Académique Documents
Professionnel Documents
Culture Documents
ACCIDENT/INCIDENT
REPORTING
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MANUAL
(ADREP MANUAL)
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(ii)
Foreword
The 1979 Accident Prevention and Investigation Div- own method has been developed for the coding of
isional Meeting made recommendations with respect factors, replacing that of having to select codes from a
to the ADREP system in general and the manual in relatively limited list of choices. As well, information
particular. Subsequently, an ADREP Study Group was which in the past was rarely or never reported nor used for
created to assist the Secretariat with implementing these extraction has been deleted. The reduction in the infor-
recommendations. mation required for the reports amounts to some
30 per cent.
As a result, this second edition is significantly different
from the first. Most notably, the reporting forms have .Finally, the new coding methods used reflect recent
been redesigned to make the compilers task easier by developments in some States which use electronic data
introducing a method which allows the compiler to mark processing for the processing of accident and incident
a choice instead of entering a code. Further, a build your data.
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Table of Contents
Page Page
Chapter 3. Special instructions for some Appendix 5. Codes for descriptive factors . . . . A5-1
identifiers . . . . . . .._..........I............ 5
Appendix 6. Codes for explanatory factors . . . A6-1
(v)
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Chapter 1
General
information is first checkedand then stored in a computer. Report and, when the investigation is completed, with a
The stored reports constitute a data bank of world-wide complete report called an Accident Data Report.
occurrencesto provide States with the following services:
Preliminary Report
a) a bimonthly summary of reports received,providing
States with an up-to-date picture of significant 1.3.3 Some factual and circumstantial information
occurrenceson a world-wide basis, as well as with an related to an accident is normally available within the first
opportunity to check their reports as processedby weeks of the investigation. The Preliminary Report form is
ICAO. States are requested to advise ICAO of any used to report this information. A Preliminary Report is to
errors found; be sent by the State conducting the investigation as shown
in the table below.
b) annual ADREP statistics, presenting statistical Annex 13
information under broad categoriessuch as the types To (StatedICAO) For (aircraft category) reference
of events which took place and the phases of
operation in which they occurred; and Stateof Registry or Aircraft over 2 250 kg 6.1;
State of Occurrence 6.2
State of the Operator
c) replies to Statesrequests for specific information. State of Manufacture
States requesting information for specific safety State providing
information
problems should forward to ICAO a request for ICAO (Attention: AIG)
information outlining the problem under study.
Chapter 5 of this manual provides the format to be Same as above (excluding Aircraft 2 250 kg and less, 6.3
used by States for such an ADREP Information ICAO) if airworthiness is involved
Request. Repliesmay be sent using mail, telex, etc.,
depending on the urgency of the request and the 1.3.4 Preliminary Report forms shall be completed for
amount of data to be sent. accidents only; they shall not be completed for incidents.
1.3.5 A Preliminary Report shall be sent to ICAO and 1.4.3 Considering the sensitivity in some Statesregarding
the Statesshown in the table within 30 days of the date of the dissemination of incident information, the following
the accident. If within 30 days the accident investigation is constraints are placed upon the use of incident data:
completed and an Accident Data Report can be compiled
and sent to ICAO, no Preliminary Report is necessary. a) ICAO will use incident information for the purpose
of accident prevention only;
Accident Data Report b) ICAO will not conduct analyses based only on
aircraft incident information without identifying it
1.3.6 When the investigation has been completed and the as such; and
Final Report approved, an Accident Data Report is to be c) ICAO will, before publication, delete the name of
compiled. (Note that the combined Accident/Incident the State of Registry, the registration and the name
Data Report form is used for this.) The purpose of this of the owner/operator.
report is to provide accurate and complete information,
including factors (causes) and safety recommendations.
The Accident Data Report is to be sent by the State 1.5 REPORT FORMS AND CODES
conducting the investigation as follows (Annex 13, 6.7 and
6.8 refer): 1.5.1 The Preliminary Report and Accident/Incident
Data Report forms have been revised for the second
To ICAO (Attention: AIG) edition of this manual and differ significantly from
For Aircraft over 2 250 kg. previous versions. Wherever possible, the coding of
information is now done by marking a choice on the form
1.3.7 If an investigation is re-opened, the information rather than by entering a code.
previously reported should be corrected by a new report.
15.2 In some cases,however, there are so many possible
choices that it would be impractical to put them all on the
reporting form. For these, coding is necessary. The
1.4 IN.CIDENTS
compiler must select the appropriate code and enter it on
the form together with the plain text (the plain text entry
is required in ICAO for data verification). Explanations
General are found in Chapters 2, 3 and 4 and examples of com-
pleted Preliminary and Accident Data Report forms are
1.4.1 An incident is an occurrence, other than an acci- presented in Appendix 8.
dent, associatedwith the operation of an aircraft, which
affects or could affect the safety of operation. The type of 1.5.3 Blank copies of the. two report forms have been
incidents which are of main interest to ICAO, are listed in sent to Statestogether with this manual. Additional copies
Appendix 7. may be obtained from ICAO. States should send their
requests for forms to:
Incident Data Report International Civil Aviation Organization.
Attention: Distribution Officer
1.4.2 There is no obligation for States to conduct an 1000 Sherbrooke Street West
investigation into an incident. However, if a State has Montreal, Quebec
found an incident significant enough to warrant an Canada H3A 2R2
investigation, then an Incident Data Report should be sent.
(Note that the combined Accident/Incident Data Report
form is used for this.) Annex 13, 6.9, recommends that 1.6 REPORTING ACCURACY
incidents involving aircraft of over 5 700 kg be reported if
the investigation has revealed matters consideredto be of The validity of the safety information which ICAO
interest to other States. Preliminary Reports are not to be provides to States depends on the care with which occur-
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completed for incidents; instead, an Incident Data Report rences have been investigated and reported. Thus it is in
should be distributed as follows: the interest of all Statesto accurately report all occurrences
in accordance with Annex 13 and this manual. Only then
To ICAO (Attention: AIG) can ICAO provide the correct and complete information
For Aircraft over 5 700 kg. required for accident prevention.
Chapter 2
General Instructions for Compiling
the ADREP Reports
2.2.1 Short-answer questions are those which ask for 2.3.2 The forms provide space for five pairs of events
factual information consisting of a word or a figure. Each and phases. Since events and phasesare to be recorded by
of these questions is presented in one of the following computer, it is necessary to use standard terms when
ways: compIeting the forms and to be as specific as possible. The
terms and codes for events and phases can be found in
a) Multiple choice (most of the questions on the form Appendix 4.
are presented this way). Mark with an (x) the
applicable choice. 2.3.3 The example below shows how the description of
an occurrence is broken down into. its events and phases
b) Coded information (together with its plain text). for coding purposes.
Select the appropriate code from the applicable
appendix of the manual, enter it in the space Example: During initial climb the check pilot simulated a
provided and then write the meaning of the code in failure of the left engine and the aircraft returned for a
plain text. (The plain text is essentialfor verification single engine landing. On final approach the right engine
of codes in ICAO.) failed. The aircraft landed hard, the student lost
directional control, and the aircraft struck the runway
lights and went off the runway.
c) Direct entry (such as date, time and place names).
Use letters or figures, as required. Leave a blank
space between words as in normal writing, Plain text Code
3
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IC A O 9 3 5 6 * * W 4 B4 L 4 l b O O L 7 0 0 4 2 5 T -
A D R E PM a n u a l
5 . E v e n t: C o l l i s i -o n ru n w a lyi g h ts 03G
P h a s e L: a n d i nrogl l 072 A b b re v i a ti o n W o rdo r u h ra s e
A /C A i r c r a ft
N o te .- T h e x a m pal be o vhea sb e eenx tra c te d frothme A /P A i r p o rt
s a m p Pl er e l i m i n aRry e p o rt i n A p p e n d 8i x. AG L A b o v eg ro u n lde v e l
APP A p p ro a c h
AT C A i r tra ffi c c o n tro l
CAT C a te g o ry
2 .4 N A R R A T IV E S DEQ D e g re e
DM E D i s ta n cmee a s u rienqgu i p m e n t
P r e l i m i n a ry
R e p o rt DRN D a tare p o rtn a rra ti v e
F -T Feet
2 .4 .1 T h en a rra ti vpero v i d ea sb ri e fd e s c ri p tioofnth e F T /M IN F e ept e rm i n u te
a c c i d e innt,c l u d i en m g e rg e nc ci rc y u m s ta n cs ei gsn, i fi c a n t H H o u rs
fa c tsa n do th ere r l e v ai n tfo rm a ti oItns. h o u al dl s ion c l u d e IA S In d i c a tea di rs p e e d
a n yc o rre c ti av ec ti o ta n k e no r u n d ecro n s i d e ra itif othni s IL S In s tru m e lnat n d i ns gy s te m
i s k n o w na t th e e a rl ys ta g eo f th e i n v e s ti g a ti To hn e. IN F O In fo rm a ti o n
n a rra ti vs eh a lnl o te x c e e2 d0 0w o rd sIt. i s i m p o rta th n ta t KG K i l o g ra m s
i t b e b ri e fa n d c l e a r.U s e th e a b b re v i a ti loi ns te s di n KM K i l o m e tre s
T a b l 2e -1a n dty p eo r p ri n th t e n a rra ti vaen du s ed o u b l e K T K n o ts
spacing. LB Po u n d s
M M e tre s
MI S ta tu tem i l e
A c c i d e n t/In c i d eDn at ta R e p o rt M IN M i n u te
M /S M e tre ps e rs e c o n d
2 .4 .2 W h e na P r e l i m i n aRrye p o rth a sb e e pn re v i o u s l y M S L M e a ns e al e v e l
s u b m i ttethde rei s n o n e e to d re p e ai nt fo rm a ti oa nl re a d y N D B N o n -d i re c ti obneaal c o n
re p o rte Hd o. w e v ea r,l ln e wi n fo rm a ti omnu sbt ei n c l u d e d . N M N a u ti c aml i l e
S e e nto g e th e th r, e tw o n a rra ti v es sh o u l pd ro v i d th e e PAR P r e c i s i oa np p ro a ra
c hd a r
c o m p l eh te i s to ry
o f th efl i g h t,th ea n a l y sa ins dc o n c l u s i o n s P A X P a s s e n g e r(s )
o f th ei n v e s ti g a ati no dnth es a fe ty re c o m m e n d amti ao dn se . P IL O T P i l o t-i n -c o m m a n d
T h en a rra ti vseh o u lndo te x c e e2 d0 0w o rd s . RPM R e v o l u ti opnesrm i n u te
RW Y Ru n wa y
2 .4 .3 W h e an P r e l i m i n aR ry e p o hrt a sn o tb e e snu b m i tte d S Se c o n d s
(e i th ei rn th e c a s oe f a n i n c i d e on r,t w h e na n a c c i d e n t T M e tri cto n
i n v e s ti g a tihoansb e e nc o m p l e tew di th i n3 0 d a y s th ) e T AS T ru ea i rs p e e d
n a rra ti vme u s pt ro v i dthe e h i s to ryo f th e fl i g h at n dth e V IS V i s i b i l i ty
a n a l y sa ins dc o n c l u s ioo fnthsei n v e s ti g a tiIno sn u. c ch a s e s V O R V e ryh i g hfre q u e n c y
a to ta lo f 4 0 0w o rd sm a yb eu s e d . o m n i d i re c ti orandai lora n g e
2 .4 .4 If s a fe ty re c o m m e n d a ti (p o nros p o s a l fo
sr N o te .- S o m e ti m l eo sn gw o rd ss, u c ha s th e n a m eosf
p re v e n ti av ce ti o nh) a v eb e e nm a d ea s a re s u l ot f th e g e o g ra p lhoi cc a ti o na sre, a b b re v i a wtei dth a p e ri o d .
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Chapter 3
Special Instructions for some Identifiers
The following special instructions apply to those identi- 010s Duration of flight
fiers which, on the reporting forms, are.marked by the
Enter the length of time the aircraft was
symbol: l
airborne. Enter 0 if the accident occurred
before the aircraft was airbprne.
Identifier Instructions
0201 Injury index
OVOl State reporting If a precise definition is needed, consult
Enter code and plain text from Appendix 1. Annex 13. Generally, an injury is considered
serious if it:
0004 State/area of occurrence
a) requires hospitalization for more than
Enter code and plain text from Appendix 1. 48 hours;
except for engine failure with only engine 1005 Runway identifier
damage, and damage to minor aircraft
Enter direct, such as 23, 23L, 23R.
components.
Enter information for a flight crew The length available does not include
member, other than the pilot-in-command. runway end safety areas, i.e. overrun/
If there is more than one other flight crew undershoot areas.
member, enter information for the one
most involved in the accident. Information 1009 Slope
related to a third other flight crew
member can be entered using identifier For runways with varying slope, such as up-
0535 and following. down-up, enter the over-all slope of the
runway.
0612 Engine manufacturer
1108 Reason for data loss
Enter the manufacturer code and name
from Appendix 3 of the manual. If the code If there was more than one reason for the
cannot be found, omit the code and enter data loss, enter only the most important.
the name only.
1118 Reason why not recorded
Example: The engine manufacturer for
Engine Continental R-670-F should be If there was more than one reason why the
entered as: recording could not be recovered, enter the
most important reason only.
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Chapter 4
Coding of Factors
4.1 GENERAL simply ask yourself if you would like this accident to come
out in responseto a request for information based on that
4.1.1 Factors show why an accident or incident factor. If the answer is yes, include the factor.
happened.The determination of factors is therefore one of
the most important aspectsof the Accident/Incident Data 4.1.3 Note that with ADREP you do not concern
Report, and all factors established in the investigation yourself with distinguishing so-called primary factors and
should be included. contributing factors. Such distinctions are very difficult to
make, time-consuming and often arbitrary. Instead, you
simply code all the factors which were found in the investi-
4.1.2 Factors are recorded in the report in such a way as gation along with the events to which they related, usually
to allow their components to be coded and recorded by in the order in which they occurred.
computer. The simple reason for putting information in a
computer is to be able to extract it later under a different 4.1.4 The Accident/Incident Data Report form provides
heading. Experience shows that factors are very often the 10 pagesfor the coding of events and factors. To describe
reference used when extracting information about the events, up to five descriptive factors can be entered
accidents. If, for instance, you are studying accidents for each event. To explain the events, up to three
concerning inadequate flight training and submit a explanatory factors can be entered for each descriptive
request for accidents involving that factor, ICAO can factor. (Should the compiler wish to code more factors for
produce a printout of information on such accidents, any event, additional sheets, such as photocopies of the
providing that factor has been coded in the ADREP form, may be used.) The diagram below illustrates how the
reports. If in doubt about including a specific factor, two types of factors relate to the events of an occurrence,
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7
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ICAO 9L5b ** - 484L4Lb OOL9008 VT5 m
8 ADREP Manual
4.2 DESCRIPTIVE FACTORS 4.2.4 Subjects and modifiers are combined to create
descriptive factors as shown in the example below. Every
4.2.1 Descriptive factors describe, in detail, what subject must have at least one modifier and may have as
happened during an event by listing all phenomena many as three. In cases where there is more than one
present.If possible,the descriptivefactors should be coded modifier it is not necessaryto repeat the subject for each
in chronological order. If not possible, background modifier.
information on terrain and weather should be coded first
and descriptionsof what people did should be coded last. Example: On final approach, the right engine failed. The
Some descriptivefactors expressthe same information as causeof the engine failure was a fuel pump seizure. The
some of the event codes. This duplication is necessaryto pump had been overhauled by an unqualified mechanic.
verify the factorscoding. The repair shop had beenusing unskilled personnelin spite
of directives from the Aviation Administration. The left
4.2.2 It is not intendedthat descriptivefactors be usedto enginewas not re-startedbecausethe student did not know
lay blame on any person. In fact, the person or group of the procedure.It had not beencoveredin ground training.
personsthat theoretically could be held responsiblefor an
occurrencecannot be coded in a descriptive factor. Event: Power loss - additional engine,mechanicalfailure
Phase: Final approach
4.2.3 Descriptive factors consist of two parts: a subject Descriptive factors derived from the above narrative:
and a modifier. The subject provides information on what
was involved and the modifier gives the details.
Subject Modifier(s)
a) Subjects for descriptive factors. The subjects are
listed in Appendix 5 and are grouped under the Engine-
drivenfuel pump. . . . . . incorrectassembly;
frictionexcessive;
headings Airframe, Powerplant, Compo- seized/j/jammed
nents unique to helicopters, Aircraft Oper-
ations, Aircraft Servicing and Maintenance,; Religiitprocedure. . . . . . . . . . . .. not followed;
Air Traffic Control Service, Aerodrome/ not understood
heliport, Weather and Terrain. The codes.are
identical to thoseusedby the United Kingdom CAA, Note.- The exampleabovehas beenextractedfrom the
and the codes for the aircraft and its systemsare sample Accident/Incident Data Report in Appendix 8.
similar to those in the Air Transport Association of (SeeEvent 2 of the sample report.)
America (ATA) 100list. You should use the subject
which most closely correspondsin meaningto, what
has been written in the investigation report. Should
you be unable to find the desiredsubject in the list, 4.3 EXPLANATORY FACTORS
use a less specific subject and explain your problem
in the narrative. These problems will then be dealt 4.3.1 Explanatory factors explain why the event
with by ICAO when preparing the next revision of happened. They are used to determine what preventive
this manual. action may be required. Consequently,explanatory factors
only make sensewhen the involvement of organizationsor
b) Modifiers for descriptive factors. Some 450 personsrelated to the occurrencecan be established.If the
modifiers are listed in Appendix 5. To make your investigation did not prove the involvement of a person or
searcheasier,the modifiers are listed alphabetically organization, it should not be coded as an explanatory
and those that can be referred to by more than one factor.
key word havebeenlisted in more than one place; for
example,looking up either missing part or part 4.3.2 The explanatory factors intentionally do not allow
- missing will lead to the same code: 480. To the coding of technical difficulties or failures. For
simplify the task of choosing modifiers, the list has ADREP, technical problems will be described by
beenpresentedin two parts that are readily visible to descriptive factors only even though the malfunction or
the right and to the left of the list of subjects, on failure of a part may start a chain of other malfunctions
fold-out pages. This eliminates the need to turn or failures. Explanatory factors should ans.wer the
pageswhile searchingfor the appropriate modifier; question of who was responsibleand what can be done to
the entire list can be consulted at a glance, prevent future technical failures.
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4.3.3 Three explanatory.factors may be entered for each Example: The narrative in the example of 4.2.4 gives rise
descriptive factor. If possible, code the explanatory factors to the following three explanatory factors related to the
in chronological order. Otherwise, code the factors so that first descriptive factor.
subsequent factors explain the preceding ones. If more
than three explanatory factors are required, code the three
Organization/
most important ones and mention the remainder in the Person Subjecr Modifier
narrative.
Maintenance
4.3.4 Explanatory factors, which are listed in engmeer . . . . . . . . knowledge . . . . . . . . inadequate
Appendix 6, consist of three parts: Repair shop -
management.. . . , recruitment. . . . . . . substandard
a) the title or designation of an organization or person
that indicates those involved or responsible; CAA - general . . . directives . . . . . . . . . not enforced
b) a subject that shows the area of involvement; and Note.- The example above has been extractedfrom the
sample Accident/Incident Data Report in Appendix 8.
c) a modifier that shows the nature of the involvement. (See Event 2 of the sample report.)
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Chapter 5
Requests by States for ADREP Information
5.1 USE OF INFORMATION under study should be expressedin general.terms and the
request should indicate the urgency and method of reply
The ICAO ADREP database of accident/incident and also the type of output required. Computer printouts
information is used to provide States with flight safety are availablein English, French or Spanishand in standard
information. Statesadministrations are encouraged to and non-standard output formats as described below.
requestADREP information from ICAO to assistthem in ICAO will endeavour to respond to requests within
their accident investigation and prevention efforts. For 24 hours of receiving them.
example,if it is suspectedin an investigationthat a specific
malfunction or failure has occurred, information on
similar occurrencesmay be helpful in the investigation. Standard output
ADREP information is also used by States for accident
prevention studies, including those prompted by 5.5.2 There are three standard output formats:
operators, manufacturers and safety organizations.
Requests will be answered by ICAO with the a) a full print that contains all the information
understandingthat the ADREP information be usedfor contained in a report and usually consists of about
accidentprevention only. four pagesper report;
b) a brief print that contains the information essential
to understanding the occurrence, including factors
5.2 DESIGNATED OFFICIALS and narrative and usually consists of about two
pages;and
States have designatedofficials who are authorized to c) standard statistics that present events, phases and
request ADREP information. Requestsfor information factors in statistical form, and are usually produced
must originate from theseofficials and must be expressed when more than ten reports are involved.
in one of the working languagesof ICAO. States have
provided ICAO with a list that specifies,for eachofficial,
name, official designation or title, office address and
Non-standard output
telephonenumber. Statesare requestedto inform ICAO of
any changesto their list of designatedofficials.
5.5.3 There are two types of non-standard output:
a) occurrence summaries that can contain any
5.3 CONTENTS OF THE DATA BANK identifiers specified by the originator; and
b) statistical printouts including frequencies,two-way
ADREP information is basedupon some 12 500reports of or three-way cross tabulations involving any
which approximately 9 000 are Accident/Incident Data identifier.
Reports (as of the end of 1986).
ICAO will try to produce any other type of output which
may be needed.
5.4 SEARCHING THE DATA BANK
Recordsin the data bank that fit user-suppliedcriteria are Requests by telephone
displayedvia printed output.
5.5.4 To accommodate urgent requests, a telephone
answeringdevicehas beeninstalled in the office of the AIG
5.5 REQUESTS Sectionof ICAO. It allows the recording of requestswhen
the office is closed and thus alleviates the problems
5.5.1 To request ADREP information, use the format inherent in time zone differences. States can call at any
outlined at the end of this chapter.The subject or problem time, day or night.
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IO
Copyright International Civil Aviation Organization
Provided by IHS under license with ICAO
*r
No reproduction or networking permitted without license from IHS Not for Resale
ICAO 7356 zicicxW 484l,43b OOl,9Ol,l, 49T m
TO: FROM:
e) Date:
1. SAFETY PROBLEM/STUDY: Brief description of the safety problem or study prompting the request and the
applicable identifiers and cades.
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APPENDIX 1
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A l-1
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THAI Thailand
TOGO Togo
TONG Tonga
TRIN Trinidadand Tobago
TUNS Tunisia
TURK Turkey
TURS Turks and CaicosIslands
TUVA Tuvalu
APPENDIX 2
AND MODEL
/
I
I
I
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\
Copyright International Civil Aviation Organization
Provided by IHS under license with ICAO
No reproduction or networking permitted without license from IHS Not for Resale
ICAO q35fa *ct m 4/J41'+lia OOl,qObb T71 m
Note.- This list is intentionallyincomplete to provide the user with a short list of the most commonlyused codes. A completelist is available
from ICAO/AIGon request.
If a manufacturer/model cannot be found in this list, enter only the name in the space fbllowing the codes on the form.
--`,,```,,,,````-`-`,,`,,`,`,,`---
A2-I
Copyright International Civil Aviation Organization
Provided by IHS under license with ICAO
No reproduction or networking permitted without license from IHS Not for Resale
CODE TEXT CODE TEXT CODE TEXT
--`,,```,,,,````-`-`,,`,,`,`,,`---
IO DC-7
16 DC a-61 765 ROCKWELL
17 DC a-62 09 THRUSHCOMMANDER
ia DCa-63 II TURBOCOMMANDER
690
38 DC a-70
19 DC 9-10 778 SAAB
20 DC 9-20 05 340
21 DC 9-30
22 DC 9-40 804 SHORT
23 DC 9-50 04 SC.7 (SKYVAN)SRS 1 TO 3
37 DC9-80 05 SD-3-30
08 360
600 MARTIN
04 404
APPENDIX 3
Note.- If a manufactureror model cannot be found in this list, enter only the name of the manufacturer/modelin the space provided.
A3-I
--`,,```,,,,````-`-`,,`,,`,`,,`---
APPENDIX 4
--`,,```,,,,````-`-`,,`,,`,`,,`---
CODES FOR EVENTS AND PHASES
Determinethe eventsof the accidentor incidentwith the help of the list of eventsaverleaf,Enter
the codesand the plain text for each event on the coding form. Then find fhe corresponding
phasesfor the eventsand enter the codesand plain text for the phases.
I. J
A4-I
--`,,```,,,,````-`-`,,`,,`,`,,`---
COLLISION
TERRAIN
--`,,```,,,,````-`-`,,`,,`,`,,`---
120 HELICOPTER
- DYNAMICSYSTEMS POWERLOSS- ADDITIONAL ENGINE
041 COLLISIONLEVELTERRAIN/WATER FAILURE 211 UNCONTAINED FAILURE
042 COLLISIONHILL/MOUNTAIN 121 MAIN ROTOR 212 ENGINETEARAWAY
122 TAIL ROTOR 213 FUELSTARVATION
COLLISION
WITH MOVINGAIRCRAFT 123 MAIN ROTORTRANSMISSION/ 214 MECHANICAL ENGINEFAILURE
051 BOTHAIRCRAFT AIRBORNE GEARBOX 215 NONMECHANICAL ENGINEFAILURE
052 ONEAIRCRAFTAIRBORNE 124 MAIN ROTORDRIVESHAFT 216 SIMULATEDENGINEFAILURE
053 BOTHMOVINGON GROUND 125 TAIL ROTORDRIVESHAFT 217 TRANSMISSION FAILURE
12Y OTHER 218 DRIVESHAFTFAILURE
COMPONENT/SYSTEM
FAILURE/ 219 UNSPECIFIED
MALFUNCTION INJURIESTO PERSONS
061 APU 131 TURBULENCE 220 PROPELLER
FAILURE
062 AVIONICS 132 ABRUPTMANOEUVRE 221 PROPELLER
SEPARATION
063 BRAKE 133 STRUCKBY PROPELLER/ROTOR/ 222 PROPELLER
RUNAWAY
064 DE-ICING JET BLAST
065 DOORS/PANELS 13Y OTHER 230 SECURITY
OCCURRENCE
066 ELECTRICAL 231 SABOTAGE
067 FLIGHTCONTROLS 232 HIJACKING
068 FUEL 233 BOMBWARNING/SCARE
069 GEAR 234 MILITARYINTERVENTION
STANDING
240 SEPARATION
IN FLIGHT
011 ENGINE(S)NOTOPERATING
241 DOOR
012 STARTINGENGINE(S)
242 PANEL
013 ENGINE(S)OPERATING
243 WINDOW
014 ENGINE(S)RUN-UP
24Y OTHER
015 ROTORTURNING(ROTORCRAFT)
019 OTHER
TAKE-OFFOR LANDING
251 SCRAPED WINGTIP/COWLING/FLOAT
TAXIING
252 TAlLSCRAPE/OVERROTATlON
021 PUSHBACK/TOW
253 GROUNDLOOP/SWERVE
022 TO/FROMRUNWAY
023 AERIALTAXI(ROTORCRAFT)
LANDINGOCCURRENCE
029 OTHER
261 LANDINGBESIDERUNWAY
262 UNDERSHOOT
TAKE-OFF
263 HARDLANDING
031 RUN
032 INITIALCLIMB
270 WHEELS-DOWN
LANDINGON WATER
033 LIFT-OFF(ROTORCRAFT)
034 ABORTED
280 WHEELS-UPLANDING
039 OTHER
281 INTENTIONAL
282 UNINTENTIONAL
EN ROUTE
283 INTENTUNKNOWN
041 CLIMB TO CRUISE
042 CRUISE
900
043 CHANGEOF CRUISELEVEL
044 DESCENT- NORMAL
999
045 DESCENT- EMERGENCY/
UNCONTROLLED
046 OTHER
MANOEUVERING
051 AERIALWORK
052 LOW FLYING
053 HOVERING/LIFTING
054 AEROBATICS
055 SWATH/APPLICATION
RUN
056 OTHER
APPROACH
061 HOLDING
062 INTERMEDIATE APPROACH (FROM
FIRSTFIX TO FINAL APPROACH)
063 FINAL APPROACH
064 MISSEDAPPROACH/GO-AROUND
065 CIRCUITPATTERN- BASELEG
066 GIRGUITPATTERN- FINAL
069 OTHER
LANDING
071 LEVELOFF/TOUCHDOWN
072 LANDINGROLL
073 ABORTED(AFTERTOUCHDOWN)
079 OTHER
080 POST-IMPACT
099 UNKNOWN
A4-3
--`,,```,,,,````-`-`,,`,,`,`,,`---
/-.
Copyright International Civil Aviation Organization i
Provided by IHS under license with ICAO
No reproduction or networking permitted without license from IHS Not for Resale
ICAO 9156 tt W 4841Ylb 0019024 OYB W
--`,,```,,,,````-`-`,,`,,`,`,,`---
APPENDIX 5
By unfoldingthe first and last pagesof this appendix,the manualwill be arrangedas shown:
I I
You can now see both subjectsand modifiersat the sametime. For each event, list the
subjects and modifiersof the descriptivefactors in time sequence.If time sequenceis not
possible,code the factors relatedto weatherand terrain first and then those relatedto other
subjects.
--`,,```,,,,````-`-`,,`,,`,`,,`---
AS-I
Descriptivefactors
MODIFIERS
A52
--`,,```,,,,````-`-`,,`,,`,`,,`---
308 IGNITED
310 IGNORED 452 LOW
APRESSION 428 IMBALANCE
- LATERAL 454 LOWCOMPRESSION
312 IMPOSSIBLE 456 LOWLEVEL
ADVERTENT 458 LOWOUTPUT
1T OONE 316 IMPROPER
OPERATION 460 LOWPRESSURE
EMATURE 318 IMPROPER
POSITIONING 462 LOWVOLTAGE
ICOMMANDED 322 IMPROPER
USE
D 324 IMPROPERVENTING 212 MALFUNCTIONED/FAILED
332 MARKING- INADEQUATE
326 INACCURATE 230 MATERIAL- FAILED
328 INADEQUATE 972 MATERIAL-WRONG
.D 330 INADEQUATEGRADE 658 MIN. EQUIP.LIST - OUTSIDE
332 INADEQUATE
MARKING 960 MIN. EQUIP.LIST - WITHIN
.TE 334 INADEOUATETYPE
+ND 464 MISHANDLED
\CT 336 INADVERTENT 466 MISINTERPRETED
338 INADVERTENTDEPLOYMENT 468 MISJUDGED
ZIONED 340 INADVERTENTEXTENSION 472 MISMANAGED
342 INADVERTENTRETRACTION 474 MISREAD 5200
;E UNDETERMINED 344 INADVERTENTUSE 5230
OYMENT 348 INATTENTIVE
TO 5210
TRICAL 350 INCOMPLETE 5220
NSION
5250
;UE
5240
5260
5270
5600
5620
5610
5610
5630
5640
Dot 9156
--`,,```,,,,````-`-`,,`,,`,`,,`---
2530 15 STAIR/ELEVATOR
COMPONENTS UNIOUE
2550 02 TIE DOWN 6700 00 HELICOPTERCONTROLSYSTEMS-GENERAL TO HELICOPTERS
2540 04 TOILET 6700 02 CYCLIC
6700 03 COLLECTIVE AIRCRAFT OPERATIONS
General
2560 00 EMERGENCYEPUIPMENT 6700 04 YAW CONTROL
Flight crew
2560 12 CRASHAXE 6700 15 DAMPER
2560 08 ESCAPEROPE 6700 16 MIXINGUNIT AIRCRAFT SERVICING
2560 03 ESCAPESLIDE 6700 19 HYDRAULICACTUATOR AND MAINTENANCE
Descriptivefactors
SUBJECTS
Descriptive factors
SUBJECTS
COOE TEXT CODE TEXT AIRCRAFT
Airframe
Flightcontrolsystems
MISCELLANEOUS 7300 00 POWERPLANT FUELSYSTEM- GENERAL Othersystems
7310 00 PDWERPLANTFUEL DISTRIBUTION *Miscellaneous
7320 00 POWERPLANT FUELCONTROL
3480 00 AIRBORNECOLLISIONAVOIDANCE
SYSTEM POWERPLANT
7320 06 FUELCONTROLUNIT *General
4900 00 AUXILIARYPOWERUNIT
7330 00 POWERPLANT FUEL INDICATION Structures
2330 00 CABINENTERTAINMENT
7320 01 CARBURETTOR Mlscellaneuus
3130 00 FLIGHTRECORDING- GENERAL
7310 01 ENGINEDRIVENPUMP
3130 01 FLIGHTDATARECORDER COMPONENTS
UNItlUE
7310 07 FUEL/FLUIDCOOLER TOHELICOPTERS
3130 10 MAINTENANCE DATARECORDER
7320 22 FUELCDNTROLCOMPUTER
3140 00 CENTRALCOMPUTER
7320 20 FUELINJECTOR AIRCRAFT OPERATIONS
3150 00 CENTRALWARNINGS/MASTERbAUTlON General
7320 24 FUELTRIMMER
3500 00 OXYGENSYSTEM-GENERAL Flightcrew
7310 02 LINE, FITTING
3510 00 OXYGENSYSTEM/CREW
7320 03 MIXTURECONTROLVALVE AIRCRAFT
SERVICING
3520 00 OXYGENSYSTEM/PASSENGER
7310 03 POWERPLANT FUELVALVE ANDMAINTENANCE
3530 00 OXYGENSYSTEM/PORTABLE
3600 00 PNEUMATIC SYSTEM AIRTRAFFIC
CONTROL
7900 00 WWERPLANTLUBRICATION SYSTEM
3800 00 DRINKABLEAND WASTEWATERSYSTEM SERVICE
7900 01 ENGINEOIL
3700 00 VACUUMSYSTEM
7910 00 ENGINEOILSTORAGE AERODROME/HELIWRT
3320 01 SEATBELT/NOSMOKINGSIGN Facilities
7920 00 ENGINEOIL DISTRIBUTION
Operations
7920 07 COOLER
7910 08 FILLERCAP WEATHER
7920 05 FILTER
POWERPLANT 7920 01 LINE/HOSE/FIllING TERRAIN
7930 04 CHIP DETECTOR
7920 20 PUMP
GENERAL 7920 02 SEAL
7910 01 TANK
--`,,```,,,,````-`-`,,`,,`,`,,`---
7930 00 INDICATINGSYSTEM
7200 00 POWERPLANT
- GENERAL
7400 00 IGNITIONSYSTEM
7600 00 ENGINECONTROL
- GENERAL
7410 00 IGNITION-ELECTRICAL SUPPLY
7610 00 POWERCONTROL-GENERAL
7420 00 IGNITION- DISTRIBUTION
7320 25 CARBURETTORHEATCONTROL
7430 00 IGNITION- SWITCHING
7610 25 THROTTLE/POWER
LEVER
7440 00 IGNITION- INDICATIONS
7610 03 HIGHPRESSURECOCK
7420 06 HIGHTENSIONWIRING/HARNESS
7610 02 THRUSTREVERSERCONTROL
7420 02 IGNITERPLUG
7110 11 COWLFLAPCONTROL
7410 01 MAGNETO/DISTRIBUTOR
7320 03 MIXTURECONTROL
7420 01 SPARKPLUG
6120 05 PROPELLERCONTROL/PITCH
LEVER
7430 01 SWITCH(IGNITION- MAGNETO)
7700 00 ENGINEINDICATIONS- GENERAL
7200 00 ENGINE-GENERAL
7720 00 ENGINETEMP.INDICATIONS - GENERAL
7210 00 REDUCTIONGEARSHAFTSECTION
7730 00 ENGINEANALYSERS - GENERAL
7210 03 BEARING
7330 12 CARBURETTOR AIR TEMPERATURE
7210 01 GEAR
7720 01 CYLINDERHEADTEMPERATURE
7210 04 HOUSING/CASING
7710 03 ENGINEPRESSURE RATIO(EPR)
7210 02 PROPELLER
SHAFT
7720 02 EXHAUSTGASTEMPERATURE
7330 01 FUELCONTENTS
7330 02 FUELFLOW 6100 00 PROPELLER - GENERAL
7330 03 FUELPRESSURE 6110 00 PROPELLER ASSEMBLY-GENERAL
7330 04 FUELTEMPERATURE 6120 00 PROPELLERCONTROL - GENERAL
7710 16 MANIFOLDPRESSURE 6110 03 HUB BOLTS
7930 01 OIL PRESSURE 6120 07 AUTOFEATHERSYSTEM
7720 04 OIL TEMPERATURE 6110 01 BLADE
7930 03 OIL CONTENTS 6120 09 FEATHERMOTOR
7850 01 REVERSERPOSITION 6110 09 FINE PITCHLOCK
7710 01 RPM(Nl, N2, ETC.) 6110 02 HUB
7720 11 TURBINEINLETTEMPERATURE 6120 06 .SYNCHRONIZATION
7710 04 TORGUE 6120 01 PITCHCONTROLUNIT (INCL. CSU)
7730 04 VIBRATIONINDICATOR 6120 10 REVERSING
6110 04 SPINNER
7800 00 ENGINEEXHAUSTSYSTEM
7810 07 EXHAUST MANIFOLD
7810 09 EXHAUST PIPE
7820 00 NOISESUPPRESSION
7820 03 MUFFLER/SILENCER
8120 00 TURBOCHARGER
8120 01 TURBOCHARGERTURBINE
8120 02 WASTEGATE
7810 25 CLAMP
7850 00 EXHAUSTSYSTEMINDICATIONS
Descriptive factors
SUBJECTS
AIRCRAFT
Airframe
Flight control systems
MISCELLANEOUS 6500 02 BEARING Other systems
6500 03 GEARBOX MlscellanecHls
--`,,```,,,,````-`-`,,`,,`,`,,`---
Descriptivefactors
SUBJECTS
AIRCRAFT CODE TEXT CODE TEXT
Airframe
Flight control systems
Other systems FLIGHTCREW 8720 91 FUELCONSUMPTION
CALCULATIONS
Miscellaneous
8800 00 AIRCRAFT
HANDLING- GENERAL
POWERPLANT 8710 00 FLIGHTCREWPERCEPTION
General 8710 10 OTHERA/C
Structures 8805 00 OPERATION
O F EGUIPMENT
- GENERAL
8710 15 OBJECT/OBSTACLE
Miscellaneous 8805 05 INSTRUMENTS
8710 20 LOOKOUT
8805 10 ALTIMETER
COMPONENTS UNIQUE
TO HELICOPTERS 8710 25 JUOGEMENT
- LANDING 8805 15 BRAKES
8805 20 CARBURETTOR HEAT
8710 30 JUDGEMENT
- DISTANCE
AIRCRAFT OFWATIONS 8805 25 POWER
PLANT
General
8710 31 JUOGEMENT
- SEPARATION
*Flight crwy 8710 32 JUOGEMENT
- HEIGHT
8710 33 JUOGEMENT
- OBSTACLECLEARANCE 8805 30 LANDINGLIGHTS
AIRCRAFT SERVICING 8805 31 TAXI LIGHTS
8710 34 JUDGEMENT
- OTHER
AND MAINTENANCE 8805 32 NAVIGATION LIGHTS
8710 35 VISUAL-ORAL WARNING 8805 33 STROBE LIGHTS
AIR TRAFFIC CONTROL
SERVICE 8710 40 NAVIGATION 8805 35 LANDINGGEAR
8710 45 W INDCOMPENSATION
AEROOROME/HELlPORT 8805 40 FUELSYSTEM
Facilities 8805 41 FUELDUMPSYSTEM
Operations 8715 00 FLIGHTCREWDECISIONS
8805 43 FUELSELECTOR
8715 10 FLIGHTINITIATED
WEATHER 8715 15 TAXI/PARKED
8805 45 FLAPS
TERRAIN
8715 20 TAKE-OFF
8805 46 SPOILERS
AND LIFT DUMPDEVICES
8715 35 FLIGHTCONTINUED
8715 50 APPROACH
8805 50 FLIGHTCONTROLS
6715 55 LANDING
8805 51 TRIM
8805 52 GUSTLOCKS
8720 00 FLIGHTCREWPROCEDURES
8805 55 MISCELLANEOUS EQUIPMENT
8720 05 PRE-FLIGHT
PLANNING/PREPARATION
8805 56 AIR CONDITIONING
SYSTEM
8720 10 PRE.FLIGHT
CHECK
8805 57 AUTOFLIGHT
SYSTEM
8720 15 PROCEDURE- ENGINESTART
8805 58 COMMUNICATIONS
8720 30 CREWCO-ORDINATION
--`,,```,,,,````-`-`,,`,,`,`,,`---
8720 36 DECISION
HEIGHTPROCEDURE 8805 59 ELECTRICAL
SYSTEM
8720 37 WEATHERMINIMA 8805 60 EQUIPMENT
FURNISHING
8805 61 FIRE PROTECTION SYSTEM
Descriptive factors
SUBJECTS
CODE TEXT CODE TEXT AIRCRAFT
Airframe
Flight control systems
8810 40 AIRCRAFTLIMITATIONS 6756 DO AIRCRAFTMAINTENANCE/REPAIR Other systems
8756 05 SCHEDULEDCHECK Miscellaneous
8810 81 TAXITECHNIPUE . 8756 10 MAINTENANCEDOCUMENTATION
POWERPLANT
8810 75 T/D TECHNIQUE 8756 15 MODIFICATION General
8810 46 TRANSLATIONAL
LIFT 8756 20 MAJORREPAIR Structures
8756 25 SERVICEBULLETIN Miscellaneous
FLYINGSPEED 8756 30 AIRWORTHINESSDIRECTIVE
COMPONENTS UNIOUE
ROTORRPM 8756 35 MAINTENANCETOOLS/EQUIPMENT TO HELICOPTERS
8756 40 MAINTENANCEPROCEDURES
8810 65 ROTATION AIRCRAFT OPERATIONS
8810 75 LIFT-OFF General
Flight crew
Descriptivefactors
SUBJECTS
AIRCRAFT CODE TEXT CODE TEXT
Airframe
Flight control systems
Other systems 8555 30 DESCENTPROCEDURE 8645 00 RAMP/APRON
STATE
Miscellarksous 8555 35 APPROACHPROCEDURE 8845 05 APRONSLRFACESTATE
8555 40 MISSEDAPPROACH PROCEDURE 8645 IO APRONSURFACECONDITION
WWERPLANT
8555 45 EMERGENCY/ALERTING
PROCEDURE 8645 15 APRONBRAKINGACTION
General
structures 8555 50 REMOVALO F EQUIPMENT
F R O MSERVICE 8645 25 APRON/RAMPBREAKING
STRENGTH
Miscellanews 8555 55 RADARASSISTANCE 8645 30 APRON/RAMPOBSTRUCTION
8845 31 APRON/RAMPDAMAGE
COMWNENTS UNIOUE
9210 00 RADIONAVAIDS- GENERAL 8645 32 APRDN/RAMPCDNGESTlDN
TO HELICOPTERS
9210 02 MARKER
AIRCRAFT OPERATIONS 9210 12 SURFACE RADAR 8690 DO OFFAERODROME
LANDINGAREA
General 9210 11 AREARADAR
Fltght crew
9215 DO AERODROME/HELIPORT LIGHTING
AIRCRAFT SERVICING 9210 15 ILS - COMPLETE 9215 ID APPROACH LIGHTING
AND MAINTENANCE 9210 20 ILS - GLIDEPATH 9215 15 VASI/PAPI
--`,,```,,,,````-`-`,,`,,`,`,,`---
9210 25 ILS - LDCALIZER 9215 25 RUNWAYLIGHTING
AIR TRAFFIC CONTROL
9215 35 STOPBARLIGHTING
SERVICE
9210 35 MLS - COMPLETE 9215 40 STOPW A Y LIGHTING
AEROOROMElHELlFORT 9210 40 MLS -GLIDE SLOPE 9215 45 TAXIWAYLIGHTING
*Facilities 9210 45 MLS - LDCALIZER 9215 50 RAMP/APRON LIGHTING
*Op4rations
9215 51 SIGNLIGHTING
WEATHER 9210 50 AREANAVIGATION 9215 55 PARKINGLIGHTING
9210 55 VDF 9215 65 OBSTRUCTION LIGHTING
TERRAIN 9210 60 VDR(INCLUDES
DVDR/VDRTAC) 9215 70 AERONAUTICAL LIGHTBEACON
9210 70 DME
9210 80 NDB 9220 00 AERODROME/HELIPORT
MARKING
9220 05 RUNWAY/LANDING AREA MARKING
9210 95 NAVAIDS - UNSPECIFIED 9220 IO TAXIWAY MARKING
9210 81 MARKER BEACON 9220 15 APRON MARKING
9220 20 OBSTRUCTION MARKING
9210 83 RADAR-SURFACE
9210 85 RADAR- EN-ROUTE 9225 DO OTHERAIDS
9210 86 RADAR-OTHER 9225 10 LANDINGDIRECTION
INDICATOR
9225 11 MAPS/CHARTS
9225 12 AERDDRDMECHARTS
AERODROhlE/HELIPORT
OPERATIONS
FACILITIES
8670 DO AERODRDME/HELIPORT
OPERATIONS- GENERAL
8670 05 ANIMALCONTROL
FORAERODROME
LIGHTING
SEE9215 BIRDCONTROL
8670 IO
8670 20 HAZARDWARNING/NDTIFICATIDN
8615 DO RUNWAYDESCRIPTION RUNWAYFRICTIONMEASUREMENT
8670 25
8615 35 RUNWAYSLOPE
8670 30 AERDDRDMEFACILITIES
MAINTENANCE
8670 35 FOREIGNOBJECTREMOVAL
8620 DO RUNWAYSURFACE
STATE- GENERAL
8670 40 SNOW/ICEREMOVAL
8620 ID RUNWAYSURFACECONDITION
8670 45 VEHICLECONTROL
8620 15 AQUAPLANING
CONDITION
8670 50 OTHERAERDDRDME OPERATIONS
8620 20 BRAKING
ACTION
8670 55 REFUELLING
SERVICE
8620 25 BRAKING
STRENGTH
8670 60 AERDDRDMEFUELSTORAGE MAINTENANCE
8620 30 RUNWAYOBSTRUCTION
8670 65 RAMPSERVICE
8620 31 RUNWAYDAMAGE
8620 32 RUNWAYAPPROACHOBSTRUCTIONS
8680 DO EMERGENCY
SERVICES
- CFR- GENERAL
8620 35 RUNWAYSHOULDER
8680 05 RESPONSE
8680 ID EFFECTIVITY
8625 00 RUNWAYOVERRUN EQUIPMENT
8680 15
8680 20 OTHER
8635 00 TAXIWAYSTATE
8635 IO TAXIWAYSURFACE
CONDITION
8682 DO EMERGENCY
SERVICES
- MEDICAL
8635 15 TAXIWAYBRAKINGACTION
--`,,```,,,,````-`-`,,`,,`,`,,`---
9115 00 WIND LINE SQUALL
9115 05 SURFACEWINDVELOCITY
9115 10 GALE 9165 00 MET EPUIPMENT
- GENERAL
9115 14 HEADWIND 9185 05 MET INSTRUMENTS
9115 15 TAILWIND
9115 20 CROSSWIND 9170 00 MET OPERATIONS
- GENERAL
9115 25 WINDSHEAR 9170 05 WEATHER OBSERVATION
9115 26 WINDSHIFT 9170 10 WEATHERUPDATING
9115 30 GUSTS 9170 15 MET FACILITIESMAINTENANCE
9115 40 JET STREAM
9115 45 TURBULENCE(CAT) 9180 00 LIGHTCONDITIONS
- GENERAL
9115 50 TURBULENCE 9180 05 DAWN
9115 55 VDRTEX/WAKETURBULENCE 9180 10 DAYLIGHT
9115 56 MOUNTAINWAVE 9180 15 DUSK
9115 57 HURRICANE,TR.STORM)
CYCLONE(INCLUDES 9180 20 NIGHT/DARK
9115 58 TORNADO 9180 25 NIGHT/MOONLIT
9115 59 LINE SQUALL
9115 61 OTHERWIND/TURBULENCE
rERRAlN
9130 00 ATMOSPHERIC
RESTRICTIONS
TO VISION
9130 05 DUST
9130 06 VOLCANICDUST 9400 00 TERRAINCONDITION
- GENERAL
9130 10 SANDSTORM 9400 05 MOUNTAIN/HILL
9130 15 FOG 9400 10 FIELD
9130 16 MIST 9400 15 PADDOCK
9130 17 PRECIPITATION 9400 20 SWAMP
9130 20 HAZE 9400 25 WATER
9130 25 SMOKE 9400 30 ICE
9130 30 BLOWINGSNOW 9400 99 OTHER
Descriptivefactors
Continued from page A5-2. MODIFIERS
--`,,```,,,,````-`-`,,`,,`,`,,`---
Descriptivefactors
MODIFIERS
--`,,```,,,,````-`-`,,`,,`,`,,`---
APPENDIX 6
--`,,```,,,,````-`-`,,`,,`,`,,`---
- .
AiSI
--`,,```,,,,````-`-`,,`,,`,`,,`---
Explanatory factors
9900 00 PHYSIOLOGICAL
FACTORS 9910 21 RECENCY
- IN POSITION
9910 24 REGENCY-ON INSTRUMENTS
9300 06 FATIGUE- CHRONIC 9910 27 RECENCY
- ON TYPE
. .-
9900 09 . FATIGUE-TIME ZONE 9910 30 RECENCY
- ON AERODRDME/ROUTE
9900 12 FATIGUE- WORKSCHEDULE 9910 31 RECENCY
- OTHER
9900 15 FATIGUE- OTHER
9900 18 CIRCADIANRHYTHM
9910 33 SKILL
9900 21 DIET
9900 24 DRUGS .9910 36 TRAINING- INITIAL
9900 27 ALCOHOL 9910 39 TRAINING-ON THEJDB
9900 30 CARBONMONOXIDE 9910 42 TRAINING- GROUND
9900 33 HANGOVER 9910 45 -TRAINING- FLIGHT
9900 36 HEAVYShlDKER 9910 48 TRAINING- RECURRENT
--`,,```,,,,````-`-`,,`,,`,`,,`---
9925 33 CONFIDENCE
- IN A/C
9905 00 SUPERVISORY
FACTORS 9925 36 CONFIDENCE
- IN EDUIPMENT
9925 39 CONFIDENCE-SELF
9305 03 BRIEFING
9905 06 CREWCO-ORDINATION 9925 42 COMPLACENCY
9905 09 MONITORING 9925 45 EMOTIONS
9905 12 SUPERVISION
9905 15 OTHER 9925 48 MENTALCAPACITY
9925 51 MENTALPRESSURE- EXTERNAL
9925 54 MENTALPRESSURE- SELFINDUCED
9910 00 EXPERIENCE/TRAINING
9925 57 PANIC
9910 03 KNOWLEDGE 9925 60 PERCEPTION
9910 06 COMPETENCE 9925 63 TASKSATURATION
9925 66 REACTIONS
9910 09 EXPERIENCE
- IN POSITION
9910 12 EXPERIENCE
- ON AIC TYPE
9910 15 EXPERIENCE
- TOTALA/C
9910 18 EXPERlENCt
- UlHtR
Dot 9156
Explanatory factors
ORGANIZATIONS/PERSONS
CODE TEXT CODE TEXT . CODE
100 OPERATOR
- GENERAL 001 PILOT-:N-COMMAND 9900
101 MANAGEMENT 002 CO.PILDT 9900
102 TRAININGSTAFF 003 INSTRUCTOR/CHECK PILOT 9900
103 OPERATIONALSTAFF 004 PILOTOF OTHERA/C 9900
104 MAINTENANCE STAFF 005 DUALSTUDENT/PILOT UNDERCHECK 9900
109 OTHER 006 FLIGHTENGINEER
007 OTHERFLIGHTCREW 9900
110 TRAININGORGANIZATION
- GENERAL 9900
111 MANAGEMENT 010 CABINCREW 9900
112 FLIGHTINSTRUCTION 011 PASSENGER 9900
113 GROUNDINSTRUCTION 020 LOADER 9900
119 OTHER 021 DRIVEROF VEHICLE 9900
022 GROUNDINSTRUCTOR
120 GOVERNMENT
(CIVILAVIATIONADMINISTRATION) 9900
GENERAL 023 RAMP/LINECREWMAN 9900
121 MANAGEMENT 024 FLIGHTDPSOFFICER/DISPATCHER 9900
122 OPERATIONS
STAFF 025 AIR TRAFFICCONTROLLER 9900
123 AIRWORTHINESSSTAFF 026 FLIGHTSERVICEOPERATOR 9900
129 OTHER 027 METEOROLOGICAL BRIEFER 9900
028 TECHNICIAN
130 AIR TRAFFICCONTROL
- GENERAL 029 A/C MAINTENANCE ENGINEER 9900
131 MANAGEMENT/SUPERVISORY 030 GOVERNMENT INSPECTOR 9900
132 CONTROLLERS 031 OTHER 9900
133 TECHNICIANS 9900
134 COMMUNICATIONS
STAFF 9900
139 OTHER
9900
140 AIRPORT-GENERAL 9900
141 MANAGEMENT 9900
142 MAINTENANCE
STAFF 9900
143 SECURITY
STAFF 9900
149 OTHER 9900
9900
150 MAINTENANCE/REPAIR
SHOP- GENERAL
151 MANAGEMENT 9900
152 OPERATIONS 9900
160 MANUFACTURER-GENERAL
161 MANAGEMENT 9905
162 DESIGNSTAFF
163 PRODUCTION
STAFF 9905
169 OTHER 9905
9905
170 EMERGENCY
SERVICE
ORGANIZATION
- GENERAL 9905
171 MANAGEMENT 9905
172 OPERATIONS
STAFF
173 FIRESERVICE
STAFF
I74 AMBULANCESERVICE 9910
iao WEATHER
SERVICE- GENERAL 9910
181 MANAGEMENT 9910
182 MAINTENANCE
STAFF
183 OPERATIONAL
STAFF 9910
189 OTHER 9910
9910
9910
A6-2
--`,,```,,,,````-`-`,,`,,`,`,,`---
Explanatoryfactors
SUBJECTS
i CODE TEXT CODE TEXT
9935 00 PSYCHO-SOCIAL
FACTORS 9950 00 MISCELLANEOUS
--`,,```,,,,````-`-`,,`,,`,`,,`---
9940 12 DECISIONS 9950 39 PUBLICATIONS
9940 15 DIRECTIVES
9940 18 INSTRUCTIONS
9940 21 FORECAST
9940 24 FUNDING
9940 27 INSPECTIONS
9940 30 LIAISON
9940 33 MONITORING
9940 36 OBSERVATION
9940 39 ORDERS
9940 42 ORGANIZING
9940 45 PERSONNELPOLICIES
9940 48 PLANNING
9940 51 POLICY
9940 54 PROCEDURES
9940 57 QUALITYCONTROL
9940 60 RECRUITMENT
9940 63 REGULATIONS
9940 69 REDUIREMENTS
9940 72 RESOURCEMANAGEMENT
9940 75 SPECIFICATIONS
9940 78 STAFFING
9940 81 STANDARDS
9940 84 TRAINING
9940 87 SUPERVISION
9940 90 WORKENVIRONMENT
9945 00 DESIGNFACTORS
9945 03 INSTRUMENT/CONTROLS
DESIGN
9945 06 INSTRUMENT/CONTROLS
LOCATION
9945 09 WORKPLACE
DESIGN
9945 12 STRUCTURES
9945 15 SYSTEMS
Doe.9156
Explanatory factors
MODIFIERS
CODE TEXT CODE TEXT
A6-3
APPENDIX 7
--`,,```,,,,````-`-`,,`,,`,`,,`---
Appendix 7
Types of aircraft incidents
of main interest
to the International Civil Aviation Organization
The types of aircraft incidents describedbelow are of main e.g. aircraft system failures, weather phenomena, oper-
interest to the International Civil Aviation Organization ation outside the approved flight envelope.
for its accident prevention studies.
Take-off and landing incidents. Incidents such as
Enginefailure. Failures of more than one engineon the undershooting, overrunning, running off the side of
same aircraft and failures which are not confined to the runways, wheels-uplanding.
engine, excluding compressor blade and turbine bucket
failures. Flight crew incapacitation. Inability of any required
flight crew member to perform prescribed flight duties as
Fires. Fires which occur in flight including those engine a result of reduced medical fitness.
fires which are not contained in the engine.
--`,,```,,,,````-`-`,,`,,`,`,,`---
A7-I ( .li
. ,,
APPENDIX 8
Page i
PRELIMINARY REPORT
(Prellminary inlormationonly, pending completion o1 the Accident Investigation)
Distributlon: State of Registry (or State of Occurrence)
(as appropriate) State of the Operator
State of Manufacture
State@)having provided information
ICAO
General
COMPILING INSTRUCTIONS
This report will only be used for accidents. It will be submitted in one of the working languages of ICAO. All
1
codes shall be entered In capitais as should the plain text entries. It i s highly desirable that all entries be
typewritten. All entries are to be completed. If no other instruction is given, there may be only one entry for each
Identifier.
When the word "code" is found under an entry, the compiler is requested to refer to the appropriate appendix
of the ADREP Manual to find the code to be entered. The plain text for lhe code is also then to be entered in
the space provided.
i
Entry of figures For O gero) enter thus: For enter thus: Aa
and letters For 1 (One) enter thus: 1 For enter thus: AE
For 7 (Seven) enter thus: Z 9
For or enter thus: OE
For enter thus: U
For identifiers marked with. special coding instructions are listed in Chapter 3 of the manual.
O0 - OCCURRENCE IDENTIFICATION
FILING INFORMATION
.
State Reporting
0001
O002
WHERE
~~ ~~ ~~~~~ ~
WHEN
Form P
(Rev. 9/87)
A8-1
--`,,```,,,,````-`-`,,`,,`,`,,`---
AIRCRAFT
--`,,```,,,,````-`-`,,`,,`,`,,`---
Operator's name LUA o. ?. 2 A T O R
0014 Code Name
P
I Type of Operation
O101
i( ) Passenger 2( ) Cargo 3( ) PassengerKargo
4( ) Ferry/Positioning 5( ) TrainingKheck Y( ) Other
I z( ) Unknown
GENERAL AVIATION
Type of Operation
0104 0
Instructional
io( ) Dual il( ) SOI0 Check
1Y( ) Olher iz( )Unknown
Non-commercial
20( ) Pleasure 2i( ) usiness 22( GovernmentlState
23( ) Aerial work 24( ) Off-shore operation 2Y( Other
22( ) Unknown
Commercial
30( J Aerial applicatlon (Crop control) 31( ) Fire control 3z( ) Aerial observalion
33( ) Aerial advertising 34( ) ConstructionlSling load 35( ) Aerial ambulance
36 ) Logging 37( ) Oll-shore operation 3Y( )Other
3Z( ) Unknown
Miscellaneous
40( ) TestlExpenmental 4i( ) Illegal (smuggling. etc.) 42( ) Ferry
43( ) Search and Rescue 44( ) Airshow/Race 45( ) Demonstration
4Y( ) Other 421 )Unknown
_ _ _ _ _ _ _ _ _ _ ~ ~
_ _
~_ _ _ _ _ _ _ ~ ~ ~
Type of Operator
0105
I( ) Flying Club/School 2( % ) Corporate&ecutive 3( ) Gov Agency
4( ) Private owner 5( ) SaleslRentallSarvice Y( ) Other
Z( ) Unknown
Planned Destination I I I ~ I l ~ ~ ~ I I I ~ l I I l I I ~ l l I l I l I I I I I
0107 Name in local spelling using Roman letters
or S( X ) if same as 0005
Duration of flight (time airborne)
O108e hour min or Y( ) If accident occurred on ground
~~ ~ ~ ~ - ~~~~
02 - INJURIES TO PERSONS
--
Fatal Serious Minor None Unknown
0208 Crew @
l L$l! a hbiti &
0206 Passengers @ & h W~ ~
0207 On ground Lf!uz?J
03/04 - DAMAGE
0301 Damage to aircraft
07 - METEOROLOGICAL INFORMATION
1 General weather in the area of occurrence
0705
i( >o Visual meteoroloqicalconditions 2( ) Instrument meteoroloaical conditions Z( ) Unknown
Light conditions
0706
i( ) Dawn 2( )o Daylight 3( ) Dusk/Twilight
4( ) Night - moonlight 5( ) Night - dark Z( ) Unknown
SEQUENCE OF EVENTS
NARRATIVE This shall not exceed 200 words and will be presented in the following order:
1. Brief description of the occurrence including emergency circumstances and significant information;
2. Additional remarks, including precise information on items which have been coded OTHER;
3. Safety recommendations and corrective action taken or under consideration.
l o s t d i r e c t i o n a l c o n t r o l , t h e a / c s t r u c k t h e rwy l i g h t s and
went off t h e m y .
O COMPILING INSTRUCTIONS
General The ADREP Manual contains all the information needed to complete this form. The report will be submitted in
one of the working languages of CAO. All codes shall be entered in capitals as should the plain language
entries. It is highly desirable that all entries be typewritten. All entries are to be completed. If no other instruction
is given, there may be only one entry for each identifier.
When the word "code" is found under an entry. the compiler is requested to refer to the appropriate appendix
of the ADREP Manual to flnd the code to-be entered. The plain text for the code i s also then t o be entered in
the space provided.
For identifiers marked with o special codlng instructions are listed in Chapter 3 of the manual.
O0 - OCCURRENCE IDENTIFICATION
FILING INFORMATION
OCCURRENCE CLASSIFICATION
I
~ ~
O 0003
A( %)Accident I( ) Incident
I
WHERE
>o East,
Longitude
0007
&&li Oeg i-Lii Min E( W( ) West
I
WHEN
Form D
(Rev. 9/67)
--`,,```,,,,````-`-`,,`,,`,`,,`---
Registration ~ l - l s l A l ~ l P l & l I~ lI I
0012 Include hyphens as appropriate
~~
O1 - HISTORY OF FLIGHT
AIRLINE OPERATION (AIR TRANSPORT OPERATIONS)
Type of Operation
0101
i( ) Passenger 3( ) PassengerKargo
4( ) Ferry/Positioning Y( ) Other
2( ) Unknown
0102
S( ) Scheduled N( ) Non-scheduled z( ) Unknown
0103
o( ) Domestic I( ) International 2( ) Unknown
GENERAL AVIATION
Type of Operation
0104
Instructional
io( ) Dual il( ) Solo i2( >o Check
1Y( )Other iz( ) Unknown
Non-commercial
20( ) Pleasure 2i( ) Business 22( Government/State
23( ) Aerial work 24( ) Oll-shore operation 2Y( Other
22( ) Unknown
Commercial
30( ) Aerial application (Crop control) 31( ) Fire control 32( Aerial observation
33( ) Aerial advertising 34( ) CanslructionlSllng toad 35( Aerlal ambulance
35 1 Logging 37( ) Ol-shore operation 3Y( Other
32( ) Unknown
Miscellaneous
40( ) TestlExperimental 41( ) Illegal (smuggllng. etc.) 42( ) Ferry
43( ) Search and Rescue 44( ) AlrshowIRace 45( ) Demonslralion
4Y Other 421 1 Unknown
Type of Operator
0105
1( ) Flying Club/School 2( $ ) CorporateiExecutive 3( ) Gov. Agency
4( ) Private owner 5( ) Sales/Rental/Service Y( ) Other
Zi i Unknown
ITINERARY
Planned Destination I i i l I I I I I I I I J I I I I J I II I I I I I I I I I I
O107 Name in local spelling using Roman letters '
or S( k ) if same as 0005
Duration of tlight (time airborne)
0108 0
4wJm
hours min or Y( ) If accident occurred on ground
ATC INFORMATION
Type of Flight Plan filed
O109
li ) IFR 2 )o VFR 3( ) Special VFR
4( ) None Y( ) Other Z( ) Unknown
--`,,```,,,,````-`-`,,`,,`,`,,`---
I measured in: F( ) Feet M( ) Metres z( ) Unknown
A( ) AGL M( ) MSL
I ~~
Oll7
I( X ) Visual. straight in
4(
instrument approach
) Visual from IFR approach
2(
Y(
) Traiiic panern
) Other
3(
Z(
Not applicable
Unknown
O118
I ( r( ) Not applicable 2( ) ADFIND8 VOR/NOR
4( ) VOR/DME 5( ) TACAN VORTAC
i( ) RNAV 8( -
) ILS Complete -
ILS Localizer
A( ) ILS -
Backcourse E( ) MLS Precision Radar (PAR)
Y( ) Other Z( ) Unknown
1
Z( ) Unknown
Automatic landing
o121
Y( ) Yes
02 - INJURIES TO PERSONS
Injury index (Highest degree of injury sustained)
O201
F( ) Fatal S( ) Serious MO()
Minor N( ) None z( ) Unknown
0206 Passengers u u - u -
0207 On ground LLu u u
03/04 - DAMAGE
0301 Damage 10 aircraft
Y( .X ) Yes N( ) No
PILOT-IN-COMMAND
Age z( ) Unknown
0502 I&% Years
Sex
0503 F( ) Female M( i t )Maie
Licence type - Aeroplane
0504
i( ) Private pilot z( X) Commeniai pilot 3( ) Senior commercial pilot
4( ) Airline transport pilot 5( ) Student pilot 6( ) None
V( ) Other Z( ) Unknown
Licence/Medical validity
0506
io() Valid -no medical waivers z( ) Valid - with medical waivers 3( ) Not valid
Z( ) Unknown
Instrument rating
0508
%IYes Ni 1 No
~
z( ) Unknown
~~
Instructor rating
0509
y( %I Yes Z( ) Unknown
Flying experience
Last 24 hours Last 90 days Total
@@$ dl41fizizi
--`,,```,,,,````-`-`,,`,,`,`,,`---
Ail types hours &.&?I hours hours
0513 0514 0515
Z( ) Unknown
~~ ~
Sex
0520 F( d ) Female M( ) Male
Licence/Medical validity
0523
i( >o Valid - no medical waivers 2( ) Valid - with medical waivers 3( ) Not Valid
Zf i Unknown
Instrument ratirig
0525
Y( ) Yes N O ( ) No Z( ) Unknown
Instructor rating
~ ~
0526
Y( ) Yes NO() NO Z( ) Unknown
Flying experience
Last 24 hours Last 90 days Total
--`,,```,,,,````-`-`,,`,,`,`,,`---
Duty time last 24 hours
0533 & hours ~~ ~ ~
OTHER PERSONNEL
~~
Person involved
0535
I( ) Other flight crew member i?( ) Cabin crew member 3( ) Flight dispatcherl0perations officer
4( ) Flight service operator 5( ) Air traffic controller 6( %) Maintenance personnel
7( ) MET personnel v( ) Other
z( .>o Unknown
Sex
0537 F( ) Female M( Male
Licence validity
0538
i( g )Valid ' 2( ) Not valid 3( ) Not applicablelNot required
Z( ) Unknown
Ratings
0539
i( ) Held required ratings 2( ) Did not hold required ratings 3( ) Not applicablelRating not required
z( )o Unknown
Experience in position &I Years &I Months
0540
~~ ~~
06 - AIRCRAFT
GENERAL INFORMATION
I Aircraft - Year of manufacture I
0601
r8i6i
Aircraft - Serial number
0602
DOCUMENTATION
Certificate of Airworthiness
0604
1( x)Valid 2( ) Invalid Y( ) Other
Z( ) Unknown
Maintenance Documents
0605
i( )<) Current 2( ) Not current Y( )Other
Z( ) Unknown
--`,,```,,,,````-`-`,,`,,`,`,,`---
06 - AIRCRAFT - Continued
DESCRIPTION
Type of Aircraft
0606
i( g)Fixed wing 2( ) Helicopter 3( ) Balloon
4( ) Dirigible 5( ) Gyroplane 6( ) Micro-light
Y( ) Other Z( ) Unknown
Type of Power
0607
i( ) Reciprocating 2( >(J Turboprop 3( ) Turboshaft
4( ) Turbojet 5( ) Turbofan 6( ) None
Y( Other z( ) Unknown
--`,,```,,,,````-`-`,,`,,`,`,,`---
Engine Model
&&
&I?
& hours
Page 9
06 - AIRCRAFT - Continued
FOR PART/COMPONENT FAILURES/MALFUNCTIONS ENTER:
I
~ ~~ ~_____ _______ ~ _ _ _ _ _ ~ ~~ ~~ ~
Part number
0620 L I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I
~~ ~~
Part 4
Name
0621 I I I I I I I I I I I I I I l I l I I I I I I I I l I I I I I l I I I I
I Part number
0622 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I
I
07 - METEOROLOGICAL INFORMATION
BRIEFING ANO FORECAST
Weather briefing obtained
0701
i( )o Preflight 2( ) In-flight 3( ) Pre- and in-flight
1 Weather Forecast
0702
4(
I(
Zl
) None
Substantially correct
I Unknown
Z(
2(
) Unknown
GENERAL
--`,,```,,,,````-`-`,,`,,`,`,,`---
General weather
0705
i( >o Visual meteorologicalconditions 2( ) Inslrumenl meteorological condilions Z( ) Unknown
Light conditions
0706
i(
4(
) Dawn
) Night - moonlight
2(
5(
x)Daylight
Night - dark
)
3(
Z(
) Ousk/lwilight
) Unknown
VISIBILITY
I Runway visual range
0711
L I I I I metres Or U(%) Unlimited
Visibility
I I I I I I or U() Unrestricted Z( ) Unknown
measured in: M( ) Metres N( ) Nautical miles
CLOUDS
~- ~ - ~ p ~ ~ ~
Sky condition -
0714
i( )o Clear (no cloud) 2( ) Scattered (li8 to 4 4 3( ) Broken ( S i 8 to 718)
4( ) Overcast 5( ) Sky obscured z( ) Unknown
TEMPERATURE
1
ICING
Icing intensity
0719
i( g )None 2( ) Light 3( ) Moderate
4( ) Severe Z( ) Unknown
TURBULENCE
21 ) In clear air
I intensity I
i( ) None 2( ) Light 3( ) Moderate
4( ) Severe Z( ) Unknown
--`,,```,,,,````-`-`,,`,,`,`,,`---
measured in: K( ) km/h M( ) m/S N( )IR
Windshear/Micro burst
0724
I( % ) None 2( ) Light 3( ) Moderate
4( ) Strong 5( ) Severe Z( ) Unknown
08 - AIDS TO NAVIGATION
If no en-route or landing aids are relevant to the occurrence, proceed to Section 09.
EN-ROUTE AIDS
0801
6( ) Omega
9( ) TACAN
Y( ) Other Z( ) Unknown
e
Note,- Since the information requested on page 12 of the report form is not applicable to the occurrence used for this example, this page
has not been reproduced.
GENERAL
Name of the Aerodrome
1001
~BIRII~IIN
I I I I I I I I i I I I I I I I i I I I I I I I I I I I I
Enter direct using local spelling in Roman lellers
Type of Aerodrome
1003
>( ) Land
i( 2( ) Water 3( ) Heliport
4( ) Prepared landing area Y( ) Olher Z( ) Unknown
Length of overrun
1 O08
i4614 metres
Slope
1009.
1( 1 UP 2( ) Down 3( K ) Levei
4( ) Updown 5( ) Down-up Z( )Unknown
RUNWAY SURFACE
Type
1010
I( v )Prepared 2( ) Unprepared
Surface type
1011
I( \o Cement/Concrete 2( ) Asphalt 3( ) GravellOiri
4( ) Grass 5( ) te 6( ) Snow
V( ) Other z( ) Unknown ~ ~ ~-
1015 Runway edge. threshold and end lights I($1 Operating 2( ) Not operating Not available
1016 Runway centre-line lights I( ) Operating z( ) Not operating Not available
1017 Runway touchdown zone lights i( ) Operating 2( ) Not operaling Not available
.. .
Type of Helipor/Helipad
1024
i( ) Surface heliport
4( ) Ship helipad
Y( ) Other Z( ) Unknown
--`,,```,,,,````-`-`,,`,,`,`,,`---
Note.- Since the information requested on pages 15 and 16 of lhe report form is not applicable to the occurrence used f o r this example, these
1202
Departure end -
Mark the approximate position of the wreckage on the diagram
Note: Diagram not to scale
Approach end
Distance from threshold to the point where the aircraft left the runway
1206
metres
Note.- Since the information requested on puges I8 to 22 of the report form is noi upplimble lo the occurrence used f o r this exuniple, ihese
puges huve not been reproduced.
O
A8-18 Doc 9156
Copyright International Civil Aviation Organization
Provided by IHS under license with ICAO
No reproduction or networking permitted without license from IHS Not for Resale
- SURVIVAL ASPECTS - Continued
Page 23
15
EVAC U AT1O N
O Number of persons who were evacuated or escaped from the aircraft
1521
& or Z( ) Unknown
Evacuation/Escape time
1522
dL6.l min &sec or Z( ) Unknown
Evacuation hampered by (select as many as required):
1523
i( ) Fire 2( ) Smoke 3( ) Injuries
4( ) Cabin debris 5( ) Darkness 6( ) ShockIFear
7( %) Not hampered Y( ) Other z( ) Unknown
~~
--`,,```,,,,````-`-`,,`,,`,`,,`---
If no e v a c u a t i o n chuteslSlides w e r e installed, proceed to 1527.
Evacuation chutes/Siides effectiveness
1525
i( ) Effective 2( ) Ineffective 3( ) Not used
Z( )Unknown
Evacuation chutes/Slides: Reasons for not being effective (select as many as required):
1526
i( ) None 2( ] Wind 3( ) Burnt
4( ) Ripped 5( ) Not inflated 6( ) Deflated
7( ) Aircrait attitude 8( ) Premature inflation 9( ) Incorrect rigging
Y( ) Other z( ) Unknown
EMERGENCY LIGHTING
O
1 installation
1527
i( x]Installed 2( ] Not installed
1532 d
Number of seats that failed
Note.- Since lhe information requested on pages 24 and 25 of the repor1 form is not app!icable to lhe occurrence used f o r this example, these
Horizontal distance
1714
Umetres
Vertical distance
or Z( ) Unknown
18 - SAFETY RECOMMENDATIONS
Related to personnel (select as many as required):
1801
i( ) None made 2( ) Compliance (with regulationslprocedures. etc.) 3( ) Medical
4( y )Management 5( X ) Procedures 6( X ) Proficiency checking (Flight tests. etc.)
7( ) StudylReview 8( )o Training i'( ) Other
Phase of operation: 4 31 21
1 7lh LI MA
Code Plain text
w
Code
PDhJ t5PLfwT
Plain text
: 13lt?121 S I M U l A TQb
Plain text
FhfL U R E
Do~clhJ
--`,,```,,,,````-`-`,,`,,`,`,,`---
@.dGJL..tk
' C K - P f LO7 : [?i 91 2151
3191 5 r=ZF ' L W F f b F A I CE : i?Il?l 3 dX'eeS5fVE
u : u : u
u :1111111 : u
Code
Phase of operation:
Code Plain text I
W c t hlmPAI t ~8154 5 u B S ~ h d b A R b
D I RFCTI W E J : i5414 Mcrf EflFoRCEb
: iSiC18i NOT ~ O L C O ~ ~
Plain text
"121 N O T U&3@sTOO>
u
RELATED EXPLANATORY FACTORS:
Subject Modifier
u
RELATED EXPLANATORY FACTORS:
@id
Code
3 CMCK
Plain text
- PILOT :
Code
CREW Co-oKbl~.,ATIo
Plain text
A/ : u
Code
LACK OF
Plain text
m CtWf@ - PILOT ; 191 % r1At I24 PR -l=LlbWT P LAAJh)lAlG : ui4iLi TAI s u FFtc I EAI7
u 'LLLLLu : u
u : I I I I I I I ~ u
I
u l . l-LuJJA
I
1;
Subject
j
'I
DESCRIPTIVE FACTOR No. 4
: u
Modifiei /
Code Plain text Plain text
I; Il
Code
I1 I
1'I
1
:I
l'I~
1 RELATEO EXPLANATORY FACTORS:
1
Ill I l
OrganizalionlPerson
1
I : I I I I i ! I
I
~l
1
Subject Modifier
Plain text
1
Code 1 Plain text Plain text
I : I l I I I I I Il
!
: u
: u
;
*
li
11 NO. 5 Modifier
,
I : u
Code Plain text
u
u
RELATEO EXPLANATORY FACTORS:
Subject Modifier
: -
Code t Plain text
: u
: u
tJoe.- Should the compiler wish to code more ;actors lor any event. additional sheets, such as photocopies o the form, may be used.
!
u
Code Plain text
: -
Code Plain text
:Code
u
Plain text
u : u
lgl8i I b
l 1I lai DIR F C T i O N h L cmm0L : i114181 D I F F I C ~ L T
Code Plain text Code Plaln text
U l
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REIATED EXPLANATORY FACTORS:
u : I o )
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:Io)
--`,,```,,,,````-`-`,,`,,`,`,,`---
Page 35
EVENT 5
&=
,
-- /
l-l-u-u
e Plain text
: u
Code Plain text
: u
7
A-lL-LJ
e Plain text Code Plain text
u
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RELATED EXPLANATORY FACTORS:
Subject Modifier
--`,,```,,,,````-`-`,,`,,`,`,,`---
_.
Code Plaln text
:Code
uPlaln text
-: u : u
O NARRATIVE This narrative shall not exceed 200 words. It should complement and, i f necessary, amend the Preliminary
Report Narrative, so that the two narratives together provide a complete and accurate description of the
occurrence. Thus, information given in the Preliminary Report Narrative should only be repeated for
reasons of amendment or clarity. Present the information in the following order:
1. Brief description of the occurrence including emergency circumstances and significant information;
2. Additional remarks, including precise information on items which have been coded OTHER;
3. Safety recommendations and corrective action taken or under consideration.
~ ~~
O n c l i m b o u t , t h e check p i l o t s i m u l a t e d a n e n g i n e f a i l u r e . I n s t e a d of o n l y
u n s k i l l e d p e r s o n n e l i n s p i t e o f d i r e c t i v e s from t h e A v i a t i o n A d m i n i s t r a t i o n .
The l e f t e n g i n e w a s n o t r e - s t a r t e d b e c a u s e t h e s t u d e n t d i d n o t know t h e
and t h e a i r s p e e d w a s n o t m o n i t o r e d .
--`,,```,,,,````-`-`,,`,,`,`,,`---
Note.- Page 38 of the report form contains additional space f o r the narrative and was not reproduced f o r this example.
- END -
The following summary gives the status, and also maturity for adoption as International Standards and
describes in general t e m the contents of the various Recommended Practices, as well as material of a more
series of technical publications issued by the permanent character which is considered too detailed for
International Civil Aviation Organization. It does not incorporation in an Annex, or is susceptible to frequent
include specialized publications that d o not fall amendment, for which the processes of the Convention
specifically within one of the series, such as the would be too cumbersome.
Aeronautical Chart Catalogue or the Meteorological
--`,,```,,,,````-`-`,,`,,`,`,,`---
0 ICAO 1987
10187, EIPl/2200; 11191, E/P2/300;
1194. EIP31500; 9/99, EIP4i300;
1/01, EIP5/400