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Service Carts Feedback form
The results of this form will be sent to the MEC Air Safety & Health Chairs who will contact you for more information if needed.
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| 1) |
First Name |
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| 2) |
Last Name |
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| 3) |
Email Address: |
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| 4) |
Clock or Employee ID: |
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| 5) |
Where Are You Based? |
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Best contact phone number: |
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Date of Incident: |
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Aircraft Type? |
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9) |
FLIGHT ATTENDANT'S STATEMENT OF ISSUE: (Please be as specific as possible. Include times of incident, names, possible witnesses, etc..) |
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Did you injur yourself or a passenger (not required)? If so, please state what happened and the nature of the injury: |
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| 11) |
Your Digital Signature: |
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