Vehicle Accident Incident Report
Vehicle Accident Incident Report
I. Incident Details
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Date and Time of Incident: |
May 20, 2054, 10:30 AM |
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Location of Incident: |
Intersection of Main St and Elm Ave, Springfield |
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Vehicle(s) Involved: |
Car (Toyota Camry, Blue, License Plate: ABC123), Truck (Ford F-150, White, License Plate: XYZ789) |
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Driver(s) Involved: |
Steven Doe (Car), Jane Smith (Truck) |
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Witnesses: |
None |
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Weather Conditions: |
Sunny |
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Road Conditions: |
Dry |
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Description of Incident: |
Car rear-ended by truck at traffic light. |
II. Injuries and Damage
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Injuries: Whiplash reported by driver of the car.
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Property Damage: Rear bumper of the car dented, front bumper of the truck damaged.
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Extent of Damage: Moderate damage to both vehicles.
III. Action Taken
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Emergency Services Notified?: No
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Police Report Filed?: Yes
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Medical Attention Provided?: Yes, driver of the car received medical attention at the scene.
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Towing Services Used?: Yes, both vehicles towed from the scene.
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Details of Actions Taken: Police report filed immediately. Tow trucks called to remove vehicles from the roadway.
IV. Follow-up Actions
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Insurance Information Exchanged?: Yes
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Next Steps for Reporting: Both drivers instructed to contact their insurance companies.
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Recommendations for Preventing Future Incidents: Ensure proper following distance and attention to traffic signals.
V. Additional Information
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Additional Notes: Traffic flow was disrupted for approximately 30 minutes.
For inquiries, please contact:
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Safety Officer: [Your Name]
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Company: [Your Company Name]
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Address: [Your Company Address]
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Website: [Your Company Website]
