Appendix
10
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Form 765 (C) (Revised Dec., 1941)
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REPORT ON FLYING ACCIDENT OR
FORCED LANDING NOT ATTRIBUTABLE TO ENEMY ACTION. |
In every case copies of this form
are to be rendered as follows:- |
(i) One copy direct to Air Ministry, C.I.
(Accidents) |
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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) |
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(iii) One copy direct to Ministry of
Aircraft Production (R.M.I.) |
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T.835 28/7 |
(iv) One copy through usual channels to
Command Headquarters |
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[ In addition and only
if casualties to airman are involved ]
(v) One copy direct to Records Office |
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1.
Unit R.A.F. Acklington |
Group
No. 12 |
Command
Fighter |
Serial No of Form 5
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2. Date of Incident
28/7/43 |
3. Nature of and purpose for
which flight authorised:- |
Time
1500 |
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SITE
OF INCIDENT |
Nature |
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(i) Operational or non-
operational... Non Operational |
(a) Name of Aerodrome or landing ground
R.A.F. Acklington |
(ii) day or Night flying?....
Day |
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(b) Place (if (a) not applicable) |
(iii) Purpose.... |
(c) County
Northumberland |
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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) |
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4. Type of airframe
and engine and extent of damage (see footnotes to this section)
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Details
of Airframe and Engine |
Airframe |
Engines |
Single or Port |
Starboard |
Centre Port |
Centre Starboard |
Type |
MARTINET |
Mercury |
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Mark or
series |
1 |
xxx |
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RAF No.
and makers' No. for engines. |
H.P.
147 |
A. 283627 / S. 103470 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 |
B |
E |
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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. |
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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 |
Total
Solo (Day and Night) |
Solo
(Night) |
Instru-
ments |
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 |
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?? |
De Hepcee M.A.R.
(Belgian) |
Sgt. |
139173 |
U |
Nil |
360 |
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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. |
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6. STAGE OF FLIGHT
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.
Complete A or B or C, etc., as appropriate. |
7. DID FIRE OCCUR?
If
yes, state "In air" or "On ground" as appropriate. If no fire
state "No" |
8. CONDITION OF LIGHT
IN WHICH INCIDENT OCCURRED.
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.
Quote as A or B or C etc., as appropriate and amplify in Part 12
(B) if necessary. |
9.IF INCIDENT OCCURED
when taxying on, taking off from or landing on a runway state
"Yes" |
E. |
No. |
A. |
YES |
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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.......... If engine failure occurred
during take off quote height.......
I was detailed b F/Lt. Smets to take
the Martinet to Ouston and Church Fenton. I carries out a
cockpit check at the end of the runway, working round the
cockpit from left to right to see that everything was in order.
As the Master has a different C.S. Control, I did not notice
that the Control on the Martinet, which is smaller and in a
different place, was in coarse pitch. I have done about 100 hrs.
on Masters but have never flown a Martinet. Before taking the
Martinet I was shown the working of the petrol cock by a pilot
of the towing flight, but thought the rest of the Cockpit was
the same as the Master. I noticed the speed was slow when I
opened the throttle, but thought it was because I was used to
the Spitfire and because the Martinet was a fairly heavy
aircraft with a less powerful engine. When, about half way down
the runway the speed was only 65 m.p.h. I realised I was in
coarse pitch and tried to get into fine, but could not find the
leaver in time and went through the far hedge coming to rest in
a field
[Sgd] M.A.L. DE HEPCEE. Sgt.
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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 involved. Pilot
attempted to take off in Coarse pitch.
Is form 1022 or 1023 being rendered? If "Yes" stated which
...... Signature .....A. PRITCHARD
W/O for F/Lt. S.E.O |
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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)
[section blank]
Signature....................................
Commanding.......................................... Date |
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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) An investigation has been
carried out in respect of this accident, and has been forwarded
to 12 Group with findings and recommendations.
Signature..............E. GRAHAM W/C.................
Commanding........ACKLINGTON.............. Date.31.7.4? |
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