Passenger Safety Briefing Record

Flight Details
Date Flight No.
Aircraft Registration Pilot in Command
Departure Point Destination
Passenger Details
Name Seat/Position Signature Briefing Received (Yes/No)
Safety Briefing Topics Covered
Item Covered (✔)
Seat belts and harnesses
Emergency exits and evacuation procedures
Location and use of emergency equipment
No smoking policy
Use of electronic devices
Other safety information (as applicable)
Notes