Near miss incident report

Please use this form to report near misses on North Lincolnshire's roads.

Date of incident *

Date of incident

Time of incident *

Location of incident *

Type of vehicle(s) involved (e.g. car, bus, cycle, etc.)

Direction of travel *

(e.g. towards Ashby)

Condition of road surface *

Light conditions *

Street furniture damaged?

Lamp post
Property boundary
Service pole
Sign pole
Signal pole
Tree
Other

If Other, please specify

Please describe exactly what happened? *

Section Navigation Bar