Title Page

  • Take photos of Crash

  • Date of crash

  • Time of crash

  • Prepared by

  • Location of crash

The Incident

  • What happened

  • Their Full Name

  • Their Full address
  • Their contact number

  • Their email address

  • Company or Private

  • Name of Company

  • Take photo of company logo

  • Does the driver have insurance

  • Insurance Company

  • Owners Name

  • Owners full address
  • Owners contact number

  • Owners email address

  • Company / Private

  • Company’s name

  • Photo of company logo

  • Insurance Company name

  • Was anyone Injured

  • What was injured

  • Other - explain

  • Was first aid provided

  • Was anyone injured

  • Where were they injured

  • Other - explain

  • Was first aid provided

  • Their full name

  • Their full address
  • Their contact number

  • Were they injured

  • Where were they injured

  • Other - explain

  • Was first aid provided

  • Where were you when you noticed damage
  • What type of damage has occurred

  • Explain the damage

  • Take photo of damage

  • Explain the damage

  • Photo of damage

  • Explain the damage

  • Photos of damage

  • Explain the damage

  • Photos of damage

  • Registration of their vehicle

  • Colour of their vehicle

  • Make of their vehicle

  • Model of their vehicle

  • Photo of vehicle

  • Photo of damage to building

On site support

  • Did anyone assist on site

  • Their full name

  • Their contact number

  • Police Officers Name

  • Police Officers Badge number

  • Police Officers contact number

  • Who were they

  • Their contact info

Summary

  • In your own words, what happened

  • Who do you think was at fault

  • Why

  • Why

  • Who did you inform about crash

  • Anything else to add

  • What

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.