CARSAMMA F7 FORM LATERAL/LONGITUDINAL NAVIGATION DEVIATION FORM Report to the Caribbean and South American Monitoring Agency (CARSAMMA) of lateral/longitudinal navigation deviation, including: 1) Those due to TCAS/ACAS; 2) Turbulence and contingency events; and 3) Operational errors resulting in flight at an incorrect position or coordinated by ATC units. NOTE: If there is NO deviation of lateral navigation / longitudinal in the area of responsibility of the ATC Authority for the period in question, the obligation CONTINUES. Complete Section I and send this report to CARSAMMA address referenced in the bottom of this page until the 10th of next month. Name of FIR/Operator: ................................................................... Please complete Section I or II as appropriate. SECTION I: There were NO reports of lateral/longitudinal navigation deviation for the month/year ............................../ 20.... SECTION II: There was (were) ............ report(s) of a lateral/longitudinal navigation deviation. Details of the navigation deviation are attached (Navigation............ Deviation Form F7). ............ ............ (Please use a separate form for each report of navigation deviation). ............ ....... SECTION III: When complete, please return to the following address by the next business day: CARIBBEAN AND SOUTH AMERICA MONITORING AGENCY - CARSAMMA AV. GENERAL JUSTO, 160/Térreo - CENTRO 22295-090 - RIO DE JANEIRO - RJ Telefone: (55-21) 2101-6358 Fax: (55-21) 2101-6293 E-Mail: carsamma@decea.gov.br NOTES TO AID COMPLETATION OF CARSAMMA F7 FORM SPECIFICATION OF THE FIELDS: 1. Enter today’s date. 2. Enter the name of the fir or reporting unit/operator. 3. Mark the kind of deviation (lateral or longitudinal). 4. Enter the operator´s 3 (three) letter ICAO identifier. For international general aviation, enter “IGA”. 5. Enter the call sign and the acft registration number. 6. Enter the ICAO designator as contained in ICAO Doc 8643, e.g., for Airbus a320-211, enter A320; for Boeing b 747-438, enter B744. 7. Mark “yes” or “no”. If “yes”, inform the flight level. 8. Enter the date of occurrence. 9. Enter the time UTC of the occurrence. 10.Enter the occurrence position (fix, lat/long or radial and nautical miles). 11.Enter the cleared route of flight (in case of direct or aleatoric flights, enter “DCT”). 12.Enter the cleared flight level. 13.Enter the estimated duration at incorrect flight level (in seconds). 14.Enter the other traffic involved, if any (call sign, registration number, flight level, aircraft type, and route). 15.Enter the cause of deviation according to the table below: TABLE 1 CAUSES OF THE LATERAL / LONGITUDINAL DEVIATION A - Diversion due to weather when unable to obtain prior ATC clearance. B – Deviation due to collision warning system (ACAS / TCAS). C – Deviation due to unexpected event - contingency (engine failure, failure of pressurization). D - Degradation or failure of control equipment, including improper operation of its functions FMS or navigation system. (eg by mistake the pilot incorrectly operated INS equipment). E – Incorrect information transcribed for the FMS. (eg flight plan followed rather than ATC approval or authorization of the original body, carried in place a new authorization issued by the ATC). F – Error message transfer between adjacent ATC units (coordination error) *. G – Lack of coordination by the ATC authority. (Lack of coordination). 1 - With failure notified to ATC in time to take action. 2 - With failure notified to ATC too late to take action. 3 - With failure notified / received by ATC. O – Other. P - Unknown. 16.Enter the observed/reported final flight level, providing the source of information (Mode C, ADS and/or pilot). 17.Select one of the options. 18.Enter the magnitude (distance) in nautical miles (nm) of lateral/longitudinal deviation. 19.Write a brief description of deviation. 20. Write the crew comments, if any. Notes: 1.There is data that must be reported by the pilot. 2. (*) Error message transfer between adjacent ATC units (bad coordination): Any error caused by a misunderstanding between the pilot and controller regarding the Mach number or the route to follow. Such errors may arise from coordination errors between ATC or misinterpretation by pilots of an authorization or a renewal of the authorization. (Doc. 9689-NA/953. Manual on Planning Methodology for Determining Airspace Separation Minima). The information contained in this form is confidential and will be used for statistical safety analisys purposes only. CARSAMMA F7 LATERAL/LONGITUDINAL NAVIGATION DEVIATION FORM Report to the CARSAMMA of an lateral/longitudinal navegation deviation, including those due TCAS, Turbulence and Contingency Events. 1. Today’s Date: 2. Reporting Unit/Operator: DEVIATION DETAILS 3. LATERAL LONGITUDINAL 4. Operator Name: 5. Call Sign: 6. ACFT Type: 8. Date of Occurrence: ACFT Registration Number: 9. Time UTC: 10. Occurrence Position (lat./Long or Fix): 7. Mode C / ADS Displayed: Yes. Which FL? ________ No. 11. Cleared Route of Flight: 12. Cleared Flight Level: 13. Estimated Duration at Incorrect Flight Level (seconds): 14. Other Traffic Involved: 15. Cause of Deviation (brief title): (Examples: ATC Loop Error, Turbulence, Weather, Equipment Failure) DEVIATION 16. Observed/Reported Final Position*: 17. Mark the appropriate box: *Please indicate the source of information: Mode C ADS Pilot Left of the airway Right of the airway Ahead of the estimated position 18. Magnitude of lateral/longitudinal deviation in nautical miles Observed/Reported: Lateral ___________ NM Delayed of the estimated position ATS route different of the Flight Plan Longitudinal _______ NM NARRATIVE 19. Detailed Description of Deviation (Please give your assessment of the actual track flown by the aircraft and the cause of the deviation.) OBSERVATION 20 – Crew comments (if any) When complete, please return to the following address by the next business day: CARIBBEAN AND SOUTH AMERICA MONITORING AGENCY - CARSAMMA AV. GENERAL JUSTO, 160/Térreo - CENTRO 22295-090 - RIO DE JANEIRO - RJ Telefone: (55-21) 2101-6358 Fax: (55-21) 2101-6293 E-Mail: carsamma@decea.gov.br