| 1.Aircraft Data |
|
|
|
|
| 2.Flight Data |
|
|
|
|
|
|
| 3.Injured Persons on board |
|
| 4.Nature of Condition (Check one more) |
| Engine |
|
|
|
|
|
|
|
|
|
|
| Breakdown systems, that didn't stop the flight |
|
|
|
|
|
|
|
|
|
|
| Loss of system of indication vital for airworthiness and safety |
|
|
|
|
|
|
|
|
| Effects on FLight |
|
|
|
|
|
|
|
|
|
|
| 5.Stage (check one) |
|
|
| 6.Please fully describe the incident and the extent of damage to the aircraft asis known. |
|
|
|
|
|
|
|
|
