SMS Pro Issue Reporting


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At Aero Contractors Nig. (ACN), our objective is to cultivate and foster a generative safety culture in which employees and customers are comfortable and encouraged to bring safety concerns to the attention of management.
Non-punitive Reporting Policy
  1. No person will be penalized or retaliated against for bringing safety issues to the attention of management.
  2. Safe flight operations are World Aviation’s most important commitment. To ensure this commitment, it is imperative that we have uninhibited reporting of all incidents and occurrences that compromise the safety of our operations.
  3. We ask that each employee accept the responsibility to communicate any information that may affect the integrity of flight safety. Employees must be assured that this communication will never result in reprisal, thus allowing a timely, uninhibited flow of information to occur
  4. All employees are advised that ACN will not initiate disciplinary action against an employee who discloses an incident or occurrence involving flight safety. This policy cannot apply to criminal, international or regulatory infractions
  5. ACN has developed safety reports to be used by all employees for reporting information concerning flight safety. They are designed to protect the identity of the employee who provides information. These forms are readily available in your work area.
  6. We urge all employees to use this program to help ACN continue its leadership in providing our customers and employees with the highest level of flight safety.

2. Nature of Issue/Concern

Full Name:
Email:    

Select Base/Location
Select Type of Concern
Select Custom Report Type
Select Audit

Flight Safety Form

Reporter
Experience
  years
Airspace
Weather
Light
ATC Advisory
Altitude
  ft.
Miss Distance Horizontal (ft.)
 ft.
Miss Distance Vertical (ft.)
 ft.
Evasive Action Taken
TCAS Factor
GPWS Active

Air Traffic Control Form

Reporter
Experience
  years
ATC Control Position
Instruction Factor
Airspace
Weather
Light
Altitude
 ft.
Miss Distance Horizontal (ft.)
 ft.
Miss Distance Vertical (ft.)
 ft.
Evasive Action Taken
TCAS Factor
Conflict Alert Active

Maintenance Report Form

Reporter
Experience
  years
Instruction Factor
Other Factors
Items Involved
When Problem Detected
Deferred Maintenance
Outcome
Airworthiness
Mission
ATA Code

Cabin Safety Form

Reporter
Experience
  years
Weather
Light
Flight Phase
Tail #
Flight #
Flight Date
RadDatePicker
RadDatePicker
Open the calendar popup.
Cabin Activity
Passenger Involved
Injury
Fire/Smoke
Evacuation

OSHA Form

Select Establishment
Completed by
If not you, enter name
Title
Phone
Date Reported
RadDatePicker
RadDatePicker
Open the calendar popup.
If not today
What was the employee doing just before the incident occurred? Describe the activity, as well as the tools, equipment, or material the employee was using. Be specific. Examples: "climbing a ladder while carrying roofing materials"; "spraying chlorine from hand sprayer"; "daily computer key-entry."
What happened? Tell us how the injury occurred. Examples: "When ladder slipped on wet floor, worker fell 20 feet"; "Worker was sprayed with chlorine when gasket broke during replacement"; "Worker developed soreness in wrist over time."
What was the injury or illness? Tell us the part of the body that was affected and how it was affected; be more specific than "hurt," "pain," or sore." Examples: "strained back"; "chemical burn, hand"; "carpal tunnel syndrome."
What object or substance directly harmed the employee? Examples: "concrete floor"; "chlorine"; "radial arm saw." If this question does not apply to the incident, leave it blank.

Bird Strike Reporting Form


Operator
Aircraft Make/Model
Engine Make/Model
Aircraft Registration
Time of Day
Airport Name
Runway Used
Location
Height AGL (ft)
Speed (IAS) (kt)
Flight Phase
Birdstrike Status
Radome
Windshield
Nose (excluding above)
Engine #1
Engine #2
Engine #3
Engine #4
Propeller
Wing/Rotor
Fuselage
Landing Gear
Tail
Lights
Other (specify)
Effect on Flight
Sky Condition
Precipitation
Bird Species
Number of birds seen
Number of Birds Struck
Size of Birds
Pilot Warned of Birds
Person Preparing Report
Reporter Title
Department

Captain's Trip Report

Flight Date
RadDatePicker
RadDatePicker
Open the calendar popup.
Aircraft
Flight #
Crew
Flight Type
Irregularities
Description
Captain's Name
Chief Pilot's Name

Interference With a Crewmember

Flight #
Aircraft Type
Aircraft Registration
Date of Occurrence
RadDatePicker
RadDatePicker
Open the calendar popup.
Safari users have to manually input the date in yyyy/MM/dd format (e.g. 2016/01/31), or switch to another browser (e.g. Chrome or Firefox). Leave blank if unknown.
Time of Occurrence
Location

Phase of Flight






Crewmember Names

Captain
Flight Attendant 1
First Officer
Flight Attendant 2


Suspected Factors That May Have Caused the Interference Event
Nature of Obvious Injuries to Passenger(s) Onboard
Nature of Obvious Injuries to Crewmember(s) Onboard
Actions Taken by Captain and Crewmembers
Name of Law Enforcement Agency Contacted
Additional Information
Crew Suggestions or Opinions

Bird/Wildlife Strike Report


Note: If field is unknown please select unknown from the pick list, but if field is unreported please leave blank.
Please enter your name
Telephone number
Type of Report
Reporting Source
Operator
Date (yyyy/mm/dd)
RadDatePicker
RadDatePicker
Open the calendar popup.
Safari users have to manually input the date in yyyy/MM/dd format (e.g. 2016/01/31), or switch to another browser (e.g. Chrome or Firefox). Leave blank if unknown.
Height AGL (ft)
Local Time (hhmm) (24 hour time)
Time Zone
Speed (IAS) (kt)
Aircraft Information
Model
Make
Engine Type
Engine Make
Registration
Flight No.
Airport Information
Airport Name
Phase of Operation
Province
Region
Runway
If En Route, distance from airport
Parts Struck/Damaged
Radome
Windshield
Nose (excluding above)
Engine #1
Engine #2
Engine #3
Engine #4
Propeller
Wings
Rotor
Fuselage
Landing Gear
Tail
Lights
Pitot Static
Tail Rotor
Other

Effects on Aircraft/Flight










Light Condition
Sky Condition
Precipitation

Bird/Mammal Information
Species Common Name
Size of Birds
Number of birds seen
Number of Birds Struck
Bird Remains Submitted for Identification?
Pilot Warned of Birds
Additional Information


Cost Information
Aircraft Time out of Service   Hours
Estimated Cost of Repairs or Replacement

  CDN $ in thousands
Damage Category (DND)
Estimated Other Costs (loss of revenue, hotels)   CDN $ in thousands
SAFETY MANAGEMENT SYSTEM (SMS)
INCIDENT/ACCIDENT/HAZARD/NEAR-MISS REPORT
This SMS Report is for reporting airside incidents / accidents / hazards or near-misses that may result, or have resulted in damage to Authority equipment / property or personal injury or third party vehicle / property damage.
Date of Report:
RadDatePicker
RadDatePicker
Open the calendar popup.
Person Reporting:
Check Type of Reports:
Occurrence date:
RadDatePicker
RadDatePicker
Open the calendar popup.
(if different from report date):
Time:
Hours
Minutes
General Area: Specific Location:
Employee Report Name: Occupation:
Description of Incident / Accident / Hazard / Near-miss / Workplace Violence:
Description of direct (root) cause(s):
Description of indirect (root) cause(s):
Description of injury / illness:
Object / Equipment / Substance causing Incident / Accident / Injury / Illness:
Employee WCB Report completed? Date reviewed:
RadDatePicker
RadDatePicker
Open the calendar popup.
Employee WCB Report forwarded to supervisor?
Note: Employee WCB report must be submitted within 72 hours

Airport Initial Safety Report

Report company:  
Airport
Name:  
Date:  
RadDatePicker
RadDatePicker
Open the calendar popup.
Incident / Accident title:
Occurrence airport:
Airport
Occurrence time:
RadDatePicker
RadDatePicker
Open the calendar popup.
:  (time)

Incident / Accident type:









     


  
  

Cause:

              

# of Persons Injured

Death
Serious injured
Slightly injured

Brief Description:

Determine responsibility:




Incident level:




Hazard/Occurrence Form

* Required
Date/Time Occurred
RadDatePicker
RadDatePicker
Open the calendar popup.
Leave date blank if unknown
Safari users have to manually input the date in yyyy/MM/dd format (e.g. 2016/01/31), or switch to another browser (e.g. Chrome or Firefox). Leave blank if unknown.
Flight Details Configuration
Flight no Met Conditions
select
Auto Pilot
select
A/C Registration
select
Turbulence
select
Gear
select
Departure Airport Flight Phase
select
Flaps/Slats
select
Destination Airport Type of approach
select
Spoiler
select
Diverted Airport Runway
Pilot Flying
select
Speed kts
Location A/C Mass kg
FL
Alt ft
A/C Technical Log no
Aerodrome Information
Wind e.g. 09015, VRB05, 25015G30 Temp e.g. 25-02
Visibility e.g. 3500, CAVOK Dew Point e.g. 25-02
Weather
select
QNH 3 or 4 digits
Cloud 1
select
Additional information (RWY cond, BA, ILS U/S, DME U/S, etc)
Cloud 2
select
Cloud height ft.
Cloud 3
select

Security Officer Report

Officer Name
Internal ID#
Incident Report ID

Incident Summary
Remaining Characters: 1000
Who, What, When, etc.
Remaining Characters: 2000

Incident Location
Incident Type
If Other, What Type

Officer Details / Comments
Remaining Characters: 3000

Personnel Fatigue Report

Name: Telephone:
Reason for Report: Related Company Report ref:


Event Date: Event Time: Base:
RadDatePicker
RadDatePicker
Open the calendar popup.
Safari users have to manually input the date in yyyy/MM/dd format (e.g. 2016/01/31), or switch to another browser (e.g. Chrome or Firefox). Leave blank if unknown.
Flight No: Destination: Check-In Time: Check-Out Time:
Employee Type
Contributory factors
Contributory factors:
Timing of most recent sleep period: Timing of second most recent sleep period:
Start (reference time) End (reference time) Start (reference time) End (reference time)
Contributory factors:
Last Duty Period
Duty Period - Start: Flight Duty Period - Start: Flight Duty Period - End Duty Period - End
Previous Duty Period
Duty Period - Start: Flight Duty Period - Start: Flight Duty Period - End Duty Period - End
Contributory factors:








Other:
Physical Symptoms:




Other:
Cognitive Symptoms:



Other:
How did you feel?



What did you do?

FRMS Forms is not setup, contact your Safety Manager.

Note: You need to have at least one user in SMSFatigueManager role.

Only user(s) in SMSFatigueManager role will get notified about FRMS reports.
Only user(s) in SMSFatigueManager role and assigned Department Heads will see FRMS reports in issue manager

Request Document Change

Document Title: 
Section(s) - Clause(s) or Paragraph(s)
Location of Discovery: 
Request Type:





Description of Issue or Required Change
Reason

General Issue Details with Suggested Corrective Action

Provide Short Title of IssueRequired
(Example: Go-around at Las Vegas, Unstabilized Approach)
Describe Issue, including any factors you feel contributed (4000 characters max)Required
Remaining Characters: 4000
How severe or critical is this issue?
Initial actions taken, suggestions to correct problem or prevent recurrence (250 characters max)
Remaining Characters: 250

Where & When Occurred

Location
(Hangar / Runway / Office / Flight 321 / etc.)
Date/Time Occurred
RadDatePicker
RadDatePicker
Open the calendar popup.
Leave date blank if unknown
Safari users have to manually input the date in yyyy/MM/dd format (e.g. 2016/01/31), or switch to another browser (e.g. Chrome or Firefox). Leave blank if unknown.

Notes
Right-click to add markers

Markers are draggable

Right-click marker to remove

Click marker to see exact location

Entities Involved

NamePositionPhoneRoleDelete
No records to display.

Add People Involved

  • Name
  • Position
  • Phone
  • Role

Add Involved Company Vehicles/Aircraft

Overview
  • Title:
  • Short Description:
  • Corrective Action:
  • Location:
  • Associated Vendor/Client:
  • Date Occurred:

  • People Involved
    NamePositionPhoneRole
    No records to display.

  • Vehicles Involved

Attachments


Allowed file types:doc, docx, pages, pdf, xls, xlsx, numbers, txt, jpg, jpeg, png, gif, tiff, bmp, aud, mp3, mp4, wav, mpg, mpeg, wmv, mov, qt, avi, mng, svi
Maximum file size:45MB

    
Thank you for submitting the issue.
Note: For best results, do not use the browser back button. Use "Previous" button when present.

Quick Report

Provide Short Title of IssueRequired
(Example: Go-around at Las Vegas, Unstabilized Approach)
Describe Issue, including any factors you feel contributed (4000 characters max)Required
Remaining Characters: 4000
How severe or critical is this issue?
Initial actions taken, suggestions to correct problem or prevent recurrence (250 characters max)
Remaining Characters: 250


Type of Issues to Report:

Please report all issues that you feel compromise safety. Even small issues, if reported and corrected, may prevent someone from getting hurt. There are four broad areas regarding aviation safety; Ground Safety, Flight Safety, Aircraft Airworthiness, and Security. 

Ground Safety: Please report any issue which, if left uncorrected, may lead to an injury to personel or damage to assets.

Flight Safety: Please report any issue which, if left uncorrected, may compromise the safety of flight.

Aircraft Airworthiness: Please report any issue which, if left uncorrected, may compromise the airworthiness of company owned aircraft. (The company has a process in place for routine and unscheduled maintenance.) Issues reported may include maintenance technician fatigue, poor workmanship, lack of technical abilities, etc.

Security: Please report any physical or flight security related issue which may either compromise access to company owned aircraft or facilities.

What happens when you submit an electronic report:

When you submit a report online, several things happen:

  • You will recieve an email thanking you for submitting the issue. There will be an hyperlink in the email that will let you see your issue.
  • The Aviation Leadership Team will each recieve an email notifying them that an issue has been submitted.
  • The Safety Specialist will classify the issue which includes determination of risk and selection of Responsible Manager. The specialist will also formulate a recommendation.
  • The Responsible Manager will get an email with notification that the issue has been assigned to him/her. The Responsible Manager will set corrective action plans.
  • The issues now can be tracked and trended.

      Some nice features:

      Anonymous Reporting

      You can submit reports anonymously. Just check the "Anonymous" box at the beginning of the wizard. There are really two levels of anonymity:

      • When you login, the web-application recognizes you. When you check the anonymous box, the program blocks anyone else from knowing who you are. When you submit an anonymous report using the program, you can view the status of your anonymous issue when you login.
      • The second level is to submit an anonymous paper report. Your report will be entered into the system, but there is no way for you to monitor the status of your issue.

      Track Your Issues

      Whenever you log into the system, "Manage Issues", then "RiskManager". The application will show a list of all the issues you have submitted and the stautus of each. This is also true for anonymous reports submitted by you.