Title Page

  • FLIGHT OCCURRENCE REPORT No.

  • Clasification

  • Conducted on

  • Site conducted

  • Prepared by

  • Location

Identification of the Aircfrat

    Type of Aircraft
  • Type Model

  • S/N

  • Total Flight Hours as per logbook

Circumstances

  • Route

  • Remarks

Categories Concerned

  • Flight Phase

  • Flight Condition

  • Mission

Documents Used

  • Reference flight manual

  • Revision

  • Language

Flight Condiotions

  • Transcript METAR and TAF from the time of reporting

  • Meteorological Conditions

DESCRIPTION OF THE OCCURRENCE

  • Explain how the event occurred, why it occurred and why it did not result in an accident

  • Description of the Occurrence

  • Actions of the pilot or the crew to manage the event

  • Proposals to prevent the event from reoccurring or from avoiding such event result in an accident

Signature

  • Reporter Signature

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