SMS Pro Issue Reporting


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At Global Crossing Airlines, our objective is to cultivate and foster a generative safety culture in which employees and customers are comfortable and encouraged to bring safety concerns to the attention of management.

To file an ASAP report, go to "Select Custom Report Type" tab on the next page and select ASAP Report.

Non-punitive Reporting Policy

>> Safe flight operations are Global Crossing’s most important commitment. To ensure this commitment, it is imperative that we have uninhibited reporting of all incidents and occurrences that compromise the safety of our operations.

>> We ask that each employee accept the responsibility to communicate any information that may affect the integrity of flight safety. Employees must be assured that this communication will never result in reprisal, thus allowing a timely, uninhibited flow of information to occur

>> All employees are advised that Global Crossing 
will not initiate disciplinary action against an employee who discloses an incident or occurrence involving flight safety. This policy cannot apply to criminal, international or regulatory infractions 


>> Global has developed safety reports to be used by all employees for reporting information concerning flight safety. They are designed to protect the identity of the employee who provides information. These forms are readily available in your work area.

>> We urge all employees to use this program to help Global Crossing continue its leadership in providing our customers and employees with the highest level of flight safety.

 

Reporting is free of any form of reprisal. The main purpose of reporting is risk control and accident and incident prevention, not the attribution of blame. No action will be taken against any staff member who discloses a safety concern through the reporting system, unless such disclosure reveals, beyond any reasonable doubt, an illegal act, gross negligence, or a deliberate or willful disregard of regulations or procedures.

 

(Rev Orig/07-15-21)

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

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

Captains Irregularity 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
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.
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 / 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.
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)
Ground Safety Report/Accident/Incident
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

IROP Report/Hazard/Occurrence

* 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)

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

ASAP 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
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.
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
RadDatePicker
Open the calendar popup.