Safety Management Implementation (SMI) - Example Submission Form

Safety Management Implementation (SMI) - Example Submission Form
This form is used to submit examples or tools for possible inclusion on the ICAO Safety Management Implementation website, in support of the Safety Management Manual (Doc 9859) and Safety Intelligence Manual (Doc 10159).

1. Title of the example or tool being submitted*
2. Name of submitting Organization*
3. Publication Date*

MonthDayYear
Date
4. Language*

EnglishFrenchSpanishOther
5. Reference to SMM (Doc 9859) chapters

Chapter 1: IntroductionChapter 2: Safety Management FundamentalsChapter 3: Safety CultureChapter 4: Safety Performance ManagementChapter 7: Protection of Safety Data, Safety Information and Related SourcesChapter 8: State Safety ManagementChapter 9: Safety Management Systems
6. Reference to Safety Intelligence Manual (Doc10159) chapter

Chapter 1: Safety IntelligenceChapter 2: Safety Data and Safety InformationChapter 3: Safety Data ProcessingChapter 4: Safety Data Collection and Processing System (SDCPS)Chapter 5: Governance and Management of Safety Data And Safety InformationChapter 6: Safety Data and Safety Information AnalysisChapter 7: Use of Analysis Results For Decision MakingChapter 8: Sharing and Exchange of Safety Information and Safety Intelligence
7. Is the example or tool aligned with Annex 19*

Amendment 1, Effective 11 July 2016Amendment 2, Effective 4 November 2025
8. Description of the example.*
9. Strengths of the example*
10. Challenges in implementation or limitations of the example*
11. Level of Transparency and Permission*

Fully Transparent - ICAO can post example with name of submitting organizationPrivacy requested - De-identified example submitted
(Please note that it is the respnsibility of the submitter to undertake de-identification)
12. Are you submitting a tool?*

YesNo
13. Does the example include references to terms or acronyms that are not commonly recognized?

YesNo
If Yes, please provide explanatory information.
Upload the tool here (PDF, DOCX, XLSX, PPTX, PNG, JPEG)

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Please input your contact details below:
Name*

First NameLast Name
Email*
example@example.com
Job Title
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