Page 168 - Personnel Policy and Procedures Manual

Section 1000.117 Preparation of the Fleet Accident Report

A. General - The Fleet Accident Report will be prepared by the driver's supervisor or departmental
investigating officer, as directed by the department head, within 24 hours of the accident or report
of damage.
B. Explanation of Information Required –
1. Page 1 information
a. Date of Accident - List the month, day and year.
b. Day of the Week - List Monday through Sunday.
c. Time - The time the accident occurred.
d. Number of Vehicles Involved - In the box provided write the number of vehicles
involved by type, Augusta, Georgia or private.
e. Case No. - Leave blank.
f. Location - Mark the box if the accident occurred at an intersection. Describe the
location as best you can in the space provided. House numbers or block numbers may
be used.
g. 7-14 - These blocks concern driver information of the Employee. Driver’s license
information should be taken directly from the driver’s license only.
h. 16-23 - Identify the Augusta, Georgia vehicle involved in the accident.
i. Driver Cited - Indicate by marking the appropriate box whether the employee was
given a written citation.
j. Insurance Information - The information has been provided.
k. Vehicle Removed By - Check the box as appropriate, if the vehicle was towed write
the name of the tow service.
l. Number of Injuries - If there were no injuries check the box "none". If personnel were
injured indicate the total number of Augusta, Georgia employees injured.
m. Private Vehicle - Indicate all known information about the Other Driver, of particular
importance is the phone number of the other driver.
n. If the driver is not the owner of the vehicle write any information concerning the owner
of the vehicle. If the vehicle belongs to a commercial business indicate the business.
o. Vehicle Information - provide as much information on the other vehicle as possible.
p. Driver Cited - Indicate YES only if the other driver was given a written citation.
q. Insurance Information - This information should be taken directly from the white
insurance card of the other driver, if the white insurance card is not shown put "No
proof of insurance".
r. Vehicle Removed By - If the private vehicle was towed, check the appropriate box
and indicate the Wrecker Service.
s. Number of Injuries - Give the total number of people injured in the other vehicle. If
none mark the box "None".
t. Report Submitted By - Print the name of the employee submitting the report.
u. Job Title - Indicate the job title of the employee submitting the report.
v. Report Reviewed By - Print the name of the Supervisor reviewing the report for
accuracy.
w. Job Title - Indicate Job Title of Reviewer.
2. Page 2 information
a. Other Vehicle - Use this section if a third vehicle is involved. Provide driver and
vehicle information as indicated.
b. Private Vehicle Passengers - In the blocks provided indicate - Total number of private
passengers (non Augusta, Georgia employees); number of private passengers taken to
a hospital by ambulance and number of private passengers injured but not take by
ambulance.

All Rights Reserved – As approved by the Commission on 05-07-2019 168 | P a g e