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How is the C3RS Form Used?

Please fill out all sections of the appropriate form (Transportation, Mechanical, and Engineering) as completely and accurately as possible based on your craft. Each of the NASA C3RS report forms consist of three parts:

Report Form Return Receipt

NASA may use the contact information in the Return Receipt (ID Strip) to get in touch with you if additional information about the event is needed. The ID Strip will be mailed to you as proof that your report has been received. NASA does not retain any personal information provided on the ID Strip. You may need to show the ID Strip to your company if requested. So keep it in a safe location.

General Information

This section asks for background information about your position, experience and general event characteristics.


This is a section for explaining what happened in your own words and any safety lessons you may have learned from the experience.