Truck Driver Incident Report Form

Create Document

Truck Driver Incident Report Form

A truck driver incident report records a cargo spill, collision, or other significant 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.

Create Document
PDF
Word
ODT

Last updated August 27th, 2025

Document Preview

A truck driver incident report records a cargo spill, collision, or other significant 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.

Downloads: 13
  1. Home »
  2. Incident Report »
  3. Truck Driver

Incidents Commonly Reported

  • Mechanical or equipment issues (e.g., blown tires, brake failure)
  • Stolen cargo or damaged freight
  • Traffic accidents resulting in injury to 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 severe consequences must be reported immediately to the DOT by phone at (800) 424-8802.

Sample

Download: PDF, MS Word, ODT

TRUCK DRIVER INCIDENT REPORT

TRUCK DRIVER

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

Company / Employer: [COMPANY / EMPLOYER NAME] Phone: [PHONE]

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: [TOWING 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

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

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]

MEDICAL SERVICES

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