Aviation Accident Investigation Template Exhibit 9-3 Page 3

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Chapter 9—Aviation Investigations
EXHIBIT 9–3
(continued)
Preliminary Aircraft Accident Investigation Report
Accident: (Aircraft tail number, make, and model, and accident type)
___________________________________________________________________________________
___________________________________________________________________________________
Location: (Unit and location where accident occurred)
___________________________________________________________________________________
Date: (Date of accident)______________________________________________
Signatures:
___________________________________________________________________________________
Investigation team leader: (Name, title, and location of home unit)
___________________________________________________________________________________
Qualified technical investigator: (Name, title, and location of home unit)
Investigation team members: (Names, titles, and locations of home units)
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Investigation technical consultants: (Names, titles, and locations of home units)
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
(Continued)
Exhibit 9–3—Aviation accident investigation template.
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