FAA Form 5200-7 (Electronic)
Revised 9-23-2009
Form Approved OMB NO.
2120-0045

Aircraft & Operator

Operator / Carrier
Aircraft Make / Model
Engine Make / Model
Aircraft Registration

Incident Details

Flight Number
Date of Strike
Local Time of Strike : (24hr)
Airport Name or ID
Runway Used
Location of Strike
Distance from airport, nearest town / Reference
Phase of Flight
Height (AGL)
Speed (IAS)
Sky Condition
Precipitation
Effect On Flight
Other Effects

Strike/Damage Locations

Radome
Windshield
Nose
Engine 1
Engine 2
Engine 3
Engine 4
Propeller
Wing/Rotor
Fuselage
Landing Gear
Tail
Lights
Other
Other Damage Locations
Bird(s) Ingested
Bird Remains

Wildlife Details

Bird/Other Species
Number Struck
Number Seen
Size of Bird(s)
Pilots warned of Birds/Wildlife

Other Remarks

Remarks
Describe damage, injuries, and other pertinent information.

Damage and Cost

Time out of Service (hours)
Est. Cost of Repairs
Est. Other Costs

Contact Information

Reported By
Title
Phone
Email

Paperwork Reduction Act Statement


The information collected on this form is necessary to allow the Federal Aviation Administration to assess the magnitude and severity of the wildlife-aircraft strike problem in the U.S. The information is used in determining the best management practices for reducing the hazard to aviation safety caused by wildlife-aircraft strikes. We estimate that it will take approximately 5 minutes to complete the form. The information collected is voluntary. Please note that an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid 0MB control number. The 0MB control number associated with this collection is 2120-0045. FAA Form 5200-7 (11-97)