SMS Pro Issue Reporting


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Bermuda Skyport Corporation Ltd. encourages everybody to report all occurrences and safety concerns.

Confidential Reporting:

The purpose of the reporting system is to identify and resolve safety issues by addressing the root causes of incidents so that they do not recur, not to assign blame when something does go wrong.  As such, the names of those reporting will be kept confidential and will not appear on any published material relating to the report (the only exception to this is when required by Regulations to include names of persons involved).

Anonymous Reporting:

To promote confidence in the Safety Management System, reports may be submitted anonymously if desired.  Anonymous Reporting is not applicable for events that are legally reportable (e.g. dangerous occurrence or injury events reportable to the Bermuda Govt Office of Safety and Health or occurrences reportable to the Department of Civil Aviation).

Please note; if you are submitting an anonymous report, please include as much detail as possible to ensure that an investigation may be properly completed.

Nature of Issue/Concern

Full Name:
Email:    

Select Type of Concern
Select Custom Report Type
Select Audit

OSHA Form

Select Establishment
Completed by
If not you, enter name
Title
Phone
Date Reported
RadDatePicker
RadDatePicker
Open the calendar popup.
If not today
What was the employee doing just before the incident occurred? Describe the activity, as well as the tools, equipment, or material the employee was using. Be specific. Examples: "climbing a ladder while carrying roofing materials"; "spraying chlorine from hand sprayer"; "daily computer key-entry."
What happened? Tell us how the injury occurred. Examples: "When ladder slipped on wet floor, worker fell 20 feet"; "Worker was sprayed with chlorine when gasket broke during replacement"; "Worker developed soreness in wrist over time."
What was the injury or illness? Tell us the part of the body that was affected and how it was affected; be more specific than "hurt," "pain," or sore." Examples: "strained back"; "chemical burn, hand"; "carpal tunnel syndrome."
What object or substance directly harmed the employee? Examples: "concrete floor"; "chlorine"; "radial arm saw." If this question does not apply to the incident, leave it blank.

This report type is not setup, use OLD ISSUE REPORTER

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
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.
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.

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

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

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
Open the calendar popup.
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

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, 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
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.

Notes
Right-click to add markers

Markers are draggable

Right-click marker to remove

Click marker to see exact location

Entities Involved

NamePositionPhoneRoleDelete
No records to display.

Add People Involved

  • Name
  • Position
  • Phone
  • Role
NwdsAttachments
Overview
  • Title:
  • Short Description:
  • Corrective Action:
  • Location:
  • Associated Vendor/Client:
  • Date Occurred:

  • People Involved
    NamePositionPhoneRole
    No records to display.

  • Vehicles Involved
Add Attachments...

Thank you for submitting the issue.
Note: For best results, do not use the browser back button. Use "Previous" button when present.

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, suggestions to correct problem or prevent recurrence (250 characters max)
Remaining Characters: 250


Bermuda Skyport Corporation Ltd. encourages everybody to report all occurrences and safety concerns.

Confidential Reporting:

The purpose of the reporting system is to identify and resolve safety issues by addressing the root causes of incidents so that they do not recur, not to assign blame when something does go wrong.  As such, the names of those reporting will be kept confidential and will not appear on any published material relating to the report (the only exception to this is when required by Regulations to include names of persons involved).

Anonymous Reporting:

To promote confidence in the Safety Management System, reports may be submitted anonymously if desired.  Anonymous Reporting is not applicable for events that are legally reportable (e.g. dangerous occurrence or injury events reportable to the Bermuda Govt Office of Safety and Health or occurrences reportable to the Department of Civil Aviation).

Please note; if you are submitting an anonymous report, please include as much detail as possible to ensure that an investigation may be properly completed.