Truck Driver Incident Report Form

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Truck Driver Incident Report Form

A truck driver incident report records a cargo spill, collision, or other reportable event that occurs while a commercial driver is on duty. The report provides a factual account of the incident, noting the time, date, location, and the names of any witnesses. These recorded details help trucking companies assess liability and improve safety practices.

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Last updated September 1st, 2025

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A truck driver incident report records a cargo spill, collision, or other reportable event that occurs while a commercial driver is on duty. The report provides a factual account of the incident, noting the time, date, location, and the names of any witnesses. These recorded details help trucking companies assess liability and improve safety practices.

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Incidents Commonly Reported

  • Mechanical or equipment issues (e.g., blown tires, brake failure)
  • Stolen cargo or damaged freight
  • Traffic accidents caused by the driver or others
  • Citations issued by police or transportation officials

Hazardous Materials

Within 30 days of an accident involving hazardous materials, a Hazardous Materials Incident Report must be completed and submitted to the Department of Transportation (DOT).[1]

Immediate Notification – Incidents resulting in death or other serious outcomes must be reported immediately to the National Response Center by phone at (800) 424-8802.[2]

Sample

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TRUCK DRIVER INCIDENT REPORT

TRUCK DRIVER

Full Name: [DRIVER NAME] Driver’s License No.: [DL NO.]

Address: [DRIVER ADDRESS] Phone: [PHONE]

Company / Employer: [COMPANY / EMPLOYER NAME] Employee No.: [EMPLOYEE NO.]

Truck Fleet / Registration No.: [TRUCK FLEET (IF ANY) AND REG. NO.]

Trailer Fleet / Registration No.: [TRAILER FLEET (IF ANY) AND REG. NO.]

Signature:                                                               Date: [MM/DD/YYYY]

INCIDENT DETAILS

Date of Incident: [MM/DD/YYYY] Time: [TIME] ☐ AM ☐ PM

Incident Type: ☐ Collision ☐ Injury ☐ Equipment Failure ☐ Cargo Spill
☐ Interaction / Conflict ☐ Customer Complaint ☐ Other: [OTHER]

Location: [INCIDENT LOCATION]

Describe the Incident: [DESCRIBE INCIDENT]

Truck Towed? ☐ Yes ☐ No | If yes, specify towing company: [COMPANY NAME]

OTHER PARTIES INVOLVED

  1. Full Name: [NAME] Phone: [PHONE] E-Mail: [E-MAIL]
    Address: [ADDRESS]  
    Identification: ☐ Driver’s License No.: [DL NO.] ☐ Other.: [OTHER NO.]
  2. Full Name: [NAME] Phone: [PHONE] E-Mail: [E-MAIL]
    Address: [ADDRESS]  
    Identification: ☐ Driver’s License No.: [DL NO.] ☐ Other: [OTHER NO.]
  3. Full Name: [NAME] Phone: [PHONE] E-Mail: [E-MAIL]
    Address: [ADDRESS]  
    Identification: ☐ Driver’s License No.: [DL NO.] ☐ Other: [OTHER NO.]

INJURIES / DAMAGE

Was anyone injured? ☐ Yes ☐ No
If yes, describe the injuries: [DESCRIBE INJURIES]

Was there damage to any equipment/property? ☐ Yes ☐ No
If yes, describe the damage: [DESCRIBE DAMAGE]

WITNESSES

Were there witnesses to the incident? ☐ Yes ☐ No
If yes, enter the witnesses’ names and contact info:

  1. Full Name: [NAME] Phone: [PHONE] E-Mail: [E-MAIL]
  2. Full Name: [NAME] Phone: [PHONE] E-Mail: [E-MAIL]
  3. Full Name: [NAME] Phone: [PHONE] E-Mail: [E-MAIL]

POLICE / MEDICAL SERVICES

Police Notified? ☐ Yes ☐ No | If yes, was a report filed? ☐ Yes ☐ No

Was medical treatment provided? ☐ Yes ☐ No ☐ Refused
If yes, where was medical treatment provided? ☐ On site ☐ Hospital ☐ Other: [SPECIFY]

Sources

  1. DOT – How to Comply with Federal Hazardous Materials Regulations, Incident Reporting
  2. 49 CFR § 171.15