AFI 11-2C-130v3 - BITS

120 AFI11-2C-130V3 23 APRIL 2012
8.4. AMC IMT 97, AMC In-Flight Emergency and Unusual Occurrence Worksheet. The
AMC IMT 97 is a tool to notify appropriate authorities of any mishap involving crewmembers or
aircraft. PICs shall complete all appropriate areas of the form in as much detail as possible.
When notified, AMC C2 agents will inform their supervisor/commander to start investigation
and reporting activities IAW AFI 91-204, Safety Investigations and Reports, and Operation
Report 3 (OPREP-3) procedures.
8.4.1. PICs will report crewmember or passenger injury, aircraft damage, or injury/damage
to another organization‘s people or equipment caused by PIC‘s aircraft/crewmember. At a
minimum, report the following:
8.4.1.1. Any physiological episode (physiological reaction, near accident, or hazard inflight
due to medical or physiological reasons). These include:
8.4.1.1.1. Proven or suspected case(s) of hypoxia.
8.4.1.1.2. Carbon monoxide poisoning or other toxic exposure.
8.4.1.1.3. Decompression sickness due to evolved gas (bends, chokes,
neurocirculatory collapse), or severe reaction to trapped gas that results in
incapacitation.
8.4.1.1.4. Hyperventilation.
8.4.1.1.5. Spatial disorientation or distraction that results in an unusual attitude.
8.4.1.1.6. Loss of consciousness regardless of cause.
8.4.1.1.7. Death by natural causes of any crewmember during flight.
8.4.1.1.8. Unintentional loss of pressurization if cabin altitude is above FL200,
regardless of effects on people on board.
8.4.1.1.9. Inappropriate use of alcohol and effects of hangover that affect in-flight
duties (crewmembers only).
8.4.1.1.10. Illness (both acute and preexisting), including food poisoning,
dehydration, myocardial infarction, seizure, and so forth.
8.4.1.1.11. Exposure to toxic, noxious, or irritating materials such as smoke, fumes,
or liquids
8.4.1.1.12. Crewmembers and passengers involved in a physiological episode will
see a flight surgeon to complete an AF Form 711GA, Life Sciences Report of an
Individual Involved in an AF Accident/Incident, Section A, Aircraft Accident/Incident
as soon as practical.
8.4.1.2. A human factors related situation, e.g. misinterpretation of instruments;
information overload (i.e. tactile, aural, and visual input too fast to permit reasonable
analysis/decision); aircrew task saturation (i.e. too many responses/actions required in a
short period of time); or confused switchology (i.e. adjacent switches where actuation of
wrong switch creates dangerous situation). Anonymous reports are acceptable.
8.4.1.3. A condition that required engine shutdown, in-flight flameout, engine failure,
suspected engine power loss, or loss of thrust that required descent below MEA. Engine