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Vehicle Accident Report

27 Oct 2021 / Antonio Fortunato Incomplete

Score 0% Failed items 0 Actions 0

Client / Site

Conducted on 27 Oct 2021 12:22 WAT

Prepared by Antonio Fortunato

Private & Confidential 1/3

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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

Type of Road Surface

Condition of Road Surface

Vehicle Information
Vehicle type

Select vehicle identification type

Driver's Speed

Direction of Travel

Accident Details
Select the root cause

Describe the incident

Describe the damages of vehicle

Take photo of vehicle

Provide detailed descriptions of the physical damages

Was there a collision?

After the accident, is the vehicle safely drivable?

Passenger Profile
How many people are involved in the accident?

How many are injured?

Private & Confidential 2/3

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How many are fatal?

Click the "Add Passenger" button to list the passengers involved in the accident

Recommendation
State some recommendations

Completion
Full Name and Signature of Inspector

Private & Confidential 3/3