Form
Form - Vehicle Collision Report
Document FSSMS-FRM-33Stage 1Revision 4Version 0.3.3
Topic pages open on your jurisdiction, and requirements tables show its line. You can change this on any page.
For every collision, backing contact, rollover, roadway struck-by and near miss involving a department vehicle, or a member’s own vehicle on response (Policy - Apparatus and Driving 5.15). The driver and officer complete Parts A to D before the end of the duty period; the health and safety officer completes Part E. Any injury is also reported on Form - Injury and Incident Report. The fields follow the program’s collision report summary (Apparatus, Driving and Roadway Operations Program toolkit T7) and the incident investigation standard (CSA Z1005:21); the health and safety standard expects every vehicle collision and near miss to be investigated (NFPA 1550, 2024, ch. 6).
This form records facts for reporting, insurance and triage. Describe what happened in plain words; do not assign fault. The learning review, if the event is triaged for one, is held separately and is never used for discipline (The Human Factor, 2026a).
| Field | Entry |
|---|---|
| Event type: collision with a vehicle / with an object / backing contact / rollover / member struck or nearly struck on a roadway / near miss / personal vehicle on response | |
| Date and time | |
| Unit (or “personal vehicle”) and apparatus type | |
| Location and road type: urban street / rural two-lane / highway / divided highway / parking lot / station apron / training ground | |
| Response mode at the time (emergency / non-emergency / returning / training / move), call type, warning devices in use (both / lights only / neither); matched the response mode matrix? (yes / no / unsure) | |
| Estimated speed and posted limit | |
| Weather, light, road surface, traffic and visibility | |
| Backing: spotter present and where; camera in use |
| Field | Entry |
|---|---|
| Driver (role; authorization current for this apparatus type: yes / no) and officer (role) | |
| Each occupied seat: belted (yes / no) | |
| Injuries (yes / no; by role); Form - Injury and Incident Report completed (yes / no) | |
| Other vehicles and property: number, type, damage, injuries (yes / no). Identifying details of other parties are recorded only in the police report and the insurance file | |
| Police attended (yes / no; file number) | |
| Witnesses (roles) |
| Question | Answer |
|---|---|
| What happened, in order? | |
| What were you dealing with at the time (radio traffic, directions, other traffic, glare, fatigue, the call itself)? | |
| What would have made this less likely? |
| Field | Entry |
|---|---|
| Scene made safe; unit out of service and tagged (yes / no); tow; replacement unit | |
| Notified, with times: district chief, health and safety officer, deputy chief, fleet, dispatch, insurer | |
| Photographs and a sketch of positions attached (yes / no) | |
| Driver and crew offered peer support (yes / no); driver re-evaluation booked before driving again (date) |
| Field | Entry |
|---|---|
| Vehicle data recorder download, camera and telematics records secured (date; by role; file reference) | |
| Regulator notified where the event is on the jurisdiction’s reportable list, within its deadline (J08 Incident Reporting and Investigation) (date, time) | |
| Compensation board report (date) | |
| Police collision report where the traffic law requires one (J30 Emergency Vehicles, Drivers and Licensing) (date) | |
| Triage tier (1, 2 or 3) and date, recorded on Form - Event Triage Record | |
| Review lead (role) and review date | |
| Corrective actions (register IDs) | |
| Change notice to all drivers (date) | |
| Reply to the driver and crew (date) |
| Field | Type | Required | Who completes |
|---|---|---|---|
| Part A fields | Pick lists; date-time; text; numbers | Yes | Driver, with the officer |
| Part B fields | Text; yes/no per seat; file number | Yes | Officer |
| Part C answers | Free text | Yes (a member may decline the third question) | Driver |
| Part D fields | Yes/no; times; date | Yes | Officer |
| Part E fields | Dates; references; times; tier; register IDs | Yes where they apply | Health and safety officer |
| Attachments | Photographs; sketch; data files | Where available | Officer; health and safety officer |
Retention. With the vehicle’s records for the life of the vehicle; the triage and review records for the period the learning program sets. Privacy. Third-party details stay in the police and insurance files; the review is de-identified before it is shared.
This chapter relies on the following legal requirements, which differ by province and territory. Check your jurisdiction’s section on each topic page before adopting it.
| Topic | What to check in your jurisdiction | Page |
|---|---|---|
| Incident Reporting and Investigation | Which injuries and occurrences must be reported to the regulator and how fast, who else must be told (such as the committee), the employer’s deadline to report to the compensation board, and whether that report also counts as notice to the regulator (Part E) | J08 Incident Reporting and Investigation |
| Emergency Vehicles, Drivers and Licensing | When the traffic statute requires a collision to be reported to police (an injury, or damage above a prescribed amount) and any other duties of an emergency vehicle driver after a collision (Part E) | J30 Emergency Vehicles, Drivers and Licensing |
CSA Group. (2021). CSA Z1005:21 (R2026), Workplace incident investigation. https://www.csagroup.org/store/product/CSA%20Z1005:21/
National Fire Protection Association. (2024). NFPA 1550, Standard for emergency responder health and safety (consolidates NFPA 1500, 1521 and 1561). https://www.nfpa.org/codes-and-standards/nfpa-1550-standard-development/1550
The Human Factor. (2026a). After the Call, Manual 02: The three tiers and event triage [Unpublished manuscript].