9 Passenger Disturbance Report

REPORT OF INCIDENT “UNRULY/DISRUPTIVE ON BOARD”

Type of Level ……………….
Date………………………………….
Flight Number…………………………………….
Route……………………………………………….
Name of Passenger……………………………………………………………
1. Place of incident:
☐Aisle ☐Seat ☐Door ☐Galley ☐Toilet
OTHER ………………………………………………………………………………………………………….
2. Type of incident:
☐With Pax ☐ With Staff ☐ Use Of Arms ☐Damages
3. Reasons (if known):
☐Alcohol ☐Narcotics ☐Smoke
OTHER ……………………………………………………………………………………................................
4. Type of violence:
☐ Verbal ☐Physical
OTHER …………………………………………………………………………………………………………….
MEASURES TAKEN
☐Offloaded preflight ☐Warning card issued ☐Restraint applied
☐Police called ☐Unscheduled landing ☐Arrest issued
OTHER ……………………………………………………………………………………………………………….
BERNIQ