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Why do high time pilots have accidents?
Some would say this proves the sport itself is dangerous. Some might say it's arrogance. I would disagree with both. I think it's a subtle, unconscious reduction in safety margins as experience is gained. If it were a conscious decision to cut margins, it could be addressed with counseling and additional training. If the pilot doesn't realize his safety margins are thinning, it can be hard to deal with. The key starting point for all of us is to realize experience itself is not a safety margin. Safety margins are things like speed, altitude and options in hand - in other words, they're quantifiable. An example might be consistent low and slow approaches perhaps because the pilot wants to stop in front of his trailer. Having been successful for a season or two, this has become the new normal approach. As long as he doesn't encounter unexpected severe sink, it will continue to work - but there's no safety margin, no Plan B, no self-questioning, "What if this doesn't work?" If you always fly with generous safety margins, you control your own destiny. The thinner the safety margins get, the more you gamble. "It's like playing Russian Roulette" a friend said over lunch, "Note there are no world class Russian Roulette players." On Jun 27, 2:18*pm, Bob Whelan wrote: On 6/26/2012 5:39 PM, Brad wrote: On Jun 26, 4:05 pm, son_of_flubber wrote: On Tuesday, June 26, 2012 12:54:09 PM UTC-4, soartech wrote: So the next issue of Soaring magazine will come off the press without a single word about this horrible accident... like it never happened!! The way it works over time is this: 1)you get hooked on the sport, 2)you become vaguely aware that it's dangerous and that you need to be careful, 3)you come to terms with the fact that it can kill you. *4)A friend or acquaintance gets killed or maimed. Think about it. *If the first thing you learned about soaring was that it can kill you, what would happen? *You'd probably plow your thousands of dollars into some really nifty RC model gliders. *My copy of Soaring goes to my local library. *Maybe somebody will pick it up and take up soaring. Don't list the departed souls. Soaring Magazine has a lot in it every month about the hazards of soaring, but it's almost always hypothetical. *A simple tally sheet of crashes and injuries would drive the point home without anyone getting sued. *But the SSA chooses to not do that. *Why? It's a glaring omission. THE EMPEROR HAS NO CLOTHES. *When you suggest that there is something wrong with this picture, you get a knee-jerk reaction. Wierd. Someone tell me why there is never a tally of accidents in Soaring Magazine. When we had 2 of our club members collided in a mid-air the result was finger pointing at the pilots (non-CFIG) who mentored them. It was intimated that they were not ready for this kind of activity and that those of us that actively flew in the mountains were somehow responsible for encouraging them to do something they were not "ready" for. Ironically some of those who criticized the most were the ones who never left the vicinity of the airport, unless they were flying a motorglider. Another club member spun his motorglider into an unfamiliar field. He was a low time pilot in a brand new ship with less than 20 hours on it............he felt the need to try flying a "new" site, took a check ride in that clubs Blanik (a sailplane he was very familiar with) and did a great job. After soaring his TST-Atlas for several hours he came back, did a Blanik approach in a 40:1 ship, realized at mid-field he was to high and tried to do either a 360 or a 180, we'll never know because he spun it in and killed himself. Last year one of our CFIG's died during the filming of the "Cadillac" commercial. There was a "list" of incidents that took place that made it out thru the gossip channels that raised some eyebrows. None of that was shared publicly (as far as I know) and none was shared within the clubs official channels. I'm pretty sure that some open, honest and heartfelt discussions about all these accidents could have really benefited our club. Instead all that was mentioned was how great these pilots all were, how careful they were and how they had tons of experience....................which was seen as somewhat ironic by those of us that personally knew them. This is the culture we need to change. Brad "What Brad said!!!" Certain micro-cultures are "obviously sub-optimum." I've been a member of the same soaring club for 20+ years, and varyingly intimately familiar with it for over 36 years. In that time I've watched its "personality" (culture, if you will) evolve. Historically, my club's personality change has occurred slowly over time...except when (safety-related) issues arose which simply could not be ignored. I can recall at least twice when (poor/ugly) safety-related issues "forced introspection/change". Actually, all it "forced" was "cheap talk", but a topical part of the cheap talk quickly became the need (or not) for cultural change. In neither case was the club seriously at risk of folding...but in both cases it was a painful, protracted (in the pain sense) yet brief (in the objective passage of time sense), process that resulted in years' long "cultural change" that benefited the club and arguably prevented it from continuing to add incidents/accidents to national stats. In any event, the club's stats clearly reflected a before-change/after-change effect, when measured over multi-year periods. The second instance's effects still appear to be part of the club's normal culture more than a decade after the need for change became unignorable....and (IMHO) that's a good thing! Perfection? Not a chance. Improvement (stats and culture)? Darn tootin'! - - - - - - While making no claims for having a guaranteed recipe for "change success," the analytical part of me thinks it saw in both instances some things that may have been crucial in overcoming varied and obvious obstacles to change, e..g.: personalities; hurt feelings; inertia; denial; personality-based cliques; etc. These include: persistence; discussionally remaining (as in relentlessly returning to being) "on topic"; patience (letting people speak, willingness to not settle everything in a single meeting or night or session); mutual respect (agreeing to disagree; calling out/cutting off ad-hominem arguments the instant they appeared). But perhaps THE crucial element in both instances was having at least one "club leader" (officer, board member, etc.) sufficiently motivated to "oversee"/push the process forward until the consensus was a consensus had been reached. None of this "fizzling out" nonsense allowed. I've also some first hand experience with a club which could benefit itself, the sport of soaring, and probably its safety record if "it effected some sort of internal cultural change(s?)" but which has been "board resistant" to such change over decades. Terribly unfortunate. IMO. Bob W. |
#2
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At 20:18 27 June 2012, Bob Whelan wrote:
On 6/26/2012 5:39 PM, Brad wrote: On Jun 26, 4:05 pm, son_of_flubber wrote: On Tuesday, June 26, 2012 12:54:09 PM UTC-4, soartech wrote: So the next issue of Soaring magazine will come off the press without a single word about this horrible accident... like it never happened!! The way it works over time is this: 1)you get hooked on the sport, 2)you become vaguely aware that it's dangerous and that you need to be careful, 3)you come to terms with the fact that it can kill you. 4)A friend or acquaintance gets killed or maimed. Think about it. If the first thing you learned about soaring was that it can kill you, what would happen? You'd probably plow your thousands of dollars into some really nifty RC model gliders. My copy of Soaring goes to my local library. Maybe somebody will pick it up and take up soaring. Don't list the departed souls. Soaring Magazine has a lot in it every month about the hazards of soaring, but it's almost always hypothetical. A simple tally sheet of crashes and injuries would drive the point home without anyone getting sued. But the SSA chooses to not do that. Why? It's a glaring omission. THE EMPEROR HAS NO CLOTHES. When you suggest that there is something wrong with this picture, you get a knee-jerk reaction. Wierd. Someone tell me why there is never a tally of accidents in Soaring Magazine. When we had 2 of our club members collided in a mid-air the result was finger pointing at the pilots (non-CFIG) who mentored them. It was intimated that they were not ready for this kind of activity and that those of us that actively flew in the mountains were somehow responsible for encouraging them to do something they were not "ready" for. Ironically some of those who criticized the most were the ones who never left the vicinity of the airport, unless they were flying a motorglider. Another club member spun his motorglider into an unfamiliar field. He was a low time pilot in a brand new ship with less than 20 hours on it............he felt the need to try flying a "new" site, took a check ride in that clubs Blanik (a sailplane he was very familiar with) and did a great job. After soaring his TST-Atlas for several hours he came back, did a Blanik approach in a 40:1 ship, realized at mid-field he was to high and tried to do either a 360 or a 180, we'll never know because he spun it in and killed himself. Last year one of our CFIG's died during the filming of the "Cadillac" commercial. There was a "list" of incidents that took place that made it out thru the gossip channels that raised some eyebrows. None of that was shared publicly (as far as I know) and none was shared within the clubs official channels. I'm pretty sure that some open, honest and heartfelt discussions about all these accidents could have really benefited our club. Instead all that was mentioned was how great these pilots all were, how careful they were and how they had tons of experience....................which was seen as somewhat ironic by those of us that personally knew them. This is the culture we need to change. Brad "What Brad said!!!" Certain micro-cultures are "obviously sub-optimum." I've been a member of the same soaring club for 20+ years, and varyingly intimately familiar with it for over 36 years. In that time I've watched its "personality" (culture, if you will) evolve. Historically, my club's personality change has occurred slowly over time...except when (safety-related) issues arose which simply could not be ignored. I can recall at least twice when (poor/ugly) safety-related issues "forced introspection/change". Actually, all it "forced" was "cheap talk", but a topical part of the cheap talk quickly became the need (or not) for cultural change. In neither case was the club seriously at risk of folding...but in both cases it was a painful, protracted (in the pain sense) yet brief (in the objective passage of time sense), process that resulted in years' long "cultural change" that benefited the club and arguably prevented it from continuing to add incidents/accidents to national stats. In any event, the club's stats clearly reflected a before-change/after-change effect, when measured over multi-year periods. The second instance's effects still appear to be part of the club's normal culture more than a decade after the need for change became unignorable...and (IMHO) that's a good thing! Perfection? Not a chance. Improvement (stats and culture)? Darn tootin'! - - - - - - While making no claims for having a guaranteed recipe for "change success," the analytical part of me thinks it saw in both instances some things that may have been crucial in overcoming varied and obvious obstacles to change, e.g.: personalities; hurt feelings; inertia; denial; personality-based cliques; etc. These include: persistence; discussionally remaining (as in relentlessly returning to being) "on topic"; patience (letting people speak, willingness to not settle everything in a single meeting or night or session); mutual respect (agreeing to disagree; calling out/cutting off ad-hominem arguments the instant they appeared). But perhaps THE crucial element in both instances was having at least one "club leader" (officer, board member, etc.) sufficiently motivated to "oversee"/push the process forward until the consensus was a consensus had been reached. None of this "fizzling out" nonsense allowed. I've also some first hand experience with a club which could benefit itself, the sport of soaring, and probably its safety record if "it effected some sort of internal cultural change(s?)" but which has been "board resistant" to such change over decades. Terribly unfortunate. IMO. Bob W. A lot is down to personal commitment if you see something that is dangerous ,either stop them doing it or if it you just don't fly.To elaborate ,I once refused to launch a far better qualified instructor than me because he had a child on his wife's knee ,it did not make me popular but he wasn't doing that on my watch.I have ,and am sure so have many other,refused launches,because I thought the child was to young,or they had a drink first or there was a storm too close lots of reasons but just say NO if you think it's not safe.It won't make you popular but that's not what safety is about. You asked for it and that's my 2 pence worth |
#3
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Culture change works by means of advocacy. Often times a single
individual can make the difference. It can be an effective way of dealing with procedural issues and establishing best (or at least better) practices. Towing, signals, checklists (multiple), oxygen systems, electrical systems, parachutes, radio procedures, patterns and suchlike are examples of areas in which best practices and advocacy of same can be a huge benefit to safe operation. All of these areas have all been the subject of articles in Soaring Mag, etc. Plenty of resources. Add will power and advocacy, stir well. I picked out an issue with my club last year that was so appalling I can't bear to repeat it here. I mentioned it to a couple of "wheels" and got zero traction, so I appointed myself the advocate and charged ahead. People whined: I was asking them to spend money on stuff they didn't think they needed. Less than $200 a head, I might add. But mostly they gave in and bought the stuff they needed and those that did later commented along the lines of "you know, that was smart, it worked". So this year, I have some help and I expect the advocacy to become self perpetuating. I've got my next issue picked out. I'm not going to act on that one until I am certain that the first is well and truly fixed. Only so much "political capital" to spend, y'know. But at best, this is a partial solution. As Kirk points out, we have a pretty serious safety culture in contest soaring, and it mostly works at preventing what can be prevented by good procedures. It's been a long time since we had a take off crash due to improper rigging. We've fiddled the rules semi-endlessly to try to reduce hazards associated with starts, finishes and turnpoints and it's pretty much worked as expected. We still have way too many crashes, but they seem related to judgement, not to crappy procedure. Can my supposed good judgement keep me safe? I'm not as certain as I used to be. I have two dead friends *this month* that seemed to me to have been serious, safety conscious, conservative pilots, arguably better examples of safety mindedness than myself. One spins in from pattern altitude over the airport, the other hits trees on final to what should have been a routine off field landing in what looks (from satellite pics and terrain map) to be the friendliest, easiest, most landable task area in North America. The only semi-unusual factor in both cases happens to be high wind (25 - 30 kts). These are serious WTF moments for me. And my family. I'd really like to figure this out. -Evan Ludeman / T8 |
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