وزارة الطيران المدني

Mandatory Report

Occurrence Category

Event Category / Taxonomy

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Domain / Type of Organization

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Undesired / Reported Event

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Flight Details

Operator

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Aircraft type and series

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Registration

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Flight Number

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Type of Operation

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From

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Date of occurrence

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Day Time

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UTC (EX: 09:03, 18:15)

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IAS

Altitude

Weather Details

Visibility

Wind

O.A.T

Runway Used

Runway State

Precipitation

Precipitation's level

Icing

Turbulence

Cloud Type

Cloud Height

Cloud Amount

Flight Phase

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Geo. Position

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Nature of Flight

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Description of event / Results and actions by involved person(s)

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Engineering Details (If required)

Constructor No

Engine Type &Series

Ground Phase

Component/Part

Location on aircraft

Manual Reference

Overhaul/Repair Agency

Maintenance Program

Manufacture Advised

Manufacturer

Part No.

Serial No.

Hours

Cycles

Landings

Total since

Overhaul/Repair/Inspection

Initial Event Risk Classification

If this event had escalated into an accident outcome, what would have been the most credible outcome?

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What was the effectiveness of the remaining barriers between this event and the most credible accident scenario?

Effective

Limited

Minimal

Not effective

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*Please, wait for risk grade and action required in the submission message.

Barriers Assessment

What were the failed barriers?

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Severity

Damage to Aircraft

Damage to Equipment

Fatalities

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Injuries

Number of Injuries

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Bird strike

Attachments

Upload Files (Please attach all needed files at once)

Browse

Reporter Details

Organization

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Position

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Address

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Name

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Phone

E-mail

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Enter E-mail

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Enter Reference Number

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برجاء الانتظار ...

Mandatory Report

Occurrence Category

Flight Details

Weather Details

Description of event / Results and actions by involved person(s)

Engineering Details (If required)

Initial Event Risk Classification

Barriers Assessment

Severity

Attachments

Reporter Details

Enter E-mail

Enter Reference Number

Enter Reply