Safety Improvement Plan Updates

This form is used to communicate information with regard to safety improvement plan updates assigned as a result of an Air Safety Navigators audit event on behalf of your client. Safety Improvement Plan updates include a corrective action plan, submittal of action plan evidence, extension requests, and disputes.

ASN will review the evidence and details submitted in the below form to determine if the risk posed by the deficiency has been appropriately closed for the client.

Please submit only one deficiency response at a time, so that the relative action plans and evidence can be married to the appropriate deficiency. Multiple entries can be achieved by refreshing the browser address after each successful submission response.

Note: Please consult your audit report or the audit registry for the assigned 'Close Out Reference' for each deficiency.

Only Fields marked with an * are mandatory.

This form is used to communicate information with regard to safety improvement plan updates assigned as a result of an Air Safety Navigators audit event on behalf of your client. Safety Improvement Plan updates include a corrective action plan, submittal of action plan evidence, extension requests, and disputes.

ASN will review the evidence and details submitted in the below form to determine if the risk posed by the deficiency has been appropriately closed for the client.

Please submit only one deficiency response at a time, so that the relative action plans and evidence can be married to the appropriate deficiency. Multiple entries can be achieved by refreshing the browser address after each successful submission response.

Note: Please consult your audit report or the audit registry for the assigned 'Close Out Reference' for each deficiency.

Only Fields marked with an * are mandatory.

ASN Deficiency Close Out Reference *

1. Click the drop down field above to show the 'search' tab.

2. Click the 'Search' text to enable the text cursor and type the Close Out Reference. The matching available open deficiencies from our records will filter in the available list according to the text entered. It is possible to find the correct deficiency by just typing in the number itself.

3. Click the deficiency you wish to respond to from the drop down options to select it. Selected records will remain showing in the field when the search tab is closed and will have a check mark on the right hand side.

What type of update do you require ? *

Choose from one of the four options above.

Deficiency Short Title *

Provide the short title as per the Safety Improvement Plan.

0/300

Causal Factor Description *

To effectively close a deficiency, it is vital to properly understand its Causal Factors.

Identifying the causes behind a deficiency allows you to appropriately mitigate the risk.

We do not prescribe any particular tools; however, tools like HFACS or five why's analysis can be useful to determine the causal factor.

If it isn't immediately clear what the causal factor is it might be an internal QMS/SMS control that failed or wasn't present.

0/2000

Immediate Action / Corrective Action Plan (not required when extension requested)

Describe the actions that will be taken to remove the immediate risk identified.

0/2000

Corrective Action Evidence (not required when extension requested)

Click to choose file(s) or drag here

Size limit: 10MB per file

Please label your evidence using, your file name and the Close Out Reference number e.g. for ASN-D-123, use <file name> -123

This will help us to identify the correct evidence when multiple deficiencies are being addressed in the one submission.

Acceptable file types: jpg, jpeg, png, gif, docx, xls, pdf, doc, xlsx, csv

Preventive Action Details

Describe the actions which address the duplication of this deficiency in the future.

These are often longer term fixes, such as adding an audit to the audit plan, recalibrating tooling, updating a regulatory approved manual etc.

Preventive Action Evidence

Click to choose file(s) or drag here

Size limit: 10MB per file

Please label your evidence using, your file name and the Close Out Reference number e.g. for ASN-D-123, use <file name> -123.

Acceptable file types: jpg, jpeg, png, gif, docx, xls, pdf, doc, xlsx, csv

Has this appropriately mitigated the risk identified and concludes the proposed action plan? *

Submitted by *

Company representative for *

Contact Email *

Contact Phone Number *