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GAO-18-586R 1 (2018-08-15)

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G      A               U.S. GOVERNMENT ACCOUNTABILITY OFFICE
441 G St. N.W.
Washington, DC 20548

August 15, 2018


The Honorable James Mattis
Secretary of Defense


Military Aviation Mishaps: DOD Needs to Improve Its Approach for Collecting and
Analyzing Data to Manage Risks


Dear Secretary Mattis:


In September 2017 we notified you that, in response to a provision in House Report 115-200,
accompanying a bill for the National Defense Authorization Act for Fiscal Year 2018, we would
be reviewing military training for rotary-wing aviation.1 As part of this review, we are evaluating
the relationship between training completed on rotary-wing aircraft and the number of aviation
mishaps that have occurred.2 During our review of aviation safety and the risk mitigation roles
and responsibilities of the Office of the Secretary of Defense (OSD) and the military services,
we became aware of Department of Defense (DOD) efforts to reorganize certain policy and
oversight functions related to aviation mishaps. In addition, it is our understanding that
Congress passed legislation that would establish an independent national commission to,
among other things, study the causes contributing to military aviation mishaps and make
recommendations on modifications to policies related to aviation safety.


Given DOD's current efforts to address aviation mishap-related policies and oversight issues,
we are providing this report to you to share some of the issues we identified in the course of our
ongoing review. This report includes observations on the extent to which DOD has a
comprehensive approach for the collection, reporting, and analysis of mishap data to inform
aviation risk-management decisions. Meanwhile, we are continuing our review of military


1H.R. Rep. No. 115-200, at 107-108 (2017).
2A mishap is an unplanned event or series of events that results in damage to DOD property; occupational illness to
DOD personnel; injury to on- or off- duty DOD military personnel; injury to on-duty DOD civilian personnel; or damage
to public or private property, or injury or illness to non-DOD personnel, caused by DOD activities. An aviation mishap
involves a DOD aircraft or flying operations.


GAO-1 8-586R Military Aviation Mishaps


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