Submit a Wildlife Strike Report

Form Approved OMB No. 2120-0045

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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.

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calendar
mm / dd / yyyy

   

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:

6B. Wildlife/Bird Remains: question
         

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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.

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questionand/or Distance from Airport(Nearest Town/Reference & State/Airport)

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 ft
 


 kts
 

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13. Part(s) Struck or Damaged question

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

13. (Con't)

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

14. Effect on Flight question





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16. Precipitation



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18. Number Seen and/or Struck question

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

19. Size of Bird(s) question


20. Pilot Warned of Birds/Wildlife? question    

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DAMAGE/COST INFORMATION

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 hours

 

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(e.g., revenue loss, fuel, and aircraft inspection, crew lodging or rescheduling, etc.)  

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FAA 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)


Project Manager:    Mike DiPilato Version: 3.1.8.1, Updated: January 28, 2019