Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Uncategorized Forms
  • Nasa / Asrs Reporting Form

Get Nasa / Asrs Reporting Form

DO NOT REPORT AIRCRAFT ACCIDENTS AND CRIMINAL ACTIVITIES ON THIS FORM. ACCIDENTS AND CRIMINAL ACTIVITIES ARE NOT INCLUDED IN THE ASRS PROGRAM AND SHOULD NOT BE SUBMITTED TO NASA. ALL IDENTITIES CONTAINED.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the NASA / ASRS Reporting Form online

The NASA / ASRS Reporting Form is a vital tool for reporting aviation safety concerns anonymously. This guide provides a clear, step-by-step approach to completing the form online, ensuring that all necessary information is accurately captured while maintaining your confidentiality.

Follow the steps to fill out the form accurately and completely.

  1. Click the ‘Get Form’ button to access the reporting form and open it in the appropriate editor.
  2. Begin by completing the identification strip. Fill in all requested fields, as this section will be returned to you for verification.
  3. Provide your contact telephone numbers, including home and work, ensuring to specify the area code and hours available.
  4. Enter your name, type of event or situation, and your mailing address, including city, state, and zip code.
  5. Document the date of the occurrence and the local time in a 24-hour format.
  6. Select the role that best describes you from the reporter section, marking any applicable options.
  7. Report your flying time and certificates or ratings, ensuring to include both total hours and hours flown in the last 90 days.
  8. Indicate the airspace type where the event occurred.
  9. Describe the weather conditions at the time of the event, checking all that apply.
  10. Summarize your air traffic control experience and the light/visibility conditions present.
  11. Provide details for any additional aircraft involved, their type, operator, and mission.
  12. Document the flight plan, phases at the time of occurrence, and control status, marking all that apply to your situation.
  13. In the conflicts section, indicate the altitude and estimated miss distance. Include information on any evasive actions or TCAS activations.
  14. In the final section, describe the event or situation thoroughly, addressing the chain of events, contributing factors, and any corrective actions taken.
  15. Once you have completed the form, save your changes. Then, download, print, or share the form as needed.

Submit your completed NASA / ASRS Reporting Form online to contribute to aviation safety.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

ASRS - Aviation Safety Reporting System - NASA
Click on the button above for the appropriate electronic ASRS form – read the ASRS...
Learn more
Aviation Safety Report Form - Department of...
May 8, 2018 — Aviation Safety Report Form ... The Aviation Safety Reporting System...
Learn more
Flygsäkerhetsrapporteringssystem - Aviation...
Den luftfartssäkerhet Reporting System , eller ASRS är amerikanska Federal ... ASRS...
Learn more

Related links form

THE KANSAS CITY SOUTHERN RAILWAY COMPANYTRACKAGE RIGHTS - Stb Dot Complaint. United Rentals, Inc. Incoming Letter Dated August 30,2012 Breach Report Form - Tricare - Tricare

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Anyone involved in aviation can fill out an ASRS safety report using the NASA / ASRS Reporting Form. This includes pilots, air traffic controllers, maintenance personnel, and flight attendants. The purpose of these reports is to encourage open communication about safety issues without fear of reprisal. By submitting a report, you contribute to improving aviation safety for everyone.

To file a NASA report, you need to complete the NASA / ASRS Reporting Form. You can access this form online through the NASA ASRS website. Make sure to provide accurate details about the incident you wish to report. After completing the form, submit it directly, and you will receive a confirmation for your reporting.

ASRS captures confidential reports, analyzes the resulting aviation safety data, and disseminates vital information to the aviation community.

Reporting Procedures Forms with a narrative report should be completed and mailed to ASRS at NASA Aviation Safety Reporting System, P.O. Box 189, Moffett Field, California 94035-0189, or filed electronically with ASRS through the NASA ASRS website at https://asrs.arc.nasa.gov/.

1- Reports Can Be Handled By The People Most Familiar With The Operation. ASRS reports are handled outside of the flight department by highly trained individuals at NASA. However, ASAP reports are handled in-house by a dedicated group of individuals called the Event Review Committee (ERC).

You Can Gain Valuable Immunity For Participating Let's say you're on a flight, and you inadvertently violate an FAA regulation. If you file a NASA report (which you can do at: https://asrs.arc.nasa.gov/ ), you could gain valuable immunity by participating in the program.

For example, if a pilot witnesses or flies an unstable approach, they can submit an ASAP report. The report will include information about the event which could be valuable to the flight operations department.

Information collected by the ASRS is used to identify deficiencies and discrepancies in the National Aviation System and enhance the basis for human factors research and recommendations for future operations.

If you unintentionally committed, or think you committed, a rule violation, fill out an ASRS report online, or download a paper copy and mail it in. You must file a report within 10 days of the violation or event in order to receive the protections of the program.

If you unintentionally committed, or think you committed, a rule violation, fill out an ASRS report online, or download a paper copy and mail it in. You must file a report within 10 days of the violation or event in order to receive the protections of the program.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get NASA / ASRS Reporting Form
Get form
  • Adoption
  • Bankruptcy
  • Contractors
  • Divorce
  • Home Sales
  • Employment
  • Identity Theft
  • Incorporation
  • Landlord Tenant
  • Living Trust
  • Name Change
  • Personal Planning
  • Small Business
  • Wills & Estates
  • Packages A-Z
  • Affidavits
  • Bankruptcy
  • Bill of Sale
  • Corporate - LLC
  • Divorce
  • Employment
  • Identity Theft
  • Internet Technology
  • Landlord Tenant
  • Living Wills
  • Name Change
  • Power of Attorney
  • Real Estate
  • Small Estates
  • Wills
  • All Forms
  • Forms A-Z
  • Form Library
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • Blog
  • Affiliates
  • Contact Us
  • Delete My Account
  • Site Map
  • Industries
  • Forms in Spanish
  • Localized Forms
  • State-specific Forms
  • Forms Kit
  • Real Estate Handbook
  • All Guides
  • Notarize
  • Incorporation services
  • For Consumers
  • For Small Business
  • For Attorneys
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
Form Packages
  • Adoption
  • Bankruptcy
  • Contractors
  • Divorce
  • Home Sales
  • Employment
  • Identity Theft
  • Incorporation
  • Landlord Tenant
  • Living Trust
  • Name Change
  • Personal Planning
  • Small Business
  • Wills & Estates
  • Packages A-Z
Form Categories
  • Affidavits
  • Bankruptcy
  • Bill of Sale
  • Corporate - LLC
  • Divorce
  • Employment
  • Identity Theft
  • Internet Technology
  • Landlord Tenant
  • Living Wills
  • Name Change
  • Power of Attorney
  • Real Estate
  • Small Estates
  • Wills
  • All Forms
  • Forms A-Z
  • Form Library
Customer Service
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • Blog
  • Affiliates
  • Contact Us
  • Delete My Account
  • Site Map
  • Industries
  • Forms in Spanish
  • Localized Forms
  • State-specific Forms
  • Forms Kit
Legal Guides
  • Real Estate Handbook
  • All Guides
Prepared for you
  • Notarize
  • Incorporation services
Our Customers
  • For Consumers
  • For Small Business
  • For Attorneys
Our Sites
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
© Copyright 1999-2026 airSlate Legal Forms, Inc. 3720 Flowood Dr, Flowood, Mississippi 39232
  • Your Privacy Choices
  • Terms of Service
  • Privacy Notice
  • Content Takedown Policy
  • Bug Bounty Program