CCE Tracker - Report a Cycling Incident
This form exists to record cycling 'incidents' with other road users, in the hope that analysis of the data will add weight to campaigns to improve the situation for cyclists.  Full information about what might happen to the data is available at <THIS LINK>, but the key facts are:

>> Any data entered via this form can be viewed by any person or institution who requests to do so

>> We hope that the data gathered will be used to add weight to pro-cycling campaigns, however, it will not be distorted to make this the case and we will actively seek to challenge any other organisation who presents a distorted view of this data.

>> Unless you identify yourself within your text, responses are anonymous.  You are strongly advised to report facts only, and to avoid any comments which might harm your case if you end up disputing the incident legally

There are two sections to this form, a required multiple choice element that covers the basics, and a 'further details' bit that will allow better data analysis, but is entirely optional.

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Whereabouts are you? *
Exactly where was the incident? *
Aim for short and sweet.  Just using the road name allows Google to do some fancy automatic maps.
Who was the other party involved in the incident? *
If more than one other party involved, pick the main one
What time of day was the incident? *
We've suggested the times of 'rush hour', but feel free to bend them to match the traffic conditions
Roughly what happened? *
Pick all that apply.  There's a 'more detailed description' box lower down if you've got the time to record it.   Note, a 'left hook' is where a vehicle overtakes and immediately turns left in front of the cyclist, and a 'close pass' is based on your opinion of the speeds involved and whether the distance left for the overtake was safe.
Required
What was the outcome? *
We'll take it as read that the cyclist felt intimidated, but check all that apply
Required
More detailed information (optional)
Thanks for filling in the above.  If you've got the time, please feel free to complete any or all of the questions below.  They'll enable more detailed data analysis, identification of repeat offenders, and a more accurate record of exactly what happened
Describe exactly what happened in the incident
If relevant, what was the number plate of the other vehicle?
Don't use spaces, and replace uncertain characters with a question mark.  Please don't add any additional text, as it makes spotting repeats more difficult
How confident are you on that plate?
This helps us match up any duplicates.  
If relevant, what was the company/organisation of the other vehicle?
Describe the other vehicle
Make, model, colour, condition, driver, etc.  Even if you're confident on the number plate, the description might help others
Finally (almost), some quickfire yes/no questions
There is absolutely no assumption of what is right and wrong below (apart from the lights/dark combination!).  Primarily, we're interested about whether the frequency of certain types of incident is affected by what the cyclist looks like, or the environment around them.  Feel free to leave any or all blank.
Yes
No
The cyclist's lights were on
The cyclist was wearing hi-vis
The cyclist was wearing a helmet
The cyclist looked male
The cycle was 'unusual' (trailer, recumbent, etc)
The cyclist was in a cycle lane
There was a cycle lane, but the cyclist wasn't in it
The road surface was cobbled
The road surface was in poor condition
The road surface was snowy/icey
The road surface was wet
Clear selection
Finally (honest!), any additional factors you think are relevant?
Road layout; weather; your 'One Less Car' banner flying in the breeze?  Maybe a link to a video of the incident, if you're technologically inclined?  What lights were you using?  Exactly what time?  Anything like that.
Form Feedback
To avoid the risk of your comments being accidentally distributed along with requests for the data, we haven't included a 'feedback' box.  If you have technical questions, or are uncertain about some aspect of what might happen to your data, please visit <LINK> or email rob@darkerside.org directly.

If you're interested in the community of cyclists who started, support and run this project, along with a whole host of other information on much more cheerful subjects, head over to http://citycyclingedinburgh.info

If this incident has resulted in a collision or damage to you or your bike, you have our sympathy.  The following links (one from CTC's stop SMIDSY campaign and the other from the London Fixed Gear community) might help you explore your options.

http://www.stop-smidsy.org.uk/information/crash
http://www.lfgss.com/thread4213.html
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