SMS SAFETY REPORT  
(PFC-QA-007 Online)

Instructions
  1. Please complete this report whenever you identify an abnormal situation or a condition that poses a level of threat to health, property, or environment.
  2. In order to provide a follow-up on your report, please ensure that you use your full name, email address, and provide an accurate description of the hazard or occurrence.  
  3. Aircraft Technical issues are to be reported in the logbook prior to completing this form.
  4. Bird/Wildlife Strikes are to be reported in the logbook prior to completing this form and directly to Transport Canada at Transport Canada Bird/Wildlife Strike Report. Record the Transport Canada reference number in the description section below.
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Reporter's Name
Reporter's Email
Reporter's Telephone Number
Date of occurrence *
MM
/
DD
/
YYYY
Time of occurrence (Pacific Time)
Location of occurrence *
Aircraft Type & Registration (if applicable)
Description of occurrence or hazard *
Please suggest a practical means of mitigating this occurrence or hazard.
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