Hazard, Incident or Accident Reporting Form
Corporate Air's confidential reporting system for reporting of hazards, issues, concerns, occurrences, incidents, as well as propose solutions and safety improvements. Confirmation of report received is sent to the email address provided with this submission.
Email address
Telephone
Your answer
Last Name - Person Reporting
Your answer
First Name - Person Reporting
Your answer
Flight Crew Associated with Occurence
Your answer
Operator
Aircraft Type
Tail #
Report Type
Airport ID
Flight #
Phase of Flight
Date of Hazard, Issue, Concern, Occurrence, Incident or Accident
MM
/
DD
/
YYYY
Time of Hazard, Issue, Concern, Occurrence, Incident or Accident
Time
:
Narrative
Your answer
Description of Damage
Your answer
Proposal for Solution or Safety Improvement
Your answer
Pictures
Submit pictures to: 247cadispatch@gmail.com
Learning Tool: Safer Through Reporting
A copy of your responses will be emailed to the address you provided.
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