Issued: -- | To: Civil Aviation Authority of Nepal and Airline Operators | 9N-AKY(1) |
Launch Voluntary Reporting System as a part of the regular Aviation Safety Campaign emphasizing a non-punitive environment so that unsafe behavior of all aviation personnel including pilots, ATS personnel and maintenance staffs are brought into notice in time. |
Issued: -- | To: Civil Aviation Authority of Nepal (CAAN) | 9N-AKY(10) |
Ensure that irrespective of the air traffic volume, assigned numbers of ATS personnel are manned in each shift of an ATS Unit (AFIS Tower). |
Issued: -- | To: Civil Aviation Authority of Nepal (CAAN) | 9N-AKY(11) |
Depending upon the volume of air traffic, declare the minimum experience required for an ATS personnel in each shift at a particular station. |
Issued: -- | To: Civil Aviation Authority of Nepal (CAAN) | 9N-AKY(12) |
In participation with the management of local hospital or health post close to the busy airport like Lukla, CAAN should initiate to upgrade their essential emergency medical facilities such as readiness of oxygen and ventilators. |
Issued: -- | To: Civil Aviation Authority of Nepal (CAAN) | 9N-AKY(13) |
Rescue and Fire Service at Lukla Airport be strengthened with adequate manpower and equipment. |
Issued: -- | To: Civil Aviation Authority of Nepal (CAAN) | 9N-AKY(14) |
Encourage on the spot inspection focusing on the critical safety areas including violation of SOP, proper CRM, CFIT, and ensure effective enforcement mechanism. |
Issued: -- | To: Civil Aviation Authority of Nepal (CAAN) | 9N-AKY(15) |
Immediate action be initiated to set up and maintain essential MET equipment at Lukla Tower including the display of the real-time surface wind information of the runway threshold. |
Issued: -- | To: Civil Aviation Authority of Nepal (CAAN) | 9N-AKY(16) |
Owing to the critical approach at Lukla immediate action be initiated for the possible extension of the runway threshold further to the South. |
Issued: -- | To: Civil Aviation Authority of Nepal (CAAN) | 9N-AKY(17) |
Recognizing the critical situation that might arise as a result of sudden and rapid lifting of fog or cloud during final approach, it is recommended to install an appropriate visual aid or lighting system at Lukla runway. |
Issued: -- | To: Ministry of Culture, Tourism and Civil Aviation | 9N-AKY(18) |
Continuous Coordination and monitoring with CAAN for the effective implementation of the safety recommendations issued by investigation commissions. |
Issued: -- | To: Ministry of Culture, Tourism and Civil Aviation | 9N-AKY(19) |
Sufficient resources of finance, personnel and technical experts should be made available so that the investigation of an airplane accident can be performed effectively and timely. |
Issued: -- | To: Civil Aviation Authority of Nepal and Airline Operators | 9N-AKY(2) |
Increased stress and fatigue as a result of present air traffic congestion in TIA and its direct impact to the pilotsÂ’ proficiency also be taken into consideration while assigning flights to the flight crews and remedial action be initiated as necessary. |
Issued: -- | To: Ministry of Culture, Tourism and Civil Aviation | 9N-AKY(20) |
An independent and permanent body should be established for the aircraft accident and incident investigation purpose. The proposed Body should also be given the responsibility of monitoring the implementation of the Safety recommendations issued by Accident Investigation Commissions in the past and also act as the research body for the safety enhancement in the aviation sector. |
Issued: -- | To: Goma Air Pvt. Ltd. | 9N-AKY(3) |
Review and strengthen Company Training Policy and Training Program of the flight crews emphasizing on airport based training incorporating unforeseen situations including effective response to the stall warning and pilotÂ’s call out in simulator training. |
Issued: -- | To: Goma Air Pvt. Ltd. | 9N-AKY(4) |
Review the Airline\'s Operation Manual and SOP incorporating stabilized point and committed point in the approach procedure of the Category C stall airfield so that a clear-cut guidance is available to the flight crews whether to continue or divert the flight. |
Issued: -- | To: Goma Air Pvt. Ltd. | 9N-AKY(5) |
Develop a mechanism to monitor and ensure compliance to the provisions of VFR flights, SOP and other relevant safety directives by the flight crew. |
Issued: -- | To: Goma Air Pvt. Ltd. | 9N-AKY(6) |
Review the block time of each sector providing enough ground time for each flight. |
Issued: -- | To: Goma Air Pvt. Ltd. | 9N-AKY(7) |
GOMA air should enhance the flight dispatcherÂ’s capability to enable them to fulfill their responsibilities as per the provision of company SOP. |
Issued: -- | To: Goma Air Pvt. Ltd. | 9N-AKY(8) |
GOMA air should review and further strengthen the effective implementation of SMS process more importantly based on reporting system by crews. |
Issued: -- | To: Goma Air Pvt. Ltd. | 9N-AKY(9) |
In view of available number of fleet, it is important that GOMA air should identify the requirement of crew size to meet the flight requirement, so accordingly they should be trained to identify the hazard, changes in system, operational environment and consequential safety risk |