Vehicular accidents inevitably occur anytime and anywhere. Use this vehicle accident report to generate summary of a vehicle accident. This can be used to identify the root cause of the accident, document physical damages of vehicle, and record witness statements. Capture photo evidence of the injury and environment and track the exact location of the accident being reported.
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Audit
General Information
Date the accident happened
Date and time of investigation
Exact location of accident
Take photo of the location where accident happened
Weather condition
Cloudy
Clear
Dark
Fog
Ice
Rain
Snow
Twilight
Windy
Type of Road Surface
Condition of Road Surface
Vehicle Information
Vehicle type
Select vehicle identification type
VIN
License Plate #
Other
VIN
Take photo of license plate
Year, Make and Model
Driver's Speed
Direction of Travel
North
South
East
West
Accident Details
Select the root cause
Reckless Driving
Driver not attentive
Conflict with passengers
Vehicle mechanical issue
Caused by other vehicles
Bad weather
Animal crossing
Other
Describe unattentiveness
Other reasons
What part/s of the vehicle had issues and caused the accident to occur?
List other root cause and provide detail information
Describe the incident
Describe the damages of vehicle
Take photo of vehicle
Provide detailed descriptions of the physical damages
Was there a collision?
Draw a diagram of collision
Provide details of the vehicle involved
Describe the damages of vehicle
Take photo of vehicle
Provide detailed descriptions of the physical damages
After the accident, is the vehicle safely drivable?
Was the vehicle towed?
Passenger Profile
How many people are involved in the accident?
How many are injured?
How many are fatal?
Click the "Add Passenger" button to list the passengers involved in the accident
Passenger
Name and Signature
Ask the details about the incident
Recommendation
State some recommendations
Completion
Full Name and Signature of Inspector
SafetyCulture Staff
Vehicle Accident Report
Vehicular accidents inevitably occur anytime and anywhere. Use this vehicle accident report to generate summary of a vehicle accident. This can be used to identify the root cause of the accident, document physical damages of vehicle, and record witness statements. Capture photo evidence of the injury and environment and track the exact location of the accident being reported.
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended
to
take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or
treatment;
or other applicable laws. You should also seek your own professional advice to determine if the use of such
checklist is
permissible in your workplace or jurisdiction.