Issue 3, 2014
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National Défense Defence nationale ISSUE 3, 2014 Cover – A CH147F Chinook helicopter prepares to land on Parliament Hill in Ottawa, Ontario on May 8, 2014 in preparation for the National Day of Honour to mark the end of our country’s military mission in Afghanistan. Visual Protection 8 TABLE OF CONTENTS Issue 3, 2014 Always the Unexpected 18 Regular Columns Views on Flight Safety 2 Editor’s Corner 3 Good Shows 4 From the Flight Surgeon – Visual Protection 8 Maintenance in Focus – Indirect Effects on Flight Safety 10 Check Six – Air Frame Icing 12 On Track 14 From the Image Technician 17 Flight Safety Coin 21 Photo: Cplc Marc-Andre Gaudreault Gaudreault Marc-Andre Cplc Photo: From the Investigator – CH146485 Griffon 30 From the Investigator – SZ 2-33A 31 The Back Page- Directorate of Flight Safety (Ottawa) & 1 Canadian Air Division Flight Safety (Winnipeg) Organizational Chart 32 Dossiers Always the Unexpected 18 Flight Safety Coin 21 The Strength of an Idea 24 What’s Between Your Legs? 22 Lessons Learned Error on the Side of Safety 23 The Strength of an Idea 24 What’s That Smell? 26 Laser Guided Training 27 Crew Rest Limits 28 What’s That Smell? 26 DIRECTORATE OF THE CANADIAN FORCES Send submissions to: To contact DFS personnel on FLIGHT SAFETY FLIGHT SAFETY MAGAZINE an URGENT flight safety issue, National Defence Headquarters please call an investigator who is Director of Flight Safety Flight Comment is produced four times Directorate of Flight Safety available 24 hours a day at Colonel Steve Charpentier a year by the Directorate of Flight Safety. Attn: Editor, Flight Comment (DFS 3-3) 1-888-927-6337 (WARN-DFS). The contents do not necessarily reflect 101 Colonel By Drive Editor official policy and, unless otherwise Ottawa, ON, Canada, K1A 0K2 The DFS web page at Lieutenant T.J. Baker stated, should not be construed as www.rcaf-arc.forces.gc.ca/en/flight-safety Assistant Editor regulations, orders or directives. Telephone: 613-992-0198 offers other points of contact Second Lieutenant J. Al Dahaby Contributions, comments and criticism FAX: 613-992-5187 in the DFS organization or are welcome. Contributions become the Email: [email protected] write to [email protected]. Imagery Technician property of Flight Comment and may be Corporal Daisy Hiebert edited for content, length or format. This publication or its contents Graphic Design Support may not be reproduced without ISSN 0015-3702 A-JS-000-006/JP-000 Crew Rest Limits 28 d2k Marketing Communications the editor’s approval. The Views on Editor’s Corner Flight Safety Photo: Cpl Doug Burke Doug Cpl Photo: By Lieutenant- Colonel Martin Leblanc, DFS 2 Chief Investigator, Directorate of Flight Safety, Ottawa elcome to the third edition of Flight With the recent deployment of air assets implementing higher standards for translation Comment. I hope everyone had a into the Middle East, Command and Control vetting process and this issue will have reprints W great summer and posting season. questions with regard to the FS reporting chain of the “Broken Checklist” poster with I would like to begin by thanking our entire have once again become a hot topic. As a previous corrections made. fter a few years away from Flight you have all kept that momentum going. It is Indeed, these are exciting times for all of us readership for their dedication. As published in Strategic Planner at 1 Canadian Air Division, I Safety (FS), I now have the immense no secret that our original FS Program was involved in FS. Not only because we are issue 3 of 2013, the Directorate of Flight Safety know that command relationships at the I would like to thank all of you that took the time (DFS) no longer sends individual subscriptions privilege to come back as the Chief created in peace time, but since, we have learned developing tools that will help us provide better operational level can be a complex and sometimes to submit to the magazine; as I have said before A by mail. However, a new separate website has Investigator at DFS. I am a pilot from the tremendously supporting our operations at advice to Commanders at all levels, but also heated topic. As a result, I decided to write an this is your magazine, we read everything that been stood up to publish current and past copies article for the issue, in an attempt to address the we get and publish as much as we are able. So tactical aviation community with experience home and deployed away in Afghanistan, Libya, because I truly believe that Flight Safety and of Flight Comment magazine in PDF and ePub flying the CH136 Kiowa and the CH146 Griffon. Philippines and Haiti (just to name a few). the Operational/ Technical communities have ‘ideal’ scenario for FS reporting in a deployed Air continue to write in and we will continue to formats. Refer to www.flightcomment.ca to Component Command; regardless of whether provide quality content. I’m glad I can link most of my tactical level Unfortunately, some of those lessons were never been so closely aligned. I also believe in retrieve the most recent issues of Flight Comment tours and operations with FS. With a tour as learned the hard way and, sadly we’ve lost the FS Program’s aim to prevent the accidental that is into a domestic or foreign operation. and enjoy the reading. Circulate the link to your Fly Well an instructor pilot, international deployments valuable members of the team along the way. loss of aviation resources while accomplishing peers and friends. Do not be afraid to provide Lastly, I would like to take this opportunity to Lt T.J. Baker to Bosnia-Herzegovina and Afghanistan, as the mission at an acceptable level of risk. But us with feedback so we can improve the product. Examples of the evolution in FS are the new address some of the difficulty concerning the well as a series of domestic operations like the hey, let’s be honest, there will be the odd time version 3.0 of the Human Factors Analysis As the annual posting season comes to an end, recent rash of French language translation errors. Saguenay floods (1996), the Ice Storm (1998), where we will have slightly diverging views Classification System which is more tailored to The Director of DFS will begin his Flight Safety I take full responsibility for these errors and and G8 Summits (2002), I have seen my share and/or opinions. Together however, our our current realities and much easier to navigate roadshow next month. The DFS roadshow would like to apologize to the francophone of FS occurrences and lived the challenges of business is conducting operations and dealing through; and a modernization of our occurrence is a cornerstone event for Flight Safety in the community. Our normal procedure for conducting operations while keeping flight with risk management, not risk avoidance. database, FSOMS, which is undergoing a major Canadian Armed Forces, as it provides a translations has been to submit all of our safety in mind. With my recent tour as FS enhances operational capabilities and I overhaul with an expected release sometime face-to-face opportunity between the Director content through the Translations Bureau; Division Commander at the Leadership and believe that in the end we are all working however, a couple of phrases that were in 2015. We are also looking at the way we and the users of the Flight Safety (FS) Program. Recruit School in Saint-Jean, the link to FS towards the same goal; to conduct flight supposed to only be used to gauge space conduct FS surveys with a view to improve This interaction is vital for the proper would be quite a stretch but the leadership operations effectively and safely. requirements ended up not being replaced their effectiveness and provide enhanced maintenance of the program and allows us at experience was invaluable. I now see my with an offical translation. Also, as I have feedback to the Unit Commanding Officers DFS to gauge what’s working and what’s not. posting as DFS 2 Chief Investigator as Please take the opportunity to actively engage learnt the hard way, our industry uses jargon to and Wing Commanders. Some work is being extraordinary opportunities to support the the Director when he is at your unit to raise your express industry themes that do not directly done on developing metrics that will help us LCol Leblanc previously held the position of RCAF operational and technical communities concerns, comments and suggestions. We are translate into french. For example, the term better determine the effectiveness of our DFS 2-4 (Helos/UAVs/Air Cadets gliders) from conduct operations safely. 2007 to 2010, before deploying to Afghanistan as always striving to make a better, more relevant “Broken Checklist,” while is a universal term in Preventive Measures. There is now a better the aviation in english, literally translated to the Joint Task Force (Air) Air Wing Flight Safety product. We rely on you the reader for your I am not hiding the fact that I am absolutely understanding of Operational Risk and french has a nonsensical meaning . We are Officer in 2011. He investigated a total of input, impression and ideas. thrilled to come back to FS but the excitement Airworthiness Risk and how the two relate to 13 accidents of various severity and aircraft type; goes beyond that. The FS Program has truly each other. Have you heard about fatigue risk some of which sent him and his investigation evolved over the past few years.