PUBLIC TRANSPORT INCIDENT REPORTING & INVESTIGATION CHECKLIST TEMPLATE

Created by ChecklistGuro (https://checklistguro.com)


--- INCIDENT IDENTIFICATION & INITIAL ASSESSMENT ---
[ ] Date of Incident
[ ] Time of Incident
[ ] Incident Location
[ ] Incident Type (Accident, Security Breach, Mechanical Failure, Medical Emergency, Other)
[ ] Initial Report Source (e.g., Operator, Passenger)
[ ] Brief Description of Incident (Initial Assessment)
[ ] Number of People Involved (Estimated)
[ ] Severity Level (Initial) (Minor, Moderate, Major)

--- WITNESS STATEMENTS & INTERVIEWS ---
[ ] Witness Name
[ ] Witness Contact Information
[ ] Date and Time of Interview
[ ] Location of Interview
[ ] Description of Witness's Account
[ ] Witness's Relationship to Incident (Select all that apply) (Passenger, Driver/Operator, Pedestrian, Staff Member, Other)
[ ] Witness Signature
[ ] Date of Statement

--- EVIDENCE COLLECTION & PRESERVATION ---
[ ] Precise Incident Location (GPS Coordinates)
[ ] Photographs of the Incident Scene
[ ] Video Recordings (if available)
[ ] Chain of Custody Number (if applicable)
[ ] Date Evidence Collected
[ ] Time Evidence Collected
[ ] Signature of Evidence Collector

--- SCENE SECURITY & SAFETY ---
[ ] Incident Scene Location (GPS Coordinates)
[ ] Time Scene Secured
[ ] Perimeter Distance (meters)
[ ] Security Measures Implemented (Rope/Barrier, Traffic Control, Crowd Control, Personnel Posted, Other - Specify)
[ ] Detailed Description of Security Procedures Followed
[ ] Date Scene Secured
[ ] Personnel Responsible for Security

--- ROOT CAUSE ANALYSIS ---
[ ] Describe the sequence of events leading to the incident.
[ ] Identify potential contributing factors (select all that apply). (Human Error, Equipment Failure, Environmental Conditions, Procedural Deficiencies, Communication Breakdown, Inadequate Training)
[ ] Estimate the speed of the vehicle/object involved (if applicable).
[ ] Was adherence to standard operating procedures followed? (If not, please explain). (Yes, No, Partially)
[ ] Detailed explanation of why the selected option in the previous question is correct.
[ ] Upload any relevant diagrams or schematics.
[ ] Was there a known risk previously? (If yes, please explain mitigation) (Yes, No, Unknown)

--- CORRECTIVE ACTIONS & RECOMMENDATIONS ---
[ ] Detailed Description of Corrective Action
[ ] Estimated Cost of Implementation
[ ] Target Completion Date
[ ] Relevant Department(s) Involved (Operations, Maintenance, Training, Safety, Engineering)
[ ] Priority Level (High, Medium, Low)
[ ] Supporting Documentation (e.g., revised procedures)
[ ] Rationale for Action Selection

--- ACTION PLAN IMPLEMENTATION & MONITORING ---
[ ] Planned Implementation Start Date
[ ] Planned Implementation Completion Date
[ ] Percentage of Corrective Actions Completed
[ ] Status of Corrective Action (e.g., Not Started, In Progress, Completed, Delayed) (Not Started, In Progress, Completed, Delayed)
[ ] Notes on Implementation Progress & Challenges
[ ] Responsible Party for Action Implementation (Department A, Department B, Individual Name)
[ ] Last Review Date

--- REPORTING & COMMUNICATION ---
[ ] Incident Report Number
[ ] Report Submission Date
[ ] Report Submission Time
[ ] Executive Summary of Findings
[ ] Distribution List (e.g., Management, Safety Dept) (Management, Safety Department, Legal Counsel, Human Resources)
[ ] Supporting Documentation (e.g., photos, videos)
[ ] Report Dissemination Method (Email, Shared Drive, Printed Copy)
[ ] Recipient Confirmation (Name & Signature)

--- DATA ANALYSIS AND TRENDS ---
[ ] Total Number of Incidents Recorded
[ ] Percentage Increase/Decrease Compared to Previous Period
[ ] Incident Categories (e.g., Mechanical Failure, Passenger Conflict, Near Miss) (Mechanical Failure, Passenger Conflict, Near Miss, Operational Error, External Factors (e.g., Weather))
[ ] Average Incident Severity Score (if applicable)
[ ] Summary of Key Trends and Observations
[ ] Date Range for Analysis
[ ] Most Common Contributing Factors (Lack of Training, Equipment Malfunction, Communication Breakdown, Inadequate Supervision)

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