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1
Flight and
Ground Risk
Analysis Tool
(FRAT/GRAT)
What the FRAT?
Chris
Bryan Smith
ALEA Safety Program Manager
Seminole County Sheriff’s Office
C
1. Purpose of a Risk Assessment Tool
2. Key Elements
3. Real World Application
4. Role Within Your SMS
5. Regulatory Requirements
Flight Plan…
C
6
How many of you know it is dangerous to:
Fly in weather the aircraft is not certified for
Perform flight or maintenance tasks when fatigued or sick
Push flights to the very limits of fuel capacity
Operate aircraft or do critical maintenance without proper or
recent training
How many of you have:
Flown in weather you probably shouldn’t have been in
Performed flight or maintenance tasks when fatigued or sick
Pushed fuel further than you’d like your mentor to know about
Operated aircraft or done critical maintenance without all the
training you should have had
Why???
B
7
When preparing for a
flight or maintenance
task we should all think
about the hazards
involved.
In our heads we do not
calculate the actual risk
exposure that we could
be confronted with.
Why???
B
8
Purpose of a FRAT
Weather
Performance
Fatigue
Personal Life
Experience
Stuff I forgot
+
Actual Risk
+
+
+
+
=
Why???
C
9
Purpose of a FRAT
Weather
Performance
Fatigue
Personal Life
Experience
Stuff I forgot
+
Actual Risk
+
+
+
+
=
Why???
=
GO
NO GO
Not Quite…
Safety
Decisions
Removed from
aircrew or
technician
C
Prevention
Response
Human Factors Incidents
B
1. Purpose of a Risk Assessment Tool
2. Key Elements
3. Real World Application
4. Role Within Your SMS
5. Regulatory Requirements
Flight Plan…
2. Key Elements
B
1
• The FRAT/GRAT needs to be customized
to your specific operation.
• Have items that are part of your ideal
flight or task briefing
• A sound framework to support FRAT
development is the PAVE model found in
the FAA Risk Management Handbook.
Key Elements
2. Key Elements
What it should include…
C
1
Key Elements
• Pilot (Persons) – Experience, training, fatigue,
illness, [I’M SAFE checklist]
• Aircraft – Known maintenance issues,
performance limitations, fuel status, avionics
updates.
• enVironment – Weather (present and
forecast), flight (mission) type, ATC,
obstructions, time of day, other air traffic
• External Pressures - Recent changes in
personnel, management insistence, difficult
customers, consequences of cancelling flight.
C
1
Key Elements
TIP– Do not assume you can identify all hazards that will be
encountered.
• Include a blank ‘Hazard’ that can be filled in if needed.
• This will allow a crew to still do the most important part of a
FRAT if something was missed in the Hazard ID process…
Mitigation
14C
15
Risk can be determined in various ways
• Element present or not (passengers, special op)
• Variable levels (VFR-MVFR-IFR, hours on shift)
• In conjunction with other elements (weather and time of day,
experience level and job complexity)
What’s the score?
B
Who?
16
• Pilot (Persons) – Experience, training, fatigue, illness, [I’M SAFE
checklist]
The entire aircrew or maintenance team should be included in this
section…
✔
✔
B
18
What?
• Your FRAT/GRAT must include a Mitigation function.
• This is the key to the whole process!
• Look at the high scoring items and think of a way to
reduce that risk.
18
B
Examples may include:
 EDP
 Different route
 Delaying the flight
 Additional equipment
 Changing flight crews
 Designating alternate landing areas
 Getting additional information
 Setting higher limits for training
maneuvers
 Reviewing procedures
 Consulting other flight crews
 Many, many more….
19
What?
C
20
• When this process is done, not only will you have lowered risk,
but you will have also put the entire crew on the same page for
the upcoming flight.
• You may even find a way to get a job done that you would have
otherwise turned down…
What?
C
21
If your operation flies unscheduled flights your FRAT
should include ‘static’ and a ‘dynamic’ sections.
• The static section includes the elements that are unlikely to
change throughout the day. Beginning of a shift
• The dynamic section includes those items that can only be
filled out when the time and specifics of a flight are known.
Just before the flight
• This also allows the flight crew to fill out as many items as
possible without the pressure of a ‘scramble’ flight.
Analytical vs Intuitive process
When?
B
22
What do I do with the final score?
The FRAT/GRAT should have three possible score ranges.
These are often grouped into Green, Yellow (or Amber)
and Red sections.
What?
B
23
What do I do with the final score?
Green – Go fly!
• The pilot/crew still want to discuss what the highest
scoring risks are and attempt to mitigate those risks.
What?
B
24
What do I do with the final score?
Yellow – Try to mitigate some of the higher scoring items.
• If the score is still in the yellow, call a contact person. That contact
person must understand aviation safety, which usually means another
pilot with safety or management status.
• They will help think of ways to further mitigate some of the risks for
the flight.
• If the score is still in the yellow, the contact person can release the
flight with the knowledge from all involved that the flight is being
conducted in an elevated risk category.
What?
C
25
What do I do with the final score?
Red – No-Go.
• Unless the risks involved in the flight can be
mitigated (different crew or equipment, delayed
launch time…) the flight is cancelled.
• High scoring elements should be addressed in a
company SMS.
What?
B
1. Purpose of a Risk Assessment Tool
2. Key Elements
3. Real World Application
4. Role Within Your SMS
5. Regulatory Requirements
Flight Plan…
B
27
One FRAT does not fit all…
Even at the same operation…
Having different FRAT for different
types of missions helps make each
one:
 More effective
 Shorter in length
Real World FRATs
C
28
Many FRATs do not have a mitigation section
Real World FRATs
You can easily
add this
function by
having items
with a negative
value…
C
29
The Dynamic section of your FRAT may need
updating inflight or at a remote location…
Real World FRATs
Put it on a kneeboard sized card…
1. Write down the static score before the flight
2. The yellow and red limits are already set
3. Calculate dynamic factors and add that score
12
17
5
B
Description:
…At the halfway point, the flight
encountered heavy rain in twilight lighting conditions. While
maintaining VFR, the pilot slowed to 80 knots and descended to 500
feet AGL seeking better flight visibility. The pilot was not able to
divert or return to the point of departure due to the length of the
trip and no availability of fuel along the route. As the pilot entered
conditions for an En route Decision Point (EDP) and with no signs of
improvement in ceiling and visibility, the pilot elected to make a
precautionary landing along the highway.
The pilot contacted the Comm Center via satellite telephone to apprise
them of the situation, after which the PAIP was activated.
Arrangements were made for ground transport to meet the aircraft,
transporting the patient and physician the remainder of the trip.
Although conditions improved shortly after the precautionary landing,
the aircraft remained there until the already en route ambulance met
the aircraft. After the patient was transferred with the physician,
the aircraft with the flight paramedic still onboard continued on to
base without incident.
Additional Info:
EDP: En route Decision Point process outlined in company SOP
30
Elements of a good FRAT/GRAT…
 Customized to your operation.
 Easy to fill out – use automation to fill in items
whenever possible.
 ‘Living document’ – the FRAT/GRAT should change
as your operation changes. Update every 6 months
Real World FRATs
C
31
Example Risk Assessment Form:
The above FRAT can be obtained at no cost from the European Helicopter Safety Team (EHEST).
https://easa.europa.eu/essi/ehest/2012/06/pre-departure-check-list
Real World FRATs
C
32
Doing it right…
Real World FRATs
B
33
Doing it right…
Real World FRATs
B
1. Purpose of a Risk Assessment Tool
2. Key Elements
3. Real World Application
4. Role Within Your SMS
5. Regulatory Requirements
Flight Plan…
B
36
A FRAT/GRAT is an active component of an SMS.
• Risks specifically targeted by your SMS and the
mitigations you develop to counter them should be
included in your FRAT/GRAT.
• If a hazard is generating a higher risk assessment
score, increase the score on the FRAT/GRAT, and
vice-versa.
SMS and the FRAT
C
37
SMS and the FRAT/GRAT…
Track the results of your FRATs/GRATs, especially the high scores.
• Periodically analyze the data to see what those high scores are
and what the real or potential impact is on your organization.
• Feed that information into your SMS to drive training,
equipment purchases or policy changes that can lower risk in
general and also lower the number of cancelled flights in your
operation.
SMS and the FRAT
B
38
SMS and the FRAT/GRAT…
Use FRAT/GRAT data to determine if specific risk
mitigations (training, procedures, equipment) are having
the desired effect, a.k.a Risk Management Assurance.
SMS and the FRAT
B
1. Purpose of a Risk Assessment Tool
2. Key Elements
3. Real World Application
4. Role Within Your SMS
5. Regulatory Requirements
Flight Plan…
C
40
FAR §135.617…
Do I Have to FRAT?
(a) Each certificate holder conducting helicopter air ambulance operations must establish,
and document in its operations manual, an FAA-approved preflight risk analysis that
includes at least the following—
(1) Flight considerations, to include obstacles and terrain along the planned route of flight,
landing zone conditions, and fuel requirements;
(2) Human factors, such as crew fatigue, life events, and other stressors;
(3) Weather, including departure, en route, destination, and forecasted;
(4) A procedure for determining whether another helicopter air ambulance operator has
refused or rejected a flight request; and
(5) Strategies and procedures for mitigating identified risks, including procedures for
obtaining and documenting approval of the certificate holder’s management personnel to
release a flight when a risk exceeds a level predetermined by the certificate holder.
C
41
FAR §135.617…
Do I Have to FRAT?
(c) Prior to the first leg of each helicopter air ambulance operation, the pilot in
command must conduct a preflight risk analysis and complete the preflight risk
analysis worksheet in accordance with the certificate holder’s FAA-approved
procedures. The pilot in command must sign the preflight risk analysis worksheet
and specify the date and time it was completed.
(d) The certificate holder must retain the original or a copy of each completed
preflight risk analysis worksheet at a location specified in its operations manual for
at least 90 days from the date of the operation.
C
42
FAA Rule 2014-03689…
 “Requirement for management approval of flights in
situations where a predetermined risk level is exceeded.”
 “…an electronic signature would be acceptable. FAA
guidance on electronic signatures is found in Advisory
Circular (AC) 120–78”
 “The 90-day retention will allow the operator to conduct a
quarterly review to identify trends in its operations to further
mitigate risks in future flights.”
Do I Have to FRAT?
B
43
FAA Rule 2014-03689…
“The initial regulatory evaluation estimated that the preflight
risk analysis would take 10 minutes to complete. The FAA has
determined that a 10-minute delay is acceptable because of
the safety benefit of identifying risks before flight.” ?????
Do I Have to FRAT?
B
44
“The rule requires operators to establish and document,
and include in their FAA-approved preflight risk analysis,
a procedure for determining ‘‘whether another helicopter
air ambulance operator has refused or rejected a flight
request.’’
Do I Have to FRAT?
C
There are no new ways to crash an aircraft…
…but there are new ways to keep people from crashing them…
Chris Young
cbyoung.email@gmail.c
om
203-767-8584
Bryan Smith
safety@alea.org
407-222-8644

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2017 Heli-Expo - "What the FRAT?" Helicopter Risk Analysis Tool

  • 1. 1 Flight and Ground Risk Analysis Tool (FRAT/GRAT) What the FRAT?
  • 3. Bryan Smith ALEA Safety Program Manager Seminole County Sheriff’s Office
  • 4. C
  • 5. 1. Purpose of a Risk Assessment Tool 2. Key Elements 3. Real World Application 4. Role Within Your SMS 5. Regulatory Requirements Flight Plan… C
  • 6. 6 How many of you know it is dangerous to: Fly in weather the aircraft is not certified for Perform flight or maintenance tasks when fatigued or sick Push flights to the very limits of fuel capacity Operate aircraft or do critical maintenance without proper or recent training How many of you have: Flown in weather you probably shouldn’t have been in Performed flight or maintenance tasks when fatigued or sick Pushed fuel further than you’d like your mentor to know about Operated aircraft or done critical maintenance without all the training you should have had Why??? B
  • 7. 7 When preparing for a flight or maintenance task we should all think about the hazards involved. In our heads we do not calculate the actual risk exposure that we could be confronted with. Why??? B
  • 8. 8 Purpose of a FRAT Weather Performance Fatigue Personal Life Experience Stuff I forgot + Actual Risk + + + + = Why??? C
  • 9. 9 Purpose of a FRAT Weather Performance Fatigue Personal Life Experience Stuff I forgot + Actual Risk + + + + = Why??? = GO NO GO Not Quite… Safety Decisions Removed from aircrew or technician C
  • 11. 1. Purpose of a Risk Assessment Tool 2. Key Elements 3. Real World Application 4. Role Within Your SMS 5. Regulatory Requirements Flight Plan… 2. Key Elements B
  • 12. 1 • The FRAT/GRAT needs to be customized to your specific operation. • Have items that are part of your ideal flight or task briefing • A sound framework to support FRAT development is the PAVE model found in the FAA Risk Management Handbook. Key Elements 2. Key Elements What it should include… C
  • 13. 1 Key Elements • Pilot (Persons) – Experience, training, fatigue, illness, [I’M SAFE checklist] • Aircraft – Known maintenance issues, performance limitations, fuel status, avionics updates. • enVironment – Weather (present and forecast), flight (mission) type, ATC, obstructions, time of day, other air traffic • External Pressures - Recent changes in personnel, management insistence, difficult customers, consequences of cancelling flight. C
  • 14. 1 Key Elements TIP– Do not assume you can identify all hazards that will be encountered. • Include a blank ‘Hazard’ that can be filled in if needed. • This will allow a crew to still do the most important part of a FRAT if something was missed in the Hazard ID process… Mitigation 14C
  • 15. 15 Risk can be determined in various ways • Element present or not (passengers, special op) • Variable levels (VFR-MVFR-IFR, hours on shift) • In conjunction with other elements (weather and time of day, experience level and job complexity) What’s the score? B
  • 16. Who? 16 • Pilot (Persons) – Experience, training, fatigue, illness, [I’M SAFE checklist] The entire aircrew or maintenance team should be included in this section… ✔ ✔ B
  • 17. 18 What? • Your FRAT/GRAT must include a Mitigation function. • This is the key to the whole process! • Look at the high scoring items and think of a way to reduce that risk. 18 B
  • 18. Examples may include:  EDP  Different route  Delaying the flight  Additional equipment  Changing flight crews  Designating alternate landing areas  Getting additional information  Setting higher limits for training maneuvers  Reviewing procedures  Consulting other flight crews  Many, many more…. 19 What? C
  • 19. 20 • When this process is done, not only will you have lowered risk, but you will have also put the entire crew on the same page for the upcoming flight. • You may even find a way to get a job done that you would have otherwise turned down… What? C
  • 20. 21 If your operation flies unscheduled flights your FRAT should include ‘static’ and a ‘dynamic’ sections. • The static section includes the elements that are unlikely to change throughout the day. Beginning of a shift • The dynamic section includes those items that can only be filled out when the time and specifics of a flight are known. Just before the flight • This also allows the flight crew to fill out as many items as possible without the pressure of a ‘scramble’ flight. Analytical vs Intuitive process When? B
  • 21. 22 What do I do with the final score? The FRAT/GRAT should have three possible score ranges. These are often grouped into Green, Yellow (or Amber) and Red sections. What? B
  • 22. 23 What do I do with the final score? Green – Go fly! • The pilot/crew still want to discuss what the highest scoring risks are and attempt to mitigate those risks. What? B
  • 23. 24 What do I do with the final score? Yellow – Try to mitigate some of the higher scoring items. • If the score is still in the yellow, call a contact person. That contact person must understand aviation safety, which usually means another pilot with safety or management status. • They will help think of ways to further mitigate some of the risks for the flight. • If the score is still in the yellow, the contact person can release the flight with the knowledge from all involved that the flight is being conducted in an elevated risk category. What? C
  • 24. 25 What do I do with the final score? Red – No-Go. • Unless the risks involved in the flight can be mitigated (different crew or equipment, delayed launch time…) the flight is cancelled. • High scoring elements should be addressed in a company SMS. What? B
  • 25. 1. Purpose of a Risk Assessment Tool 2. Key Elements 3. Real World Application 4. Role Within Your SMS 5. Regulatory Requirements Flight Plan… B
  • 26. 27 One FRAT does not fit all… Even at the same operation… Having different FRAT for different types of missions helps make each one:  More effective  Shorter in length Real World FRATs C
  • 27. 28 Many FRATs do not have a mitigation section Real World FRATs You can easily add this function by having items with a negative value… C
  • 28. 29 The Dynamic section of your FRAT may need updating inflight or at a remote location… Real World FRATs Put it on a kneeboard sized card… 1. Write down the static score before the flight 2. The yellow and red limits are already set 3. Calculate dynamic factors and add that score 12 17 5 B Description: …At the halfway point, the flight encountered heavy rain in twilight lighting conditions. While maintaining VFR, the pilot slowed to 80 knots and descended to 500 feet AGL seeking better flight visibility. The pilot was not able to divert or return to the point of departure due to the length of the trip and no availability of fuel along the route. As the pilot entered conditions for an En route Decision Point (EDP) and with no signs of improvement in ceiling and visibility, the pilot elected to make a precautionary landing along the highway. The pilot contacted the Comm Center via satellite telephone to apprise them of the situation, after which the PAIP was activated. Arrangements were made for ground transport to meet the aircraft, transporting the patient and physician the remainder of the trip. Although conditions improved shortly after the precautionary landing, the aircraft remained there until the already en route ambulance met the aircraft. After the patient was transferred with the physician, the aircraft with the flight paramedic still onboard continued on to base without incident. Additional Info: EDP: En route Decision Point process outlined in company SOP
  • 29. 30 Elements of a good FRAT/GRAT…  Customized to your operation.  Easy to fill out – use automation to fill in items whenever possible.  ‘Living document’ – the FRAT/GRAT should change as your operation changes. Update every 6 months Real World FRATs C
  • 30. 31 Example Risk Assessment Form: The above FRAT can be obtained at no cost from the European Helicopter Safety Team (EHEST). https://easa.europa.eu/essi/ehest/2012/06/pre-departure-check-list Real World FRATs C
  • 31. 32 Doing it right… Real World FRATs B
  • 32. 33 Doing it right… Real World FRATs B
  • 33. 1. Purpose of a Risk Assessment Tool 2. Key Elements 3. Real World Application 4. Role Within Your SMS 5. Regulatory Requirements Flight Plan… B
  • 34. 36 A FRAT/GRAT is an active component of an SMS. • Risks specifically targeted by your SMS and the mitigations you develop to counter them should be included in your FRAT/GRAT. • If a hazard is generating a higher risk assessment score, increase the score on the FRAT/GRAT, and vice-versa. SMS and the FRAT C
  • 35. 37 SMS and the FRAT/GRAT… Track the results of your FRATs/GRATs, especially the high scores. • Periodically analyze the data to see what those high scores are and what the real or potential impact is on your organization. • Feed that information into your SMS to drive training, equipment purchases or policy changes that can lower risk in general and also lower the number of cancelled flights in your operation. SMS and the FRAT B
  • 36. 38 SMS and the FRAT/GRAT… Use FRAT/GRAT data to determine if specific risk mitigations (training, procedures, equipment) are having the desired effect, a.k.a Risk Management Assurance. SMS and the FRAT B
  • 37. 1. Purpose of a Risk Assessment Tool 2. Key Elements 3. Real World Application 4. Role Within Your SMS 5. Regulatory Requirements Flight Plan… C
  • 38. 40 FAR §135.617… Do I Have to FRAT? (a) Each certificate holder conducting helicopter air ambulance operations must establish, and document in its operations manual, an FAA-approved preflight risk analysis that includes at least the following— (1) Flight considerations, to include obstacles and terrain along the planned route of flight, landing zone conditions, and fuel requirements; (2) Human factors, such as crew fatigue, life events, and other stressors; (3) Weather, including departure, en route, destination, and forecasted; (4) A procedure for determining whether another helicopter air ambulance operator has refused or rejected a flight request; and (5) Strategies and procedures for mitigating identified risks, including procedures for obtaining and documenting approval of the certificate holder’s management personnel to release a flight when a risk exceeds a level predetermined by the certificate holder. C
  • 39. 41 FAR §135.617… Do I Have to FRAT? (c) Prior to the first leg of each helicopter air ambulance operation, the pilot in command must conduct a preflight risk analysis and complete the preflight risk analysis worksheet in accordance with the certificate holder’s FAA-approved procedures. The pilot in command must sign the preflight risk analysis worksheet and specify the date and time it was completed. (d) The certificate holder must retain the original or a copy of each completed preflight risk analysis worksheet at a location specified in its operations manual for at least 90 days from the date of the operation. C
  • 40. 42 FAA Rule 2014-03689…  “Requirement for management approval of flights in situations where a predetermined risk level is exceeded.”  “…an electronic signature would be acceptable. FAA guidance on electronic signatures is found in Advisory Circular (AC) 120–78”  “The 90-day retention will allow the operator to conduct a quarterly review to identify trends in its operations to further mitigate risks in future flights.” Do I Have to FRAT? B
  • 41. 43 FAA Rule 2014-03689… “The initial regulatory evaluation estimated that the preflight risk analysis would take 10 minutes to complete. The FAA has determined that a 10-minute delay is acceptable because of the safety benefit of identifying risks before flight.” ????? Do I Have to FRAT? B
  • 42. 44 “The rule requires operators to establish and document, and include in their FAA-approved preflight risk analysis, a procedure for determining ‘‘whether another helicopter air ambulance operator has refused or rejected a flight request.’’ Do I Have to FRAT? C
  • 43. There are no new ways to crash an aircraft… …but there are new ways to keep people from crashing them… Chris Young cbyoung.email@gmail.c om 203-767-8584 Bryan Smith safety@alea.org 407-222-8644