No.152/1, Minuwangoda Road, Katunayake

Mandatory Occurrence Reporting

Civil Aviation Authority of Sri Lanka

MANDATORY Occurrence Report Form

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Step Four
Final Step

Basic Details

Date

Light Condition

Time (UTC)

Time (Local)

Location/Airport/Geo. Position

From

Diverted To

Aircraft/Flight Data

Aircraft Type & Aircraft Series

Registration

Operator

Flight No

No. of Pasengers

No. of Cockpit Crew

Flight Phase

Nature of Flight

Operational Details

Altitude

IAS (KT)

Mach Number

Heading

Altimeter

ETOPS

Fuel Jettisoned (kg)

IFR/VFR

TCAS RA

Frequency in use

ATS Route

Tech Log Ref.

Configuration

Auto Pilot

Auto Thrust

Gear

Spoiler

Flap

Slat

OCCURRENCE

Occurrence Category

Occurrence Class

DGR

NOTOC No

Description

Action Taken & Result

Crew Details

Captain

License No

First Officer

License No

Tech Crew

License No

Reported By

Name

Contact No

Re-Email

Organization

Organization Email

I hereby declare that the information given above is true and accurate to the best of my knowledge.

Mandatory Occurrence Reporting

Civil Aviation Authority of Sri Lanka

MANDATORY Occurrence Report Form

Report Submited Successfully!

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Form Submitted Successfully

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**NOTE : Please Fill all the Mandatory Fields(*) & Follow the Correct Text Format**

Error - Invalid Text Format or Fill Required(*) Feilds

Basic Details

Aircraft/Flight Data

Operational Details

Configuration

Weather Conditions

Significant Weather

Airport Data

Runway Conditions

OCCURRENCE

Crew Details

Reported By

Mandatory Occurrence Reporting

Civil Aviation Authority of Sri Lanka

MANDATORY Occurrence Report Form

Report Submited Successfully!

Oops.. Something wrong. Please try again later.

Form Submitted Successfully

Oops.. Something wrong.

NOTE : Please Fill all the Mandatory Fields(*) & Follow the Correct Text Format Error - Invalid Text Format or Fill Required(*) Feilds

Error - Invalid Text Format or Fill Required(*) Feilds

Basic Details

Aircraft/Flight Data

Operational Details

Configuration

Weather Conditions

Significant Weather

Airport Data

Runway Conditions

OCCURRENCE

Crew Details

Reported By

**NOTE : Please Fill all the Mandatory Fields(*) & Follow the Correct Text Format**