Chhatrapati Shivaji International Airport

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PASSENGER TRAVEL INFORMATION

SAFETY OCCURRENCE REPORTING

EVENT DETAILS

A) Date of Event
     
Time of Event
     
         
B) Date Event was Reported
     
Time Event was Reported
     
       
C) Reported By   Location of Event  
         
D) Classification of Event      
         
E) Event Brief    
         
F) Type of Person Involved / Affected      
         
G) Nature of Employment (If MIAL / Non-MIAL Employee)      
         
H) Severity of Event      
         

DETAILS OF PERSON INVOLVED

A) No. of person involved    
         
B) Name of person Involved    
         
C) Organization Designation
         
D) Age Classification Sex
Male Female
         
E) Contact Details    
         
F) Contact Number(s)    
         
G) Miscellaneous Information   Note: Please fill relevant details in case more than 1 person involved.
         

INJURY / ILLNESS DETAILS

A) Name of Injured / ill person(s)    
         
B) Age Classification Sex
Male Female
         
C) Severity of Injury / Illness    
         
D) Type of Injury / Illness
Abrasion Fracture
Ampuation Dislocation
Bruise Laceration
Burn Pain
Crush Puncture
Internal Injury Swelling
Distress Other
Sprain Not Known
   
         
E) Miscellaneous Information   Note: Please fill relevant details in case more than 1 person involved.
         

DETAILS OF AIRCRAFT / VEHICLE / EQUIPMENT / MACHINERY / PROPERTY DAMAGED OR INVOLVED

         
A) Details of Aircraft / Vehicle
/ Equipment / Machinery / Property Damaged or Involved		  
         
B) Extent of Damage    
         

WITNESS DETAILS

A) Name    
         
B) Age Classification Sex
Male Female
       
C) Address/Contact Details  
         
D) Place of Presence (If on site, or otherwise)  
         
E) Is the Witness requesting his Identity to be protected / kept confidential ?
Yes No
         

REPORTING DETAILS

A) Reported To    
i) Date Reported
Time Reported
         
ii) Reported By Reported to
         
B) To Quality & Safety Department
         
i) Date Reported
Time Reported
         
ii) Reported By Reported to
         
Name & Designation
         
Your Email Id If any :  
         
Attach Detail(s)
(Allowed file types: .pdf, .png, .jpeg, .jpg, .gif, .doc, .docx, .xls, .xlsx, .ppt, .pptx, .txt, .zip, .rar)
(Note: Uploaded file(s) size should not exceed 20MB.)
         
"For immediate assistance / attention, please contact"
a) Duty Terminal Manager 1A at + 91 9833301318
b) Duty Terminal Manager 1B at +91 983330 1321
c) Duty Terminal Manager 2 at +91 9833301319
d) Duty Terminal Manager – Cargo at +91 9167213623
         
For any other assistance please contact us .

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PASSENGER TRAVEL INFORMATION

© Chhatrapati Shivaji International Airport
Site by Digital Law & Kenneth
© Chhatrapati Shivaji International Airport
Site by Digital Law & Kenneth