general aviation safety review working group. terms of reference review ga fatal & serious...
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GENERAL AVIATION SAFETY REVIEW
WORKING GROUP
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.
MEMBERSHIP
• CAA– GAI, AWD, SAFETY ANALYSIS, PLD
• INDUSTRY– AAIB, RAES, BMAA, ALAE, HAA,
GAPAN, AOPA, LAA, GASCO
METHODOLOGY
• Based on 2001 Safety Review of Large Transport Aeroplanes– Modified to meet GA situation.
• Causal Factors
• Contributory Factors
• Combine for Outcome
5 MAIN CAUSAL FACTORS
• Flight handling skills
• Poor judgement or airmanship
• Omission or inappropriate action
• Engine failure or malfunction
• Lack of training or inexperience
CONTRIBUTARY FACTORS
• Lack of Training or Experience
• Poor Judgement or Airmanship
• Design Shortcomings
• Inadequate Pre-Flight Preparation
• Distraction
COMBINED FACTORS
• Flight Handling Skills
• Poor Judgement or Airmanship
• Lack of Training or inexperience
• Omission or Inappropriate Action
AREAS FOR ACTION
• PPL & NPPL SYLLABII
• INSTRUCTPR QUALIFICATIONS
• GA AIRCRAFT MODIFICATION PROCESS
• USE OF SIMULATION
• OVERSIGHT OF FTOS.
• CARBURRETTOR ICING
RECOMMENDATIONS
• GROUP ESTABLISHED LONG TERM
• ACTION PLANUSED AS BASIS FOR DEVELOPMENT OF SAFETY MEASURES.
CURRENT SITUATION
• GROUP MEETS TWICE PER YEAR
• AAIB USE METHODOLOGY
• ONGOING REVIEW OF MORS
• FACTORS REMAIN UNCHANGED
ACTION PLANCOMPLETED 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
ACTION PLANONGOING OR NEW ITEMS
• AAIB Adoption of GASRWG Factors
• Instructor Standards
• GA Accident Rates
• Regulatory Impact on GA Safety
• Human Factors for GA Pilots
SUMMATION
• Reviewed Over 600 MORS
• Group Continuing to Meet Biannually
• Main Factors Remain Unchanging
• Instructor Standards/Standardisation Main Issue
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