8182F Idaho Uniform School Bus Accident/Injury Report Form
8182F Idaho Uniform School Bus Accident/Injury Report Form
8182F Idaho Uniform School Bus Accident/Injury Report Form
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NON-INSTRUCTIONAL OPERATIONS11. <strong>School</strong> <strong>Bus</strong> Use At Time Of <strong>Accident</strong> (enter as many as applicable): Regular Route Special Needs Use Other Field/Activity Trip Deadheading (no passengers)<strong>8182F</strong>Page 4 of 512. Condition Of Road At Time Of <strong>Accident</strong> (enter as many as applicable - Circle the response that most contributed tothe accident.): Dry Under Repair Holes or Ruts Wet Icy Snow Packed Muddy Other (Specify)13. Light Conditions (enter one response): Dawn Daylight Dusk Dark, Artificially Illuminated Dark, Not Artificially Illuminated14. Weather Conditions (enter as many as applicable): Clear Raining Snowing Smog/Smoke Sleeting Fog Dust Other (Specify)PART II - DESCRIPTION OF ACCIDENT(attach police report)Complete the following diagram showing direction and positions of vehicles involved, clearly designating the point ofimpact. Use additional space if needed.<strong>Idaho</strong> State Department of EducationP.O. Box 83720, Boise, <strong>Idaho</strong> 83720-0027, 208-332-6851Page 4 (rev. 02/00)
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