Q2. How can we prevent a reoccurrence of the errors and lapses identified?

Q3. What were the barriers to CRM in the accident? How can we overcome?

• no weather brief

• one pilot had insufficient rest

• mission continued even though weather was getting worse (partly due to pressure to continue mission from army)

How can we prevent a reoccurrence of the errors and lapses identified?

• more protocol in place during inclement weather and low visibility. perhaps call off the mission in the case of inclement weather.

what were the barriers to CRM in the accident? How can we overcome?

• pilot was a CO of a squadron, implement protocol to remove room for pilot to make this decision

2. CRM each other to not fly under bad conditon. Ensure to follow SOP. No missionitis

3. cockpit gradient. Assuming that other party is aware of such issues, hence not raising it up and everyone leaves it untreated.

(Othneil): they flew a second mission because the first mission objective was not met. Infantry should have been punctual.

(Jin kuan) Reuse of the same crew resulted in insufficient rest leading to potential lapses in concentration and judgement.

Q2: (sir and jeriah) give safety brief before flight & weather forecast

(Othniel): use a fresh crew if manpower is not too constrained.

(Reyes): do checks on the aircraft and CRM the P2. Postpone the mission so as to ensure safety

Q3: (isac) more uninterrupted rest and don't crumble to pressure from the army (shashwat)

(Ely) People never listen were man moding becos they were too tired

(Jeremiah and Daniel and othniel) Emphasis that safety transcends rank (above the CO) and support open channels to speak up. Safety is an individual team and commander responsibility

(Sir) Do safety campaign and

Decision error: Flying through the cloud resulting in reduced visibility

Lack of rest: The mission was during 3 am, under pressure by land crew, not supposed to relaunch, missionitis

No prior weather briefings to further prepare the pilots.

Lack of CRM from both parties.

(Swiss cheese model + Cockpit Gradient)

2)

Must always keep safety as our top priority, do not fall prey to missionitis and there is always another day to train; call off the mission if weather is too hazardous

Ensure sufficient rest; Risk assessment matrix(RAMS) and aircrew self check

3)

Lack of RT (Inefficient communication)

Poor planning; have proper weather briefing before (Abbreviated briefing)

One of the heli broke off while the other heli stayed on the same altitude & direction. Lack of effective CRM due to sleep deprivation and visual.

Other flight could have assumed the other a/c were aware of surroundings and there were no need to CRM.