AAIB

Model / Serial:

Flight No:

Operator/Owner:

Reg. No:

Date :

Flight No:

Occur/time:

Depart/Destination point:

Occur/station:

Captain:

Yes No

Any failure of one or more engine
Failure in a propeller control system
Fuel flow drop/fuel leak
Fire outbreak Flight/Ground
Engine stoppage

Leak inflammable liquid
Oil leak
Warning indication
Engine power loss

Difficulty in operating L/G
Electrical power loss
Tyre outburst
Bird Strike
Loss of breaking strength

Fluid Loss
Overtemperature
Multifailures
Warning indication

Flight control system
Pressurisation and air condition system
Pitch and heading indicator system
Speed & Altitude system, indicators

Escape slide faulty operation
De-icing system
Flame/Smoke

Maintenance Landing Take-Off Cruise Approach Towing/Taxi Climb Others Descend EngStart

Reported by :

Organization name :

Date :

Phone number:

E-mail:

Address: