Accident Register Form PDF Details

The Accident Register Form is an official document required under 49 CFR 390.15 of the Federal Motor Carrier Safety Regulations. Motor carriers operating commercial motor vehicles (CMVs) in interstate commerce must maintain this register to document all accidents that result in a fatality, bodily injury requiring treatment away from the scene, or disabling damage to any vehicle requiring a tow.

Each entry in the register must record the accident date and hour, the city or town and state where it occurred, the driver's name and license number, the number of fatalities and non-fatal injuries, whether hazardous materials were released, and references to any state or federal accident reports. Motor carriers must retain all entries for a minimum of three years from the date of each accident and make the register available for FMCSA inspection upon request.

Failure to maintain an accurate accident register can result in civil penalties during FMCSA compliance audits. Comprehensive recordkeeping not only satisfies federal requirements but also helps fleet managers identify accident patterns and implement corrective safety measures. To build a complete accident documentation system, you may also need an incident accident report form for internal recordkeeping, a vehicle accident and damage report for insurance claims, and a first injury report if a driver or passenger sustained injuries requiring medical attention.

QuestionAnswer
Form NameAccident Register Form
Issuing AuthorityFederal Motor Carrier Safety Administration (FMCSA)
Regulation49 CFR Part 390.15
Retention Period3 years from accident date
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesfmcsa crash register, federal motor carrier accident register, accident log, accident register format

Form Preview Example

ACCIDENT REGISTER

FROM _______________________, 20____ TO _______________________, 20____

Date & Hour

Location of Accident

 

of Accident

 

 

 

 

 

 

 

 

 

Date

Hour

Street Address

City

State

 

 

 

 

 

No. of Deaths

No. of

Non-Fatal

Injuries

H/M

Driver’s

Name

Copy of

State or

Insurance

Report

PAGE 12 ACCIDENT COUNTERMEASURES

IA1051-2.0, JUN95

How to Edit Accident Register Form Online for Free

Working with PDF forms online is simple with this free tool. You can complete the FMCSA accident register pdf here in minutes. The editor is continually updated with new features to make form completion faster and easier. To get started, follow the steps below.

Step 1: Open the PDF editor by clicking the "Get Form" button at the top of this page.

How one can fill out fmcsa accident report form step 1

Step 2: The accident register captures key fields including the accident date and time, city and state, driver name and license number, fatality count, injury count, and whether hazardous materials were released. You can type directly into each field, add annotations, or draw a signature using the editor tools.

fmcsa accident report form writing process outlined (stage 2)

Step 3: Review all entered information carefully. When satisfied, click "Done" to finalize the document. You can then download the completed form, print it, or save it for later editing. Per 49 CFR 390.15, retain each completed register for at least three years and make it available for FMCSA audit inspection.

For related fleet documentation, explore the vehicle accident and damage report and the driver time record.