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Military

Board of Inquiry - Afghanistan 2002
Documents - Final Report

Blame
Were the deceased and injured non-commissioned members to blame for the injuries or deaths?

None of the deceased, injured or other members of the 3 PPCLI BG who planned, coordinated or participated in the subject live-fire exercise at the Tarnak Farms range can be blamed in any way for the injuries or deaths that occurred as a result of the subject incident. 

Were any other person(s), to blame for the injuries or deaths?

The Canadian Board has determined that the actions of the Coffee 51 Flight are the primary cause for the injuries and deaths.  Despite the initial misinterpretation of the live-fire exercise as a threat to their formation, there exists a series of related disturbing contradictions between their perceptions, their actions and accepted procedures.  These are outlined in the following table:

Disturbing Contradictions
Observations/Facts Board's Conclusion
Approximately 4 minutes prior to invoking self-defence, and prior to splitting the formation, Coffee 51 Flight informs                       that they have ordnance onboard. It is unusual for a fighter formation to make such a comment to the controlling authority given the fact that they were proceeding home out of the mission area.  This comment is inappropriate and the reason for it is unclear.
Approximately 90 seconds prior to invoking self-defence Coffee 52 requests permission to employ his gun against the observed ground fire location. Based on the SPINS as well as numerous testimonies, such a request seems to contravene accepted logic and procedures.  Combined with the previous call to                      Coffee 52's intentions are suspect.  In addition neither of the aircraft in the formation had taken appropriate evasive action to counter the perceived threat.
Coffee 51 Flight's description of the ground fire depicts significant rapid fire activity                                                               up towards their position at altitude. Actual ground fire consisted of anti-tank rounds being fired individually every 30 to 45 seconds for a total of 6 rounds.  This was supported by small arms fire which included tracers.  All ground fire was directed in a level plane in a westerly direction towards a single target about 200 meters away.
Both pilots of Coffee 51 flight were highly qualified pilots with previous combat experience, which included seeing hostile surface to air fire.    As testified by a TF Rakassan helicopter pilot flying in the local vicinity just prior to the incident, the few ricochets that did occur never exceeded an altitude of approximately 1000 feet AGL.  Given the unrestricted visibility and experience of these pilots, it is surprising that their perceptions (rate, direction and angle of ground fire) would be so inaccurate.
Coffee 52 not only remains within the immediate vicinity of the perceived threat, but increases the risk by descending lower to the threat while allowing his airspeed to occasionally decrease below optimal maneuvering speed.    It is quite surprising and contrary to both SPINS and accepted defensive reactions that Coffee 52 would willingly allow himself to be exposed to a higher threat envelope through such actions.  While the altitude minimums published may have permitted him to get this low to accomplish a "mark", better airmanship would have dictated remaining at altitude or performing the                designation at a greater distance from the perceived threat.
Throughout the 4 minute period prior to invoking self-defence, neither pilot's voice reflect concern for their own safety. In reviewing their submitted statements as well as their post-flight testimony, it seems very clear that the perceived threat was both immediate and grave (perceived to be under ambush), that would have warranted concern in their voice, directive defensive calls and aggressive defensive maneuvers.
Coffee 51 Flight remains in the perceived threat area for an unusually long time, both before and after bomb release, without ever attempting to escape the perceived envelope. It is particularly alarming that neither of these experienced fighter pilots ever initiated a defensive reaction after the bomb had impacted, but rather continued to circle within the perceived threat area until AWACS directed to "Scram South".
Coffee 52 invokes self-defence ROE based on his assessment that Coffee 51 was in imminent danger. Such an assessment defies the documented facts.  Coffee 51 remains at a safe altitude and distance from the perceived threat throughout entire incident. Furthermore, Coffee 51 is in visual contact with the ground fire, yet never demonstrates (through calls or maneuvers) that he feels personally threatened.  Finally it is doubtful that Coffee 52 truly had continuous visual contact with his lead considering the relative position of Coffee 51 to him (an average of                                above and over                behind his aircraft) as well as the other tasks he was performing

                                visually monitoring ground fire and flying his aircraft).

Coffee 52 never provides a defensive directive call to his lead after deciding that self-defence of the formation was essential. Despite repeated claims that the invoking of the self-defence ROE was necessary to protect his lead, Coffee 52 never provided his lead with a directive call to take defensive action (ie: break L/R) or provide description of the threat direction and range.
Both on                                          and in recorded statements, Coffee 52 attests to the existence of an artillery piece firing towards them. Once Coffee 51 and Coffee 52 have focused their                 on the ground fire location, only a few men are ever seen and no attempt is made by either pilot to positively discern and identify the perceived artillery piece.
It is common knowledge amongst the F-16 pilots, reinforced by their mission briefs, that KAF was an active Coalition airfield with a large concentration of friendly troops                      Coffee 51 becomes aware of the formations proximity to KAF over 1 minute prior to the bomb release. It is unusual that Coffee 52 would not have visually acquired the KAF given the significant artificial lighting at the camp on the runway.  Given the close proximity of the ground fire to this significant feature should have given concern to the probable presence of "friendlies" (TF Rakassan personnel,                and Afghanistan Military Forces) in and around the general area.  Further complicating the issue was the lingering concern amongst the F-16 pilots about the uncertain location of "friendlies" in Afghanistan.
Throughout the period prior to and immediately after the bomb release Coffee 51 does not take positive control of the formations actions. Not only is Coffee 51 the flight lead for the mission, he is also the Commanding Officer of the 170th Fighter Squadron.  Despite the extended period of exposure to the perceived threat, the calls and maneuvers by his wingman, and his knowledge of their position relative to KAF, Coffee 51 fails to take control of the situation.  Given his position throughout the incident, in reference to the perceived threat and Coffee 52, he should have either directed the formation away from the threat or queried Coffee 52's maneuvering into the higher threat envelope.
17 seconds after the bomb impacts, Coffee 51 queries                       as to whether the perceived ground threat was "shooting at us?" It is extremely unusual that a fighter aircraft would make such a request of an AWACS that was over                away from the scene of the incident, and could not have possibly seen the ground fire.  Furthermore, given the fact that Coffee 52 was so convinced that his lead was being fired at that he invoked self-defence ROE, this request demonstrates a significant difference in appreciation of the perceived threat between the two F-16 pilots, and is inconsistent with Coffee 51's post flight statements.

It is the conclusion of the Board that the pilot's actions were not consistent with either the expected practice for a defensive threat reaction or the existing published procedures, including the SPINS.  This represented a failure of leadership, airmanship and technique.  Furthermore, their actions contravened the published Commander's direction with respect to reaction to AAA and employment of ordnance outside of engagement zones.  Finally, even though it is reasonable to believe that the ground firing exercise at Tarnak Farm might have been perceived as enemy surface to air fire, a longer, more patient look from a safe altitude and range, combined with a good knowledge of the airspace and the threat in the area, should have confirmed that the event observed was neither a direct threat to their formation or enemy activity of a significant nature.


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