Lasham Gliding Society Safety Report

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This form can be used to report an accident, incident, near miss or for an issue that you feel poses a threat to safety. You can chose to remain anonymous; however, by providing your name and contact details this may assist in any investigations that are required.

When did the accident, incident or near miss occur? *

YYYY

What time did this accident, incident or near miss occur? *

Time

Name and contact details. (Leave blank if you wish to remain anonymous)

Was anyone injured? *

Yes

Was there any damage to aircraft, vehicles or equipment? *

Yes

Location *

What was the registration of the aircraft involved. (If applicable)

What was the launch type? (If applicable) *

Winch

Aerotow

Self Launch

Powered aircraft movement

Other

This was a ground incident

Weather Conditions. (If applicable)

Please provide a description of the accident, incident, near miss or the problem. *

Submit

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