Cabin Air Quality & Safety Form

Cabin Air Quality & Safety Form

*Name (first and last)
*E-mail address
*Employee #
*Domicile Select One
Phone Number
Best Time to Call
Incident
Date of Incident
Time of Incident
Pairing # Flight #	Aircraft Number
Crew	Member Names
Captain
F/O
Other Flight Deck Member
A
B
C
D
E
F
G
H
Other Crew
	**Required Fields*

US Airways Association of Flight Attendants

To help your fellow Flight Attendants as well as yourself, please fill out this form and submit. This information will be analyzed to see if further action needs to be taken.

All information is kept confidential. You may be contacted if further information is needed. Please be as complete as possible; tell the "Who, What, Where, When and How" of this situation or infraction.