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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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September
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Year
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*
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.)
What outside agencies have been involved?
(Check off or enter all that apply.)
Police
Fire
Ambulance
WingOps
Other
If Other please specify:
Enter Code
*