GROUND SAFETY REPORT
1 - IDENTIFICATION (Your Information)
Reporter Name
Position / Job title
Company Name
2- EVENT INFORMATION
Event Date / Time (UTC) *
Flight Number
Station/Location Of Event *
A/C Registration
EVENT * (min 1)
Aircraft Damage
Communication Deficiency
DGR
Deviation of SOP
Disruptive Passenger (Unruly etc.)
Emergency
F.O.D
Jet Blast
Ground Suppport Equipment
Unsafe Practice
Other Safety Concerns
Aircraft Defect (Cargo net, cargo door operation failure, parking lamp broken etc.)
Damage on incoming aircraft
Discrepeancy in incoming LDM or unproper loading
Incorrect load sheet info (trip info) provided by flight crew
Spillage during fuelling operations
Loading of incorrect fuel quantities
Unsatisfactory ground de/anti-icing
Significant contamination of aircraft structure, or systems and equipment arising from the carriage of baggage/cargo
Incorrect loading of pax, baggage, cargo likely to have a significant effect on mass and/or balance
Incorrect stowage of baggage or cargo
Non compliance or significant errors in compliance with required servicing procedures
EVENT DESCRIPTION *
COMMENTS
What company/management should do to prevent this kind of occurrence in the future?
What the crew member (as well as the other employees) should do to prevent this kind of occurrence in the future?