
ACTION
1NON-CONTACT
2NON-COLLISION
3 STRIKING
4STRUCK
5BOTH STRIKING AND STRUCK
6UNKNOWN
A B
DAMAGE SCALE
1NONE
2NON-FUNCTIONAL DAMAGE
3FUNCTIONAL DAMAGE
4DISABLING DAMAGE
5SEVERE
6UNKNOWN
A B
POINT OF IMPACT
01 NONE
02 CENTER FRONT
03 RIGHT FRONT
04 RIGHT SIDE
05 RIGHT REAR
06 REAR CENTER
07 LEFT REAR
08 LEFT SIDE
09 LEFT FRONT
10 TOP AND WINDOWS
11 UNDERCARRIAGE
12 LOAD/TRAILER
13 TOTAL (A LL AREAS)
14 OTHER
15 UNKNOWN
A B
MOST HARMFUL EVENT
OF THE SEQUENCE OF EVENTS WHICH
ONE IS THE MOST HARMFUL EVENT (1-4)
A B
TRAFFIC CONTROL
01 NO CONTROLS
02 STOP SIGN
03 YIELD SIGN
04 TRAFFIC SIGNAL
05 TRAFFIC FLASHERS
06 SCHOOL ZONE
07 RAILROAD CROSSBUCKS
08 RAILROAD FLASHERS
09 RAILROAD GATES
10 CONSTRUCTION BARRICADE
11 POLICE OFFICER
12 PAVEMENT MARKINGS
13 CROSSWALK LINES
14 WALK/DONT WALK SIGNAL
15 TRAFFIC CONTROL DEVICE INOPERATIVE,
MISSING, OBSCURED
16 OTHER
A B
STRIKING VEHICLE:
OVERRIDE/ UNDERRIDE
1NO UNDERRIDE OR OVERRIDE
2 UNDERRIDE, COMPARTMENT
INTRUSION
3 UNDERRIDE, NO COMPARTMENT
INTRUSION
4UNDERRIDE, COMPARTMENT
INTRUSION UNKNOWN
5OVERRIDE, MOTOR VEHICLE IN
TRANSPORT
6OVERRIDE, OTHER VEHICLE
7UNKNOWN
A B
CONTRIBUTING CIRCUMSTANCES
MOTORIST
01 NONE
02 FAILURE TO YIELD
03 RAN RED LIGHT, OR STOP SIGN
04 EXCEEDED SPEED LIMIT
05 UNSAFE SPEED
06 IMPROPER TURN
07 LEFT OF CENTER
08 FOLLOWED TOO CLOSELY/ACDA
09 IMPROPER LANE CHANGE/
DROVE OFF ROAD/
IMPROPER PASSING
10 IMPROPER BACKING
11 IMPROPER START FROM PARKED POSITION
12 STOPPED OR PARKED ILLEGALLY
13 OPERATING VEHICLE IN ERRATIC,
RECKLESS, CARELESS, NEGLIGENT OR
AGGRESSIVE MANNER
14 SWERVING TO AVOID (DUE TO WIND,
SLIPPERY SURFACE, VEHICLE, OBJECT,
NON-MOTORIST IN ROADWAY, ETC)
15 FAILURE TO CONTROL
16 VISION OBSTRUCTION
17 DRIVER INATTENTION
18 FATIGUE/ASLEEP
19 OPERATING DEFECTIVE EQUIPMENT
20 LOAD SHIFTING /FALLING/SPILLING
21 OTHER IMPROPER ACTION
22 UNKNOWN
NON-MOTORIST
23 NONE
24 IMPROPER CROSSING
25 DARTING
26 LYING AND/OR ILLEGALLY IN ROADWAY
27 FAILURE TO YIELD RIGHT OF WAY
28 NOT VISIBLE (D ARK CLOTHING)
29 INATTENTIVE
30 FAILURE TO OBEY TRAFFIC SIGNS,
SIGNALS, OR OFFICER
31 WRONG SIDE OF THE ROAD
32 OTHER
33 UNKNOWN
A B
FIRST HARMFUL EVENT
OF THE SEQUENCE OF EVENTS WHICH
ONE IS THE FIRST HARMFUL EVENT (1-4)
A B
01 NOT AN INTERSECTION
02 FOUR-WAY INTERSECTION
03 T-INTERSECTION
04 Y-INTERSECTION
05 TRAFFIC CIRCLE/ROUNDABOUT
06 FIVE-POINT, OR MORE
07 ON RAMP
08 OFF RAMP
09 CROSSOVER
10 DRIVEWAY/ACCESS
11 RAILWAY G RADE C ROSSING
12 SHARED-USE PATHS OR TRAILS
13 UNKNOWN
TYPE OF INTERSECTION
OCCURRENCE
1ON ROADWAY
2ON SHOULDER
3 IN MEDIAN
4ON ROADSIDE
5ON GORE
6OUTSIDE TRAFFICWAY
7UNKNOWN
ROAD CONTOUR
1STRAIGHT LEVEL
2STRAIGHT GRADE
3CURVE LEVEL
4CURVE GRADE
01 SUB-COMPACT
02 COMPACT
03 MID SIZE
04 FULL SIZE
05 MINIVAN
06 SPORT U TILITY VEHICLE
07 PICKUP
08 PANEL/VAN
09 SINGLE UNIT TRUCK;
2 AXLES, 6 TIRES
10 SINGLE UNIT TRUCK; 3+ AXLES
11 TRUCK/TRAILER
12 TRUCK TRACTOR (BOBTAIL)
13 TRACTOR/SEMI-TRAILER
14 TRACTOR/DOUBLE SHORT
15 TRACTOR/DOUBLE LONG
16 FIFTH WHEEL OR
CONVERTER DOLLY
17 TRACTOR/TRIPLES
18 MOTORCYCLE
19 MOTORIZED BICYCLE
20 SCHOOL BUS
21 CHURCH BUS
22 PUBLIC BUS
23 OTHER BUS
24 POLICE VEHICLE
25 FIRE TRUCK
26 AMBULANCE/RESCUE
27 TAXI
28 MOTOR HOME
29 TRAIN
30 FARM VEHICLE
31 FARM EQUIPMENT
32 SNOWMOBILE
33 CONSTRUCTION EQUIPMENT
34 ALL OTHERS
35 ANIMAL W/RIDER
36 ANIMAL W/BUGGY
37 BICYCLE
38 PEDESTRIAN
39 PEDALCYCLIST
40 SKATER
41 OTHER-NON MOTORIST
42 UNKNOWN
A B
PRE-CRASH ACTIONS
MOTORIST
01 MOVEMENTS ESSENTIALLY
STRAIGHT AHEAD
02 BACKING
03 CHANGING LANES
04 OVERTAKING/PASSING
05 TURNING RIGHT
06 TURNING LEFT
07 MAKING U-TURN
08 ENTERING TRAFFIC LANE
09 LEAVING TRAFFIC LANE
10 PARKED
11 SLOWING/STOPPED IN TRAFFIC
12 DRIVERLESS
13 OTHER
14 UNKNOWN
NON-MOTORIST
15 ENTERING/CROSSING IN SPECIFIED
LOCATION
16 WALKING, RUNNING, JOGGING,
PLAYING, CYCLING
17 WORKING
18 PUSHING VEHICLE
19 APPROACHING/LEAVING VEHICLE
20 PLAYING/WORKING ON VEHICLE
21 STANDING
22 OTHER
23 UNKNOWN
A B
IN EMERGENCY RESPONSE
1NO
2YES
3UNKNOWN
A B
A B
NON-MOTORIST LOCATION
01 MARKED CROSSWALK AT
INTERSECTION
02 INTERSECTION/ NO CROSSWALK
03 NON-INTERSECTION CROSSWALK
04 DRIVEWAY A CCESS CROSSWALK
05 IN ROADWAY
06 NOT IN ROADWAY
07 MEDIAN (BUT NOT SHOULDER)
08 ISLAND
09 SHOULDER
10 SIDEWALK
11 WITHIN 10 FEET OF ROADWAY
(NOT SHOULDER, MEDIAN,
SIDEWALK, ISLAND)
12 BEYOND 10 FEET OF ROADWAY
(WITHIN TRAFFICWAY)
13 OUTSIDE TRAFFICWAY
14 SHARED USE PATHS OR TRAILS
15 UNKNOWN
CONDITION
1APPARENTLY NORMAL
2PHYSICAL IMPAIRMENT
3EMOTIONAL
4ILLNESS
5FELL ASLEEP, FAINTED, FATIGUED, ETC
6UNDER THE INFLUENCE OF
MEDICATIONS/DRUGS/ALCOHOL
7OTHER
8UNKNOWN
A B
VEHICLE DEFECT
CODE ONLY IF 19
SELECTED ABOVE
01 TURN SIGNALS
02 HEAD LAMPS
03 TAIL LAMPS
04 BRAKES
05 STEERING
06 TIRE BLOWOUT
07 WORN OR SLICK TIRES
08 TRAILER EQUIPMENT
DEFECTIVE
09 MOTOR TROUBLE
10 DISABLED FROM PRIOR
CRASH
11 OTHER DEFECTS
A B
SPEED
A
B
SEQUENCE OF EVENTS
A B
NON-COLLISION
01 OVERTURN/ROLLOVER
02 FIRE/EXPLOSION
03 IMMERSION
04 JACKKNIFE
05 CARGO/EQUIPMENT LOSS/SHIFT
06 EQUIPMENT FAILURE
07 SEPARATION OF UNITS
08 RAN OFF ROAD RIGHT
09 RAN OFF ROAD LEFT
10 CROSS MEDIAN/CENTERLINE
11 DOWNHILL RUNAWAY
12 OTHER NON-COLLISION
13 UNKNOWN NON-COLLISION
COLLISION W/PERSON, VEHICLE,
OR OBJECT NOT FIXED
14 PEDESTRIAN
15 PEDALCYCLE
16 RAILWAY VEHICLE
17 ANIMAL FARM
18 ANIMAL DEER
19 ANIMAL OTHER
20 MOTOR VEHICLE IN TRANSPORT
21 PARKED MOTOR VEHICLE
22 WORK ZONE MAINTENANCE EQUIPMENT
23 OTHER MOVABLE OBJECT
24 UNKNOWN MOVABLE OBJECT
COLLISION WITH FIXED OBJECT
25 IMPACT ATTENUATOR/CRASH CUSHION
26 BRIDGE OVERHEAD STRUCTURE
27 BRIDGE PIER OR ABUTMENT
28 BRIDGE PARAPET
29 BRIDGE RAIL
30 GUARDRAIL FACE
31 GUARDRAIL END
32 MEDIAN BARRIER
33 HIGHWAY TRAFFIC SIGN POST
34 OVERHEAD SIGN POST
35 LIGHT/LUMINARIES SUPPORT
36 UTILITY POLE
37 OTHER POST, POLE OR SUPPORT
38 CULVERT
39 CURB
40 DITCH
41 EMBANKMENT
42 FENCE
43 MAILBOX
44 TREE
45 OTHER FIXED OBJECT
46 WORK ZONE MAINTENANCE EQUIPMENT
47 UNKNOWN FIXED OBJECT
48 OTHER
49 UNKNOWN
1
2
3
4
1
2
3
4
UNIT NUMBERS
A B
A B
SPEED DETECTED
1STATED
2ESTIMATED SPEED
ALCOHOL/DRUG SUSPECTED
1NONE
2YES ALCOHOL SUSPECTED
3YES HBD NOT IMPAIRED
4YES DRUGS S USPECTED
5YES ALCOHOL / DRUGS SUSPECTED
6UNKNOWN
A B
ALCOHOL TEST STATUS
1NONE
2TEST R EFUSED
3TEST GIVEN, CONTAMINATED
SAMPLE/UNUSABLE
4TEST GIVEN , RESULTS KNOWN
5TEST GIVEN, RESULTS UNKNOWN
6UNKNOWN
A B
A B
DRUG TEST TYPE
1NONE
2BLOOD
3URINE
4OTHER
A B
DRUG TEST STATUS
1NONE
2TEST R EFUSED
3TEST GIVEN, CONTAMINATED
SAMPLE/UNUSABLE
4TEST G IVEN, RESULTS KNOWN
5TEST GIVEN, RESULTS UNKNOWN
6UNKNOWN
POSTED SPEED
A B
A B
DIRECTION
FROM TO FROM TO
1NORTH
2SOUTH
3EAST
4WEST
5NORTHEAST
6NORTHWEST
7SOUTHEAST
8SOUTHWEST
9UNKNOWN
LOCAL REPORT #
1 2 1 2
DRUG TEST 1&2 RESULT
A B
1NONE
2MARIJUANA
3COCAINE
4OPIATES
5AMPHETAMINES
6 PCP
7OTHER
8UNKNOWN AT TIME OF REPORTING
DAMAGE A REA
A
B
MOST DAMAGED AREA
01 NONE
02 CENTER FRONT
03 RIGHT FRONT
04 RIGHT SIDE
05 RIGHT REAR
06 REAR CENTER
07 LEFT REAR
08 LEFT SIDE
09 LEFT FRONT
10 TOP AND WINDOWS
11 UNDERCARRIAGE
12 LOAD/TRAILER
13 TOTAL (A LL AREAS)
14 OTHER
15 UNKNOWN
A B
ALCOHOL TEST TYPE
1NONE
2BLOOD
3URINE
A B
4BREATH
5OTHER
SUPPLEMENT
X IF YES
A
B
ALCOHOL TEST R ESULT
.
.
*
*
MOTORIST
NON-MOTORIST
TYPE O F UNIT
ROAD CONDITIONS
PRIMARY SECONDARY
01 DRY
02 WET
03 SNOW
04 ICE
05 SAND, MUD, DIRT, OIL, GRAVEL
06 WATER (STANDING, MOVING)
07 SLUSH
08 DEBRIS**
09 RUT, HOLES, BUMPS, UNEVEN
PAVEMENT **
10 OTHER
11 UNKNOWN
* *SECONDARY ROAD CONDITIONS ONLY
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