The Nimrod Review - Official Documents

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The Nimrod Review 15.52 15.53 15.54 426 Upon being advised of the aircraft’s loss, the detachment commander at XV230’s Deployed Operational Base immediately took the requisite action and temporarily impounded the relevant documents. He was also advised that Nimrod operations in support of Coalition Ground Forces must continue without interruption. Nimrod flying operations could not, however, continue without the relevant operational documents that he had temporarily impounded. In a remote overseas location, within the timescale he needed them, the detachment commander could not simply request a set of replacement documents from the United Kingdom. He could, of course, have photocopied the documents, but to do so would have involved a significant and disproportionate amount of effort by detachment personnel, who were at this time heavily engaged in the conflict. Accordingly, the detachment commander released the documents to his operations staff. One of the documents returned to the operations room to enable the Nimrod detachment to continue to fulfil its tasking was the “Stop Press Folder”. This folder housed all the recently issued documents that the detachment commander and operations staff felt that aircrew should be aware of, for example, details of ground operations, local airfield reports, flight safety reports. To keep the folder to a manageable size, those papers that no longer have any validity, or had been incorporated in other documents, are regularly destroyed. This was standard practice on all Nimrod squadrons and detachments. On a night between the loss of XV230 and the arrival of the BOI, the (busy) detachment commander sanctioned a request by one of his staff to conduct a routine destruction of material in the Stop Press Folder. This was a mistake. All of the material should have been safely retained ready for examination by the BOI when it arrived. Nonetheless, as soon as the BOI arrived in theatre, the detachment commander realising the mistake, appraised them of what had occurred and the fact was recorded formally in the BOI’s evidence. 39 The BOI took a copy of the list of destroyed documents and determined that there was nothing within them that could be immediately relevant to their investigation. Indeed, over the months that followed none of the documents was required by the BOI. The file was unlikely to contain anything of direct relevance to the loss of XV230 and it could, in the main, have been reconstituted if required. 15.55 The matter of the destruction of some of the contents of the “Stop Press Folder” was understandably raised by the families’ Counsel at the Inquest in May 2008 and the detachment commander was called to give evidence to explain what happened. 15.56 15.57 In my view, the detachment commander’s immediate admission of his error to the BOI displayed admirable honesty and integrity. He must have been working under intense pressure at the time in coping both with the aftermath of the accident and ensuring the continuance of current operations (and, by all accounts, he showed considerable leadership and professionalism). It was a small and, as it transpired, irrelevant error made by someone who was exceptionally busy and under significant pressure. Individuals must be confident that they can admit such errors without attracting undeserved criticism or sanction. In this case, I am pleased to note that the RAF authorities placed this mistake in its proper context and made no negative comment whatsoever. I entirely concur with that approach. Having carefully looked into the matter, I have no doubt that the destruction of these few documents was entirely inadvertent and innocent and is of no significance. Professionalism and dedication of Nimrod community and leadership 15.58 The continued operation and deployment in theatre of the Nimrod fleet following the loss of XV230 in September 2006 has not been easy. Those charged with operating and maintaining the Nimrod fleet have had to cope with unprecedented but understandable media and public attention, numerous visits from top brass, intense scrutiny from outside agencies (including the Nimrod Review) and the implementation of a welter of numerous new inspection, maintenance and repair procedures. The fact that the Nimrod fleet has continued to fly successfully in support of Coalition Forces, in the face of all these challenges, is a tribute to the cool professionalism and dedication of the RAF Nimrod community at RAF Kinloss and RAF Waddington and the strong leadership shown by the Station Commanders (Group Captain Jerry Kessell and Group Captain Robbie Noel at RAF Kinloss and Group Captain Andy Fryer and Group Captain Rich Powell at RAF Waddington and Senior Executives 39 Evidence of Detachment Commander.
Chapter 15 – BOI Recommendations and Post-XV230 Events and Measures (in particular Wing Commander Martin Cannard, Wing Commander Ian Torrance and Wing Commander Steve Wilcock at RAF Kinloss). Both stations have, I know, received particular support over many trying and turbulent months from the three senior officers who have held the position of Air Officer Commanding No. 2 Group (Air Vice Marshal Iain McNicoll, Air Vice Marshal Andy Pulford and Air Vice Marshal Steve Hillier). 40 40 Ranks are those held at the time the individuals occupied the positions shown. 427
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THE NIMROD REVIEW An independent re
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© Crown Copyright 2009 The text in
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THE LOSS OF RAF NIMROD XV230 A FAIL
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XV230
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2 The Nimrod Review Section Two: Re
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Chapter 1 - Introduction and Summar
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The Nimrod Review Offices and Team
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Executive Summary Introduction Loss
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Chapter 1 - Introduction and Summar
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Coroner’s Inquest Chapter 1 - Int
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Chapter 2 - History of the Nimrod A
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2.8 2.9 Chapter 2 - History of the
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Nimrod 2000/MRA4 2.23 2.24 Chapter
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2.37 Chapter 2 - History of the Nim
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CHAPTER 3 - THE BOARD OF INQUIRY RE
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Chapter 3 - The Board of Inquiry Re
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Chapter 3 - The Board of Inquiry Re
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3.22 Chapter 3 - The Board of Inqui
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PART II: PHYSICAL CAUSES
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The Nimrod Review 36 (2) The escape
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The Nimrod Review 38 because Nimrod
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The Nimrod Review 40 7. The Cross-F
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The Nimrod Review 42 Addition of SC
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The Nimrod Review 44 No. 7 Tank Dry
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The Nimrod Review 46 4.17 4.18 Tria
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The Nimrod Review 48 4.24 Figure 4.
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The Nimrod Review 50 Shrouds 4.32 b
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The Nimrod Review 52 4.36 This conf
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The Nimrod Review 54 4.42 Gaps 4.43
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The Nimrod Review 56 (3) Inadequate
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The Nimrod Review 58 (1) Breach of
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The Nimrod Review 62 4.72 4.73 haza
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The Nimrod Review 66 Prevailing App
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The Nimrod Review 68 18. Targeted f
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The Nimrod Review 70 Figure 5.3: Ni
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The Nimrod Review 72 Description of
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The Nimrod Review 76 5.17 determine
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The Nimrod Review 78 5.27 to have b
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The Nimrod Review 80 of one second,
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The Nimrod Review 82 Maintenance re
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The Nimrod Review 84 Ignition/Leak
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The Nimrod Review 86 Fuselage Leaks
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The Nimrod Review 88 would generate
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The Nimrod Review 90 5.75 5.76 5.77
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The Nimrod Review 92 The Manufactur
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The Nimrod Review 94 The Procuremen
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The Nimrod Review 96 Contractual ch
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The Nimrod Review 98 5.111 Comment
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The Nimrod Review Analysis 6.19 112
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The Nimrod Review 6.96 128 I have c
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The Nimrod Review Causation general
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The Nimrod Review 6.113 132 of fuel
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The Nimrod Review 134 Causation 9.
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The Nimrod Review 7.47 Causation 14
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The Nimrod Review 7.67 Conclusion 1
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The Nimrod Review Introduction 8.1
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The Nimrod Review 156 or destructio
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The Nimrod Review 8.44 158 It is no
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PART III: NIMROD SAFETY CASE Introd
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CHAPTER 9 - BACKGROUND TO SAFETY CA
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Guiding Principles of Lord Cullen
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Military Regulation of Safety Cases
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White Booklet 9.67 Chapter 9 - Back
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Philosophy of the SMP 9.72 9.73 Cha
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The Safety Committees and Hazard Ma
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CHAPTER 10A - NIMROD SAFETY CASE: T
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Chronology - three phases 10A.8 Cha
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DCP 0221.jpg DCP 0312.jpg Chapter 1
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1 March 2004: BAE Systems strategy
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Initial ‘pro-forma’ template to
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June 2004: slow progress on zonals
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Fire & Explosion Report completed C
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Chapter 11 - Nimrod Safety Case: An
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Introduction Background - Chapters
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Purpose of meeting 11.77 Dilemma 11
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Review’s audit of the Pro-Formas
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Detailed analysis and criticisms of
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PART IV: ORGANISATIONAL CAUSES
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The Nimrod Review 342 6.2 1994-1999
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The Nimrod Review 372 or organisati
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Page 415 and 416: PART V: AFTERMATH Introduction to P
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The Nimrod Review 494 (8) Mandatory
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The Nimrod Review 496 I. Clarificat
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MAA The Nimrod Review Head of the M
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The Nimrod Review 21.80 21.81 Objec
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The Nimrod Review 520 Recommendatio
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The Nimrod Review Recommendations E
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The Nimrod Review 21.110 524 The BO
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The Nimrod Review 22.12 Third, Safe
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The Nimrod Review 538 22.16.1 First
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The Nimrod Review Genesis of Safety
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The Nimrod Review Six Principles fo
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The Nimrod Review 546 (2) Common se
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The Nimrod Review Life Extension Pr
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The Nimrod Review 554 not represent
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The Nimrod Review 23.35 556 I consu
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The Nimrod Review Lesson Learned -
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The Nimrod Review Conclusions 25.16
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The Nimrod Review Professor Reason
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The Nimrod Review Safety Managers 2
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The Nimrod Review The critical role
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The Nimrod Review 29.6 XV230 29.7 5
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The Nimrod Review FI Fatigue Index
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ACKNOWLEDGEMENTS Acknowledgements A
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