Cirrus SR22 - Section 4: Normal Procedures

P/N 23020-002 7-21
Cirrus SR20 and SR22 Flight Operations Manual
Section 7 Supplementary Information
Aircraft Incident and Accident Report
Date of accident: ____________ Time: ________________________
Pilot's Name: _______________ Phone No:____________________
Owner and/or Operator: ___________________________________
Aircraft Type: _______________ N-No: _______________________
Type of Event (circle one): Accident Incident Damage
Last point of departure: ____________________________________
Point of intended landing: __________________________________
Position of aircraft in reference to an easily defined geographical point:
______________________________________________________
______________________________________________________
Number of persons aboard:______ Fatalities:_____Injured:________
Description of injuries: (if applicable): _________________________
______________________________________________________
______________________________________________________
Names of passengers: ____________________________________
______________________________________________________
______________________________________________________
Weather conditions (attach weather print-off if available):
Wind Direction: _____________ Wind Velocity:__________________
Visibility: __________________ Sky Condition:_________________
Temp/Dewpoint:_____________ Altimeter Setting:_______________
Other __________________________________________________
Eye Witnesses:
Name Phone Number
1. ________________________ __________________________
2. ________________________ __________________________
3. ________________________ __________________________
June 2008