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Objectives of Safety Investigations Current Investigation Process

ACCIDENT/INCIDENT INVESTIGATION PANEL. Objectives of Safety Investigations Current Investigation Process Adequacy of Investigation Resources Data Collection and Archiving Advocating for Change Investigation Tools. OBJECTIVES OF SAFETY INVESTIGATIONS. Advance Transportation Safety

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Objectives of Safety Investigations Current Investigation Process

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  1. ACCIDENT/INCIDENT INVESTIGATION PANEL • Objectives of Safety Investigations • Current Investigation Process • Adequacy of Investigation Resources • Data Collection and Archiving • Advocating for Change • Investigation Tools

  2. OBJECTIVES OF SAFETY INVESTIGATIONS • Advance Transportation Safety • Conduct Safety Investigations • Safety Significant Events • Unsafe Acts & Unsafe Conditions • Underlying Factors • Validating Safety Deficiencies

  3. OBJECTIVES OF SAFETY INVESTIGATIONS • Advocate for Change • Issue Safety Communications • Distribute Investigation Reports • Briefings • Seminars • Working Groups

  4. CURRENT INVESTIGATION PROCESS • What should we investigate? • To what extent do we investigate? • Should we look beyond this • specific accident?

  5. ADEQUACY OF INVESTIGATION RESOURCES • Safety Culture • Independent Safety Investigations • Dedicated, Trained Human Resources • Investigation Tools

  6. DATA COLLECTION AND ARCHIVING • Correct & Quality Data • Data Storage & Retrieval System • Data Accessibility

  7. ADVOCATING FOR CHANGE • Compelling Arguments for Change • Effectiveness of Communications • Tracking Actions Taken • Degree of Risk Mitigation

  8. INVESTIGATION TOOLS • Historical Data • Trend Analyses • Volunteer Reporting • On-Board Recordings • Investigation Methodology

  9. CHARACTERISTICS OF HELICOPTER OPERATION • Single-pilot, VFR & Difficult Conditions • Remote Operations, Minimal Oversight • Long Hour, Minimal Rest • Minimal reporting, Few Investigations • Limited Scope & Depth Investigations • Discipline as a Corrective Measure • Band-aid Solutions

  10. ACCIDENT/INCIDENT INVESTIGATION PANEL • Current Investigation Process • Adequacy of Investigation Resources • Data Collection and Archiving • Advocating for Change • Investigation Tools

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