July 09 Safety Meeting

1
July 09 Safety Meeting

• Larry Brockshus

2
Overview

• Gen Courter guidance
• Annual ORM Review
• 2009 Aircraft incidents

3
Guidance from the CAP Nat. Commander Maj. Gen Amy
Courter

• SUBJECT Interim Change Letter-Increased Safety
  Requirements for Cadet Activities
• New requirements to increase safety at cadet
  events
• Safety officer requirments
• ORM training and worksheets
• For flight activities
• Ground handling
• Aerodynamics training
• Wing walker training

4
Cadet activity requirements (cont.)

• NCSA Directors and Wing and Region Encampment
  Commanders will appoint a Safety Officer
• Assist in accomplishing the requirements outlined
  below
• Conduct daily safety briefings
• Maintain pertinent training records
• ORM training requirements
• Activity directors and staff to complete the
  Intermediate ORM course
• Students to complete the Basic ORM course before
  attending the activity.
• The on-line ORM Course is located at
  http//www.capmembers.com/safety/orm.cfm.
• Students and staff can view the ORM worksheet at
  http//capmembers.com/media/cms/V1_Tab3_94277D5C1A
  A7E.pdf
• Complete ORM Worksheet for activities. You can
  also use it to evaluate and document safety
  mishaps that occurred at your specific event last
  year, if that information is readily available.

5
Cadets at flying activities

• Students and staff will view the Ground
  Handling video before attending the activity.
• The video is located at https//www.capnhq.gov/C
  AP.MultiMedia.Web/login.aspx?ReturnUrl2fCAP.Mult
  iMedia.Web2fVideo.aspx.
• Students and staff will also complete "Essential
  Aerodynamics" an on-line course and test (with
  certificate)
• Available from AOPA Air Safety Foundation located
  at https//www.aopa.org/asf/osc/loginform.cfm?cou
  rseaerodynamicsproject_code
• Glider activates students and staff will
  complete the Wing Runner Course before
  attending that activity.
• Available at http//www.soaringsafety.org/school/
  wingrunner/toc.htm

6
Annual ORM Refresher
7
The Six Step path to ORM may seem long
8
Six Steps

• Step One Identify the Hazards
• Step Two Assess Risks
• Step Three Analyze Risk Control Measures
• Step Four Make Risk Control Decisions
• Step Five Implement Risk Controls
• Step Six Supervise and Review

9
Step One Identify the Hazards

• First analyze the mission
• List the possible hazards
• Charts events chronologically or in order of
  importance to reduce the chances of forgetting
  any segment
• Stay focused on the specific event under analysis
  and limit your list to the "big picture"
• Choose the cause that is the first link in the
  chain of events

10
Step Two Assess Risks

• Assess the risk for each hazard.
• Probability of an event
• Severity of the outcome

PROBABILITY
Likely
Occnl
Seldom
Unlikely
Often
Catastrophic
Extremely High
Critical
High
SEVERITY
Moderate
Medium
Low
Negligible
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Step Three Analyze Risk Control Measures

• Lower the probability of occurrence and/or
  decrease the severity
• Identify the control options available
• Determine their effects on the risk level
• Prioritize the control measures
• Once determined, rank them starting with the
  controls that have the greatest effect on
  severity and probability

12
Step Four Make Risk Control Decisions

• Make decisions at the right time
• Late as possible to allow more time for
  collecting info.
• Wait too long, and decisions can't be effectively
  integrated
• Make risk control decisions at the right level.
• Who can best judge the full range of issues
  involved.
• Keep the person who takes the heat in the loop.
• The goal is not the least level of risk it is
  the best level of risk for the total mission

13
Step Five Implement Risk Controls

• Make an implementation plan. For each control
• Make implementation clear
• Establish accountability
• Provide support at all levels
• Seven most common reasons why implementation
  plans fail
• Wrong control for the problem
• Disliked by the operators
• Disliked by the leaders
• Too costly
• Overmatched by other priorities
• Misunderstood
• Not measured until it's too late

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Step Six Supervise and Review

• Determining the actual effectiveness of risk
  controls throughout the operation
• Supervision of the implementation
• Review of the cost/benefit balance
• Feedback on the original plan

15
ORM Integration

• The integration of ORM is crucial because
• Maximize training realism by reducing unnecessary
  restrictions and limitations.
• Expand operational capabilities in virtually all
  areas.
• Enhance overall decision making.
• Make ORM the leading edge of improved
  employee-management relations.
• Cuts losses significantly.

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An ORM Analogy

• Think of ORM as a battle where risk is the enemy
• Step One Where is the enemy
• Step Two Where is the enemy most dangerous
• Step Three What can we do to counter the enemy
• Step Four Make our Battle Plan
• Step Five Attack
• Step Six Battle Damage Assessment, plan
  next attack

17
ORM Application

• Can be used at different levels
• Time Critical
• Deliberate
• Strategic
• Can be applied by everyone and applied to every
  situation
• Even on-the-run crisis situations (the
  definition of Time Critical)

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Four Principles of ORM

• Accept no unnecessary risk
• Make Risk decisions at the appropriate level
• Accept risk when benefits outweigh the cost
• Integrate ORM into CAP at all levels

19
Final Thought on ORM

• ORM does not eliminate risk, or try to create the
  least level of risk, but aims to have the best
  combination of acceptable risk and overall
  mission success.

20
2009 MN Aircraft Incidents
21
Incidents

• 19 Feb, 1218, Damage on horizontal stab
• 21 Mar, 1262, Hit tie down ring, Soft Field T.O.
• 17 Apr, 1303, Hit tie down ring, Student Solo
• 23 May, 1376, Bent Aileron
• 30 May, 1390, Scraped rear tail box
• 18 Jun, 1437, Wing leading edge dent
• 23 Jun, 1492, Scraped wing tip

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Concerns

• 3 incidents of aircraft tail hitting to ground
• Training
• Technique
• 5 incidents had an unknown cause
• Poor pre/post-flights
• Integrity?
• All were preventable

23
Be Safe