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Violation Report
Violation Report
Violation Report Form
Reported By *
Submitted Department *
Location/Site of Violation *
Department/Area of Violation *
Time of Event: *
Employee (if applicable)
Other *
General Information
Date of Event *
Specific Violation Type (Check all that apply):
Aviation *
Incursion into Maneuvering Area
PPE Compliance
Driving without legislation
Use of Mobile Phones near Operating Aircraft
Unsafe positioning near aircraft engine or propeller
Operating equipment (GSE) without proper clearance from aircraft
Failing to apply wheel chocks or cones to parked aircraft
FOD (Foreign Object Debris) left in aircraft vicinity
Failure to maintain required safe distance from aircraft
Fueling/defueling without Adherence to Safety Measures
Noncompliance with airside operations communication protocol
Entering aircraft safety zones during pushback or engine startup
Obstructing aircraft taxiway or parking stand with GSE
Driving at Unsafe Speeds or Reckless Operation
Smoking or Using Ignition Sources in Restricted Areas
Please select at least one option.
Environmental or Occupational *
Unsafe operation of machinery
PPE Compliance
Unsafe behavior
Ignoring safety signage
Failure to report hazard
Spill or release of hazardous material without containment
Unauthorized access to restricted area
Waste mismanagement
Electrical hazard
Poor housekeeping
Lack of supervision or working alone in high-risk areas
Working at height without fall protection or permit
Improper storage of flammable or hazardous substances
Failure to follow confined space entry procedures
Using damaged or uninspected tools/equipment
Please select at least one option.
Other (describe):
Individuals Involved
Name and Department / Company (Add All Names) *
Root Cause Analysis *
Supervision Deficiency
Procedural Lapse
Procedural Lapse
Please select at least one option.
Corrective & Preventive Actions *
Attachments *
Photos
Witness Statements
CCTV Footage
ATC Logs
Other
Please select at least one option.
Upload Attachments *
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