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Safety/Irregularity Report

First Name*Last Name*

Phone*

Email*

Date of Occurance (MM-DD-YYYY)*

Time of Occurance (HH:MM)*

Type of Error*

Phase of Flight*

Weather Conditions*

Names of Individuals Involved*

Aircraft Identification (N Number)

Describe the Situation/Event/Incident*

Root Cause

How could this be prevented?

File Upload

Submitting this report does not take the place of regulatory reporting requirements. Ensure you complete regulatory and/or NASA reports as required.

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