Occurrence Reporting

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Occurrence reporting

Use this form for all occurrences during ground and flight operations. It is required to report every incident and accident.

Mandatory data

Airplane type *
Registration mark *
Airplane S/N *
1. Flight hours *
Number of landings *
2. Failure detection date (dd/mm/yy)
3. Failure detected at *
Please select one
  • 1. Flight
  • 2. Taxiing
  • 3. Take-off run
  • 4. Take-off
  • 5. Touch down
  • 6. Landing run
  • 7. Daily inspection
  • 8. Periodical inspection
  • 9. Other
4. Consequences for operation *
Please select one
  • 1. No consequences
  • 2. Airplane put out of operation
  • 3. Airplane returned from take-off
  • 4. Flight with damaged aggregates
  • 5. Emergency landing
  • 6. Occurrence on the ground
  • 7. Other
5. Failure description
0

6. Identification of the damaged part

Failed part name 1
Cat. numb. of failed part 1
Worked out operation units 1
Serial No. 1
7. Notes, additional data (kind of failure, defect, incorrect activity...)
0

Additional data

8. Claimed (select what applicable) *
Please select one
  • -
  • Yes
  • No
No. of claim

9. Order of spare parts (circle all applicable)

Item 1
Name of part 1
Catalogue part No. 1
No. of pieces 1
Owner *
Home airport *
Operator *
Date *
Completed by *
Email *

Photos

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Items marked with * are mandatory

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