FLIGHT OPERATIONS REPORT FORM

OPERATIONS ACCIDENT CHECKLIST

FORM NO ISSUE ISSUE DATE

FPL.F.400A 1 01 June 2016

REPORTING OFFICER
FIRST NAME: SURNAME:
DATE OF INCIDENT: TIME OF INCIDENT:
LOCATION OF INCIDENT: AC REGISTRATION:

BRIEF DESCRIPTION:

Page 1 of 3 FPL.F.400A
Rev 1
June 2016
 FLIGHT OPERATIONS REPORT FORM

OPERATIONS ACCIDENT CHECKLIST

FORM NO ISSUE ISSUE DATE

FPL.F.400A 1 01 June 2016

OPERATIONS OFFICER ACCIDENT CHECKLIST

SER ACTION/INFORMATION REQUIRED TIME

01 NAME OF THE INFORMANT

02 NATURE OF INFORMANT
EG AIRCREW, PUBLIC, PRESS,
POLICE,

03 CONTACT NUMBER(S) FOR

INFORMANT
04 DETAILS OF THE ACCIDENT
RECORD AS MUCH DETAIL AS
POSSIBLE OR PRACTICABLE

PLACE

TYPE OF AIRCRAFT

SERIAL OR REGISTRATION

DESCRIPTION OF THE
CIRCUMSTANCES

05 CASUALTIES M F C

Page 2 of 3 FPL.F.400A
Rev 1
June 2016
 FLIGHT OPERATIONS REPORT FORM

OPERATIONS ACCIDENT CHECKLIST

FORM NO ISSUE ISSUE DATE

FPL.F.400A 1 01 June 2016

OPERATIONS OFFICER ACCIDENT CHECKLIST

SER ACTION/INFORMATION REQUIRED TIME

TOTAL ONBOARD
INJURED
DECEASED
06 DAMAGE TO AIRCRAFT

07 THIRD PARTY DAMAGE

08 WITNESS & CONTACT DETAILS NAME NUMBER

09 OTHER AGENCIES INVOLVED AGENCY INFORMED

AAIB
D&D CELL
POLICE
AMBULANCE
RAF
RN
COASTGAURD
OTHER
10 EXPLOSIVE DEVICES

11 HAZARDOUS CARGO

12 ANY OTHER INFORMATION

Page 3 of 3 FPL.F.400A
Rev 1
June 2016
 FLIGHT OPERATIONS REPORT FORM

OPERATIONS ACCIDENT CHECKLIST

FORM NO ISSUE ISSUE DATE

FPL.F.400A 1 01 June 2016

OPERATIONS OFFICER ACCIDENT CHECKLIST

SER ACTION/INFORMATION REQUIRED TIME

13 OPEN INCIDENT ROOM

Page 4 of 3 FPL.F.400A
Rev 1
June 2016