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Incident

This document is an immediate notification form for reporting aircraft accidents or incidents to the Civil Aviation Authority of the Philippines. It requests information such as the name and contact details of the reporter, details of the aircraft like the manufacturer, registration and owner/operator, details of the pilot and crew/passengers, location and time of the accident/incident, injuries sustained, and a brief description of the accident/incident and damage. The form notes that it can be used to report any accident/incident knowledge and should be transmitted expeditiously to the listed CAAP offices.

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Jo Bi
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48 views

Incident

This document is an immediate notification form for reporting aircraft accidents or incidents to the Civil Aviation Authority of the Philippines. It requests information such as the name and contact details of the reporter, details of the aircraft like the manufacturer, registration and owner/operator, details of the pilot and crew/passengers, location and time of the accident/incident, injuries sustained, and a brief description of the accident/incident and damage. The form notes that it can be used to report any accident/incident knowledge and should be transmitted expeditiously to the listed CAAP offices.

Uploaded by

Jo Bi
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Civil Aviation Authority of the Philippines

Aircraft Accident/Incident Immediate Notification Form

- ACCIDENT (ACCID) - INCIDENT (INCID)

Please print legibly. This notification should contain information as within the knowledge of the person reporting.
Name of reporter: Date:

Address: Contact Nos.:

AIRCRAFT: Manufacturer & Model: Nationality: Registration Marks & Serial No.

Name of Owner / Operator / Hirer:

Name of Pilot-in-Command: Nationality:

Name of Crew(s) : Nationality:

Name of Passenger(s): Nationality:

Date and Time of the Accident/Incident : Last point of departure and point of intended landing of the aircraft :

Position of aircraft with reference to some easily defined geographical point and latitude & longitude: (continue on separate sheet
if necessary)

INJURIES CREW PASSENGER OTHERS


FATAL
SERIOUS
MINOR/NONE
Brief description of the ACCID/INCID and the extent of damage to aircraft / indication of access difficulties or special
requirements to reach the site / presence and description of dangerous goods on board the aircraft: (continue on separate sheet if
necessary)

CAAP-ODG-AAI-003 Page 1 of 2
Revision No.: 0
Revision Date: November 26, 2021
Civil Aviation Authority of the Philippines
Aircraft Accident/Incident Immediate Notification Form

NOTE:

1. This form could be used by any air operator, organization and individual who has knowledge / witness
any aircraft accident / incident.
2. Please enter NA for data that are not available and sent / transmit this form / data by the most
expeditious means to any of the following

OFFICE OF THE DIRECTOR GENERAL


Tel Nos. 7944-2001/7994-2003
Email: [email protected]

AIRCRAFT ACCIDENT INVESTIGATION AND INQUIRY BOARD


Tel Nos. 7944-2142 to 2143
Fax No. 7944-2141
Email: [email protected] / [email protected]

OPERATIONS CENTER
Civil Aviation Authority of the Philippines
Tel No. 7944-2030
Email: [email protected]

Nearest CAAP, PNP and AFP Facilities

3. Any CAAP office who receives a copy of this report should immediately send copies to the
following:
a. Director General, CAAP
b. Head, AAIIB
c. Operations Center, CAAP

CAAP-ODG-AAI-003 Page 2 of 2
Revision No.: 0
Revision Date: November 26, 2021

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