Supervisor Investigation Report

Report Submitted By:

First name Last name

Date:

This accident involves:

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Please provide police report #, if applicable:

Drug/Alcohol test authorized:

By whom:

Time

Coach Operator:

Coach Operator ID #:

Day of the week:

Coach #:

Block:

Line:

Time notified:

Time arrived:

Accident street location:

At/near:

Weather:

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Street surface:

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Light condition:

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Other vehicle license #:

Other vehicle driver name:

Other vehicle driver address:

Other vehicle color:

Other vehicle make/model:

Motion of TARC:

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Motion of other vehicle:

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Identify all persons who gave you information, including those transported via EMS (please strive to give all possible information including their address, gender, race, approximate age, etc.)

Description of event and damage visibly seen at scene (please strive to include all possible information including street names, direction of travel of both vehicles, pedestrain location if applicable, point of contact of TARC equipment, point of contact on other vehicle, and location of passenger on TARC vehicle).