Fume Events

Have you experienced a Fume Event? *

yes unsure
Reporting Airline Fume Events

Personal information should not be shared on this form. All responses will be held securely and may be shared with 3rd parties for the purpose of raising awareness on the issues around Fume Events and Aerotoxic Syndrome in the campaign for safer commercial air travel. If you are Cabin Crew or Flight Crew and were on duty you must also report any incidents through your own Company reporting system.
what was the local departure date? *

Day Month Year
Date of departure *

Day Month Year
Date
What makes you unsure that you experienced a Fume Event?
what airline were you travelling on?
if not listed please state Airline below
Airline if not listed
What was the flight number, if known?
What was the Aircraft type, if known?
for example A380,B747, A320, B747
What was the Aircraft registration, if known?
Did the flight divert (land at an airfield other than the planned destination)as a result? *

Yes No
What was the diversion Airport?
What evidence was there of a Fume Event? *

Announcement made onboard Crew wearing breathing equipment Obvious signs during the flight such as odd smells Other passengers /crew on the flight mentioned it Media coverage after the event Other evidence not listed
Please describe what happened
Did you notice any Fumes? (odours or unusual smells)

Yes No
Please describe these fumes
compare to other things you can identify the smell of
Did you experience any symptoms (non normal health issues)?

Yes No
Please describe your symptoms
Did these symptoms occur at the time of the event or later?

At the time of the event Within 24 hours of the event More that 24 hours after the event
Do you have any photographic, video or audio evidence from the event that you would like to share?

Yes No
Please upload files by pressing the button

Click to upload a file
if files are on another device you will need to send them to the device you are using to complete this form Cancel of
Were you Cabin Crew or Flight Crew and on duty at the time you experienced the Fumes? *

Yes No
Have you reported this using your official Company Procedures?

Yes No
If you are willing to explain why you have not reported the incident to your employer, please do so here. (Please do not disclose anything that could identify you personally)
If you would like someone to contact you please email the following

info@dallasmcintosh.co.uk

or visit Aerobot for the Messenger Chatbot
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Reporting Airline Fume Events