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AIP SRI LANKA ENR 1.14-5 04 JUL 11 GENERAL RULES AND PROCEDURES Civil Aviation Authority of Sri Lanka Air Traffic Inc...

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AIP SRI LANKA

ENR 1.14-5 04 JUL 11

GENERAL RULES AND PROCEDURES

Civil Aviation Authority of Sri Lanka Air Traffic Incident Report Form

CAA/AS/002

Please use this form as the guideline to fill the date for the occurrence using E4f file in ECCAIRS reporting system and shall e-mail the E4f file to: [email protected] Additional information which is required , not categorized under the given fields shall be included in the narrative or note. If report is CONFIDENTIAL – mark clearly at the top & provide contact address/tel. No. Your wish will be respected Note : In an initial report by radio, shaded items should be included

AIRCRAFT IDENTIFICATION

B – TYPE OF INCIDENT ACCIDENT/ AIRPROX / INCIDENT / INFRINGEMENT

THE INCIDENT General a) Date / time of incident ……………………………………………………….UTC b) Position ........................................................................................................................

Own aircraft a) Heading and route ................................................................................................... b) True airspeed .......................................................................................................... c) Level and altimeter setting...................................................................................... d) Aircraft climbing or descending ( ) Level flight

( ) Climbing

( ) Descending

( ) Wing level

(

) Slight bank

(

) Moderate Bank

( ) Steep bank

(

) Inverted

(

) Unknown

(

) Right

(

) Unknown

(

) Dirty windscreen

a) Aircraft bank angle

f) Aircraft direction of bank (

) Left

g) Restriction to visibility (select as many as required) (

) Sun glare

(

) Windscreen pillar

(

) Other cockpit structure

(

) None

h) Use of aircraft lighting (

) Navigation Lights

(

) Strobe lights

(

) Cabin lights

(

) Red anti-collision lights

(

) Landing/taxi lights

(

) Logo 9tail fin) lights

(

) Other

(

) None

(

) Yes, based on other

i) Traffic avoidance advice issued by ATS (

) Yes, based on ATS Surveillance system

(

(

) Yes, based on visual sighting.

Information

) No

Contd....page ENR ENR 1.14-7

CIVIL AVIATION AUTHORITY OF SRI LANKA

AIP AMDT 1/11

AIP SRI LANKA

ENR 1.14-7 04 JUL 11

GENERAL RULES AND PROCEDURES

j) Traffic information issued (

) Yes, based on ATS

(

Surveillance systems (

) Yeas, based on Visual

(

) Yes, based on other

sighting

Information

) No

k) Airborne collision avoidance system – ACAS (

) Not carried

(

) Type

(

) Traffic advisory issued

(

) Resolution advisory issued

(

) Traffic advisory or resolution advisory not issued

l) Identification (

) No ATS surveillance system available

(

) Identification

(

(

) No

(

) No identification

m) Other aircraft sight (

) Yes

) Wrong aircraft sighted

n) Avoiding action taken (

) Yes

o) Type of flight plan

(

) No

IFR / VFR / none*

Other aircraft a) Type and call sign / Registration ( if know) .............................................................................. b) If a) above not known (

) High wing

( ) Mid wing

(

) Low wing

(

) 1 engine

(

(

) 3 engines

(

) More than 4 engines

) 2 engines

(

) Rotorcraft

(

) 4 engines

Marking,colour or other available details: ............................................................................................................................................................................................ ............................................................................................................................................................................................... c) Aircraft climbing or descending (

) Level flight

(

) Climbing

(

) Descending

(

) Unknown

(

) Moderate bank

(

) Steep bank

(

) Unknown

d) Aircraft bank angle (

) Wings level

(

) Slight bank

(

) Inverted

(

) Unknown

(

) Right

e) Aircraft direction of bank (

) Left

f) Lights displayed (

) Navigation lights

(

) Strobe lights

(

) Cabin lights

(

) Red-anti collision lights

(

) Landing / taxi lights

(

) Logo 9tail fin ) lights

(

) Other

(

) None

(

) Unknown

g) Traffic avoidance advice issued by ATS (

) Yes, based on ATS Surveillance system

(

) Yes, based on

(

visual sighting

) yes, based on other information (

) No

(

) Unknown

Contd on page ENR 1.14-9

CIVIL AVIATION AUTHORITY OF SRI LANKA

AIP AMDT 1/11

AIP SRI LANKA

ENR 1.14-9 04 JUL 11

GENERAL RULES AND PROCEDURES

h) Traffic Information issued (

) Yes, based on ATS

(

Surveillance system (

) No

) Yes, based on visual

(

) Yes, based on other

sighting. (

Information

) Unknown

i) Avoiding action taken (

) Yes

(

) No

(

) Unknown

Distance Closest horizontal distance : ............................................................................................................................ Closest vertical distance : ................................................................................................................................

Meteorological conditions IMC / VMC Above / below clouds / fog / haze or between layers Distance vertically from cloud ..............m/ft below ..............m/ft above. In cloud / rain / snow / sleet / fog / haze Flying into / out of sun Flight visibility ..................m/km Any other information considered important by the pilot-in-command ........................................................................................................................................................... ........................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. .............................................................................................................................................................. .............................................................................................................................................................

Miscellaneous Information regarding reporting aircraft (Own aircraft) Aircraft Registration ...................................................................................................... Aircraft Type .................................................................................................................. Operator ........................................................................................................................ Aerodrome of Departure ................................................................................................. Aerodrome of First Landing .................................... Destination .................................... Reported by radio or other means to................................. (ATS Unit) at Date / Time .............................. Contd.........on page ENR 1.14-11

CIVIL AVIATION AUTHORITY OF SRI LANKA

AIP AMDT 1/11

AIP SRI LANKA

ENR 1.14-11 04 JUL 11

GENERAL RULES AND PROCEDURES

Details of ATC action Action taken by ATC (Explanation Clearance, ATC Surveillance system, warning given) .................................................................................................................................................. .................................................................................................................................................... .................................................................................................................................................... .................................................................................................................................................... .................................................................................................................................................... ................................................................................................................................................... ................................................................................................................................................... ...................................................................................................................................................... ..................................................................................................................................................... ....................................................................................................................................................... DIAGRAMS OF AIRPROX Mark passage of other aircraft relative to you, in plan on the left and in elevation on the right, assuming YOU are at the centre of each diagram. Include first sighting and passing distance. Hundreds of Meters

Hundreds of Meters Hundreds of Feet

10 9 8 7 6 5 4 3 2 1 0 1 2 3 4 5 6 7 8 9 10

10 9 8 7 6 5 4 3 2 1 0 1 2 3 4 5 6 7 8 9 10

300 270 240 210 180 150 120 90 60 30 0 30 60 90 120 150 180 210 240 270 300

Signature of person submitting report : ................................................... ..................................... Designation :................................................................................................................................. Address : ......................................................................................................................................... Tel Number :........................................................................................................................................

CIVIL AVIATION AUTHORITY OF SRI LANKA

AIP AMDT 1/11

METERS

14 13 12 11 10 9 8 7 6 5 4 3 2 1 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14

14 13 12 11 10 9 8 7 6 5 4 3 2 1 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14