Vehicle accident report form
Date
Time
Location
Driver name
Vehicle or unit number
Supervisor notified
Vehicles and drivers
List every vehicle involved, yours and the others.
Driver name
Phone
Plate
Vehicle
Insurance
Injuries
Anyone hurt, even a little. For any injury, get medical help.
Damage
Say where on each vehicle and what you saw. Include property that isn't a vehicle.
Witnesses
Name and phone number for each person who saw it.
What happened
Facts only. Where you were, which way you were going, what you saw and did. Leave out guesses about fault.
Photos taken
- All vehicles, all sides
- Damage up close
- Plates and unit numbers
- Road, signs and signals
- Skid marks or debris
- Weather and lighting
- Cargo or trailer
- Other drivers' documents
Police report
Officer name, agency and report number. Write none if no report was taken.
Who was notified
- Supervisor or dispatch
- Safety lead
- Insurance company
- Police
- Fleet manager
- Customer
- Emergency services
- Family contact, if hurt
A starting point. Adapt it to your equipment, your procedures and the rules that apply to you.Free template from portalbaseai.com