Ev Battery

DA/Transporter ID:
Route Number:
Nursery Y/N:
VIN:
Last Delivery Time:
RTS Time:
Number of Returns:
Last stop:
TBA of last stop:
% Battery Life remaining:
Miles to Empty:
Start of Day Battery Life:
LO Battery Life:

Incident Report

DSP:
Date Incident Occurred:
Incident Type: (Illness/Injury/Threatening Behavior)
If injured, what part of body:
Time of Incident:
Address of Incident:
Route/Stop:
DA Name/Transporter ID:
VIN/Van Make:
Time in Position/Hire Date:
LMET Called: #
911 Called:
Police Report (if applicable)
Initial Pain Level:
Did DA continue delivering route:
Was DA wearing Zappos Shoes:
Was DA following Amazon Safety Procedure:
Was DA rushing while working:
Was DA working overtime:
If weather contributed, what were the conditions:
Did DA seek medical attention:
Detailed Description (add pictures as necessary):