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Our Purpose
Management
Contact Us
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Cart
0
Home
Driver Resources
Driver Resources
Linehaul Resources
Uniform Order
Time Keeping
Group Management Services
Safety Training
Incident Reporting
Employee Benefits
Important Documents
CONTACT / ABOUT US
Our Purpose
Management
Contact Us
News
Employment Opportunities
GC TRAINING
HONESTY. INTEGRITY. COMMITMENT TO PEOPLE.
INCIDENT REPORTING FORM
Incident Type
*
Yard Damage
Stationary Object Impact
Vehicle / Vehicle Impact
Dog Bite
Interaction / Conflict
Customer Complaint
Other
Truck # (if Rental enter Plate #)
*
Driver Name
*
Route or Run Type
*
Date Incident Occured
MM
DD
YYYY
POLICE ALERTED
YES, REPORT MADE
NO
Location? Drop Pin or copy coordinates if possible.
Critical Event Recorded
YES, CAMERA ACTIVATED
YES, MANUAL CRITICAL EVENT INITIATED
NO, VEDR NOT AVAILABLE
AT FAULT?
*
YES
NO
OTHER / NOT APPLICABLE
Incident Details (What Happened / What Time)
*
Witness or Other Party Contact Info (Name, Phone, Insurance, Plate #)
TRUCK DRIVEABLE?
YES, RETURNED TO ROUTE
YES, RETURNED TO STATION
NO, TOWED
Additional Incident / Accident Scene Details (email pictures to upload@slickertrucking.net)
Facts of Incident Submitted by
Driver (Self)
Manager
Other
Submitted by (Name & Phone)
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