It is mandatory to report this occurrence.

You must immediately call the Air Accident Investigation Branch (AAIB) on 01252 512299 (manned 24 hours), then you must complete the form below.

Your completed form will be forwarded to the AAIB, CAA and BMFA insurers as required. You will receive a confirmation email containing the information you have provided.

- Step 1 of 5

Please note you will need to provide Latitude and Longitude information, the nearest postcode and a Google Maps link to the location to successfully complete this form.

Remote Pilot Details

First name in full *

Last Name *

Age *

• Under 18
• 18 - 30
• 31 - 40
• 41 - 50
• 51 - 60
• 61 - 70
• 71 - 80
• 81 and above

BMFA No *

Your CAA Operator Id

Your CAA Flyer Id

Address *

Address 2 *

Town/City *

Postcode *

Primary Phone No *

Secondary Phone No

Email *

Email

Confirm Email

How long have you been flying model aircraft? *

Please indicate which of the following achievements you hold. (Check all that apply.) *

• BMFA Basic Proficiency Certificate
• BMFA A certificate
• BMFA B Certificate
• BMFA C Certificate
• No certificates held

Did the occurrence happen at a BMFA affiliated club site? *

• Yes
• No

Full name of affiliated club *

Name of Club Secretary *

First

Last

Address of club secretary

Address Line 1

Address Line 2

City

State / Province / Region

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Occurrence Details

Date & Time of Occurrence *

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Date

Time

Please complete as much location information as possible below

Location Latitude *

Location Longitude *

Nearest Postcode

Google Maps Location Link

Details of the above flying site:

• Public site (National Trust, Park, etc)
• Private club site
• Shared with full-size aircraft (Private)
• Shared with full-size aircraft (M.O.D.)
• Sole use of M.O.D.
• Other (please specify below)

Flying site other *

Please select all appropriate options from below. *

• The occurrence involved injury to people
• The occurrence involved a high risk of injury to people
• The occurrence involved damage to manned aircraft
• The occurrence involved a high risk of damage to manned aircraft (near miss)
• The occurrence happened above 400ft (120m)
• The occurrence involved operating less than 50m from uninvolved people
• The unmanned aircraft flew beyond visual line of sight and was recovered
• The unmanned aircraft flew beyond visual line of sight and was not found
• The occurrence involved damage to property

Please enter any known details about the manned aircraft involved. Manufacturer, Model, Registration etc *

Enter 'Unknown' if you do not have any details

Nature and extent of damage to manned aircraft *

Enter 'Unknown' if you do not have any details

Give full details of the occurrence stating fully how it happened: *

Estimated distance from flight area (point of launch) to occurrence location *

Please upload a sketch plan of the site showing flight path and point of occurrence and other relevant details such as landing/take off strip, car park, pits area tree, premises etc. Please indicate distances between the above:

Drag & Drop Files, Choose Files to Upload You can upload up to 3 files.

Please provide names and addresses of any witnesses. (This information can be very important even for an apparently trivial incident)

Witness 1

Witness 2

Witness 3

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Your Aircraft

Unmanned Aircraft type *

• Free Flight Power
• Free Flight Glider
• Radio Controlled Power Fixed Wing
• Radio Controlled Helicopter
• Radio Controlled Multi-rotor/drone
• Radio Controlled Glider
• Control Line
• Indoor

Details of your unmanned aircraft (e.g. Scale Hurricane, Wot4, DJI Mavic) *

Wing Span/Rotor Size *

Engine/Motor size *

Take off mass *

Your Radio equipment

Does your transmitter use 35MHz? *

• Yes
• No

Had you complied with local frequency control measures? *

• Yes
• No

Make and model of transmitter

Make and model of receiver

Was the failsafe correctly set? *

• Yes
• No
• Not fitted
• Not checked before flight

What functions were fitted to the unmanned aircraft? (Ailerons, flaps, retracts, GPS, Return to home etc) *

Where any of the below items fitted to the aircraft? (Please check the box if yes)

• Gyro
• Flight controller
• SAFE technology

Please give details of all batteries fitted to Aircraft *

If radio equipment blamed or suspect, had it shown any symptoms of malfunction prior to this accident? *

• Yes
• No

If radio interference blamed, had you or anyone else previously experienced interference on this frequency at this site? *

• Yes
• No

Were pre-flight checks undertaken? *

• Yes
• No

Did the pre-flight checks include a range check? *

• Yes
• No

Were these checks undertaken in accordance with the manufacturers/BMFA guidelines? *

• Yes
• No

Where relevant, was a battery test carried out before the flight? *

• Yes
• No

Were post flight checks undertaken in accordance with the BMFA guidelines? *

• Yes
• No

Were any faults identified in the pre or post flight check? *

• Yes
• No

What faults were identified in the pre or post flight checks? *

What do you consider the cause of the occurrence was? *

How many other aircraft were flying at the same time? *

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Weather Conditions

Weather conditions at time of occurrence: *

Approximate Wind Speed *

Approximate Wind Direction *

Approximate height of cloud base *

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Third party details

Details of Person Injured or whose property was damaged:

First

Last

Address of third party

Address Line 1

Address Line 2

City

State / Province / Region

Occupation if known

Approx age if known

Nature and extent of the injury to third party: *

Was the injured person taken to hospital? *

• Yes
• No

Which hospital was the injured person taken to? *

Was the injured person a member of the previously named club? *

• Yes
• No

Was the damage to a motor vehicle? *

• Yes
• No

Nature and extent of the damage to third party property: *

Please give the details of the third parties motor insurer, including name, address and phone number below:

Motor Insurers Name:

Address

Address Line 1

Address Line 2

City

State / Province / Region

Policy Number

Do you hold any other Third Party Public Liability Cover other than the BMFA’s? (E.g.: LMA, FPV-UK, Coverdrone etc) etc) *

• Yes
• No

Policyholder (E.g.: LMA, FPV-UK, Coverdrone etc): *

Contact Address

Address Line 1

Address Line 2

City

State / Province / Region

Insurance Company (eg: RSA, Aviva etc) *

Has any notice of claim been made by the injured/third party? *

• Yes, Verbally
• Yes, in writing
• No

Please upload a copy of the written notice of claim

Drag & Drop Files, Choose Files to Upload You can upload up to 3 files.

Please give details of the verbal notice of claim below:

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