FOLLOWING REMEDIAL TRAINING, GIVEN BY A XXWG OR XXR CHECK PILOT EXAMINER: A MINIMUM OF 1 HOUR OF INSTRUCTION IN EACH OF THE FOLLOWING AREAS: A MINIMUM OF 1 HOUR OF INSTRUCTION IN EACH OF THE FOLLOWING AREAS: 1. STABILIZED APPROACHES 2. NIGHT LANDINGS 3. EMERGENCY PROCEDURES. CHECK PILOT INVOLVED IN THIS MISHAP MUST SUCCESSFULLY ACCOMPLISH ALL MANEUVERS FROM FRONT RIGHT SEAT. CHECK PILOT INVOLVED IN THIS MISHAP MUST SUCCESSFULLY ACCOMPLISH ALL MANEUVERS FROM FRONT RIGHT SEAT. PILOTS MUST SUCCESSFULLY COMPLETE AN ADM COURSE THAT MEETS FAA WINGS STANDARDS IN ORDER TO RETURN TO FLYING STATUS. PILOTS MUST SUCCESSFULLY COMPLETE AN ADM COURSE THAT MEETS FAA WINGS STANDARDS IN ORDER TO RETURN TO FLYING STATUS. UPON COMPLETION OF REMEDIAL TRAINING AS ENDORSED BY THE CHECK PILOT EXAMINER, PILOTS MUST PASS A SPECIAL FLIGHT CHECK GIVEN BY A CHECK PILOT DESIGNATED BY XXR/CC. UPON COMPLETION OF REMEDIAL TRAINING AS ENDORSED BY THE CHECK PILOT EXAMINER, PILOTS MUST PASS A SPECIAL FLIGHT CHECK GIVEN BY A CHECK PILOT DESIGNATED BY XXR/CC. AFTER SUCCESSFUL SPECIAL FLIGHT CHECK, RECOMMEND RETURN TO CAP FLYING STATUS. AFTER SUCCESSFUL SPECIAL FLIGHT CHECK, RECOMMEND RETURN TO CAP FLYING STATUS. ALL XXWG CHECK PILOTS WILL RECEIVE GUIDANCE FROM XXWG/CC TO CONFINE MANEUVERS DURING CHECK RIDES TO PUBLISHED CAP FORM 5. ALL XXWG CHECK PILOTS WILL RECEIVE GUIDANCE FROM XXWG/CC TO CONFINE MANEUVERS DURING CHECK RIDES TO PUBLISHED CAP FORM 5.

38. Hometown Citizens - Homeland Heroes What is a Commander? A Commander IS: He/She is THE Safety Officer He/She is THE Safety Officer Not just the authority, but the person that is responsible for everyone’s safety Not just the authority, but the person that is responsible for everyone’s safety He/She is THE Safety Program Manager He/She is THE Safety Program Manager A strong program is led. A strong program is led. He/She is THE Risk Manager He/She is THE Risk Manager They do not walk by risk without correcting it. Not saying anything really says, I condone this. They do not walk by risk without correcting it. Not saying anything really says, I condone this.

39. Hometown Citizens - Homeland Heroes Barriers Bodily Injury Vehicular Aircraft Nat'l Total 010 1 21 9 42 38518 89 Nat'l Total 34178492201763260692 Accidents Incidents Mishaps 1 20-50 600 Data FY08 - present AccidentsIncidentsMishaps *Data Current as of 2/10/2010

40. Hometown Citizens - Homeland Heroes Closing Comments Safety should be: A positive environment without any obstacles for disclosure and discussion A positive environment without any obstacles for disclosure and discussion Foster a willingness to share and learn Foster a willingness to share and learn Safety should be proactive not reactive Safety should be proactive not reactive Should be supported at all levels of leadership and integrated in all CAP programs Should be supported at all levels of leadership and integrated in all CAP programs Safety should be easy to navigate Safety should be easy to navigate If you think it, it can be done.

41. Hometown Citizens - Homeland Heroes Remember The Leader You See In The Mirror Each Morning. The answer is before you. Who can change the Safety Culture of CAP?

42. Hometown Citizens - Homeland Heroes Summary Scope Scope Practical Exercise Practical Exercise Good, Bad, Ugly in Notifications and Investigations Good, Bad, Ugly in Notifications and Investigations What is a “Safe” Commander What is a “Safe” Commander Barriers Barriers

43. Hometown Citizens - Homeland Heroes Where is the next mishap, incident, accident going to occur? Please feel free to send your questions and comments directly to the National Safety Team and NHQ Safety @ safety@capnhq.govQUESTIONS?

44. Hometown Citizens - Homeland Heroes Contact Information Col Bob DiduchFrank Jirik National Safety OfficerSafety, CAP NHQ P.O. Box 3036105 S. Hansell St. Trenton, NJ 08619Maxwell AFB, AL 36112 609-731-5600 cell 800-227-9142 ext. 232 907-350-7559 cell safety@capnhq.gov