Incident Reporting Form

I declare that:

1. the information provided in this Heavy Vehicle Incident Form and any supporting documentation is true and correct to the best of my knowledge and belief;
2. in the event that the incident is reported on behalf of a company, I am authorised by that company to lodge this Heavy Vehicle Incident Form on its behalf and to be its authorised contact person; and
3. in the event that any of the information in this Heavy Vehicle Incident Form is false and/or misleading I understand that I may be guilty of an offence under section 36(1) of the Road Traffic (Administration) Act 2008 (WA).

Main Roads Western Australia collects personal information provided through forms and digital services to assess, process and administer heavy vehicle regulatory functions. These include the WA Heavy Vehicle Accreditation (WAHVA) Scheme, WAHVA Auditor Certification, Heavy Vehicle Pilot License, listing or updating vehicles and trailers, heavy vehicle permits and access approvals, and heavy vehicle incident reporting.

This information is collected under the authority of the:

• Road Traffic (Vehicles) Act 2012
• Road Traffic (Administration) Act 2008
• Road Traffic (Vehicles) Regulations 2014
• Road Traffic (Authorisation to Drive) Regulations 2014
• Road Traffic (Repeals and Amendments) Regulations 2014
• Road Traffic Code 2000
• Main Roads Act 1930
• Cocos (Keeling) Islands Act 1955 (Cth)

The information is used for regulatory assessment, compliance monitoring, safety assurance, operational decision-making and enforcement activities related to heavy vehicle operations in Western Australia.

If you do not provide the requested information, Main Roads may be unable to process your application, assess eligibility, or fulfil statutory obligations.

Your information may be disclosed to other State and Commonwealth government agencies, law enforcement bodies, and contracted service providers where required for regulatory, safety, compliance or service delivery purposes.

You can find more information about how we handle personal information in our Privacy Policy on our website.

To request access to your personal information, or to lodge a privacy complaint, please contact us at privacy@mainroads.wa.gov.au.