Vehicle Accident Incident Report

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I. Incident Details

Date and Time of Incident:	May 20, 2054, 10:30 AM
Location of Incident:	Intersection of Main St and Elm Ave, Springfield
Vehicle(s) Involved:	Car (Toyota Camry, Blue, License Plate: ABC123), Truck (Ford F-150, White, License Plate: XYZ789)
Driver(s) Involved:	Steven Doe (Car), Jane Smith (Truck)
Witnesses:	None
Weather Conditions:	Sunny
Road Conditions:	Dry
Description of Incident:	Car rear-ended by truck at traffic light.

II. Injuries and Damage

• Injuries: Whiplash reported by driver of the car.

• Property Damage: Rear bumper of the car dented, front bumper of the truck damaged.

• Extent of Damage: Moderate damage to both vehicles.

III. Action Taken

• Emergency Services Notified?: No

• Police Report Filed?: Yes

• Medical Attention Provided?: Yes, driver of the car received medical attention at the scene.

• Towing Services Used?: Yes, both vehicles towed from the scene.

• Details of Actions Taken: Police report filed immediately. Tow trucks called to remove vehicles from the roadway.

IV. Follow-up Actions

• Insurance Information Exchanged?: Yes

• Next Steps for Reporting: Both drivers instructed to contact their insurance companies.

• Recommendations for Preventing Future Incidents: Ensure proper following distance and attention to traffic signals.

V. Additional Information

• Additional Notes: Traffic flow was disrupted for approximately 30 minutes.

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For inquiries, please contact:

• Safety Officer: [Your Name]

• Company: [Your Company Name]

• Address: [Your Company Address]

• Website: [Your Company Website]

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