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Overview

Would you like to share a de-identified copy of this report with your facility's Local Safety Council?

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1. Facility ID and Type *

ID:

Type:
2. Position of Record *
3. Altitude that this problem commonly occurs (If applicable)

Surface Event
4. What control position(s) are impacted by this problem? (check all that apply)

Assistant Cab Coordinator Clearance Delivery FLM/CIC Flight Data Gate Hold/Metering Ground 1 Ground 2 Ground 3 Local 1 Local 2 Local 3 OM Other TMC Tower Radar
5. Please check the box that describes what this problem involves (check all that apply)

A Procedural Deficiency (LOA, SOP, ETC.) An Airspace Design An Equipment Design Or Function An RNAV Procedure Directive Compliance Organizational Policy Safety Culture Training Problem Airline Scheduling An Instrument Procedure Facility Staffing Interface With Other Facilities/Organizations Other Personnel Scheduling Use Of Resources/Delegation Of Work
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