ACTA DE INSPECCION TECNICA POLICIAL
---- En el distrito de __________________siendo las __________ horas del_________2018, presente la
Instructora en ________________________________________________________________________,
en compañía del Representante del Ministerio Público _________________________________________
____________________________________________________________________________________,
y testigo __________________________________________________ ( ), natural__________________
estado civil ____________ ocupación ______________________ identificado con DNI N° _____________
domiciliado en _________________________________________________________________________
Se procedió a formular la presente ACTA DE INSPECCION TECNICO POLICIAL, por Accidente de
Tránsito (_______________________________) según detalla:
01. Unidades participantes (localización):
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
____________________________________________________________________________________
02. Referencia de la vía
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
_________________________________________________________________________________
03. La calzada lugar del accidente presenta las siguientes características:
Configuración de la calzada:
_____________________________________________________________________________
Material de la calzada:
_____________________________________________________________________________
_____________________________________________________________________________
Señal o dispositivos de tránsito:
_____________________________________________________________________________
_____________________________________________________________________________
Ordenamiento de tránsito:
_____________________________________________________________________________
_____________________________________________________________________________
Área de maniobrabilidad:
_____________________________________________________________________________
____________________________________________________________________________
.
Iluminación:
_____________________________________________________________________________
_________________________________________________________________________
Visibilidad:
_____________________________________________________________________________
_____________________________________________________________________________
Intensidad vehicular:
_____________________________________________________________________________
_____________________________________________________________________________
Fluidez vehicular:
_____________________________________________________________________________
_____________________________________________________________________________
04. Observaciones:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
---Y para constancia de su conformidad, se levanta la presente en_____, siendo las ______horas del
__________, en presencia del personal Policial, RMP y testigo, quienes firman a continuación.
INSTRUCTORA RMP
TESTIGO