Free Template for Tracking Employee Performance For Analysis ID Number Reference

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Free Template for Tracking Employee Performance For Analysis ID Number Reference Powered By Docstoc
					For Analysis

ID Number   Reference Number   Problems(what)   Conditions   Contributing Factors (Why)
    1            1201
    2            1202
    3            1203
    4            1204
    5            1205
    6            1206
    7            1207
    8            1208
    9            1209
   10            1210
   11            1211
   12            1212
   13            1213
   14            1214
   15            1215
   16            1216
   17            1217
   18            1218
   19            1219
   20            1220
   21            1221
   22            1222
   23            1223
   24            1224
   25            1225
   26            1226
   27            1227
   28            1228
   29            1229
   30            1230
   31            1231
   32            1232
   33            1233
   34            1234
35   1235
36   1236
37   1237
38   1238
39   1239
40   1240
41   1241
42   1242
43   1243
44   1244
45   1245
46   1246
47   1247
48   1248
49   1249
50   1250
51   1251
52   1252
53   1253
54   1254
55   1255
56   1256
57   1257
58   1258
59   1259
60   1260
61   1261
62   1262
63   1263
64   1264
65   1265
66   1266
67   1267
68   1268
69   1269
70   1270
71   1271
72    1272
73    1273
74    1274
75    1275
76    1276
77    1277
78    1278
79    1279
80    1280
81    1281
82    1282
83    1283
84    1284
85    1285
86    1286
87    1287
88    1288
89    1289
90    1290
91    1291
92    1292
93    1293
94    1294
95    1295
96    1296
97    1297
98    1298
99    1299
100   1300
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Intervention Recommendation        Validity         Importance            Ability
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      Usage        Addition Comments
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                         502020
                       Diverted attention, distraction
                         502030
                        Perceptual judgment errors
                         502040 Visual Illusions
                         502050
               Crew Disregard of crew aeromedical factors
                         502060
Crew Disregard of human performance factors i.e., Duty/flight time,
                         503010
                Pilot's flight profile unsafe for conditions
                         503020
                   Pilot's flight profile unsafe - Altitude
                         503030
                   Pilot's flight profile unsafe - Airspeed
                           503040
              Pilot's flight profile unsafe - Unsuitable terrain
                           503050
                    Pilot's flight profile unsafe - Approch
                           503060
                    Pilot's flight profile unsafe - Takeoff
                            flight profile unsafe - rotor RPM
                   Pilot's 503070
                           504010
                   Selection of inappropriate landing site
                           504020
                           Landing site reconaissance
                           504030
            Misperception of stability and motion cues in hover
                           504040
                      Inadequate Autorotation - Forced
                           504050
                     Inadequate Autorotation - Practice
                           504060
             Improper termination or precautionary landing
                           505010
      Inadequate and untimely PiC action to correct 2nd plt action
                           505020
     Inadequate and untimely CFI action to correct student action
                           506010
                Pilot improper action due to misdiagnosis
                           506020
                       Pilot control/handling dificiences
                           506030
          Inadequate response to Loss of tail rotor effectiveness
                           506040
               Inappropriate Energy/power management
                           506050
         Improper recognition and response to dynamic rollover
                            Inflight
                 Lack of506060 fuel quantity monitoring
                           601010
                 Coordination with ground/LZ personnel
                              Coordination with ATC
                           601020
                           602010
                        Coordination with other pilots
                           602020
                 Coordination with other crew members
                           602030
        Handoff of heli from one pilot to another pilot on ground
                            of positive transfer of control
                     Lack602040
                           603010
                Hot expedited loading process inadequate
                           603020
  Inadequate flight following/operational company communicatio
                           603030
        inadequate coordination with tactical operations control
                           701010
                          Reduced visibility - darkness
                           701020
                Reduced visibility - fog, rain, snow, smoke
                           701030
                  Reduced visibility - whiteout, brownout
                           701040
                         Reduced visibility - sun/glare
                           701050
                          Local and enroute weather
                           702010
                         Aircraft position and hazards
                           702020 Altitude
                                   A
                           702030 ircraft state
                           702040
     Lack of knowledge of aircraft's aerodynamic state (envelope)
                           702050
Pilot unaware aircraft restrained by the ground or ground obstruc
                          702060
Failed to recognize cues to terminate current course of action or man
                             Low
                          702070flight near wires
                          703010
            Unaware of low fuel status leading to fuel exhaustion
                              Pilot/crew impaired
                          704010
                          801010
                         Airframe component failure
                          801020
                Main Rotor Drive system component failure
                           Main Rotor Blade failure
                          801030
                          801040
                 Tail Rotor Drive system component failure
                            Tail Rotor Blade failure
                          801050
                          801060
                      TR Gearbox lubrication starvation
                          801070
                  Transmission system component failure
                          801080
                        Gearbox Lubrication starvation
                          801090
                       Flight control (non-afcs) Failure
                          801100
             Components used did not conform to type design
                          801110
               Avionics system component failure (incl AFCS)
                          801120
                     Electrical system component failure
                          801130
                    Hydraulic system component failure
                              Hydraulic fluid loss
                          801140
                          801150
                    Fuel System Failure (Fuel Starvation)
                              Landing Gear/Skids
                          801160
 distraction                              Safety education
ent errors                                   Simulators
                                        Emergency Procedure
 romedical factors
ctors i.e., Duty/flight time, fatigue
fe for conditions
safe - Altitude
safe - Airspeed
- Unsuitable terrain
safe - Approch
 safe - Takeoff
afe - rotor RPM
ate landing site

  motion cues in hover
 tion - Forced
 ion - Practice
ecautionary landing
n to correct 2nd plt action
n to correct student action
e to misdiagnosis
 g dificiences
  tail rotor effectiveness
wer management
 nse to dynamic rollover
ntity monitoring
nd/LZ personnel

other pilots
 crew members
 another pilot on ground
fer of control
ocess inadequate
 al company communications
ctical operations control
- darkness
ain, snow, smoke
eout, brownout
 sun/glare
  weather
nd hazards


odynamic state (envelope)
 ground or ground obstruction
ent course of action or maneuver

ding to fuel exhaustion

ent failure
 omponent failure

omponent failure

on starvation
mponent failure
n starvation
afcs) Failure
nform to type design
t failure (incl AFCS)
ponent failure
ponent failure

uel Starvation)
                                             Select Problem Statement
                                  Select Statement Number
                                             101010
                                   Inadequate consideration of Acft/op limits
                                             101020
                                Inadequate consideration of Acft performance
                                             101030
                                      Inadequate consideration of Wx/wind
                                             101040
                     Pilot experience leads to inadequate planning regarding wind/wx
                                             101050
                              Mission rqmts/contingencies planning inadequate
                                             101060
                           Pilot did not adequately consider and plan for alternate
                                             101070
                                        Incorrect fuel planning/calculations
                                             101080
           Weather - Accurate weather information not available to flight crews and dispatchers
                                             102010
                                    Incorrect weight and balance calculations
                                             102020
                           Incorrect aircraft loading so it is out of CG/weight limits
                                             102030
                                 Company SOP/GOM procedures not followed
                                             103010
                                       Aircraft Preflight process inadequate
                                             103020
                                  Performance of Aircraft Preflight inadequate
                                             103030
                                       Doors/cowlings not properly secured
                                             103040
                                           Diverted attention, distraction
                                               Tie downs not removed
                                             103050
                                             104010
                                            Pax safety brief inadequate
                                             104020
                                             Indequate flightcrew brief
                                              Inlet covers not installed
                                             105010
                                             201010
                                      Non-aviation dispatcher/comm center
                                             201020
                                       Mgmt policies/oversight inadequate
                                             201030
        Failure of company to realize the unintended consequences of new flt operations policies
                                             201040
                                         Failure to enforce company SOPs
                                             201050
                                   Mgt disregard of crew aeromedical factors
                Mgt disregard of human201060  performance factors i.e., Duty/flight time, fatigue
                                             201070
                                  Management disregard of known safety risk
                                             201080
                                           Customer/company pressure
                                                 Crew
                                             201090 hiring criteria
                                               local supervision of remote ops
                                      Lack of201100
                                             201110
                                   Lack of supervision of remote maintenance
                                             201120
                               Public use operating below civil (FAA) standards
                                             202010
                                            Safety program inadequate
                                             202020
Lack of a formal system for threat-free reporting of safety-related incidents within the company/indus
                                             202030
                                           Risk Management inadequate
                                             202040
                                Insufficient employee performance monitoring
                                                    202050
                                               Inadequate lessee risk awareness
                                                     inadequately equipped for mission
                                       Helicopter203010
                                                    204010
                                                 Disregard of known safety risk
                                                    PIC self
                                                    204020 induced pressure
                                                         Crew
                                                    205010 assignment
                                                       Crew-crew matching
                                                    205020
                                                    Crew-mission assignment
                                                    205030
                                                    205040
                                             Lack of monitoring of flight ops data
                                                    206010
                                           Training vehicle too unforgiving for use
                                                    206020
                                          Training inadequate for inadvertent IMC
                                                    206030
                                                 CFI preparation and planning
                                                    206040
                                Inadequately flihtcrew training due to cultural/economic
                                                    Inadequate CRM training
                                                    206050
                                                    207010
                                                Emergency training inadequate
                                                    207020
ate post Vorten ring state ("settling with power") or loss of tail rotor effectiveness avoidance, recognition an
                                                    207030
                                              Inadequate system failure training
                                                    207040
                                               Autorotation Training Inadequate
                                                     Operations training inadequate
                                           Special207050
                                                      Pilot transition training
                                                    208010
                                                    208020
                                              Transition to aircraft make/model
                                                    208030
                                        Transition tfrom one engine type to another
                                                    208040
                                      Transition from one gergraphic area to another
                                                         Plt
                                                    209010inexperienced
                                                    209020
                                              Plt inexperienced w/area, missions
                                                    209030
                                            Plt lacking experience in make/model
                                                            S
                                                    209040tudent Pilot
                                                    209050
                                                  Inadequate pilot knowledge
                                                       Ground/LZ personnel
                                                    210010
                                                    Other personnel onboard
                                                    210020
                                                    301010
                                            Failure of QA or supervisory oversight
                                                    301020
                                       Inadequate documentation of aircraft records
                                                    301030
                                         Mechanic insufficient training/experience
                                                    301040
                                         Aircraft released in unairworthy condition
                                                    301050
                    Pre Functional Check Flight maintenance settings lead to hazardous conditions
                                                    301060
                                              No post mx Functional Check Flight
                                                    301070
                                         Lack of Functional Check Flight Procedures
                                                    302010
                                             Mx did not detect impending failure
                                    302020
                          Failure to perform proper mx procedures
                                    302030
                               Failure of personnel to coordinate
                                      Maintainer interrupted
                                    302040
                                    302050
                                   Intentional non-compliance
                                    302060
                                    Maintenance induced FOD
                                    302070
         Loss/degradation of flight control system due to inadequate maintenance
                                    302080
            Loss/degradation of TR drive system due to inadequate maintenance
                                    303010
                    Lack of Equiptment to detech impending part failure
                                     surplus
                         Bogus or304010 or unapproved parts used
                                    304020
                              Tracking/cert military/surplus parts
                                        Fuel
                                    304030 Contamination
                                    405010
                     Fixed-wing to rotary wing transition training rqmts
                                    405020
                               Inadequate oversight/regulations
                                    405030
                                Inadequate tower/wire markings
                                    406010
                       Lack of compatible air/ground communications
                                    406020
                          IFR system incompatible w/helo missions
                                    406030
     Weather information for departure/enroute/destination inadequate or not available
                                    406040
                            Improper modification of wx/nav aids
                                    501010
                                   Poor resource management
                                     led to
Disregarded cues that should have501020termination of current course of action or maneuver
                                      Pilot
                                    501030decision making
                                     disregard
                            Willful501040 of aircraft limitations
                                    501050
                              Willful disregard for rules and SOPs
                                    501060
                                 Used unauthorised equipment
                                    501070
                                    Failed to follow procedure
                                    501080
                                   Disregard for rules and SOPs
                                    501090
                                  Pilot disabled warning system
                                    501100
                         Pilot misjudged own limitations/capabilities
                                    502010
                              Sense of Urgency led to risk taking
                     801170
                   Fuel Quantity System Failure
                     802010
                    Engine Component Failure
                       Engine
                     802020 Oil Starvation
                     803010
                Operational FOD (not mx related)
                     804010
                   Mission specific equiptment
                     901010
      Mission involves flying near hazards, obstacles, wires
                     901020
        Mission involves selection of remote landing site
                     901030
Mission involves flight over unsuitable emergency landing terrain
                       Lack
                     901040of job site recon
                     902010
       Mission involved flying in inclement wx conditions
                     902020
           Mission involved flight in high traffic areas
                     902030
      Mission requirements place pressure on crew to fly
                     902040
                Mission requires low/slow flight
                     903010
              Mission involves repeated heavy lift
                      1E+06
                 Safety equipment not installed
                      1E+06
          Safety equipment installed by OEM removed
                      Safety
                      1E+06 equipment failed
                                                     1E+06
                                                 Pax/crew survival gear not used
                                                     1E+06
                                                Vehicle did not withstand impact
                                                     1E+06
                                                  Vehicle sank and/or capsized
                                                           P
                                                     1E+06ost-crash fire
                                                     1E+06
                                                  ELT inop/damaged by impact
                                                     1E+06
                                                    Inaccessible accident site
                                                     1E+06Bad weather
                                                     1E+06
                                             No flight following - slow to locate site
                                                     1E+06Night - Darkness
                                                     1E+06
                                Inadequate communications between survivor(s) abd rescue
                                                     1E+06
                                           Information mission/incomplete in report
                                                     1E+06
                                            Information unavailable to investigators
                                                     1E+06
                                             Inadequate human factors information
                                                     1E+06
                                              Inadequate control of accident scene
                                                     1E+06
                                     Use and availability of info for flight path unknown
                                                     1E+06
                                                    Inadequate Investigation
                                                       Failure
                                                     1E+06 to disconnect
                                                     1E+06  Fuel servicing
                                                     1E+06Marshalling
                                                     1E+06
                  Failure to require data recording capability sufficient to understand accident sequence.
                                                     1E+06
is of pervious incidents and lack of available incident information to the operators due to lack of oversight on
                                                     1E+06
      Lack of formalised system for threat free reprting of safety-related incident from operators to manufact
                                                     1E+06
         Lack of a formalised system for threat-free reporting of safety-related incidents from operators to FA
                                                     1E+06
    Lack of a reliable process for reviewing/revising safety decisions based on field data collected after certifi
                                                     1E+06
                                  Failed to disseminate pertinent flight safety information
                                                     1E+06
                          Inadequate regulatory oversight/regulations for Part 91 Sightseeing Ops
                                                     1E+06
                                 Inadequate application of government/industry standards
                                                     1E+06
                                         Inadequate government/industry standards
                                                     flight
       Regulations inadequate to ensure proper 1E+06crew proficiency for the type of operations being condu
                                                     1E+06
                                          Inadequate FAA Flight Standards oversight
                                                     1E+06
                                        FAA control of military surplus aircraft/parts
                                                     1E+06
                                           GSA control military surplus aircraft/parts
                                                     1E+06
                                              Part 91 vs Part 135 pax-carrying opns
                                                     1E+06
                                 Transition from one engine type to another training rqmts
                                                      controls
                   Corkpit design allowed critical1E+06 to be selected inadvertantly/inappropriately
                       Safety assessments did not1E+06adequately indentify system failure consequences
                                                     1E+06
                                                  Lack of wire strike protection
                 1E+06
Lack of annunciation/caution/warning of criticle condition
                 1E+06
        Engine flameout from snow/ice ingestion
                                Select Category              Select the
                              Select Recommendation Sub Category Range
                                           Design
                                 AircraftCockpit Indication          0
                                     Crash resistant fuel system
                                   Information                       1
g wind/wx                               Design
                                  Instructionalimprovement           2
                                          Dynamic
                                  Maintenance Rollover               3
                                    Regulatory ELT                   4
                                      Enhanced vision system
                              Safety Management
 ews and dispatchers                 Training HTAWS
                                        PAH corrective action
                                                PAH QA
                                               Part lifing
                                                Pilot aid
                                               Procedure
                                        Proximity awareness
                                         Proximity detection
                                               Radar Alt
                                          Safety equiptment
                                                  WSPS
                                           Cockpit warning
                                       Disseminate safety info
                                             Investigation
 flt operations policies                       Recorder
                                                 ADS-B
                                         Aeromedical factors
ht time, fatigue                           Communications
                                        Emergency Response
                                           Ground support
                                              Pilot history
                                          safety equipment
                                               Windsock
                                                 Wx info
                                                   CFI
s within the company/industry                   Preflight
                                    Preflight/transfew protocols
                                                  SOP
                                              Compliance
                                               Corrosion
                                                   FCF
                                                Intervals
                                         Mechanic Training
                                              Mil surplus
                                                   QA
                                                   QC
                                               Recorder
                                                Records
                                       Remote Mx oversight
                                           Aircraft Registry
                                         Disciplinary action
                                            Field approvals
 avoidance, recognition and recovery trainingGuidance
                                              Mil Surplus
                                               Oversight
                                       PAH corrective action
                                               Public use
                                            Requirements
                                              Rulemaking
                                               Standards
                                       Aircraft performance
                                  Decision making aids for pilots
                                         Disciplinary action
                                      Employee performance
                                      Flight ops management
                                                 HOMP
                                           Mission specific
                                               Oversight
                                           RFM compliance
                                           Risk assessment
                                         Risk management
rdous conditions                            Safety Culture
                                          Safety equipment
                                                  SOP
                                       SOP - flight following
                                 SOP - inadvertant IMC
                                         SOP - LZ
                                SOP - Missions planning
                                      SOP - Preflight
                                      SOP - Refueling
e maintenance                            SOP - Wx
maintenance                         SOP - Compliance
                                      SOP - Checklist
                           Flight ops management - remote
                                           ADM
                                  Aircraft performance
                                     Aircraft systems
                                       Autorotation
                                            CFI
                                       Critical cues
                                           CRM
uate or not available               Dynamic Rollover
                                       Ground OPS
                                   Ground resonance
se of action or maneuver             Inadvertant IMC
                                            LTE
                                      M/M transition
                                     Mission specific
                                   New pilot training
                                         Preflight
                                  Proximity awareness
                                        Quickstop
                                     Risk assessment
                                   Risk management
ing terrain
d accident sequence.
due to lack of oversight on the part of the regulator(s).
om operators to manufacturers.
dents from operators to FAA
data collected after certifications

ghtseeing Ops


 of operations being conducted




ntly/inappropriately
re consequences

				
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