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

Phone

Role

2. Event Details

Date of Event *

Time (local)

Aircraft Type / Registration

Location

In Air or On Ground *

In AirOn 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:

8. Corrective Actions or Suggestions

What was done or could prevent recurrence:

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.

I would like confidential follow-up on this reportI wish to be contacted about this incidentMy anonymous safety report data can be shared in Flight Club's safety communicationsEmail me a copy of this report (PDF)