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8 Ball Flying Club - Anonymous Safety Incident Reporting System
Please complete this form to the best of your ability. This ensures all pertinent data is submitted to the 8 Ball Safety Officer.
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Type of event/situation:
Your answer
Date of event/situation:
MM
/
DD
/
YYYY
Time of event/situation:
Time
:
AM
PM
Location of event/situation:
Your answer
Reporter role:
PIC
Passenger
Instructor
Safety Pilot
Ground Observer
Other:
Clear selection
Aircraft involved (if none, state object involved):
N233ME
N414ME
N5199J
N57PU
N8034Z
Other:
Clear selection
Flight conditions during event/situation (be as descriptive as possible, including weather/altitudes, etc.):
Your answer
Description of event/situation:
Your answer
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