Title Page
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Date of RTI
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Prepared by
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Name of Driver
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Team involved
- Construction Civils
- Construction Cabling
- Construction Surveying
- SHE Team
- Warehouse Team
- Service Delivery
- Wayleave
- Fleet / Facilities Management
- Field sales
- Office Based
- Other
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Name of team
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Type of activity being undertaken
- Driving to / from operational site
- Driving between JFL Buildings
- Personal Driving including to and from work
- Driving between JFL and other parties buildings
- other
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state what activity
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Location
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Type of incident
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provide details
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State Type
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Provide initial incident report
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Insurance Claim Submitted - attached the documentation if yes
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If no insurance claim made identify actions taken and cost
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Result of claim
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- Driver error - full cost by JFL insurance
- Driver error - partial cost claim by JFL insurance
- No JFL driver error - No implication for JFL insurance claims record
- other
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provide details
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Further Action Taken
- Driver Training / Assessment
- Enhanced monitoring of speeding and driver behavior
- Disciplinary investigation
- Tool box talk
- Changes to SSoW and Procedures
- Other
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Provide details of action
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Data in put by
