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Audit

General Information

Driver's Name

Take a photo of your driver license showing the DL number

Phone number

Damage Details
Date and time of incident
Location of incident

Weather condition

Specify

Degree of vehicle damage

What caused the damage?

Description of the incident

Take photo evidence of vehicle damage
Sketch of the incident
Take photo(s) of the surrounding vehicle and/or environment involved

Is there another party involved?

Other Party Involved

Party involved? Click "Add"

Vehicle

Vehicle Driver (Full Name)

Take a photo of the driver license showing the DL number

Phone number

Make and model

Vehicle Registration Number

Vehicle Identification Number

Upload photos of vehicle damage of the other party

Degree of vehicle damage

Witness/es

Were there witnesses? Click "Add"

Witness

Statement

Full Name & Signature

Phone Number

Summary

Additional comments

Acknowledgment
Driver (Full Name & Signature)
Fleet Manager (Full Name & Signature)

Vehicle Damage Report Checklist

Created by: SafetyCulture Staff | Industry: General | Downloads: 158

The vehicle damage report is used to collect necessary information such as details of the driver, vehicle damage, parties involved and witnesses statement to support insurance claims. Follow the points below to utilize the said form: 1. Provide general details of the driver (full name, driver license number, VIN etc) 2. Add a description and even sketch the scenario 3. Take and annotate unlimited photos as evidence for your case 4. Include signatures and statements from witnesses if there are 5. Complete the form by providing digital signatures verified by fleet manager

Signup for a free iAuditor account to download and edit this checklist. It will be added to your free account and you will be able to conduct inspections from your mobile device.

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Audit

General Information

Driver's Name

Take a photo of your driver license showing the DL number

Phone number

Damage Details
Date and time of incident
Location of incident

Weather condition

Specify

Degree of vehicle damage

What caused the damage?

Description of the incident

Take photo evidence of vehicle damage
Sketch of the incident
Take photo(s) of the surrounding vehicle and/or environment involved

Is there another party involved?

Other Party Involved

Party involved? Click "Add"

Vehicle

Vehicle Driver (Full Name)

Take a photo of the driver license showing the DL number

Phone number

Make and model

Vehicle Registration Number

Vehicle Identification Number

Upload photos of vehicle damage of the other party

Degree of vehicle damage

Witness/es

Were there witnesses? Click "Add"

Witness

Statement

Full Name & Signature

Phone Number

Summary

Additional comments

Acknowledgment
Driver (Full Name & Signature)
Fleet Manager (Full Name & Signature)