SMS Pro Issue Reporting


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     Just Culture Policy

The EACAA Safety Culture is a cornerstone in the development and maintenance of a fully functioning and mature safety program. One of the main objectives is to cultivate and foster an atmosphere in which employees, students and customers are comfortable and encouraged to bring safety concerns to the attention of management.

No person will be penalized or retaliated against for bringing safety issues to the attention of the management. One of EACAA most important core values is the commitment to Safe operations and proactive safety management within every department. To ensure this commitment, it imperative to have uninhibited reporting of all incidents, occurrences and hazards that compromise the safety of the organization.

Each employee, instructor, pilot and students have a responsibility to communicate any information that may affect the level of safety in any area of the organization. Employees, instructors, pilots and students are assured that this communication will not result in any reprisal or punitive action, thus allowing a timely, uninhibited flow of information to occur.

All employees are advised that EACAA will not initiate disciplinary action against an employee, instructor, pilot or student who discloses an incident or occurrence involving the safety of the organization.

This policy does not apply to the following conditions and there any act of such nature may result to a disciplinary action.

·         Gross negligence on the part of the individuals involved

·         Criminal intent on the part of the individuals involved

·         Intentional acts by the individual in the performance of their duties that contravene company policies and procedures or the accepted policies and procedures as set forth by governmental regulation.

·         The wrongful or unlawful consumption of medications, alcohol or controlled substances by the individual making the error

·         An individual who knowingly fails to report an operational error, obvious hazard or a mandatory reporting item.

The Pilot in Command (PIC) of an aircraft may deviate from EACAA policy or state regulation to preserve property of live as may be reasonable, and in this case would be protected by the Just Culture policy of the organization.

EACAA has developed safety reporting forms to be used by all employees, instructors, pilots and students for reporting information concerning any safety issue. They are designed to protect the identity of the employee, instructor, pilot or student who provides information. These forms are readily available on paper format in Academy premises in safety information boxes which are monitored regularly to ensure reported safety issues are addressed, reports can also be delivered to the safety office or sent via email included on the forms and all safety posters in the Academy,students ,employees contractors and public can report safety concern by by using our safety management system .

Nature of Issue/Concern

Full Name:
Email:  

Select Base/Location
Select Vendor/Client
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

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
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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
Passenger identity (if known)
Crew Suggestions or Opinions
Additional Information

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
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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

Bird / Other Wildlife Strike Report

1. Name of Operator:
2. Aircraft Make/Model
3. Engine Make/Model
4. Aircraft Registration
5. Local Date/Time of Incident
Date/Time Occurred
RadDatePicker
RadDatePicker
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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.
6. Time of Incident
select
7. Airport Name
8. Runway Used
9. Location if Enroute
(Nearest Town/Reference & State)
10. Height AGL (ft)
11. Speed (IAS) (kt)
12. Phase of Flight
select
13. Part(s) of Aircraft Struck or Damaged
  Struck Damaged
A. Radome
B. Windshield
C. Nose (excluding above)
D. Engine No. 1
E. Engine No. 2
F. Engine No. 3
G. Engine No. 4
  Struck Damaged
H. Propeller
I. Wing/Rotor
J. Fuselage
K. Landing Gear
L. Tail
M. Lights
N. Other (specify)

14. Effect on Flight
select

15. Sky Condition
select
16. Precipitation
select
17. Bird Species
18. # birds seen and/or struck
Seen
select
Struck
select
19. Size of bird
select
20. Pilot warned of birds
21. Remarks (Describe damage, injuries, and other pertinent information)

DAMAGE / COST INFORMATION

22. Aircraft time out of service:
 Hours
23. Estimated cost of repairs (U.S. $):
24. Estimated other Cost
(U.S. $)(e.g. loss of revenue, fuel, hotels):
Reported by (Optional)
Title
Date
RadDatePicker
RadDatePicker
Open the calendar popup.
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
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Person Reporting:
Check Type of Reports:
Occurrence date:
RadDatePicker
RadDatePicker
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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.
(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  
Incident / Accident title
Occurrence airport
Airport
Occurrence time
RadDatePicker
RadDatePicker
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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.

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
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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
Flight no
Met Conditions
select
A/C Registration
select
Turbulence
select
Departure Airport
Flight Phase
select
Destination Airport
Type of approach
select
Diverted Airport
Runway
Pilot Flying
select
Speed
kts
Location
A/C Mass
kg
FL
Alt
ft
A/C Technical Log no
Configuration
Auto Pilot
select
Gear
select
Flaps/Slats
select
Spoiler
select
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
Cloud 2
select
Cloud height ft.
Cloud 3
select
Additional information (RWY cond, BA, ILS U/S, DME U/S, etc)

This report type is not setup, use OLD ISSUE REPORTER

This report type is not setup, use OLD ISSUE REPORTER

This report type is not setup, use OLD ISSUE REPORTER

This report type is not setup, use OLD ISSUE REPORTER

This report type is not setup, use OLD ISSUE REPORTER

This report type is not setup, use OLD ISSUE REPORTER

This report type is not setup, use OLD ISSUE REPORTER

This report type is not setup, use OLD ISSUE REPORTER

This report type is not setup, use OLD ISSUE REPORTER

This report type is not setup, use OLD ISSUE REPORTER

Security Officer Report

Reporter 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

This report type is not setup, use OLD ISSUE REPORTER

This report type is not setup, use OLD ISSUE REPORTER

Personnel Fatigue Report

* Required
Name: Telephone:
Reason for Report: Related Company Report ref:
Event Date: Event Time: Base:
RadDatePicker
RadDatePicker
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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?

The copy of this report will be automatically emailed to [email protected] (if auto-forwarding is setup by Admin)

DIRECTED BRIGHT LIGHT ILLUMINATION INCIDENT REPORT/QUESTIONNAIRE
Please take a few minutes to complete this report and submit as soon as possible after the incident.
Person filing the Report
Name Telephone No.
Mailing Address Email Address
Crew Members (attach extra pages if necessary)
Name Age Glasses/Contact Lenses
Time of Incident
Date (yyyy-mm-dd) Time
RadDatePicker
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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.
Aircraft Type Flight # or Call Sign
Location and Weather Conditions
Closest Airport or City VOR Radial or DME
Aircraft Altitude Pitch and Bank Angle
Phase of Flight Procedure Identifier
Weather Conditions Relative Darkness
Light Source Location: Position
Angle from aircraft?
How did it hit you? (Straight in the eyes or off axis?)
How did it enter the cockpit? (12 o'clock/left side window?)
Light Description
Colour, Static/Moving
Relative intensity (flashbulb, headlight)
Duration of Exposure
Light Description (cont'd)
Beam Angle from Ground
Steady or Flickering
Was light visible prior to the incident?
Effect on Crew Member(s)
Any after effects?
Post-flight medical attention sought? When, where?
What cockpit tasks were you performing when the exposure began?
Did the illumination startle you?
How long do you estimate your attention was partly or fully averted as a result of the illumination?
Remaining Characters: 170
After the initial illumination, were you able to concentrate fully on flying, or were you partially preoccupied by what happened?
Remaining Characters: 170
Did the illumination cause any interruption to your vision?
Could you see well enough during the illumination to adequately focus on instruments and outside references?
Remaining Characters: 170
Did the vision distraction cease immediately when you looked away from the source?
Did "spots" persist in your vision after you exited the light beam? For how long?
After leaving the light beam, was your vision "bleached" to the point where you could not adequately focus on objects inside or outside the cockpit? For how long?
Remaining Characters: 170
Were you distracted to the point where cockpit tasks were delayed or overlooked? Please elaborate.
Remaining Characters: 170
Were you visually or psychologically incapacitated to the point where you wanted to, or did, relinquish control of the aircraft to the other pilot?
Remaining Characters: 170
How long did this exist before you felt comfortable with resuming control of the aircraft?
Did the illumination interrupt the normal orderly flow of cockpit duties? Please elaborate.
Effect on Crew Member(s) (cont'd)
Did you experience eye pain?
Describe (location, intensity and persistence).
Did you rub or touch your eyes at the time of the incident?
Did you feel disoriented at any time? Vertigo?
Did the aircraft enter an unusual attitude?
If so, describe it.
How long did any symptoms you experienced from the exposure persist?
Did the light appear suddenly, and did it become brighter as you approached it?
Remaining Characters: 170
Was the light coming directly from the source, or did it appear to be reflected off other surfaces?
Remaining Characters: 170
Was there more than one source of light?
Describe any evasive maneuvering you attempted.
Did the beam follow you as you moved away?
Additional Comments
Remaining Characters: 1500
The copy of this report will be automatically emailed to [email protected] (if auto-forwarding is setup by Admin)

This report type is not setup, use OLD ISSUE REPORTER

This report type is not setup, use OLD ISSUE REPORTER

Fatigue Report

* Required
Name:
Email:
Related Company Report ref:
Reason for Report:

Date of Fatigue:
RadDatePicker
RadDatePicker
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* Base:
Flight No:
Destination:

Employee Type:

Contributory factors

Sleep
Timing of most recent sleep period:
Start (reference time)
End (reference time)
Timing of second most recent sleep period:
Start (reference time)
End (reference time)
Contributory factors:

Signs of Fatigue
Other:
How sleepy were you?

Please describe what happened, providing as much information as possible. Please also suggest what action is necessary to prevent it happening again.

Request Document Change

Document Title: 
Section(s) - Clause(s) or Paragraph(s)
Location of Discovery: 
Request Type:
Description of Issue or Required Change
Reason

Passenger Accident/Incident Report

Aircraft Type
Aircraft Registration
Date of Occurrence:
RadDatePicker
RadDatePicker
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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

Passenger Name
Telephone number
Address
City
State, Zip, Country
Age
Occupation

Nature of Incident/Injury
Captain
Flight Attendant 1
First Officer
Flight Attendant 2

Ground Assistance Required?
Detailed Description of Occurrence
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.
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.
(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

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
Flight no
Met Conditions
select
A/C Registration
select
Turbulence
select
Departure Airport
Flight Phase
select
Destination Airport
Type of approach
select
Diverted Airport
Runway
Pilot Flying
select
Speed
kts
Location
A/C Mass
kg
FL
Alt
ft
A/C Technical Log no
Configuration
Auto Pilot
select
Gear
select
Flaps/Slats
select
Spoiler
select
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
Cloud 2
select
Cloud height ft.
Cloud 3
select
Additional information (RWY cond, BA, ILS U/S, DME U/S, etc)

ECCAIRS is not enabled in your portal or not setup correctly.

If you would like to comply with Regulation (EU) No 376/2014, contact SMS Pro support [email protected]

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 to correct problem or prevent recurrence (250 characters max)
Remaining Characters: 250
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
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Notes
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Markers are draggable

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Click marker to see exact location

Entities Involved

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Name
Position
Phone
Role

Add Involved Company Vehicles/Aircraft

Overview
  • Title:
  • Short Description:
  • Initial actions taken:
  • Suggestions to correct problem:
  • Location:
  • Associated Vendor/Client:
  • Date Occurred:

  • People Involved
    NamePositionPhoneRole
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  • Aircraft/Vehicles Involved
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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 to correct problem or prevent recurrence (250 characters max)
Remaining Characters: 250
Suggestions to correct problem or prevent recurrence (250 characters max)
Remaining Characters: 250

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                                     Mandatory Reporting Programs

By regulation, we are required to participate in several mandatory reporting programs. These programs will continue, and will become incorporated into our SMS. This means that all reports will still be made to the Authority as per standard procedures, within 24 hours in case of accidents, 48 hours for serious incidents and 72 hours for incidents and other safety related occurrences. copies of the report will also be supplied to the Safety Manager for inclusion into the Safety Risk Management process as appropriate.   

       A list of mandatory of mandatory occurrence can be seen in Appendix XIX of the EACAA SMSM

        Voluntary Reporting Program

Employees who work daily in the operational areas of the Academy are in the best position to be aware of hazards and incidents. Thus, all personnel are strongly encouraged to report all current or potential hazards, as well as actual incidents where our procedures did not adequately ensure the proper level of safety. Also, reports should be made when procedures were not followed for either inadvertent or intentional reasons. Reports should be made in writing to the Safety Manager with a full explanation of all related details, from which an analysis can be conducted.

The Voluntary Reporting Program is a confidential program that protects the identity of the reporter. Only the Safety Manager, or his designee, will know the identity of the reporter and will keep that identity confidential. The Safety Manager, or his designee, may contact the reporter to obtain additional information necessary to fully analyze the situation. Further use of the reported information outside of the Safety Office will not contain any facts that can identify the reporter. The Safety Manager may report the supplied information to the regulator, without revealing the identity of the reporter. Safety information reporting boxes with reporting forms have been fixed in different areas of the academy to ensure effective reporting program.

Additionally, the Voluntary Reporting Program is a non-punitive program that does not use the reported information to punish employees and students, but is instead focused upon developing process improvements to eliminate the identified hazards or control the risks associated with the report. It is recognized that the vast majority of incidents and accidents are due to inadequate procedures or the training given to employees about the procedures, so there is no benefit in allocating personal blame in these cases. However, this non-punitive policy does not apply to illegal acts or blatant disregard of regulations or procedures.

All reporters will receive a confidential confirmation of receipt of their report from the Safety Manager. Upon resolution of the issue, the reporter will also receive a confidential summary of the actions taken. These corrective actions may also be communicated to the entire organization, but the identity of the reporter will remain confidential.

Anyone may submit a voluntary safety report. These reports may cover any area of our operation. 

Hazards identified from these reports will be subjected to the safety risk management process.