FAA Form 5200-7 (Electronic)
Revised 9-23-2009
Form Approved OMB NO.
2120-0045
Aircraft & Operator
Operator / Carrier
Aircraft Make / Model
Engine Make / Model
Aircraft Registration
Incident Details
Flight Number
Date of Strike
Local Time of Strike
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
:
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
(24hr)
Airport Name or ID
Runway Used
Location of Strike
Distance from airport, nearest town / Reference
Phase of Flight
A. Parked
B. Taxi
C. Take-off run
D. Climb
E. En Route
F. Descent
G. Approach
H. Landing Roll
I. Unknown
Height (AGL)
Speed (IAS)
Sky Condition
No Cloud
Some Cloud
Overcast
Precipitation
none
fog
rain
snow
Effect On Flight
None
Aborted Take-off
Precautionary Landing
Engine Shut Down
Other (Specify)
Other Effects
Strike/Damage Locations
Radome
struck
damaged
Windshield
struck
damaged
Nose
struck
damaged
Engine 1
struck
damaged
Engine 2
struck
damaged
Engine 3
struck
damaged
Engine 4
struck
damaged
Propeller
struck
damaged
Wing/Rotor
struck
damaged
Fuselage
struck
damaged
Landing Gear
struck
damaged
Tail
struck
damaged
Lights
struck
damaged
Other
struck
damaged
Other Damage Locations
Bird(s) Ingested
yes
no
Bird Remains
Collected
Sent to Smithsonian
Wildlife Details
Bird/Other Species
Number Struck
1
2-10
11-100
more than 100
Number Seen
1
2-10
11-100
more than 100
Size of Bird(s)
small
medium
large
Pilots warned of Birds/Wildlife
yes
no
Other Remarks
Remarks
Describe damage, injuries, and other pertinent information.
Damage and Cost
Time out of Service (hours)
Est. Cost of Repairs
Est. Other Costs
Contact Information
Reported By
Title
Phone
Email
Paperwork Reduction Act Statement
The information collected on this form is necessary to allow the Federal Aviation Administration to assess the magnitude and severity of the wildlife-aircraft strike problem in the U.S. The information is used in determining the best management practices for reducing the hazard to aviation safety caused by wildlife-aircraft strikes. We estimate that it will take approximately 5 minutes to complete the form. The information collected is voluntary. Please note that an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid 0MB control number. The 0MB control number associated with this collection is 2120-0045. FAA Form 5200-7 (11-97)