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According to the National Transportation Safety Board (NTSB), 85% of flight-related accidents in the past 20 years have been due to pilot error, despite the aviation culture promoting the motto Safety First. This issue is believed to result from training that primarily emphasizes flight skills and proficiency, with less focus on risk identification, disclosure, and mitigation. The Federal Aviation Administration (FAA) recommends that all aviators complete a preflight risk assessment checklist, evaluating the individual risk factors that impact flight safety, including the environment, the airframe, mission complexity, and external pressures, such as mission demands, supervisor expectations, personal issues, on the crew and the pilot. This activity focuses on the human factors relating to flight safety decisions, mitigation strategies, and the Go/No-Go decision. The I-M-S-A-F-E mnemonic (Illness, Medication, Stress, Alcohol, Fatigue, Emotion/Energy) is commonly used to help review these factors.