PFD report

Jonathan Harvey Bayliss · Prevention of Future Deaths report

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Issued 7 Dec 2021•North West Wales

Report record

Published report and response evidence

This page connects the concerns raised in this report with statements found in recipients’ published responses. A link shows a clear evidence connection; it does not assign responsibility.

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Concerns
2

Raised in this report

Recipients
1

Named on the report

Responses found
1

Of 1 recipient

Stated actions
13

Described in responses

Recipients and published responses

Source document

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

Select any concern, action or position to view the source wording.

Report evidence summary

Concerns raised2

  1. Failure of Hawk TMk1/1A simulator training to reflect the aerodynamic effects of a fitted smoke pod
  2. Lack of artificial stall warning capability during low-speed, low-altitude manoeuvring
Responses linked to these concerns

Each statement is shown once, even when linked to more than one concern.

Actions described in response An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.5

  1. Action

    Complete analysis and evaluation supporting a combined artificial stall warning and Angle of Attack gauge.

    Stated by Ministry of DefenceStated completedThe respondent said that this action was complete when they made their response on 10 December 2021.
  2. Action

    Fit a combined artificial stall warning and Angle of Attack gauge to remaining RAFAT Hawk T Mk1 aircraft, including required testing and evaluation.

    Stated by Ministry of DefenceStated plannedThe respondent said that this action was planned when they made their response on 10 December 2021.
  3. Action

    Identify options and develop procurement planning for a bespoke RAFAT Hawk Synthetic Training Facility at RAF Waddington.

    Stated by Ministry of DefenceStated in progressThe respondent said that this action was in progress when they made their response on 10 December 2021.

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure of Hawk TMk1/1A simulator training to reflect the aerodynamic effects of a fitted smoke pod

Wider context from the report

“It was recommended by the Service Inquiry that the Hawk TMk1/1A simulator training accurately reflects an aerodynamic model of a RAF aircraft aircraft with smoke pad fitted, given that this may soon become the only Hawk Mk1/1A operated by the RAF and the current training simulator did not have the effect of a smoke pod fitted. Whilst there are developments in this respect there is no new synthetic trainer in place as yet. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

Open source report

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Lack of artificial stall warning capability during low-speed, low-altitude manoeuvring

Wider context from the report

“As identified by the Service Inquiry the cause of the crash was the aircraft stalling with insufficient height to recover. It was also recognised that the aircraft may in certain circumstances stall without pre-stall buffet. The pre-stall buffet remains the warning sign to the pilot of an impending stall. The Service Inquiry recommended that urgent investigations be undertaken into the incorporation of an artificial stall warning capability in the Hawk Mk 1 to provide sufficient warning to pilots during low speed low altitude manoeuvring. Whilst a feasibility assessment and cost benefit analysis have been undertaken a final decision is yet to be made as to whether or not the recommendations will be adopted. The current out of service date for the said aircraft is at least 2030. A number of RAF Aerobatic Team pilots will be flying every year (including a small number of new arrivals each year) and some circumn engineers are still being flown in the said aircraft. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

Open source report

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Complete analysis and evaluation supporting a combined artificial stall warning and Angle of Attack gauge.

Verbatim wording from the response

“Matters of Concern 1 – “As identified by the Service Inquiry, the cause of the crash was the aircraft stalling with insufficient height to recover. It was also recognised that the aircraft may in certain circumstances stall without pre-stall buffet. The pre-stall buffet remains the warning sign to the pilot of an impending stall. The Service Inquiry recommended that urgent investigations be undertaken into the incorporation of an artificial stall warning capability in the Hawk T Mk1 to provide sufficient warning to pilots during low-speed low-altitude manoeuvring. Whilst a feasibility assessment and cost benefit analysis have been undertaken a final decision is yet to be made as to whether or not the recommendation will be adopted.””

Source location

2021-0413-Response-from-Ministry-of-Defence_Published
Page 1 · response
Published 10 December 2021

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Fit a combined artificial stall warning and Angle of Attack gauge to remaining RAFAT Hawk T Mk1 aircraft, including required testing and evaluation.

Verbatim wording from the response

“As you observe, further analysis and evaluation has been carried out after the sad death of Corporal Bayliss. I am pleased to say that this has concluded that the incorporation of a combined ASWS and Angle of Attack (AoA) gauge to enhance stall mitigation is feasible and proportionate. The RAF will now take forward work to fit a combined ASWS and AoA gauge to the remaining RAFAT Hawk T Mk1 aircraft. This will require significant test and evaluation, which will be a high priority. The exact timescales for test, evaluation, development and embodiment of the combined ASWS/AoA gauge will be determined this year.”

Source location

2021-0413-Response-from-Ministry-of-Defence_Published
Page 2 · response
Published 10 December 2021

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Identify options and develop procurement planning for a bespoke RAFAT Hawk Synthetic Training Facility at RAF Waddington.

Verbatim wording from the response

“The Ministry of Defence (MOD) recognises that the Hawk Synthetic Training Facility at RAF Valley provides a generic platform for procedural and emergency training, for pilots that operate all types of Hawk T Mk1 aircraft. The retirement of the ‘black’ Hawk T Mk1, which includes 736 Royal Naval Air Squadron and Number 100 Squadron, on 31 March 2022, provides an opportunity to deliver a bespoke Hawk Synthetic Training Facility for RAFAT pilots. The RAF has begun to identify potential RAFAT focused Hawk Synthetic Training Facility options, to be co-located with the Team at their new home of RAF Waddington. The new Facility will correctly reflect the aerodynamic model of a RAFAT aircraft, with a smoke pod fitted. A detailed procurement timeline is being developed, with the expectation that the new Facility will be in place by 2025.”

Source location

2021-0413-Response-from-Ministry-of-Defence_Published
Page 2 · response
Published 10 December 2021

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Deliver a bespoke RAFAT Hawk Synthetic Training Facility accurately modelling an aircraft with a smoke pod, expected by 2025.

Verbatim wording from the response

“The Ministry of Defence (MOD) recognises that the Hawk Synthetic Training Facility at RAF Valley provides a generic platform for procedural and emergency training, for pilots that operate all types of Hawk T Mk1 aircraft. The retirement of the ‘black’ Hawk T Mk1, which includes 736 Royal Naval Air Squadron and Number 100 Squadron, on 31 March 2022, provides an opportunity to deliver a bespoke Hawk Synthetic Training Facility for RAFAT pilots. The RAF has begun to identify potential RAFAT focused Hawk Synthetic Training Facility options, to be co-located with the Team at their new home of RAF Waddington. The new Facility will correctly reflect the aerodynamic model of a RAFAT aircraft, with a smoke pod fitted. A detailed procurement timeline is being developed, with the expectation that the new Facility will be in place by 2025.”

Source location

2021-0413-Response-from-Ministry-of-Defence_Published
Page 2 · response
Published 10 December 2021

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Update and test the Hawk Synthetic Training Facility software to model a RAFAT Hawk T Mk1 aircraft with a smoke pod.

Verbatim wording from the response

“Prior to this being completed, it is important that RAFAT pilots can train synthetically on an aircraft that is truly representative of the one they fly. MOD has therefore taken steps to ensure that, following the retirement of the ‘black’ Hawk T Mk1 aircraft, the current Hawk Synthetic Training Facility software is updated to closely reflect the aerodynamic model of a RAFAT aircraft with a smoke pod fitted. A period of test and evaluation will be required, although it is expected that the remodelling of the software to replicate a RAFAT Hawk T Mk1”

Source location

2021-0413-Response-from-Ministry-of-Defence_Published
Page 2 · response
Published 10 December 2021

Open published response

Other statements in published responses

These actions and other statements could not be clearly connected to one concern in this report.

Recipient-stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.8

  1. 1

    Incorporate a Cockpit Voice Recorder into RAFAT aircraft.

    Stated by Ministry of DefenceStated in progressThe respondent said that this action was in progress when they made their response on 10 December 2021.
  2. 2

    Review flying training publications.

    Stated by Ministry of DefenceStated completedThe respondent said that this action was complete when they made their response on 10 December 2021.
  3. 3

    Review pilot currency requirements.

    Stated by Ministry of DefenceStated completedThe respondent said that this action was complete when they made their response on 10 December 2021.
  4. 4

    Review training objectives for Supernumerary Crew.

    Stated by Ministry of DefenceStated completedThe respondent said that this action was complete when they made their response on 10 December 2021.
  5. 5

    Continue reviewing the requirement for live forced-landing practice as the stall-warning gauge and synthetic training develop.

    Stated by Ministry of DefenceStated in progressThe respondent said that this action was in progress when they made their response on 10 December 2021.
  6. 6

    Keep masked-buffet risks and safe-approach assessment as key focuses of Hawk T Mk1 pilot training.

    Stated by Ministry of DefenceStated in progressThe respondent said that this action was in progress when they made their response on 10 December 2021.
  7. 7

    Develop a Command Electronic capability.

    Stated by Ministry of DefenceStated in progressThe respondent said that this action was in progress when they made their response on 10 December 2021.
  8. 8

    Create a RAFAT-focused Air Safety Management Team.

    Stated by Ministry of DefenceStated in progressThe respondent said that this action was in progress when they made their response on 10 December 2021.

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Incorporate a Cockpit Voice Recorder into RAFAT aircraft.

Verbatim wording from the response

“I understand that you heard evidence of how changes have been made following the recommendations of the Service Inquiry. These include a review of flying training publications, pilot currency requirements and training objectives for Supernumerary Crew. In addition, key safety enhancements such as the creation of a RAFAT-focused Air Safety Management Team, the development of a Command Electronic capability, and the incorporation of a Cockpit Voice Recorder are already in train.”

Source location

2021-0413-Response-from-Ministry-of-Defence_Published
Page 1 · response
Published 10 December 2021

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Review flying training publications.

Verbatim wording from the response

“I understand that you heard evidence of how changes have been made following the recommendations of the Service Inquiry. These include a review of flying training publications, pilot currency requirements and training objectives for Supernumerary Crew. In addition, key safety enhancements such as the creation of a RAFAT-focused Air Safety Management Team, the development of a Command Electronic capability, and the incorporation of a Cockpit Voice Recorder are already in train.”

Source location

2021-0413-Response-from-Ministry-of-Defence_Published
Page 1 · response
Published 10 December 2021

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Review pilot currency requirements.

Verbatim wording from the response

“I understand that you heard evidence of how changes have been made following the recommendations of the Service Inquiry. These include a review of flying training publications, pilot currency requirements and training objectives for Supernumerary Crew. In addition, key safety enhancements such as the creation of a RAFAT-focused Air Safety Management Team, the development of a Command Electronic capability, and the incorporation of a Cockpit Voice Recorder are already in train.”

Source location

2021-0413-Response-from-Ministry-of-Defence_Published
Page 1 · response
Published 10 December 2021

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Review training objectives for Supernumerary Crew.

Verbatim wording from the response

“I understand that you heard evidence of how changes have been made following the recommendations of the Service Inquiry. These include a review of flying training publications, pilot currency requirements and training objectives for Supernumerary Crew. In addition, key safety enhancements such as the creation of a RAFAT-focused Air Safety Management Team, the development of a Command Electronic capability, and the incorporation of a Cockpit Voice Recorder are already in train.”

Source location

2021-0413-Response-from-Ministry-of-Defence_Published
Page 1 · response
Published 10 December 2021

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Continue reviewing the requirement for live forced-landing practice as the stall-warning gauge and synthetic training develop.

Verbatim wording from the response

“RAFAT pilots are regularly required to practice and demonstrate their competence to complete a forced landing. The potential for airframe buffet to be masked by both the ‘smoke pod’ and when the landing gear is down has been, and will continue to be, a key focus of Hawk T Mk1 pilot training, combined with the ability to correctly assess a safe approach. The requirement to practise ‘live’ forced landings will be constantly reviewed, in-line with the development of a combined ASWS/AoA gauge and as future RAFAT Hawk T Mk1 synthetic developments are realised.”

Source location

2021-0413-Response-from-Ministry-of-Defence_Published
Page 2 · response
Published 10 December 2021

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Keep masked-buffet risks and safe-approach assessment as key focuses of Hawk T Mk1 pilot training.

Verbatim wording from the response

“RAFAT pilots are regularly required to practice and demonstrate their competence to complete a forced landing. The potential for airframe buffet to be masked by both the ‘smoke pod’ and when the landing gear is down has been, and will continue to be, a key focus of Hawk T Mk1 pilot training, combined with the ability to correctly assess a safe approach. The requirement to practise ‘live’ forced landings will be constantly reviewed, in-line with the development of a combined ASWS/AoA gauge and as future RAFAT Hawk T Mk1 synthetic developments are realised.”

Source location

2021-0413-Response-from-Ministry-of-Defence_Published
Page 2 · response
Published 10 December 2021

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Develop a Command Electronic capability.

Verbatim wording from the response

“I understand that you heard evidence of how changes have been made following the recommendations of the Service Inquiry. These include a review of flying training publications, pilot currency requirements and training objectives for Supernumerary Crew. In addition, key safety enhancements such as the creation of a RAFAT-focused Air Safety Management Team, the development of a Command Electronic capability, and the incorporation of a Cockpit Voice Recorder are already in train.”

Source location

2021-0413-Response-from-Ministry-of-Defence_Published
Page 1 · response
Published 10 December 2021

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Create a RAFAT-focused Air Safety Management Team.

Verbatim wording from the response

“I understand that you heard evidence of how changes have been made following the recommendations of the Service Inquiry. These include a review of flying training publications, pilot currency requirements and training objectives for Supernumerary Crew. In addition, key safety enhancements such as the creation of a RAFAT-focused Air Safety Management Team, the development of a Command Electronic capability, and the incorporation of a Cockpit Voice Recorder are already in train.”

Source location

2021-0413-Response-from-Ministry-of-Defence_Published
Page 1 · response
Published 10 December 2021

Open published response
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Information checked against the published report and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Official responses located
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Data last updated 7 September 2026