Cold Air Intake Water Ingestion Incident Report
Report and document incidents involving water ingestion through a vehicle’s cold air intake system.
Reporter Full Name
*
First Name
Last Name
Contact Email Address
*
example@example.com
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Vehicle Make and Model
*
Vehicle Year
*
Date and Time of Incident
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Location of Incident (City/Area, State/Province)
*
Weather and Road Conditions at Time of Incident
*
Heavy rain
Flooded road
Standing water
Puddles
Normal conditions
Other
Describe the Incident in Detail
*
What symptoms or issues did the vehicle experience?
*
Engine stalled
Loss of power
Unusual noises
Warning lights on dashboard
No immediate symptoms
Other
Estimated Extent of Damage
*
No damage observed
Minor damage (e.g., rough running, temporary issues)
Major damage (e.g., engine failure, requires repair)
Unknown
Actions Taken After the Incident
Shut off engine immediately
Towed vehicle
Inspected air intake system
Contacted mechanic
No action taken
Other
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