AFRCPAM91-201 — Causal Findings Analysis Methodology-aviation

AFRCPAM91-201 governs causal findings analysis for determining causal factors in U.S. Air Force aviation mishaps.

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  • Publication number: AFRCPAM91-201
  • Title: CAUSAL FINDINGS ANALYSIS METHODOLOGY-AVIATION
  • Date: 2023-05-12

View AFRCPAM91-201 on armypubs.army.mil

It presents the CFAM six-step methodology for identifying what happened, why it happened, and how to prevent recurrence. It identifies tools for the analysis and requires records created through its processes to be maintained and disposed of under Air Force records requirements.

Applies to: It is intended for use by individuals who investigate and report Air Force mishaps, and is particularly tailored to the needs of persons assigned to formal Safety Investigation Boards (SIB) following all classes of flight mishaps (see AFI 91-204 for definitions).

Topics covered

  • Causal findings analysis
  • Aviation mishap investigations
  • Root cause analysis
  • Mishap sequence of events
  • Causal areas or factors
  • Safety Investigation Boards
  • CFAM required tools

Questions and answers

What does CFAM determine?

CFAM is a six-step methodology used to determine: (1) What happened; (2) Why it happened; and (3) What to do to prevent it from happening again.

Is CFAM a replacement for Air Force mishap investigation principles?

CFAM consists of a simple diagram of events that become a draft set of findings for input into AFSAS.

How should each event in the mishap sequence be written?

Each event must be a singular statement.

What connection must each event have in the mishap sequence?

Each event must have a logical connection to a preceding event.

Which events require a closer look during causal analysis?

All events that led to damage or injury deserve a closer look and will be identified by placing a mark on the Adhesive note. (paragraph 1)

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