Risk Management and Redefining Airmanship Authored by Gary K. Woodsmall, HQ CAP Chief of Safety...

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Risk Management and Redefining Airmanship Authored by Gary K. Woodsmall, HQ CAP Chief of Safety Modified by Lt Colonel Fred Blundell TX-129th Fort Worth Senior Squadron For Local Training Rev 6.0 10-Jan-2014

Transcript of Risk Management and Redefining Airmanship Authored by Gary K. Woodsmall, HQ CAP Chief of Safety...

Page 1: Risk Management and Redefining Airmanship Authored by Gary K. Woodsmall, HQ CAP Chief of Safety Modified by Lt Colonel Fred Blundell TX-129th Fort Worth.

Risk Managementand

Redefining Airmanship

Authored by Gary K. Woodsmall, HQ CAP Chief of SafetyModified by Lt Colonel Fred Blundell

TX-129th Fort Worth Senior Squadron For Local Training Rev 6.0 10-Jan-2014

Page 2: Risk Management and Redefining Airmanship Authored by Gary K. Woodsmall, HQ CAP Chief of Safety Modified by Lt Colonel Fred Blundell TX-129th Fort Worth.

This Training Slide Show is a project undertaken by Lt Colonel Fred Blundell of the TX-129 Fort Worth Senior Squadron, Fort Worth, TX for local use to

assist those CAP Members interested in advancing their skills. The information contained herein is for CAP Member’s personal use and is not intended to replace or be a substitute for any of the CAP National Training Programs. Users should review the presentation’s Revision Number at the

end of each file name to ensure that they have the most current publication.

Page 3: Risk Management and Redefining Airmanship Authored by Gary K. Woodsmall, HQ CAP Chief of Safety Modified by Lt Colonel Fred Blundell TX-129th Fort Worth.

SGS 2-33 Accident

• 1998 Washington Flight Encampment• 14 year-old cadet on first solo (2 hours flight experience)• Excess airspeed, hard/bounced landing• Pilot panicked and let go of the controls• People on the ground could hear her scream• Left wing and nose struck the ground• Cadet suffered whiplash injury• Wings, fuselage and empennage substantially damaged

Page 4: Risk Management and Redefining Airmanship Authored by Gary K. Woodsmall, HQ CAP Chief of Safety Modified by Lt Colonel Fred Blundell TX-129th Fort Worth.

Blanik L-13 Accident

• PIC was a 52 year old private pilot with approximately 450 hours total time and 4 hours in the L-13.

• Pilot was giving a young person his first aircraft ride.• At 1100 feet AGL the tow plane signaled the glider that

his spoilers were out.• He released and returned to the airfield.• Landed hard.• No injuries - Aircraft substantially damaged.

Page 5: Risk Management and Redefining Airmanship Authored by Gary K. Woodsmall, HQ CAP Chief of Safety Modified by Lt Colonel Fred Blundell TX-129th Fort Worth.

PIC Comments

• Pilot was in the cockpit checking his controls.• “ wing runner raised the wing.”• tow pilot saw wings level and him moving his rudder.• Takeoff started without him finishing his checklist.• At approximately 1,000 feet tow plane signaled a glider

problem.

Page 6: Risk Management and Redefining Airmanship Authored by Gary K. Woodsmall, HQ CAP Chief of Safety Modified by Lt Colonel Fred Blundell TX-129th Fort Worth.

Pilot’s Comments(Continued)

• Mistook tow plane signal and released.• At 900 to 1000 ft. AGL he headed directly to the airfield and

“did GUMPS check”.• GUMPS?

• Feels he “touched the flap handle” to confirm spoilers closed.

• At mid-field he was 600 AGL, decided to fly a normal downwind.

Page 7: Risk Management and Redefining Airmanship Authored by Gary K. Woodsmall, HQ CAP Chief of Safety Modified by Lt Colonel Fred Blundell TX-129th Fort Worth.

Pilot’s Comments(Continued)

• He noted he was “losing altitude faster than expected and turned base sooner than planned.”

• He “decided to land cross runway.”

Page 8: Risk Management and Redefining Airmanship Authored by Gary K. Woodsmall, HQ CAP Chief of Safety Modified by Lt Colonel Fred Blundell TX-129th Fort Worth.

The Mishap Chain

• A series of events leading up to the accident.• One break in the chain could have prevented the accident.

1. Wing runner raised the wing.• Was he properly trained?• Did he give the take-off signal?• Was the PIC using him as an excuse?

Page 9: Risk Management and Redefining Airmanship Authored by Gary K. Woodsmall, HQ CAP Chief of Safety Modified by Lt Colonel Fred Blundell TX-129th Fort Worth.

The Mishap Chain

2. Tow pilot procedures.• Highly experienced.• In a hurry?• Radio backup to the signals?• Did the towplane signal ready?

Page 10: Risk Management and Redefining Airmanship Authored by Gary K. Woodsmall, HQ CAP Chief of Safety Modified by Lt Colonel Fred Blundell TX-129th Fort Worth.

The Mishap Chain

3. Pilots decision to continue the takeoff.• PIC has the ultimate control - Release handle.

4. Tow plane airborne signal.• PIC responsible to known the Standard American

Soaring Signals.5. GUMPS check. (How’d he get past G?)

• What happened to USTALL?• 600 feet above ground level at mid-field.

6. Touchdown.

Page 11: Risk Management and Redefining Airmanship Authored by Gary K. Woodsmall, HQ CAP Chief of Safety Modified by Lt Colonel Fred Blundell TX-129th Fort Worth.

Mishap Anatomy

• Distraction - Count on them.

• Lack of Discipline - Do things methodically and correctly.

• Lack of Knowledge - Knowledge is Life Insurance.

• Lack of Training - Identify your weak areas and fix.

• Lack of Proficiency - Skills have to be recharged.

• Preparation is the key. When you’re totally prepared, flying is more FUN.

Page 12: Risk Management and Redefining Airmanship Authored by Gary K. Woodsmall, HQ CAP Chief of Safety Modified by Lt Colonel Fred Blundell TX-129th Fort Worth.

SGS 2-22 Accident

• PIC was 16 years-old with nearly 9 hours of flight time.

• Pilot’s second solo sortie of the day.

• While practicing steep turns, the pilot lost consciousness.

• Regained consciousness while approaching power lines, flew under power lines and landed in a field. During rollout the wing struck a pipe and spun the glider around.

• Wing substantially damaged - no injury.

Page 13: Risk Management and Redefining Airmanship Authored by Gary K. Woodsmall, HQ CAP Chief of Safety Modified by Lt Colonel Fred Blundell TX-129th Fort Worth.

PHYSICIAN’S REPORT

• Dehydrated and the victim of Vasovagal Syncope.

• Vasovagal Syncope.• Fainting occurring as a physiological response to

stress. (physical and/or emotional)

• Reported hyperventilation played a role.

Page 14: Risk Management and Redefining Airmanship Authored by Gary K. Woodsmall, HQ CAP Chief of Safety Modified by Lt Colonel Fred Blundell TX-129th Fort Worth.

PILOT COMMENTS

• The pilot stated “The winds were not bad enough to where I could not solo.”

• The tow was “fairly rough.”• Stated he was “being frustrated” by the turbulence and “having

trouble controlling the plane.”• He began to get “frustrated and nervous.” • He was “breathing really hard because (he) was scared.”• He began to “feel strange” and his face and hands “felt numb”, he

saw “a lot of little dots” and “passed out.”

Page 15: Risk Management and Redefining Airmanship Authored by Gary K. Woodsmall, HQ CAP Chief of Safety Modified by Lt Colonel Fred Blundell TX-129th Fort Worth.

QUESTIONS

• Circumstances leading up to the accident.• Rested? Hydrated? • Winds “were not bad enough”, does this mean they

were marginal? Pilot’s opinion.

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QUESTIONS

• Was his anxiety noticeable prior to the flight?• Did the instructor notice?• Did fellow pilots notice?

Page 17: Risk Management and Redefining Airmanship Authored by Gary K. Woodsmall, HQ CAP Chief of Safety Modified by Lt Colonel Fred Blundell TX-129th Fort Worth.

QUESTIONS

• “Having trouble controlling the plane”, was proficiency where it should have been for the conditions?

Page 18: Risk Management and Redefining Airmanship Authored by Gary K. Woodsmall, HQ CAP Chief of Safety Modified by Lt Colonel Fred Blundell TX-129th Fort Worth.

STRESSORS

• Physical - environmental conditions - heat, noise, vibration, and lack of oxygen.

• Physiological - fatigue, lack of sleep, physical fitness.• Psychological - mental workload, social, emotional.

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TRUST THE FORCE

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Risk Controls

• The cadet solo accidents got our attention!• Our game plan:

• Can’t solo without 30 instructional flights• First-time encampment attendees can’t solo• Can, however, achieve Pre-solo Qualification

• Took a lot of heat from CFIGs• Took the pressure off of the instructors and students• Still let them achieve a level of success• Efforts to redefine airmanship

• Wing Runner Course (In conjunction with SSF)• Continuation Training Program modules• Additional funding for Flight Clinics

Page 21: Risk Management and Redefining Airmanship Authored by Gary K. Woodsmall, HQ CAP Chief of Safety Modified by Lt Colonel Fred Blundell TX-129th Fort Worth.

The Foundation ofAirmanship

(Redefining Airmanship, Tony Kern, 1997, McGraw-Hill)

• Uncompromised discipline• Zero tolerance of flight discipline violations –

personally and organizationally.• Flight discipline violations are contagious and

insidiously degrade good judgment.• “There is only one kind of discipline – perfect

discipline”… General George Patton

Page 22: Risk Management and Redefining Airmanship Authored by Gary K. Woodsmall, HQ CAP Chief of Safety Modified by Lt Colonel Fred Blundell TX-129th Fort Worth.

The Foundation ofAirmanship

(Redefining Airmanship, Tony Kern, 1997, McGraw-Hill)

• Skill• Level 1: Safety – Reached after a formal

training program and checkout.• Level 2: Effectiveness – Reached after

becoming comfortable in the aircraft. Airmanship paralysis usually occurs here.

• Level 3: Efficiency – Advanced techniques that save time and money – i.e. thermalling techniques. Taken too far, can compromise the first two.

• Level 4: Precision – Refined self assessment and motivated to continuous improvement – i.e. cross-country soaring.

Page 23: Risk Management and Redefining Airmanship Authored by Gary K. Woodsmall, HQ CAP Chief of Safety Modified by Lt Colonel Fred Blundell TX-129th Fort Worth.

The Foundation ofAirmanship

(Redefining Airmanship, Tony Kern, 1997, McGraw-Hill)

• Proficiency• Flying an aircraft is not like riding a bike.• If you’re not proficient, you’re likely to get hurt.• We can mandate currency, but proficiency is a

personal responsibility.• Pilots know when they’re not proficient• Cognitive piloting skills decline as fast or faster

than physical skills• Pilot confidence is critical – proficiency builds

confidence

Page 24: Risk Management and Redefining Airmanship Authored by Gary K. Woodsmall, HQ CAP Chief of Safety Modified by Lt Colonel Fred Blundell TX-129th Fort Worth.

Preparing for FutureChallenges

• Start with a solid foundation of airmanship• Uncompromised discipline

• Adequate margins of safety• Eliminate the “cowboy” mentality

• Skill• Don’t settle for the minimum standard

• Proficiency• Just because it’s legal, doesn’t mean it’s safe

• Desired outcome• Consistent good judgment• High situational awareness

• All of these require a personal commitment

Page 25: Risk Management and Redefining Airmanship Authored by Gary K. Woodsmall, HQ CAP Chief of Safety Modified by Lt Colonel Fred Blundell TX-129th Fort Worth.

QUESTIONS?

Always think safety!