Click here to download SMS Report Form
Safety Management System (SMS)
Confidential Reporting Form
This form should be used to report an accident or any existing or potentially hazardous behavior or condition identified at JAX, Cecil, Herlong and Craig.
Fax to (904) 741-2442, Email to SMS@jaa.aero or Mail to SMS Administrator, 14201 Pecan Park Rd., Jacksonville,
FL - 32218
as soon as possible after the hazard has been identified.
You may also report safety hazards by calling (904) 741-2020.
Event Description
(To be Completed by the person reporting the event)
*Date/Time Location
*Weather
*Visibility
*Type
*Location (Vicinity)
*Items Involved in the Events





  *Description (Please provide a detailed description of the event or hazard including specific location).
  Recommendations (Please provide any suggestions or recommendation to correct the issue or prevent recurrence).
*Confidentiality Commitment
You may submit the form anonymously if you so choose. If you do provide your name, it will only be
used by the SMS Administrator to enhance the understanding of the event with follow-up actions if
applicable. Please be aware that, under Florida's very broad public records law, communication to and from the Jacksonville Aviation Authority is subject to public disclosure.
 Optional Reporter Information
 
Name Organization / Position
Address
City   State
ZIP Code Phone - -
Alternate Phone - - E-mail