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Occurrence Report
*
Event Date/Time
Title
Location:
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Type of Occurrence
Accident
Incident
Unlawful Interference
Hijack
Bomb Threat
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Sub-Type
Airprox
Runway Safety
Man. Area Safety
Apron Safety
LVP Violation
ATC Event
Others
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Date/Time (UTC) of Occurrence
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ATCOs Involved
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QNH Setting
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Occurrence Position
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Class and Type of Airspace
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Control Position
Aircraft Involved - 1
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Departure
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Dest
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FL/Alt
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SSR Code
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Description (Attach diagrams in Attachments section)
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Unserviceable Equipment
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Supervisor Name
Supporting Information
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