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(a) Airspace incident – The following information is required for notification of an airspace incident under rule 12.55(d)(1):
(1) date and time of the incident:
(2) brief description of events:
(3) aircraft nationality, registration, radio call sign, flight number, and type:
(4) name of the aircraft operator:
(5) aircraft position and altitude:
(6) name of the pilot-in-command:
(7) phase of flight:
(8) effect on flight:
(9) flight rules under which the aircraft was operating:
(10) aircraft point of departure and destination:
(11) location, type, and class of airspace, and the ATS unit involved:
(12) any other relevant information submitted by the pilot concerned.
(b) Defect incident – The following information is required for notification of a defect incident under rule 12.55(d)(2):
(1) date and time the incident was detected:
(2) brief description of events:
(3) aircraft nationality, registration, and type:
(4) name of the aircraft operator and owner:
(5) location of the aircraft, part, or equipment at the time of the incident:
(6) phase of flight:
(7) effect on flight:
(8) aircraft point of departure and destination:
(9) name of the manufacturer of the aircraft, part, or equipment, and where appropriate, the part number, its modification standard, and its location on the aircraft:
(10) description of the incident, its effects, and any other relevant information:
(11) whether the person or organisation making the notification has instituted an investigation into the defect and expected time of completion:
(12) name, organisation, and contact details of the person notifying the incident.
(c) Facility malfunction incident – The following information is required for notification of a facility malfunction incident under rule 12.55(d)(3):
(1) date and time of the incident:
(2) brief description of events:
(3) aircraft nationality, registration, radio call sign, flight number, and type:
(4) name of the aircraft operator:
(5) aircraft position and altitude:
(6) name of aerodrome and runway used:
(7) name of the pilot-in-command:
(8) phase of flight:
(9) effect on the flight:
(10) identification, type, name, frequency, and provider of the aeronautical telecommunication facility involved:
(11) whether the person or organisation making the notification has instituted an investigation into the incident and, if so, expected time of completion:
(12) name, organisation, and contact details of the person notifying the incident.
(d) Aircraft incident – The following information is required for notification of an aircraft incident under rule 12.55(d)(4):
(1) date and time of the incident:
(2) brief description of events:
(3) aircraft nationality, registration, radio call sign, flight number, and type:
(4) name of the aircraft operator and owner:
(5) aircraft position and altitude:
(6) phase of flight:
(7) if applicable, name of aerodrome and runway used:
(8) effect on the flight:
(9) name of the pilot-in-command:
(10) type of operation being conducted:
(11) number of persons on board the aircraft:
(12) name, organisation, and contact details of the person notifying the incident.
(e) Security incident – The following information is required for notification of a security incident under rule 12.55(d)(5):
(1) date and time of the incident:
(2) brief description of events:
(3) aircraft nationality, registration, radio call sign, flight number, and type:
(4) name of the aircraft operator and owner:
(5) aircraft position and altitude or place of incident:
(6) name of the aerodrome or aeronautical telecommunication facility if applicable:
(7) name of the pilot-in-command:
(8) phase of flight:
(9) effect on the flight:
(10) type of operation being conducted:
(11) name, organisation, and contact details of the person notifying the incident.
(f) Promulgated information incident – The following information is required for notification of a promulgated information incident under rule 12.55(d)(6):
(1) date and time the incident was discovered:
(2) brief description of events:
(3) details to identify the publication, map, chart, or other means by which the information or aeronautical data was promulgated:
(4) details relating to the information or aeronautical data that gave rise to the incident:
(5) name, organisation, and contact details of the person notifying the incident.
(g) Aerodrome incident – The following information is required for notification of an aerodrome incident under rule 12.55(d)(7):
(1) date and time of the incident:
(2) brief description of events:
(3) name of the aerodrome:
(4) description and the location of the reported defect or obstruction:
(5) name, organisation, and contact details of the person notifying the incident.
(h) Cargo security incident – the following information is required for notification of a cargo security incident under rule 12.55(d)(8):
(1) date and time of the incident:
(2) brief description of the nature of the incident:
(3) details, if known, of where the incident may have occurred:
(4) name, organisation, and contact details of the person notifying the incident.
(i) Dangerous goods, bird, or other incident – The following information is required for notification of a dangerous goods, bird, or any other incident under rule 12.55(d)(9):
(1) date and time of the incident:
(2) brief description of events:
(3) name, organisation, and contact details of the person notifying the incident.
