[ DO NOT USE ] | Submit Aircraft Incident

Title:

Incident Date & Time:
Flight number:
Flight Date:

Flight Route (IATA codes):
Reg. Number:
Aircraft Type:
Incident location (exact):
Phase of operation:
Flight delayed ?	No Yes Cancelled
Flight delay:	(hours:minutes)
Scheduled ground time:	(hours:minutes)

Damage information:

Yes No

GSE Involved:	No Yes
Engineer contacted?		No Yes	Name:
Airline rep. informed?		No Yes	Name:
Unloading stopped?	No Yes
Equipment removed?	No Yes
Equipment investigated?	No Yes
Notified Airport?	No Yes
Filed Report to Airport?	No Yes

Details of damage:

Narrative (Give a description of what happened. Add sketch to appendix if available.):

Witnesses Involved:

Yes No

1st

Name:

Company:

Telephone:

Identification:

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2nd

Name:

Company:

Telephone:

Identification:

Add More Witnesses

3rd

Name:

Company:

Telephone:

Identification:

Incident/Accident reported by:

Name:
Function:

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Area where the aircraft was damaged:

Damage information:

Details of damage:

Narrative (Give a description of what happened. Add sketch to appendix if available.):

Witnesses Involved:

Incident/Accident reported by:

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