Laser Report Form
First Officer's Name
Date of incident
Time of incident in UTC
Position when incident occurred (reference to navaid or other prominent feature, such as a runway
Phase of flight
Colour of laser
Did the colour change during exposure? If so, describe
Did you attempt an evasive manoeuvre or any other avoidance techniques? If so, did the beam follow you through the manoeuvre?
Can you estimate how far from the aircraft the source of the laser was?
What was the position of the laser in relation to the aircraft?
Was the source moving?
Was the laser coming directly from its source or did it appear to be reflected?
Were there multiple sources of light?
How long was the exposure?
Did the light seem to track your flight path or was there incidental contact?
What tasks were you performing when the exposure occurred?
Did the exposure prevent or hamper your performance of those tasks, or was it more of an annoyance? Please specify what impact it had on the performance of your duties.
What were the visual after-effects that you experienced (ie. after-image, blind spots, flash-blindness, glare, etc) and how long did it last?
Did you report the incident to ATC?
Were you warned about a possible exposure?
Any other pertinent information?
Should be Empty: