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    Flight Safety Occurrence Report (Initial Report)

    A Flight Safety Occurrence Report documents events affecting aircraft safety, such as mechanical failures or procedural deviations, to identify risks, facilitate investigations, and prevent future incidents.

    Please Be Advised: Individuals reporting a Flight Safety Occurrence Report following an incident, accident, or bird strike/sighting with potential safety implications for the aircraft and/or flight training should complete the relevant sections of this form to the best of their ability. After submitting your safety report, Journey Air Pilot Training's flight safety officer will contact you for the next steps.

    This field is for validation purposes and should be left unchanged.

    General

    MM slash DD slash YYYY
    Time of Occurence
    :
    Type of Occurrence
    Indicate additional report types if applicable
    Personnel Casualty Level (PCL)
    Safety of Flight Compromise Level (SFCL)

    Personnel Information

    Name Role License # Injury (if any) Actions
           
    There are no Personnel.

    Maximum number of personnel reached.

    Aircraft

    Aircraft Damage Level (ADL)

    Location

    NAVAID location (if beyond 5 miles of airport)

    Description

    Please give a detailed description of occurrence

    Condition

    Birdstrike Report

    Category
    Remains submitted
    Within 5 NM of airport
    Flight disruption
    NOTAM warning
    Lights on
    Part Struck
    Type of damage
    BIRD DESCRIPTION
    Bird size classification

    (After entering the correct answer in the box above, the Submit button will appear.)

    Contact Information

    Journey Air Ltd.
    2800 Hayes Rd
    Windsor, ON N8V 1A1

    *Windsor International Airport (CYQG)

    519-969-3232
    info@journeyair.com

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    Journey Air Ltd. Since 2004

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