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  • Scaa Occurrence Report

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    Joe Kronfli
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    This document appears to be an occurrence report form used by the Civil Aviation Authority to document issues or incidents that occur with aircraft. The multi-page form collects information about the aircraft operator, flight details, component or part in question, description of the occurrence, investigations performed, preliminary and final actions taken, and space for comments from the CAA. It requests details to fully understand and document the nature of the occurrence and the steps taken to address it.

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    This document appears to be an occurrence report form used by the Civil Aviation Authority to document issues or incidents that occur with aircraft. The multi-page form collects information about the aircraft operator, flight details, component or part in question, description of the occurrence, investigations performed, preliminary and final actions taken, and space for comments from the CAA. It requests details to fully understand and document the nature of the occurrence and the steps taken to address it.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    28 views2 pages

    Scaa Occurrence Report

    Uploaded by

    Joe Kronfli
    This document appears to be an occurrence report form used by the Civil Aviation Authority to document issues or incidents that occur with aircraft. The multi-page form collects information about the aircraft operator, flight details, component or part in question, description of the occurrence, investigations performed, preliminary and final actions taken, and space for comments from the CAA. It requests details to fully understand and document the nature of the occurrence and the steps taken to address it.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 2

    Civil Aviation Authority

    Airworthiness Directorate
    OCCURRENCE REPORT
    1. OPERATOR:-...............................................................................................................................
    A/C TYPE:-.................. Reg. No................ TOTAL HRS:-.................. CYCLES:-........................
    ENGINE TYPE:-.....................................
    DATE:-................................... TIME:-................................. STATION:-.....................................
    2. NATURE FLIGHT:-(TICK WITH APPROPARIATE):PAX

    FREIGHT

    AGRICULTURAL

    FERRY

    PRIVATE
    TRAINING
    TEST
    _________________________________________________________________________________
    3. FLIGHT PHASE:- (TICK WITH APPROPARIATE):PARKED

    TAXING

    TAKE OFF

    CLIMB

    CRUISE
    DESCEND
    LANDIND
    ________________________________________________________________________________
    4. GROUND PHASE:- (TICK WITH APPROPARIATE):MAINTENANCE
    GROUND HANDLING
    UNATENDED
    ________________________________________________________________________________
    5. COMPONENT/PART:LOCATION A/C...................................... MANUAL REF............................. ATACH ......................
    P/N.............................. S/N......................... TIME SINCE O/H......................... O/H LIFE..................
    6. IS THERE ANY PUBLISHED AIRWORTHINESS AND/OR OPERATIONAL INFORMATION
    OR CONTROL PROCEDURED RELVANT TO THIS OCCURRENCE :- YES/NO
    IF YES GIVE DETALILS:.................................................................................................................................................................
    .................................................................................................................................................................
    .................................................................................................................................................................
    .................................................................................................................................................................
    .................................................................................................................................................................

    Form No. AWD/ GEN/322

    Page 1 of 2

    7.

    DISCRIPTION OF OCCURRENCE :- (Copy of Technical Log Sheet & Engineering Report to be Attached):.................................................................................................................................................................
    .................................................................................................................................................................
    .................................................................................................................................................................
    .................................................................................................................................................................
    .................................................................................................................................................................

    8. INVESTIGATION:.................................................................................................................................................................
    .................................................................................................................................................................
    .................................................................................................................................................................
    .................................................................................................................................................................
    .................................................................................................................................................................

    9. PRELIMINARY ACTION:.................................................................................................................................................................
    .................................................................................................................................................................
    .................................................................................................................................................................
    .................................................................................................................................................................
    .................................................................................................................................................................

    10. FINAL ACTION :.................................................................................................................................................................


    .................................................................................................................................................................
    .................................................................................................................................................................
    .................................................................................................................................................................
    .................................................................................................................................................................
    11. STATUS:-

    OPEN

    CLOSED

    NAME :- ............................ SIGN............................ TITLE......................... DATE........................

    12. CAA COMMENTS:.................................................................................................................................................................


    .................................................................................................................................................................
    .................................................................................................................................................................
    .................................................................................................................................................................
    ................................................................................................................................................................
    NAME:- .

    Form No. AWD/ GEN/322

    SIGN:................................. DATE:-

    Page 2 of 2

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