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MILITARY ACCIDENT INVESTIGATION IN AUSTRALIA
MILITARY ACCIDENT INVESTIGATION IN MILITARY ACCIDENT INVESTIGATION IN AUSTRALIAAUSTRALIA
Shane ThompsonShane ThompsonShane Thompson
AIMAIMAIM
• Discuss the process for investigating Australian military accidents
•• Discuss the process for investigating Discuss the process for investigating Australian military accidentsAustralian military accidents
What I will give youWhat I will give youWhat I will give you
• Some good ideas• An honest overview• An easy listen!
•• Some good ideasSome good ideas•• An honest overviewAn honest overview•• An easy listen!An easy listen!
PRESENTATION FORMATPRESENTATION FORMATPRESENTATION FORMAT
• Directorate of Flying Safety• Preparation• Notification• On & off-site investigation• Analysis• Reporting• Questions
•• Directorate of Flying SafetyDirectorate of Flying Safety•• PreparationPreparation•• NotificationNotification•• On & offOn & off--site investigationsite investigation•• AnalysisAnalysis•• ReportingReporting•• QuestionsQuestions
CN
AdminSupport
x 2
Editorial &Graphics
x 3
DB1DatabaseManager
FS11ReserveTrainingOfficer
FS1Maritime
B707, FALCONAVMED
FS2HORNET
F-IIIHAWK, MACCHI
FS3Transport
C-130, CARIBOUHS748, KINGAIR
FS4Training Acft
PC9/ACT4
FS5Air TrafficServices
ADGE
FS 6AWOFF AVTECH
CRASH KITSPPE
FS 6BFSGT AVTECH
FDR/CVR(ATSB)
FS6EngineerENGINES
FS7NAVY
SEAHAWK,SEASPRITE
FS8ARMY
BLACKHAWKTWIN OTTER
FS9ARMY
KIOWA, 206BIROQUOIS, CH-47
FS10ARMYAirmenAircrew
DDFS
DFS-ADF
CAF CA
DFS-ADF ORGANISATION
INVESTIGATORSINVESTIGATORS
0
2
4
6
8
10
12
14
16
18
20ADF AIRCRAFT DESTROYED
228
65 70 908075 95 0085
AIRCRAFT ACCIDENTSAIRCRAFT ACCIDENTS1990 1990 -- PRESENTPRESENT
!! AccidentsAccidents 4949
!! Aircraft DestroyedAircraft Destroyed 3030
!! FatalitiesFatalities 4545
!! Serious InjuriesSerious Injuries 2727
PREPARATION OF INVESTIGATORSPREPARATION OF INVESTIGATORSPREPARATION OF INVESTIGATORS
• Staff selection• Investigator training• Medical• Credit cards• Passports• In-house training
•• Staff selectionStaff selection•• Investigator trainingInvestigator training•• MedicalMedical•• Credit cardsCredit cards•• PassportsPassports•• InIn--house traininghouse training
PREPARATION OF INVESTIGATORSPREPARATION OF INVESTIGATORSPREPARATION OF INVESTIGATORS
• Staff selection• Investigator training• Medical• Credit cards• Passports• In-house training• Observation of accidents
•• Staff selectionStaff selection•• Investigator trainingInvestigator training•• MedicalMedical•• Credit cardsCredit cards•• PassportsPassports•• InIn--house traininghouse training•• Observation of accidentsObservation of accidents
NOTIFICATION OF ACCIDENTNOTIFICATION OF ACCIDENTNOTIFICATION OF ACCIDENT
• 24 hour contact• Staff recall• Accident team selection
•• 24 hour contact24 hour contact•• Staff recallStaff recall•• Accident team selectionAccident team selection
ON-SITE INVESTIGATIONONON--SITE INVESTIGATIONSITE INVESTIGATION
• Site safety• Walk through• Wreckage distribution diagram• Photography• Component identification
•• Site safetySite safety•• Walk throughWalk through•• Wreckage distribution diagramWreckage distribution diagram•• PhotographyPhotography•• Component identificationComponent identification
Initial Impact Point
Aircraft Flightpath
Final Impact Site
OFF-SITE INVESTIGATIONOFFOFF--SITE INVESTIGATIONSITE INVESTIGATION
• Witness interviews• Evidence gathering•• Witness interviewsWitness interviews•• Evidence gatheringEvidence gathering
ANALYSISANALYSISANALYSISOrganizational
Factors
UnsafeSupervision
Preconditionsfor
Unsafe Acts
UnsafeActs
REPORTINGREPORTINGREPORTING
• Who to?• 90 day limit• Reports are classified• Review of the report• Recommendations
•• Who to?Who to?•• 90 day limit90 day limit•• Reports are classifiedReports are classified•• Review of the reportReview of the report•• RecommendationsRecommendations
OTHER DFS RESPONSIBILITIESOTHER DFS RESPONSIBILITIESOTHER DFS RESPONSIBILITIES
• Pro-active safety management• Foreign military accident investigations•• ProPro--active safety managementactive safety management•• Foreign military accident investigationsForeign military accident investigations
CONCLUSIONCONCLUSIONCONCLUSION
• Staff turnover• Low experience levels• Other competing duties• Not totally independent• Good track record
•• Staff turnoverStaff turnover•• Low experience levelsLow experience levels•• Other competing dutiesOther competing duties•• Not totally independentNot totally independent•• Good track recordGood track record
QUESTIONSQUESTIONSQUESTIONS
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