accident/incident/safety item report
Hi! And thanks for filling out this report. It will help generate data so that possible causes of rotorcraft incidents can be determined through statistical analysis. This will help improve safety in the future.
Your personal details are requested only to enable us to contact you for more information about any part of your report. Also it will help me verify that I am receiving valid information from a real person! Your personal information will only be seen by me and will not result in any "spam."
NO RECORD OF YOUR PERSONAL INFORMATION WILL BE RETAINED!
Kerry Cartier, National Safety Coordinator
Popular Rotorcraft Association
FILL IN AS MUCH AS YOU CAN -- THERE WILL BE A SPACE AT THE END IF YOU WISH TO ADD INFORMATION OR EXPLAIN SOMETHING.
SOME OF THE INFORMATION IS MARKED "REQUIRED." THE FORM CAN'T BE SENT UNLESS THOSE PIECES OF INFORMATION ARE GIVEN.
Your name and e-mail address are required in an attempt to prevent spammers from sending "spurious" reports -- if Kerry can e-mail a person to verify that person's existence perhaps there will be some assurance of "real" data not garbage!
The estimated time to completely fill out this form is: 12 minutes. Contributing to the safety of rotorcraft flying should be worth 12 minutes of your life!