All accidents are considered as incidents; however an accident report form focuses more on the injury.
An accident report is an important tool used to document the accident and assist in investigating the cause. It also assists to develop procedures that may be put in place to prevent it from happening again.
Accident or Injury Report
Category:
State:
Multi-State
Control #:
US-0022BG
Format:
Word;
Rich Text
Instant download
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Public form
Description
How to fill out Accident Or Injury Report?
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FAQ
Write down their name, home address, birth date, and gender. You'll also want the name of the state that issued their license, their license number, and the date it expires. Give them this information for yourself as well. If the other driver does not have insurance or identification, call the police.
Describe How the Accident Happened Include every detail of what you saw and heard and felttwists, blows, and shocks to your body immediately before, during, and right after the accident. Also include anything you remember hearing anyonea person involved in the accident or a witnesssay about the accident.
Date, time, and location of the incident. Names of everyone involved, including witnesses. Events that led up to the incident. Environmental conditions. Circumstances. Specific injuries. Damage to equipment or area.
Provide general details of the driver (full name, driver license number, VIN etc) Add description and sketch the scenario. Take and annotate unlimited photos as evidence for your case. Include signatures and statements from witnesses if applicable.
The definition of an incident is something that happens, possibly as a result of something else. An example of incident is seeing a butterfly while taking a walk. An example of incident is someone going to jail after being arrested for shoplifting. An event or occurrence.
Describing an accident As the driver was rounding the corner, he drove straight into another car which was on the wrong side of the road.A lorry jackknifed, spilling its load over the road. A car skidded on a wet / oily surface and the driver lost control. The brakes failed / the car driver misjudged the distance.
Date, time, and specific location of incident. Names, job titles, and department of employees involved and immediate supervisor(s) Names and accounts of witnesses. Events leading up to incident. Exactly what employee was doing at the moment of the accident.
Date, time, and specific location of incident. Names, job titles, and department of employees involved and immediate supervisor(s) Names and accounts of witnesses. Events leading up to incident. Exactly what employee was doing at the moment of the accident.
The time and date the incident occurred. Where the incident occurred. A concise but complete description of the incident. A description of the damages that resulted. The names and contact information of all involved parties and witnesses. Pictures of the area and any property damage.
