Registration form

First Name* Last Name*
Job Title E-mail*
Preferred Contact Number*  Mobile  Office  Home
Alternate Contact Number  Mobile  Office  Home
Type of License:*  Pilot – Type of Aircraft Certified on
   Maintenance – Type of Aircraft Certified on
   Other (explain)  
   N/A
Company/Organization*
Address 1*
Address 2
City/Town* Zip/Postal Code*
State/Province Country
Type of Operation:*  Private  Commercial  OEM
   Other (explain)  
Type(s) of Aircraft your company owns / operates*
Shirt Size  Small  Medium  Large  X-Large  XX-Large
Do you plan to attend the Dinner Banquet - Wednesday Evening, Sept 30, 2009?*
 YES  NO

How did you hear about the Safety Standdown Seminar? (check one)
 Bombardier Safety Standdown email announcement
   NBAA website / email announcement  Bombardier website
   You are a Previous Attendee  Bombardier Employee
   Media / Publication (name of publication)
   Other: 

 
Cancellation Notification
The seminar is free of charge, however, to protect the investments of the attendees it will be necessary to charge a cancellation fee for cancellations received after September 14, 2009. Your credit card will be charged $180.00 USD upon receipt of cancellation notification.
 

Credit Card Information*
Name on credit card*
Credit Card Type*  AMEX  Discover  Diners Club  Mastercard  VISA
Credit Card Number* Expiration Date*


 
OPTIONAL DAY TRAINING SIGN-UP – Monday, September 28, 2009
(Optional day participation is limited in size. All workshops are on a first-come basis.)
Choose up to two of the following half-day modules:
  CPR / AED TRAINING AND CERTIFICATION (Limited to 50 participants)
Preferred time (check one)  Morning    Afternoon
  MIND + BODY WELLNESS (Limited to 50 participants)
Preferred time (check one)  Morning    Afternoon
  DITCHING AND UNDERWATER EGRESS TRAINING (limited to 50 participants)
Preferred time (check one)  Morning    Afternoon
  HIGH ALTITUDE PHYSIOLOGY (HYPOXIA) WITH REDUCED OXYGEN BREATHING DEVICES (Limited to 24 participants)
*Must provide copy of current FAA medical certificate
Preferred time (check one)  Morning    Afternoon
OR
Choose one of the following full-day modules:
  INTERNATIONAL PROCEDURES - Available to Pilots only (Limited to 75 participants)
  ADVANCED PSYCHOLOGY BEHAVIOR MODIFICATION - Available to Chief Pilots, Aviation Department Managers, Safety, Training or Standardization Pilots (Limited to 50 participants)
  AIRBORNE WEATHER RADAR WORKSHOP (Limited to 50 participants)
  SMART PILOT WORKSHOP (Limited to 50 participants)
  RUNWAY ANALYSIS / TERPS WORKSHOP (Limited to 50 participants)
  HUMAN FACTORS FOR MAINTENANCE TECHNICIANS (Limited to 50 participants)
 


For more information call: 316.946.7876 or Email Safety_Standdown@aero.bombardier.com


* Mandatory Fields

 
Test your CPR and AED skills in a hands-on, easy and convenient way by using a portable Mini-Anne™ Learning Manikin. After successful completion of the training, obtain your American Heart Association CPR/AED card, and then take home a complimentary CPR Anytime Personal Learning Program kit to share with your friends and family.
Smart Heart: Cardiovascular Risk Factors Among Pilots and Crew
Cardiovascular disease is one of the most important causes for a pilot's medical disqualification in the United States and worldwide. While there is no single cause for heart attacks, a series of risk factors can increase the likelihood of developing cardiac problems. Those risk factors include high cholesterol, high blood pressure, smoking, diabetes, low physical activity and genetic predisposition.

Paulo M. Alves, a cardiologist and former aviation medical director, will confidentially survey Safety Standdown workshop attendees one month in advance and present MedAire's survey of findings on former cholesterol research, medical histories as well as tips to ensure that pilots and crew have a "smart heart."

Additionally, this safety and risk management presentation will address:
Stress Management in Safety Management Systems
A demanding boss, a hectic flight schedule, lack of sleep, fears about the economy and joblessness. A career in aviation offers an interesting model for studying stress. As scientific and medical studies have illustrated, stress and performance are related. High performance is typically associated with moderate stress levels. Low performance is associated with highly demanding situations and low-demand expectations.

Whether you're managing a flight department, piloting an aircraft or maintaining one—your position demands high situational alertness and attention. To remain in this well-balanced state, it's important that the department as well as the cockpit environment remain free from external factors that may jeopardize flight operations.

Personal lifestyle is a common factor that can interfere with your overall health and stress levels. Health is not defined simply as the absence of disease. It is, rather, a state of physical, mental and social wellness that must be constantly maintained. Some people are healthier simply because of a positive family life, regular exercise and smart choices regarding smoking and alcohol intake.

Work stressors can also interfere with your health and safety. Fears due to a weakening economy, reduced staffing, flight department closure—even joblessness—can weigh heavily on the on the hearts and minds of employees. To minimize stress, business aviation professionals are encouraged to consciously manage their lifestyles and focus on what's happening at the office—as we as at home and in your community. This presentation will discuss the major physiological components of personal stress and ways you can manage it.
Training includes classroom lecture and live training in hotel pool. Topics covered will be cold/warm water survival, preparation for ditching, raft deployment, emergency evacuation, life jacket usage, egress training, simulated cockpit submerging. Each participant will be required to bring adequate clothing and a pair of soft shoes for the water training.
Attendees will experience high altitude physiology (hypoxia) effects using a reduced oxygen breathing device. Each airman will be provided two exposures to a 25,000 ft. simulated environment (at sea level). Each individual experiences their own symptoms of hypoxia, and learn how to treat themselves and recover the aircraft. Classroom lecture covers prevention of hypoxia, severity of symptoms of hypoxia, and identify possible signs and symptoms.
Workshop includes training on Altimetry, PANS ops procedures, equal time points, wet foot prints, points of safe return, general oceanic contingency procedures, contingency planning in the North Atlantic Region and contingency planning in the Pacific Region.
Provides a better understanding of human behavior and personal interaction. This workshop addresses baseline fundamentals of human behavior as it relates to pilot and non-pilot personnel while promoting in-depth understanding of causal factors directly related to human performance and safety of flight.
Radar Training International specializes in providing operational tactics, techniques, and limitations of airborne weather radar systems to professional pilots and flight departments. Course will include a review of major convective weather accidents, radar basics and fundamental concepts. Attendees will leave with a clear understanding of the key limitations and capabilities of airborne weather radar systems.
A highly interactive and engaging workshop that provides an advanced understanding of pilot cognitive performance, situation awareness, resource management, and how to make it all work in a crew environment. Workshop builds upon the knowledge of crew resource management and human factors acquired throughout your flight experience and will also cover group dynamics, workload management, and problem solving.
This workshop will prepare you for emergency performance planning / procedures versus Terminal Instrument Procedures (TERPS). TERPS is understanding the requirements and uses from an operational aspect defining TERPS Departure Procedure requirements. You will learn about understanding FAR 135/121 Takeoff and Landing Performance requirements with an explanation of Advisory Circular 120-91.You will also learn about Runway Analysis and what does it provide to the pilot clarifying the differences between TERPS and FAR requirements.) procedures versus Terminal Instrument Procedures (TERPS).
Workshop provides insight as to human elements that affect judgment in the workplace. Includes examination of a variety of human factors such as complacency, distraction fatigue, and stress, which all affect decision making. The workshop will demonstrate how safety nets, or countermeasures can be instituted to prevent incidents and accidents due to human error. This workshop meets the FAA requirements for IA Renewal.