Incident Report Form
Capture an incident properly on the day, in the affected person's own words, with the witness details and equipment notes that become impossible to gather later.
IN-03 2 pages
Professional drivers · PD-13
Driver Incident and Dashcam Record
A free printable driver incident sheet — the footage details first, then what happened, the other party, witnesses, damage and who it was reported to, on one page.
Download Free · no sign-up
One page. Choose your paper size — both versions are laid out identically, so neither one gets shrunk to fit.
Print it and write on it
Fill it in type and save
The fillable versions have real form fields — open them in any PDF reader, type into them and save. Printing help.
What this sheet is for
Get the clip saved and the facts written down in the first hour, while both still exist, so the insurer and the operator get a clear account rather than a reconstruction.
Who it is for
Any driver whose vehicle has a dashcam — courier, taxi, HGV, bus, instructor — and the fleet office that files the record.
How to use it
- Fill in the footage section first and lock or copy the clip before it is overwritten.
- Write what happened in your own words, in the order it happened.
- Take the other party's details and note any damage or injury on both sides.
- List anyone who saw it, with a way to reach them.
- Record who you reported it to and when, sign and date it.
What is on the sheet
One page, top to bottom:
Printed under the title: One page for one incident — what happened, who else was involved, who saw it, and where the camera footage is — written while it is still fresh and before the clip is overwritten.
Save the clip before anything else. Most dashcams overwrite themselves within days: fill in the footage line first and lock or copy the clip, then write the rest. Report it to your operator and insurer as your policy and the rules where you are require — this is your own note.
Write-on lines: Date · Time · Location · Weather / road · Driver · Vehicle reg · Trailer / load · Journey / job
Footage
Write-on lines: Camera / unit · Clip file or time stamp · Copied to · Retain until · Other cameras (CCTV, phone)
What happened — in your own words — direction, speed by your reading, who moved
Ruled lines
Other party, damage, witnesses and reporting
Write-on lines: Name · Vehicle reg · Phone · Insurer · Address · Damage to their vehicle · Damage to ours / load · Anyone hurt? (who, how) · Witness 1 — name, contact · Witness 2 — name, contact · Police attended / ref · Reported to operator — who, when · Reported to insurer — ref · Driver signature · Manager · Date
Questions
Does this replace the insurer's or operator's accident form?
No. It is your own note, made at the time, that the formal forms are then filled in from. Report the incident to your insurer and operator in the way and within the time your policy and the rules where you are require.
Why does footage come before the account of what happened?
Because most cameras record over themselves within days and the account can wait an hour. Saving the clip is the one step that cannot be done later.
Related sheets
Accident Book Page
Record one accident on one page, so the completed record can be filed securely rather than left in a book for the next person to read.
IN-04 1 page
Near Miss Report Form
Capture the things that nearly went wrong, in a form that asks what happened rather than who was at fault.
SI-10 1 page
HGV Walk-Around Check Sheet
Do the same walk-around in the same order every day and leave a record of what was found, who it was reported to and what happened next.
PD-12 1 page
