BasicBasicDefinitionsDefinitions

CAPT James R. FraserCAPT James R. FraserNaval Safety CenterNaval Safety Center

The Naval AviationThe Naval AviationSafety ProgramSafety Program

To preserve human and material To preserve human and material resources and eliminate hazardsresources and eliminate hazards

OPNAVINST 3750.6ROPNAVINST 3750.6R

DefinitionsDefinitions HAZARDHAZARD

Cause of damage or injuryCause of damage or injury Synonymous with mishap cause factorsSynonymous with mishap cause factors UNDER HUMAN CONTROLUNDER HUMAN CONTROL All hazards can be eliminatedAll hazards can be eliminated

INTENT FOR FLIGHTINTENT FOR FLIGHT Prerequisite for classification as mishapPrerequisite for classification as mishap Aircraft brakes released, or first motion of catAircraft brakes released, or first motion of cat Until taxi clear of runway or weight on wheelsUntil taxi clear of runway or weight on wheels

What is a What is a Naval Aircraft Mishap?Naval Aircraft Mishap?

Unplanned events involving Naval Unplanned events involving Naval air:air:$10,000 or more of damage$10,000 or more of damageInjury causing at least one lost Injury causing at least one lost

workdayworkday Exceptions:Exceptions:

IntentionalIntentionalCriminal damageCriminal damageFODFODOccupational illnessOccupational illnessInjury during planned egressInjury during planned egress

When is a Mishap Over?When is a Mishap Over?

If fires are out and the area is If fires are out and the area is safesafe

If pyrotechnics are securedIf pyrotechnics are secured If survivors are safely rescuedIf survivors are safely rescued If severely injured survivors are If severely injured survivors are

under medical careunder medical care If fatalities have been recoveredIf fatalities have been recovered

Damage and InjuryDamage and Injury Mishap damage or injuryMishap damage or injury ““Other” damage or injuryOther” damage or injury

Damage less than that of a mishapDamage less than that of a mishap In the course of a mishap, not causalIn the course of a mishap, not causal

Physical InjuriesPhysical Injuries Bodily harm while involved with Naval Air, Bodily harm while involved with Naval Air,

resulting in:resulting in: FatalityFatality Permanent total disabilityPermanent total disability Permanent partial disabilityPermanent partial disability One or more lost workdaysOne or more lost workdays

Injury ClassificationInjury Classification

Fatal InjuryFatal Injury Permanent Total DisabilityPermanent Total Disability Permanent Partial DisabilityPermanent Partial Disability

Injury ClassificationInjury Classification Permanent Total DisabilityPermanent Total Disability

Results in total incapacitation ORResults in total incapacitation OR Loss of both hands, both eyesLoss of both hands, both eyes

Permanent Partial DisabilityPermanent Partial Disability Results in permanent impairment ORResults in permanent impairment OR Loss of any part of the body, great toe, thumb, with Loss of any part of the body, great toe, thumb, with

exceptions:exceptions: TeethTeeth Four smaller toesFour smaller toes Distal phalanx of any finger, 2 of little fingerDistal phalanx of any finger, 2 of little finger Repairable herniaRepairable hernia Subcutaneous tissueSubcutaneous tissue

Injury ClassificationInjury Classification Lost Workday InjuryLost Workday Injury: an injury resulting in one or : an injury resulting in one or

more lost workdaysmore lost workdays Major:Major:

>5 lost workdays, requires hospitalization OR>5 lost workdays, requires hospitalization OR Unconsciousness >5 minutes due to head traumaUnconsciousness >5 minutes due to head trauma Fx of any boneFx of any bone Traumatic dislocation of major jointsTraumatic dislocation of major joints Moderate to severe lacs resulting in hemorrhageModerate to severe lacs resulting in hemorrhage Injury to any internal organInjury to any internal organ Any 3rd degree burn, or 1st/2nd over 5%Any 3rd degree burn, or 1st/2nd over 5%

Minor:Minor: Injury less than major, results in >1 lost workdayInjury less than major, results in >1 lost workday

Injury ClassificationInjury Classification First Aid InjuryFirst Aid Injury No InjuryNo Injury

Lost at Sea/MissingLost at Sea/Missing Missing/UnknownMissing/Unknown

Class A MishapClass A Mishap

Aircraft destroyed or missingAircraft destroyed or missing Fatality orFatality or Permanent Total DisabilityPermanent Total Disability Total cost $1,000,000Total cost $1,000,000

Class B MishapClass B Mishap

An injury resulting in An injury resulting in permanent partial disabilitypermanent partial disability

Hospitalization of 5 or more Hospitalization of 5 or more personnelpersonnel

Total cost $200,000 to Total cost $200,000 to $1,000,000$1,000,000

Class C MishapClass C Mishap

An injury resulting in one or An injury resulting in one or more lost workdaysmore lost workdays

Total cost $10,000 to Total cost $10,000 to $200,000$200,000

Mishap CategoriesMishap Categories Flight MishapFlight Mishap

$10,000 or more damage$10,000 or more damage Intent for Flight Intent for Flight

Flight Related MishapFlight Related Mishap Less than $10,000 aircraft damageLess than $10,000 aircraft damage Intent for FlightIntent for Flight $10,000 total damage or injury$10,000 total damage or injury

Aircraft Ground MishapAircraft Ground Mishap No intent for flightNo intent for flight $10,000 total damage or injury$10,000 total damage or injury

Aircraft Mishap BoardAircraft Mishap Board

Each Naval FM, FRM, and AGM shall be investigated in accordance with 3750.6 by an Aviation Mishap Board (AMB)

Mishap investigation and reporting shall take precedence over all other duties of members

Aircraft Mishap BoardAircraft Mishap Board

Membership: Minimum of 4:

Flight surgeon Aviation Safety Officer Officer qualified in aircraft

maintenance Officer qualified in aircraft operations

Aircraft Mishap BoardAircraft Mishap Board Personnel directly involved Personnel directly involved in the mishap shall not serve in the mishap shall not serve on the AMBon the AMB For mishaps involving For mishaps involving aircraft with crew, at least one aircraft with crew, at least one member of AMB shall be member of AMB shall be NATOPS-qualified pilotNATOPS-qualified pilot Individual with personal Individual with personal interests that might conflict interests that might conflict with impartial AMB duties shall with impartial AMB duties shall not be assigned to AMBnot be assigned to AMB

Aircraft Mishap BoardAircraft Mishap Board

Under no circumstances may an expected endorser of an MIR serve as an AMB member AMB members may not serve on other investigations (JAG)

Aircraft Mishap BoardAircraft Mishap Board

Officers from other services are authorized to serve on AMB, but may not be the Senior Member

Individuals whose expertise is not needed may be excused at the prerogative of the Senior Member

Aircraft Mishap BoardAircraft Mishap BoardThe Senior MemberThe Senior Member

Naval Aviator or Naval Flight Officer Senior to the PIC and Mission Commander involved in the mishap On all Class As, appointed by aircraft controlling custodian On all Class As, Grade O-5 or higher and a graduate of ASO/ASC

Aircraft Mishap BoardAircraft Mishap Board Each squadron maintains a standing AMB to immediately assume investigation responsibilities It may be replaced entirely, in part, or not at all Members shall maintain knowledge of 3750.6, Guide to Mishap Investigation, squadron safety program, and squadron premishap plan

PrivilegePrivilege

One of the AMB’s most One of the AMB’s most important toolsimportant toolsResponsibility of each Responsibility of each AMB member to AMB member to understand:understand:Information from AMB’s Information from AMB’s work is privileged work is privileged May be used only to May be used only to improve Naval Aviation improve Naval Aviation safetysafety

Consultants to the AMB

Often requires the Often requires the services of specialized services of specialized personnelpersonnel

Technical repsTechnical repsMedical expertsMedical experts

Only necessary Only necessary information will be given information will be given to consultantsto consultantsPrivileged information Privileged information will be limited to AMB will be limited to AMB membersmembers

Hazard ReportingHazard Reporting

Purposes of HAZREPSPurposes of HAZREPS

Report hazard and action Report hazard and action takentaken

Report hazard and Report hazard and recommend corrective actionrecommend corrective action

Report hazard so corrective Report hazard so corrective action can be determinedaction can be determined

Hazard Report or Hazard Report or MIR?MIR?HAZREP:HAZREP:

Potential hazard onlyPotential hazard only Actual damage or injury < mishap Actual damage or injury < mishap levellevel If discovered during mishap If discovered during mishap investigationinvestigation

Not a causal factor of mishap, andNot a causal factor of mishap, and NOT causal of other damage or NOT causal of other damage or injuryinjury

MIR:MIR: Actual damage or injury at mishap Actual damage or injury at mishap levellevel If discovered during mishap If discovered during mishap investigationinvestigation

Not a causal factor of mishap, butNot a causal factor of mishap, but Causal of other damage or injuryCausal of other damage or injury

Hazard Reports withHazard Reports withSpecial FormatsSpecial Formats

Bird (and bat) strikesBird (and bat) strikes

Near midair collisionsNear midair collisions

Embarked landing hazardsEmbarked landing hazards

Physiological episodesPhysiological episodes

Physiological EpisodePhysiological EpisodeHazard ReportingHazard Reporting

Proven or suspected hypoxiaProven or suspected hypoxia CO poisoning/toxic exposureCO poisoning/toxic exposure Decompression sickness/trapped Decompression sickness/trapped gas reactiongas reaction HyperventilationHyperventilation Spatial disorientationSpatial disorientation Loss of consciousnessLoss of consciousness Rapid decompression to FL 250Rapid decompression to FL 250 Other physiological problemsOther physiological problems

HAZREP SHOULD INCLUDE FS!!!HAZREP SHOULD INCLUDE FS!!!

SHALL NOT CONTAIN SHALL NOT CONTAIN PRIVILEGED INFO!PRIVILEGED INFO!

May be sent to NSC only if May be sent to NSC only if reluctant to reportreluctant to report All severe risk HAZREPS within All severe risk HAZREPS within 24 hrs24 hrs

All others within 30 daysAll others within 30 days COMMAND MAY NOT CENSURE COMMAND MAY NOT CENSURE OR EDIT HAZREPSOR EDIT HAZREPS

Any HAZREP:Any HAZREP: