Template

Medi4 Road Traffic Incident Report

by Carl Penny, from the Community

30+

Use this Medi4 Road Traffic Incident Report form to record EMS vehicle collisions and incidents. Log driver and vehicle details, witness contacts, patient involvement, injuries, road and weather conditions, third-party information, required photographs, and a factual account to support claims, compliance, and investigations.

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Traffic Incident Form
Use this traffic incident form to document road accidents and near misses. Record safety actions, injuries, infrastructure damage, driver and witness details, vehicle information, conditions, and evidence. Attach photos and sketches to create a complete report for fleet safety and insurance claims.
by Nick Sesevic, from the Community
Downloads: 0
Get
Template
Vehicle Accident Report Form
Use this vehicle accident report form to document key details immediately after a collision. Log driver and customer information, date, time, location, weather, road and traffic conditions, witness statements, and other party and insurance details. Record injuries, police involvement, and a full description of the incident with noted vehicle damages. Capture photos, mark damage locations, and collect driver and customer signatures to support claims and internal investigations. Ideal for fleet operators, logistics teams, and any organization managing vehicles.
by Nilpa Shah, from the Community
Downloads: 30+
Get
Template
Road Traffic Incident Report Template
Use this road traffic incident report to document collisions, near misses, and vehicle damage. The template guides you to record date and time, driver and team, activity, location, incident type and details, initial report, insurance claim status and outcome, costs, photos, and signatures. Include corrective actions such as driver training, disciplinary steps, toolbox talks, and updates to procedures. Standardize reporting for fleet and facilities management and improve road safety performance.
by Gillian Huppler, from the Community
Downloads: 0
Get
Template
Medi4 Vehicle Defect Form
Use this Medi4 Vehicle Defect Form to report and track issues affecting ambulance and fleet vehicles. Record vehicle base and location, driver details and signature, vehicle off road status, and whether an accident or breakdown occurred. Document each defect with clear descriptions and photos, note recovery details, and indicate cleaning and decontamination status. A dedicated fleet section captures job numbers, responsible technicians, purchase orders, repair schedules, vehicle movement, and notifications to operations, helping teams prioritize repairs and maintain compliance.
by Carl Penny, from the Community
Downloads: 20+
Get

Traffic Incident Form

Use this traffic incident form to document road accidents and near misses. Record safety actions, injuries, infrastructure damage, driver and witness details, vehicle information, conditions, and evidence. Attach photos and sketches to create a complete report for fleet safety and insurance claims.

by Nick Sesevic, from the Community

Get

Template

Vehicle Accident Report Form

Use this vehicle accident report form to document key details immediately after a collision. Log driver and customer information, date, time, location, weather, road and traffic conditions, witness statements, and other party and insurance details. Record injuries, police involvement, and a full description of the incident with noted vehicle damages. Capture photos, mark damage locations, and collect driver and customer signatures to support claims and internal investigations. Ideal for fleet operators, logistics teams, and any organization managing vehicles.

by Nilpa Shah, from the Community

30+

Get

Template

Road Traffic Incident Report Template

Use this road traffic incident report to document collisions, near misses, and vehicle damage. The template guides you to record date and time, driver and team, activity, location, incident type and details, initial report, insurance claim status and outcome, costs, photos, and signatures. Include corrective actions such as driver training, disciplinary steps, toolbox talks, and updates to procedures. Standardize reporting for fleet and facilities management and improve road safety performance.

by Gillian Huppler, from the Community

Get

Template

Medi4 Vehicle Defect Form

Use this Medi4 Vehicle Defect Form to report and track issues affecting ambulance and fleet vehicles. Record vehicle base and location, driver details and signature, vehicle off road status, and whether an accident or breakdown occurred. Document each defect with clear descriptions and photos, note recovery details, and indicate cleaning and decontamination status. A dedicated fleet section captures job numbers, responsible technicians, purchase orders, repair schedules, vehicle movement, and notifications to operations, helping teams prioritize repairs and maintain compliance.

by Carl Penny, from the Community

20+

Get

Medi4 Road Traffic Incident Report

About author

You might also like

Traffic Incident Form

Vehicle Accident Report Form

Road Traffic Incident Report Template

Medi4 Vehicle Defect Form

You might also like

Traffic Incident Form

Vehicle Accident Report Form

Road Traffic Incident Report Template

Medi4 Vehicle Defect Form