Bering Air Safety Report
The Bering Air Safety Report should be filled out for both Mandatory and Voluntary reports.  Report mistakes, incidents, accidents, near misses, potential safety issues or concerns, or possible regulatory violations. The information from these reports will be treated confidentially and used to improve company systems, processes, procedures and controls.
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Email *
Employee Group *
Event Date *
MM
/
DD
/
YYYY
Event Time
Specific Location *
Flight Number
Aircraft Tail Number
Aircraft Make & Model
Description of Event, Issue or Concern:  Provide as much detail as you can, including factors contributing to the event. *
What solutions or recommendations do you have to prevent this from happening again?
What Were You Doing at the Time This Happened? *
Weather and/or Surface Conditions *
Type or Potential Loss, Damage or Injury *
Required
PPE Used or Needed
Witness Name (Optional)
I understand my report will to be delivered only to the Director of Safety, and the information de-identified and used for improvement of company processes, policies and procedures.  I understand that by choosing to notify a Supervisor that my information will not be de-identified.
Is this an ASAP Report? *
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