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ICAR Air Rescue Commission Near Miss, Incident, and Accident Reporting Form
Thank you for reporting your helicopter rescue near miss, incident, or accident. By submitting a report, you are helping the international Air Rescue community learn from your report. You may submit your report in your local language.
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* Indicates required question
What is your name?
Your answer
What is your email?
Your answer
What agency are you representing?
Your answer
What country is your agency based in?
Your answer
Describe what happened and/or
what was observed.
*
Your answer
What was the date (at least year, preferably date/month/year) of the incident?
Your answer
What was the time of day of the incident?
*
Your answer
When did the incident take place?
Inflight
During Takeoff/Landing
Ground Operations
Other:
Clear selection
What was the tail number of the aircraft?
Your answer
What was the mission of the aircraft involved in the incident? (HEMS, SAR, Hoist, Short Haul, Firefighting, etc.)
Your answer
Did this incident involve HEC (hoist/short haul/etc.)?
Yes
No
Clear selection
Was there a patient on board?
Yes, there was a patient was on board.
No, there was not a patient on board.
Other:
Clear selection
What was the type of incident?
Non-injury Incident
Injury Incident
Fatal Accident
Other:
Clear selection
Were Night Vision Goggles being used?
Yes
No
Other:
Clear selection
Were helicopter rescue members injured or killed?
Yes, there were members injured.
Yes, there were members killed.
No, there were no injuries or deaths.
Other:
Clear selection
Do you feel that fatigue may have been a factor in this event?
Yes
No
Other:
Clear selection
What were the weather conditions during the incident?
Your answer
What lessons were learned from this incident?
Your answer
Please share any links to news articles, reports, etc.
Your answer
Is there additional information you would like to share?
Your answer
What language did you submit your report in?
Your answer
If you have any questions or comments, please contact ICAR Air Rescue Commission President Charley Shimanski (air.rescue@alpine-rescue.org).
If you have any photos, videos, media reports, or final incident reports, please email them to air.rescue@alpine-rescue.org.
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