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Wildlife / Bird Strike Report
Wildlife / Bird Strike Report
Wildlife/ Bird Strike Report Form
Operator *
Type of Operation *
Time *
Aircraft Registration *
Aircraft Height *
Aircraft Model *
Aircraft Speed (IAS) *
Other *
Other: (Specify) *
Other: (Specify) *
Weight / G *
Wingspan *
General Information
Date *
Aerodrome name: King Hussein International Airport
Phase of Flight *
Parked
Taxi
Take-off run
Climb
En Route
Descent
Approach
Landing Roll
Please select at least one option.
Part(s) of Aircraft Struck or Damaged
Radom *
Select an option
Struck
Damaged
Windshield *
Select an option
Struck
Damaged
Nose *
Select an option
Struck
Damaged
Engine No. 1 *
Select an option
Struck
Damaged
Engine No. 2 *
Select an option
Struck
Damaged
Engine No. 3 *
Select an option
Struck
Damaged
Engine No. 4 *
Select an option
Struck
Damaged
Propeller *
Select an option
Struck
Damaged
Wing/Roter *
Select an option
Struck
Damaged
Landing Gear *
Select an option
Struck
Damaged
Tail *
Select an option
Struck
Damaged
Lights *
Select an option
Struck
Damaged
Effect on Flight *
Non
Aborted Take-off
Precautionary Landing
Engines Shut Down
Please select at least one option.
Weather Conditions *
Clear
Cloudy
Rainy
Windy
Fog
Snow
Please select at least one option.
Wildlife/ Bird Information
species *
Mammal: (Specify)
Bird: (Specify)
Please select at least one option.
Number of Wildlife/ Bird
Seen *
1
2-10
11-100
More
Please select at least one option.
Struck *
2-10
11-100
More
Please select at least one option.
Size of Wildlife/ Bird *
Small
Medium
Large
Please select at least one option.
Pilot warned of birds *
Select an option
Yes
No
Narrative (describe damage, injuries, and other pertinent information) *
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