(MOR) Accident/Incident or Occurrence Reporting

Accident/serious Incident Reports

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KCASR’S ATTACHMENT PART 6 “R”

FLIGHT OPERATIONS – ACCIDENT/INCIDENT OR OCCURRENCE REPORTING

PURPOSE

The purpose is to make operators of aircraft registered in the State of Kuwait aware of the Kuwait Aviation Occurrence Reporting System (KAORS) and to seek the cooperation of all to report the details of any accidents/incidents according to procedures set out in this notice.

BACKGROUND

The KAORS was established to assist the Kuwait DGCA in early identification of potential hazards and system deficiencies, and to assist in the assessment of associated hazards or system deficiencies.

INFORMATION

The reporting of accidents/incidents under the KAORS system is a mandatory requirement. However, the DGCA-ASD encourages Voluntary Confidential Reporting to the same criteria across the whole spectrum of the State of Kuwait Civil Aviation Operations. Without prejudice to the proper discharge of its responsibilities, the DGCA will not disclose the name of the person submitting a Voluntary Confidential Report or of a person to whom it relates unless, in either case, the person authorizes disclosure.

The reporting of all accidents/incidents will assist the DGCA-ASD in responding to events that may have safety implications to all Air Operators, or affect the State of Kuwait Civil Aviation Transportation System

The overall objective of the DGCA-ASD in operating Operations Occurrence Reporting is to use the reported information to improve the level of flight safety and not to attribute blame.

CRITICAL AND HIGH PROFILE EVENTS FOR IMMEDIATE REPORTING

  1. Aircraft evacuation due to potential hazard
  2. Dangerous Goods Spill affecting safety
  3. Aircraft Hijacking
  4. Hostage Taking
  5. Terrorist activities
  6. Bomb Threats/Bomb Found

MANDATORY REPORTABLE OCCURRENCES

Aircraft Accident

Any aviation occurrence where, at any time during the period commencing when the first person boards an aircraft for the purpose of flight and ending when the last person disembarks from the aircraft after the flight:

  1. Any person sustains serious injury or fatal injury, that is not self- inflicted or caused by natural causes as a result of that person:
    1. being in the aircraft,
    2. coming into direct contact with any part of the aircraft, including any part that may have detached from the aircraft, or
    3. being directly exposed to jet blast/propeller wash of the aircraft;
  2. Aircraft sustains damage or structural failure adversely affecting the structural strength, performance or flight characteristics of the aircraft normally requiring major repair or replacement of any affected component part. Serious Injury – means an injury which is sustained by a person in an accident and which:
    1. requires a stay in the hospital for more than 48 hours commencing within seven days from the date on which the injury was received; or
    2. results in a fracture of any bone (except simple fractures of fingers, toes or nose); or
    3. involves lacerations which cause nerve, muscle or tendon damage or severe hemorrhage; or
    4. involves injury to any internal organ; or
    5. involves second or third degree burns or any burns affecting more than five percent of the body surface; or
    6. involves exposure to infectious substances on injurious radiation.

Aircraft Incident

Any aviation occurrence involving an aircraft where:

Engine failure, fire, flameout, shutdown or significant malfunction,

Smoke or fire occurs,

Difficulties in controlling the aircraft in flight are encountered due to any aircraft system malfunction, weather phenomena, wake turbulence, operations outside the approved flight envelope or uncontrolled vibrations,

Rejected take-off,

Go-around (not related to weather), rejected landing,

The aircraft fails to remain within the landing and take-off area, lands with one or more landing gear retracted or drags a wing tip, tail or engine pod,

Landing gear malfunction,

A heavy landing – a landing deemed to require a “heavy landing check”,

Overweight landing,

Any crew member is unable to perform their flight duties as a result of incapacitation,

Decompression, explosive or otherwise, occurs that necessitates an emergency descent,

A diversion,

A fuel shortage occurs that necessitates a diversion or requires approach and landing priority at the destination of the aircraft,

The aircraft is refueled with the incorrect type of fuel or contaminated fuel,

A collision or risk of collision with any other aircraft or with any vehicle, terrain or obstacle occurs, including a collision or risk of collision that may be related to Air Traffic Control procedures or equipment failures,

The aircraft receives a Traffic Alert and Collision Avoidance System (TCAS) Resolution Advisory,

Airmisses,

A flight crew member declares an emergency or indicates any degree of emergency that requires priority handling by an Air Traffic Control Unit or by Crash, Fire, or Rescue Services,

Toxic gases or corrosive materials leak from any area aboard the aircraft,

Turbulence encounter – an encounter resulting in injury to occupants or deemed to require a “turbulence check” of the aircraft,

Lightning strike,

Cracked or shattered cockpit window(s),

Significant loss of braking action,

Operation of any primary warning or caution system associated with the aircraft systems or equipment unless: o the crew conclusively established that the condition was false at the time it occurred; or, o the indication was confirmed as false immediately after landing,

Failure of emergency system or equipment, including any exit door and lighting, to perform satisfactorily,

Unauthorized incursion or operating irregularity involving vehicles, pedestrians or animals,

Failure of a navigational aid, approach aid, communications system, airport lighting, power failure or any other system breakdown which has an adverse effect upon flight safety or major impact on operations,

Criminal action – hijacking, bomb threat, riot, sabotage, or breach of aviation/airport security,

Unavailability of a runway due to any obstructions or foreign object that results in a major impact on airport operations,

Bird strikes,

Missing aircraft reports, Search and Rescue activation, Emergency Locator Transmitter (ELT) activation,

Labour action affecting operational capability,

Item dropped from an aircraft,

Regulatory infractions which have immediate safety implications, involve commercial Air Operators or may generate media attention,

Environmental emergencies such as a fuel spill, hazardous chemical or radioactive spill on airport property,

Death or serious injury to employees or members of the public while onboard an aircraft,

Any occurrence which may generate a high degree of public interest or concern, or could be a direct interest to specific Foreign Civil Aviation Authorities.

REPORTING RESPONSIBILITY

The Air Operator shall forward a copy of Side “A” of the Operations Occurrence Report for those occurrences classified as Critical and High Profile Events immediately after the event by fax to the DGCA-ASD (fax no. 24765796). The original copy of the Critical and High Profile Events, and original copy of other Reportable Occurrences, shall be forwarded to the DGCA-ASD no later than 72 hours from the time of the occurrence. The Chief Quality Controller or the Quality Control Manager of the operator shall report to the DGCA-ASD the results of their investigation of the occurrence using Side “B” of the Operations Occurrence Report.

The DGCA-ASD reserves the right to conduct a parallel or independent investigation concerning all occurrences which may influence or have influenced aviation safety.

At the end of every month two lists of all Operations Occurrence Reports, issued during this month, must be forwarded to the DGCA/ASD by the Operator no later than 5 days after the end of the month.