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investigation should, upon request, provide other States with
pertinent information additional to that made available in the
Accident/lncident Data Report.
ANNEX 13 7-1 1/11/01
Annex I3 -Aircraft Accident and Incident Investigation
Incidents to aircraft over 5 700 kg
7.7 If a State conducts an investigation into an incident to
an aircraft of a maximum mass of over 5 700 kg, that State
shall send, as soon as is practicable after the investigation, the
Incident Data Report to the International Civil Aviation
Organization.
Note.- The types of incidents which are of main interest to
the International Civil Aviation Organization for accident
prevention studies are listed in Attachment C.
Chapter 7
CHAPTER 8. ACCIDENT PREVENTION MEASURES
Note.- The objective of these specijications is to promote
accident prevention by analysis of accident and incident data
and by a prompt exchange of information.
Incident reporting systems
8.1 A State shall establish a mandatory incident reporting
system to facilitate collection of information on actual or
potential safety deficiencies.
8.2 Recommendation.- A State should establish a
voluntary incident reporting system to facilitate the collection
of information that may not be captured by a mandatory
incident reporting system.
8.3 A voluntary incident reporting system shall be
non-punitive and afford protection to the sources of the
information.
Note 1.- A non-punitive environment is fundamental to
voluntary reporting.
Note 2.- States are encouraged to facilitate and promote
the voluntary reporting of events that could affect aviation
safety by adjusting their applicable laws, regulations and
policies, as necessary.
Note 3.- Guidance related to both mandatory and
voluntary incident reporting systems is contained in the
Accident Prevention Manual (Doc 9422).
Database systems
8.4 Recommendation.- A State should establish an
accident and incident database to facilitate the effective
analysis of information obtained, including that from its
incident reporting systems.
8.5 Recommendation.- The database systems should
use standardized formats to facilitate data exchange.
Note 1.- Guidance material related to the specijication for
such databases will be provided by ICAO upon request from
States.
Note 2.- States are encouraged to foster regional
arrangements, as appropriate, when implementing 8.4.
Analysis of data - Preventive actions
8.6 A State having established an accident and incident
database and an incident reporting system shall analyse the
information contained in its accidentlincident reports and the
database to determine any preventive actions required.
Note.- Additional information on which to base preventive
actions may be contained in the Final Reports on investigated
accidents and incidents.
8.7 Recommendation.- I f a State, in the analysis of the
information contained in its database, identijies safety matters
considered to be of interest to other States, that State should
forward such safety information to them as soon as possible.
8.8 Recommendation.- In addition to safety recommendations
arising from accident and incident investigations,
safety recommendations may result from diverse
sources, including safety studies. I f safety recommendations
are addressed to an organization in another State, they should
also be transmitted to that State S investigation authority.
Exchange of safety information
8.9 Recommendation.- States should promote the
establishment of safety information sharing networks among
all users of the aviation system and should facilitate the free
exchange of information on actual and potential safety
deficiencies.
Note.- Standardized dejinitions, classijications and
formats are needed to facilitate data exchange. Guidance
material on the speci'cations for such information-sharing
networks will he provided by ICAO upon request.
ANNEX 13
APPENDIX. FORMAT OF THE FINAL REPORT
(See Chapter 6)
PURPOSE
The purpose of this format is to present the Final Report in a
convenient and uniform manner.
Detailed guidance on completing each section of the Final
Report is found in the Manual of Aircraft Accident
Investigation (Doc 6920).
b) where information in respect of any of the items in 1.-
Factual information is not available, or is irrelevant to
the circumstances leading to the accident, a note to this
effect is included under the appropriate sub-headings.
1. FACTUAL INFORMATION
1.1 History of the flight. A brief narrative giving the
following information:
　
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