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Lion Air 610

Printed page 122. PDF page 124.

The hazard identification process described in the SMSM subchapter 5.3 by providing examples of hazard as follows: � Design factors, including equipment and task design; � Procedures and op
Open final report at PDF page 124Aircraft Accident Investigation Report KNKT.18.10.33.04

Lion Air 610

Printed page 148. PDF page 150.

describes the formal procedure as follows: � Functional Hazard Assessment (FHA) to address hazard identification and preliminary risk analysis � Preliminary System Safety Assessment (PSSA) to analysis the contribution and interaction of the subsystem to system hazard � System
Open final report at PDF page 150Aircraft Accident Investigation Report KNKT.18.10.33.04

Lion Air 610

Printed page 163. PDF page 165.

improvement of the SMS d. Safety promotion - Training and education - Safety communication Hazard Identification as Part of Safety Risk Management Hazard identification is the first step of Safety Risk Management (SRM), the ICAO Annex 19 Appendix 2, described
Open final report at PDF page 165Aircraft Accident Investigation Report KNKT.18.10.33.04

Lion Air 610

Printed page 164. PDF page 166.

a hazard could lead to an accident or incident. The safety information for proactive hazard identification primarily comes from flight data analysis (FDA) programs, safety reporting systems and the safety assurance function. The following explanations regarding the haza
Open final report at PDF page 166Aircraft Accident Investigation Report KNKT.18.10.33.04

Lion Air 610

Printed page 186. PDF page 188.

The Lion Air SMS training syllabus included the risk management subjects consisted of hazard identification and three other topics which scheduled to be delivered in 1 hour. The syllabus also include 1 hour group activity of hazard observation and risk
Open final report at PDF page 188Aircraft Accident Investigation Report KNKT.18.10.33.04

Lion Air 610

Printed page 213. PDF page 215.

rectification process. 81. The investigation considered that the amount of time to cover the hazard identification topic in the SMS training syllabus was insufficient. This may reduce the ability of employees to define and report a hazard. 213
Open final report at PDF page 215Aircraft Accident Investigation Report KNKT.18.10.33.04