Page 18 - Forum-2021-JanToMarch
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CRM skills under the appropriate leadership   that shall not be allowable from the aspect
                                       of the captain. It is probable that the me-  of safety, and it is probable that there might
                                       chanics can be actively used as cooperative   have some cases where keeping outside
                                       resources to realize safe helicopter operations   watch was not conducted appropriately. The
                                       in the flight operations at the center. There-  center conducts flight operations by one pilot
                                       fore, it is desired that the center will endeavor   (the captain) in accordance with the regula-
                                       to establish CRM appropriately based on the   tions. However, it is desired that the center
                                       center’s flight operations.             study using a two-pilot crew when possible.

                                       Lesson 10: Safety of CRM and two-person    Lessons
                                       operation.
                                                                                •  Lesson 1: Select a four-wheel-drive car on
                                                                                  snowy roads. Not enough with studless
                                       Probable Causes                            tires.
                                       It is highly probable that the accident oc-  •  Lesson 2: The effectiveness of the drone is
                                       curred because the helicopter did not take   not just aerial photo.
                                       avoidance maneuver even while getting closer   •  Lesson 3: Easy location survey with laser
                                       to the ground.                             and GPS. (Of course, you need tools and
                                        Regarding the helicopter’s not taking an   training.)
                                       avoidance maneuver even when getting closer   •  Lesson 4: Analysis of flight tracks from
                                       to the ground while flying in a mountainous   video taken on the helicopter.
                                       region, it is somewhat likely that the captain
                                       could not recognize the dangerous situation   •  Lesson 5: Analysis of human voices re-
                                       because the captain was in a state where the   quires understanding what the person is
                                       arousal level was lowered; however, it was not   doing.
                                       possible to clarify whether he actually fell into   •  Lesson 6: We can understand the situation
                                       such a state.                              of the engine by analyzing the sound.
                                                                                •  Lesson 7: Verification will be new discover-
                                       Other Identified Safety Matters            ies or proofs of certainty.
                                       It is highly probable that the captain had a   •  Lesson 8: The ELT is important for saving
                                       past medical history and a surgical history   lives.
                                       and he was under treatment with medication.   •  Lesson 9: A flight recorder is important for
                                       However, it is certain that he had obtained the   accident investigation.
                                       aviation medical certificate without making
                                       a self-report on his medical information. In   •  Lesson 10: Safety of CRM and two-person
                                                                                  operation.
                                       the examination for the aviation medical
                                       certificate, it is difficult to make an appropri-
                                       ate judgment on whether to conform to the   Summary
                                       standards of aviation medical examination   In March 2017, a rescue helicopter operated
                                       unless applicants declare their medical his-  by the Nagano Fire and Disaster Prevention
                                       tory and information accurately. Applicants   Aviation Center took off from Matsumoto
                                       for the aviation medical examinations must   Airport and collided with trees and crashed
                                       accurately make a self-report on their medical   into the mountain’s slope while flying toward
                                       information to apply for the aviation medical   the training site. In August 2018, 1.5 years lat-
                                       certification. Regarding this matter, the JTSB   er, another accident involving a firefighting
                                       said to the Ministry of Land, Infrastructure,   and disaster prevention helicopter occurred
                                       Transport, and Tourism that it is necessary   and killed nine people in the neighboring
                                       that the Civil Aviation Bureau thoroughly   prefecture. This is still under investigation,
                                       instruct aircrews to accurately make a self-re-  but it has become a major social problem
                                       port on their medical information to apply for   in Japan due to the two accidents with a
                                       the aviation medical certification. If noncon-  number of victims happening in two consec-
                                       formity is suspected, they must not engage   utive years. I do not yet know whether the
                                       in the performance of aviation duties and   two accidents had something in common,
                                       must receive instructions from the designated   but it would be disappointing to think that
                                       aviation medical examiners and others, even if   if the 2017 accident investigation report was
                                       their aviation medical certificate is still within   published in July instead of October, it would
                                       the validity period.                    have had a deterrent effect.
                                        In this accident, the captain of the heli-
                                       copter in operation by one pilot was taking   Last Lesson: Report should be published as
                                       photos during the flight at such a low altitude   soon as possible.
        18  •   January-March 2021 ISASI Forum
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