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KEMENTERIAN PERHUBUNGAN



DIREKTORAT JENDERAL PERHUBUNGAN UDARA



PERATURAN DIREKTUR JENDERAL PERHUBUNGAN UDARA NOMOR : KP 242 TAHUN 2017 TENTANG



PETUNJUK TEKNIS



PERATURAN KESELAMATAN PENERBANGAN SIPIL BAGIAN 19-02 (STAFF INSTRUCTION 19-02) SISTEM PELAPORAN SUKARELA



VOLUNTARY REPORTING SYSTEM (VRS)



DENGAN RAHMAT TUHAN YANG MAHA ESA



DIREKTUR JENDERAL PERHUBUNGAN UDARA,



Menimbang



:



a.



bahwa pada butir 19.59 dalam Lampiran Peraturan Menteri



Perhubungan



Republik



Indonesia



Nomor



PM 62 Tahun 2017 tentang Peraturan Keselamatan



Penerbangan Sipil Bagian 19 (Civil Aviation Safety Regulations Part 19) tentang Sistem Manajemen Keselamatan (Safety Management System) telah mengatur bahwa setiap penyedia jasa penerbangan hams melaporkan data kejadian dan informasi terkait keselamatan lainnya yang telah diperoleh dari sistem



pelaporan sukarela (voluntary reporting system) kepada Direktorat Jenderal Perhubungan Udara;



b.



bahwa perlu disusun petunjuk teknis bagi Direktorat Jenderal Perhubungan Udara untuk memproses data



kejadian dan informasi terkait keselamatan lainnya c.



sebagaimana dimaksud pada huruf a; bahwa berdasarkan pertimbangan dimaksud



dalam



huruf



a



dan



sebagaimana



huruf



b,



perlu



menetapkan Peraturan Direktur Jenderal Perhubungan Udara



Tentang



Petunjuk



Teknis



Peraturan



Keselamatan Penerbangan Sipil Bagian 19-02 (Staff



Instruction 19-02) Sistem Pelaporan Sukarela (Voluntary Reporting System (VRS);



Mengingat



:



1.



Undang-Undang Nomor 1 Tahun 2009 Penerbangan (Lembaran Negara



tentang



Republik Indonesia



Tahun 2009 Nomor 1, Tambahan Lembaran Negara



Republik Indonesia Nomor 4956); 2.



Peraturan Presiden Nomor 7 Tahun 2015 tentang



Organisasi Kementerian



Negara



(Lembaran



Negara



Republik Indonesia Tahun 2015 Nomor 8); 3.



Peraturan Presiden Nomor 40 Tahun 2015 tentang



Kementerian Perhubungan (Lembaran Negara Republik Indonesia Tahun 2015 Nomor 75);



4.



Peraturan Menteri Perhubungan Nomor PM 189 Tahun



2015 tentang Organisasi dan Tata Kerja Kementerian Perhubungan (Berita Negara Republik Indonesia Tahun 2015 Nomor 1844) sebagaimana telah beberapa kali diubah, terakhir dengan dengan Peraturan Menteri Perhubungan Nomor PM 44 Tahun 2017 tentang Perubahan



Kedua



atas



Peraturan



Menteri



Perhubungan Nomor PM 189 Tahun 2015 tentang Organisasi dan Tata Kerja Kementerian Perhubungan (Berita Negara Republik Indonesia Tahun 2017 Nomor 816);



5.



Peraturan Menteri Perhubungan Nomor PM 62 Tahun



2017 tentang Peraturan Keselamatan Penerbangan Sipil Bagian 19 (Civil Aviation Safety Regulations Part 19) tentang Sistem Manajemen Keselamatan (Safety Management



System)



(Berita



Negara



Republik



Indonesia Tahun 2017 Nomor 1098);



MEMUTUSKAN:



Menetapkan



:



PERATURAN UDARA



DIREKTUR



TENTANG



JENDERAL



PETUNJUK



PERHUBUNGAN



TEKNIS



PERATURAN



KESELAMATAN PENERBANGAN SIPIL BAGIAN 19-02 (STAFF



INSTRUCTION



19-02)



SISTEM



PELAPORAN



(VOLUNTARY REPORTING SYSTEM (VRS).



SUKARELA



Pasal 1



Memberlakukan Peraturan Direktur Jenderal Perhubungan



Udara Tentang Petunjuk Teknis Peraturan Keselamatan Penerbangan Sipil Bagian 19-02 (Staff Instruction 19-02) Sistem Pelaporan Sukarela (Voluntary Reporting System (VRS)



sebagaimana tercantum dalam Lampiran yang merupakan bagian tak terpisahkan dari Peraturan Direktur Jenderal ini. Pasal 2



Direktur



Jenderal



Perhubungan



Udara



melakukan



pengawasan terhadap pelaksanaan Peraturan ini. Pasal 3



Peraturan ini mulai berlaku sejak tanggal ditetapkan. Ditetapkan di Jakarta



pada tanggal 22 September DIREKTUR JENDERAL PERHUBUNGAN UDARA ttd



Dr. Ir. AGUS SANTOSO, M.Sc



i dengan aslinya KEPALA BAGIAN HUKUM,



ENDAH PURNAMA SARI



Pembina (IV/a) NIP. 19680704 199503 2 001



LAMPIRAN PERATURAN DIREKTUR JENDERAL PERHUBUNGAN UDARA



nomor tanggal



: :



KP :22



242 TAHUN SEPTEMBER



2017 2017



Staff Instruction SI 19 - 02



Voluntary Reporting System (VRS)



Edition



1



Amendment



0



Date



REPUBLIC OF INDONESIA - MINISTRY OF TRANSPORTATION DIRECTORATE GENERAL OF CIVIL AVIATION JAKARTA - INDONESIA



SI 19 - 02



AMENDMENT RECORD LIST



Amendment Issue Date No.



Original



Inserted By



Insertion Date



SI 19 - 02



FOREWORD



1.



PURPOSE



This



Staff



Instruction



prescribes



responsibilities,



policies, and procedures to be used by the Directorate General of Civil Aviation (DGCA) for the processing of



Voluntary Reporting System in accordance with CASR Part 19. This Staff Instruction may be made available



to the public so that they may better understand the authority and responsibilities of the DGCA. 2.



REFERENCES



This Staff Instruction should be used in accordance



with the applicable regulations. 3.



CANCELLATION :



4.



AMENDMENT



The amendment of this Staff Instruction is approved by Director General of Civil Aviation. DIRECTOR GENERAL OF CIVIL AVIATION



Signature.



Dr. Ir. AGUS SANTOSO, M.Sc.



5X Salinan sesuai dengan aslinya KEPALA BAGIAN HUKUM,



~"^2WUtf^ENDAH PURNAMA SARI



Pembina (IV/a) NIP. 19680704 199503 2 001



Ml



SI 19-02



CHAPTER 1 GENERAL



1.



PURPOSE



This staff instruction prescribes responsibilities, policies and procedures to be used by the DGCA for processing Voluntary Reports.



2.



REGULATORY REFERENCES



Civil Aviation Safety Regulation (CASR) Parts 19 established the regulatory basis for reporting voluntarily detail of occurrences and other safety related information that may not be captured by the mandatory reporting system which is perceived by the reporter as an actual or potential hazard to aviation safety. Such reports may involve occurrences, hazards or threats relevant to aviation safety.



3.



APPLICABILITY



This staff instruction applies to VRS Administrator team, Coordinator, SSP



Data Analyst and SSP Data Base IT programmer, SSP Representative (Focal Point) Safety Representative Regional Office.



4.



DEFINITIONS



a.



Voluntary Report



A report that is reported by aviation personnel voluntarily on actual or potential safety deficiencies in their areas that would otherwise not be



reported through other channels, in order to enhance aviation safety. b.



Aviation Personnel



Aviation Personnel is an individual directly involved in aviation or an



organization involved in aviation of which the individual belongs to any of these groups: 1) Flight operations:



a) departure/en route/approach and landing; b) aircraft cabin operations; c)



air proximity events;



d) weight and balance and performance. 1



SI 19-02



2) Aerodrome operations: a)



aircraft ground operations;



b)



movement on the aerodrome;



c)



fuelling operations;



d)



aerodrome conditions or services;



e)



cargo loading.



3) Air traffic management: a)



ATC operations;



b) ATC equipment and navigation aids; c)



crew and ATC communications.



4) Aircraft maintenance:



Aircraft/engine/component maintenance and repair activities. 5) Design and manufacturing:



Aircraft/engines/components design or production activities. 6) Approved training organizations:



Training activities involving flight operations. 7) Miscellaneous:



Passenger handling operations related to safety; etc. c.



Vision



It is a voluntary reporting system for improvement of aviation safety in Republic of Indonesia. It is also an abbreviation of "Voluntary Information for Safety Improvement in aviation". Because it is easy for aviation community in Indonesia to recognize, it will be used for promotion of Voluntary Reporting System.



d.



Analysis review working group (WG) The WG is to confirm the analysis of report and comment for feedback before a Voluntary Report Bulletin will be published to the aviation



community. The WG consist the SSP Office member and some experts who DGCA assigned from an aviation community.



SI 19 - 02



e.



Analysis report bulletin



It is to publish the analysis of report and comment of report to an flvintinn community. rrvmmnni-Kr aviation



SI 19-02



CHAPTER 2 PURPOSES OF VOLUNTARY REPORTS SYSTEM



The purpose of the Voluntary Reporting System is to enhance aviation



safety through the collection of reports on actual or potential safety deficiencies which is directly reported by front-line personnel since they observe hazards as part of their daily activities.



The Voluntary Reporting System provides a channel for the voluntary reporting of aviation occurrences or hazards or threats relevant to aviation



safety that would otherwise not be reported through Mandatory Occurrence Report while protecting the reporter's identity.



The Voluntary Reporting System is a voluntary, non-punitive, confidential reporting system established by the DGCA. Reporters are encouraged to make use of their organization's internal SMS



voluntary reporting system where applicable, unless they have no access to such a system or the incident or hazard is deemed beyond the scope of their organization's purview.



SI 19-02



CHAPTER 3 ADMINISTRATION OF VOLUNTARY REPORTS



1.



RESPONSIBILITIES



a.



The SSP Office is the office of primary responsibility for the operation of the Voluntary Reporting System.



b.



The SSP Administrator team are responsible for receiving and processing of the VRS and confirm whether the condition of voluntary report is satisfied or not and process it necessarily.



c.



The SSP Coordinator are responsible:



1) to hold Analysis Review Working Group Meeting for review the analysis once in three months;



2) to coordinate with focal point of related directorate to resolve high risk situation;



3) to coordinate with focal point of DGCA regional office to resolve high risk situation in his region;



4) to publish Voluntary Report Bulletin to aviation community once in three months.



d.



The SSP Data Analyst are responsible:



1) to analyze a voluntary report and make the draft of an analysis study sheet;



2) to make a Voluntary Report Bulletin once in three months.



e.



The SSP Data Base IT Programmer must maintain the Website and the Database of VRS.



2.



RECEIPT OF REPORTS



Voluntary



Reports are reported



by the aviation personnel and/or



organization via various channels using forms as listed in the AC 19-02 VRS Appendix 1-4.



SI 19-02



3.



HANDLING OF THE VOLUNTARY REPORT



When the Voluntary Report received by the Administrator team via the 4



(four) sources as stated at paragraph 2 above, the report will be processed in accordance with Appendix A: Voluntary Report Flow Chart. The Administrator team receiving voluntary reports must confirm that the reports adhere to the following valid report requirements. Valid Report Requirements:



1)



The report is valid if the report was provided by an individual directly involved in aviation or organizations involved in aviation of which the individual belongs to.



2)



The report is valid if during aviation activities, the individual directly experienced using his/her five senses an events adhering to the following conditions (hearsay from third-parties are excluded): a) An event that has the possibility to affect the safety of civilian aviation activities.



b) An event that is not required to be reported under MOR system and other related regulations, such as CASR 121.703 and CASR 135.703.



Additionally, for



non-adhering reports, the Administrator team must



communicate to the individual providing the report that it cannot be accepted.



After the communication, the Administrator must delete the report.



4.



INTERVIEW REQUIREMENTS



The Administrator team should interview the reporter individually in case where the information is judged* to be insufficient to understand and analyze the event being reported as follow. When the Administrator team doesn't have clear information about what



happen to a reporter concretely even though the Administrator team check



the content of a report, the Administrator team should interview to get more information**



*it is important factor that the report includes 5W1H (Who, When, Where, What, Why, How). Therefore, the Administrator team should note it.



SI 19-02



**



The Administrator team should recognize that it might be difficult to get



more information for analysis because the reporter can explain hazard situation only, unlike investigation of aircraft accident and incident.



5.



REMOVING CONCEALMENT INFORMATION FROM REPORT



After the above procedures 3 and 4 are complete, the Administrator team must remove any information that may be used to identify individuals or companies (Example: Person names, company names, e-mail addresses,



physical addresses, phone numbers, flight numbers, etc.*) from the database, etc.



After the concealment information, the Administrator team must register it to the Database.



6.



ANALYSIS AND OTHER TASKS



a.



After the above procedure 5 is complete, the SSP Data Analyst must consider the hazard of the event which includes the report and the worst-case scenario of the event which includes the report.



b.



After the consideration, the SSP Data Analyst must analyze* the risk of the event using the ICAO safety risk assessment matrix Appendix B, based on the hazard and the worst-case scenario which the SSP Data



analyst considered.



c.



If the SSP Data Analyst found High(Red) Risk condition, then :



1) The SSP Data Analyst must inform the SSP manager quickly. 2) When the SSP manager has been informed High Risk condition, the SSP manager must inform SSP Coordinator to communicate with focal point related directorate.



3) Focal point will inform related Directorate to direct service provider to resolve high risk situation.



d.



If the SSP Data Analyst analyzed Moderate (Yellow) and Low (Green) Risk, then



1) The SSP Data Analyst must do classification by choosing the primary factor, the related factor (if necessary) and the human



factor (if necessary) from the Factor Classification Table Appendix C.



SI 19-02



2) After the classification, the SSP Data Analyst must make Analysis study sheet Appendix D, based on the contents of report, the result of consideration and analysis. 3) Moreover, the SSP Data Analyst must consider the comment of the report and must add it to the sheet.



7.



ANALYSIS REVIEW WORKING GROUP



a.



To hold the Analysis Review Working Group (WG) once in three



months, the SSP Coordinator must coordinate the date of the Analysis Review Working Group with SSP Office member.



b.



Analysis Review Working Group consist of three categories such as: 1) Large Aircraft/ Air Navigation Service



2) Small Aircraft/ Air Navigation Service 3) Cabin / Mechanic / Airport / Other



c.



After the date of the Analysis Review Working Group (WG) has decided, the SSP Coordinator must inform the date to the Analysis Review



Working Group by letter and ask the SSP Data Analyst to prepare the Analysis study sheet by letter.



d.



At the WG, The SSP Data Analyst must explain content of the Analysis study sheet to the Analysis Review Working Group member.



e.



The Analysis Review Working Group member must review the Analysis study sheet especially contents of the Hazard, the Primary Factor, Related Factor, the Human Factor, the Worst-Case Scenario Risk Analysis and Comment.



f.



If necessary, the Analysis Review Working Group member must show their comment and opinion to the Analysis study sheet and ask the SSP Data Analyst to revise the Analysis study sheet based on the comment and the opinion.



g.



After the WG, the SSP Data Analyst must revise the Analysis study sheet and update the Database by filling the additional information.



8



SI 19-02



8.



ANALYSIS COMMITTEE APPROVAL



a.



After the above procedure 7 is completed, the SSP Data Analyst must produce a Voluntary Report Bulletin by using bulletin format Appendix E, based on the content and comment of Analysis study sheet.



b.



Voluntary Report Bulletin consists of three categories, Large aircraft/ ANS, Small aircraft/ ANS, and Cabin / Mechanic / Airport / Other.



c.



SSP Coordinator should share the Voluntary Report Bulletin to aviation community.



9



SI 19-02



APPENDIX A VOLUNTARY REPORT FLOW CHART



Say Thank you to the Reporter Reporter requested to report to MOR system



"} No 1 D«l«t9 tne report 2. Inform it to reporter



It me report cannot be accepted



Reporter Interview



1. Revise a rejjpcttln case of Interview) 2. Removing Identify information from a report



3 Register a report to the Database



1. Consider the Hazard and Wcrst



Contents of comments



Q4: Title4



>



Contents of a voluntary report



>



Contents of comments



[Cabin / Mechanic / Airport / Other] Q5: Title5



>



Contents of a voluntary report



>



Contents of comments



Q6: Title6



>



Contents of a voluntary report



>



v



Contents of comments



Please report your valuable experience and share it to aviation community!



t/



We will collect information on actual or potential safety deficiencies that



may not be captured by the mandatory reporting system from you. We will also share it to you for aviation safety.



Of course, we will never punish a reporter by using the infonnation. Contact us >



Email: SSP



[email protected]



Facsimile: 021-xxx-yyyy



17



DIRECTOR GENERAL OF CIVIL AVIATION



Signature.



Dr. Ir. AGUS SANTOSO, M.Sc.



Salinan sesuai dengan aslinya KEPALA BAGIAN HUKUM,



ENDAH PURNAMA SARI



Pembina (IV/a) NIP. 19680704 199503 2 001



15