Air Safety Report Form Air Safety Report Form Type of Occurrence TechnicalBird StrikeWake Turb.Air missGrnd. ServiceOthers Date and Time at Flight info Weather info Significant Weather LightModerateSeverve snowicingfogturb.hailwindshearstd. water Flight phase parkedpushbacktaxi-outtake-offinitial climbclimbcruisedescenthold.appr.landingtaxi-in SAFA Inspection Airmiss Clear Clear Avoiding action YesNo By youBy him TARA Under Radar YesNo ATC inst. Issued YesNo Report to ATC By youBy him Risk Assessment NoneLowMediumHigh Lights OnOff Strobe lights OnOff Technical HydraulicElectricMechanicInstrumentAirframeLand. GearEngine Bird strike - seen 12-1011-100more Bird strike - struck 12-1011-100more Struck part of aircraft RadomeWindshieldEngineWingGearOthers Damaged part of aircraft RadomeWindshieldEngineWingGearOthers Wake Turbulence Turning YesNo Turning YesNo Buffet YesNo Stick Shaker YesNo Attitude Change YesNo Alerted by ATC YesNo File Attachments * * If you need to upload more than five files, please add them to an archive and upload it. Clear