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Aircraft Mishap Investigations
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Naval Safety Supervisor - Military manual on safety practices
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Requirements for an Endorsement
The senior member must be a designated naval aviator or designated naval flight officer. Additionally, one member of the AMB must be qualified in the Naval Air  Training  and  Operating  Procedures  Standards (NATOPS)  if  the  aircraft  involved  in  the  mishap  is manned by an aircrew. MISHAP INVESTIGATION REPORTS We  report  hazards  after  mishaps  by  submitting  a mishap  investigation  report  (MIR).  These  reports  are important  in  preventing  the  recurrence  of  aircraft mishaps.  Success  of  the  Naval  Aviation  Safety  Program depends on the submission of brief, open, and forthright information,   opinions,   and   recommendations.   The exercise of command influence to edit, change, or in any way censor the content of MIRs is prohibited since that would be contrary to the spirit of the program. Should any senior commander have a comment to make on the content  of  an  MIR,  that  officer  should  make  that comment in an endorsement of the report. Purpose of an MIR The purpose of an MIR is to provide information needed  to  fix  mishap  cause  factors.  Each  cause  factor has three elements associated with it that precisely describe the personnel, equipment, actions/events, and reasons  for  the  mishap.  Determining  the  elements determines  the  cause  factors,  which  identifies  the starting point for remedial action. We use MIRs to report those  hazards  that  caused  the  reported  mishap  and  the damage or injury resulting from the mishap. The report also provides a means for submitting recommended corrective  action  that  would  prevent  recurrence  of  the mishap and resulting damage or injury. Contents of an MIR An  MIR  has  two  parts.  The  first  part,  Part  A, consists   of   the   list   of   nonprivileged   information extracted from paragraph 10 of the MIR, the final MR message,  and  enclosures  specified  in  chapter  7  of OPNAVINST  3750.6Q.  Enclosures  to  MIRs  serve  two purposes.  One  is  to  provide  additional  data  on  the mishap  that  can  be  coded  and  entered  in  the NAVSAFECEN data bank or used as research material. The second purpose is to clarify points of evidence that cannot be made in the body of the MIR message. Part B is privileged. It includes a copy of the complete MIR message, Part B enclosures, and all endorsements. For further information, consult chapter 7 of OPNAVINST 3750.6Q. Submitting an MIR Submit MIRs within 30 calendar days following the mishap. In the case of missing aircraft, submit the MIR within  30  calendar  days  after  completion  of  the organized search. The originator of the MIR is usually the appointing authority of the Aircraft Mishap Board (AMB). Usually, the appointing authority is also the reporting  custodian  of  the  aircraft  involved  in  the mishap. You must submit MIR messages through military radio/electronic   communications   facilities.   Send enclosures with one copy of the MIR message by mail to the Naval Safety Center. Figure  8-2  depicts  the  reporting  requirements  for HRs, MRs, and MIRs. HAZARD REPORT AND MISHAP INVESTIGATION REPORT ENDORSEMENTS The  endorsement  of  both  HRs  and  MIRs  is  an important step in eliminating many major hazards. Endorsements  provide  an  opportunity  for  seniors  in  the chain  of  command  to  add  their  broader  perspective  and authority to the process of recommending corrective actions. Purpose of Endorsements The   ultimate   purpose   of   endorsements   is   to eliminate   the   hazards   described   in   the   reports. Endorsements  convey  the  position  of  the  endorsers  on the matters contained in the endorsed report. Review of Reports and Enclosures The endorsement of MIRs and HRs requires careful review of submitted reports and previous endorsements. Any endorser in the chain of command who believes an investigation  is  incomplete  or  an  MIR  or  HR  is inadequate should take corrective measures. Those measures should ensure an adequate investigation of the mishap or resubmission of the report. Any endorser may get   copies   of   specific   enclosures   to   the   MIR   by requesting  them  from  the  appointing  authority  of  the AMB. 8-8

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