Vehicle Accident Incident Report
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
For inquiries, please contact:
Safety Officer: [Your Name]
Company: [Your Company Name]
Address: [Your Company Address]
Website: [Your Company Website]
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