Incident register
Use this form to record an accident or crash.
Company name *
Your answer
Date of incident *
MM
/
DD
/
YYYY
Location *
Include the nearest city and state
Your answer
Driver name *
Your answer
Number of persons injured *
Your answer
Number of fatalities *
Your answer
Incident matrix *
**Please note, answering "Yes" to the first two questions indicates that the driver must be drug tested post-accident.
Yes
No
Not applicable/Not required
Was the driver cited?**
Were there any fatalities?**
Were any vehicles towed?
Was HazMat involved?
Was the incident photographed?
Was post-accident drug testing done?
Notes
Additional notes regarding the incident.
Your answer
Important information about drug testing
FMCSA regulations requires alcohol testing to be done within 2 hours and drug testing to be done within 32 hours of the incident. If you are unable to get the driver tested within these time frame, please contact Thurcorp for guidance.
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