38_143685_box_Incident_Summaries_101-172

Text

This text came with the file. It may have mistakes. When the text and the image disagree, the image is right.

• • •
I NCIDENT SUMMARY SHEET
(To be filled out and retained in files)
1 .
Date of Observation ,Ola 01' a}om -5 ...l.9118
2. Time of Observation
Where was Object(s) Sighted . Mapasal"I. .~ .
. . . . . .
. .
Observer's Position . ~
la.Yil\llce .~
~~ .!tatw . .
(i .e. ground, air, control tower, etc. )
Name and Address of Observer . ~
ltell.~.hclo t!f•\ llalaab.1 .
Is~ 5 -
19'fl. • • • • ,
6. Occupation and/or Hobbies .
. . . . . . . . . . . . . . . .
. . . . . . . . . . . . .
. .
. .
Attention Attracted to Object (s) By • • • • • • • • • • • • • • • • • • • • •
Nwnber of Objcct(s) Sighted ·1•
. . . . . . . . . . . . . . . . .
•Size of Object(s) . . . . .
. . . . . . . . . . . . . . . .
. .
10. Color of Object(s) • 8b1J\bril . . . .
. .
u . Shape (Sketch if Poss~ble) . . . . . .
12.
Nature of Luminosity . • . .
. . . . . . .
13. Estimated Distance of Object from Observer . .
. . . . '. .
. . . . . .
Speed of Object(s) . . . . . . . . . . . . . . . . . . .
Time in Sight . . . . .
. . . • • . . .
Tactics ....
. . . . . .
. . . . . . . . . .
Sound Made by Object(s) . . . . .
. . . .
18.
Direction of Flight of Objoct(s) . •... . . . . . . . . . .. . . . . . . .
19. Apparent Construction (Of ~bat Material or Substance) • • • • •
. . . ..
. . . . . . . . .
. . . . . . . . . . . . . . . . . . . . .
20. Effect of Objects on Clouds and/or Exhaust Trail ...•.•.•. . ... •••
. . . . . . . . . . . . . . . . . . . . . .. .
. . . . . . . .. . . . . .
21. Weather Conditions Existing at the Time . . . .
. . . .
. .
22.
Peculiarities Noted • Jlloloda 1n sha ah- .
. . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .
. . . . . . . . . . . . . . . . . . . . . . . .
. . .
. ' .
1
23 .
Summary of Incidont•. U- 'tnlt. ~ 1111111p11p•. "!tld.. Sllll,b. Jsiu'bal. • • •
9 ~, 2.94& ~~
!l'tm-. mn. beeu npoz1ie l.a.talT-to -'he effec\. tbP Nal•
-~~
Un..-11•• • • MIit al&bW · la 1'1S'l- ~
,.,-a.· --tff~ c.iat'4
(Attach a Separate Sheet if Additional Space is NecaedJ·