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Mishap Reporting System. Authority. COMDTINST M5100.47 Safety & Environmental Health Manual. Aviation - Chapter 2 Vessels and Shore Facilities - Chapter 3. What is a Mishap?. Undesired event Results in or has potential to: Harm people Damage property

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Presentation Transcript
authority
Authority

COMDTINST M5100.47

Safety & Environmental Health Manual

Aviation - Chapter 2

Vessels and Shore Facilities - Chapter 3

what is a mishap
What is a Mishap?
  • Undesired event
  • Results in or has potential to:
    • Harm people
    • Damage property
    • Reduce production or mission capability
1 cause of off duty mishaps

#1 Cause of Coast Guard Deaths

#1 Cause of Off-Duty Mishaps

FY05: 8 Fatalities , 2 total disabilities, 1 partial disability

training objective
Training Objective

Given a functional MISHAP system, use the system to:

  • Prevent MISHAPs from occurring
  • Respond
  • Report
  • Investigate
prevention
Prevention
  • Develop Pre-MISHAP plan
  • Review MISHAPs
  • Recognize implications
  • Apply Operational Risk Management
pre mishap plan
Pre-MISHAP Plan

Requirements:

  • Applies to all units
  • Revise Annually
  • Exercise Annually
respond pre mishap plan shall include
RESPONDPre-Mishap Plan Shall Include:
  • Prior arrangements with other emergency services i.e.: Local Fire Department, other Government Agencies.
  • Notification Checklist.
  • Rescue, Recovery and Emergency Medical Care Guidelines for preservation of evidence.
  • List of local Religious personnel to assist with notifying Next of Kin
report pre mishap plan shall include
REPORTPre-Mishap Plan Shall Include:
  • Short descriptions of Mishap definitions
  • Notification Checklist.
  • Photographic Services (not News/Media)
  • Contact information for the Public Affairs Officer
investigate pre mishap plan shall include
INVESTIGATEPre-Mishap Plan Shall Include:
  • List of personnel on local Mishap Analysis Board
  • Photographic Services (not News/Media)
  • Ready Accessible Analysis Kit (Aviation).
pre mishap plan cont
Pre-Mishap Plan (cont)
  • A sample Pre-Mishap Plan can be found in the Admin section of the MLCPAC(kse) website http://cgweb.mlcpac.uscg.mil/mlcpackse/
why report mishaps
Why Report Mishaps?
  • Inform
  • Document details for future use
  • Forward recommendations
  • Data for statistical analysis
  • Prevent future mishaps
why investigate mishaps
Why Investigate Mishaps?
  • Determine facts
  • Analyze for causes
  • Recommend corrective action
reportable events injury illness deaths
Reportable Events Injury/Illness/Deaths
  • Coast Guard Active Duty member (on or off duty)
  • Active duty reserves (on or off duty)
  • Coast Guard civilian doing Coast Guard work
  • Auxiliarist under orders
  • Anyone unintentionally killed or injured by Coast Guard operation. MILOPS and LE are usually intentional uses of force.
  • Anyone killed or injured on Coast Guard property
  • Coast Guard dependents on Coast Guard owned or leased property
  • Coast Guard personnel’s occupational illness
reportable events
Reportable Events
  • Damage to Coast Guard property
  • Coast Guard damage to property of others
  • Damage to auxiliary facility under orders
  • Trailer MISHAPs. Considered Government Motor Vehicle (GMV).
non reportable incidents
Non-Reportable Incidents
  • Intentional acts (suicide, homicide, mugging)
  • Intentional damage (sabotage, arson)
  • Unavoidable damage (e.g. damage from storms, range or forest fires, floods, or seismic events)
  • Normal wear & tear
mishap classification
Mishap Classification

Classified by severity

Class

A

B

C

D

E

class a mishaps
Class A Mishaps

Reporting Requirements:

Within 4 hours:

  • Immediate telephone report to CGHQ CC Center 202-267-2100
  • Personnel Casualty Report MSG

Within 12 hours: Preliminary MISREP MSG Report

Within 72 hours: Progress/ Supplemental Message Report.

Events:

  • Fatality
  • Permanent total disability
  • $1 million or more damage
  • Coast Guard resource missing, abandoned, damaged beyond economical repair.
  • Midair collisions
class a mishaps continued
Class A Mishaps (Continued)

Reporting Requirements:

Within 4 hours:

  • Immediate telephone report to CGHQ CC Center 202-267-2100
  • Personnel Casualty Report MSG

Within 12 hours: Preliminary MISREP MSG Report

Within 72 hours: Progress/ Supplemental Message Report.

Events:

A Coast Guard small boat has reportable property value of >$50K, and

  • (a) is missing or abandoned;
  • (b) Recovery is impossible or impractical; or
  • (c) Is beyond economical repair.
class b mishaps
Class B Mishaps

Events:

  • Permanent partial disability
  • Damage: $200K - $1M
  • 3 or more in-patient injuries
  • Boats: damage >$50K
  • Government Vehicles: damage anything over $20K.

Reporting Requirements:

Same as Class A

class c mishaps
Class C Mishaps

Reporting Requirements:

Enter into E MISHAP within 14 days.

  • Events:
  • Lost time injury (any day beyond day of incident)
  • More than 30 days restricted duty
  • Damage between $20,000 & $200,000
  • Accidental person overboard
  • Grounding, capsize, or rollover
  • Government Vehicles$5,000 to $20,000
class d
Class D

Reporting Requirements:

Enter into E MISHAP within 21 days.

Events:

  • Occupational injury or illness that requires more than simple first aid
  • Damage $1K - $20K
  • Accidental firearm discharge, electrical shock or fire that doesn’t meet higher classification requirements
  • Near midair collision
  • Near miss/near mid air collision/High Potential (HIPO)
  • Government Vehicles: $1K-4K (Lower threshold per Per ALCOAST 424/06)
class e mishaps
Class E Mishaps
  • Aviation engine damage, regardless of the damage cost.
  • Foreign Object Debris damages confined to the engine or limited to internal components.
scenarios
Scenarios
  • Trailering accident where CG trailer struck Non-CG trailer. Non-CG property cost $0.2K.
  • Trailering accident where POV struck trailer. $2.5K damage to POV.
  • CG 25718 runs aground on a sandy bottom with no property damage.
  • CG Boarding Officer falls overboard during boarding
mishap process responsibilities
MISHAP Process Responsibilities
  • CO
  • XO/Safety Officer
  • Unit Mishap Analysis Board(MAB)
  • Unit Safety Coordinator
  • First-line supervisor
  • Member
e mishap reporting system
E-Mishap Reporting System
  • What is it?
  • Where is it? http://cgweb.lant.uscg.mil/Kdiv/kseMISREP/Default.asp
slide31

Summary

Reasons to investigate & report

Reportable incidents

Mishap classification

Mishap report preparation

slide32

Summary

Reasons to investigate & report

Reportable incidents

Mishap classification

Mishap report preparation

slide33

Summary

Reasons to investigate & report

Reportable incidents

Mishap classification

Mishap report preparation