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5. Ph ng ti n, tang v t, d u v t và m u so sánh thu đc:ươ ệ ậ ấ ế ẫ ượ
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nh ng ph ng ti n, tang v t, dâu vêt va mâu so sánh noi trên đc thu l m, bao ư ươ ệ ậ ươ ươ
quan đa vê ...............................................................................................đê nghiên c u ư ư
x ly.ư
Trong qua trinh kham nghiêm hiên tr ng chung tôi đa ve s đô hiên tr ng, ươ ơ ươ
chup anh va ghi hinh hiên tr ng (nêu co). ươ
Vi c khám nghi m hi n tr ng k t thúc h i ..... gi ..... phut, ngày .....ệ ệ ệ ườ ế ồ ờ
tháng ..... năm ........ Biên ban nay đã đc l i cho nh ng ng i có tên trên nghe, công ọ ạ ữ ườ
nh n đúng, ký tên xac nhân d i đây./.ậ ướ
NG I CÓ LIÊN QUAN TRONG VƯỜ Ụ
TAI N N GIAO THÔNGẠ
(Ký, ghi rõ h tên)ọ
NG I TI N HÀNH ƯỜ Ế
KHÁM NGHI M HI N TR NGỆ Ệ ƯỜ (5)
(Ký, ghi rõ h tên)ọ
NG I CH NG KI NƯỜ Ứ Ế
(Ký, ghi rõ h tên)ọ
NG I LÂP BIÊN BANƯƠ
(Ký, ghi rõ h tên)ọ
NG I THAM DƯƠ Ư
(Ký, ghi rõ h tên)ọ
(5) Nêu co Cán b Điêu tra thi Cán b Điêu tra ky tên. ộ ộ
M u sô 05/TNĐBẫ
Ban hanh theo Thông t sô 63/2020/TT-BCA ư
ngày 19/6/2020
..............................................(1)
..............................................(2)
C NG HOÀ XÃ H I CH NGHĨA VI TỘ Ộ Ủ Ệ
NAM
Đc l p - T do - H nh phúcộ ậ ự ạ
…….…, ngày……tháng……năm………
BIÊN BAN KHAM NGHIÊM HIÊN TR NG ƯƠ
VU TAI NAN GIAO THÔNG ĐNG B ƯỜ Ộ
Hôi .…. gi .…. phut, ngày ….. tháng ….. năm …….. tai ờ (3) ……………………
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Chung tôi gôm:
Ông/bà: .............................................................................................................................
thuôc C quan ................................................................................................................... ơ
Ông/bà: .............................................................................................................................
thuôc C quan ................................................................................................................... ơ
Ông/bà: .............................................................................................................................
...................................................................................là ng i liên quan trong v tai n nườ ụ ạ
Ông/ba: .............................................................................................................................
.......................................................................................................... la ng i ch ng kiên ươ ư
V i s tham d cuaơ ư ư (4):
Ông/bà ………………………...………..………………………………………………..
…………………………………………………..……….…………………………....…
Ông/bà ………………………...………..………………………………….………….....
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Ông/bà ………………………...………..…………………………….……………….....
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ti n hành khám nghi m hi n tr ng v tai n n giaoế ệ ệ ườ ụ ạ
thông:............................................... ..................................................................................
..........................................................
trong đi u ki n th i ti t (n ng, m a, râm mát, sáng,ề ệ ờ ế ắ ư
t i):.................................................. ố
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Tinh trang hiên tr ng khi chung tôi co măt (ghi nhân nh ng viêc đa lam anh ươ ư
h ng đên hiênươ
tr ng): ....................................................................................................ươ
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(1) Tên c quan c p trên;ơ ấ
(2) Tên c quan l p biên b n;ơ ậ ả
(3) Đa điêm lâp biên ban: Km (sô nha), đng (phô); khu gian, ga, thu c thôn ( p), xa (ph ng, th tr n), ị ươ ộ ấ ươ ị ấ
huyên (quân, thi xa, TP thu c tinh), t nh (TP tr c thu c Trung ng). ộ ỉ ự ộ ươ
(4) Có th là cán b k thu t hình s , nha chuyên môn; cán b c p xã ph ng, th tr n n i x y ra v tai n n ể ộ ỹ ậ ự ộ ấ ườ ị ấ ơ ả ụ ạ
giao thông; ng i phiên dich, ng i co liên quan đên vu tai nan giao thông. ườ ươ
I. Hi n tr ng và quá trình khám nghi mệ ườ ệ
1. Mô t hi n tr ng chung n i x y ra tai n nả ệ ườ ơ ả ạ
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2. Ghi nh n vi c đánh s th t theo s t nhiên v trí n n nhân, ph ng ti n,ậ ệ ố ứ ự ố ự ị ạ ươ ệ
tang v t, d u v tậ ấ ế
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3. Xác đnh đi m m c và m t trong các mép đng n i x y ra tai n n làmị ể ố ộ ườ ơ ả ạ
chu nẩ
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4. Mô t theo s th t v trí n n nhân, ph ng ti n, tang v t, d u v tả ố ứ ự ị ạ ươ ệ ậ ấ ế
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