Brough - Citizen Traffic Incident Log
Please use this form to record queueing incidents around Brough, Elloughton or Welton. An incident should be something that places yourself or other drivers at risk. For example queuing in locations that create hazards (e.g. A63 exit slip road that backs up onto the A63), problems due to the short length of slip roads joining A63 or queuing that causes poor driver behaviours (overtaking to reach filter lanes at traffic lights). Details entered on this form are completely anonymous and cannot be traced back to individuals.

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Date of Incident *
MM
/
DD
/
YYYY
Time
:
Location *
Nature of Incident *
Incident Details
Optionally provide further details of the incident
Consequence of Incident *
Please choose most severe only
Attitudes Assessment
None
Slightly
Moderately
Extremely
Rate how anxious the incident made you feel
Rate how frustrated the incident made you feel
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Further Comments
Please use this to provide any additional information that you feel is relevant to the incident
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