Safety Suggestion Form

*Mandatory fields

My Idea Concerns: (select 1 or more)
Improve Morale
Increase Efficiency or Productivity
Improved Safety Condition
Improve Quality
Save time, labor, materials, or reduce cost
Improves Service to the Public
Improve Working Condition
Prevent Accidents
Prevent Waste
Other ( Please describe)
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 Suggestion 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.
If city employee, enter employee ID here to populate contact details
First Name 
Last Name 
Phone Number 
Email 
Company 
Describe issue, concern, or area needing improvement (please be specific)* 
Causes or other contributing practices
Here’s what should be done to improve the situation as described (provide enough information to clearly explain and support your idea)
No Acknowledgement of Liability*
I understand that it shall not be construed as an admission or acknowledgment by the City of Phoenix Aviation Department of any liabilities when submitting this Safety Suggestion Form.

The file must not exceed 10MB in size.
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