Aircraft Incident And Accident Report - Cirrus SR20 Flight Operations Manual

Cirrus SR20 and SR22
Section 7

Aircraft Incident and Accident Report

Date of accident: ____________ Time: ________________________
Pilot's Name: _______________ Phone No:____________________
Owner and/or Operator: ___________________________________
Aircraft Type: _______________ N-No: _______________________
Type of Event (circle one):
Last point of departure: ____________________________________
Point of intended landing: __________________________________
Position of aircraft in reference to an easily defined geographical point:
______________________________________________________
______________________________________________________
Number of persons aboard:______ Fatalities:_____ Injured:________
Description of injuries: (if applicable): _________________________
______________________________________________________
______________________________________________________
Names of passengers: ____________________________________
______________________________________________________
______________________________________________________
Weather conditions (attach weather print-off if available):
Wind Direction: _____________ Wind Velocity: __________________
Visibility: __________________ Sky Condition:_________________
Temp/Dewpoint:_____________ Altimeter Setting: _ ______________
Other __________________________________________________
Eye Witnesses:
Name
1. ________________________
2. ________________________
3. ________________________
P/N 23020-002
June 2008
Accident
__________________________
__________________________
__________________________
Flight Operations Manual
Supplementary Information
Incident
Phone Number
Damage
7-21