CCHO OCCURRENCE & HAZARD REPORT (OHR)

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Date of Occurance

Originator (not required)

Classification

Occurrence Report
Hazard Identification Report

Type of Hazards; Check all that apply

Flight Related
Equipment
Procedures
Maintenance
FOD
Housekeeping
Unsafe Act

Other Type of Hazard not listed if any

Exact Location

Description of the hazard of occurrence and your assessment of potential consequences

Cause of hazard or occurrence, if known.

Frequency of occurrence

First
Second
Third
More

Recommended risk controls or actions

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