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School Bus Incident Report
For school bus driver use only.
Incident Report
Fill out as completely as possible.
Driver First Name
Last Name
District
Incident Date
1
2
3
4
5
6
7
8
9
10
11
12
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2023
2024
Incident Time
1
2
3
4
5
6
7
8
9
10
11
12
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
AM
PM
Driver Phone
Bus #
Light System
4 Light
8 Light
Stop Sign
Yes
No
Location
(address/nearest intersection)
Automobile Description
License Plate #
Make
Model
Color
Occupants
Suspect Physical Description
Sex
Male
Female
Approx Age
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
Additional Info
Facts
Your Direction of Travel
N
NE
E
SE
S
SW
W
NW
Violators Direction of Travel
N
NE
E
SE
S
SW
W
NW
Was bus at a complete stop when pass occurred?
Yes
No
Were red flashers on?
Yes
No
Was violator 20ft. or more from the bus when reds where activated?
Yes
No
Did violator attempt to stop?
Yes
No
Or slow down?
Yes
No
Weather Conditions
Road Conditions
How many kids were getting on or off?
Where were kids when violation occurred?
List Additional Witnesses.
Give a description of what occurred.
