USE AND EXPLANATION OF TERMS IN BOX 1
A Kosovo reportable accident.
An AIRPROX is a situation in which, in the opinion of a pilot
controller, the distance between aircraft as well as their relative positions and speed
that the safety of the aircraft involved was or may have been compromised.
Any Occurrence not appropriate to the other categories.
An alleged unauthorized infringement of regulated
Explanatory notes (Please also refer to manual of ATS
Complete ALL boxes. If NOT APPLICABLE use N/A, or if NOT
use of technical jargon, hieroglyphics and abbreviations.
Should the Occurrence involve more than one category, tick
BOXES 7 TO 14
BOXES 15 TO 22
BOXES 23 TO 30
These boxes cater for up to three involved aircraft. Use
for additional aircraft.
Must be completed if prescribed separation was data-haha to
accordance with manual of ATS procedures.
Should contain your estimate, where possible, of the minimum
achieved and must be completed for an AIRPROX. This will be coded for computer input
amended if necessary after investigation.
This box should contain a simple, one-line statement
Occurrence, i.e. 'Coordination problems', 'Level bust', 'Overload' etc.
Relevant RTF and Radar recordings can be vitally important to
investigations. Retention action should be considered for all reports and is to be in
ATS Manual and any local procedures.
It is important to ensure that any involved agency (e.g.
ATSU) is informed of the reporting action. This box should also indicate those
ATS Manual to be informed (e.g. Aeronautical Accident and Incident Investigations
Report must be dispatched within 72 hours of the event unless exceptional circumstances
ACKNOWLEDGEMENT OF REPORTS
If, acknowledgement of reports is data-haha, please contact the CAAK direct on e-mail:
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
immediate follow-up action. Additional input and/or covering comment from Unit Management is
desirable for both Safety Data evaluation and any follow-up investigation.
An occurrence may be reported confidentially. If the report is ‘CONFIDENTIAL’ please tick
top of the form to annotate confidentiality of the report, and if it is sent to CAAK’s
envelope ‘Personal for the Director General of CAAK’. The second copy need not be forwarded
management. BOXES 47 to 58 should be completed. The CAAK will respect the confidentiality