Questionnaires
The Accident Report Form
This form contains 31/32 items. It makes provision of the recording of location, date and time of occurrence, class of accident, conditions prevailing at the time of accident, circumstances under which it occurred and details of class of road user injured, vehicle(s) involved, drivers/riders and damage caused.
Items:
1. Division
2. Station
3. Urban/Rural - If urban state the name of MC/UC/TC (ie Municipal Council, Urban Council, Town Council). All other
areas are rural.
4. Serial Number - Station serial number to be entered as four digits (i.e 0001..0010 etc)
5. Month - Name of the month such as January
6. Day - Two digit day of the month - 08, 21 etc
7 Day of the week - Sunday, Monday etc
8. Time - by 24 hour clock such as 1230 or 2115.
9. Lighting condition - 1, 2, 3, 4.
10. Class of accident - 1, 2, 3, 4
11. Casualties - to be entered by Police Headquarters
12. Name of road - Where the name does not appear in the list provided, the locally used name is entered
13. Road condition - 1, 2, 3, 4, 5, 6
14. Condition at scene - Where more than one condition is applicable, the most appropriate to be highlighted 01, 02, ...12
15. Junctions or crossings 10, 02, 03,...12
16. Movement before accident - 1,2,3...6,7.
17. Vehicles involved - Up to four vehicles could be entered
18. Type of vehicle - 1,2,3,4.
19. Age of vehicle - If less than one year enter 00
20. Sex of Driver or rider - 1,2
21. Age of Driver rider - Completed years should be recorded
22. Condition of driver / rider - 1,2,3,4,5,6. Most appropriate must be highlighted if more than one is applicable.
23. Feature - 1,2,3,...9.
24. Manoevure - 1,2,3....13
25. Action - 1,2.....9.
26. Vehicle defects - 1,2,3.....11,12.
27. Part damaged - 1,2...7,8.
28. Casualty details
29. Nature of accident - not applicable for statistical purposes
30. Rough sketch - not applicable for statistical purposes
31. Place of accident - not applicable for statistical purposes
Amendments
The reporting of amendments to accident reports dispatched should be done as follows:
Items 1 - 16 and 28 - 31 should be reported on the amendment form. Amendments to items 17 - 27 should be reported on a Road Accident report form.
The amendment form contains six items. Division, station, Serial no, Urban/rural, month and amendments. When entering amendments the entries under items 1 - 5 should be the same as the entries made under these items in the accident report's 'Statistics Copy' which had been dispatched to Police Headquarters and which need amendment.
If any amendment have to be reported in respect of item 17 to 27 an Accident Report Form should be used as mentioned above.
The amendments made should be authenticated by the reporting Officer and the OIC of the station.