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Why Join USPPA?
Support Education,
Monthly Magazine,
Give the sport a voice,
Member Services Web,
Discounts on Materials,
Certification Program.
Price & Benefits

Click here to Join!

Please send questions
or comments to:
theUSPPA@gmail.com

Had an incident?
Please share it with the
community—we all learn from
these and improve with time.
Submit only what information you
feel appropriate, but do submit!

 
USPPA

Incident Report Form

Submitting an Incident Report is straight-forward and only takes a few minutes. Complete the fields below and press, Submit. The report will be de-identified (pilot's name & address will not be shown) and added to our incident database. Reports are subject to editing and are only intended for educational purposes. We share these to make the sport safer, not to place blame.



Step 1: Enter Your Contact Information (Your information will not be shown to the public. We may need to contact you simply for clarification.)

First Name:*

Last Name:*

Contact E-mail Address:*

Contact Phone Number:*


Step 2: Enter General Information

Title (enter a descriptive title, 50 characters or less):*

Date of Incident:*
Time of Incident:*
(24 hour format)

Location:*
(Site, City, State)


Step 3: Enter Pilot Information (Pilot's name, address, phone number, and email address will not be shown to the public.)

Pilot's Full Name:*

Address 1:

City:

   
State/Province:
Zip Code:
   
Country:
 
   
Phone:

E-mail Address:

Age:

Gender:
Male
Female

Pilot weight (without motor):
(US Pounds)

Rating:

Experience:


Step 4: Enter Incident Detail Information

Type of Incident:

Primary Cause:

Contributing Distractions:

Windspeed:

Wind Type:

Thermal Conditions:

Visibility (describe):

Surface:

Terrain:

Site Elevation:
(feet above sea level)

Phase of Flight:

Purpose of Flight:

Safety Gear Used (check all that apply):
None
Helmet Full Face
Helmet Other
Protective Boots
Knee-pads
Elbow-pads

Wrist Guards
Reserve
Knife
Gloves
Strobe
Unknown

Communications:

Damage to Pilot's Equipment:

Wing (Make, Model, Size & Rating (DHV, ACPUL, SHV, etc.):

Motor (make, model, weight at time of incident):


Step 5: Enter Injury Information

Pilot/Passenger Injury Severity:*

Injuries (check all that apply):
None
Head
Face
Neck
Chest
Back
Abdomen
Shoulder
Arm
Elbow

Forearm
Wrist
Hand
Pelvis
Thigh
Calf
Ankle
Foot
Knee
Unknown

Hosipitalization:

Collateral Damage:
None
By-Stander
Other Pilot
Animal
Property
Unknown


Step 5: Narrative - Fully Explain What Happened *
(Hint: To insert a paragraph break, use <br><br> between paragraphs. Please do not use the pound sign, "#".)


Step 6: Upload Incident Photo (optional):

Click the 'Browse' button to select the file from your hard drive. The photo must be in GIF or JPG format.

* Required fields