Friday, February 22, 2019

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Submit An Incident Report

Purpose: USPA collects information on skydiving incidents for the sole purpose of enhancing safety and preventing accidents.

Applicability: This form should be submitted in all cases in which a skydiving incident raises a safety issue, involves an injury requiring attention at a medical facility, or results in a death. It can also be used to report near-incidents or other incidents from which a lesson can be learned.

Instructions: A USPA Safety & Training Advisor or (in the absence of an S&TA) a USPA Instructor assigned by the S&TA should complete this form. In the event of a fatality involving more than one person, please use a separate form for each person. 

This form will be submitted to the Director of Safety & Training at USPA Headquarters.

Confidentiality: To ensure confidentiality of both the incident victim and the reporting individual, USPA Headquarters will delete Section 2 of this form's records as soon as any necessary adjustments to the member's data record is made.  Data is encrypted over a secure server. Do not retain any copies of this form. 

Incident Submission Form

  • SECTION ONE: Demographic Information
  • Jump Type
  • Equipment
  • Aircraft Information
  • Description of Incident
  • SECTION TWO: Victim Information
  • Investigator Information