Accident Reporting Form

You must fill out an accident report if there is:

Note: Landing in the grass on the far side of the runway or at either end would not be classed as an accident unless there is damage.

Name of person making the report *

Name of Pilot *

Brief Description of accident

Date and time of incident *

Was there any injurty *

Name of injured person

What was the injury

What was the damage to the model *

Was there potential for injury *

Type of plane *

Flight Type *

Under Instruction? *

If under instruction

Flying style *

What was the cause of the accident *

Which runway was in use at the time of the accident *

What were the prevailing weather conditions *

Wind direction (multiple choice possible if varying) *

Wind Speed (mph) *

How might the accident have been prevented

From the map below identify the square in which the accident occurred *

Email *

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