FW INCIDENT
REPORT
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FW Incident Report
Submitter
Crew
Lesson Type
Student Name or Observer
Aircraft Type *
Follow-Up Requested
CFI Name
 
N-Number *
Requester's Email
 Email
Campus *
Event Airport Identifier
(If applicable)
Requester's Phone #
Event Date *
Day/Night *
Weather
  • VFR: (vis > 5sm, ceiling > 3000 ft)
  • MVFR: (vis 3sm to 5sm, ceiling 1000 ft to 3000 ft)
  • IFR: (vis 1sm to <3sm, ceiling <1000 ft to 500 ft)
  • LIFR: (vis < 1sm, ceiling < 500 ft)
Event Time *
 (lcl)
Location Category *
Event Details
Dispatch / Admin
Ramp / TSA / Fueling / Proflight / Eng Start / Postflight
SOP / FAA Regulatory / Duty Time / Fatigue / Illness
Operations (from engine start to shutdown)
ATC / Airport / Aircraft Separation
Incident / Accident / Aircraft Damage
 
Describe the Incident & Sequence of Actions (1500 Characters)
What Different Actions Could Have Reduced or Mitigated Risk
What Additional Resources Could Have Reduced or Mitigated Risk

This Incident May Have Caused a Regulatory Deviation or Violation

This Incident was Non-Compliant with HAA SOP's and/or Policies & Procedures

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