Improving Aerial Operations Safety. Incident Reporting System Where we were What we did...
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Transcript of Improving Aerial Operations Safety. Incident Reporting System Where we were What we did...
Incident Reporting System
Where we wereWhat we didResults/Benefits
Improving Aerial Operations Safety
Introduction
1996 - MNR Incident Reporting System
Potentially Lead to Injury or Fatality
Data Collection
Potential Deficiencies -processes/procedures
Data1996 data - 8.6 % chance of incident occurrence
Reports submittedAir to air communicationsAir to ground communicationsDrop ZoneAir Space ManagementInteragency Response
Approach• Reduce/Eliminate incident reports• Internal and External
Develop • product• process• implementation• maintenance
Logistical Problems
Strategy/ApproachAAO Staffing ShortageTimely deliveryConsistent messageInteragency response
Strategy/Approach
• Serve as refresher - no new material• Non Air Attack personnel• Utilize for non MNR training• Provincial in nature
• content• messages
Getting Started
Main area identificationAnalyze potential areas
10 areas identified
Safety/Refresher CD
Training
Train the trainer sessionsTrainers tasked - delivery
AAO/pilot attendance
Positive feedbackFine tuningAnnual distribution
MaintenanceOver winter reviewFrom 10 areas - fine tuned to 7
Roles/responsibilities of AAOCommunicationAir/Ground ProceduresRadio proceduresAir Space ManagementInteragency ResponseFeedback
Paid dividends
Incident Reports
0
2
4
6
8
10
12
Year
Num
ber o
f Inc
iden
ts
# Incidents Submitted
1996 1997 1998 1999 2000 2001 2002
Missions %1996 – 70 8.6%1997 – 194 2.6%1998 – 348 3.2%1999 – 134 1.5%2000 – 81 1.2%2001 – 321 3.1%2002 – 107 0.9%
Incident Report Data
Incident Reports
0
2
4
6
8
10
12
Year
Nu
mb
er
of
Inc
ide
nts
# Incidents Submitted
Linear (# IncidentsSubmitted)
1996 1997 1998 1999 2000 2001 2002
Incident Report Trend
Air Attack Safety
200m (700 ft) 150 m (500ft)
60m(200ft)
60m(200ft)
350m (1200ft)
120m (400ft)
Air Attack/ Ground Crew Co-ordination Rules
3) Drop Zone: Is to be clear of all people prior to the drop
Results/Benefits
Increased awareness of Incident Reporting SystemReduced number of incidentsAAO/Field staff interactionInteragency response staff awarenessConsistent provincial safety messagesNew training material to existing coursesImprovements/additions to SOP for AAO’s/IAFBImprovement/additions to Helicopter Briefing booksIncreased feedback into aerial program