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Comox Airport Incident Reporting System
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Your Full Name:
Your Organization:
Your Phone Number:
Date:
When did the incident happen
or was the hazard found?
Dy
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Month
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February
March
April
May
June
July
August
September
October
November
December
Year
2022
2023
*
Time:
Time must be entered using a 24 hour clock.
example; 6:00pm would be 1800
Where did the incident happen or where was the hazard located?
What are the details of the incident or hazard?
(Please be Detailed)
Who was involved in or witnessed the incident or hazard?
(Please provide contact information if possible.)
Why do you think the incident happened or the hazard was created?
What outside agencies have been involved?
(Check off or enter all that apply.)
Police
Fire
Ambulance
WingOps
Other
If Other please specify:
Do you have any suggestions for fixing the hazard or preventing future incidents?
Enter Code
*
