Introduction

The Fast Track Programme Extended Accident and Incident Investigation is a combination of the "Introduction to Accident and Incident Investigation" course and the "Advanced Accident and Incident Investigation" course. This means that thanks to a more efficient continuity, this can be done in 5 days, instead of the 6 days the two separate courses would need.

After this Extended Programme, participants are fully ready to perform small-scale investigations. At the end of this programme, participants will have experience with collecting data, analyzing data, drawing conclusions, making recommendations and writing a report.

Participants will become familiar with: 

• The legal requirements for incident investigations and the goals of incident investigations
• How to perform an incident investigation
• Human factors during an incident
• The contents of an incident report
• Why make recommendations and follow up on recommendations in an organisation

Course Content

Course Outline for the Extended Accident and Incident Investigation Course.
T = theory S = Skills Practice

Day 1

• T Understanding Safety
• T The need for investigations
• T Safety in Aviation
• T The Investigation Process
• T Planning
• S Planning

Day 2

• T Collection of Data
• S Collection of Data
• T Interview techniques
• S Interviews

Day 3

• S Interviews
• T The reliability of eye witnesses
• T Data Analysis Models
• S Data analysis
• T Human Factors
• T Perception

Day 4

• T Stress
• T Workload
• T Conclusions
• S Drawing Conclusions
• T Recommendations
• S Making Recommendations

Day 5

• T Writing a report
• S Writing a report

The results of the Skills Practises will be considered to be an examination.

 

The following subjects will be instructed during the course: 

• ICAO Annex 13
• EU regulations
• Party system
• The difference views on investigations (ideas from history starting with Heinrich’s iceberg via the Swiss Cheese model of prof. Reason, to the ideas of prof. Hollnagel and prof. Dekker as the latest views on safety investigations)
• The division of an investigation (fact finding, analysis, conclusions, recommendations, final report, publishing)
• Sources to be used during investigation
• Human factors (issues like workload, taskload, environmental conditions, stress, situation awareness, redundancy)
• Interviews of person
• Writing a report (including the use of the correct words)
• Analysis of the data
• Conclusions, including information on causes, contributory factors, risk and severity)
• Recommendations
• Follow-up after the recommendations
• Databases of incidents and recommendations and the use of databases
• Files

 Case Study Practice/theory

• Collect Data
• Analyse Data
• Draw conclusions
• Write a report
• Make recommendations

Participants are encouraged to bring their own examples if they would like to share these with the group.

Who should take this course

The target audience for this course are the persons in organisations who have to perform the investigations of the incidents in their organisation, like: Investigators for ANSPs, Investigators for airlines, Investigators for flight schools, and Investigators for HEMS operators.

Pre-requisites

Preferably participants have been nominated or are to be nominated in: 

• a position as an investigator for an ANSP
• a position as a Flight Safety Officer or Investigator for an airline or flight school
• a position as an investigator for a HEMS operator

Duration

5 day course, starts at 9:00 on day 1, and ends at approximately 17:00 on the last day.