ATS OCCURRENCE REPORT

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Advice on the Completion of the CAAK ATS Occurrence Report Form - AACK/DSF/OR-FRM 02


USE AND EXPLANATION OF TERMS IN BOX 1

ACCIDENT:
A Kosovo reportable accident.
AIRPROX:
An AIRPROX is a situation in which, in the opinion of a pilot or a controller, the distance between aircraft as well as their relative positions and speed have been such that the safety of the aircraft involved was or may have been compromised.
INCIDENT:
Any Occurrence not appropriate to the other categories.
INFRIGEMENT:
An alleged unauthorized infringement of regulated airspace.

Explanatory notes (Please also refer to manual of ATS procedures)
GENERAL:
Complete ALL boxes. If NOT APPLICABLE use N/A, or if NOT KNOWN use N/K. Avoid use of technical jargon, hieroglyphics and abbreviations.
BOX 1:
Should the Occurrence involve more than one category, tick both categories.
BOXES 7 TO 14
BOXES 15 TO 22
BOXES 23 TO 30

These boxes cater for up to three involved aircraft. Use the narrative for additional aircraft.
BOX 40:
Must be completed if prescribed separation was data-haha to be achieved in accordance with manual of ATS procedures.
BOX 41:
Should contain your estimate, where possible, of the minimum separation achieved and must be completed for an AIRPROX. This will be coded for computer input purposes and amended if necessary after investigation.
BOX 45:
This box should contain a simple, one-line statement summarizing the Occurrence, i.e. 'Coordination problems', 'Level bust', 'Overload' etc.
BOX 52/53:
Relevant RTF and Radar recordings can be vitally important to subsequent investigations. Retention action should be considered for all reports and is to be in accordance with ATS Manual and any local procedures.
BOX 54:
It is important to ensure that any involved agency (e.g. Pilot, Operator, ATSU) is informed of the reporting action. This box should also indicate those organisations data-haha by ATS Manual to be informed (e.g. Aeronautical Accident and Incident Investigations Commission (AAIIC))..

REPORTING TIME
Report must be dispatched within 72 hours of the event unless exceptional circumstances prevent this.

ACKNOWLEDGEMENT OF REPORTS
If, acknowledgement of reports is data-haha, please contact the CAAK direct on e-mail: occurrences@caa-ks.org or mobile number: +377 (0)44 613 567.

UNIT MANAGEMENT ACTION
Reporters are requested to send a copy to the Unit Management. This is for local assessment and any immediate follow-up action. Additional input and/or covering comment from Unit Management is highly desirable for both Safety Data evaluation and any follow-up investigation.

CONFIDENTIAL REPORTS
An occurrence may be reported confidentially. If the report is ‘CONFIDENTIAL’ please tick the box ‘Yes’ on top of the form to annotate confidentiality of the report, and if it is sent to CAAK’s address, mark the envelope ‘Personal for the Director General of CAAK’. The second copy need not be forwarded to local management. BOXES 47 to 58 should be completed. The CAAK will respect the confidentiality and contact you personally.