You are on page 1of 4

Your Logo Here

Motor
Collision
When your driver is involved in a collision with a third party
Reporting driver it is recommended that they gather the following
Check List information. Providing training to your drivers on this
requirement is recommended. Having this list included in a
reporting pack in the glove box of the vehicle will help your
driver to remember to collect all the necessary information
to assist in effective claims management.

Start here...
Full Name and Address, and Date of Birth of all involved parties:

Occupations:

Physical Characteristics:

Accident Circumstances:

Section 6 Implementation Motor Risk Control Resource


Box 1
Your Logo Here

Drink or Drugs suspected as being an issue with the third party – please give details:

Vehicle details of all involved vehicles:

Owner of vehicles involved:

Passengers, number and position in vehicles:

Seat Belts/Mobile Phones:


• Were seat belts fitted/worn?
• Was the other driver using a mobile phone at the time of the accident?

Date and time of Accident:

Nature of Journey:

Weather conditions:

Other details to help with investigation:


• Detailed description of accident
• Speed
• Density of traffic

Section 6 Implementation Motor Risk Control Resource


Box 2
Your Logo Here

Subsequent Events:

Witnesses:

Conversations at Scene:

Police – identification of Police Officers attending:

Photographs
Take photographs:
• From your drivers’ seat
• Of your vehicle damage
• Of the damage to the third party vehicle
• Of the other side of the third party vehicle and your own vehicle to record any
existing damage
• Of the general scene of the accident showing signposts, street furniture and
other distinguishing features that will allow the scene to be located again.

Section 6 Implementation Motor Risk Control Resource 76


Box
Your Logo Here

Sketch of Accident Scene:

Please Remember!
• Hand the third party your AXA Insurance Accident Card
• Telephone your accident management company or broker, or
• Call AXA Insurance to report the incident on 0870 900 0860

77
Section 6 Implementation Motor Risk Control Resource
Box

You might also like