Submit a Wildlife Strike Report

To complete a Wildlife Strike Report:

  1. In the form below, complete as many fields as possible.
  2. At the bottom of the form, click Submit Strike Report. You will see a confirmation page with a Strike Report Confirmation number and a link to your report. Note the confirmation number so you can view, edit, or print your report in the future.
  3. On the confirmation page, click the link and then print a copy of your report.
  4. If you are reporting a bird strike, please submit bird remains for identification. Please click here for instructions on how to collect remains.

Form Approved OMB No. 2120-0045

1. Name of Operator/Carrier

Type in a few letters contained within the Operator name or OperatorID. Add more if/as req'd. If found ,click that Operator Name from the listing so that appear in the entry box. If not found, type in the Operator Name and if known, the 3/4 letter Operator ID.

2. Aircraft Make/Model

3. Engine Make/Model

4. Aircraft Registration

5. Date of Incident

        mm / dd / yyyy

   

6. Local Time of Incident
:

6A. Flight Number

6B. Wildlife/Bird Remains:
Collected          Sent to Smithsonian

7. Airport Name/ID

Type in a few letters contained within the Airport name or AirportID. Add more if/as req'd. If found ,click that Airport Name from the listing so that appear in the entry box. If not found, type in the Airport Name and if known, the 3/4 letter Airport ID.

8. Runway/Taxiway Used

9. Location if En Routeand/or Distance from Airport(Nearest Town/Reference & State/Airport)

10. Height (AGL)
 ft
 

11. Speed (IAS)
 kts
 

12. Phase of Flight

13. Part(s) Struck or Damaged

Struck Damaged
A. Radome
B. Windshield
C. Nose
D. Engine #1
E. Engine #2
F. Engine #3
G. Engine #4
Bird(s) Ingested?   (Check for Yes)

13. (Con't)

Struck Damaged
H. Propeller
I. Wing/Rotor
J. Fuselage
K. Landing Gear
L. Tail
M. Lights
N. Other

(Specify, if "N. Other" is checked)

14. Effect on Flight
None
Aborted Take-Off
Precautionary Landing
Engine Shutdown
Other (Specify)

15. Sky Condition 
        

16. Precipitation
Fog
Rain
Snow
None

17. Bird/Other Wildlife Species

18. Number Seen and/or Struck

Number Seen Struck
1
2 - 10
11 - 100
more than 100

19. Size of Bird(s)
Small
Medium
Large

20. Pilot Warned of Birds/Wildlife?  Yes    No

21. Remarks (Describe damage, injuries, and other pertinent information such as bird band numbers, fuel jettisons)

DAMAGE/COST INFORMATION

22. Aircraft time out of service
 hours

23. Estimated cost of repairs
or replacement (US $)  

24. Estimated other costs (US $)
(e.g., revenue loss, fuel, and aircraft inspection, crew lodging or rescheduling, etc.)  

Reported by

Title

Date

Email


Save my Information.

Phone

FAA Form 5200-7 (EFAA Form 5200-7 (EFAA Form 5200-7 (Electronic))

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)