Squadron____________________________ Country ________________ FC __________

POTENTIAL HAZARDS ON AIRCRAFT

Please identify by placing a tick in the appropriate box if your aircraft has any of the
following hazards. If they do, then indicate on the aircraft diagram where the hazard
is and what type using the characters in the brackets.

STANDARD HAZARDS YES NO

High Pressure Systems O2 Containers (O2)

Tyres (T)
Hydraulics (H)
Electrical Batteries (B)
High Voltage Systems (HV)
Gases and/or Liquids, i.e. HYDRAZINE (G) (L)
Itemise _____________________________________________________
Safety Distance ______ Control Measures ________________________

WEAPONERY YES NO

Real Ammunition (RA)

Itemise _____________________________________________________
Safety Distance ______ Control Measures ________________________

Practice Ammunition (PA)

Itemise _____________________________________________________
Safety Distance ______ Control Measures ________________________
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Name __________________________ Surname _____________________ Rank __________

Squadron____________________________ Country ________________ FC __________

Chaffs (CH)
Itemise _____________________________________________________
Safety Distance ______ Control Measures ________________________

Flares (F)
Itemise _____________________________________________________
Safety Distance ______ Control Measures ________________________

Ejection Seats (ES)

Itemise _____________________________________________________
Safety Distance ______ Control Measures ________________________

COMPOSITE YES NO

Aluminum Alloy (AA)

Itemise _____________________________________________________
Safety Distance ______ Control Measures ________________________

Copper and/or Copper Alloy (C) (CA)

Itemise _____________________________________________________
Safety Distance ______ Control Measures ________________________

Steel and/or Alloy Steel (S) (AS)

Itemise _____________________________________________________
Safety Distance ______ Control Measures ________________________
Page2

Name __________________________ Surname _____________________ Rank __________

Squadron____________________________ Country ________________ FC __________

Nickel and/or Nickel Alloy (N) (NA)

Itemise _____________________________________________________
Safety Distance ______ Control Measures ________________________

Titanium and/or Titanium Alloy (TI) (TA)

Itemise _____________________________________________________
Safety Distance ______ Control Measures ________________________

Compound containing Carbon Fiber (CF)

Itemise _____________________________________________________
Safety Distance ______ Control Measures ________________________

Cadmium (CM)
Itemise _____________________________________________________
Safety Distance ______ Control Measures ________________________

Beryllium (BE)
Itemise _____________________________________________________
Safety Distance ______ Control Measures ________________________

Thorium (TH)
Itemise _____________________________________________________
Safety Distance ______ Control Measures ________________________

Ethylene polytetrafluoride (EP)

Itemise _____________________________________________________
Safety Distance ______ Control Measures ________________________

Page3

Name __________________________ Surname _____________________ Rank __________