Jumpseat Awareness Program Report



Please use this report to inform the Jumpseat Committee Chairman of jumpseat incidents.
Fill in as much detail as possible. The Jumpseat Chairman will contact you before taking any necessary action.

 
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Pilot Information
Name
 
FDX Empl Number
 
ALPA Number
Primary Phone
Secondary Phone
E-mail Address
Position
Aircraft
Domicile
Incident Information
Incident Date:
 
Airport:
 
Gate:
 
Airline:
Flight Number:
Aircraft:
Jumpseating/Gate Agent Name:
Other individuals contacted or notified:
Duty Officer / Ops Manager:
 
Agent Supervisor:
Your role:
If you were not the jumpseater, complete the following:
Jumpseater's Name:
 
Jumpseater's Airline
If you were not the Captain, complete the following:
Captain's Name
Jumpseat travel priority:
Please describe the incident in as much detail as practicable:
Submit