AUTO GYRO CAVALON, Pilot Operating Handbook

Page: 147 / 147

APPENDIX 3
Incident Reporting Form
Incident Reporting
This form is supplied to enable the owner/operator to inform (anonymously if needed)
RotorSport UK Ltd of any incident, accident or other field or service failure that they feel
appropriate. The owner must also, of course, inform the relevant authorities if that is
appropriate – eg Air Accident Investigation Branch etc.
Depending on the incident information supplied, a corrective action is investigated and, if
needed, supplied back to the customer(s)
The information given is stored on a computer, and is only used within RotorSport UK for
the above purpose.
Return this form to:
RotorSport UK Ltd, Poplar Farm, Prolley Moor, Wentnor, Bishops Castle, Shropshire,
SY9 5EJ
Or email
info@rotorsport.org , or fax 01588 650769
Aircraft type Aircraft serial No.
Aircraft Registration No. Aircraft Engine No.
Logbook Aircraft hours Logbook Engine hours
Pilot name Passenger name
Incident (please include extra sheets as needed, and be as precise as possible)
Incident location and date Aircraft loading condition (inc fuel)
Weather conditions Sheet of
Reporting persons name and address
Signature & date
Email: