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Home
About Us
Your Industry
Perishable
FMCG
Retail & Fashion
Technology
Engineering & Manufacturing
Pharmaceuticals & Healthcare
Our Solutions
Air Freight
Sea Freight
Land Freight
Freight Forwarding
Freight Brokerage
Import-Export & Customs Clearance
Warehouse & Storage Solution
Last Mile
Recruitment
Contact Us
Adwa International Logistics
Incident Log
Home
ยป Incident Log
Contractor Name
Email
Date
Time
Depot
Enfield - DIG1
Harlow - DHW1
Van Registration
Incident Address
Vehicle Speed Travelling When incident Occurred (MPH)
Weather Conditions At Time Of Incident Or Injury?
Clear
Rain
Heavy Rain
Storm
Fog
Ice
Snow
Was You Wearing The Correct PPE At Time Of Incident Or Injury?
No
Yes
Incident Details
Any Damages To Van?
No
Yes
If Yes, Please Give Further Details
Is the vehicle still roadworthy?
No
Yes
Any Injuries Sustained?
No
Yes
If Yes, Please Give Further Details
Any Third Party Vehicle Or Property Damages?
No
Yes
If Yes, Please Give Further Details
Were there any passengers in the third party vehicle?
No
Yes
N/A
If Yes, Please Give Further Details
Any Third Party Injuries Sustained?
No
Yes
If Yes, Please Give Further Details
Was the Police Involved?
No
Yes
If Yes, What is the crime reference number?
Is the third party going through insurance?
No
Yes
N/A
If Yes,What Is There Insurance Details & Claim Reference Number
Our Insurance Claims Reference Number
Were there any Witnesses to the incident or Injury?
No
Yes
If Yes, please give further details including but not limited to telephone number & contact information.
Where You Able To Complete Your Route?
No
Yes
Who Did Your Report The Incident Or Injury To?
Photos
Certification
I certify that the information entered in this form in to true to the best of my knowledge, and entering incorrect or dishonest information could results in my services being terminated without notice as per my Service Level Agreement.
Submit Incident Log
