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ATC Occurrence Report

CONFIDENTIAL

*Event Date/Time

Title

Location:

* Type of Occurrence

* Sub-Type

* Reporting Unit

* Date/Time (UTC) of Occurrence

* ATCOs Involved

* Agencies Involved

* Occurrence Position

* QNH Setting

* Class and Type of Airspace

* Type Of ATC Service

* Control Position

* Flight Conditions

Aircraft Involved - 1

* Call Sign

* Registration

* Aircraft No.

* FL/Alt

* SSR Code

* Flight Rules

* Equipment Status

* Other Agencies

Supporting Information

Submitting report...

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Version 1.0.7120.0