INCIDENT REPORT

Vehicle Details Incident Details

Vehicle Category Truck Incident Number Incident#007
Vehicle Name MACK GU813 Granite Straight 16 Incident Date 21-Dec-2018
Dump Truck
Incident Time 06:10 PM
Vehicle # HNB 562
Location 11th avenue
VIN # 1M2AX16C2FM027169
Incident Area On road
Operator Nick

Types of Incident

Break Failure Chemicals Spill Collision Drowned in Water Electrical Failure

Engine Failure Equipment Failure Explosion/fire Fall Attachments Fall from

elevation
Leakage in Loss of Stability Oil Spill Person Hit by Steering Failure
Vehicle Vehicle
Stuck Swamping Turned Over Other

Incident Severity Rating

Fatal Incident Serious Injury Vehicle Lost Vehicle Damage

Other Vehicle Damage Property Damage Only No Damage Other

Weather Condition

Clear Fog Cloudy Rainy Snow Storm

Vehicle activity at the time of incident

Digging Rock Removal Towing Loading/Unloa Lifting/Riggin Riding

ding g equipment
Equipment Transporting Fuelling Being Towed Stand By Operating
maintenance

What happened - How the incident occurred?

Due to kids run over in front of truck. To protect the kid driver changed the direction and ran over the road and roll over.

Prepared By:JRS Innovation www.jrsinnovation.com

What were the causes?

Due to kids run over in front of truck. To protect the kid driver changed the direction and ran over the road and roll over.

Additional Comment

Incident Images

Image 1

Reported By Jane Joseph

Prepared By:JRS Innovation www.jrsinnovation.com