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Mishap Investigation Reports
progress   of   the   investigation.   When   appropriate, reporting   custodians   may   use   MRs   to   request investigative  help,  relief  from  investigative  respon- sibilities, or extension of MIR deadlines. An MR is not used   for   the   submission   of   hazard   elimination information. All classes of mishaps require the submission of an MR  by  telephone  or  by  message.  You  must  submit  an initial MR by message within 4 hours for all Class A and Class  B  aviation  mishaps.  On  all  Class  A  aviation mishaps,  an  initial  telephone  report  to  the  NAV- SAFECEN  is  required  to  provide  the  NAVSAFECEN with timely information on the mishap and allow a mishap  investigator  to  respond.  The  first  amended mishap message reports for all Class A and Class B mishaps, if necessary, and Class C initial MRs are due within 24 hours. Any  naval  command  may  submit  MRs.  The reporting  custodian  of  the  naval  aircraft  involved  in  a mishap normally submits the MR. However, if it is apparent  that  a  reporting  custodian  will  be  unable  to submit  the  required  MR  within  the  deadline,  the  first command that becomes aware of the mishap will submit the  report. AIRCRAFT MISHAP INVESTIGATIONS A naval aircraft mishap is a signal of a failure of the Naval  Aviation  Safety  Program.  It  shows  that  hazard detection and elimination actions were not taken in time to  prevent  the  mishap-level  damage  or  injury.  Actions must then be taken to prevent a recurrence of the mishap. We  accomplish  hazard  detection  after  a  mishap  through mishap investigation. Purpose of Aircraft Mishap Investigations The purpose of aircraft mishap investigations is to identify the cause factors of the mishap and the damage or of any injuries resulting from the mishap. Cause factors  of  mishaps  and  cause  factors  of  injury  and damage resulting from a mishap can be two different matters. However, both are the subject of aircraft mishap investigations. Less  important  reasons  for  conducting  aircraft mishap  investigations  include  determining  the  extent  of damage and injury resulting from the mishap. Another reason   is   proving   the   safety   commitment   of   the organization  conducting  the  investigation.  We  conduct all naval aircraft mishap investigations  solely for  safety purposes. Types of Aircraft Investigations As a result of aircraft mishaps, different authorities conduct various types of investigations for different purposes.  Some  of  the  investigations  conducted  are  as follows: Aircraft  mishap  investigations Interagency    investigations Special  weapons  investigations Judge  Advocate  General  Manual  (JAGMAN) investigations North  Atlantic  Treaty  Organization  (NATO) investigations Naval  Safety  Center  investigations Intercomponent   investigations Naval aircraft mishaps involving fire, explosion, or damage to a ship or shore facility Aircraft fire on board ship For detailed information on the types of investi- gations conducted, consult chapter 6 of OPNAVINST 3750.6Q. Mishap Investigation Responsibilities The reporting custodian of a naval aircraft involved in a mishap is responsible for investigating and reporting the   mishap.   An   aircraft   mishap   board   (AMB) investigates and reports each naval FM, FRM, and AGM according to OPNAVINST 3750.6Q. Aircraft Mishap Boards Each aircraft reporting custodian maintains at least one standing AMB. The appointing authority appoints the   AMB   members   by   name   and   in   writing. Commissioned officers on active duty compose each AMB.  Minimum  AMB  membership  consists  of  the following four officers: 1. An aviation safety officer (ASO) 2. A flight surgeon 3. An officer well qualified in aircraft maintenance 4.  An  officer  well  qualified  in  aircraft  operations 8-7

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