Naval Aviation Issue Papers
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Summary of Issue Papers
[Issue Paper Index]
Issue Paper #208:Sufficient Rest to Do Jobs Safely
Issue Paper #207:Safety PO/NCO Effectiveness
Issue Paper #206:Proficiency/Currency
Issue Paper #205:Parts Availability
Issue Paper #204:Flight Surgeon Effectiveness with High-Risk Personnel
Issue Paper #203:Adequate Flight Preparation
Issue Paper #202:Towing Operations
Issue Paper #201:Influence of COVID Pandemic on Aircrew Morale - Part II
Issue Paper #200:Influence of COVID Pandemic on Aircrew Morale
Issue Paper #199:Leaders/Supervisors Setting Good Examples
Issue Paper #198:Maintainer Comments Regarding Cutting Corners
Issue Paper #197:Aircrew Comments Regarding Cutting Corners
Issue Paper #196:Aircrew Qualifications
Issue Paper #195:Unit Morale
Issue Paper #194:The next incident/mishap in my unit will most likely be caused by . . .
Issue Paper #193:Recognizing Individual Safety Acts
Issue Paper #192:Aviation Maintenance - Sufficient Rest
Issue Paper #191:Aviation Maintenance - Day Crew Manning
Issue Paper #190:Aviation Maintenance - Night Crew Manning
Issue Paper #189:Effectiveness of Reactive and Proactive Safety Approaches
Issue Paper #188:Tool Issues
Issue Paper #187:Forklift Operations
Issue Paper #186:Reactive Versus Proactive Safety Climate Activities
Issue Paper #185:Complacency (Revisited)
Issue Paper #184:My Unit Makes Good Use of Special Staff to Help Manage High-Risk Personnel
Issue Paper #183:Tool Control
Issue Paper #182:Navy Aviation Motorcycle Survey Feedback
Issue Paper #181:Safety Decisions - by the Most Qualified Personnel?
Issue Paper #180:Response Anonymity
Issue Paper #179:White Space
Issue Paper #178:Is Safety Nothing More Than Common Sense?
Issue Paper #177:Aircrew Perceptions Regarding Cutting Corners
Issue Paper #176:Maintainer Perceptions Regarding Cutting Corners
Issue Paper #175:Safety Standdowns (Revisited II)
Issue Paper #174:List of ACASS Issue Papers & Issue Paper Index (Updated)
Issue Paper #173:Resource Adequacy by Controlling Custodian
Issue Paper #172:An Alternative Approach Regarding Maintenance Training
Issue Paper #171:Safety PO/NCO Effectiveness (Revisited)
Issue Paper #170:CSA Survey Item Averages Sorted by Time-in-Unit
Issue Paper #169:MCAS Survey Item Averages Sorted by Time-in-Unit
Issue Paper #168:Gundecking with ASM?
Issue Paper #167:Maintainer Qualifications
Issue Paper #166:Maintainers Work Effectively as a Team (Revisited)
Issue Paper #165:A Suggestion Regarding Maintenance Training
Issue Paper #164:Maintenance Training
Issue Paper #163:Stress and Stress Management
Issue Paper #162:Human Factors Councils/Boards
Issue Paper #161:BASH . . . Bird/Animal Aircraft Strike Hazards
Issue Paper #160:Complacency
Issue Paper #159:What Are Your People Doing This Summer? (Revisited)
Issue Paper #158:Proficiency/Currency
Issue Paper #157:Contract Maintainers Treated with the Same Respect as Military Personnel
Issue Paper #156:CO's Policy of Policies
Issue Paper #155:CDIs/QARs Routinely Monitor Maintenance Evolutions
Issue Paper #154:Recognizing Individual Safety Achievement
Issue Paper #153:Adequate Flight Preparation (Revisited)
Issue Paper #152:Maintenance Control Effectiveness
Issue Paper #151:Tool Control is Closely Monitored (Revisited)
Issue Paper #150:Violations of SOPs, Flying Regulations, or Flight Discipline Are Rare
Issue Paper #149:Parts Availability (Revisited)
Issue Paper #148:Crew Resource Management (CRM) - Revisited
Issue Paper #147:What are Your People Doing This Summer?
Issue Paper #146:Flight Surgeon Assistance with High Risk Personnel (Revisited)
Issue Paper #145:Drinking and Driving Policy Effectiveness
Issue Paper #144:Quality of Life
Issue Paper #143:QA is Well Respected
Issue Paper #142:Communication (Revisited)
Issue Paper #141:How to Interpret Higher Headquarters' Aggregate Survey Results
Issue Paper #140:Leaders/Supervisors Set a Good Example for Following Standards
Issue Paper #139:Use of Special Staff to Manage High-Risk Personnel
Issue Paper #138:Contract Maintainers' Perceptions of Shift Pass-Downs
Issue Paper #137:Substance Abuse Program Effectiveness
Issue Paper #136:Turnaround in a Unit's Survey Results
Issue Paper #135:OPTEMPO -vs- Morale
Issue Paper #134:Safety Standdowns (Revisited)
Issue Paper #133:Cutting Corners to Accomplish the Job/Mission
Issue Paper #132:Safety POs/NCOs are Effective at Promoting Safety
Issue Paper #131:SOPs and Safety Rules are Enforced
Issue Paper #130:Qualifications
Issue Paper #129:Individuals are Comfortable Reporting Safety-Related Issues
Issue Paper #128:Authority to Halt Unsafe Activities
Issue Paper #127:How do Day Crew / Night Crew View Maintenance?
Issue Paper #126:Fatigue...the Invisible Killer
Issue Paper #125:How do Quality Assurance (QA) Personnel View Maintenance?
Issue Paper #124:Parts Availability
Issue Paper #123:Conflicts Between Individuals
Issue Paper #122:Tool Quantity/Quality
Issue Paper #121:Tactics Training vs. Basic Flying Skills Training
Issue Paper #120:Flight Safety and Aircrew Proficiency
Issue Paper #119:Contractor Maintenance (CTR) Survey
Issue Paper #118:Comparison of the Five Bottom-Ranked Survey Items for the CSA, MCAS, & ASPA Surveys
Issue Paper #117:Unit Morale (from the maintainers' perspective)
Issue Paper #116:Micromanaging Routine Operations
Issue Paper #115:Leaders Care for Members' Quality of Life
Issue Paper #114:Unit Morale
Issue Paper #113:Crew Rest
Issue Paper #112:A "Quick Look" at Seatbelt Use
Issue Paper #111:Naval Aviation Publications
Issue Paper #110:Would You Buy Your Car?
Issue Paper #109:QAR and CDI Billets are Desirable Assignments in Our Unit
Issue Paper #108:Naval Aviation Motorcycle Survey Feedback (Revisited)
Issue Paper #107:Human Factors Challenges in Aviation Maintenance
Issue Paper #106:Safety Survey Feedback from COs -- Intervention Strategies
Issue Paper #105:Cell Phone Use While Driving
Issue Paper #104:Private Motor Vehicle (PMV) Safety
Issue Paper #103:Maintainers Work Effectively as a Team
Issue Paper #102:Flight Surgeon Assistance with High Risk Personnel
Issue Paper #101:Leaders/Supervisors Encourage Reporting Safety Discrepancies without Fear of Negative Repercussions
Issue Paper #100:List of Issue Papers & Issue Paper Index (Updated)
Issue Paper #99:Human Factors Councils' (HFCs') Successes -- Revisited
Issue Paper #98:Safety Standdowns
Issue Paper #97:CSA/MCAS, ORM, & Safety Standdowns: Three Complementary Processes
Issue Paper #96:A Proactive Versus Reactive Mindset
Issue Paper #95:NATOPS Evaluations - Revisited
Issue Paper #94:A Reputation for High-Quality Performance
Issue Paper #93:Reporting Safety Violations
Issue Paper #92:Our Unit Conceals Adverse Incidents
Issue Paper #91:Top/Bottom Five Higher Headquarters Survey Item Responses
Issue Paper #90:Individual Safety Acts are Recognized Through Awards and Incentives
Issue Paper #89:Fatigue due to Operational Commitments
Issue Paper #88:Drinking & Driving Survey Favorable Response Rates
Issue Paper #87:What are Your People Doing this Summer?
Issue Paper #86:Combining Climate Survey Results and ORM
Issue Paper #85:Tool Control
Issue Paper #84:Safety Survey Feedback from COs
Issue Paper #83:What can be done about high OPTEMPO?
Issue Paper #82:List of Issue Papers and Issue Paper Index
Issue Paper #81:Comparison of CY-07 and CY-08 CSA Favorable Response Rates by Aircraft Community
Issue Paper #80:Comparison of CY-07 and CY-08 CSA Favorable Response Rates
Issue Paper #79:Navy Aviation Motorcycle Survey Respondent Feedback #3
Issue Paper #78:Navy Aviation Motorcycle Survey Respondent Feedback #2
Issue Paper #77:Top/Bottom Five Contract Maintenance Survey Item Responses
Issue Paper #76:Navy Aviation Motorcycle Survey Respondent Feedback #1
Issue Paper #75:Safety Department Support
Issue Paper #74:Motorcycle Survey Feedback
Issue Paper #73:Command Leadership Correlations for CSA Surveys
Issue Paper #72:Human Factors Councils' (HFCs') Successes -- Revisited
Issue Paper #71:What is my Unit Doing "Right" and Why?
Issue Paper #70:MCAS Survey Item Averages by Work Center
Issue Paper #69:Cell Phone Use While Driving
Issue Paper #68:Tipsy Taxi Program Effectiveness
Issue Paper #67:101 Critical Days of Summer: Motorcycle Deaths
Issue Paper #66:Reporting Safety Violations
Issue Paper #65:101 Critical Days of Summer: Drinking and Driving Survey Favorable Response Rates
Issue Paper #64:101 Critical Days of Summer: PMV Survey Favorable Response Rates
Issue Paper #63:101 Critical Days of Summer: Do You Know What Your People are Doing This Summer?
Issue Paper #62:CSA Survey Item Favorable Response Rates
Issue Paper #61:MCAS Survey Item Favorable Response Rates
Issue Paper #60:Command Climate and Safe Maintenance
Issue Paper #59:Driving Tired or Fatigued
Issue Paper #58:High-Risk Off Duty & Recreation Activities
Issue Paper #57:NATOPS Evaluations
Issue Paper #56:Top/Bottom Five CSA/MCAS Response Averages Comparing CY-06 & CY-07
Issue Paper #55:Supervisor Favoritism Regarding DUIs
Issue Paper #54:Drinking and Driving Consequences
Issue Paper #53:ORM'ing PMV Issues
Issue Paper #52:Seat Belt Use
Issue Paper #51:CSA-MCAS Debriefs -- What Information does a CO See?
Issue Paper #50:Crew Resource Management (CRM)
Issue Paper #49:Adequate Flight Preparation
Issue Paper #48:COs/OICs' Views Regarding CSA/MCAS
Issue Paper #47:Supervisor Approachability (Perspectives by Rank)
Issue Paper #46:Supervisor Approachability
Issue Paper #45:Qualifications and Licensing
Issue Paper #44:Providing Feedback to Survey Respondents
Issue Paper #43:Recognizing Individual Safety Achievement - Revisited for CY 06
Issue Paper #42:CSA/MCAS Data Quality
Issue Paper #41:Maintenance Control
Issue Paper #40:Driving to-from Work
Issue Paper #39:Safety Department
Issue Paper #38:Command Leadership
Issue Paper #37:Resilience Engineering
Issue Paper #36:What Risk?
Issue Paper #35:Discipline
Issue Paper #34:Trends in Quality Maintenance Standards
Issue Paper #33:MCAS Comparison of Naval Aviation Commands by Calendar Year
Issue Paper #32:CSA Comparison of Naval Aviation Commands by Calendar Year
Issue Paper #31:Comparison of Major Commands
Issue Paper #30:Review of Issue Papers 16-29
Issue Paper #29:Top Five - Bottom Five  CSA/MCAS Response Averages
Issue Paper #28:Use of the Flight Surgeon
Issue Paper #27:Communication - Revisited
Issue Paper #26:Shortages
Issue Paper #25:Morale and Motivation
Issue Paper #24:Risk Homeostasis Theory
Issue Paper #23:One Example of the Value of Survey Open-Ended Responses
Issue Paper #22:Cutting Corners to Get a Job Done
Issue Paper #21:Operational Risk Management (ORM)
Issue Paper #20:Exploring Day Crew - Night Crew Relationships
Issue Paper #19:A Room with One Window... a 30% Solution
Issue Paper #18:Human Factors Councils (HFCs) Success - Revisited
Issue Paper #17:Recognizing Individual Safety Achievement - Revisited
Issue Paper #16:ASO Billet Desirability - Revisited
Issue Paper #15:Review of Prior Issue Papers for Common Themes
Issue Paper #14:Review of Fleet Replacement Squadron CSA Responses
Issue Paper #13:Resource Adequacy -vs- Organizational Commitments
Issue Paper #12:Hazard Perceptions of Commanders and Squadron Aircrew Personnel
Issue Paper #11:Aircrew Training vs Skill Based Error (SBE)
Issue Paper #10:Aircrew Training
Issue Paper #9:Communication
Issue Paper #8:High “Don’t Know” response rates . . . .Do they indicate needed training
Issue Paper #7:CSA Survey Consistency
Issue Paper #6:Safety NCO, CDI, and QAR Billet Desirability
Issue Paper #5:Peer Influence Doesn't Discourage Violations
Issue Paper #4:Human Factors Councils (HFCs) Success
Issue Paper #3:Recognizing Individual Safety Achievement
Issue Paper #2:Saying NO Isn't Part of Naval Aviation Culture
Issue Paper #1:ASO Billet Desirability




USMC Ground Climate Assessment Survey System (GCASS) Issue Papers



Issue Paper Index
[Summary of Issue Papers]

TOPIC ASSOCIATED ISSUE PAPER #
"Don't Know" responses8, 15, 162
"There I was . . . . " (motorcycle experiences)78, 182
101 Critical Days of Summer63, 64, 65, 67, 147, 159
Adequacy of resources10, 12, 13, 14, 15, 26, 29, 30, 56, 61, 62, 77, 80, 81, 83, 106, 114, 118, 122, 124, 125, 141, 149, 179
Aircrew training8, 10, 11, 14, 15, 120, 121, 158, 206
Alcohol54, 55, 58, 63, 64, 65, 68, 87, 88, 106, 134, 137, 145
Aviation Safety Officer (ASO) billet1, 6, 8, 14, 15, 16, 29, 30, 39, 56, 62, 75, 80
BASH161
Bird Strike161
CDI/QAR6, 15, 29, 109, 155
Cell phone use64, 69, 78, 104, 105
CO Policy156
CO Survey Feedback48, 84, 106
Collateral Duties/Multiple Jobs29, 56, 61, 77, 89, 91, 114, 118
Command climate5, 6, 15, 60, 66, 70, 91, 95, 128, 133, 136, 144, 195
Command comparisons31, 32, 33, 141
Communication/Passdowns1, 3, 8, 9, 14, 15, 20, 27, 29, 30, 38, 56, 61, 71, 73, 81, 103, 106, 114, 115, 117, 125, 135, 137, 138, 142, 152, 166, 195, 201
Complacency10, 160, 185, 194
Compliance with standards5, 10, 11, 15, 22, 29, 35, 38, 55, 71, 73, 80, 113, 114, 115, 117, 130, 131, 133, 140, 150, 168, 181, 198, 199, 201
Conceals Adverse Incidents92, 93
Conflicts between individuals123
Contractor77, 119, 138, 157
Crew Resource Management (CRM)12, 15, 21, 50, 71, 148
Crew rest2, 15, 62, 80, 106, 107, 113, 118, 127, 150, 192, 203, 208
CSA (general topic)170, 203
Cutting corners21, 22, 30, 34, 71, 73, 80, 107, 133, 176, 177, 181, 197, 198
Day/Night crew6, 20, 29, 30, 41, 56, 61, 77, 126, 127, 138, 144, 190, 191, 208
Debriefs -- What a CO sees51
Discipline/Punishment35, 133, 137, 140, 145
Drinking & Driving (D&D)54, 55, 64, 65, 68, 88, 106, 134, 145, 147, 159
Driving (tired/fatigued)59, 64, 126
Driving to/from work40
Drug/Substance abuse134, 137
Experienced personnel, lack of14, 15, 26, 29, 56, 80, 81, 190
Fatigued (driving)59, 64, 104, 126
Fatigued (Operational Commitments)7, 8, 89, 106, 107, 113, 114, 118, 126, 179, 192, 194, 208
Flight Hours (Allotment)10, 13, 15, 80, 81, 120, 158, 206
Flight preparation14, 15, 49, 81, 153
Flight surgeon8, 14, 15, 28, 30, 102, 146, 204
Forklifts187
FRS14, 15
Hazard perception10, 12, 15, 19, 194
Hazard reporting8, 9, 15, 19, 21, 30, 38, 66, 73, 92, 101, 107, 115, 129
High quality performance29, 80, 81, 94
High risk aviator/personnel4, 8, 14, 15, 28, 30, 72, 102, 139, 146, 184
Higher headquarters (HHQ)91, 141
Human Factors Board (HFB)8, 14, 15, 71, 99, 106, 146, 162
Human Factors Council (HFC)4, 8, 9, 14, 15, 18, 21, 28, 30, 71, 72, 99, 106, 146, 162
Human Factors in Aviation Maintenance107
Lack of experienced personnel14, 15, 26, 29, 56, 62, 80, 81, 181
Leadership2, 7, 14, 15, 21, 22, 23, 29, 37, 38, 46, 47, 55, 56, 61, 63, 64, 65, 66, 71, 73, 79, 80, 98, 101, 106, 109, 114, 115, 116, 117, 125, 129, 131, 133, 136, 140, 143, 144, 156, 195, 199
Maintenance control41, 61, 70, 152, 198
Maintenance Records125, 168
Maintenance standards34, 77, 131, 133, 151, 164, 167, 181, 198
MCAS (general topic)169
Mentorship65, 79, 88, 137, 140
Micromanagement116, 118
Midair collision potential12, 15, 23
Morale179, 195, 200, 201
Morale & motivation3, 15, 17, 25, 29, 30, 56, 62, 71, 77, 81, 91, 114, 115, 117, 118, 135, 145, 179, 195
Motorcycles58, 63, 67, 74, 76, 78, 79, 106, 108, 147, 159, 182
NATOPS evaluation57, 95
Night crew5, 6, 190, 191
Off duty & Recreational Activities (OD&R)58, 63, 87, 134, 147, 159
Operational Risk Management (ORM)9, 15, 21, 23, 24, 30, 36, 40, 53, 71, 80, 83, 86, 96, 97
OPTEMPO83, 89, 91, 114, 135, 179
Over-committed13, 14, 15, 20, 26, 29, 56, 61, 62, 77, 80, 81, 114, 118, 125, 126, 127, 133, 135, 177, 179
Overviews of prior issue papers15, 30
Parts11, 124, 127, 141, 149, 205
Peer influence discourages violations5, 15, 61
Personnel (Manning Levels)5, 13, 14, 15, 20, 29, 56, 61, 62, 77, 80, 81, 106, 114, 118, 127, 135, 141, 191
Private Motor Vehicle (PMV)21, 40, 52, 53, 59, 64, 69, 104, 105, 106, 110, 112, 134, 147, 159, 182
Procedures2, 5, 12, 15, 61, 106, 133, 176, 178, 197
Proficiency/Currency10, 11, 15, 29, 56, 120, 121, 158, 206
Programs137, 145
Publications107, 111, 133
Qualifications & licensing12, 29, 45, 61, 106, 109, 130, 143, 167, 168, 196
Quality of Life114, 115, 117, 135, 144, 201
Quality/QA/QAR12, 29, 34, 56, 70, 71, 80, 81, 109, 122, 125, 143, 155, 165, 168, 172
Rank bias9, 15, 21, 25, 27, 47, 60, 90, 92, 93, 101, 103, 116, 117, 123, 154, 166
Reactive mindset4, 186, 189
Recognition/rewards and incentives for individual safety achievements3, 9, 15, 17, 24, 29, 30, 43, 56, 61, 65, 77, 90, 91, 106, 109, 128, 145, 154, 193
Repercussions/Reprisals73, 92, 93, 101, 115, 128, 129, 139, 180, 184
Reporting hazards8, 9, 15, 19, 21, 30, 38, 66, 73, 92, 101, 107, 115, 129
Reporting violations5, 15, 66, 92, 93, 107, 115, 129
Resilience engineering37
Resource adequacy10, 11, 12, 13, 14, 15, 26, 29, 30, 56, 61, 62, 77, 80, 81, 83, 106, 114, 118, 122, 124, 125, 141, 149, 173, 179, 183, 205
Respondent feedback on surveys44
Risk homeostasis theory24, 30
Risk Management189
Safe maintenance11, 21, 22, 29, 56, 60, 70, 125, 181, 192, 197, 208
Safety billet desirability1, 6, 8, 14, 15, 16, 29, 30, 39, 56, 61, 62, 75, 80
Safety culture2, 6, 15, 61, 86, 107, 128, 136, 178
Safety department1, 39, 75, 80, 132, 171, 207
Safety Officer1, 39, 75, 80, 81, 132, 171, 207
Safety program management1, 7, 15, 38, 39, 40, 43, 50, 52, 63, 64, 65, 68, 71, 73, 75, 87, 105, 107, 108, 112, 115, 132, 145, 171, 207
Safety Standdown63, 65, 86, 87, 88, 91, 97, 98, 106, 112, 134, 147, 159, 175
Seat belt use52, 64, 104, 112, 134
Skill-based error (SBE)11, 12, 15
Special staff137, 139, 184
Standards5, 10, 11, 15, 22, 29, 35, 38, 55, 71, 73, 80, 113, 114, 115, 117, 130, 131, 133, 140, 150, 168, 196, 197, 198, 199
Stress12, 14, 15, 145, 163
Supervisory12, 15, 21, 22, 23, 29, 34, 38, 41, 46, 47, 55, 56, 61, 63, 64, 65, 66, 71, 73, 79, 80, 89, 96, 115, 116, 127, 129, 131, 133, 140, 143, 144, 155, 168
Survey anonymity180
Survey quality7, 15, 42, 48
Teamwork71, 103, 166
Tipsy taxi program/Arrive Alive65, 68, 145
Tired (driving)59, 64, 104, 126
Tool Control29, 56, 77, 85, 122, 125, 151, 183, 188
Top/Bottom five responses5, 15, 29, 30, 56, 118
Top/Bottom five responses (contractor maintenance)77
Top/Bottom five responses (Higher Headquarters)91
Training2, 8, 10, 11, 14, 15, 39, 71, 77, 79, 91, 106, 120, 121, 125, 158, 164, 165, 167, 168, 172, 179, 194, 206
Trust38, 73
Violation reporting5, 15, 66, 92, 93, 107, 115, 129
What is my unit doing right and why?71
Work center MCAS averages70, 125, 152
Work/rest cycles208