Date of Incident

YYYY

Time of Incident

Hour

Minute

Second

Street

City

State

Zip

Email Address of Reporter *

Give a brief description of the incident: *

Did the drone fly close to or over the following zones?

Populated Area

Moving Vehicles (highway, busy streets, etc)

Crowd

Private Home

Was the drone flying close to an airport/aerodrome (helipad, heliport, seaplane base, etc.)?

Yes

Not Sure

Was the drone flying at a high altitude?

Yes

Not Sure

Incident Type

Injury

Crash

Damage to Property

Was the Drone presenting a direct danger to other aircraft, people or property? (i.e. being flown more than 400ft above ground level, closer than 30 metres to members of the general public, flying fast & low level, or just flying very low level or erratically)

Yes

Were you able to distinguish what type of Drone it was?

Yes

Do you have photo or video evidence of the suspicious UAV activity and if so, are you willing to share this

Yes

Did you observe any of the following (Check all that apply)

Drone flying beyond the operator's direct line-of-sight

Drone flying at night (outside of sunlight hours)

Drone flying over populous area

Drone Flying closer than 30 meters to people not associated with the operation

Drone flying higher that 120 meters in controlled airspace

Drone flying with 5.5km of an aerodrome or helicopter landing site.

Thank you for taking the time to report this alleged incident involving a drone. We take all reports of unsafe drone operations seriously. Providing sufficient evidence is available, we will investigate the incident further and where appropriate, take enforcement action.

Drone Incident Report