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Chapter 7. HAZARD AND INCIDENT REPORTING................................................................. 7-1
7.1 Introduction to reporting systems ............................................................................. 7-1
Value of safety reporting systems...................................................................... 7-1
ICAO requirements ............................................................................................ 7-2
7.2 Types of incident reporting systems......................................................................... 7-2
Mandatory incident reporting systems ............................................................... 7-2
Voluntary incident reporting systems................................................................. 7-2
Confidential reporting systems........................................................................... 7-3
7.3 Principles for effective incident reporting systems ................................................... 7-3
Trust ................................................................................................................... 7-3
Non-punitive ....................................................................................................... 7-3
Inclusive reporting base ..................................................................................... 7-4
Independence .................................................................................................... 7-4
Ease of reporting................................................................................................ 7-4
Acknowledgment................................................................................................ 7-4
Promotion........................................................................................................... 7-5
7.4 International incident reporting systems................................................................... 7-5
ICAO Accident/Incident Data Reporting (ADREP) System................................ 7-5
European Co-ordination Centre for Aviation Incident
Reporting Systems (ECCAIRS) ......................................................................... 7-5
7.5 State voluntary incident reporting systems............................................................... 7-6
Aviation Safety Reporting System (ASRS) ........................................................ 7-6
Confidential Human Factors Incident Reporting Programme (CHIRP) ............. 7-6
7.6 Company reporting systems..................................................................................... 7-7
7.7 Implementation of incident reporting systems.......................................................... 7-7
What to report? .................................................................................................. 7-7
Who should report?............................................................................................ 7-8
Reporting method and format ............................................................................ 7-8
Appendix 1. Limitations in the use of data from voluntary incident reporting systems ............... 7-APP 1-1
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Chapter 8. SAFETY INVESTIGATIIONS................................................................................... 8-1
8.1 Introduction............................................................................................................... 8-1
State investigations............................................................................................ 8-1
In-house investigations ...................................................................................... 8-2
8.2 Scope of safety investigations.................................................................................. 8-2
8.3 Information sources .................................................................................................. 8-3
8.4 Interviews.................................................................................................................. 8-4
Conducting interviews........................................................................................ 8-4
Caveat regarding witness interviews ................................................................. 8-4
8.5 Investigation methodology........................................................................................ 8-5
8.6 Investigating human performance issues................................................................. 8-5
8.7 Safety recommendations.......................................................................................... 8-7
Appendix 1. Interviewing techniques........................................................................................... 8-APP 1-1
Chapter 9. SAFETY ANALYSIS AND SAFETY STUDIES ....................................................... 9-1
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Safety Management Manual (SMM) 安全管理手册(5)