VOLUNTARY REPORT FORMAT CONFIDENTIAL SMS OPERATIONAL SAFETY

1. Hazard: A condition or object that could cause or contribute to an aviation incident or accident.

2. Consequence: A result that can be triggered by a hazard.

3. Risk: The expected probability and severity of the consequences or results of a hazard.

ALL INFORMATION CONTAINED IN THIS FORM IS USED EXCLUSIVELY FOR THE PURPOSES OF INCREASING OPERATIONAL SECURITY AT EURUS, AND WILL THEREFORE BE TREATED WITH THE REQUIRED CONFIDENTIALITY WITHOUT BEING PUNITIVE (NO RETALIATION).

TO BE COMPLETED BY THE PERSON WHO IDENTIFIED THE HAZARD

(Describe the event clearly and in detail)

Clarifying Note: Risks and dangers are an indication of the problem. If you mark a red box, it implies that the service has been suspended.