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Air Safety Report

Occurrence O5350-23

Risk Assessments

Tolerable (4) Probability: Likely / Severity: Negligible Primary Risk Matrix


Occasional

Date/Time 12/02/23 14:21 UTC Occurrence No O5350-23 MOR

Occurrence Title BIRD - Birdstrike

Event Title Birdstrike BIRD

Details
Flight No QR 954 Departure DOH Destination CGK Diverted To

Registration A7-AMK A350-900 Airport CGK


Mark

Altitude: ASL 50 Unit Ft Altitude FL Aircraft IAS Kts Squawk

Runway Used 25L Condition RVR Mach No

Operational Approach <1500 feet No. of PAX No.of Crew Stand


Phase

Aircraft Weight Kgs Fuel Jettisoned Kgs Geog Posn

ATC Flight
EGPWS No

Tech Log Entry Yes GPWS Mode Delay (Hrs)

Techlog Ref. 3833703 GPWS Usefulness ETOPS


No.

Description
EVENT AND CAUSE

Bird strike on short final in CGK runway 25L at 50ft AGL

Competencies

Competencies

Aircraft Config

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Air Safety Report
Occurrence O5350-23

Autopilot Autothrust Spoiler Autobrake

Flap Slat Landing


Gear

V1 Vr V2

Seat Belt Sign

Crew

Weather

Wind Direct/Speed ° Kts Significant WX

Temperature °C Weather Condition

Visibility Kms Precipitation

QNH Icing

MET Turbulence

Light Condition

Total Cloud

Cloud Ceiling ft

Airspace

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Air Safety Report
Occurrence O5350-23

AIRMISS/ATC Incident Other A/C Type

Severity of Risk Vertical Separation (ft) Callsign

Avoiding Action Taken Horizontal Separation (nm) Colour

ATC Advised Alert Type Markings

ATC Instructions Issued Type of RA


Latitude
Frequency RA Followed
Longitude
Cleared Hdg (deg) Usefulness

Cleared Alt (ft) Above/Below

ATC Unit Vis Contact

Altitude (ft) FIR UIR Name

Birdstrike

Bird Species Unknown Time UTC 1421 Part of the Day Night

Bird Size Medium Location if En Route

Bird No.Hit 1 Bird Direction Crossing right to left

Bird No. Seen 1 Reported to ATC No

Birdstrike None
Damage

Description of Damage if any Blood spat on the nose

Wake Turb
Heading Where you aware of other A/C
before incident

Were you Turning Give Details of Preceeding A/C


(Type / Callsign)

Position On Extended Where was it relative to your


Centreline position

Position on Glideslope Clock reference

Attitude Change Pitch Separation distance

Attitude Change Roll What made you suspect wake


turbulence

Attitude Change Yaw Describe any Vertical


Acceleration

Altitude Change

Buffet

Stick Shake

Drone (UAS)

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Air Safety Report
Occurrence O5350-23

Drone Encounter

Drone Size

Ops Classification
Operational Effect

Immediate Effect

Event Types and


Descriptors

Single Birdstrike - No Damage

Type of Non Departmental Events TCAS RA Cause N/A


Event

HF

Human Factors

Human Factors

Human Factors

Tech Classification

Technical Event Types


and Descriptors

ATA Code

Admin

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Air Safety Report
Occurrence O5350-23

Occurrence Owner Group Safety Report to Authority (MOR) Yes TF No

Generated by SMS for Luis Fernando Cuadros Rueda at 13 Feb 2023 Page 5 of 5

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