Much of this information, you may already
have available electronically, but I have a checklist available in PDF
or Word version. Please let me know and I will forward it to
you.
Legal counsel need to know the good, the bad and the
ugly. If an attorney is taking the driver’s statement, his investigation is
arguably privileged work product. This is NOT to say that the driver’s
deposition will not be taken ultimately, so the information is discoverable;
however, if field adjuster or in-house claims professional take the statement,
then the information IS more likely to be discoverable unless you can argue
that the information was prepared in anticipation of litigation.
With Hours of Service issues that may
come up as to the driver’s negligence or even the independent negligence of the
company negligent supervision, I want to be sure that I get the following:
Number of hours driving that day Time day
Started _______
Amt.of sleep ______
Are log books current Y or N –
Under dispatch Y or N - To
Whom:__________ (This issue is increasingly important when evaluating possible
shipper or broker liability)
Name of Driver____________ Address
______________
Adjuster Name
Date of Interview
Claim Number
Phone #’s
Age ____ Marital Status ____ Spouse’s
Name______
CDL # ______________
Employer ____Years w/ current employer
___________
Total # years driving __________
Long Haul Line Haul_____ City Haul_____
Coming from_______ Delivering
to__________
Type of cargo_________
Weight of Cargo Prior Accident __________
Date of Accident Time_____________
Scene/Diagram:
Where did this accident occur? (City or
Town)
Exact location where vehicles impacted
(street, driveway, parking lot)?
Name of closest intersecting street or
crossroad?
Direction of travel for each street?
Number of lanes on each (including
turning lanes and shoulders)?
Lane markings?
Traffic controls or signals (locate and
identify type) Speed limits?
Weather (visibility, condition of road
surface, headlights necessary)
Cars involved: Yours (A) Others (B, C, etc)
Year?
Make?
Model?
Color?
Lic. #?
Driver?
Reg. Owner?
Passengers?
Approach/Sight:
Where
were you coming from (place)?
Destination
(place)?
What
street were you on?
What
direction were you traveling?
Which
lane were you traveling in?
Purpose of this trip (errand for someone else,
etc.)?
What
street was the other car on? What direction was the other car traveling?
Which
lane was it in?
Your location when you first saw the
other vehicle/pedestrian (Use fixed objects or distances in feet or car lengths
to qualify witness.)
Your speed when you first saw the other
vehicle? Location of the other vehicle?
Speed of the other vehicle?
What was the other vehicle doing that
caused you to notice it?
Were headlights, brake lights or turn
signals in use?
Was there anything between you and the
other vehicle that blocked your vision (describe)?
If you did not see the other vehicle
prior to impact – why?
Could
you have seen the other vehicle sooner than you did? Why
Reaction/Impact/Post Impact:
What were your actions from the time you
first saw the other car until impact?
What did other car do (slow, brake, speed
up, swerve)?
Where on the street did impact occur?
(Relate to painted lines, lanes, fixed objects)
What parts of cars came together?
Rest:
Speed
and path of travel of each car from first impact to stop.
What
caused each car to stop – skidding, hitting object?(Qualify witness how he
knows, as this is conclusion).
Identify
place of rest each car (relate to fixed object).
Examination
of Scene:
What
inspection of the scene of the accident did you make?
When
did you make this inspection?
Describe
what you saw (debris, skid marks, hedges, etc.)
Conversation:
Did you talk to the other driver(s)?
Exactly
what was said about how the accident happened?
Did
anyone overhear this conversation?
Witnesses/Police/Injuries:
Witnesses
Name
Address
Phone
#
Interested?
Where
located (place at scene)?
Witness
observations (conversation at scene)?
Police
Investigation:
Department?
Citations?
If yes – To whom? For what?
Injuries
Did
you notice any indication of injuries at the scene? (If yes, explain)
The following/last question can be tricky if the
person asking the question does not have privilege: “Is there anything else
about the accident that we haven’t discussed that you would like to add?” But
it can also lead you to a treasure trove of information.
All of this is about getting as much detail as quickly as possible. If there is anything we can assist you, feel free to call 318-222-2426.
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