Flight Club — Safety Reporting Form

Safety is everyone's responsibility. Use this form to report any event, condition, or observation you believe is important — whether it happened in the air or on the ground.

Examples: ice on the apron, a near miss, mechanical issue, fuel spill, wildlife, or any hazard.

Reports will be anonymous unless you indicate otherwise by providing contact information or requesting follow-up. Our goal is learning and prevention, not blame.

1. Reporter Information (Optional)
Name
Email
Phone
Role
2. Event Details
Date of Event *
Time (local)
Aircraft Type / Registration
Location
In Air or On Ground *
Phase of Flight (if applicable)
3. Weather & Environment
Flight Rules
Ceiling (AGL)
Visibility (SM)
Precipitation
Winds (steady)
Gusts
Crosswind Component
Turbulence
Icing
Temperature / DA
4. Runway / Surface Conditions (Optional)
Runway / Apron Condition
Braking Action
5. Operational Context (Optional)
Operation
Rules / Time
Role
6. Description of Event or Hazard
Describe what occurred or was observed:
7. Contributing Factors
8. Corrective Actions or Suggestions
What was done or could prevent recurrence:
9. Severity (Your Estimate)
10. Follow-Up (Safety Officer Use Only)
Safety Officer Notes:
Corrective Action Assigned To:
Date Closed:

Confidentiality & Just Culture

Reports are handled confidentially within Flight Club's Safety Management System (SMS). Reporting will not lead to punitive action unless required by law.