Lithium Battery Cargo Emergency Incident Report Form

1. Section 1: Flight Number, Air Waybill (AWB) & Pallet Grid Metadata - Core Documentation Identification

Accurate flight and cargo documentation is critical for regulatory traceability and incident investigation. Provide all identifiers exactly as they appear on shipping manifests and flight operations systems. Any discrepancies must be noted immediately.


Flight Number

Airline Operator ICAO Code

Scheduled Departure Date/Time (UTC)

Destination Airport ICAO Code

Master Air Waybill (MAWB) Number

House Air Waybill (HAWB) Number

Shipper Name (as per AWB)

Consignee Name (as per AWB)

Is this a consolidated shipment containing multiple lithium battery consignments?


Unit Load Device (ULD) Number

Pallet Grid Location in Cargo Hold

Compartment Zone Classification

Total Pieces in This Shipment

Total Gross Weight (kg)


Lithium Battery Type Classification

Total Lithium Content (g) or Watt-hour (Wh) Rating

UN Number (as declared on DGD)

Proper Shipping Name (as declared)

Was a Dangerous Goods Declaration (DGD) provided and verified?


Packing Instruction (PI) Number Used

Does the shipment contain damaged, defective, or recalled lithium batteries (DDR)?


2. Thermal Telematics, Off-Gassing Detection & Container Inspection - Sensor Data & Physical Assessment

This section captures objective sensor telemetry and subjective observational data that triggered the emergency response. All thermal and chemical detection readings must be documented with precise timestamps. Physical inspection findings are critical for determining escalation level.


Initial Detection Timestamp (UTC)

Primary Detection Method

Temperature Reading at Initial Detection (°C)

Maximum Recorded Temperature (°C)

Did temperature exceed the 70°C critical threshold for lithium battery thermal runaway?


Was off-gassing or vapor emission detected?


Gas Concentration Reading (ppm) - if applicable

Detailed Description of Off-Gassing Characteristics (color, density, odor, duration)

Was a portable thermal imaging camera used for secondary assessment?


Has the ULD or container been physically inspected at close range?


Visual Inspection Findings (select all observed)

Upload Thermal Imaging Photos (mandatory - minimum 3 angles)

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Upload Visual Inspection Photos (mandatory - include ULD number, seal condition, any anomalies)

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Is the ULD equipped with active temperature monitoring telemetry?


Has adjacent cargo or neighboring ULDs been affected by thermal transfer?


Were any electrostatic discharge (ESD) controls breached during inspection?


3. Emergency Quarantine Containment & Fire Suppression Log - Response Intervention & Safety Control Actions

Document all emergency response actions in chronological order. This log serves as the official record of containment and suppression efforts, personnel safety measures, and equipment deployment. Precision in timing and methodology is essential for post-incident analysis and regulatory review.


Incident Severity Classification at Time of Response

Time of First Emergency Response Action (UTC)

Primary Responder Name and Employee ID

First Action Taken

Was a formal quarantine containment perimeter established?


Quarantine Start Time (UTC) - if applicable

Was fire suppression equipment activated or deployed?


Primary Suppression Agent Used (if applicable)

Was the aircraft cargo hold or adjacent structure evacuated?


Evacuation Radius (meters) - if applicable

Was Airport Emergency Medical Services (EMS) activated for responder safety?


Emergency Response Personnel & Equipment Deployment Log

Personnel Role

Name and ID

Time On-Scene

Equipment Assigned

PPE Breathing Apparatus Used?

Actions Performed

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Containment Materials Applied (select all used)

Time Incident Declared Under Control (UTC)

Is continuous temperature monitoring established post-incident?


Has the ULD been relocated to a designated dangerous goods isolation area?


4. FAA/IATA Dangerous Goods Regulatory Incident Report Strategy - Compliance Documentation & Reporting Framework

This section ensures all regulatory notification requirements are met under ICAO TI, IATA DGR, and national aviation authority standards. Complete documentation is mandatory for any lithium battery incident that occurs during ground handling, regardless of whether the incident reaches reportable thresholds. All time stamps must reflect UTC.


Has the Dangerous Goods Declaration (DGD) been cross-referenced with the actual incident characteristics?


Verified UN Number for This Shipment

Verified Proper Shipping Name

Is this incident reportable under IATA Dangerous Goods Regulations Section 1.4?


Is this incident reportable under ICAO Technical Instructions for the Safe Transport of Dangerous Goods?

Has the national civil aviation authority been notified (e.g., FAA, CAA, EASA)?


Has the Air Traffic Control Tower (ATCT) been notified of ground cargo emergency?


Has the airline's Operations Control Center (OCC) or Flight Dispatch been notified?


Has the original shipper or freight forwarder been notified of the incident?


Has the consignee been notified of potential delivery delay or shipment damage?


Has the Emergency Response Guidebook (ERG) been consulted for lithium battery incidents?


Is the shipment subject to additional special provisions (e.g., CAO, ELI, PAX)?


Immediate Corrective Actions Taken to Ensure Continued Safety of Operations

Recommended Preventive Measures to Avoid Recurrence

Have similar lithium battery incidents occurred at this airport within the past 30 days?


Upload All Relevant Documentation (DGD, AWB, photos, sensor logs, communication records)

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Is a formal incident investigation being initiated?


Will this incident be reported to the ICAO Accident/Incident Data Reporting (ADREP) system?


5. Airport Cargo Lead & Aviation Safety Officer Joint Clearance Sign-Off - Authority Approval & Final Disposition

Final clearance requires joint authorization from both Cargo Operations and Aviation Safety authorities. Both signatories must independently verify that all safety risks have been mitigated, regulatory notifications completed, and that the shipment disposition is appropriate. Electronic signatures are legally binding and represent physical inspection and approval.


Airport Cargo Lead Name (Printed)

Cargo Lead Employee ID Number

Cargo Lead Contact Number

Cargo Lead Final Disposition Decision

Cargo Lead Justification for Disposition Decision

Aviation Safety Officer Name (Printed)

Safety Officer Employee ID Number

Safety Officer Contact Number

Aviation Safety Officer Independent Clearance Decision

Did the Aviation Safety Officer conduct an independent physical inspection?


Safety Officer Risk Assessment and Clearance Comments

Has joint cargo hold re-inspection been completed and documented?


Final Joint Clearance Time (UTC)

Is flight departure authorized to proceed?


Additional Comments or Special Instructions for Flight Crew

Airport Cargo Lead Signature

Aviation Safety Officer Signature

Witnessing Manager Name (if required)

Witnessing Manager Signature


I certify that all information provided in this incident report is accurate and complete to the best of my knowledge. I understand that false statements may result in regulatory penalties and compromise aviation safety.

Does this incident require immediate escalation to the airport's emergency operations center?


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