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: +383 (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.