
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 for the
above purpose.
Return this form to:
RotorSport Sales and Service 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: