Use this form to report any safety concerns. Responses are kept confidential, unless you indicate otherwise or if we need to recognize outstanding dedication to our safety culture. This information is collected for internal flight school safety purposes, if you are looking for immunity from FAA violations you must also complete the ASRS form with NASA at asrs.arc.nasa.gov

Who is making this report? *
Can we reach out to you if we have questions? *
Type of Flight
Phase of Flight *
Type of Hazard *
Were there any injuries? *
Is there any damage to aircraft or property? *
Was a NASA ASRS form submitted? (if yes, please fill out contact information above) *
Would you like to receive feedback about the incident? (if yes, please fill out contact information above) *

Lloyd Richardson

Chair, Department of Aeronautics

Contact

P843-863-8078
Eaeronautics@csuniv.edu

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