Transport Safety Bureau
Air Accident/Incident Notification Form
Date of Occurrence
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Date and Time (local time or UTC) of the Accident or Incident
LT
UTC
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Select Time
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Type of Occurrence
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ACCID
INCID
SINCID
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Aircraft Type , Model, Manufacturer and Serial Number
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Registration Marks and Nationality
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Owner
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Qualification of the Pilot-In-Command and nationality of crew and passengers
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Last point of departure and point of intended landing of the aircraft
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Position of the Aircraft Accident/Incident with Reference to some easily defined Geographical point and Latitude and Longitude
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Total Number on Board
Injuries
Pilot
Crew
Passenger
Total on Board
Other
Fatal
Serious
Minor
None
Total
Description of Occurance
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Physical characteristics of the accident or incident area, as well as an indication of access difficulties or special requirements to reach the site
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Presence and description of dangerous goods on board the aircraft
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Contact Details (Optional)
Name
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Contact Number
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Company Name
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Email
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