078-quarterly-ground-safety-report

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document_type=form entity=format:application/pdf entity=language:ar language=en taxonomy_l1=transport taxonomy_l2=aviation taxonomy_l3=airport_operations validity=valid validity_confidence=0.6
GACA
General Authority of Civil Aviation
[Non-Text]
QUARTERLY GROUND SAFETY REPORT
<table><tr><td colspan="2">GROUND SERVICE PROVIDER</td><td colspan="2">AIRPORT</td><td colspan="2">YEAR</td><td colspan="4">QUARTER</td></tr><tr><td colspan="2"></td><td colspan="2"></td><td colspan="2"></td><td>\( 1^{st} \)</td><td>\( 2^{nd} \)</td><td>\( 3^{rd} \)</td><td>\( 4^{th} \)</td></tr><tr><td colspan="2">A. Categories of Occurrences</td><td colspan="3">Number of Occurrences(complete as appropriate)</td><td colspan="3">Type of GSEs involved</td><td colspan="2">Number of Occurrences(complete as appropriate)</td></tr><tr><td>1.</td><td>Aircraft ground damage</td><td colspan="3"></td><td colspan="2">1.</td><td>Push-back tractor towbar less</td><td colspan="2"></td></tr><tr><td>2.</td><td>Near-miss</td><td colspan="3"></td><td colspan="2">2.</td><td>Pushback tractor with towbar</td><td colspan="2"></td></tr><tr><td>3.</td><td>GSE collision</td><td colspan="3"></td><td colspan="2">3.</td><td>Pax steps</td><td colspan="2"></td></tr><tr><td>4.</td><td>Conventional vehicle/van collision</td><td colspan="3"></td><td colspan="2">4.</td><td>Pax boarding bridge</td><td colspan="2"></td></tr><tr><td>5.</td><td>Infrastructure damage</td><td colspan="3"></td><td colspan="2">5.</td><td>Pax bus</td><td colspan="2"></td></tr><tr><td>6.</td><td>Staff injury</td><td colspan="3"></td><td colspan="2">6.</td><td>Crew van/bus</td><td colspan="2"></td></tr><tr><td>7.</td><td>Pax injury</td><td colspan="3"></td><td colspan="2">7.</td><td>PRM vehicle (medical lift)</td><td colspan="2"></td></tr><tr><td>8.</td><td>Death</td><td colspan="3"></td><td colspan="2">8.</td><td>Conveyor belt</td><td colspan="2"></td></tr><tr><td>9.</td><td>Dangerous Goods Event</td><td colspan="3"></td><td colspan="2">9.</td><td>Cargo loader</td><td colspan="2"></td></tr><tr><td>10.</td><td>Other Ground Safety Event</td><td colspan="3"></td><td colspan="2">10.</td><td>Air starter unit (ASU)</td><td colspan="2"></td></tr><tr><td rowspan="2" colspan="2">B. Operational Phases Involved</td><td rowspan="2" colspan="3">Number of Occurrences (complete as appropriate)</td><td colspan="2">11.</td><td>Ground power unit (GPU)</td><td colspan="2"></td></tr><tr><td colspan="2">12.</td><td>Air conditioning unit (ACU)</td><td colspan="2"></td></tr><tr><td>1.</td><td>Aircraft Taxing-in stand</td><td colspan="3"></td><td colspan="2">13.</td><td>Potable water servicing unit</td><td colspan="2"></td></tr><tr><td>2.</td><td>Marshalling / VDGS</td><td colspan="3"></td><td colspan="2">14.</td><td>Waste water servicing unit</td><td colspan="2"></td></tr><tr><td>3.</td><td>GSE positioning</td><td colspan="3"></td><td colspan="2">15.</td><td>Catering truck</td><td colspan="2"></td></tr><tr><td>4.</td><td>Aircraft Push-back</td><td colspan="3"></td><td colspan="2">16.</td><td>Other high loader</td><td colspan="2"></td></tr><tr><td>5.</td><td>Aircraft Towing</td><td colspan="3"></td><td colspan="2">17.</td><td>Fueling browser</td><td colspan="2"></td></tr><tr><td>6.</td><td>Aircraft loading / unloading</td><td colspan="3"></td><td colspan="2">18.</td><td>Hydrant dispenser</td><td colspan="2"></td></tr><tr><td>7.</td><td>Pax embarkation / disembarkation</td><td colspan="3"></td><td colspan="2">19.</td><td>Baggage tug</td><td colspan="2"></td></tr><tr><td>8.</td><td>Aircraft servicing</td><td colspan="3"></td><td colspan="2">20.</td><td>Dolly / cart / pallet</td><td colspan="2"></td></tr><tr><td>9.</td><td>Airside driving</td><td colspan="3"></td><td colspan="2">21.</td><td>Pallet transporter</td><td colspan="2"></td></tr><tr><td rowspan="3" colspan="5"></td><td colspan="2">22.</td><td>Cherry picker</td><td colspan="2"></td></tr><tr><td colspan="2">23.</td><td>Maintenance steps</td><td colspan="2"></td></tr><tr><td colspan="2">24.</td><td>Conventional vehicle/van</td><td colspan="2"></td></tr><tr><td colspan="10">I hereby confirm that the above data are accurate and complete</td></tr><tr><td rowspan="2" colspan="2">Names &amp; Signatures</td><td colspan="2">Quality Assurance Post-holder</td><td colspan="3"></td><td colspan="2"></td><td></td></tr><tr><td colspan="2">Accountable Executive</td><td colspan="3"></td><td colspan="2"></td><td></td></tr><tr><td colspan="10">SUBMIT TO: GACA Ground Services Standards Dept. - SER-GND.SVCS.OPS@gaca.gov.sa</td></tr></table>
GACA-AVSES-AGA-F078
Rev: 4, Date: 08 Oct 25
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