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PRELIMINARY ACCIDENT REPORT BY SUPERVISOR Submit to Safety Officer Within 2 Working Days of Accident 1. Name (Last, First, M.I.× 2. Social Security Number 3. Home Phone 5. Mailing Address (include
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How to fill out preliminary accident report by

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How to fill out a preliminary accident report by:

01
Begin by providing your personal information, including your name, contact details, and address.
02
Next, note the date, time, and location of the accident. Be as specific as possible, including any landmarks or intersections.
03
Describe the circumstances leading up to the accident. Include details such as the weather conditions, road conditions, and any potential distractions or factors that may have contributed to the accident.
04
Document the parties involved in the accident. Provide the names, contact information, and insurance details of any drivers or pedestrians involved. If there were witnesses, capture their information as well.
05
Carefully sketch a diagram of the accident scene, noting the positions of all vehicles involved, any relevant road markings, and the direction of travel.
06
Clearly describe the damages and injuries, if any, sustained by each party involved. Include information about any medical assistance that was required or if any law enforcement or emergency services were called to the scene.
07
Sign the report to confirm the accuracy of the information provided.

Who needs a preliminary accident report:

01
Insurance companies often require a preliminary accident report to process claims accurately. They use this report to assess liability and determine the extent of damages.
02
Law enforcement agencies may request a preliminary accident report to aid in their investigation and determine if any legal actions need to be taken.
03
Individuals involved in the accident may need a preliminary accident report as supporting documentation for insurance claims or legal proceedings. It helps establish the facts of the accident and acts as an official record.
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The preliminary accident report is a document that provides initial details about an accident or incident.
The parties involved in the accident or incident are required to file the preliminary accident report.
The preliminary accident report can be filled out by providing detailed information about the accident, including date, time, location, and description of events.
The purpose of the preliminary accident report is to inform relevant authorities about the accident and initiate the investigation process.
Information such as names of individuals involved, witnesses, description of injuries, and damages must be reported on the preliminary accident report.
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