Submit an Accident Report

Purpose: USPA collects information on skydiving accidents for the sole purpose of enhancing safety and preventing accidents.

Applicability: This form should be submitted in all cases in which a skydiving accident raises a safety issue, involves an injury requiring attention at a medical facility, or results in a death. It can also be used to report near-accidents or other accidents from which a lesson can be learned.

Instructions: A USPA Safety & Training Advisor or (in the absence of an S&TA) a USPA Instructor assigned by the S&TA should complete this form. In the event of a fatality involving more than one person, please use a separate form for each person. 

This form will be submitted to the Director of Safety & Training at USPA Headquarters.

Confidentiality: To ensure confidentiality of both the accident victim and the reporting individual, USPA Headquarters will delete Section 2 of this form's records as soon as any necessary adjustments to the deceased member's data record is made. Do not retain any copies of this form. Note that data submitted in this form is NOT encrypted.

Section 1: Complete for all accident.

Demographic Information

Jump Type






Equipment



Aircraft Information

Description of Accident

Provide a description of the accident including factual information obtained from the investigation and any witness accounts. Do not add speculation or conjecture to the investigation report. Attach a separate document(s) below, if necessary. All accompanying documentation will be destroyed with this report.

Section 2

Victim Information







Investigator Information

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