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CAQA SkyBridge Aviation · Simulated workplace

Safety Occurrence and Hazard Report Form

FormControlled document
SKY-FRM-001
v3.0
Document ownerSafety and Compliance Manager
Version3.0
Approved20 January 2026
Next review20 January 2027
StatusCurrent

Purpose. Any worker completes this form to report an occurrence, hazard, fatigue concern, security incident or dangerous goods event so that it is recorded in the Safety Reporting System and acted on.

1.When to use this form

Use this form for anything that affected or could have affected the safety or security of an aircraft, a person or an operation. This includes ground damage, near collisions on the ramp, loading errors, unstable approaches, cabin injuries, disruptive passengers, airside access breaches, undeclared dangerous goods and fatigue. If in doubt, report it.

2.Confidential reports

Tick the confidential box if you do not want your name shared beyond the safety and compliance manager. Confidential reports still receive feedback and are still investigated.

3.Completing the form

Describe what happened in the order it happened, using plain language. Include the flight number, aircraft registration or bay, the equipment involved and the names of witnesses. Give your honest view of what contributed and what would prevent it.

4.What happens next

The safety and compliance manager classifies the report within two business days and either assigns it to the department or appoints an investigator. You will be told the outcome and any actions taken.

5.Protection

Reports are used only for safety improvement under the just culture provisions of the Safety Policy.

6.Complete the form

SKY-FRM-001 v3.0 · CAQA SkyBridge AviationUncontrolled when printed. Simulated document created by CAQA for training and assessment.