Heavy Equipment Collision Incident Report
Date of Incident
Time of Incident
Location
Personnel Details
Operator Name
Operator ID
Witness Name(s)
Equipment Information
Equipment Type
Equipment ID/Serial Number
Other Equipment/Vehicle Involved
Incident Details
Describe How the Collision Occurred
Contributing Factors
Damages Reported
Injuries (if any)
Immediate Actions Taken
Recommendations / Preventative Measures