HGFA Accident/ Incident Report Form

 

Complete all of the below details as best you can. The form requires you to input a verification code exactly as shown in Caps, non caps or numbers. Send the form by pressing the 'Send' button. This will email your data to the HGFA.

Thank you for your time to submit this important information.

 
PILOT DETAIL  
HGFA Number [enter 'unknown' if unsure of HGFA #]
Surname [enter 'unknown' if unsure of Surname]
First Name [enter 'unknown' if unsure of Name
Pilot Qualifications [enter 'unknown' if unsure of Pilot Quals]
Date of Birth [enter 'unknown' if unsure of DOB]
Sex (Male or Female)
Contact Phone or email [enter best contact detail phone or email]
Address (Street, City, State, Post Code)


Pilot Total Hours
Hours Flown Last 90 Days
Hours Experience on Aircraft
Accident / Incident Details  
Accident or Incident
Accident / Incident Date
Accident / Incident Time
Number of Persons Involved
Report Submitted By (Full Name)
Report Author Contact Phone
Instructor/School (if training accident)
Pilot Injury
Passenger Injury
Pilot Injury Details
Passenger Injury Details
Aircraft & Equipment Details  
Aircraft Type
Aircraft Make
Aircraft Model
Aircraft Size
Year of Manufacture
Total Airframe Hours
Hours Since Last Airframe Inspection
If WM, Registration Number
Engine Type and Model
Harness Type
Harness Make
Harness Age
Aircraft Damage (Description)
Site Information  
Site Type
Site Rating (if applicable)
Site Name
Site Location
Launch Type
Landing Type
Accident / Incident Occurred When
Accident/ Incident Occurred During
Pilot New to Site
Pilot New to Type of Operation
Wind Direction
Wind Speed
Day Time Temperature
Turbulence
Accident Detail (please provide description)

Statement of Possible Cause

(initial Assumptions as to cause of acc/inc)
Image Verification
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Thank you for sending this report. Accident and Incident reports are an integral part of our Safety System.

By letting other pilots know of your report they may be able to avoid a similar occurrence in their or their friend's flight activities.