Public Transport Incident Reporting & Investigation Checklist Template

Ensure thorough incident reporting and swift investigations with our comprehensive Public Transport Incident Reporting & Investigation Checklist. Minimize disruption, improve safety protocols, and build passenger confidence. Download now for a safer journey!

This Template was installed 3 times.

Incident Identification & Initial Assessment

1 of 9

Details regarding the initial report and preliminary evaluation of the incident.

Date of Incident

Time of Incident

Incident Location

Incident Type

Initial Report Source (e.g., Operator, Passenger)

Brief Description of Incident (Initial Assessment)

Number of People Involved (Estimated)

Severity Level (Initial)

Witness Statements & Interviews

2 of 9

Records of statements collected from witnesses and individuals involved.

Witness Name

Witness Contact Information

Date and Time of Interview

Location of Interview

Description of Witness's Account

Witness's Relationship to Incident (Select all that apply)

Witness Signature

Date of Statement

Evidence Collection & Preservation

3 of 9

Documentation of evidence gathered at the incident scene, including photos, videos, and physical items.

Precise Incident Location (GPS Coordinates)

Photographs of the Incident Scene

Video Recordings (if available)

Chain of Custody Number (if applicable)

Date Evidence Collected

Time Evidence Collected

Signature of Evidence Collector

Scene Security & Safety

4 of 9

Verification of measures taken to secure the area and ensure the safety of personnel and the public.

Incident Scene Location (GPS Coordinates)

Time Scene Secured

Perimeter Distance (meters)

Security Measures Implemented

Detailed Description of Security Procedures Followed

Date Scene Secured

Personnel Responsible for Security

Root Cause Analysis

5 of 9

Detailed investigation to determine the underlying causes of the incident.

Describe the sequence of events leading to the incident.

Identify potential contributing factors (select all that apply).

Estimate the speed of the vehicle/object involved (if applicable).

Was adherence to standard operating procedures followed? (If not, please explain).

Detailed explanation of why the selected option in the previous question is correct.

Upload any relevant diagrams or schematics.

Was there a known risk previously? (If yes, please explain mitigation)

Corrective Actions & Recommendations

6 of 9

Steps to be taken to prevent recurrence of similar incidents, including policy changes, training updates, and equipment repairs.

Detailed Description of Corrective Action

Estimated Cost of Implementation

Target Completion Date

Relevant Department(s) Involved

Priority Level

Supporting Documentation (e.g., revised procedures)

Rationale for Action Selection

Action Plan Implementation & Monitoring

7 of 9

Tracking the implementation of corrective actions and assessing their effectiveness.

Planned Implementation Start Date

Planned Implementation Completion Date

Percentage of Corrective Actions Completed

Status of Corrective Action (e.g., Not Started, In Progress, Completed, Delayed)

Notes on Implementation Progress & Challenges

Responsible Party for Action Implementation

Last Review Date

Reporting & Communication

8 of 9

Documentation of findings and communication of results to relevant stakeholders.

Incident Report Number

Report Submission Date

Report Submission Time

Executive Summary of Findings

Distribution List (e.g., Management, Safety Dept)

Supporting Documentation (e.g., photos, videos)

Report Dissemination Method

Recipient Confirmation (Name & Signature)

Data Analysis and Trends

9 of 9

Reviewing incident data to identify patterns, trends, and areas for improvement.

Total Number of Incidents Recorded

Percentage Increase/Decrease Compared to Previous Period

Incident Categories (e.g., Mechanical Failure, Passenger Conflict, Near Miss)

Average Incident Severity Score (if applicable)

Summary of Key Trends and Observations

Date Range for Analysis

Most Common Contributing Factors

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