School Bus In-Depth Investigation Form printable pdf download

School Bus In-Depth Investigation Form

School Bus IN-DEPTH INVESTIGATION

Transportation Directors version

This is to be used in the event of crash:

a. Caused by or suspected of being caused by a mechanical failure;

b. Resulting in serious injury or death to the driver or any occupant of a

school bus, or another vehicle, or any pedestrian (not covered in sub-

section “c” below) involved in the crash; and

c. In every crash resulting in serious injury or death to any person(s)

preparing to enter or having just exited a school bus.

Do the following:

Provide a copy of the last inspection

The last date of Brake/King Pin Inspection.

The last annual/semi annual inspection.

Copy of Crash report from the Police agency investigating the crash.

OR. Crash#

Provide a driver voluntary statement forms. (if applicable)

Provide a student seating chart. (if applicable)

Provide the following documents to your Trooper.

Driver License (valid/proper endorsement).

Medical certificate.

Driver certification card (yellow/blue card).

DOE training certificate (observation/driving time).

Driver drug and alcohol testing (Pre-employment, Post Accident or last

Random test done with-in last 12 months).

Copy of most recent annual/semi annual inspection.

Copy of School Bus Brake and King-pin Certificate.

Misc. documents that may assist in Crash review. (Pictures, description

of part(s) in question, additional training type and date received, other

statements or observations.)

SCHOOL:

LOCATION:

DATE/TIME:

WHO WAS INJURED AND HOW?:

BRIEF NARRATIVE OF EVENTS (include opinion if necessary):

Mark each box you have completed, save as TROOPERSNAME School Corp Name Date type of

investigation ex.” KATH XYZ School 1-1-14 INDEPTH”. Email this electronic form and all attachments

to your trooper.

School Bus In-Depth Investigation Form