Incident record

Preserve facts and obtain appropriate legal/safety guidance when needed. This template does not decide reportability for the remote PIC.

Incident ID:
Date/time/time zone and location:
Remote PIC and crew:
Aircraft/registration/RID/battery/payload:
Mission and authorization/waiver:
Weather and lighting:
Sequence of events (objective timeline):
Injuries / loss of consciousness / medical treatment:
Property damaged (exclude sUAS for §107.9 threshold calculation):
Fair-market repair/replacement estimate and evidence:
Aircraft damage:
Emergency services / ATC / law enforcement contacts:
Flight logs, photos, video, controller/app data preserved at:
Immediate containment and equipment quarantine:
FAA §107.9 reportability decision and reviewer:
FAA report submitted date/reference (10-day deadline if qualifying):
NTSB or other reporting analysis, if applicable:
Root cause / contributing factors:
Corrective action / owner / due date:
Return-to-service approval and evidence:

Immediate checklist

• Protect life, call emergency services, and eliminate continuing hazards.
• Do not alter or recharge involved equipment except for immediate safety.
• Preserve volatile logs and identify witnesses.
• Document injury and property loss with objective evidence.
• Evaluate FAA reporting promptly; do not wait until day ten.
• Separately evaluate NTSB, local, workplace, insurance, client, and waiver reporting duties because FAA §107.9 is not the only possible obligation.