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Philippine Aviation Incident Reporting Form
CAAP report form for Philippine Aviation incident
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: PHILIPPINE AVIATION INCIDENT REPORTING SYSTEM PAIRSCONFID
NOTE: This form is not for the reporting of accidents, serious incidents, mandatorily reportable incidents or criminal activities.
Date of occurrence
Location of Occurrence
Aircraft type
Aircraft registration
Occupation (e.g. pilot, LAME)
Aircraft operator
Total pilot hours. If applicable
Flight no.
Non-pilot aviation experience (vr/mo)
Phase of flight (please tick)
Taxiing
Take-Off
Altitude
Climb
Cruise
Descent
Landing
Others (specify)
Weather conditions
Visibility
Wind
Cloud
Please fully describe the occurrence (include your suggestion to prevent similar occurrences.)
(Cont’d overleaf or at back)
Your name:
Date:
Address:
Tel no:
Leave Message?
YES
NO
Time of day to call:
For official use by PAIRS Program Manager only:
Administered by:
Date
Form 1 AAIIB,CAAP/PAIRS Sept 2011
