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 _________________________________________
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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):

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02. Referencia de la vía

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03. La calzada lugar del accidente presenta las siguientes características:

 Configuración de la calzada:
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 Material de la calzada:
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  Señal o dispositivos de tránsito:
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 Ordenamiento de tránsito:
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 Área de maniobrabilidad:
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 Iluminación:
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 Visibilidad:
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 Intensidad vehicular:
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 Fluidez vehicular:
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04. Observaciones:

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---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