ieng imeche military aviation authority · ieng imeche military aviation authority failure to...

WO1 (ASM) Adam LawleyIEng IMechE

Military Aviation

Authority

Failure to follow procedures

Why do maintainers do it?

What can the regulator do about it?

5 Examples of Failure to Follow Procedure

Army – AH64

Army – AH64

RAF – Sea King

Army – Lynx Mk9A

Army - Wildcat

All the same task – inflating a tyre

24 February 2012 – Wattisham Airfield

06 September 2013 – Wattisham Airfield

24 July 2015 – RNAS Yeovilton

13 October 2015 – RAF Odiham

19 September 2016 – Kenya

Why did these maintainers Fail to Follow

Procedures?

• Lack of training

• Cultural ‘Norm’

• Perceived pressures

• Perceived pressures

• Cultural ‘Norm’

• Perceived pressures

• Lack of training

• Perceived pressures

What can the regulator do about it?

• Training Regulations

• Use of correct ADS

• Human Factors training

Training Regulations

Phase 1 – Initial training in the basic military skills required by all

Service personnel.

Phase 2 – Initial specialist training that prepares Service personnel for

their first employment (eg Basic Aircraft Engineering training).

Phase 3 – Training that prepares Service personnel for further

employment with an increased skill base and/or responsibility. It also

encompasses training to meet career aspirations and professional

development

(eg equipment courses, engine operator training).

Use of correct ADS

• Reading correct procedures

Human Factors Training

All relevant DAE personnel should receive

Foundation level HF and Error Management (EM)

training, thereafter, those relevant personnel in

DAE assignments should receive HF and EM

continuation training every 2 years.

Human Factors Training

• Addressing units current HF issues

• No more than 15 people and last approximately

3 hours.

• Good facilitators

Failure to follow procedures

Why do maintainers do it?

What can the regulator do about it?