Vehicle Accident / Damage Report Form Vehicle Accident / Damage Report Form Drivers Handbook Section 21. Motor AccidentsTo comply with the terms of our motor insurance policy, it is essential that the reporting procedures detailed below are strictly observed following any incident occurring in connection with the vehicle (whether or not involving a third party).The sooner our insurers are notified of incidents, the quicker our vehicle can be repaired and other party claims dealt with. Prompt action will undoubtedly save us money and also help to enhance our corporate image. Incident reporting procedureIn the event of an impact or injury:a. At the scene, make sure that the emergency services are contacted if required. b. Provide any person having reasonable grounds for so requiring, with our driver, vehicle and insurer details c. At no stage admit responsibility and make no comment or statement regarding the accident (except to a police officer).d. If a camera or camera phone is available, photograph the incident location from a number of different directions and take pictures of any vehicles / property damaged. (Use the Vehicle Accident / Damage Form to upload your photo's), Road measurements may also be useful to record. e. Notify the matter by telephone, same day, to the Fleet Manager to receive further instruction. Minor repairs that affect roadworthiness e.g. broken headlamp, bulb, may be carried out immediately but must still be reported.Note 1 – incidents involving personal injury must be reported to local police within 24hrs and it is also necessary to notify police of damage to lampposts, telegraph poles, bollards, manhole covers, road signs or other public property. Remember that if you fail to stop after an accident and fail to notify the other party or the police, you may be prosecuted.Note 2 – In order to better understand the causes of motor accidents and with a view to improving future health and safety, you may expect your manager to interview you following all incidents.Note 3 - If, because of the deliberate late supply or inaccurate nature of information surrounding an incident, the Company is involved in additional costs, the employee responsible will be subject to disciplinary action. Date of Accident / Damage* Your Name*FirstLast Your Phone Number* Your Email Address* Your Vehicle Registration Number* Location or Address of where the Accident / Damage Occured* Describe The Details of the Accident / Damage (As much information as possible) You can upload photos later Have any of the Emergency Services been called?*Select valuePoliceAmbulanceFire ServiceEmergency Services are Not Required Crime Reference Number (If Applicable) 3rd Party Drivers Name (If involved in an accident)FirstLast 3rd Party Phone Number (If involved in an accident) 3rd Party Email (If involved in an accident) 3rd Party Insurance Details (If involved in an Accident) Upload Photo(s) of any damage to your vehicle and also the 3rd Party vehicle (If applicable) Single ChoiceI Confirm The Information I Have Supplied Is a True Reflection Of The Accident / IncidentSubmitReset
