PRAIRIE ROSE SCHOOL DIVISION SECTION E: SUPPORT SERVICES (PART 3: TRANSPORTATION)

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1 EMJ ACCIDENTS INVOLVING SCHOOL BUSES File EMJ The Bus Driver shall immediately verbally inform the Supervisor of Operations who shall call the police to the scene of all accidents involving the school bus and another vehicle or pedestrian. In the case of an accident, the Driver shall not continue the trip without authorization from the Supervisor of Operations. Within two (2) working days, the Bus Driver shall submit detailed reports of the accident, on the prescribed forms, to the Supervisor of Operations and to Autopac. The Driver shall also report the accident to the police, as required by the Highway Traffic Act (See ) The Supervisor shall verbally report accidents as soon as possible to the Superintendent, and shall submit all necessary reports and recommendations promptly. If there are any students on the bus at the time of the accident, the parents shall be contacted by the School Principal as soon as possible after the accident to ensure that they are fully informed on the details of the accident and to submit an immediate report if their child/children suffer any injury directly resulting from the accident.

2 School Bus Accident Report Form 1. The Pupil Transportation Unit requires the information specified on this form whenever a school bus is involved in an accident, regardless of severity. 2. The Bus Driver must complete a School Bus Accident Report Form ensuring all relevant sections and as much detail as possible is provided. Should you need assistance, please contact the Supervisor of Operations. 3. The completed form must be submitted to the Supervisor of Operations as early as possible. It will be processed in accordance with Divisional Policies and Regulations concerning a bus accident and Pupil Transportation guidelines.

3 General Accident Information... School Bus Unit Number: Accident Date: Day of Week: M T W Th F Sa Su Accident Location (eg. street, highway number, driver s residence): Town/City: OR ρ On rural route Time of Accident: ρ a.m. Number of Students on Bus (excluding driver): ρ p.m. Type of Bus: ρ 1 Van ρ 2 Van ρ 3 Handi-Transit ρ 4 Conventional ρ 5 Flat Nose (Type A1) (Type A2) (Type A1) (Type C) (Type D) School Bus Use at Time of Accident: ρ 1 Regular route ρ 2 Special education ρ 3 Field trip ρ 4 Maintenance/Fueling ρ 5 Off duty ρ 6 Other (specify) School Bus Driver Information... Driver s Name: School bus driver experience: ρ 1 Less than 1 year ρ years ρ 5 More than 10 years ρ years ρ years Number of school bus accidents in past three years: Did driver receive 24 hours of school bus operator instruction prior to being certified? ρ 1 Yes Has driver received eight hours of inservicing in the past 12 months? ρ 1 Yes At Time of Accident... Posted speed limit: km/h OR ρ Not applicable Approximate speed of bus: km/h OR ρ Stopped Was driver wearing seat belt? ρ 1 Yes ρ 3 Driver off bus at time of accident Is bus strobe light equipped? ρ 1 Yes Was it activated at time of accident? ρ 1 Yes Were the police notified? ρ 1 Yes Was a police report completed? ρ 1 Yes

4 1. Accident involved school bus and: ρ 1 Another motor vehicle ρ 4 Animal ρ 2 School bus only ρ 5 Pedestrian ρ 3 Fixed object ρ 6 Cyclist ρ 7 Train What? ρ 8 Other What? 2. Amount of damage to all property involved (i.e. vehicles and/or other objects): ρ 1 No damage ρ 2 $1,000 or less ρ 3 More than $1, Did accident occur at an intersection? ρ 1 Yes 4. Type of collision between vehicles or objects: ρ 1 Angle ρ 4 One vehicle backing ρ 2 Head on ρ 5 Rollover ρ 3 Rear end ρ 6 Other What? 5. Direction of vehicles at time of accident: ρ 1 Angle, both moving ρ 2 Same direction, both moving ρ 3 Opposite direction, both moving ρ 4 One vehicle stopped ρ 5 Single vehicle accident ρ 6 Vehicle direction not a factor 6. Contributing Circumstance(s): Bus Driver Actions ρ 1 Improper speed ρ 2 Failed to yield right of way ρ 3 Failed to obey stop sign ρ 4 Failed to obey traffic signal ρ 5 Crossed centre line ρ 6 Improper passing ρ 7 Improper turning ρ 8 Improper backing ρ 9 Followed too closely Other Circumstances ρ 10 Actions of other driver ρ 11 Obstructed view ρ 12 Weather conditions/visibility ρ 13 Vehicle defect What? ρ 14 Road conditions What? ρ 15 Other circumstance What? 7. Weather Conditions/Visibility: ρ 1 Clear ρ 2 Cloud/overcast ρ 3 Rain ρ 5 Snow/sleet ρ 6 Haze/smoke ρ 7 Exhaust fog

5 ρ 4 Fog ρ 8 Other What? 8. Road Surface: ρ 1 Pavement ρ 2 Gravel ρ 3 Dirt 9. Road Condition: ρ 1 Dry ρ 5 Snow packed ρ 2 Wet ρ 6 Potholes/ruts ρ 3 Muddy ρ 7 Under repair ρ 4 Icy ρ 8 Other What? 10. Lighting: ρ 1 Dawn ρ 2 Daylight ρ 3 Dusk ρ 4 Dark ρ 5 Dark, artificially illumination 11. Identify point of impact (roof) 13 Crossing Arm (undercarriage) 14 No impact/other circumstance What? 12. Please provide a brief description of the accident, and if it assists with the explanation, complete the accident sketch below.

6 COMPLETE ONLY IF ACCIDENT OCCURRED WHILE LOADING/UNLOADING 13. At time of accident, was the bus: ρ 1 Entering the loading area ρ 2 Stopped in the loading area ρ 3 Leaving the loading area 14. Did a don t pass law violation occur? ρ 1 Yes 15. Was anyone injured in this accident? ρ 1 Yes Was the pupil/other person injured in the loading area: ρ 1 Struck by ρ 2 Struck by ρ 3 Other the bus another vehicle incident What? COMPLETE ONLY IF ACCIDENT INVOLVED A PEDESTRIAN/CYCLIST 16. Direction of bus at time of accident: ρ 1 Straight ρ 4 Backing ρ 2 Turning right ρ 5 Bus stopped ρ 3 Turning left ρ 6 Other What? 17. At time of accident, the pedestrian/cyclist was: ρ 1 On the side of the road ρ 3 In a crosswalk ρ 2 In the roadway ρ 4 Other What? COMPLETE ONLY IF ACCIDENT RESULTED IN INJURY Number of Injured ON Bus Severity of Injury Students Driver Minor Moderate Serious Fatal Other Passengers Students Driver Number of Injured OFF Bus Other Persons