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Vehicle accident and incident documentation
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Accident Assessment
Complete each section. Use Notes column for additional detail.
| # | Item | Y | N | N/A | Notes / Detail |
|---|---|---|---|---|---|
| Incident Details | |||||
| 1 | Description of incident documented clearly | ||||
| 2 | Road and weather conditions at time of incident noted | ||||
| 3 | Speed at time of incident estimated | ||||
| 4 | Direction of travel and lane position recorded | ||||
| 5 | Diagram or sketch of incident scene completed | ||||
| 6 | Photos of scene taken from multiple angles | ||||
| Vehicle Damage | |||||
| 7 | Location and extent of damage documented | ||||
| 8 | Vehicle driveable after incident | ||||
| 9 | Towing required and arranged | ||||
| 10 | Photos of vehicle damage taken | ||||
| 11 | Pre-existing damage noted separately | ||||
| Third Party Details | |||||
| 12 | Other driver name and licence number obtained | ||||
| 13 | Other vehicle registration and insurer recorded | ||||
| 14 | Contact details of other parties collected | ||||
| 15 | Third party vehicle damage photographed | ||||
| 16 | Any injuries to third parties documented | ||||
| Witness Information | |||||
| 17 | Witness names and contact details obtained | ||||
| 18 | Witness statements recorded where possible | ||||
| 19 | Dashcam or CCTV footage identified and secured | ||||
| 20 | GPS tracker data preserved for incident timeframe | ||||
| Actions & Follow-up | |||||
| 21 | Fleet manager notified immediately | ||||
| 22 | Insurance company notified within 24 hours | ||||
| 23 | Police report filed (if required by law or policy) | ||||
| 24 | Driver fitness for duty assessed post-incident | ||||
| 25 | Corrective actions identified to prevent recurrence | ||||
Declaration
I declare that all information provided in this accident report is true and accurate to the best of my knowledge. I understand that providing false or misleading information may result in disciplinary action and may affect insurance claims.