Appendix 2       
Form 765 (C) (Revised Dec., 1941)   
In every case copies of this form are to be rendered as follows:-
(i) One copy direct to Air Ministry, C.I. (Accidents)   If this incident has been reported
 to the Air Ministry by signal, quote
 Reference No. and date.
(ii) Two copies direct to Air Ministry, (S.4. Statistics)  
(iii) One copy direct to Ministry of Aircraft Production (R.M.I.)    
(iv) One copy through usual channels to Command Headquarters   409's Signal T76 d/5.7.43 R.A.F.
Acklington Signal R.787 d/5.7.43
[ In addition and only if casualties to airman are involved ]
(v) One copy direct to Records Office
1.   Unit                   409 (R.C.A.F.) Squadron Group No. 13 Command  Fighter Serial No. 60
of Form       
2.   Date of Incident          5.7.43 3. Nature of and purpose for which flight authorised:- 
     Time     1615 hours  
  (i) Operational or non- operational... Non-Oper.
(a) Name of Aerodrome or landing ground    R.A.F. Acklington (ii) day or Night flying?....                   Day Flying
(b) Place ( if (a) not applicable) (iii) Purpose....                    N.F.T.
(c) County  
Part (a) to be completed if the incident occurred on, or whilst taking off from or approaching to land on an aerodrome or landing ground This flight is being included in this Unit's flying hour summary on: Form 765A  /  765B ....(Delete as necessary)
4.  Type of airframe and engine and extent of damage (see footnotes to this section)
Details of Airframe and Engine Airframe Engines
Single or Port Starboard Centre Port Centre Starboard
Type Beaufighter Hercules Hercules    
Mark or series VI VI VI    
RAF No. and makers' No. for engines. X8151 a a a a
Total hours run b b b b b
Date last installed in airframe ----- b b b b
c. Extent of damage AC U U    
a. To be quoted whenever an engine is damaged or fails
b. To be quoted only for incidents involving defect or failure of airframe or engines
c. To be indicated as :-
E = Missing, unrepairable, reduction to scrap or instructional.        B = For repair at contractor's works or R.A.F Depot.
AC = For repair by contractor's working party.      A = For repair by nearest R.A.F. unit.       U = No damage.
5. ALL OCCUPANTS OF AIRCRAFT                  and                    FLYING EXPERIENCE OF PILOTS
Names to be entered in order of duty: 1st Pilot, 2nd Pilot, Pupil Pilots, etc.
Degree of injury to be classified as: Missing, Killed, Injured (admitted to Sick Quarters or Hospital), Slightly Injured (not admitted to Sick Quarters or Hospital), Uninjured. (Quote as M, K, I, I(s) or U as appropriate
Flying Experience of Pilots  and Pupil Pilots. See note (ii)
Part A Part B (see note (i) below) Part C (see Note (iii) below)
Total Solo (Day and Night) Solo (Night) Instru-
Link Trainer
Total quoted in part 4 All types Total quoted in part 4 All Types
Duty Name and Initials (Nationality to be quoted if not British) Rank No. Degree of Injury
Pilot A.S MacPhail P/O J.17082 U 130 315        
?w/Rad N.M. Denny Sgt. 1578057 U            
NOTE (i) Part B only to be quoted if incident occurred during night flying. (ii) Quote to nearest hour. (iii) Part C only to be quoted if loss of control at night or in bad visibility or cloud by day is a possible contributory factor.
A. Picketing or at moorings.
 B. Starting up.
 C. Stationary other than A or B.
  D. Taxying.     E. Taking off.
 F In flight.    G. Landing.
 H. Towed or manhandled.
 J. Not known.

 If yes, state "In air" or "On ground" as appropriate. If no fire state "No"
A Day (daylight)  B. Dusk (Half light of evening)
C. Dawn (half light of morning)
D. Dark (no moon or moon obscured)
E. Moonlight. F. Not known.

9.IF INCIDENT OCCURED when taxying on, taking off from or landing on a runway state "Yes"
Complete A or B or C, etc., as appropriate  E No Quote as A or B or C etc., as appropriate and amplify in Part 12 (B) if neccessary.        A Yes
10. SUMMARY OF PILOT'S REPORT (or a description of circumstances which terminated in the accident if the pilots report is not available). In cases of engine failure information should be given as to the behaviour of the engine and manipulation of the engine controls immediately before failure.

Duration of flight since last take off: Hours.... -.....Minutes..... 15..... If engine failure occurred during take off quote height.......

At 15:50 hours on 5.7.43. I was taking off on runway No. 23, when at the speed of about 80 m.p.h. I noticed a D.H. Moth approaching from an angle of 45 on the port side with tail raised. I judged that if I throttled back I would collide and swerved to starboard and dropped  about 15 degrees of flap at 90 m.p.h. I pulled the A/C off the ground. The Moth carried on and struck me under the port wing tilting the pitot head, port elevator and rudder and dropped off airborne at about 20 ft. I concentrated on keeping my A/C in the air. A/C was still flyable. I called control to get a clearance and assistance in landing as I had no A.S.I and A/C was difficult to control. After making four circuits another Beaufighter was scrambled and led me in a flapless landing was necessary as the lowering of the flaps on the approach made the A/C pitch forward nose down . Only damage was sustained in collision with D.H. Moth.

11. REPORT BY APPROPRIATE SPECIALIST OFFICERS (A. E. Nav., &c.) :(i) If technical failure is involved information as to the nature and cause of the failure is required; precise information as to the extent of the damage arising as a result of this failure is not required. (ii) If the non-embodiment of an authorised modification is considered to have contributed to the accident, the serial number of the modification and reason for non-embodiment should be stated.

                  No Technical Failure

Is form 1022 or 1023 being rendered? If "Yes" stated which ......    No       Signature .....  (sgd)   R. MIQUELON  F/Lt.
12. REMARKS BY UNIT COMMANDER (to be given under three separate headings) :-

PART A. Remarks as to circumstances of the incident. (If it occurred at night on or near an aerodrome the nature of the lighting system in use at the time is to be noted in Part A.)

PART B. Diagnosis of all contributory factors. The manner in which any particular factor contributed to the incident is to be clearly indicated.

PART C. General remarks (including any recommendation with with regard to personnel, training, airframes, engines, accessories, etc., and notes of any action taken as a result of this incident)

(A) Beaufighter taking off on runway in use. Tiger Moth taking off out of wing and across runway in use. Tiger Moth struck Beaufighter's tail surfaces and bent pitot head.

(B) Nil.

(C) Pilot handled a difficult situation in a highly satisfactory manner. Carried out a flapless landing without an airspeed indicator.

Signature................(sgd) J.W. REID. W/C.................... Commanding........469 Squadron R.C.A.F.................. Date      9.7.43
13. REMARKS BY STATION COMMANDER (and notes of any action taken as a result of this incident) : -

(i) Was any assistance rendered in rescue work after the accident which is considered worthy of recommendation? Yes or No.........If any such assistance was rendered, the recommendation is to be forwarded separately.
(ii) Remarks.

(i) No.

(ii) Pilot Officer MacPhail is to be congratulated on handling a very difficult and dangerous situation with coolness and efficiency. Accident caused by flagrant disobedience of Aerodrome and flying regulations. Disciplinary action being taken against Tiger Moth pilots.

Signature.................(sgd) E.GRAHAM W/C.............. Commanding..........R.A.F. Stn., Acklington ............ Date......  9.7.43