EARLY BRAKE RELEASE FORM

 

                    Departure Station   __________

 

1. DATE OF OCCURRENCE          _______________________________

 

2. FLIGHT NUMBER                        _______________________________

 

3. AIRCRAFT NOSE NUMBER        _______________________________

 

4. SCHEDULED DEPT. TIME           _______________________________

 

5. ACTUAL DEPT. TIME                 _______________________________

 

6. OUT TIME IN COMPUTER         _______________________________

 

7. OFF TIME IN COMPUTER        ________________________________

 

8. DELAY CODE IF ANY              ________________________________

 

9. NAME OF SUPERVISOR

OR CSM ON DUTY            ________________________________

 

10. CREW CHIEF                        _________________________________

 

PLEASE PULL COPY OF FIL IF POSSIBLE

UNION MEMBERS NAME and Contact information

PLEASE PRINT CLEARLY

Name:

Contact number:

Comments

 

 

 

 Cc:        Please turn in to your local Twu Safety Chairman