FAA Form 5200-7 Bird/Wildlife Strike Report

U.S. Department
Of Transportation

Federal Aviation
Administration

FAA Form 5200-7 Bird/Other Wildlife Strike Report

Paperwork Reduction Act Statement

A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB Control Number. The OMB Control Number for this information collection is 2120-0045. Public reporting for this collection of information is estimated to be approximately 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, completing and reviewing the collection of information.

All responses to this collection of information are voluntary; 14 CFR 139.337, Wildlife Hazard Management, requires the FAA to collect wildlife strike data. No assurances of confidentiality are given. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Aviation Administration, 10101 Hillwood Parkway, Fort Worth, TX 76177-1524.

Directions for FAA Form 5200-7 Bird/Other Wildlife Strike Report

1. Name of Operator - This can be an airline (abbreviations okay - UAL, AAL, etc.), business (Coca Cola), government agency (Police Dept., FAA) or if a private pilot, his/her name.

2. Aircraft Make/Model - Abbreviations are okay, but include the model
(e.g. B737-200).

3. Engine Make/Model - Abbreviations are allowed (e.g. PW 4060, GECT7, or LYC 580).

4. Aircraft Registration - This means the N-number (for USA registered aircraft).

5. Date of Incident - Give the local date, not the ZULU or GMT date.

6. Local Time of Incident - Check the appropriate light conditions and fill in the hour and minute local time and check AM or PM or use the 24 clock and skip AM/PM.

7. Airport Name - If a US airport, enter the airport name or 3- or 4-letter code. If a foreign airport, enter the full name or code and location (city/country).

8. Runway used - Self-explanatory.

9. Location if Enroute - Put the name of the nearest city and state.

10. Height Above Ground Level (AGL) - Put the feet above ground level at the time of the strike (if you don't know, use Mean Sea Level (MSL) and indicate this). For take-off run and landing roll, it must be 0.

11. Speed (IAS) - Speed at which the aircraft was traveling when the strike occurred.

12. Phase of Flight - Phase of flight during which the strike occurred. Take-off run and landing roll should both be 0 AGL.

13. Part(s) of Aircraft Struck or Damaged - Check which parts were struck and damaged. If a part was damaged but not struck indicate this with a check on the damaged column only and indicate in comments (#21) why this happened (e.g., the landing gear might be damaged by deer strike, causing the aircraft to flip over and damage parts not struck by deer).

14. Effect on Flight - You can check more than one and if you check “Other,” explain in Comments (#21).

15. Sky condition - Check the one that applies.

16. Precipitation - You may check more than one.

17. Bird/Other Wildlife Species - Try to be accurate. If you don't know, put unknown and some description. Collect feathers or remains for identification for damaging strikes.

18. Number of birds seen and/or struck - check the box in the Seen column with the correct number if you saw the birds/other wildlife before the strike and check the box in the Struck column to show how many were hit. The exact number, can be written next to the box.

19. Size of Bird(s) - Check what you think is the correct size (e.g. sparrow = small, gull = medium and geese = large).

20. Pilot Warned of Birds - Check the correct box (even if it was an ATIS warning or NOTAM).

21. Remarks - Be as specific as you can. Include information about the extent of the damage, injuries, anything you think would be helpful to know. (e.g., number of birds ingested).

22. Aircraft time out of service - Record how many hours the aircraft was out of service.

23. Estimated cost of repairs or replacement - This may not be known immediately, but the data can be sent at a later date or put down a contact name and number for this data.

24. Estimated other cost - Include loss of revenue, fuel, hotels, etc. (see directions for #23).

25. Reported by - Although this is optional, it is helpful if questions arise about the information on the form (a phone number could also be included).

26. Title - This can be Pilot, Tower, Airport Operations, Airline Operations, Flight Safety, etc.

Date - Date the form was filled out

OMB CONTROL NUMBER 2120-0045

EXPIRATION DATE: 5/31/2023

BIRD / OTHER WILDLIFE STRIKE REPORT U S. Department of Transportation Federal Aviation Administration
1. Name of Operator			2. Aircraft Make/Model					3. Engine Make/Model
4. Aircraft Registration			5. Date of Incident / / Month Day Year					6. Local Time of Incident Dawn Dusk HR MIN Day Night AM PM
7. Airport Name and Location Identifier			8. Runway/Taxiway Used					9. Location if Enroute (Nearest Town/Reference & State)
10. Height (AGL)			11. Speed (IAS)					12. Distance (nm) from Airport (Nearest Town/Reference & State/Airport)
Phase of Flight A. Parked B. Taxi C. Take-off Run D. Climb E. Enroute F. Descent G. Approach H. Landing Roll	14. Part(s) of Aircraft Struck or Damaged
	Aircraft Part		Struck	Damaged		Ingested		Aircraft Part	Struck		Damaged
	A. Radome B. Shield C. Nose D. Engine No. 1 E. Engine No. 2 F. Engine No. 3 G. Engine No. 4 H. Other: (Specify)							H. Propeller I Wing/Rotor J. Fuselage K. Landing Gear L. Tail M. Lights
15. Effect on Flight None Aborted Take-Off Precautionary Landing Engines Shut Down Other (Specify):			16. Sky Condition No Cloud Some Cloud Overcast					17. Precipitation Fog Rain Snow None
18. Bird/Other Wildlife Species			19. Number of birds seen and/or struck					20. Size of Bird(s) Small Medium Large
			Number of Birds	Seen		Struck
			1 2-10 11-100 more than 100
21. Pilot Warned of Birds Yes No
22. Remarks (Describe damage, injuries and other pertinent information)
DAMAGE / COST INFORMATION
23. Aircraft time out of service: hours		24. Estimated cost of repairs or replacement (U.S. $): $					25. Estimated other Cost (U.S. $) (e.g. loss of revenue, fuel, hotels): $
Reported by (Optional)		Title			Contact Phone or Email					Date