Vehicle Accident & Damage Report

Driver-completed report capturing the facts of a vehicle accident or observed damage. Used by fleet, insurance, and HR to file claims, identify training needs, and meet DOT/state reporting requirements.

Incident Details

• Date and time of incident
  Capture when the accident or damage was first observed or occurred.
• Incident location
  Street address, facility, lot, route, or nearest intersection where the incident occurred.
• Incident type
  Select the best description of the event.
• Was the vehicle drivable after the incident?
  Indicate whether the vehicle could be safely operated after the event.
• Weather and road conditions
  Describe visibility, precipitation, road surface, lighting, traffic, and any other relevant conditions.

Vehicle Damage

• Damage areas observed
  Select every area with visible damage.
• Describe the damage
  Provide a factual description of dents, scratches, broken glass, fluid leaks, deployed airbags, or other damage.
• Estimated severity of damage
  Rate the apparent severity of the damage.
• Photos of vehicle damage
  Upload clear photos showing each damaged area and the overall vehicle context.

Other Parties

• Other vehicle or property involved
  Indicate whether another vehicle, person, or property was involved.
• Other party details
  Record available details such as vehicle description, license plate, company name, contact information, or property owner.
• Witnesses present
  Indicate whether any witnesses were present.
• Witness statements or contact details
  Summarize witness observations or list contact details if available.

Authorities & Injuries

• Any injuries reported
  Indicate whether any driver, passenger, pedestrian, or third party reported an injury.
• Emergency services contacted
  Indicate whether police, EMS, fire, or roadside assistance were contacted.
• Police report number or officer name
  Enter the report number, responding agency, or officer name if available.
• Supervisor or fleet manager notified
  Confirm that the incident was reported per company procedure.

Driver Statement

• Driver narrative
  Provide a concise factual statement of events, avoiding speculation or admission of fault unless instructed by policy.
• Immediate actions taken
  Describe actions taken after the incident, such as securing the scene, moving to a safe location, calling authorities, or taking photos.
• Driver signature
  Driver attestation that the report is accurate to the best of their knowledge.