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The Service Inquiry Report Into the Death of a Soldier Participating in a Night Live Firing Sniper Cadre at RAF Tain Range Field

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The Service Inquiry Report Into the Death of a Soldier Participating in a Night Live Firing Sniper Cadre at RAF Tain Range Field 44V Defence Safety Authority Service Inquiry Death of a Soldier Participating in a Night Live Firing Sniper Cadre at RAF Tain Range Field Firing Area 1 Nov 16 Defence Safety Authority Left Intentionally Blank OFFICIAL—SENSITIVE PART 1.1 — COVERING NOTE SI/01/15/TAIN 20 April 18 DG DSA SERVICE INQUIRY INTO THE FATAL ACCIDENT DURING THE 51 BRIGADE SNIPER OPERATORS' COURSE AT TAIN AIR WEAPONS RANGE ON 1 NOV 16 1. The Service Inquiry Panel assembled in MOD Main Building on the 12 Jan 17 by order of the DG DSA for the purpose of investigating the fatal accident during the 51 Brigade Sniper Operators' Course at Tain Air Weapons Range (Tain AWR) on 1 Nov 16 and to make recommendations in order to prevent reoccurrence. The Panel has concluded their inquiry and submits the report for the Convening Authority's consideration. 2. The following inquiry papers are enclosed: Part 1 The Report 1.1 Covering Note 1.2 Convening Order & TORs 1.3 Narrative of Events 1.4 Analysis and Findings 1.5 Recommendations 1.6 Convening Authority Comments Part 2 The Record of Proceedings 2.1 Diary of Events 2.2 List of Witnesses 2.3 List of Interviews 2.4 List of Attendees 2.5 List of Exhibits 2.6 Exhibits 2.7 List of Annexes - Nil 2.8 Annexes - Nil 2.9 List of Non-Germane 2.10 Master Schedule PRESIDENT Wing Commander Royal Air Force Member MEMBERS Captain Army Member Colour Sergeant Navy Member DSA/S1/01/17/TAIN OFFICIAL —SENSITIVE © Crown Copyright 2018 Intentionally Blank PART 1.2 Convening Order including Terms of Reference and Lexicon 1 2 - 1 DSA/SI/01/17/TAIN OFFICIAL-SENSITIVE © Crown Copyright 2018 Intentionally Blank Service Inquiry Convening Order 12 Jan 17 SI President Hd Defence AIB SI Members DSA Legad Copy to: PS/SofS DPSO/CDS MA/Comd JFC MA/Min(AF) MANC DS MA/CFA PS/Min(DP) NA/CNS MA/GOC 1 (UK) Div PS/Min(DVRP) MA/CGS Dir DDC PS/PUS PSO/CAS CO 3 SCOTS DSA DG/SI/01/17 - CONVENING ORDER FOR THE SERVICE INQUIRY INTO THE FATALITY THAT OCCURRED DURING A SNIPER CADRE AT RAF TAIN RANGES ON 1 NOV 2016. 1. A Service Inquiry (SI) is to be held under Section 343 of Armed Forces Act 2006 and in accordance with JSP 832 - Guide to Service Inquiries (Issue 1.0 Oct 08). 2. The purpose of this SI is to investigate the circumstances surrounding the incident and to make recommendations in order to prevent recurrence. 3. The SI Panel will formally convene at Ministry of Defence Main Building, Whitehall, London at 1530L on Thursday 12 January 2017. 4. The SI Panel comprises: President: Wing Commander RAF Members: Captain Colour Sergeant RM 5. The legal advisor to the SI is Major (DSA LEGAD) and technical investigation/inquiry support is to be provided by the Defence Accident Investigation Branch (Defence AIB). 6. The SI is to investigate and report on the facts relating to the matters specified in its Terms of Reference (TOR) and otherwise to comply with those TOR (at Annex). It is to record all evidence and express opinions as directed in the TOR. 7. Attendance at the SI by advisors/observers is limited to the following: Head Defence AIB - Unrestricted Attendance. Defence AIB investigators in their capacity as advisors to the SI Panel - Unrestricted Attendance. 1 .2 - 2 DSA/SI/01/17/TAIN OFFICIAL SENSITIVE © Crown Copyright 2018 OFFICIAL-SE-NSITIVE 8. The SI Panel will work initially from the Defence AIB facilities at Farnborough. Permanent working accommodation, equipment and assistance suitable for the nature and duration of the SI will be requested by the SI President in due course. 9. Reasonable costs will be borne by DG DSA under UIN D0456A. Original Signed Sir R F Garwood Air Mshl DG DSA — Convening Authority Annex: A. Terms of Reference for the SI into the Fatality that Occurred During a Sniper Cadre at RAF Tain Ranges on 1 Nov 2016. 1 2 - 3 DSA/SI/01/17/TAIN OFFICIAL-SENSITIVE © Crown Copyright 2018 Annex A To DSA DG/SI/01/17 Convening Order Dated 12 Jan 17 TERMS OF REFERENCE FOR THE SI INTO THE FATALITY THAT OCCURRED DURING A SNIPER CADRE AT RAF TAIN RANGES ON 1 NOV 2016. 1. As the nominated Inquiry Panel for the subject SI, you are to: a. Investigate and, if possible, determine the cause of the occurrence, together with any contributory, aggravating and other factors and observations. b. Examine what policies, orders and instructions were applicable and whether they were complied with. c. Identify if the levels of planning and preparation met the activities' objectives. d. Ascertain whether Service personnel were acting in the course of their duties. e. Establish the level of training, relevant competencies, qualifications and currency of the individuals involved in the incident. f. Investigate and comment on relevant fatigue implications of an individual's activities prior to the matter under investigation. g. Determine the status of any equipment including serviceability, defects or deficiencies. h. Determine and comment on any broader organisational and/or resource factors. i. Make appropriate recommendations to DG DSA. 2. During the course of your investigations. should you identify a potential conflict of interest between the Convening Authority and the Inquiry, you are to pause work and consult DG DSA. Following that advice it may be necessary to reconvene reporting directly to MOD PUS. 3. If you become aware that a criminal or disciplinary offence may have been committed you should contact (DSA LEGAD) who will advise you accordingly. 4. You are to ensure that any material provided to the Inquiry by any foreign state. is properly identified as such, and is marked and handled in accordance with MOD security guidance. This material continues to belong to those nations throughout the SI process. Before the SI report is released to a third party, authorisation should be sought from the relevant authorities in those nations to release, whether in full or redacted form, any of their material included in the SI report, or amongst the documents supporting it. The relevant NATO European Policy (NEP) or International Policy and Plans (IPP) team should be informed early when dealing with any foreign state material. 1 2 - 4 DSA/SI/01/17/TAIN OFFIGIAL-6E-N€24-441E-- © Crown Copyright 2018 LEXICON Abbreviation Definition Notes hrs Hours 2ic Second in Command The culmination of training on a weapon system that Annual Combat tests accuracy of a firer. A pass is essential to be ACMT Marksmanship Test considered qualified to fire the weapon on exercise or operations. Admin administration Army Equipment Support A document that contains the maintenance procedures AESP Publication for a weapon system. ATO Ammunition Technical Officer A person trained to deal with ammunition incidents. A range used by aircraft to drop munitions and bombs AWR Air Weapons Range as part of training serials. A noise-making explosive device to simulate battlefield noises, i.e. artillery and explosions, ranging in size from BATSIM Battle Noise Simulator hand held firecracker like devices to larger incendiary explosives. A range training area on the east coast of Scotland, BBTA Barry Buddon Training Area North of Dundee. A formation in the Army consisting of several units Bde Brigade (Battalions) that is commanded by a Brigadier (1*), normally consisting of approx. 3,000 personnel. CAS Close Air Support CFA is a senior officer of Lt Gen (3*) rank who provides CFA Commander Field Army properly trained Land Force Elements for operations, including wider support to the Joint Force. A member of the Royal Army Medical Corps trained in CMT Combat Medical Technician emergency medicine. The senior officer in a Battalion in charge of four or CO Commanding Officer more sub-units (Companies). Comd Commander Coy Company A sub-unit of a Battalion. DPers Cap is responsible for developing Army personnel strategy and engaging with Defence and the Directorate of Personnel other services to shape and influence strategic DPers Cap Capability personnel direction in order to sustain and enhance the operational effectiveness of the Army. Commanded by DPers, who holds Maj Gen (2*) rank. Cpl Corporal CSgt Colour Sergeant A subset of military logistics that ensures that soldiers CSS Combat Service Support have the required equipment and supplies to carry out their tasks. Collective Training is the name given to an Army standard of training. It comprises various levels from CT Collective Training CT1 - Platoon, CT2 - Company, CT3 — Battlegroup, CT4 — Battlegroup in a Brigade context. DCC Dismounted Close Combat The typical infantry role. A DH provides specific focus on safety and environmental protection management. DHs have a DH Duty Holder personal duty of care for personnel under their command or management, for those who, by virtue of their temporary involvement in activities, come within a 1.2 - 5 DSA/SI/01/17/TAIN OFFICIAL-SENSITIVE © Crown Copyright 2018 DH's area of responsibility (AOR) and for the public who may be affected by their activities. DHs are accountable for the safety of activities in their AOR and for ensuring that risks are reduced As Low As is Reasonably Practicable (ALARP). In the execution of their specific responsibilities, DHs are accountable to Secretary of State for Defence (SofS), via their superior DH chain. DAIB conducts impartial and expert no-blame safety investigations across Defence to ensure that causal Defence Accident factors are identified and understood as quickly as DAIB Investigation Branch possible, and recommendations made to prevent recurrence and enhance safety, whilst preserving Operational capability. Defence Infrastructure Responsible for the maintenance and compliance of DIO Organisation land ranges with law and policy.
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