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Run: Vehicle Accident & Damage Report

Vehicle Accident & Damage Report template for capturing incident facts, damage, witnesses, injuries, and notifications in one driver-completed form. Use it t...

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Incident Details

Date and time of incident critical (required)

Capture when the accident or damage was first observed or occurred.

Incident location critical (required)

Street address, facility, lot, route, or nearest intersection where the incident occurred.

Incident type critical (required)

Select the best description of the event.

Was the vehicle drivable after the incident? critical (required)

Indicate whether the vehicle could be safely operated after the event.

Yes No N/A

Weather and road conditions

Describe visibility, precipitation, road surface, lighting, traffic, and any other relevant conditions.

Vehicle Damage

Damage areas observed critical (required)

Select every area with visible damage.

Note (optional)

Describe the damage critical (required)

Provide a factual description of dents, scratches, broken glass, fluid leaks, deployed airbags, or other damage.

Estimated severity of damage critical (required)

Rate the apparent severity of the damage.

Photos of vehicle damage critical (required)

Upload clear photos showing each damaged area and the overall vehicle context.

Other Parties

Other vehicle or property involved critical (required)

Indicate whether another vehicle, person, or property was involved.

Yes No N/A

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.

Yes No N/A

Witness statements or contact details

Summarize witness observations or list contact details if available.

Authorities & Injuries

Any injuries reported critical (required)

Indicate whether any driver, passenger, pedestrian, or third party reported an injury.

Yes No N/A

Emergency services contacted critical (required)

Indicate whether police, EMS, fire, or roadside assistance were contacted.

Yes No N/A

Police report number or officer name

Enter the report number, responding agency, or officer name if available.

Supervisor or fleet manager notified critical (required)

Confirm that the incident was reported per company procedure.

Yes No N/A

Driver Statement

Driver narrative critical (required)

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 critical (required)

Driver attestation that the report is accurate to the best of their knowledge.

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