Free Ohio Traffic Crash Report Template Launch Editor

Free Ohio Traffic Crash Report Template

The Ohio Traffic Crash Report form, designated as OH-1, serves as a detailed documentation tool used by law enforcement to record data from traffic crashes statewide. This form captures a wide range of information, from the basics like location, time, and date of the crash, to more detailed data including the severity of the crash, types of vehicles involved, and any injuries sustained. Through categories like "Crash Severity," "Vehicle Make and Model," and "Alcohol/Drug Suspected," it offers a comprehensive snapshot of each incident, aiding in investigations and improving road safety measures.

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The Ohio Traffic Crash Report form, designated as OH-1, plays a crucial role in documenting the specifics of vehicular collisions within the state. This comprehensive document covers a broad spectrum of data, including the severity of the crash, whether it was a hit/skip incident, details on the crash location, time and date, the reporting agency, and information about the individuals involved such as their names, addresses, and any injuries sustained. Additionally, the form categorizes the crash by type and location, records the presence of alcohol or drugs, details on the vehicles involved like make, model, and insurance information, and outlines any citations issued. The form also delves into pre-crash actions, the sequence of events leading to the crash, road and weather conditions, and the use of safety equipment by the occupants. It is designed not only to record the immediate details of the incident but also to assist in the analysis of crash data for future road safety policies. Furthermore, the form includes sections for a narrative and diagram to provide a descriptive account and visual representation of how the accident occurred, making it an essential tool for law enforcement, insurance investigations, and road safety analytics in Ohio.

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TRAFFIC CRASH REPORT

LOCAL REPORT # *

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OH-1(Rev.10/99)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PRIVATE

 

 

 

PHOTOS

OH-2

OH-3

OH-1P OTHER

 

 

 

CRASH SEVERITY

 

 

HIT/SKIP

 

 

 

 

PROPERTY

 

 

1 NOT HIT/SKIP

TAKEN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1 FATAL

3 PDO

‘X’

 

 

 

 

2 SOLVED

‘X’

 

 

 

 

 

 

 

 

 

 

2 INJURY

4 UNKNOWN

 

 

 

 

 

IF YES

 

 

 

 

 

 

 

 

 

 

IF YES

 

 

 

 

3 UNSOLVED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

N.C.I.C.# *

TIME OF CRASH

 

DAY OF WEEK

 

 

 

 

 

 

 

 

 

REPORTING AGENCY *

 

# UNITS

CITY *

VILLAGE *

TWP *

NAME (OF CITY, VILLAGE OR TOWNSHIP) *

UNIT ERROR

 

DATE OF CRASH *

98= ANIMAL

99= UNKNOWN

COUNTY # *

LATITUDE

LONGITUDE

CRASH OCCURRED ON

 

TYPE LOCATION POINT USED

PREFIX CRASH LOCATION

TYPE LOC

 

 

 

 

 

1 NAMED STREET

3 NUMBERED ROUTE

 

 

 

 

 

2 NUMBERED STREET

 

 

 

 

 

 

 

 

 

 

 

 

 

REFERENCEPOINTUSED

AT / REFERENCE

 

 

DIST REFERENCE

DR

PREFIX

REFERENCE

 

REF POINT 01

STATE LINE

 

 

 

 

 

02

INTERSECTION 2 STREETS

 

 

 

 

 

03

COUNTY LINE

LOCAL INFORMATION

04

HOUSE NUMBER

08

PLACE NAME W/O REFERENCE

05

TOWNSHIP BOUNDARY

09

DRIVEWAY

06

MILE POST

10

STREET OR ROUTE W/O

07

CORPORATION LIMIT

 

REFERENCE

UNIT #

A

#OF OCC.

NAME (LAST, FIRST, MIDDLE)

 

ADDRESS (STREET, CITY, STATE, ZIP CODE)

 

 

 

 

 

 

 

 

 

SOCIAL SECURITY NUMBER

 

DATE OF BIRTH

 

 

AGE

 

SEX

HOME PHONE #

WORK PHONE #

 

DL STATE

DL #

 

LP STATE

LP #

INJURED

1 NONE

4 OTHER

TRANSPORTED BY

INJURED TAKEN TO

 

 

 

 

 

 

TAKEN BY

2 EMS

5

UNKNOWN

 

 

 

 

 

 

 

 

 

3 POLICE

 

 

 

 

Motorist-Motorist/Non

OWNER NAME (IF SAME, WRITE “SAME”)

 

 

ADDRESS (STREET, CITY, STATE, ZIP CODE)

 

 

 

 

YEAR

 

MAKE

MODEL

COLOR

INSURANCE COMPANY

 

 

TOWING SERVICE

OWNER PHONE #

 

OFFENSE CHARGED

 

OFFENSE DESCRIPTION

 

 

 

 

CITATION #

LOCAL

 

 

 

 

 

 

 

 

 

 

 

CODE?

 

 

 

 

 

 

 

 

 

 

 

‘X’

 

 

 

 

 

 

 

 

 

 

 

IF YES

 

B

UNIT #

# OF OCC.

 

 

 

 

 

 

 

 

 

 

NAME

(LAST, FIRST, MIDDLE)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS (STREET, CITY, STATE, ZIP CODE)

 

 

 

 

 

 

 

 

 

SOCIAL SECURITY NUMBER

 

DATE OF BIRTH

 

 

AGE

 

SEX

HOME PHONE #

WORK PHONE #

 

DL STATE

DL #

 

LP S

LP #

INJURED

1 NONE

4 OTHER

TRANSPORTED BY

INJURED TAKEN TO

 

 

 

 

TATE

 

 

 

 

 

 

 

TAKEN BY

2 EMS

5

UNKNOWN

 

 

 

 

 

 

 

 

 

3 POLICE

 

 

 

 

 

OWNER NAME (IF SAME, WRITE “SAME”)

 

 

ADDRESS (STREET, CITY, STATE, ZIP CODE)

 

 

 

 

 

YEAR

 

MAKE

MODEL

COLOR

INSURANCE COMPANY

 

 

TOWING SERVICE

OWNER PHONE #

OFFENSE CHARGED

 

OFFENSE DESCRIPTION

 

 

 

CITATION #

 

 

LOCAL

 

 

 

 

 

 

 

 

 

 

 

CODE?

 

 

 

 

 

 

 

 

 

 

 

‘X’

 

 

 

 

 

 

 

 

 

 

 

IF YES

 

 

 

 

 

 

 

 

 

 

 

 

 

C

 

UNIT #

 

 

 

 

 

 

 

 

 

 

DATE OF BIRTH

 

 

 

 

 

NAME (LAST, FIRST, MIDDLE)

HOME PHONE #

 

 

 

 

 

 

Occupant

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS (STREET, CITY, STATE, ZIP CODE)

 

 

 

 

INJURED TAKEN BY

TRANSPORTED BY

 

 

 

 

 

1 NONE

4 OTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2 EMS

5 UNKNOWN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3 POLICE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

UNIT #

 

 

 

 

 

 

 

 

 

 

DATE

OF BIRTH

 

 

D

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME (LAST, FIRST, MIDDLE)

HOME PHONE #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS (STREET, CITY, STATE, ZIP CODE)

 

 

 

 

INJURED TAKEN BY

TRANSPORTED BY

 

 

 

 

 

1 NONE

4 OTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2 EMS

5 UNKNOWN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3 POLICE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AGE

SEX

INJURED TAKEN TO

AGE

SEX

INJURED TAKEN TO

 

SEATING POSITION

 

SAFETYEQUIPMENT

 

AIRBAG

 

 

AIRBAGSWITCH

 

EJECTION

 

01

FRONT – LEFT (MC DRIVER)

 

MOTORIST

 

1

NOT-DEPLOYED

 

 

1

NOT PRESENT

 

1

NOT EJECTED

A

02

FRONT – MIDDLE

A

01

NONE USED

A

2

DEPLOYED-FRONT

A

2

IN ON POSITION

A

2

TOTALLY EJECTED

03

FRONT

– RIGHT

02

SHOULDER BELT ONLY

3

DEPLOYED-SIDE

 

3

IN OFF POSITION

3

PARTIALLY EJECTED

 

 

 

 

 

 

 

04

SECOND – LEFT (MC PASS)

 

03

LAP BELT ONLY

 

4

DEPLOYED BOTH

 

 

4

UNKNOWN

 

4

NOT APPLICABLE

 

05

SECOND – MIDDLE

 

04

SHOULDER/LAP BELT

 

 

FRONT/SIDE

 

 

 

 

 

5

UNKNOWN

B

06 SECOND – RIGHT

B

05 CHILD SAFETY SEAT

B

5

NOT APPLICABLE

 

B

 

 

B

 

 

 

07

THIRD – LEFT

 

06

MC HELMET USED

 

6

UNKNOWN

 

 

 

 

 

 

 

 

 

(MC PASSENGER/SIDE CAR)

 

07

USE UNKNOWN

 

 

 

 

 

 

 

 

 

 

 

08

THIRD

– MIDDLE

 

NON-MOTORIST

 

 

 

 

 

 

 

 

 

 

C

09

THIRD

– RIGHT

C

08

NONE USED

C

 

 

 

C

 

 

C

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10

SLEEPER SECTION OF CAB

 

09

HELMET USED

 

 

 

 

 

 

 

 

 

 

 

11

ENCLOSED CARGO AREA

 

10

PROTECTIVE PADS

 

 

 

 

 

 

 

 

 

 

D

12

UNENCLOSED CARGO AREA

D

11

REFLECTIVE CLOTHING

D

 

 

 

D

 

 

D

 

 

13

TRAILING UNIT

12

LIGHTING

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BLANK FOR

14

EXTERIOR

 

13

OTHER

 

 

 

 

 

 

 

 

 

 

15

OTHER

 

 

14

UNKNOWN

 

 

 

 

 

 

 

 

 

 

WITNESS

 

 

 

 

 

 

 

 

 

 

 

 

16

NON-MOTORIST

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17

UNKNOWN

 

 

 

 

 

 

 

 

 

 

 

 

 

HSY7001

 

 

 

 

 

 

 

TOP COPY - ODPS

BOTTOM COPY - AGENCY

 

 

 

TRAPPED

1NOT TRAPPED

A2 EXTRICATED BY MECHANICAL MEANS

3FREED BY

BNON-MECHANICAL MEANS

4UNKNOWN

C

D

INJURIES

1NO INJURY

A 2 POSSIBLE

3NON-

INCAPACITATING

4INCAPACITATING

B5 FATAL INJURY

6 UNKNOWN

C

D

SUPPLEMENT *

‘X” IF YES

UNITNUMBERS

DAMAGEAREA

PRE-CRASH ACTIONS

SEQUENCE OF EVENTS

POSTEDSPEED

DRUGTEST STATUS

A

B

 

 

A

B

 

 

 

 

 

A

 

 

B

 

 

 

 

 

 

 

A

 

 

 

 

 

 

B

 

 

A

 

 

 

 

 

B

 

 

 

 

 

 

 

 

MOTORIST

 

 

 

 

 

1

 

1

 

 

 

 

 

 

 

 

 

 

 

 

1

NONE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NON-MOTORIST LOCATION

 

 

 

01 MOVEMENTS ESSENTIALLY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

EST

R

EFUSED

 

 

 

 

 

 

 

 

 

 

 

 

 

TRAFFICCONTROL

 

 

 

 

T

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STRAIGHT AHEAD

 

 

 

 

 

 

 

 

 

3

TEST GIVEN, CONTAMINATED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

02 BACKING

 

 

 

 

 

2

 

2

 

 

 

 

 

 

 

 

 

 

 

 

 

SAMPLE/UNUSABLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4 TEST GIVEN, RESULTS KNOWN

 

 

A

B

A

 

 

03 CHANGING LANES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

04 OVERTAKING/PASSING

 

 

 

 

 

 

 

A

 

 

 

 

 

 

B

 

5

TEST GIVEN, RESULTS UNKNOWN

01 MARKED CROSSWALK AT

 

 

 

05 TURNING RIGHT

 

 

 

 

 

 

01 NO CONTROLS

 

 

 

 

 

6

UNKNOWN

 

 

 

 

INTERSECTION

 

 

 

06 TURNING LEFT

 

 

 

3

 

3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

02 STOP SIGN

 

 

 

 

 

 

 

 

DRUGTESTTYPE

 

02 INTERSECTION/ NO CROSSWALK

 

 

 

07 MAKING U-TURN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

03 YIELD SIGN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

03 NON-INTERSECTION CROSSWALK

 

 

 

08 ENTERING TRAFFIC LANE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

04 TRAFFIC SIGNAL

 

 

 

 

 

 

 

 

 

 

 

 

 

04 DRIVEWAY ACCESS CROSSWALK

 

 

 

09 LEAVING TRAFFIC LANE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4

 

4

05 TRAFFIC FLASHERS

 

 

 

 

 

 

 

 

 

 

 

 

05 IN ROADWAY

 

 

 

10 PARKED

 

 

 

 

 

 

 

 

 

 

A

 

 

 

 

 

B

 

 

 

 

 

 

 

 

 

06 SCHOOL ZONE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

06 NOT IN ROADWAY

 

 

 

11 SLOWING/STOPPED IN TRAFFIC

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NON-COLLISION

 

 

07 RAILROAD CROSSBUCKS

 

 

1

NONE

 

 

 

 

 

07 MEDIAN (BUT NOT SHOULDER)

 

 

 

12 DRIVERLESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

01

OVERTURN/ROLLOVER

 

08 RAILROAD FLASHERS

 

 

 

2

BLOOD

 

 

 

 

 

08 ISLAND

 

 

 

 

13 OTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

02

FIRE/EXPLOSION

 

 

 

AILROAD

G

ATES

 

 

 

 

3

URINE

 

 

 

 

 

09 SHOULDER

 

B

 

 

14 UNKNOWN

 

 

 

 

 

 

 

09 R

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

03

IMMERSION

 

 

 

ONSTRUCTION

B

ARRICADE

 

4

OTHER

 

 

 

 

 

10 SIDEWALK

 

 

 

 

NON-MOTORIST

 

 

 

 

 

 

10 C

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

04

JACKKNIFE

 

 

11 POLICE OFFICER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11 WITHIN 10 FEET OF ROADWAY

 

 

 

15 ENTERING/CROSSING IN SPECIFIED

 

 

 

 

 

 

 

DRUGTEST1&2 RESULT

 

 

 

05

CARGO/EQUIPMENT LOSS/SHIFT

 

12 PAVEMENT MARKINGS

 

 

 

 

(NOT SHOULDER, MEDIAN,

 

 

 

 

LOCATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

06

EQUIPMENT FAILURE

 

13

CROSSWALK LINES

 

 

 

 

 

 

 

 

 

 

 

 

 

SIDEWALK, ISLAND)

 

 

 

16

WALKING, RUNNING, JOGGING,

 

 

 

 

 

A

 

 

 

 

 

 

B

 

 

 

 

07

SEPARATION OF UNITS

 

14 WALK/DONT WALK SIGNAL

 

 

 

 

 

 

 

 

12 BEYOND 10 FEET OF ROADWAY

 

 

 

 

PLAYING, CYCLING

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

08

RAN OFF ROAD RIGHT

 

15 TRAFFIC CONTROL DEVICE INOPERATIVE,

 

 

 

 

 

 

 

 

 

(WITHIN TRAFFICWAY)

 

 

 

17 WORKING

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

09

RAN OFF ROAD LEFT

 

 

MISSING, OBSCURED

 

 

 

 

 

 

 

 

 

 

 

 

13 OUTSIDE TRAFFICWAY

 

 

 

18 PUSHING VEHICLE

 

 

 

 

 

 

1

 

2

 

 

 

1

2

 

 

 

 

10

CROSS MEDIAN/CENTERLINE

 

16 OTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

14 SHARED USE PATHS OR TRAILS

 

 

 

19 APPROACHING/LEAVING VEHICLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11

DOWNHILL RUNAWAY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MOSTDAMAGEDAREA

20 PLAYING/WORKING ON VEHICLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15 UNKNOWN

 

12

OTHER NON-COLLISION

 

DIRECTION

 

 

 

 

 

 

 

 

1

NONE

 

 

 

 

 

 

 

 

 

 

 

 

21 STANDING

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13

UNKNOWN NON-COLLISION

 

 

 

 

 

 

 

 

 

2

MARIJUANA

 

 

 

TYPEOFUNIT

 

 

 

 

 

 

 

 

FROM

TO

 

 

 

 

FROM

TO

 

 

 

 

 

 

 

22 OTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COLLISIONW/PERSON,VEHICLE,

 

 

 

 

 

3

COCAINE

 

 

 

 

 

 

 

 

 

 

23 UNKNOWN

 

 

 

OROBJECTNOTFIXED

 

 

 

 

 

 

 

 

 

 

 

 

 

4

OPIATES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A

B

 

 

 

 

 

 

 

14

PEDESTRIAN

 

 

 

A

 

 

 

 

 

 

 

B

 

 

5

AMPHETAMINES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A

B

 

 

 

 

 

 

 

 

 

 

15

PEDALCYCLE

 

 

 

 

 

 

 

 

 

 

 

 

6

PCP

 

 

 

 

 

 

 

 

01 NONE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CONTRIBUTINGCIRCUMSTANCES

16

RAILWAY VEHICLE

 

 

1

NORTH

 

 

 

 

 

 

 

 

 

7

OTHER

 

 

 

 

 

MOTORIST

 

02 CENTER FRONT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17

ANIMAL – FARM

 

 

 

 

 

 

 

 

 

 

 

8 UNKNOWN AT TIME OF REPORTING

 

 

 

 

 

 

 

 

 

 

 

2

SOUTH

 

 

 

 

 

 

 

 

 

01 SUB-COMPACT

03 RIGHT FRONT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18

ANIMAL – DEER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3

EAST

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

02 COMPACT

 

04 RIGHT SIDE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TYPE OF INTERSECTION

 

 

 

 

 

 

 

 

 

19

ANIMAL – OTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4

WEST

 

 

 

 

 

 

 

 

 

 

03 MID SIZE

 

05 RIGHT REAR

 

 

 

A

 

 

 

B

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20

MOTOR VEHICLE IN TRANSPORT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5

NORTHEAST

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

04 FULL SIZE

 

06 REAR CENTER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21

PARKED MOTOR VEHICLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MOTORIST

 

 

 

 

 

6

NORTHWEST

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

05 MINIVAN

 

07 LEFT REAR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

22

WORK ZONE MAINTENANCE EQUIPMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

01 NONE

 

 

 

 

 

7

SOUTHEAST

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

06 SPORT UTILITY VEHICLE

08 LEFT SIDE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23

OTHER MOVABLE OBJECT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

02 FAILURE TO YIELD

 

 

 

8

SOUTHWEST

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

07 PICKUP

 

09 LEFT FRONT

 

 

 

 

 

 

 

 

 

 

 

01 NOT AN INTERSECTION

 

 

 

 

24

UNKNOWN MOVABLE OBJECT

 

 

 

 

 

 

 

 

 

 

03 RAN RED LIGHT, OR STOP SIGN

 

9

UNKNOWN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

08 PANEL/VAN

10 TOP AND WINDOWS

 

 

 

 

 

 

 

 

02 FOUR-WAY INTERSECTION

COLLISIONWITHFIXEDOBJECT

 

 

 

 

 

 

 

04 EXCEEDED SPEED LIMIT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

09 SINGLE UNIT TRUCK;

11 UNDERCARRIAGE

 

 

 

 

 

 

 

 

 

 

 

 

 

03

T-INTERSECTION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

05 UNSAFE SPEED

 

 

25

IMPACT ATTENUATOR/CRASH CUSHION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2 AXLES, 6 TIRES

12

LOAD/TRAILER

 

 

 

CONDITION

 

 

 

 

 

 

 

 

04

Y-INTERSECTION

 

 

 

 

 

26

BRIDGE OVERHEAD STRUCTURE

 

 

 

 

 

 

 

 

 

 

 

06

IMPROPER TURN

 

 

 

 

 

 

 

 

 

 

 

10 SINGLE UNIT TRUCK; 3+ AXLES

13 TOTAL (ALL AREAS)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

05 TRAFFIC CIRCLE/ROUNDABOUT

 

 

27

BRIDGE PIER OR ABUTMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

07 LEFT OF CENTER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11 TRUCK/TRAILER

14 OTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

06 FIVE-POINT, OR MORE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

08 FOLLOWED TOO CLOSELY/ACDA

28

BRIDGE PARAPET

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12 TRUCK TRACTOR (BOBTAIL)

15 UNKNOWN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

07 ON RAMP

 

 

 

 

29

BRIDGE RAIL

 

 

 

A

 

 

 

 

 

 

B

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

09

IMPROPER LANE CHANGE/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13

TRACTOR/SEMI-TRAILER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

08 OFF RAMP

 

 

 

 

 

 

30

GUARDRAIL FACE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DROVE OFF ROAD/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14 TRACTOR/DOUBLE SHORT

 

 

 

 

 

 

 

1

APPARENTLY NORMAL

 

 

 

09 CROSSOVER

 

 

POINTOFIMPACT

 

 

 

31

GUARDRAIL END

 

 

 

 

 

 

 

 

 

IMPROPER PASSING

 

 

 

 

 

 

 

 

15

TRACTOR/DOUBLE LONG

 

 

 

 

 

2

PHYSICAL IMPAIRMENT

 

 

 

10

DRIVEWAY/ACCESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10 IMPROPER BACKING

32

MEDIAN BARRIER

 

 

 

 

 

 

16 FIFTH WHEEL OR

 

 

 

 

 

3

EMOTIONAL

 

 

 

 

 

 

 

11 RAILWAY GRADE CROSSING

 

 

 

33

HIGHWAY TRAFFIC SIGN POST

 

 

 

 

 

 

 

 

 

 

 

11 IMPROPER START FROM PARKED POSITION

 

 

 

 

 

 

 

 

 

CONVERTER DOLLY

 

 

 

 

4

ILLNESS

 

 

 

 

 

 

 

 

12 SHARED-USE PATHS OR TRAILS

 

 

 

 

34

OVERHEAD SIGN POST

 

 

 

 

 

 

 

 

 

 

 

 

 

12 STOPPED OR PARKED ILLEGALLY

 

 

 

 

 

 

 

 

 

17

TRACTOR/TRIPLES

 

A

B

 

5

ELL

A

SLEEP

, F

AINTED

 

ATIGUED

TC

13 UNKNOWN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13 OPERATING VEHICLE IN ERRATIC,

35

LIGHT/LUMINARIES SUPPORT

 

F

 

 

 

 

 

, F

, E

 

 

 

 

 

 

 

 

 

18 MOTORCYCLE

 

 

 

 

6

UNDER THE INFLUENCE OF

 

 

 

 

 

 

 

 

 

 

 

 

 

36

UTILITY POLE

 

 

 

 

 

 

 

 

 

 

 

 

01 NONE

 

 

RECKLESS, CARELESS, NEGLIGENT OR

 

 

 

 

 

 

 

 

 

 

 

 

19 MOTORIZED BICYCLE

 

 

 

 

 

MEDICATIONS/DRUGS/ALCOHOL

 

OCCURRENCE

 

 

 

 

 

 

37

OTHER POST, POLE OR SUPPORT

 

 

 

 

02 CENTER FRONT

 

 

AGGRESSIVE MANNER

 

 

 

 

20 SCHOOL BUS

 

 

7

OTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

03 RIGHT FRONT

 

 

38 CULVERT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14 SWERVING TO AVOID (DUE TO WIND,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21 CHURCH BUS

 

 

 

8

UNKNOWN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

04 RIGHT SIDE

 

 

SLIPPERY SURFACE, VEHICLE, OBJECT,

39

CURB

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

22 PUBLIC BUS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

40

DITCH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

05 RIGHT REAR

 

 

NON-MOTORIST IN ROADWAY, ETC)

 

 

ALCOHOL/DRUG SUSPECTED

 

 

 

 

 

 

 

 

 

 

23 OTHER BUS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

06 REAR CENTER

 

15 FAILURE TO CONTROL

41

EMBANKMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

24 POLICE VEHICLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

ON ROADWAY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

07 LEFT REAR

 

16 VISION OBSTRUCTION

42

FENCE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

25 FIRE TRUCK

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

ON SHOULDER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

08 LEFT SIDE

 

17 DRIVER INATTENTION

43

MAILBOX

 

 

 

A

 

 

 

 

 

 

B

 

 

 

 

 

26 AMBULANCE/RESCUE

 

 

 

 

 

 

 

 

 

 

 

 

 

3

IN MEDIAN

 

 

 

09 LEFT FRONT

 

44

TREE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18 FATIGUE/ASLEEP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

27 TAXI

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4

ON ROADSIDE

 

 

 

 

 

 

 

 

45

OTHER FIXED OBJECT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10 TOP AND WINDOWS

19 OPERATING DEFECTIVE EQUIPMENT

 

1

NONE

 

 

 

 

 

 

 

 

 

 

 

28 MOTOR HOME

 

 

 

 

 

 

 

 

 

 

5

ON GORE

 

 

 

11 UNDERCARRIAGE

 

20 LOAD SHIFTING/FALLING/SPILLING

46

WORK ZONE MAINTENANCE EQUIPMENT

2

YES – ALCOHOL SUSPECTED

 

 

 

 

29 TRAIN

 

 

 

6

OUTSIDE TRAFFICWAY

 

12 LOAD/TRAILER

 

21 OTHER IMPROPER ACTION

47

UNKNOWN FIXED OBJECT

 

3

YES – HBD NOT IMPAIRED

 

30 FARM VEHICLE

 

 

 

7

UNKNOWN

 

 

 

13 TOTAL (ALL AREAS)

22 UNKNOWN

 

 

 

 

48

OTHER

 

 

4

YES – DRUGS SUSPECTED

 

 

 

 

31 FARM EQUIPMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14 OTHER

 

NON-MOTORIST

 

 

49

UNKNOWN

 

 

5

YES – ALCOHOL / DRUGS SUSPECTED

 

 

 

 

 

 

 

 

 

32 SNOWMOBILE

 

 

 

 

 

ROADCONTOUR

 

15 UNKNOWN

 

23 NONE

 

 

 

 

 

 

 

 

 

6

UNKNOWN

 

 

 

 

 

 

 

 

33 CONSTRUCTION EQUIPMENT

 

 

 

 

 

 

FIRSTHARMFUL EVENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

24 IMPROPER CROSSING

 

ALCOHOLTESTSTATUS

 

 

 

 

 

 

 

 

 

 

 

 

34 ALL OTHERS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACTION

 

25 DARTING

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NON-MOTORIST

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

26 LYING AND/OR ILLEGALLY IN ROADWAY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

35 ANIMAL W/RIDER

 

 

 

 

A

B

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

27 FAILURE TO YIELD RIGHT OF WAY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

36 ANIMAL W/BUGGY

 

 

 

 

 

 

 

 

A

 

 

 

 

 

 

B

 

 

 

1

STRAIGHT LEVEL

 

 

A

B

28 NOT VISIBLE (DARK CLOTHING)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

37 BICYCLE

 

 

OF THE SEQUENCE OF EVENTS – WHICH

 

 

 

 

 

 

 

 

 

 

 

 

2

STRAIGHT GRADE

 

 

 

29

INATTENTIVE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

38 PEDESTRIAN

 

 

 

 

 

 

ONE IS THE FIRST HARMFUL EVENT

(1-4)

1

NONE

 

 

 

 

 

 

 

 

 

3

CURVE LEVEL

 

 

1

NON-CONTACT

 

30 FAILURE TO OBEY TRAFFIC SIGNS,

 

 

 

 

 

 

 

 

 

 

 

 

 

EDALCYCLIST

 

 

 

 

 

2

TEST REFUSED

 

 

 

 

 

4

CURVE GRADE

 

 

39 P

 

2

NON-COLLISION

 

 

SIGNALS, OR OFFICER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

40 SKATER

 

 

 

MOSTHARMFUL EVENT

 

3

TEST GIVEN, CONTAMINATED

 

 

 

 

 

 

 

 

 

 

 

3

STRIKING

 

31 WRONG SIDE OF THE ROAD

 

 

 

 

 

 

 

 

 

 

 

41 OTHER-NON MOTORIST

 

 

 

SAMPLE/UNUSABLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ROADCONDITIONS

 

4

STRUCK

 

32 OTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

42 UNKNOWN

 

 

 

 

 

 

 

 

 

 

 

4

TEST GIVEN, RESULTS KNOWN

 

PRIMARY

 

 

 

SECONDARY

 

5

BOTH STRIKING AND STRUCK

33 UNKNOWN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5 TEST GIVEN, RESULTS UNKNOWN

 

 

 

 

 

 

 

 

 

 

INEMERGENCYRESPONSE

6

UNKNOWN

 

 

 

 

 

 

 

 

 

A

B

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6

UNKNOWN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLEDEFECT

 

 

OF THE SEQUENCE OF EVENTS – WHICH

ALCOHOL

TEST TYPE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CODEONLYIF‘19’

 

ONE IS THE MOST HARMFUL EVENT (1-4)

 

 

 

 

 

 

 

 

 

 

 

 

 

A

B

 

 

 

SELECTEDABOVE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

01 D

 

 

 

 

 

 

 

 

 

 

 

STRIKINGVEHICLE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

02 WET

 

 

 

 

 

 

1

NO

 

 

 

 

 

 

 

 

 

SPEED DETECTED

 

 

 

A

 

 

 

 

 

 

B

 

 

 

03 SNOW

 

 

 

 

 

 

OVERRIDE/UNDERRIDE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

YES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

04

ICE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

NONE

 

 

 

4

BREATH

 

 

 

 

 

 

 

 

3

UNKNOWN

 

 

 

 

 

 

A

 

 

 

B

 

 

 

 

 

 

 

 

05 SAND, MUD, DIRT, OIL, GRAVEL

 

 

 

 

 

 

 

 

 

 

 

 

 

2

BLOOD

 

 

 

5

OTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

06 WATER (STANDING, MOVING)

 

 

 

 

 

A

B

 

 

 

 

 

 

 

 

A

B

 

3

URINE

 

 

 

 

 

 

 

 

 

DAMAGESCALE

 

01 T

S

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

07 SLUSH

 

 

 

 

 

 

 

 

 

 

 

URN

IGNALS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

**

 

 

 

 

 

 

 

 

 

 

02 HEAD LAMPS

 

 

1

STATED

 

 

ALCOHOLTESTRESULT

 

 

08 D

 

 

 

 

 

 

 

 

 

 

1 NO UNDERRIDE OR OVERRIDE

 

 

 

 

 

 

 

 

 

 

 

 

EBRIS

 

 

 

 

 

 

 

 

03

TAIL LAMPS

 

 

 

2

ESTIMATED SPEED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

09

UT

, H

OLES

 

UMPS

NEVEN

 

 

 

 

2

UNDERRIDE, COMPARTMENT

 

 

 

 

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

R

 

 

, B

, U

 

 

 

 

04

BRAKES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PAVEMENT **

 

 

 

A

B

 

INTRUSION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

05 STEERING

 

 

 

 

SPEED

 

 

 

 

 

 

 

 

A

 

 

 

10 OTHER

 

 

 

 

 

 

3

UNDERRIDE, NO COMPARTMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

06 TIRE BLOWOUT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11 UNKNOWN

 

 

 

 

 

 

 

 

INTRUSION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

NONE

 

 

 

07 WORN OR SLICK TIRES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

* *SECONDARY ROAD CONDITIONS ONLY

 

4

UNDERRIDE, COMPARTMENT

 

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

2

NON-FUNCTIONAL DAMAGE

08 TRAILER EQUIPMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INTRUSION UNKNOWN

 

A

 

 

 

 

 

 

 

 

 

B

 

 

 

 

 

 

 

 

 

 

 

 

3

FUNCTIONAL DAMAGE

 

 

DEFECTIVE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5

OVERRIDE, MOTOR VEHICLE IN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ISABLING

AMAGE

09 MOTOR TROUBLE

 

 

 

 

 

 

 

 

 

LOCAL REPORT # *

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4

D

 

D

 

TRANSPORT

 

 

ISABLED

F

ROM

P

RIOR

 

 

 

SUPPLEMENT

 

 

 

 

 

 

 

 

 

 

 

 

5

SEVERE

 

6

OVERRIDE, OTHER VEHICLE

10 D

 

 

 

 

B

 

‘X” IF YES *

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6

UNKNOWN

 

 

CRASH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7

UNKNOWN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11 OTHER DEFECTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOP COPY - ODPS BOTTOM COPY - AGENCY

Narrative

MANNEROFCOLLISIONORIMPACT

SCHOOLBUSRELATED

Diagram

Writean“N”

 

 

 

 

 

 

 

onthecompass

 

 

 

 

 

 

 

diagramtoindicate

 

 

 

 

 

 

 

thedirectionof

 

 

 

 

1

NO

 

north.

1

 

NOT COLLISION BETWEEN

 

 

 

 

TWO VEHICLES IN TRANSPORT

2

YES, DIRECTLY INVOLVED

 

 

2

 

REAR-END

3

YES, INDIRECTLY INVOLVED

 

 

3

 

HEAD-ON

 

4

UNKNOWN

 

 

4

REAR-TO-REAR

WORKZONERELATED

 

 

5

 

BACKING

 

 

 

 

 

 

 

 

 

6

 

ANGLE

 

 

 

 

 

7 SIDESWIPE, SAME DIRECTION

 

 

 

 

8 SIDESWIPE, OPPOSITE DIRECTION

 

 

 

 

9

 

UNKNOWN

1

NO

 

 

 

 

 

 

 

 

 

 

 

 

2

YES

 

 

WEATHER

 

3

UNKNOWN

 

 

 

 

 

 

 

 

 

 

 

TYPEOFWORKZONE

 

 

01 CLEAR

 

 

 

 

 

02 CLOUDY

 

1

LANE CLOSURE

 

 

03

FOG, SMOG, SMOKE

2

LANE SHIFT/CROSSOVER

 

 

04 RAIN

 

3

WORK ON SHOULDER OR MEDIAN

 

 

05

SLEET, HAIL (FREEZING RAIN DRIZZLE)

4

INTERMITTENT/ MOVING WORK

 

 

06 SNOW

 

5

OTHER

 

 

07 SEVERE CROSSWINDS

LOCATIONOFCRASH IN

 

 

08

BLOWING SAND,SOIL, DIRT,SNOW

 

 

WORKZONE

 

 

09 OTHER

 

 

 

 

 

10 UNKNOWN

 

 

 

 

LIGHTCONDITIONS

 

 

 

 

PRIMARY

SECONDARY

1

BEFORE FIRST WORK ZONE

 

 

 

 

 

 

 

 

 

 

 

 

 

WARNING SIGN

 

 

 

 

 

 

2

ADVANCE WARNING AREA

 

 

1

 

DAYLIGHT

 

3

TRANSITION AREA

 

 

 

 

4

ACTIVITY AREA

 

 

2

 

DAWN

 

 

 

 

 

 

 

 

 

3

 

DUSK

 

WORKERSPRESENT

 

 

4

 

DARK – LIGHTED ROADWAY

 

 

 

 

5

 

DARK –NOT LIGHTED

 

 

 

 

6

 

DARK – UNKNOWN LIGHTING

 

 

 

 

7

 

GLARE

 

 

 

 

 

8

 

OTHER

 

1

NO

 

 

9

 

UNKNOWN

2

YES

 

 

 

 

 

 

3

UNKNOWN

 

 

 

Truck/Bus

THE CRASH INVOLVED ONE OR MORE OF THE FOLLOWING:

A THE CRASH RESULTED IN ONE OR MORE OF THE FOLLOWING:

 

 

A TRUCK (MOTOR VEHICLE) WITH A GVWR MORE THAN 10,000 POUNDS; OR

N

A FATALITY; OR

 

 

 

 

A TRUCK (MOTOR VEHICLE) WITH A HAZARDOUS MATERIALS PLACARD; OR

AN INJURY REQUIRING TRANSPORTATION FOR IMMEDIATE MEDICAL TREATMENT; OR

 

 

 

 

D

 

UNIT #

A BUS DESIGNED FOR AT LEAST 8 PERSONS, INCLUDING DRIVER .

AT LEAST ONE VEHICLE WAS TOWED DUE TO DISABLING DAMAGE OR REQUIRED INTERVENING ASSISTANCE BEFORE PROCEEDING UNDER ITS OWN POWER.

 

 

 

 

 

 

 

 

 

COMPANY (FROM SHIPPING PAPERS)

 

 

COMPANY PHONE

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS (STREET, CITY, ST, ZIP CODE)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

US DOT

 

 

 

 

 

 

ICC MC

 

 

PUCO

 

 

TRAILER LP ST.

TRAILER LP YEAR

TRAILER LP #

 

PLACARD #

# DIA.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CARGOBODYTYPE01

 

 

 

 

 

 

 

 

 

 

 

 

 

Weight (GVWR)

CDLClass

 

 

Hazardous

 

Hazardous

 

NOT APPLICABLE

 

05

POLE

09

CONCRETE MIXER

 

1

CLASS A

MaterialsPlacard

 

 

 

MaterialReleased

02

BUS (9-15 INCLUDING DRIVER)

06

CARGO TANK

10

UTO

T

RANSPORTER

1

LESS/EQUAL 10,000

2

CLASS B

1

NO

1

NO

A

 

2

10,001 - 26,000

03

V

AN

/E

NCLOSED

B

OX

07

LATBED

11

ARBAGE EFUSE

3

LASS

C

2

YES

2

YES

 

 

 

 

F

G

 

/R

 

 

 

C

04

G

RAIN

/C

HIPS RAVEL

08

UMP

12

THER

 

3

MORE THAN 26,000

4

CLASS M

3

UNKNOWN

3

NOT APPLICABLE

 

 

/G

 

 

D

O

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13

UNKNOWN

 

 

 

5

CLASS D

 

 

4

UNKNOWN

Police Action

DATE CRASH REPORTED

TIME REC CALL

OFFICERS NAME *

DISPATCH

BADGE # *

ARRIVEDCLEAREDOTHERTOTAL MINUTES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CHECKED BY

 

DATE REPORT FILED

*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REPORTTAKENBY

1 POLICE AGENCY

REPORTTAKEN AT

1 SCENE

 

 

LOCAL REPORT #

*

SUPPLEMENT

*

 

 

2 MOTORIST

 

 

 

2 STATION

‘X” IF YES

 

 

 

 

 

 

 

 

 

 

3 OTHER

 

 

 

 

 

 

 

TOP COPY - ODPS

BOTTOM COPY - AGENCY

 

 

 

Document Specifications

Fact Name Detail
Governing Law Ohio Revised Code (ORC) regulates traffic and crash reporting.
Form Identification OH-1 (Rev.10/99) is the primary form used for reporting traffic crashes.
Supplementary Forms OH-2, OH-3, and OH-1P forms are used for specific additional information as needed.
Crash Severity Indicator Includes categories like fatal, injury, property damage only (PDO), and unknown.
Crash Type Indicators Differentiates between hit/skip and not hit/skip scenarios.
Time and Location Details Reports must include time of crash, day of the week, and precise location coordinates.
Vehicle and Occupant Information Includes detailed information about vehicles, drivers, occupants, and any injuries sustained.
Crash Diagram and Narrative Enables officers to draw the crash scene and supplement it with a narrative description.

How to Use Ohio Traffic Crash Report

Filling out the Ohio Traffic Crash Report form is a crucial step after being involved in a traffic incident within the state. This document is essential for legal and insurance purposes, capturing all relevant details about the crash to facilitate investigations and claims processing. Here's a step-by-step guide to ensure the form is completed accurately and thoroughly:

  1. Start by putting a checkmark in the appropriate boxes at the top to identify the report type (e.g., Traffic Crash Report).
  2. Enter the local report number and check the appropriate severity level of the crash (e.g., Fatal, Injury).
  3. If there was a hit/skip incident, indicate this by checking the appropriate box and provide the N.C.I.C. number if available.
  4. Fill in the time and day of the week the crash occurred, along with the reporting agency’s name and number.
  5. Specify the number of units involved and detail the crash location including city, village, or township, and the county number.
  6. Enter the precise coordinates (latitude and longitude) if known, and describe the crash location thoroughly (e.g., named street, numbered route).
  7. For each unit involved in the crash, provide detailed information about the occupant(s), including names, addresses, social security numbers, dates of birth, ages, sexes, and phone numbers.
  8. Document details about the vehicle(s) involved such as year, make, model, color, insurance company, and any towing service used.
  9. Indicate if any citations were issued at the scene by providing the offense charged, description, and local code if applicable.
  10. For each injured individual, mark the type of injury sustained and any medical attention received directly following the incident.
  11. Describe each vehicle’s pre-crash actions and the sequence of events leading to the crash, ensuring to check all applicable boxes.
  12. Document the posted speed and the results of any drug or alcohol tests conducted.
  13. Indicate any contributing circumstances to the crash by checking the appropriate boxes.
  14. Fill in the details about the crash location, including road and weather conditions at the time.
  15. Mark if the crash involved a school bus or occurred in a work zone, providing relevant details.
  16. Complete the truck/bus section if the crash involved a commercial vehicle, including the company name and hazardous material information if applicable.
  17. If supplemental information or diagrams are necessary, ensure these sections are filled out to provide additional context to the report.
  18. Review and sign the form, then date it to verify the accuracy and completeness of the information provided.

Once the Ohio Traffic Crash Report form has been filled out fully, it should be submitted to the relevant authorities as directed. This document is integral for the official record and any subsequent legal or insurance investigations. Prompt and meticulous completion ensures that all parties involved receive a fair evaluation of the incident.

Crucial Questions on This Form

What is an Ohio Traffic Crash Report form?

An Ohio Traffic Crash Report form, often referred to as form OH-1, is a document used by law enforcement officers in Ohio to record details about traffic crashes. This form captures information such as the date, time, and location of the crash, details about the vehicles and people involved, the crash severity, and any citations issued. It serves as an official record of the incident for law enforcement, insurance companies, and involved parties.

When is the Ohio Traffic Crash Report form used?

This form is utilized by law enforcement whenever they respond to a traffic crash in Ohio. It's used in cases ranging from minor fender benders to more severe collisions that result in property damage, injury, or fatalities. The form helps to systematically collect and organize the facts of the crash, which are crucial for insurance claims and legal proceedings.

Who fills out the Ohio Traffic Crash Report form?

The responding law enforcement officer at the scene of the crash completes the Ohio Traffic Crash Report form. Officers collect information from drivers, witnesses, and their own observations of the scene to accurately fill out the form. Each detail, from environmental conditions to vehicle movements leading up to the crash, is documented by the officer.

How do I obtain a copy of my Ohio Traffic Crash Report?

Individuals involved in a crash can request a copy of the Ohio Traffic Crash Report from the law enforcement agency that responded to the incident. Additionally, the Ohio Department of Public Safety (ODPS) makes crash reports available online through their official website, allowing you to download a copy by providing specific details about the crash. There may be a small fee to obtain a copy, depending on the retrieval method.

What information do I need to provide to get a copy of the report?

To retrieve a copy of an Ohio Traffic Crash Report, you will need to provide specific information about the crash, such as the date and time it occurred, the county or city where the crash took place, and details like the report number or the names of involved parties. This information helps to accurately identify the correct report from the database.

Is the Ohio Traffic Crash Report form admissible in court?

Yes, the Ohio Traffic Crash Report can be used in court proceedings related to the crash. The form constitutes an official record of the incident, documenting the facts as determined by the responding law enforcement officer. Lawyers and insurance companies often rely on this report to establish the circumstances of the crash, liability, and damages for legal and insurance claims.

Common mistakes

  1. Failing to check the appropriate boxes for crash severity, such as "FATAL," "INJURY," or "PDO (Property Damage Only)," can lead to inaccuracies in the classification of the incident. It's crucial that these boxes correctly reflect the consequences of the crash.

  2. Not providing detailed location information, including the correct "CRASH LOCATION TYPE" and "REFERENCE POINT USED," can cause confusion about where the incident occurred. Precise location data is essential for proper reporting and analysis.

  3. Incorrectly listing or leaving blank the "DATE OF CRASH" and "TIME OF CRASH" fields can significantly affect the investigation and any subsequent reports or analyses. Accurate timing is vital for understanding the circumstances surrounding the crash.

  4. Omitting occupant information, such as names, addresses, and injury details under the "INJURED" section, might lead to incomplete reports. Each person involved plays a crucial role in the crash report narrative.

  5. Misidentifying the type of crash under the "MANNER OF COLLISION OR IMPACT" section can mislead the narrative of the incident. Correct classification helps in analyzing crash patterns and preventing future incidents.

  6. Forgetting to mark the "ALCOHOL/DRUG SUSPECTED" section accurately may overlook critical factors that contributed to the accident. Substance involvement is a key detail in crash reports.

  7. Leaving the "NARRATIVE" and "DIAGRAM" sections incomplete. These sections provide context and visual representation of the crash, offering insights that checkboxes and pre-filled options cannot. Detailed narratives and diagrams are crucial for a comprehensive understanding of the incident.

Ensuring all data fields are properly completed with accurate information leads to a thorough and useful crash report. This thoroughness not only aids in legal and insurance matters but also contributes to road safety analyses and the development of strategies to prevent future accidents.

Documents used along the form

When dealing with traffic incidents in Ohio, the Ohio Traffic Crash Report form is just the tip of the iceberg. Accompanying this critical document, various other forms and documents often play pivotal roles in thoroughly documenting and understanding the circumstances surrounding a traffic incident. These documents not only support the initial report but also provide a more detailed picture, contributing to actions that might be required post-incident—ranging from legal proceedings to insurance claims.

  • Vehicle/Driver Information Sheet: This document collects detailed information about the drivers and vehicles involved, including driver's license numbers, vehicle registration details, and insurance information. It serves as a quick reference to contact all parties involved and is essential for insurance claims and legal matters.
  • Witness Statement Forms: Witnesses can provide invaluable perspectives on the crash that may not be apparent from the physical evidence alone. Their accounts help to reconstruct the event accurately and can significantly impact the findings of who is at fault.
  • Citation/Ticket: If any traffic laws were violated leading up to or during the incident, officers might issue citations or tickets at the scene. These documents are critical in legal proceedings, as they can establish fault or negligence on part of the driver(s).
  • Photographic Evidence: Photos taken at the scene of the crash, often referred to as OH-2 documents if taken by law enforcement, provide visual documentation of the vehicles, road conditions, signage, and any other factors that may have contributed to the crash. This evidence is crucial during insurance claims processing and can be vital in court cases.

Together, these documents complement the Ohio Traffic Crash Report form, providing a comprehensive overview of the incident. They are indispensable tools for law enforcement, legal professionals, and insurance companies in understanding what happened, determining fault, and processing claims. For individuals involved in a crash, being aware of these forms and the information they contain can significantly impact the resolution of any subsequent legal or insurance issues.

Similar forms

The Ohio Traffic Crash Report form shares similarities with the Police Incident Report. Both documents are used by law enforcement to record specific details about events they have responded to. The Police Incident Report focuses on a broad range of incidents, including but not limited to traffic accidents, detailing the nature of the incident, the people involved, and any charges filed. Though broader in scope, it mirrors the Traffic Crash Report's aim to systematically capture details necessary for legal and administrative purposes.

Another similar document is the Accident Investigation Form used within workplaces to document any injuries or property damage occurring on job sites. This form, like the Traffic Crash Report, collects information about the incident's time, location, and cause. It also gathers data on the individuals involved and the extent of any injuries or damages, providing a basis for safety improvements or insurance claims, akin to how traffic reports support law enforcement and insurance processing.

The Vehicle Damage Report is also closely related. This document is used by individuals or companies to record damage to vehicles, detailing the extent and nature of the damage, the circumstances under which it occurred, and identifying the driver and any other parties involved. Like the Ohio Traffic Crash Report, it serves as a crucial piece of evidence for insurance claims and legal matters.

The Driver's Accident Report Form, which drivers are often required to fill out following a traffic accident, shares a direct connection. This self-reported form captures the driver's account of the accident, including time, location, and a description of the event, very similar to the structured data capture of the official Traffic Crash Report but from the driver's perspective for insurance and legal use.

Insurance Claim Forms for auto accidents also bear a resemblance. These forms are filled out by individuals seeking compensation from their insurance companies for damages or injuries sustained in a traffic accident. They require detailed information about the incident, similar to the Traffic Crash Report, to assess and process claims.

The Emergency Medical Services (EMS) Report, generated following medical intervention at accident scenes, parallels the Traffic Crash Report in its detail and purpose. It documents patients' conditions, treatment provided at the scene, and personal details, supplementing the legal and insurance narrative established by traffic reports.

Towing Service Receipts, generated when a vehicle is towed from the scene of an accident, contain specific information about the vehicle, the reason for towing, and the destination, complementing the Traffic Crash Report by detailing the post-accident handling of vehicles.

The Incident Command System (ICS) Form used by first responders to manage emergency responses, including traffic accidents, outlines the operational plan, resources deployed, and the chain of command. Its structured approach to detailing incident response complements the factual recounting found in Traffic Crash Reports, often serving as a broader context for the event.

Last, the Witness Statement Form, which individuals at the scene of an accident might be asked to fill out, provides firsthand accounts and observations. This document complements the Traffic Crash Report with qualitative data, offering perspectives that can clarify circumstances or contribute to legal and insurance outcomes.

Dos and Don'ts

When filling out the Ohio Traffic Crash Report form, it is crucial to ensure the accuracy and comprehensiveness of the information provided. This not only aids in the proper documentation and analysis of the incident but also in legal and insurance processes that may follow. Here are some essential dos and don'ts to remember:

Dos:

  1. Provide complete and accurate information for all required fields, including details like the location of the crash (with latitude and longitude if possible), the date and time of the crash, and specifics about the involved parties and their vehicles.
  2. Clearly describe the crash circumstances in the narrative section to give a full picture of the event. This includes pre-crash actions, the sequence of events, and contributing factors.
  3. If photos were taken at the scene (marked as 'PRIVATE PHOTOS TAKEN' on the form), ensure they are submitted along with the report. These can provide valuable evidence and context for the crash.
  4. Report all injuries and damages accurately. This includes specifying the severity of injuries (from 'NO INJURY' to 'FATAL INJURY') and detailing the extent of vehicle damage using the provided codes.

Don'ts:

  1. Do not leave critical sections blank unless they genuinely do not apply to the specific crash scenario. Incomplete reports can hinder investigations and subsequent processes.
  2. Avoid underreporting or exaggerating injuries and damages. This can lead to issues with insurance claims and legal proceedings.
  3. Refrain from making speculative or biased statements in the narrative section. Stick to factual, observable information about the crash.
  4. Do not forget to check or indicate if alcohol/drug testing was conducted at the scene. This information is crucial for understanding the circumstances of the crash and for legal implications.

Misconceptions

There are several misconceptions regarding the Ohio Traffic Crash Report form that can lead to misunderstanding or incorrectly filled out documents. Below are eight common misconceptions clarified to assist in better understanding and completing the report.

  • Misconception 1: The form is only for the use of law enforcement officers. While it is primarily designed for law enforcement, other entities like insurance companies, legal representatives, and individuals involved in the crash may use the information for various purposes such as claims processing and legal proceedings.
  • Misconception 2: Personal information is always required. Although the form requests detailed information, including social security numbers and addresses, law enforcement uses discretion in collecting sensitive personal data to balance investigative needs with privacy concerns.
  • Misconception 3: All sections must be completed for every crash. Specific sections of the form are filled out based on the nature and details of the crash. Not all sections are applicable to every incident. The relevance of each section depends on factors like crash severity and the parties involved.
  • Misconception 4: The "Drugs Suspected" field implies criminal liability. Indicating suspicion of drug use is for reporting purposes and does not, by itself, establish criminal liability. It signals the need for further investigation and testing.
  • Misconception 5: The "Weather" category's impact is minimal in determining fault. Weather conditions at the time of the crash are critical in understanding the context of the accident. Identifying whether weather played a role can affect the outcome of insurance claims and legal responsibility.
  • Misconception 6: The presence of a hazardous material placard automatically indicates hazardous materials were involved. A placard indicates the vehicle's capacity to transport hazardous materials, not necessarily that it was doing so at the time of the accident. Verification is necessary to confirm the presence of hazardous materials.
  • Misconception 7: The "School Bus Related" section is only for crashes involving a school bus. This section is also important for any crash occurring near a school bus or affecting its operation, even if the bus was not directly involved in the incident.
  • Misconception 8: Reporting alcohol or drug suspicion influences the immediate outcome of the crash report. Reporting suspicions of alcohol or drug influence is a preliminary step that requires further validation through testing and investigation. It’s part of the fact-finding process and does not conclude the investigative outcome.

Understanding these misconceptions can assist individuals and professionals in accurately completing the Ohio Traffic Crash Report form and interpreting its contents more effectively. It's crucial for the precise documentation and subsequent use of the report in resolving legal, insurance, and personal matters related to traffic crashes.

Key takeaways

When dealing with the Ohio Traffic Crash Report form, here are nine key takeaways to ensure accurate and comprehensive documentation of a traffic accident:

  • It is vital to determine the crash severity and mark the appropriate box, such as Fatal, Injury, Property Damage Only (PDO), or Unknown, immediately to classify the incident correctly.
  • Ensure to indicate whether the accident involved a hit/skip scenario by marking the appropriate status, which helps in tracking and investigating unsolved cases.
  • The precise time of the crash, as well as the day of the week, must be recorded accurately to assist in the analysis of accident patterns and potential causes.
  • Identify the exact location of the accident including county, city, village, or township, as well as latitude and longitude if possible, for a precise accident mapping and analysis.
  • Documenting the number of units involved and detailed information about each unit, such as the type of vehicle, the driver’s information, and any occupants, is crucial for a comprehensive understanding of the crash.
  • Report any injuries sustained during the crash accurately by noting the severity and whether individuals were transported for medical treatment.
  • Information on pre-crash actions and the sequence of events leading up to the crash can provide insights into its cause and help develop preventive strategies.
  • Recording road and weather conditions at the time of the accident can be instrumental in determining contributing factors to the crash.
  • If applicable, indicate whether the accident occurred in a work zone, involved a school bus, or resulted in any charges or citations being issued, which could impact legal and insurance assessments.

Thoroughly completing the Ohio Traffic Crash Report form with accurate and detailed information is essential for legal, insurance, and statistical purposes to help improve road safety and prevent future accidents.

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