Issued: 18-FEB-2014 | To: Ministry of Culture, Tourism and Civil Aviation (MoCTCA) | 9N-ABO (1) |
An independent and effective aircraft accident investigation mechanism with the provision of adequate resources and functional autonomy should be established under the Ministry of Culture, Tourism and Civil Aviation (MoCTCA) to effectively conduct accident investigations and continuously monitor the implementation and compliance-status of remedial safety measures. |
Issued: 18-FEB-2014 | To: Nepal Airlines Corporation | 9N-ABO (10) |
The NAC should develop and maintain the procedures in STOL operation (Considering the specific points mentioned in the analysis and findings of this report) enabling the pilot to know and apply the rules, regulations and standards and analyze the risk and enhance safety performance. |
Issued: 18-FEB-2014 | To: Nepal Airlines Corporation | 9N-ABO (11) |
The NAC should review and update the SOP to make it compatible to the existing facilities and include recommended guidelines for the guidance of pilots particularly during take-off, landing and missed approach phases. |
Issued: 18-FEB-2014 | To: Nepal Airlines Corporation | 9N-ABO (12) |
The NAC should develop the qualified professionals to be the trainer on Safety Management System (SMS) and imparts the knowledge to all key personnel, pilots, engineers and related ground staffs and set a target to the full-fledged implementation of SMS with an applicable database. |
Issued: 18-FEB-2014 | To: Ministry of Culture, Tourism and Civil Aviation (MoCTCA) | 9N-ABO (2) |
The MoCTCA should encourage CAAN and airline operators to take initiatives towards promoting safety culture and best practices as well as producing credible outcomes in the formulation of rules, regulations, requirements and standards and their proper implementation. |
Issued: 18-FEB-2014 | To: CAAN | 9N-ABO (3) |
The CAAN should further strengthen its surveillance and monitoring function focusing on the critical safety areas including violation of SOP, proper application of CRM, CFIT, runway incursions/excursions, approach and landing accident reduction etc. and ensure effective enforcement mechanism. |
Issued: 18-FEB-2014 | To: CAAN | 9N-ABO (4) |
In order to undertake proactive safety measures, the CAAN should constitute a dedicated committee of relevant professional experts to have in-depth review of the existing STOL field, taking into account the major factors particularly the runway length and slope, Runway layout, runway condition, Runway marking, regulated weight, approach, trends of wind blowing and presence of obstruction etc and ensure corrective action against risk factors as necessary. |
Issued: 18-FEB-2014 | To: CAAN | 9N-ABO (5) |
The CANN should encourage the professionals like pilots, engineers, ATC officer and general people to report the unsafe practices and establish a database of such activities of concerned personnel and the airline, to analyse the risk and take risk mitigation mechanism and remedial measures as necessary. |
Issued: 18-FEB-2014 | To: CAAN | 9N-ABO (6) |
The ATS and AFIS personnel working at AFIS airports should have customized training including STOL airfields and aircrafts operating limitations and knowhow of relevant provisions of safety regulations applicable in the respective airports to strengthen the regulatory capacity of CAAN. |
Issued: 18-FEB-2014 | To: CAAN | 9N-ABO (7) |
Considering the typical geographical location and nature of wind, arrangement should be made to stop tail-wind landing practices in case of the wind exceeding 5 KTS at Jomsom airport. |
Issued: 18-FEB-2014 | To: Nepal Airlines Corporation | 9N-ABO (8) |
The NAC should strengthen training on Crew Resource Management (CRM) focusing attention on the critical phases of flight (take-off, landing and missed approach phases) as identified in the analysis and findings of this report. |
Issued: 18-FEB-2014 | To: Nepal Airlines Corporation | 9N-ABO (9) |
The NAC should further strengthen its existing mechanism to monitor, investigate and mitigate the risk associated with the repetitive defects of particular aircraft at expert level to strengthen flight safety. |