British Gliding Association
Engineers Report

BGA Ref. No.

Use this form to report findings following an accident or Incident and to report engineering occurrences.

This form does not replace the BGA Accident and Incident report form.

Aircraft Type:

Name & Address of reporter:

Reg No: BGA Or: G-
Serial No: Total hours flown:
Component:

Tel: Aircraft operator: Total launches:
Part Number:

* Maintenance / DI / In flight Retrieve / land out
Serial Number:

Engineering Occurrence
No. E
Date and place of incident or occurrence:
Date reported: Unreported Damage * Yes / No
Position:

Date Fitted:

Hours flown:

Launches:

Supplier:

Brief Title of Occurrence:

Where can the aircraft be inspected:

Engineers Report: (please use continuation sheets if necessary)

Number of continuation sheets:

Reporters Signature…………………………………………..BGA Auth. No……………………….(if appl.) Date………………………

Date received:

Flight report Yes / No / N/A

Safety comm. Item Yes / No

Quality lapse Yes / No

CAA Informed Yes / No

Manf / Agent informed Yes / No

TNS Item Yes / No Issue: /

BGA Inspection Yes / No Ref:

Date Closed:

Signed……………………………………………………………………..for BGA Date……………………………….
* Delete as required

BGA Use Only

This form should be completed as far as possible with all applicable data and forwarded to: BRITISH GLIDING ASSOCIATION, KIMBERLEY HOUSE, VAUGHAN WAY, LEICESTER, LE1 4SE. FAX 0116 2515939 e-mail [bga@gliding.co.uk] as soon as possible after the event.
BGA1022 07/02

AMP 1-3 A12 Jul/02

BGA AMP Part 1, leaflet 1-3, Appendix 12, page 1