HAZARD REPORT

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Name (Optional)
Event Type
Event Date
 mm/dd/yyyy
Event Time
 hh:mm
Location and Equipment
N Number
Aircraft Type
Nearest Airport *
Based at
PIC Duty Time
Event Details
Email
 Email
Hazard Observed (1500 Characters)
Suggestions to Mitigate Risk Associated with Hazard
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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