Scribd
Upload
707 views1 page

Traffic Accident Investigation Report Form PDF Free

This traffic accident investigation report summarizes a fatal accident between a motorcycle and SUV. On October 10, 2008 at 9:30 AM in fair weather, a motorcycle traveling north-west on Dormitory Lane turning right onto NPC Avenue was hit by an SUV traveling east on Escarcha Drive making a left turn. The motorcycle driver, a 31-year-old married male, sustained severe head injuries and was pronounced dead-on-arrival at the hospital. The SUV driver, a 29-year-old married male engineer, voluntarily surrendered to police authorities. The report was referred to the Taguig City Prosecutor's Office for appropriate filing of charges.

Uploaded by

Danilo Baarde
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
707 views1 page

Traffic Accident Investigation Report Form PDF Free

This traffic accident investigation report summarizes a fatal accident between a motorcycle and SUV. On October 10, 2008 at 9:30 AM in fair weather, a motorcycle traveling north-west on Dormitory Lane turning right onto NPC Avenue was hit by an SUV traveling east on Escarcha Drive making a left turn. The motorcycle driver, a 31-year-old married male, sustained severe head injuries and was pronounced dead-on-arrival at the hospital. The SUV driver, a 29-year-old married male engineer, voluntarily surrendered to police authorities. The report was referred to the Taguig City Prosecutor's Office for appropriate filing of charges.

Uploaded by

Danilo Baarde
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

LETTER HEAD

OFFICE NAME File No:

TRAFFIC ACCIDENT INVESTIGATION REPORT

I. WHERE :
o
II. WHEN : Wednesday October 10, 2008 9:30am Fair
Day of the Week Date(Mo/Day/Yr) Time Weather Condition
III. WHAT : Vehicle
x Another Animal Drown Fixed Object
vs: Vehicle Vehicle
Pedestrian Other
IV. TYPE OF ACCIDENT: x FATAL NON-FATAL DAMAGE TO PROP

V. NUMBER OF VEHICLES INVOLVED: Two (2) Vehicles

Vehicle #1 (V-1) Vehicle #2 (V-2)


Type : Motorcycle/Scooter Mini-SUV
Make/Model : Honda Wave Model 2005 Honda CRV
Plate No. :
Classification : Private Private
Name of Driver :
Address :

Occupation : Accounting clerk Engineer


License No. : N26-08-014193 D04-07-
Age : 31 years old 29 yrs old
Sex/Status : Male / Married Male / Married
Driving : 15 yrs 10 yrs
Experience
Vehicle Owner : Same as above Same as above
File Number : 1344-00000162850 1344-00000150888
Damages : Multiple Front Bumper/Right Fender/
Undercarriage
FACTS OF THE CASE:

Investigation disclosed that on the above stated TDPO, V-1 travelling North-West
irection along Dormitory Lane turning right as NPC Avenue when it was bumped and hit
by V-2 travelling East direction along Escarcha Drive while turning left at NPC Avenue.

As a consequence thereof, V-1 Driver 1 sustained severe head injury and was
rushed to Taguig-Pateros District Hospital for treatment but pronounced dead-on-arrival
(DOA) by the attending physician. Driver-2 voluntarily surrenders to police authority.

DISPOSITION:

For appropriate filing of charge before Taguig City Prosecutor’s Office.

Noted by: Investigator-On-Case

Chief, NFSTI-TEU

You might also like