Safety Hazard Incident Reporting Form

The Safety Hazard Incident Reporting form should be used to report non-emergency safety concerns identified at Phoenix Sky Harbor International Airport. The form is not intended for reporting emergencies. If the safety concern is an emergency, call 602-273-3311 immediately. If you have any questions of a safety concern, please email to avn.safety@phoenix.gov or call 602-495-SAFE (7233).

Reporting Party* 
Event Time* 
Event Date* 
Event Type (multiple selection can be made)* 
Select any identified items involved
Aircraft
Air Stairs
Baggage Cart
Baggage Operations
Bollards
Chemical Issue
Door
Dumpster
Drain
Electrical Issue
Elevator
Escalator
Fall Protection
Fire and Life Safety
Fire Safety
Fueling Issue
Fuel Truck
Furniture
Ground Service Equipment (GSE) Operations
Guard Rails
Housekeeping
HVAC System
Jet Bridge
Lighting
Marking/Signage
Moving Walkway
Passenger Cart
Pavement
Pedestrian Issue
Personal Protective Equipment (PPE)
Slippery Surface
Smoking Issue
Stairs
Unauthorized Parking
Vehicle
Walking Working Surface
WheelChair
WheelChair
Environmental
Other (Event Type/Details)
Event Location* 
Event Location Detail
Weather
Visibility
Description Of Event* 
Is there anything in place to prevent this situation
Do you have any recommendations for the situation
You can upload a maximum of 3 files. The file must not exceed 10MB in size.
Browse
Browse
Browse
Have you contacted your supervisor?
  Yes   No
Non-Punitive Reporting

The Aviation Department promotes uninhibited reporting of all hazards, occurrences, incidents and accidents that affect the safety of airport operations, employees, or tenants. An employee may submit a Safety Hazard Incident Reporting Form without any fear of retribution.

By providing your information below, you are allowing the Safety team the ability to contact you solely for the purpose of obtaining further clarification or information regarding this report.
Name
Organization
Position
Email
Phone
Submission of the Safety Hazard Incident Report Form is not an admission or acknowledgement of any liability on the part of the City of Phoenix Aviation Department.