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Home
News Headlines
SLRSA News
Management Activities
Road Crash Updates
Management
Board
Executive
Directors
Apply for Licence
Report A Crash
Staff Portal
Sign In/Out
Leave Form
Ticket Form
Contact us
Emergency Line
+23230844844
Sign in
Contact Us
REPORT A CRASH
Sierra Leone Road Safety Authority Crash Daily Report Form for Accurate Data Collection
Institution/Others
Road Safety Corps
SLRSA Regular Staff
SLP
Public
Name of Reporter
PF/RSC No. or Police No.
Reporter phone No.
Date & time of Crash
Registration No.
Type of Motor
Vehicle
Motorbike
Vehicle & Motorbike
Tricycle
Unknown
Model/Make
Crash Location
District/Town
Region
Western Rural Area
Western Urban Area
North-West
North-East
South
East
Total Victim Involved
Type of Injury
Fatal
None
No. of Death
Name(s) of Victim
No. of Injured Person(s)
Male
Female
Age Bracket
0-9
10-17
18-39
40-60
60 Above
Children Involved
Yes
No
Name(s) of Children Involved
Children Involve with Serious or slight Injury?
Yes
No
No. of Children died
No. of Children Injured
Other types of Injury
Slight
Serious
None
Any other types of injuries
Name(s) of Victim for Serious or Slight Injuries
No. of Person(s) with Serious Injury
No. of Person(s) with Slight Injury
Serious or Slight injury person(s) age Bracket
0-9
10-17
18-39
40-60
61 Above
Weather
Wet
Dry
Cause of Crash
Human Error
Mechanical Fault
Environmental Cause
Human Error
Over Speed
Over Loading
Fatique
Drunk Driving
Overtaking
Hit & Run
Disobeying Road Signs
Obstruction
Others
Mechanical Fault
Tyre Burst
Break Failure
Improper Maintenance
Others
Environmental Cause
Weather
Road Condition
Falling Trees
Animal
Others
Types of Road
Feeder Road
Trunk Road
Photo 1
Photo 2
Pedestrian Involved?
Yes
No
Pedestrian Injuries
Pedestrian Name(s)
No. of Male Pedestrain
No. of Female Pedestrian
Pedestrian age brackets
0-9
10-17
18-40
40+
Pedestrian 1 Address
Pedestrian 1 Contact Person
Upload Pedestrian 1 Photo
Upload Pedestrian 2 Photo
Comments
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SLRSA Public Notice
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