AFSOC Form 97 "Afsoc Aircraft Incident Report"

What Is AFSOC Form 97?

This is a legal form that was released by the U.S. Air Force Special Operations Command on April 19, 2012 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 19, 2012;
  • The latest available edition released by the U.S. Air Force Special Operations Command;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of AFSOC Form 97 by clicking the link below or browse more documents and templates provided by the U.S. Air Force Special Operations Command.

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Download AFSOC Form 97 "Afsoc Aircraft Incident Report"

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AFSOC AIRCRAFT INCIDENT REPORT
SECTION I.
FOR CREW USE
1. DATE
2. TIME (ZULU)
3. LOCATION
4. EXCERCISE/OPERATION CODE NAME
5. TYPE AIRCRAFT
6. TAIL NO.
7. ORGANIZATION POSSESSING A/C
8. ALTITUDE
(MSL)
(VFR, IFR, THUNDERSTORMS, HAIL, LIGHTNING, TURBULENCE, RAIN, ICING, ETC.)
DUSK
NIGHT
9. WEATHER
DAWN
DAY
10. PHASE OF FLIGHT
CRUISE
TAXI
CLIMB
MISSION AREA
TAKEOFF
FINAL APPROACH
LANDING
UNKNOWN
DESCENT
AIR REFUELING
LOW LEVEL
YES
13. ENGINE SHUTDOWN
NO
12. AIRCRAFT SYSTEM(S) INVOLVED
11. TAKEOFF TIME
(ZULU)
POSITION NUMBER:
1
2
3
4
14. STATEMENT: (A CONSCISE CHRONOLOGIAL DESCRIPTION OF THE FACTS AND CIRCUMSTANCES LEADING TO THE OCCURRENCE, ACTIONS TAKEN,
AND RESULTS. ATTACH ADDITIONAL SHEETS IF REQUIRED)
LIMITED USE SAFETY INVESTIGATION REPORT
AFSOC FORM 97, 20120419
PREVIOUS EDITION IS OBSOLETE
FOR OFFICIAL USE ONLY (WHEN FILLED IN)
AFSOC AIRCRAFT INCIDENT REPORT
SECTION I.
FOR CREW USE
1. DATE
2. TIME (ZULU)
3. LOCATION
4. EXCERCISE/OPERATION CODE NAME
5. TYPE AIRCRAFT
6. TAIL NO.
7. ORGANIZATION POSSESSING A/C
8. ALTITUDE
(MSL)
(VFR, IFR, THUNDERSTORMS, HAIL, LIGHTNING, TURBULENCE, RAIN, ICING, ETC.)
DUSK
NIGHT
9. WEATHER
DAWN
DAY
10. PHASE OF FLIGHT
CRUISE
TAXI
CLIMB
MISSION AREA
TAKEOFF
FINAL APPROACH
LANDING
UNKNOWN
DESCENT
AIR REFUELING
LOW LEVEL
YES
13. ENGINE SHUTDOWN
NO
12. AIRCRAFT SYSTEM(S) INVOLVED
11. TAKEOFF TIME
(ZULU)
POSITION NUMBER:
1
2
3
4
14. STATEMENT: (A CONSCISE CHRONOLOGIAL DESCRIPTION OF THE FACTS AND CIRCUMSTANCES LEADING TO THE OCCURRENCE, ACTIONS TAKEN,
AND RESULTS. ATTACH ADDITIONAL SHEETS IF REQUIRED)
LIMITED USE SAFETY INVESTIGATION REPORT
AFSOC FORM 97, 20120419
PREVIOUS EDITION IS OBSOLETE
FOR OFFICIAL USE ONLY (WHEN FILLED IN)
(INCLUDE NAME, GRADE, ASSIGNED DUTY, PHONE NUMBER, AND A DESCRIPTION OF ANY INJURY OR ILLNESS. AIRCREWS
15. PERSONNEL INVOLVED
ATTACH CREW ORDERS WITHOUT SSN'S TO FORM)
SECTION II.
FOR INVESTIGATOR USE
16. MISHAP CONTROL NUMBER
17. MISHAP COST
18. MISHAP CATEGORY
AIR FORCE
OTHER
TOTAL
19. INVESTIGATOR NOTES
(ATTACH ADDITIONAL SHEETS IF REQUIRED)
20. MATERIAL INFORMATION
21. WORK UNIT CODE (WUC):
23. MAINTENANCE ACTION
22. HOW MALFUNCTION CODE:
25. MAINTENANCE ACTION
24. PART NUMBER
27. SERIAL NUMBER
30. OVERHAUL FACILITY
33. DISPOSITION OF WRECKAGE
NO
YES
38. AFI 51-503 INVESTIGATION INFORMATION
37. CLASSIFIED MATERIAL INVOLVED
39. COGNIZANT OFFICIAL AND TELEPHONE NUMBER
LIMITED USE SAFETY INVESTIGATION REPORT
AFSOC FORM 97, 20120419 (REVERSE)
FOR OFFICIAL USE ONLY (WHEN FILLED IN)
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