Aviation Security Incident Report
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1
2Aviation Security Incident Report
A completed report submitted to the Department of Infrastructure and Regional Development using this form and including the required information will
fulfil incident reporting obligations under Part 6 of the Aviation Transport Security Act 2004 (ATSA).
The Department should be notified of an incident as soon as possible. Reports can be made either (a) in writing, or (b) orally and followed up in writing
within 24 hours. This report should contain as much of the following information as within the knowledge of the person making the report.
*
Note: All fields marked with an
are mandatory
Report date
Your reference number
1. Incident Details
*
Date of incident
*
Time of incident (Local time)
*
Aviation Industry Participant
(dd/mm/yyyy)
(24-hr hhmm)
(Name of organisation)
*
Location
*
Location of incident
Airport area
Terminal number
(Airport Name)
(State)
()
2. Category Security Incident
Please choose the category of incident from the list below which best describes the incident you are reporting. This list should be used as a guide only, it
is not exhaustive. For incidents that fall outside of the categories listed below please nominate "other" and provide a brief description.
Screening events
ASIC event
Interference with aviation operations
Suspicious activity and items
Aviation security emergency
Laser light
Threats
Damage or technical failure of
Procedural failures
a security system
Unauthorised access
Prohibited item or weapon in
Disruptive person
a secure area
Unscreened access
Other (Please specify)
3. Incident Assessment
If the incident was a Threat, please provide the following information:
Assessed As
Threat received by
Tracing
Genuine
Airport Operator
Successful
Hoax
Airline (Airport office)
Unsuccessful
Assessed by (Name of person)
Airline (City office)
Not attempted
RACA
Other (Please specify)
4. Aircraft Information
Did the incident involve an aircraft?
No > go to question 5
*
*
Yes
Aircraft type
Flight number
Aircraft registration
Place of departure
Place of arrival
Was the aircraft in flight?
No
Yes
5. Incident Description
Background - Please provide details leading up to the incident.
Please attach additional pages if required
When completed send the form to the Department by email:
transport.security@infrastructure.gov.au
or fax (02) 6274 6089
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