Thursday, July 5, 2012

Occurrence Reporting

       (a) The organisation shall report to DGCA, the state of registry and the organisation responsible for the design of the aircraft or component any condition of the aircraft or component identified by the organisation that has resulted or may result in an unsafe condition that hazards seriously the flight safety.
      (b) The organisation shall establish an internal occurrence reporting system as detailed in the exposition to enable the collection and evaluation of such reports, including the assessment and extraction of those occurrences to be reported.
This procedure shall identify adverse trends, corrective actions taken or to be taken by the organisation to address deficiencies and include evaluation of all known relevant information relating to such occurrences and a method to circulate the information as necessary.
            (c) The organisation shall make such reports in a form and manners established by DGCA and ensure that they contain all pertinent information about the condition and evaluation results known to the organisation.
           (d) Where the organisation is contracted by a commercial operator to carry out maintenance,  the organisation shall also report to the operator any such condition affecting the operator's aircraft or component.
           (e) The organisation shall produce and submit such reports as soon as practicable but in any case within 72 hours of the organisation identifying the condition to which the report relates.
         1. The aim of occurrence reporting is to identify the factors contributing to incidents, and to make the system resistant to similar errors
         2. An occurrence reporting system should enable and encourage free and frank reporting of any (potentially) safety related occurrence. This will be facilitated by the establishment of a just culture. An organisation should ensure that personnel are not inappropriately punished for reporting or co-operating with occurrence investigations.
          The internal reporting process should be closed-loop, ensuring that actions are taken internally to address safety hazards.
Why do we have to report?
 Who must report?
 What do we have to report?
 To whom do we have to report?
  How do we have to report?
 Within what timeframe do we have to report?
 Why do we have to report
         Regardless in which country we are, i.e. under which set of regulations we fall, reporting is mandatory.The occurrence reporting system is considered to be an essential part of the overall monitoring function.
          The objective of the occurrence reporting system is to improve aviation safety, and not to attribute blame, impose fines or take other enforcement actions.
                  Detailed objectives of the occurrence reporting systems are:
assessment of the safety implications of each occurrence so that any necessary action can be initiated and similar occurrences can be prevented in the future to learn from occurrences. the occurrence reporting system is a tool to identify those occasions where routine procedures have failed.
Who must report
   Design Organisation (Part 21A.3)
  Production Organisation (Part 21A.129 & 21A.165)
  Owner (M.A.202)
  CAMO (M.A.202)
  AMO (M.A.202 & 145.A.60)
 Independent Certifying Staff (M.A.202)
 Pilot-Owner (M.A.202)
  What do we have to report
             Any condition that could endanger the safe operation of the aircraft or any condition that has resulted in or may result in an unsafe condition that could seriously hazard the aircraft must be reported.
       When you have an occurrence you have to investigate whether it is reportable or not Reportable occurrences are those where the safety of operation was or could have been endangered or which could have led to an If in the view of the reporter an occurrence did not hazard the safety of the operation but if repeated in different but likely circumstances would create a hazard, then a report should be made.
            What is judged to be reportable on one class of product, part or appliance may not be so on another and the absence or presence of a single factor, human or technical, can transform an occurrence into a serious incident or accident.
 To whom do we have to report
  How do we have to report
                     Reports must be transmitted in any form considered acceptable to the recipient.
The amount of information in the report should be commensurate with the severity of the occurrence.
Each report should at least contain the following elements: 
                     (i)   Organisation name
                     (ii)  Approval reference (if relevant)
                     (iii) Information necessary to identify the aircraft or part affected.
                     (iv) Date and time if relevant
                     (v)  A written summary of the occurrence
                     (vi) Any other specific information required
                ATTENTION: For any occurrence involving a system or component, which is monitored or protected by a warning and/or protection system (for example: fire detection/extinguishing) the occurrence report should always state whether such system(s) functioned properly.
Within what time frame do we have to report
                         Reporting must be done as soon as practicable but in any case within 72 hours. This 72 hours timeframe is a nearly worldwide valid time frame.
                         This period of 72 hours is normally understood to start from when the occurrence took place or from the time when the reportee determined that there was, or could have been, a potentially hazardous or unsafe condition.
                          Where an occurrence is judged to have resulted in an immediate and particularly significant hazard the Agency and/or national authority expects to be advised immediately, and by the fastest possible means (e.g. telephone, fax, telex, e-mail) of whatever details are available at that time. This initial notification should then be followed up by a report within 72 hour.

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