Occurance report – RED Aircraft

Incident short headline *

Describe the incident in one sentence.

Date of the incident *

UTC Time (24) of the incident *

Location *

Where die the incident happen?

Date of the report

Please specify what is not classified as above

Installation details - aircraft type

or installed vehicle

Aircraft serial no.

or vehicle serial no.

Aircraft registration

Owner/operator

Engine serial no.

Engine TSN hours

Engine TSO hours

Engine maintance history

List the maintenance history in descending order

Damage to the aircraft *

Damage to objects *

Third party damage *

Injury level in the aircraft *

Injury level on the ground *

Descrption of the incident *

Preventive or corrective actions taken (if applicable)

Reporting person (optional)

First

Middle

Last

Phone

Please fill + country code - area code - phone no.

Organisation

Function