Name reporter *
Phone number reporter *
E-mail address reporter *
Name captain
Company / Owner aircraft
Phone number captain
E-mail address captain
Date occurrence
Time occurrence (Local time)
Occurrence location
Country occurrence
Aircraft manufacturer and model
Type of operations Select type of operations Scheduled Charter Training Demonstration Aerobatic Aerial tour Balloon Private Other
Aircraft registration
Number of crew on board
Number of passengers on board
Location of (planned) departure
Location of (planned) destination
Phase of flight Select phase of flight Start of engine(s) Taxi Take-off Climb Cruise flight Descent Approach Holding Circuit Landing
Altitude
Weather
Clouds
IMC / VMC IMC VMC
IFR / VFR IFR VFR
Damage Select damage None Light Moderate Severe
Injury Select injury None Light Moderate Severe Fatal
Description of occurrence *