7210.56C

8/15/02

 

APPENDIX 6.     INSTRUCTIONS AND EXAMPLE FOR FAA FORM 7210-5, OPERATIONAL ERROR/DEVIATION RECLASSIFICATION REPORT

FAA FORM 7210-5

General Information

After an FAA Form 7210-2, Preliminary Operational Error Investigation, has been completed and telephone notification to FAA Washington Headquarters has been accomplished, a review of the data by a reporting facility official (e.g.. ATM) may result in a reclassification of an operational error or deviation to one of the following:

·         Pilot Deviation

·         Military Facility Deviation

·         No Occurrence

The Operational Error/Deviation Reclassification Report, FAA Form 7210-5, provides a means of reporting such a reclassification without requiring the IIC to complete the Final Operational Error/Deviation Report, FAA Form 7210-3.

The Regional Air Traffic Division Manager, along with AAT-20 must concur with the reclassification.

Instructional Guide

1.        REPORT NUMBER.  Enter the report number of the Preliminary Operational Error/Deviation Report.

2.        OCCURRENCE RECLASSIFIED Place an “X” in the    appropriate box that represents the new classification.

3.        DATE OF OCCURRENCE.  Enter the date (month-day-year) of the error or deviation.

4.        TIME OF OCCURRENCE (UTC) Self explanatory

5.        NAME AND TITLE OF PERSON REPORTING THE RECLASSIFICATION Self explanatory

6.        DATE OF RECLASSIFICATION Self explanatory

7.        TYPED OR PRINTED NAME OF ATM Self explanatory

8.        SIGNATURE Self explanatory