deer collisions project web incident report form

Incident Submission Form

Complete only those areas for which you have information. The most important fields for each incindent are the Date and Location (ideally OS grid reference plus Road number if known).

All additional details are a bonus !

(a shorter form for recording multiple incidents in a bit less detail is available at our downloads page)

Date, time and location
Animals involved
Vehicles involved
People involved
Road conditions
Your details

Date, Time & Location of Incident

Date of incident
Time of incident deer found incident reported	:
Country
County
District
Type of road
Road number
Nearest town or village

OS Grid reference

Animals Involved in the Incident

Type of animal
Type of deer
Total number of animals involved
Number of male animals involved
Number of female animals involved
Number of adult animals involved
Number of juvenile animals involved
Number of animals killed by collision
Number of animals injured & taken to vet / rescue centre
Number of animals injured & humanely dispatched at roadside
Number of animals hit but ran off
Number of animals not hit
Number of animals not found

Vehicles Involved in the Incident

Type of vehicles and numbers involved	Car
	Van
	Bus
	Lorry
	Motorcycle
	Other (specify)
Was/were the vehicle/s damaged?	Yes No Don't know
Approximate costs of repairs
Was an insurance claim made?	YesNo

People Involved in the Incident

Were the driver or passengers hurt?	YesNo
If yes, type and number of injury / injuries	Slight
	Serious
	Very serious
	Fatal

Road Conditions, Habitat and Mitigations

Light conditions	DaylightTwilightDarkness
Weather conditions	DrySnowRainFog
What was the roadside habitat? (please specify for both sides)	on side A on side B
Did you notice any of these mitigating features by the roadside? (check all that apply)	Deer fence Stock fence Deer warning signs Deer mirrors / wolves eyes

Your details

Please state if you	were present at the time of the incident are reporting an incident heard about from somebody else
What was your involvement in the incident?
In reporting this incident are you acting...
If on behalf of an organisation, please specify	if other, please specify
Were any other organisations involved or attended at the scene? (check all that apply)	Highways department Hunt kennels Police RSPCA Vet

Please provide some contact details below
Personal title
First name
Last name
Postcode
Telephone number
Email
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