Icelandic Transport Authority / FRD-008
BIRD STRIKE REPORTING FORM / Date: 07.07.2013
Issue: 2.0
Operator: / Effect on Flight:
none
Aircraft Make/Model: / aborted take-off
precautionary landing
Engine Make/Model: / engines shut down
other (specify)
Aircraft Registration:
Sky Condition:
Date: / no cloud
some cloud
Local time: / overcast
dawn day dusk night
Precipitation:
Aerodrome Name: / fog
rain
Runway Used: / snow
Location if En Route: / Bird Species:
Height AGL (in feet): / Number of Birds:
Seen / Struck
Speed (IAS in kts): / 1
2-10
Phase of Flight: / 11-100
parked / en route / more
taxi / descent
take-off run / approach / Size of Bird:
climb / landing roll / small
medium
Part(s) of Aircraft: / large
Struck / Damaged / Pilot Warned the Birds:
radome / yes / no
windshield
nose (excluding above) / Remarks (describe damage, injuries and
engine no. 1 / other Pertinent Information):
no. 2
no. 3
no. 4
propeller
wing/rotor
fuselage
landing gear
tail
lights
other (specify)

SUPPLEMENTARY BIRD STRIKE REPORTING FORM

OPERATOR COSTS AND ENGINE DAMAGE INFORMATION

A. BASIC DATA
/
Operator: / Aircraft Registration:
Aircraft Make/Model: / Date of strike (date/month/year):
Engine Make/Model: / Aerodrome/Location if known:

Icelandic Transport Authority / FRD-008
BIRD STRIKE REPORTING FORM / Date: 07.07.2013
Issue: 2.0
B. COST INFORMATION
Aircraft time out of service in hours:
Estimated cost of repairs or replacement U.S.$ (in thousands):
Estimated other costs (e.g. loss of revenue, fuel, hotels) U.S.$ (in thousands):
C. SPECIAL INFORMATION ON ENGINE DAMAGE STRIKES
Engine Position No. / 1 / 2 / 3 / 4
Reason for failure/shutdown
Uncontained failure
Fire
Shutdown – vibration
Shutdown – temperature
Shutdown – fire warning
Shutdown – other / (Specify)
Shutdown - unknown
Estimated % of thrust loss:
Estimated number of Bird spices
Reported by:
THIS INFORMATION IS REQUIRED FOR AVIATION SAFETY
Weight / Icelandic / English / Latin
2000 / Æðarfugl / Eider / Somateria mollissima
1000 / Álft / Whopper Swan / Cygnus cygnus
800 / Álka / Razorbill / Alca torda
3000 / Dílaskarfur / Comorant / Phalacrocorax Carbo
200 / Dúfa / Pigeon / Columba sp.
1500 / Fálki / Falcon / Falco rusticolus
800 / Fýll / Fulmar / Fulmarus glacialis
3000 / Gæs / Goose / Anser sp.
4000 / Haförn / Seaeagle / Haliaeefus albicilla
800 / Hávella / Long Tailed Duck / Clangula hyemalis
200 / Hettumáfur / Black Headed Gull / Larus ridibundus
3500 / Himbrimi / Great North Diver / Gavia immer
1200 / Hrafn / Raven / Corvus corax
100 / Hrossagaukur / Snipe / Gallinago gallinago
1500 / Hvítmáfur / Glaucous Gull / Larus hyperboreus
300 / Jaðrakan / Black tailed Godwit / Limosa limosa
400 / Kjói / Arctic Skua / Stercorarius parasiticus
150 / Kría / Arctic Tern / Sterna paradisaea
1000 / Langvía / Guillemot / Uria aalge
200 / Lóa / Golden Plover / Pluvialis apricaria
1800 / Lómur / Redthroated Diver / Gavia stellata
50 / Lóuþræll / Dunlin / Calidris alpine
500 / Lundi / Puffin / Fratercula arctica
1000 / Máfur / Gull / Larus sp.
800 / Önd / Duck / Anas sp.
400 / Rita / Kittiwake / Rissa tridactyla
500 / Rjúpa / Ptarmigan / Lagoupus mutus
90 / Sendlingur / Purple Sandpiper / Calidris maritime
900 / Sílamáfur / Lesser Black-Backed Gull / Larus fuscus
1100 / Silfurmáfur / Herring Gull / Larus argentatus
1500 / Skúmur / Great Skua / Catharacta Skua
200 / Smyrill / Merlin / Falco columbarius
40 / Snjótittlingur / Snow Bunting / Plectrophenax mivalis
400 / Spói / Whimbrel / Numenius phaeopus
80 / Stari / Starling / Stumus vulgaris
150 / Stelkur / Redshank / Tringa tetanus
1000 / Stokkönd / Mallard / Anas platyrhynchos
3000 / Súla / Gannet / Sula bassana
2000 / Svartbakur / Great Black-Backed Gull / Larus marinus
70 / Skógarþröstur / Redwing / Turdus liacus
400 / Tjaldur / Oystercatcher / Haematopus ostralegus

Icelandic Transport Authority, Flight Division, Operations Section, Skógarhlíð 12, 105 Reykjavík - www.icetra.is bls. 2/2