Fume Event
Employee ID
First Name
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Last Name
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Personal Email
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Phone
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Name
First Name
Last Name
Personal Email
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*DO NOT USE @jetBlue.com EMAIL*
Employee ID
*
*DO NOT USE @jetBlue.com EMAIL*
Employee ID
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AIRCRAFT
Please Select
All
N178JB E190
N179JB E190
N183JB E190
N184JB E190
N187JB E190
N190JB E190
N192JB E190
N193JB E190
N197JB E190
N198JB E190
N2002J A321 NEO
N2016J A321 NEO
N2017J A321 NEO
N2027J A321 NEO
N2029J A321 NEO
N2038J A321 NEO
N2039J A321 NEO
N203JB E190
N2043J A321 NEO
N2044J A321 NEO
N2047J A321 NEO
N2048J A321 NEO
N2059J A321 NEO
N2060J A321 NEO
N206JB E190
N2084J A321 NEO
N2086J A321 NEO
N2102J A321 NEO
N2105J A321 NEO WITH MINT
N2142J A321 NEO WITH MINT
N216JB E190
N228JB E190
N229JB E190
N231JB E190
N236JB E190
N238JB E190
N239JB E190
N247JB E190
N249JB E190
N258JB E190
N265JB E190
N266JB E190
N267JB E190
N273JB E190
N274JB E190
N279JB E190
N281JB E190
N283JB E190
N284JB E190
N292JB E190
N294JB E190
N296JB E190
N298JB E190
N3008J A220
N3023J A220
N3044J A220
N304JB E190
N3058J A220
N3062J A220
N3065J A220
N306JB E190
N3077J A220
N307JB E190
N3085J A220
N309JB E190
N3102J A220
N3104J A220
N3112J A220
N3113J A220
N3115J A220
N3118J A220
N3121J A220
N3123J A220
N3125J A220
N316JB E190
N317JB E190
N318JB E190
N323JB E190
N324JB E190
N328JB E190
N329JB E190
N334JB E190
N337JB E190
N339JB E190
N346JB E190
N348JB E190
N351JB E190
N353JB E190
N354JB E190
N355JB E190
N358JB E190
N368JB E190
N373JB E190
N374JB E190
N375JB E190
N4022J A321 NEO Long Range
N4048J A321 NEO Long Range
N4058J A321 NEO Long Range
N4073J A321 NEO Long Range
N503JB A320
N504JB A320
N505JB A320
N506JB A320
N507JB A320
N508JL A320
N509JB A320
N510JB A320
N516JB A320
N517JB A320
N519JB A320
N520JB A320
N521JB A320
N523JB A320
N524JB A320
N526JL A320
N527JL A320
N529JB A320
N531JL A320
N534JB A320
N535JB A320
N536JB A320
N537JT A320
N547JB A320
N552JB A320
N554JB A320
N556JB A320
N558JB A320
N559JB A320
N561JB A320
N562JB A320
N563JB A320
N564JB A320
N565JB A320
N566JB A320
N568JB A320
N569JB A320
N570JB A320
N571JB A320
N579JB A320
N580JB A320
N583JB A320
N584JB A320
N585JB A320
N586JB A320
N587JB A320
N588JB A320
N589JB A320
N590JB A320
N591JB A320
N592JB A320
N593JB A320
N594JB A320
N595JB A320
N597JB A320
N598JB A320
N599JB A320
N603JB A320
N605JB A320
N606JB A320
N607JB A320
N608JB A320
N612JB A320
N613JB A320
N615JB A320
N618JB A320
N621JB A320
N623JB A320
N624JB A320
N625JB A320
N627JB A320
N629JB A320
N630JB A320
N632JB A320
N633JB A320
N634JB A320
N635JB A320
N636JB A320
N637JB A320
N638JB A320
N639JB A320
N640JB A320
N641JB A320
N643JB A320
N644JB A320
N645JB A320
N646JB A320
N648JB A320
N649JB A320
N651JB A320
N652JB A320
N653JB A320
N655JB A320
N656JB A320
N657JB A320
N658JB A320
N659JB A320
N661JB A320
N662JB A320
N663JB A320
N665JB A320
N703JB A320
N705JB A320
N706JB A320
N708JB A320
N709JB A320
N712JB A320
N715JB A320
N729JB A320
N746JB A320
N760JB A320
N763JB A320
N766JB A320
N768JB A320
N775JB A320
N779JB A320
N784JB A320
N789JB A320
N793JB A320
N794JB A320
N796JB A320
N804JB A320
N805JB A320
N806JB A320
N807JB A320
N809JB A320
N821JB A320
N827JB A320
N828JB A320
N834JB A320
N903JB A321 CEO
N905JB A321 CEO
N907JB A321 CEO
N913JB A321 CEO
N923JB A321 CEO WITH MINT
N929JB A321 CEO WITH MINT
N934JB A321 CEO WITH MINT
N935JB A321 CEO WITH MINT
N937JB A321 CEO WITH MINT
N942JB A321 CEO WITH MINT
N943JT A321 CEO WITH MINT
N944JT A321 CEO WITH MINT
N945JT A321 CEO WITH MINT
N946JL A321 CEO WITH MINT
N947JB A321 CEO WITH MINT
N948JB A321 CEO
N949JT A321 CEO
N950JT A321 CEO
N952JB A321 CEO
N954JB A321 CEO
N955JB A321 CEO
N956JT A321 CEO
N957JB A321 CEO
N958JB A321 CEO
N959JB A321 CEO
N961JT A321 CEO WITH MINT
N962JT A321 CEO WITH MINT
N964JT A321 CEO WITH MINT
N965JT A321 CEO
N966JT A321 CEO
N967JT A321 CEO WITH MINT
N968JT A321 CEO WITH MINT
N969JT A321 CEO WITH MINT
N970JB A321 CEO
N971JB A321 CEO
N972JT A321 CEO
N973JT A321 CEO
N974JT A321 CEO
N975JT A321 CEO
N976JT A321 CEO WITH MINT
N977JE A321 CEO WITH MINT
N978JB A321 CEO WITH MINT
N979JT A321 CEO WITH MINT
N980JT A321 CEO WITH MINT
N981JT A321 CEO WITH MINT
N982JB A321 CEO WITH MINT
N983JT A321 CEO WITH MINT
N984JB A321 CEO WITH MINT
N985JT A321 CEO WITH MINT
N986JL A321 CEO WITH MINT
N987JT A321 CEO WITH MINT
N988JT A321 CEO WITH MINT
N989JT A321 CEO WITH MINT
N990JL A321 CEO WITH MINT
N991JT A321 CEO WITH MINT
N992JB A321 CEO WITH MINT
N993JE A321 CEO WITH MINT
N994JL A321 CEO
N995JL A321 CEO
N996JL A321 CEO
N997JL A321 CEO
N998JL A321 CEO
N999JQ A321 CEO
Tail # Order. If you cannot find A/C select Other
DEPARTURE
*
Please Select
AMS
LGW
LHR
CDG
BOG
CTG
GYE
GEO
LIM
MDE
UIO
CUN
SJD
PVR
GUA
LIR
SJO
YVR
BQN
ANU
AUA
BZE
BDA
BGI
CUR
GCM
GND
KIN
MBJ
NAS
PTP
PSE
PAP
POS
PLS
POP
PUJ
SKB
UVF
SXM
STT
SJU
STI
SDQ
BQN
ALB
ABQ
AVL
ATL
AUS
BWI
BOS
BZN
BUF
BUR
BTV
CHS
CLT
ORD
CLE
DFW
DEN
DTW
FLL
RSW
BDL
IAH
HYA
JAX
MCI
EYW
LAS
LAX
MVY
MIA
MKE
MSP
ACK
BNA
MSY
JFK
LGA
EWR
MCO
ONT
PSP
PHL
PHX
PIT
PSE
PDX
PWM
PVD
RDU
RNO
RIC
ROC
SMF
SLC
STT
SAT
SAN
SFO
SJC
SJU
SRQ
SAV
SEA
HDN
SYR
TPA
DCA
PBI
HPN
ORH
OTHER
Select City Code or Other for Diversion
Departure
*
Arrival
*
Please Select
AMS
LGW
LHR
CDG
BOG
CTG
GYE
GEO
LIM
MDE
UIO
CUN
SJD
PVR
GUA
LIR
SJO
YVR
BQN
ANU
AUA
BZE
BDA
BGI
CUR
GCM
GND
KIN
MBJ
NAS
PTP
PSE
PAP
POS
PLS
POP
PUJ
SKB
UVF
SXM
STT
SJU
STI
SDQ
BQN
ALB
ABQ
AVL
ATL
AUS
BWI
BOS
BZN
BUF
BUR
BTV
CHS
CLT
ORD
CLE
DFW
DEN
DTW
FLL
RSW
BDL
IAH
HYA
JAX
MCI
EYW
LAS
LAX
MVY
MIA
MKE
MSP
ACK
BNA
MSY
JFK
LGA
EWR
MCO
ONT
PSP
PHL
PHX
PIT
PSE
PDX
PWM
PVD
RDU
RNO
RIC
ROC
SMF
SLC
STT
SAT
SAN
SFO
SJC
SJU
SRQ
SAV
SEA
HDN
SYR
TPA
DCA
PBI
HPN
ORH
OTHER
Select City Code or Other for Diversion
Arrival
*
Flight Number
*
Position
*
Please Select
F1
F2
F3
F4
F5
DHD
Date and Time of Incident
*
-
Month
-
Day
Year
Date
Hour Minutes
Back
Next
Section 1: Description of Cabin Conditions
Description of Fume/Odor (select all that apply):
Acrid
Chemical
Deicing
Dirty Socks
Exhaust
Electrical
Fuel
Musty/Moldy
Oily/Burning Oil
Vomit
None
Other
Intensity:
Slight
Moderate
Strong
Phase of Flight (select all that apply):
Parked at Gate (pre-flight)
Engine Start/Pushback
Taxi-out
Take-off/Climb
Cruise
Descent
Landing/Taxi-in
Parked at Gate (post-flight)
Location (select all that apply):
Fwd Jumpseat
Flight Deck
Fwd Lav
Fwd Galley
Fwd Cabin
Mid Cabin
Aft Cabin
Aft Lav
Aft Galley
Aft Jumpseat
Visible Smoke or Haze?
Yes
No
Visible Exterior Source?
No
Yes - Deicing
Yes - Exhaust
Other
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Next
Section 2: Reported Symptoms
Symptoms:
Abnormal taste
Dizziness
Fatigue / Weakness
Headache
Irritated Eyes / Nose / Throat
Tingling
Numbness
Trouble Breathing
None
Other
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Next
Section 3: Medical Assistance - Flight Attendant
Med-Aire Called?
Yes
No
Medical Assistance for FA Requested?
No
Yes - Onboard
Yes - Paramedics
Yes - ER/Clinic
Emergency Equipment Used - FA (select all that apply):
No
Yes - Oxygen
Yes - Pulse Oximeter
Yes - Blood Pressure Cuff
Other
Other-Emergency Equipment Used
*
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Next
Section 4: Medical Assistance - Passenger
Medical Assistance for Passenger Requested (select all that apply)?
No
Yes - MedAire
Yes - Onboard
Yes - Paramedics
Yes - ER/Clinic
Medical Equipment Used - Passenger (select all that apply)
No
Yes - Oxygen
Yes - Pulse Oximeter
Yes - Blood Pressure Cuff
Other
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Next
Section 5: Notes / Additional Information
Notes
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