Wildlife Strike Report Form - South Africa
For Non ACSA Airports
click here for ACSA airports
 
Date:Time: Local:UTC:

Reporting Source:				Wildlife Strike Details:
				Number seen:   
Name:		Number struck: 
					Size:	       
Weather:					Species:	       
Sky Condition:	Precipitation:		Other:	       
			
Light Condition:	Wind:			Wildlife Hazard:
                 		
 
Aircraft:					Part of Aircraft
Operator:	Struck:		Damaged:
Registration:		
Aircraft Make / Model:	
Speed (IAS):  Lights: On Off		
					Pilot warned of birds:  Yes  No
Flight:
Flight No:	Reported Elsewhere:
From: To:	
Height (AGL): 
Phase of operation:		Scaring Devices:
If En route distance from airport:	
Lat:Long:	
 					Bird Activity (on airport encounter):
Effect on Flight:				
			
 
The Airport:
Name:
Runway:  
 
Comments: