Fume Event

  • Fume Event

  • Format: (000) 000-0000.
  • Date and Time of Incident*
     - -

  • Section 1: Description of Cabin Conditions

  • Description of Fume/Odor (select all that apply):
  • Intensity:
  • Phase of Flight (select all that apply):
  • Location (select all that apply):
  • Visible Smoke or Haze?
  • Visible Exterior Source?

  • Section 2: Reported Symptoms

  • Symptoms:

  • Section 3: Medical Assistance - Flight Attendant

  • Med-Aire Called?
  • Medical Assistance for FA Requested?
  • Emergency Equipment Used - FA (select all that apply):

  • Section 4: Medical Assistance - Passenger

  • Medical Assistance for Passenger Requested (select all that apply)?
  • Medical Equipment Used - Passenger (select all that apply)

  • Section 5: Notes / Additional Information

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