auxair risk management and mitigation processesrdept.cgaux.org/documents/air/nacon aviation final...

AuxAir Risk Management and Mitigation Processes

Commodore David Starr Division Chief – Aviation

Unclassified Response Directorate

National Staff • Program Managers

• Advises on policy to NEXCOM and

CHDIRAUX

• The Districts, their leaders, and the

Aviators in the AuxAir fleet are our

customers.

UNCLASSIFIED 2

Mission Statement

Provide the United States Coast Guard

and Coast Guard Auxiliary with a

Safe, Proficient, Effective and Efficient

Aviation Program.

Unclassified Response Directorate

National Program Goals

• SAFE

• PROFICIENT

• EFFECTIVE

• EFFICIENT

• SUPPORTIVE

UNCLASSIFIED 4

Safety Program Overview

• Auxiliary Aviation missions require the flight crew to understand they operate in an unforgiving environment.

• That understanding demands “Risk Management and Mitigation” as the flight crew uses best practices for information gathering, hazard recognition, decision making, flight proficiency and crew resource management techniques.

Unclassified Response Directorate

Training Goals

• Understanding of:

• ACN 030/18 - MAR 2018 PROMULGATION OF RISK MANAGEMENT

• Risk Management Policy (COMDTINST

3500.3A)

• Mishap Data: Identifying Trends, Hazards,

and Causes of Accidents

Unclassified Response

Directorate

Training Goals

– Identify 7 Types of Pilot Related Accidents

- Risk Assessment, Management and

Mitigation Processes

- I’M SAFE

- General Assessment of Risk (GAR) 2.0

Unclassified Response

Directorate

Training Goals

• Understanding of:

- PEACE Model

- STAAR Model

- Flight Training to Proficiency…not just

Currency

- FAA WINGS Pilot Proficiency Program

Participation

Unclassified Response

Directorate

NATIONAL AVIATION SAFETY GOALS

0% Accidents &

100% Voluntary Pilot Participation

Unclassified

How Do We Achieve Our Goals

• Review and Adhere to Regulations and Policy Guidance… (FAA and USCG/USCG AUX)

• Expand and Improve Knowledge Base

• Recognition of Accident Trends and Hazards

• Risk Management and Mitigation

• Flight Training to Proficiency…not just to Currency

• Promote an Auxiliary Aviation Safety Culture

The Scary Reality..

• Most Mishaps occur during flight perceived as low threat or routine

• Departure, Arrival, In route to search area, etc.

Where Do We Start?

We start at the wreck…then work our way back to our safety goals.

Where Do We Start?

• At the Wreck!

Unclassified

Unclassified

Unclassified

Unclassified

• RM is a systematic and standardized process to identify, assess and mitigate hazard exposure and control risk.

• 5 Step Process: (1-3) Identify, Assess and Mitigate/Control Hazards (performed in advance of mission) and (4-5) Implement Mitigation Controls and Supervise/Evaluate for change during mission.

• RM is a continuous and dynamic process.

Risk Management (RM) Process

• Most significant change in new RM COMDTINST is to promote more “deliberate” RM

• “Deliberate” (steps 1-3) versus “Real Time” (steps 4-5) Risk Assessment

• Deliberate RM promotes more rapid mission response as crews have had time and opportunities to mitigate potential hazards

Back to the Future

• We study past accident reports and mishap trends with the hope of preventing future accidents and mishaps.

• “Bad News”… we keep seeing repeated patterns that cause general aviation accidents and mishaps.

• “Good News”…these repeated patterns give us a place to focus our RM efforts as we go forward.

Joseph T. Nall Report

• Gold Standard for Interpreting General Aviation Accident Statistics and Trends.

• Accidents versus Accident Rates (commonly expressed as accidents per 100,000 flight hours)

• Final versus Preliminary Statistics (takes about 3 years to obtain firm data from NTSB investigations)

Unclassified

Unclassified

Take Aways from the Data

• Pilot Related Accident Causes- 75%

• Mechanical Related Causes- 15%

• “Other” Related Causes- 10%

• 7 Types of Pilot Related Accidents

Take Aways from the Data

7 Types of Pilot Related Accidents

1.Weather

2.Takeoffs and Climbs

3.Maneuvering

4.Fuel Management

5.Decent/Approach

6.Landing

7.Other

Addressing the Issues

Training Requirements

• FAA Biannual Flight Review (BFR)

• AUX Biannual Flight Check Review (alternate year between FAA BFR)

• Annual Safety Seminar

• Aux 14 C-School offered to DFSO and AirSta FSO

Addressing the Issues

• I’M SAFE

• PEACE Model

• STAAR Model

• GAR 2.0

• Voluntary Pilot Participation in FAA Wings Pilot Proficiency Program

I’M SAFE Acronym

PEACE Model

• Planning

• Event Complexity

• Assets (equipment, platform, personnel)

• Communication and Supervision

• Environment

STAAR Model

• Spread Out

• Transfer

• Avoid

• Accept

• Reduce

General Assessment of Risk (GAR) 2.0

• The GAR 2.0 is a convenient tool to

capture deliberations of the PEACE and

STAAR elements, and integration of “Gain”

information to make “Warranted Risk”

decisions.

refer to handout GAR 2.0 for Aviation

GAR 2.0

• GAR 2.0 includes a Risk versus Gain matrix to support risk-based decision making.

• This matrix incorporates a new Three-Zone Scale and institutes a Gain Component to help identify risk exposure and potential benefits/gain of the mission in order to make sound decisions.

FAA Wings Pilot Proficiency

• The WINGS - Pilot Proficiency Program is

based on the premise that pilots who

maintain currency and proficiency in the

basics of flight will enjoy a safer and more

stress-free flying experience.

FAA Wings Pilot Proficiency

• The objective of the WINGS Program is to

address the primary accident causal

factors that continue to plague the general

aviation community.

• By focusing on this objective, we hope to

reduce the number of accidents we see

each year for the same causes.

FAA Wings Pilot Proficiency

• A true proficiency program, designed to

help improve our skills and knowledge as

pilots.

• Ongoing targeted knowledge training

through seminars, online study, etc.

• Ongoing targeted flight activity with

dedicated tasks and maneuvers.

AuxAir Safety Culture

• Acknowledge we operate in an

unforgiving environment

• Facilitate Safety Culture Programs with

District Flight Safety Officers

• Encourage and provide a non-judgmental

environment for reporting and investigating

AuxAir safety issues and proficiency

through the DFSO.

Practice Scenario

Mission Planning Scenario Handouts

PEACE

STAAR

GAR 2.0

Aviation Worksheet

Unclassified

Review

- AuxAir program regulations and structure

- Source References for Accident /Mishap Data

- Mission Statement and Goals

- Identifying Trends, Hazards, and Causes of

Accidents

- 7 Types of Pilot Related Accidents

- Flight Training to Proficiency…not just

Currency

Unclassified

Review

- FAA WINGS Pilot Proficiency Program

Participation

- Risk Assessment, Management and

Mitigation

- PEACE Model

- STAAR Model

- General Assessment of Risk (GAR) 2.0

- AuxAir Safety Culture

Unclassified

Controlling Documents

• Coast Guard Auxiliary Manual COMDTINST

M16790.1G

• Auxiliary Operations Policy Manual

COMDTINST M16798.3E

• Auxiliary Aviation Training Manual COMDTINST

M16798.5B

• ACN 030/18-March 2018 Promulgation of Risk

Management-Commandant Instruction

Unclassified Response

Direcotrate

Source References

• 26th Annual Joseph T. Nall Report-General Aviation Accidents in 2014 (latest edition from AOPA Air Safety Institute) https://www.aopa.org/-/media/files/aopa/home/training-and-safety/nall-report/26thnallreport2017.pdf

• FAR/AIM (Federal Air Regulations/Airmen Information Manual)

• General Assessment of Risk (GAR) 2.0

• PEACE Model

• STAAR Model

Source References

• FAA WINGS Pilot Proficiency Program

• AUX Response Directorate for

Manuals/Procedures/Guides/Policy

Letters/Training/Quals/Etc. for Air Operations

http://wow.uscgaux.info/content.php?unit=R-

DEPT&category=air-documents

• AuxAir 101 for Leaders, (Aux Wilson Riggan)

Unclassified

Source References

• FAA WINGS Pilot Proficiency Program

• AUX Response Directorate for

Manuals/Procedures/Guides/Policy

Letters/Training/Quals/Etc. for Air Operations

http://wow.uscgaux.info/content.php?unit=R-

DEPT&category=air-documents

• AuxAir 101 for Leaders, (Aux Wilson Riggan)

Unclassified

Questions?

Unclassified

Unclassified

Space Holder Cut Slides moved behind

Unclassified