direct ec european parliament council june occurr report civil aviat european parliament council european union regard treati establish european commun articl thereof regard propos commiss regard opinion european econom social committe consult committe region act accord procedur laid articl treati light joint text approv concili committe april rate accid civil aviat remain fairli constant decad concern forecast traffic increas lead increas number accid futur council direct ec novemb establish fundament principl govern investig civil aviat accid incid aim prevent accid facilit expediti hold investig experi shown accid occur number incid numer defici shown exist safeti hazard improv safeti civil aviat requir knowledg occurr facilit analysi trend monitor order initi correct action occurr involv aircraft regist member state oper undertak establish member state occurr report happen territori commun member state set mandatori report system categori personnel work civil aviat observ occurr interest prevent accid report effici detect potenti hazard greatli enhanc exchang inform occurr support softwar exchang inform system safeti inform entiti entrust regul civil aviat safeti investig accid incid commun peopl learn initi action improv safeti sensit natur safeti inform ensur collect guarante confidenti protect sourc confid personnel work civil aviat public provid gener inform level aviat safeti measur put place enabl set confidenti report scheme measur implement direct adopt accord council decis ec june lai procedur exercis implement power confer commiss consist ensur technic report requir develop nation expert eurocontrol joint aviat author organis list report occurr account work european organis develop framework intern civil aviat organis account object propos action improv air safeti suffici achiev member state report system oper member state isol effici coordin network exchang inform enabl earlier identif safeti problem achiev commun level commun adopt measur accord principl subsidiar set articl treati accord principl proportion set articl direct order achiev object adopt direct articl object object direct contribut improv air safeti ensur relev inform safeti report collect store protect dissemin sole object occurr report prevent accid incid attribut blame liabil articl definit purpos direct quot occurr quot mean oper interrupt defect fault irregular circumst influenc flight safeti result accid incid hereinaft refer quot accid incid quot defin articl direct ec quot disidentif quot mean remov report submit person detail pertain report technic detail lead ident report parti infer inform articl scope direct appli occurr endang correct endang aircraft occup person list exampl occurr appear annex ii commiss accord procedur laid articl decid amend annex order expand chang exampl applic direct airport gibraltar understood prejudic respect legal posit kingdom spain unit kingdom regard disput sovereignti territori airport situat applic direct airport gibraltar suspend arrang joint declar made foreign minist kingdom spain unit kingdom decemb oper govern spain unit kingdom inform council date entri oper articl mandatori report member state requir occurr cover articl report compet author refer articl person list exercis function oper command turbin power public transport aircraft oper member state ensur safeti oversight oper person carri busi design manufactur maintain modifi turbin power public transport aircraft equip part thereof oversight member state person sign certif mainten review releas servic respect turbin power public transport aircraft equip part thereof oversight member state person perform function requir authoris member state air traffic control flight inform offic manag airport cover council regul eec juli access commun air carrier intra commun air rout person perform function connect instal modif mainten repair overhaul flight check inspect air navig facil member state ensur respons person perform function connect ground handl aircraft includ fuell servic loadsheet prepar load de ic tow airport cover regul eec member state encourag voluntari report occurr mention articl person exercis civil aviat oper function similar list paragraph articl collect storag inform member state design compet author put place mechan collect evalu process store occurr report accord articl author work imparti entrust respons nation civil aviat author investig bodi entiti establish articl direct ec independ bodi entiti entrust function member state design bodi entiti design point contact exchang inform mention articl compet author store report collect databas accid incid store databas articl exchang inform member state particip exchang inform make relev safeti relat inform store databas mention articl compet author member state commiss databas compat softwar paragraph compet author design accord articl receiv occurr report enter databas notifi compet author member state occurr place aircraft regist aircraft manufactur oper certif commiss develop specif softwar purpos direct account compat exist softwar member state compet author softwar run databas commiss measur facilit exchang inform mention paragraph accord procedur set articl articl dissemin inform entiti entrust regul civil aviat safeti investig civil aviat accid incid commun access inform occurr collect exchang accord articl enabl draw safeti lesson report occurr prejudic public access commiss document laid regul ec european parliament council public access european parliament council commiss document commiss adopt initi accord procedur refer articl measur dissemin interest parti inform refer paragraph condit measur gener individu base provid person organis inform improv civil aviat safeti limit dissemin inform strictli requir purpos user order ensur confidenti inform decis dissemin inform paragraph limit strictli requir purpos user prejudic provis articl member state publish annual safeti review inform type occurr collect nation mandatori occurr report system inform public level safeti civil aviat member state publish disidentifi report articl protect inform member state nation legisl measur ensur confidenti inform receiv pursuant articl inform sole object direct type classif occurr accid incid name address individu person record databas mention articl prejudic applic rule penal law member state refrain institut proceed respect unpremedit inadvert infring law attent report nation mandatori occurr report scheme case gross neglig accord procedur defin nation law practic member state ensur employe report incid knowledg subject prejudic employ articl appli prejudic nation rule relat access inform judici author articl voluntari report addit system mandatori report establish articl member state design bodi entiti put place system voluntari report collect analys inform observ defici aviat requir report system mandatori report perceiv report actual potenti hazard member state choos put place system voluntari report establish condit disidentif bodi entiti design paragraph voluntari report present system member state ensur relev disidentifi safeti inform deriv analysi confidenti report store made parti improv safeti aviat articl committe commiss assist committe institut articl council regul eec decemb harmonis technic requir administr procedur field civil aviat refer made paragraph articl decis ec appli regard provis articl thereof period provid articl decis ec set month committe adopt rule procedur articl implement member state bring forc law regul administr provis compli direct juli forthwith inform commiss thereof member state adopt measur refer direct accompani refer occas offici public method make refer laid member state member state commun commiss text main provis nation law adopt field cover direct articl entri forc direct enter forc dai public offici journal european union articl addresse direct address member state luxembourg june european parliament presid cox council presid papandr oj oj oj opinion european parliament june oj council common posit june oj decis european parliament octob publish offici journal decis european parliament decis council oj oj oj regul amend act access oj oj regul amend commiss regul ec oj annex list aircraft oper mainten repair manufactur relat occurr report note annex list major report occurr complet comprehens occurr judg involv meet criteria report note annex includ accid addit requir cover notif accid record databas mention articl note annex exampl report requir cover aircraft oper mainten repair manufactur note occurr report safeti oper endang led unsaf condit view report occurr endang safeti oper repeat circumst creat hazard report made judg report class product part applianc absenc presenc singl factor human technic transform occurr accid incid note specif oper approv rvsm etop rnav design mainten programm specif report requir failur malfunct approv programm content gt tabl gt aircraft flight oper oper aircraft avoid manoeuvr risk collis aircraft terrain object unsaf situat avoid action avoid manoeuvr requir avoid collis aircraft terrain object avoid manoeuvr avoid unsaf situat land incid includ precautionari forc land incid shoot overrun run side runwai off reject off land attempt land close occupi incorrect runwai runwai incurs inabl achiev predict perform initi climb critic low fuel quantiti inabl transfer fuel total quantiti usabl fuel loss control includ partial temporari occurr close result produc hazard potenti hazard situat reject tail strike engin power loss produc hazard potenti hazard situat unintent signific deviat airspe intend track altitud ft descent decis height altitud minimum descent height altitud requir visual refer loss posit awar rel actual posit aircraft breakdown commun flight crew crm flight crew parti cabin crew atc engin heavi land land deem requir quot heavi land check quot exceed fuel imbal limit incorrect set ssr code altimet subscal incorrect program erron entri equip navig perform calcul incorrect data incorrect receipt interpret radio telephoni messag fuel system malfunct defect effect fuel suppli distribut aircraft unintention depart pave surfac collis aircraft aircraft vehicl ground object inadvert incorrect oper control inabl achiev intend aircraft configur flight phase land gear gear door flap stabilis slat hazard potenti hazard aris consequ deliber simul failur condit train system check train purpos abnorm vibrat oper primari warn system manoeuvr aircraft configur warn stall warn stick shaker speed warn crew conclus establish indic fals provid fals warn result difficulti hazard aris crew respons warn oper train test purpos gpw taw quot warn quot aircraft closer proxim ground plan anticip warn experienc instrument meteorolog condit night establish trigger high rate descent mode warn result failur select land gear land flap point approach mode difficulti hazard aris arisen result crew respons quot warn quot reduc separ traffic includ warn mode type genuin nuisanc fals gpw taw quot alert quot difficulti hazard aris arisen result crew respons quot alert quot aa aca ra bb jet prop blast incid result signific damag injuri ii emerg fire explos smoke toxic noxiou fume fire extinguish standard procedur flight cabin crew deal emerg procedur exist procedur exist procedur exist incomplet inappropri procedur incorrect incorrect procedur inadequaci procedur design emerg includ mainten train test purpos event lead emerg evacu depressuris emerg equip prescrib emerg procedur order deal situat event lead declar emerg quot maydai quot quot pann quot failur emerg system equip includ exit door light perform satisfactorili includ mainten train test purpos event requir emerg oxygen crew member iii crew incapacit incapacit member flight crew includ occur prior departur consid result incapacit incapacit member cabin crew render unabl perform essenti emerg duti iv injuri occurr led signific injuri passeng crew consid report accid meteorolog lightn strike result damag aircraft loss malfunct essenti servic hail strike result damag aircraft loss malfunct essenti servic sever turbul encount encount result injuri occup deem requir quot turbul check quot aircraft windshear encount ic encount result handl difficulti damag aircraft loss malfunct essenti servic vi secur unlaw interfer aircraft includ bomb threat hijack difficulti control intox violent unruli passeng discoveri stowawai vii occurr repetit instanc specif type occurr isol consid quot report quot due frequenc aris form potenti hazard bird strike result damag aircraft loss malfunct essenti servic wake turbul encount occurr type consid endang endang aircraft occup board aircraft ground aircraft technic structur structur failur report engin judgment requir decid failur report exampl consider damag princip structur element pse design damag toler life limit element pse contribut significantli carri flight ground pressuris load failur result catastroph failur aircraft defect damag exceed admiss damag pse design damag toler damag defect exceed allow toler structur element failur reduc structur stiff extent requir flutter diverg control revers margin longer achiev damag defect structur element result liber item mass injur occup aircraft damag defect structur element jeopardis proper oper system ii loss part aircraft structur flight ii system gener criteria applic system propos loss signific malfunct defect system subsystem set equip standard oper procedur drill satisfactorili accomplish inabl crew control system uncommand action incorrect incomplet respons includ limit movement stiff runawai mechan disconnect failur failur malfunct exclus function system system integr function interfer system failur malfunct protect devic emerg system system loss redund system occurr result unforeseen behaviour system aircraft type singl main system subsystem set equip loss signific malfunct defect main system subsystem set equip aircraft type multipl independ main system subsystem set equip loss signific malfunct defect main system subsystem set equip oper primari warn system aircraft system equip crew conclus establish indic fals provid fals warn result difficulti hazard aris crew respons warn leakag hydraul fluid fuel oil fluid result fire hazard hazard contamin aircraft structur system equip risk occup malfunct defect indic system result possibl mislead indic crew failur malfunct defect occur critic phase flight relev system oper signific shortfal actual perform compar approv perform result hazard situat take account accuraci perform calcul method includ brake action fuel consumpt asymmetri flight control flap slat spoiler appendix annex list exampl report occurr result applic gener criteria specif system iii propuls includ engin propel rotor system auxiliari power unit apu flameout shutdown malfunct engin overspe inabl control speed high speed rotat compon apu air starter air cycl machin air turbin motor propel rotor failur malfunct part engin powerpl result contain compon debri uncontrol intern extern fire hot ga breakout thrust direct demand pilot thrust revers system fail oper oper inadvert inabl control power thrust rpm failur engin mount structur partial complet loss major part powerpl dens visibl fume concentr toxic product suffici incapacit crew passeng inabl normal procedur shutdown engin inabl restart servic engin uncommand thrust power loss chang oscil classifi loss thrust power control lotc singl engin aircraft consid excess applic affect engin multi engin aircraft case twin engin aircraft multi engin aircraft similar engin type applic event consid hazard critic defect life control part caus withdraw complet full life defect common origin flight shut rate high possibl engin shut flight engin limit control devic fail oper requir oper inadvert exceed engin paramet fod result damag propel transmiss failur malfunct part propel powerpl result overspe propel develop excess drag thrust opposit direct command pilot releas propel major portion propel failur result excess imbal unintend movement propel blade establish minimum flight low pitch posit inabl feather propel inabl chang propel pitch uncommand chang pitch uncontrol torqu speed fluctuat releas low energi part rotor transmiss damag defect main rotor gearbox attach lead flight separ rotor assembl malfunct rotor control damag tail rotor transmiss equival system apu shut failur apu requir oper requir etop mel inabl shut apu overspe inabl start apu need oper reason iv human factor incid featur inadequaci aircraft design led error contribut hazard catastroph effect occurr incid featur inadequaci aircraft design led error contribut hazard catastroph effect occurr consid report furnish cabin equip water system circumst result endang aircraft occup fire explos smoke toxic noxiou fume event endang aircraft affect safeti occup aircraft peopl properti vicin aircraft ground failur defect passeng address system result loss inaud passeng address system loss pilot seat control flight aircraft mainten repair incorrect assembl part compon aircraft found inspect test procedur intend specif purpos ii hot bleed air leak result structur damag iii defect life control part caus retir complet full life iv damag deterior fractur crack corros delamin disbond result flutter loss stiff structur failur primari structur pse defin manufactur repair manual damag deterior exce allow limit repair manual requir repair complet partial replac secondari structur endang aircraft engin propel rotorcraft rotor system failur malfunct defect system equip damag deterior thereof found result complianc airworthi direct mandatori instruct issu regulatori author detect time report organis implement complianc subsequ complianc exce permiss limit quot instruct publish repair rectif procedur vi failur emerg system equip includ exit door light perform satisfactorili includ mainten test purpos vii complianc signific error complianc requir mainten procedur viii product part applianc materi unknown suspect origin ix mislead incorrect insuffici mainten data procedur lead mainten error failur malfunct defect ground equip test check aircraft system equip requir routin inspect test procedur identifi problem result hazard situat air navig servic facil ground servic air navig servic an annex ii list report an relat occurr ii aerodrom aerodrom facil signific spillag fuell oper load incorrect fuel quantiti signific effect aircraft endur perform balanc structur strength iii handl passeng baggag cargo signific contamin aircraft structur system equip aris carriag baggag cargo incorrect load passeng baggag cargo signific effect aircraft mass balanc incorrect stowag baggag cargo includ hand baggag endang aircraft equip occup imped emerg evacu inadequ stowag cargo contain substanti item cargo carriag attempt carriag danger good contravent applic regul includ incorrect label packag danger good iv aircraft ground handl servic failur malfunct defect ground equip test check aircraft system equip requir routin inspect test procedur identifi problem result hazard situat complianc signific error complianc requir servic procedur load contamin incorrect type fuel essenti fluid includ oxygen potabl water appendix annex subparagraph give exampl report occurr result applic gener criteria specif system list paragraph ii annex air condit ventil complet loss avion cool depressuris autoflight system failur autoflight system achiev intend oper engag signific report crew difficulti control aircraft link autoflight system function failur autoflight system disconnect devic uncommand autoflight mode chang commun failur defect passeng address system result loss inaud passeng address total loss commun flight electr system loss electr distribut system ac dc total loss loss electr gener system failur back emerg electr gener system cockpit cabin cargo pilot seat control loss flight failur emerg system equip includ emerg evacu signal system exit door emerg light loss retent capabl cargo load system fire protect system fire warn immedi confirm fals undetect failur defect fire smoke detect protect system lead loss reduc fire detect protect absenc warn case actual fire smoke flight control asymmetri flap slat spoiler limit movement stiff poor delai respons oper primari flight control system tab lock system flight control surfac runawai flight control surfac vibrat felt crew mechan flight control disconnect failur signific interfer normal control aircraft degrad fly qualiti fuel system fuel quantiti indic system malfunct result total loss wrong indic fuel quantiti board leakag fuel result major loss fire hazard signific contamin malfunct defect fuel jettison system result inadvert loss signific quantiti fire hazard hazard contamin aircraft equip inabl jettison fuel fuel system malfunct defect signific effect fuel suppli distribut inabl transfer total quantiti usabl fuel hydraul loss hydraul system etop failur isol system loss hydraul circuit failur back hydraul system inadvert ram air turbin extens ic detect protect system undetect loss reduc perform anti ic de ic system loss probe heat system inabl obtain symmetr wing de ic abnorm ic accumul lead signific effect perform handl qualiti crew vision significantli affect indic warn record system malfunct defect indic system possibl signific mislead indic crew result inappropri crew action essenti system loss red warn function system glass cockpit loss malfunct displai unit comput involv displai warn function land gear system brake tyre brake fire signific loss brake action asymmetr brake action lead signific path deviat failur land gear free fall extens system includ schedul test unwant land gear gear door extens retract multipl tyre burst navig system includ precis approach system air data system total loss multipl navig equip failur total multipl air data system equip failur signific mislead indic signific navig error attribut incorrect data databas code error unexpect deviat later vertic path caus pilot input problem ground navig facil lead signific navig error transit inerti navig mode radio navig mode oxygen pressuris aircraft loss oxygen suppli cockpit loss oxygen suppli signific number passeng includ found mainten train test purpos bleed air system hot bleed air leak result fire warn structur damag loss bleed air system failur bleed air leak detect system annex ii list air navig servic relat occurr report note annex list major report occurr complet comprehens occurr judg involv meet criteria report note annex includ accid incid addit requir cover notif accid record databas mention articl note annex includ an occurr pose actual potenti threat flight safeti compromis provis safe an servic note content annex preclud report occurr situat condit repeat circumst allow continu uncorrect creat hazard aircraft safeti collis incid encompass specif situat aircraft aircraft ground vehicl person object perceiv close separ minima infring inadequ separ control flight terrain cfit runwai incurs avoid action ii potenti collis collis encompass specif situat potenti accid collis aircraft vicin runwai incurs avoid action runwai excurs aircraft deviat atc clearanc aircraft deviat applic air traffic manag atm regul aircraft deviat applic publish atm procedur unauthoris penetr airspac deviat aircraft atm relat equip carriag oper mandat applic regul iii atm specif occurr encompass situat abil provid safe atm servic affect includ situat chanc safe oper aircraft jeopardis includ occurr inabl provid atm servic inabl provid air traffic servic inabl provid airspac manag servic inabl provid air traffic flow manag servic failur commun function failur surveil function failur data process distribut function failur navig function atm system secur appendix annex ii subparagraph give exampl report atm occurr result applic gener criteria list paragraph iii annex ii aircraft oper provis significantli incorrect inadequ mislead inform ground sourc air traffic control atc automat termin inform servic ati meteorolog servic navig databas map chart manual provis prescrib terrain clearanc provis incorrect pressur refer data altimet set incorrect transmiss receipt interpret signific messag result hazard situat separ minima infring unauthoris penetr airspac unlaw radio commun transmiss failur an ground satellit facil major atc atm failur signific deterior aerodrom infrastructur aerodrom movement area obstruct aircraft vehicl anim foreign object result hazard potenti hazard situat error inadequaci mark obstruct hazard aerodrom movement area result hazard situat failur signific malfunct unavail airfield light