Labels:text | screenshot | parallel | diagram | rectangle | plan | line | number | font OCR: Form App OMB No. 2120-0045 APPENDIX 1 BIRD STRIKE INCIDENT/INGESTION REPORT 3. Engine Make/Model Other Wildlife Species May Be Described Here Cost and Engine Damage Information 15. Sky Condition 16. Precipitation No Cloud Fog me of Incident Dusk Some Cloud Rain Night Overcast Snow on if Enroute (Nearest Town/Reference and State) 12. Phase of Flight 13. Part(s) of Aircraft Struck or Damaged Struck Damaged Struck Damaged A. Parked A. Radomo H. Propellor Damaged 8. Taxi B. Windshield I. Wing/Rotor BOOW 7 C. Tako-off C. Nose J. Fuselage D. Climb D. Engine No. 1 K. Landing Gear E. Enroute E. Engine No. 2 L. Tall F. Descent F. Engine No. 3 M. Lights G. Approach G. Engine No. 4 N. Other (specify) H. Landing Roll A. P ondehold Ta 17. Bird Specios 18. Number of birds soon and/or struck Number of Birds Seen Struck 19. Size of Bird(s) 1 Small 2-10 Medium 11-100 Large more than 100
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