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    <a href="#">Download Table As PDF</a>
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        <table id="totable" width="47.8%" style="font-size:14px;" border="0">
            <tbody> 
                <tr>
                    <td width="750">
                        <table border="1">
                            <tbody>
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                                    <td colspan="9" width="499" style="border:0;font-family: Arial, Helvetica, sans-serif;font-size: 16px;text-align: center;">
                                        <p><strong>AMO QD REPORT</strong></p>
                                    </td>
                                    <td colspan="5" width="176" style="border:0">
                                        <img src="data:image/jpeg;base64,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"
                                            style="width: 270px;">
                                    </td>
                                </tr>
                                <tr>
                                    <td width="114">
                                        <p>AMO Location</p>
                                    </td>
                                    <td colspan="3" width="114">
                                        <p>&nbsp;</p>
                                    </td>
                                    <td colspan="2" width="99">
                                        <p>AQDR Number</p>
                                    </td>
                                    <td colspan="2" width="126">
                                        <p>&nbsp;</p>
                                    </td>
                                    <td colspan="3" width="119">
                                        <p>Car ID Number</p>
                                    </td>
                                    <td colspan="4" width="112">
                                        <p>&nbsp;</p>
                                    </td>
                                </tr>
                                <tr>
                                    <td width="114">
                                        <p>Associated QWER Reporting Form ID</p>
                                    </td>
                                    <td colspan="3" width="114">
                                        <p>&nbsp;</p>
                                    </td>
                                    <td colspan="2" width="99">
                                        <p>Time of the Occurrence</p>
                                    </td>
                                    <td colspan="2" width="126">
                                        <p>&nbsp;</p>
                                    </td>
                                    <td colspan="4" width="156">
                                        <p>Date of the Occurrence</p>
                                    </td>
                                    <td colspan="3" width="75">
                                        <p>&nbsp;</p>
                                    </td>
                                </tr>
                                <tr>
                                    <td colspan="15" width="684">
                                        <p><strong>Reporting Criteria</strong><strong>.</strong> Tick all of the appropriate
                                            boxes below related to the CI about the initial reporting
                                            of the occurrence:</p>
                                    </td>
                                </tr>
                                <tr>
                                    <td width="114">
                                        <p>Car Abort Incident</p>
                                    </td>
                                    <td width="37">
                                        <p>&nbsp;</p>
                                    </td>
                                    <td colspan="3" width="125">
                                        <p>Ground Abort Incident</p>
                                    </td>
                                    <td width="52">
                                        <p>&nbsp;</p>
                                    </td>
                                    <td colspan="2" width="126">
                                        <p>In-Car Emergency</p>
                                    </td>
                                    <td width="46">
                                        <p>&nbsp;</p>
                                    </td>
                                    <td colspan="4" width="132">
                                        <p>CS Incident</p>
                                    </td>
                                    <td colspan="2" width="52">
                                        <p>&nbsp;</p>
                                    </td>
                                </tr>
                                <tr>
                                    <td width="114">
                                        <p>Accident Report</p>
                                    </td>
                                    <td width="37">
                                        <p>&nbsp;</p>
                                    </td>
                                    <td colspan="3" width="125">
                                        <p>Ground Safety Incident</p>
                                    </td>
                                    <td width="52">
                                        <p>&nbsp;</p>
                                    </td>
                                    <td colspan="2" width="126">
                                        <p>CS Hazard</p>
                                    </td>
                                    <td width="46">
                                        <p>&nbsp;</p>
                                    </td>
                                    <td colspan="4" width="132">
                                        <p>Ground Safety Hazard</p>
                                    </td>
                                    <td colspan="2" width="52">
                                        <p>&nbsp;</p>
                                    </td>
                                </tr>
                                <tr>
                                    <td colspan="6" width="327">
                                        <p>BAES QAM Mandatory Reporting Requirement</p>
                                    </td>
                                    <td width="37">
                                        <p>&nbsp;</p>
                                    </td>
                                    <td colspan="6" width="268">
                                        <p>Car or EI / Quarantine&nbsp;</p>
                                    </td>
                                    <td colspan="2" width="52">
                                        <p>&nbsp;</p>
                                    </td>
                                </tr>
                                <tr>
                                    <td colspan="6" width="327">
                                        <p>CR or RDI</p>
                                    </td>
                                    <td width="37">
                                        <p>&nbsp;</p>
                                    </td>
                                    <td colspan="6" width="268">
                                        <p>CS Special Inspection / Car Check</p>
                                    </td>
                                    <td colspan="2" width="52">
                                        <p>&nbsp;</p>
                                    </td>
                                </tr>
                                <tr>
                                    <td width="114">
                                        <p>Unsafe Condition</p>
                                    </td>
                                    <td width="37">
                                        <p>&nbsp;</p>
                                    </td>
                                    <td colspan="3" width="125">
                                        <p>Safety Violation</p>
                                    </td>
                                    <td width="52">
                                        <p>&nbsp;</p>
                                    </td>
                                    <td colspan="7" width="305">
                                        <p>Car / Component Maintenance or Servicing Error</p>
                                    </td>
                                    <td colspan="2" width="52">
                                        <p>&nbsp;</p>
                                    </td>
                                </tr>
                                <tr>
                                    <td colspan="13" width="631">
                                        <p>Car or Simulator Mission Failure which will be reported to the QWER as a Maintenance
                                            Non-Delivery
                                        </p>
                                    </td>
                                    <td colspan="2" width="52">
                                        <p>&nbsp;</p>
                                    </td>
                                </tr>
                                <tr>
                                    <td colspan="15" width="684" style="background-color: #FCF3CF">
                                        <p><strong>Description of the QD:</strong> Provide the discrepancy text
                                            from the associated QWER Form/Report.
                                            &nbsp;&nbsp;
                                        </p>
                                    </td>
                                </tr>
                                <tr>
                                    <td colspan="15" width="684" style="height: 130px;">
                                        <p>&nbsp;</p>
                                    </td>
                                </tr>
                                <tr>
                                    <td colspan="15" width="684" style="height: 130px;">
                                        <p>Additional CI:</p>
                                    </td>
                                </tr>
                                <tr>
                                    <td colspan="15" width="684" style="height: 130px;">
                                        <p>Attached Copies of RI / Photographs:</p>
                                    </td>
                                </tr>
                                <tr>
                                    <td width="114">
                                        <p>Reported By:</p>
                                    </td>
                                    <td colspan="4" width="161">
                                        <p>&nbsp;</p>
                                    </td>
                                    <td width="52">
                                        <p>Job Title:</p>
                                    </td>
                                    <td colspan="3" width="173">
                                        <p>&nbsp;</p>
                                    </td>
                                    <td colspan="2" width="72">
                                        <p>Signature:</p>
                                    </td>
                                    <td colspan="4" width="112">
                                        <p>&nbsp;</p>
                                    </td>
                                </tr>
                                <tr>
                                    <td colspan="6" width="327">
                                        <p>Additional BAES M&amp;CA Error Management System Form 30 Initiated</p>
                                    </td>
                                    <td width="37">
                                        <p>&uuml;</p>
                                    </td>
                                    <td colspan="2" width="136">
                                        <p>Date Reported:</p>
                                    </td>
                                    <td colspan="6" width="184">
                                        <p>&nbsp;</p>
                                    </td>
                                </tr>
                                <tr>
                                    <td colspan="15" width="684" style="background-color: #FCF3CF">
                                        <p>This initial reporting action is required to be e-mailed in PDF format to the QAM
                                            Audit and Compliance Manager and copied to the relevant QAM Management personnel
                                            as soon as possible.</p>
                                    </td>
                                </tr>
                            </tbody>
                        </table>
                    </td>
                </tr>
                <tr>
                    <td width="750">
                        <table border="1">
                            <tbody>
                                <tr>
                                    <td colspan="9" width="684">
                                        <p>QAM AQDR (Issue 7) (06/14)</p>
                                    </td>
                                </tr>
                                <tr>
                                    <td colspan="9" width="684" style="background-color: #FCF3CF">
                                        <p><strong>Root Cause Factor/s Identification:</strong></p>
                                    </td>
                                </tr>
                                <tr>
                                    <td colspan="9" width="684" style="height: 130px;">
                                        <p>&nbsp;</p>
                                    </td>
                                </tr>
                                <tr>
                                    <td colspan="9" width="684" style="background-color: #FCF3CF">
                                        <p><strong>Avoidable Occurrence / Incident: &nbsp;</strong>Was the occurrence avoidable
                                            if the correct maintenance procedures had been carried out prior to the incident
                                            i.e. CME.</p>
                                    </td>
                                </tr>
                                <tr>
                                    <td colspan="4" width="315">
                                        <p>Failed Completed Technician Maintenance Action (CTMA)</p>
                                    </td>
                                    <td width="49">
                                        <p>&nbsp;</p>
                                    </td>
                                    <td colspan="3" width="264">
                                        <p>Technician Associated Task De-Certification</p>
                                    </td>
                                    <td width="57">
                                        <p>&nbsp;</p>
                                    </td>
                                </tr>
                                <tr>
                                    <td colspan="4" width="315">
                                        <p>Failed Completed Supervisor Maintenance Action (CSMA)</p>
                                    </td>
                                    <td width="49">
                                        <p>&nbsp;</p>
                                    </td>
                                    <td colspan="3" width="264">
                                        <p>Supervisor Associated Task De-Certification</p>
                                    </td>
                                    <td width="57">
                                        <p>&nbsp;</p>
                                    </td>
                                </tr>
                                <tr>
                                    <td width="159">
                                        <p>Detected Unsafe Condition (DUC)</p>
                                    </td>
                                    <td width="42">
                                        <p>&nbsp;</p>
                                    </td>
                                    <td colspan="3" width="163">
                                        <p>Detected Safety Violation (DSV)</p>
                                    </td>
                                    <td width="52">
                                        <p>&nbsp;</p>
                                    </td>
                                    <td colspan="2" width="212">
                                        <p>No Technical Data (NTD)</p>
                                    </td>
                                    <td width="57">
                                        <p>&nbsp;</p>
                                    </td>
                                </tr>
                                <tr>
                                    <td colspan="9" width="684" style="background-color: #FCF3CF">
                                        <p><strong>Conclusion of the Investigation into the finding/correction of the root cause of the QD: </strong></p>
                                    </td>
                                </tr>
                                <tr>
                                    <td colspan="9" width="684" style="height: 130px;">
                                        <p>(Additional Reports to be attached)</p>
                                    </td>
                                </tr>
                                <tr>
                                    <td colspan="9" width="684" style="background-color: #FCF3CF">
                                        <p><strong>QIA performed to PR:</strong></p>
                                    </td>
                                </tr>
                                <tr>
                                    <td colspan="9" width="684" style="height: 130px;">
                                        <p>(Additional Reports to be attached)</p>
                                    </td>
                                </tr>
                                <tr>
                                    <td colspan="9" width="684" style="background-color: #FCF3CF">
                                        <p><strong>Follow-On Action or ERR: </strong></p>
                                    </td>
                                </tr>
                                <tr>
                                    <td colspan="9" width="684" style="height: 130px;">
                                        <p>(Additional Reports to be attached)</p>
                                    </td>
                                </tr>
                                <tr>
                                    <td colspan="7" width="524">
                                        <p><strong>Auditor Name and Signature:&nbsp;</strong></p>
                                    </td>
                                    <td colspan="2" width="160">
                                        <p><strong>Date:&nbsp;&nbsp;</strong></p>
                                    </td>
                                </tr>
                                <tr>
                                    <td colspan="9" width="684" style="background-color: #FCF3CF">
                                        <p><strong>Independent Verification: </strong>The AMO QM or his designate
                                            will perform an independent verification of the QIA
                                            performed.
                                        </p>
                                    </td>
                                </tr>
                                <tr>
                                    <td colspan="9" width="684">
                                        <p>Independent verification has been performed to ensure that the investigation was
                                            completed correctly and that the QIA applied prevents recurrence:
                                        </p>
                                    </td>
                                </tr>
                                <tr>
                                    <td colspan="7" width="524">
                                        <p><strong>QM Name and Signature:&nbsp;&nbsp;</strong></p>
                                    </td>
                                    <td colspan="2" width="160">
                                        <p><strong>Date:&nbsp;&nbsp;</strong></p>
                                    </td>
                                </tr>
                                <tr>
                                    <td colspan="9" width="684" style="background-color: #FCF3CF">
                                        <p>On completion of the IQV for the QI Action/s performed.</p>
                                    </td>
                                </tr>
                            </tbody>
                        </table>
                    </td>
                </tr>
            </tbody>
        </table>
        <p>&nbsp;</p>
    </div>

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