Direct Questions Concerning This Power Point Presentation To: Tom Hollingsworth Chief, Data Services Ohio Department of Public Safety 1970 West Broad Street

Direct Questions Direct Questions Concerning This Power Concerning This Power Point PresentationPoint PresentationTo:To:

Tom HollingsworthTom Hollingsworth Chief, Data Services Chief, Data Services

Ohio Department of Public Ohio Department of Public Safety 1970 West Safety 1970 West Broad Street Broad Street Columbus, Ohio 43223Columbus, Ohio 43223

(614) 387-2800(614) 387-2800

OH-1 Crash ReportOH-1 Crash Report

Traffic Crash Report Rev. 10/99

General InformationGeneral Information

OH-1 - New Crash Report Revised OH-1 - New Crash Report Revised 10/9910/99

OH-4 - OH-4 - No Longer UsedNo Longer Used

OH-5 - OH-5 - No Longer UsedNo Longer Used


OH-2 -OH-2 - Use Current Form Use Current Form

OH-3 - OH-3 - Use Current Form Use Current Form


Top Copies Top Copies (In Black Ink)(In Black Ink) Are Are Sent To The Ohio Department Sent To The Ohio Department

Of Public SafetyOf Public Safety

Bottom Copies are Retained Bottom Copies are Retained By Agency - By Agency - SSN Is Blacked SSN Is Blacked

OutOut

General InstructionsGeneral Instructions

PRINT LEGIBLYPRINT LEGIBLY

USE BLACK BALL-POINT PEN USE BLACK BALL-POINT PEN ONLYONLY

MARK IN DESIGNATED BOXES MARK IN DESIGNATED BOXES ONLYONLY

USE BLOCK LETTERS AND NUMBERS USE BLOCK LETTERS AND NUMBERS ONLYONLY

DO NOT SMEAR, FOLD OR STAPLE REPORTSDO NOT SMEAR, FOLD OR STAPLE REPORTS

2 CORRECTCORRECT

2 NOT CORRECTNOT CORRECT


DO NOT DRAW LINES DO NOT DRAW LINES THROUGH ANY UNUSED THROUGH ANY UNUSED

BOXESBOXES

LEAVE UNUSED BOXES BLANKLEAVE UNUSED BOXES BLANK

CORRECTCORRECT

NOT CORRECTNOT CORRECT


DO NOT DRAW LINES DO NOT DRAW LINES THROUGH ANY UNUSED THROUGH ANY UNUSED

AREAS ON THE FORMAREAS ON THE FORM

LEAVE UNUSED AREAS LEAVE UNUSED AREAS BLANKBLANK


Supplementing ReportsSupplementing Reports

““X” X” The Box For SupplementThe Box For Supplement

Complete Areas Identified With Complete Areas Identified With

An “An “**” (Asterisk) Send In All ” (Asterisk) Send In All Three PagesThree Pages

PAGE ONEPAGE ONE

Local Report Number *Local Report Number *

Use Local Report Number FormatUse Local Report Number Format Complete Blocks Left To RightComplete Blocks Left To Right

Do Not Zero Fill BoxesDo Not Zero Fill Boxes

1 2 3 4 5

2 0 0 0 - 0 1

Crash SeverityCrash Severity

1 Fatal2 Injury Visible Or Claimed InjuryVisible Or Claimed Injury3 PDO PProperty roperty DDamage amage OOnlynly4 Unknown No Injury, Or Property No Injury, Or Property

Damage Less Than Damage Less Than $400$400

Local Policy If OH-1 Is CompletedLocal Policy If OH-1 Is Completed

Private PropertyPrivate Property

‘X’ IF YESIF YES

Leave Blank If Not UsedLeave Blank If Not Used

Local Policy If OH-1 Is CompletedLocal Policy If OH-1 Is Completed

Hit/SkipHit/Skip

1 Not Hit/Skip 2 Solved 3 Unsolved

Photos TakenPhotos Taken


Leave Blank If Not Leave Blank If Not UsedUsed

OH-2 OH-3 OH-1P OH-2 OH-3 OH-1P OtherOther

‘X’ The Box For Associated Reports UsedThe Box For Associated Reports Used

Leave Blank If No Associated Reports Leave Blank If No Associated Reports Are UsedAre Used

Other - Used For Local Associated Other - Used For Local Associated ReportsReports

N.C.I.C.# *N.C.I.C.# *

Use Local N.C.I.C. NumberUse Local N.C.I.C. Number

Contact “LEADS Steering Contact “LEADS Steering Committee Chairperson” For NCIC Committee Chairperson” For NCIC Number Number

Reporting Agency *Reporting Agency *

Name of Agency Reporting CrashName of Agency Reporting Crash

Cincinnati PD Knox County S/O

Do Not Abbreviate Agency NameDo Not Abbreviate Agency Name CPD KNSO

# Units# Units

List Total Number Of Units Involved Using List Total Number Of Units Involved Using Two DigitsTwo Digits

Includes Motorists Includes Non Motorists Fixed Objects Fixed Objects Are NotAre Not Listed As Units Listed As Units See Block 9 For Complete List (34 See Block 9 For Complete List (34

=ATV)=ATV)

0 2

Unit ErrorUnit Error

Indicate By Unit Number The Unit HavingIndicate By Unit Number The Unit Having

The Most The Most CausativeCausative Bearing On The Crash Bearing On The Crash

98 = Animal99 = Unknown No Error No Error

DeterminedDetermined

0 1

Date of Crash *Date of Crash *

Report Crash Date With 2 Digits Report Crash Date With 2 Digits For Month And Day. The Year Is For Month And Day. The Year Is Reported In 4 DigitsReported In 4 Digits

January 1, 2000 Is Recorded AsJanuary 1, 2000 Is Recorded As0 1 0 1 2 0 0 0

Time of CrashTime of Crash

Record Military Time Of CrashRecord Military Time Of Crash

1:20 PM Is Recorded As 1:20 PM Is Recorded As

1 3 2 0

Day of WeekDay of Week

Record Day Of Week Using The Record Day Of Week Using The First Three Letters Of The DayFirst Three Letters Of The Day

Monday Is Recorded AsMonday Is Recorded As

M O N

City * Village * TWP *City * Village * TWP *

‘X’ The Box For Type Of Reporting The Box For Type Of Reporting

AgencyAgency

NameName(of city, village or township)*(of city, village or township)*

The Name Of City, Village Or The Name Of City, Village Or TownshipTownship

Cleveland Arlington Heights

Union

County # *County # *

Indicate County Number Where Indicate County Number Where Crash OccurredCrash Occurred

Hamilton CountyHamilton County

County List Found In Block 16County List Found In Block 16

3 1

Latitude/LongitudeLatitude/Longitude

Record Latitude And Longitude Record Latitude And Longitude Using Global Positioning Systems Using Global Positioning Systems ((When AvailableWhen Available))

Currently OptionalCurrently Optional Leave Blank If Not usedLeave Blank If Not used

Crash Occurred OnCrash Occurred On

Record Crash Location ByRecord Crash Location By

Prefix

Crash Location

PrefixPrefix

Use Prefix Use Prefix ONLYONLY When A Single Street Is When A Single Street Is Separated Into Both North/South Or Separated Into Both North/South Or East/West SectionsEast/West Sections

West Main St East Main St

Leave Blank If No Prefix Is UsedLeave Blank If No Prefix Is Used##11

##22

##33

##11

##22

##33

Crash LocationCrash Location

Crash Location Is Recorded By Crash Location Is Recorded By Roadway Name In This OrderRoadway Name In This Order

Interstate ((IRIR))Federal ((USUS))State ((SRSR))County Road ((CRCR))Township Road ((TRTR))City Street Name

Type LocType Loc

Type Of Location Point UsedType Of Location Point Used

1 Named Street Elm Elm StreetStreet

2 Numbered Street 15th 15th StreetStreet

3 Numbered Route SR 128SR 128

Fifteenth Street Is Changed To 15th StFifteenth Street Is Changed To 15th St

Local InformationLocal Information

Use This Area To Identify Districts, Use This Area To Identify Districts, Precincts, Named Areas, Private Precincts, Named Areas, Private Property, Or Any Other Information Property, Or Any Other Information Needed To Determine Crash Needed To Determine Crash LocationLocation

At / ReferenceAt / Reference

Record Crash Location Record Crash Location ReferenceReference Point By Point By

Dist Reference Distance FromDistance From DR

Direction FromDirection From Prefix N S E WN S E W Reference Reference Reference

UsedUsed

Dist ReferenceDist Reference

Distance From Distance From ReferenceReference Point In Point In Feet Or MilesFeet Or Miles

F = Feet 500 F500 F M = Miles 1.5 M 1.5 M In In

DecimalsDecimals

Milepost Markers Milepost Markers = 10.1 = 10.1

10

1

DRDR

Direction From Direction From ReferenceReference Point Point

N = North S = South W = West E = East

PrefixPrefix

Use Reference Prefix Use Reference Prefix ONLYONLY When The When The Reference Street Is Separated Into Both Reference Street Is Separated Into Both North/South Or East/West SectionsNorth/South Or East/West Sections

West Main St East Main St

Leave Blank If No Prefix Is UsedLeave Blank If No Prefix Is Used##11

##22

##33

##11

##22

##33

ReferenceReference

Reference: Street, Object Or Location Reference: Street, Object Or Location UsedUsed

# 31 Street AddressStreet Address Vine Street Street NameStreet Name 6.2 Mile Post Mile Post Show Milepost In Decimals Show Milepost In Decimals

6

2

Ref PointRef Point

Record By Number Record By Number ReferenceReference Point Used Point Used01 State Line02 Intersection 2 Streets03 County Line04 House Number (Street Address)05 Township Boundary06 Mile Post07 Corporation Limit08 Place Name W/O Reference (Objects W/O Names or Numbers)09 Driveway10 Street Or Route W/O Reference (No Available Street or Reference To Use)

Unit #Unit #

Starting with 01, Sequentially Number Starting with 01, Sequentially Number All Units Of this CrashAll Units Of this Crash

01, 02, 03, Etc.01, 02, 03, Etc.

Refer to Block 9 For Explanation Of Refer to Block 9 For Explanation Of Motorist And Non MotoristMotorist And Non Motorist

Fixed Objects Fixed Objects Are NotAre Not Listed As Units Listed As Units

A

# of Occ.# of Occ.

Total Number Of Occupants Total Number Of Occupants In Or In Or OnOn This Unit - Using Two Digits This Unit - Using Two Digits

01, 02, 03, Etc.01, 02, 03, Etc.

Name Name (Last, First, Middle)(Last, First, Middle)

Last Name, First Name And Middle Last Name, First Name And Middle Initial Of Motorist Or Non MotoristInitial Of Motorist Or Non Motorist

Refer to Block 9 For Explanation Of Refer to Block 9 For Explanation Of Motorist And Non MotoristMotorist And Non Motorist

AddressAddress (Street, City, State, Zip Code) (Street, City, State, Zip Code)

Complete Address Of Motorist Or Complete Address Of Motorist Or Non Motorist Including Street, City, Non Motorist Including Street, City, State And Zip CodeState And Zip Code

Social Security NumberSocial Security Number

Social Security Number of Motorist Social Security Number of Motorist Or Non MotoristOr Non Motorist

SSN Is Mandatory For Crash ReportsSSN Is Mandatory For Crash Reports

SSN Is Blacked Out On Second SSN Is Blacked Out On Second ((Local)Local) Copy Copy

Date of BirthDate of Birth

Date Of Birth With 2 Digits For Date Of Birth With 2 Digits For Month And Day. The Year Is Month And Day. The Year Is Reported In 4 DigitsReported In 4 Digits

January 1, 2000 Is Reported AsJanuary 1, 2000 Is Reported As0 1 0 1 2 0 0 0

AgeAge

Age Of The Motorist / Non Motorist Age Of The Motorist / Non Motorist Using Two DigitsUsing Two Digits

If Less Than One Year Old, Enter If Less Than One Year Old, Enter 0000

If Over 99 Years Old, Enter 99If Over 99 Years Old, Enter 99

SexSex

Sex Of The Motorist / Non MotoristSex Of The Motorist / Non Motorist

M = Male F = Female U = Unknown

Home Phone #Home Phone #Work Phone #Work Phone #

Include Area Code For Both Home Include Area Code For Both Home And Work Phone Numbers Of And Work Phone Numbers Of Motorist Or Non MotoristMotorist Or Non Motorist

DL StateDL State

State Issuing Drivers License To State Issuing Drivers License To The MotoristThe Motorist

See Block 33 For State IdentifiersSee Block 33 For State Identifiers Leave Blank For No Drivers LicenseLeave Blank For No Drivers License

DL #DL #

Drivers License Number Of Drivers License Number Of MotoristMotorist

Enter Enter NONENONE For No Drivers License For No Drivers License NumberNumber

LP StateLP State

State Issuing Vehicle License PlateState Issuing Vehicle License Plate

See Block 33 For State IdentifiersSee Block 33 For State Identifiers

LP #LP #

Vehicle License Plate NumberVehicle License Plate Number

Injured Taken ByInjured Taken By

Action Taken For InjuryAction Taken For Injury

1 None2 EMS3 Police4 Other5 Unknown

Transported ByTransported By

Record Who Transported This Record Who Transported This PatientPatient

Leave Blank If Not TransportedLeave Blank If Not Transported

Injured Taken toInjured Taken to

Record Where Patient Was TakenRecord Where Patient Was Taken


Owner NameOwner Name(if same, write “SAME”)(if same, write “SAME”)

Record Name Of Vehicle OwnerRecord Name Of Vehicle Owner If Same As Operator, Use SAMEIf Same As Operator, Use SAME

Leave Blank If Non MotoristLeave Blank If Non Motorist

AddressAddress(Street, City, State, Zip Code)(Street, City, State, Zip Code)

Record Address Of Vehicle OwnerRecord Address Of Vehicle Owner If Same As Operator, Use SAMEIf Same As Operator, Use SAME

Leave Blank If Non MotoristLeave Blank If Non Motorist

YearYear

Use 4 Digits To Record Vehicle Use 4 Digits To Record Vehicle YearYear

2 0 0 0

MakeMake

Manufacturers Make Of VehicleManufacturers Make Of Vehicle

Ford Chevrolet Dodge

ModelModel

Manufacturers Model Of VehicleManufacturers Model Of Vehicle

Crown Victoria Caprice Caravan

ColorColor

Use General ColorsUse General Colors

Light Brown Brown Dark Brown

Insurance CompanyInsurance Company

Insurance Agent Or CompanyInsurance Agent Or Company

RecordRecord NONENONE If Motorist Is If Motorist Is UninsuredUninsured

RecordRecord N/AN/A For Non MotoristsFor Non Motorists

Towing ServiceTowing Service

Towing Company Assisting This Towing Company Assisting This VehicleVehicle

Owner Phone #Owner Phone #

Area Code And Phone Number Of Area Code And Phone Number Of Vehicle OwnerVehicle Owner

Offense ChargedOffense Charged

Record the Record the OneOne Offense Section Offense Section Number Number MostMost CausativeCausative In The In The CrashCrash

The Violation Having The The Violation Having The Most Most ImpactImpact On The Crash On The Crash

List List OnlyOnly One Offense One Offense

Offense DescriptionOffense Description

The Offense Description Used For The Offense Description Used For TheThe MostMost CausativeCausative Crash Offense Crash Offense

List Only One OffenseList Only One Offense Additional Offenses Can Be Listed Additional Offenses Can Be Listed

In The NarrativeIn The Narrative

Citation #Citation #

The Citation Number Used For The Citation Number Used For TheThe Most CausativeMost Causative Crash Violation Crash Violation

List Only One Citation NumberList Only One Citation Number

Local Code?Local Code?

‘X’ IF YES (IF YES (A Local Offense Code Is A Local Offense Code Is

UsedUsed ) )

Leave Blank If “ORC” Is UsedLeave Blank If “ORC” Is Used

Unit #Unit #

Complete Same As Blocks 21 - 49Complete Same As Blocks 21 - 49

Leave Blank If This Area Is Not Leave Blank If This Area Is Not UsedUsed

B

Unit #Unit #

Unit Number This Occupant Is FromUnit Number This Occupant Is From List All List All InjuredInjured Occupants First, Occupants First,

Followed By Uninjured Occupants, Followed By Uninjured Occupants, Followed By WitnessesFollowed By Witnesses

Use Use OH-1 POH-1 P For Additional Occupants For Additional Occupants Or WitnessesOr Witnesses

Leave Blank For WitnessLeave Blank For Witness Leave Blank If This Area Is Not UsedLeave Blank If This Area Is Not Used

C

NameName(Last, First, Middle)(Last, First, Middle)

Last Name, First Name And Middle Last Name, First Name And Middle Initial Of Occupant Or WitnessInitial Of Occupant Or Witness

Home Phone #Home Phone #

Include Area Code For Home Phone Include Area Code For Home Phone NumberNumber


Date Of Birth Of Occupant Or Date Of Birth Of Occupant Or Witness Using 2 Digits For Month Witness Using 2 Digits For Month And Day. The Year Is Reported In And Day. The Year Is Reported In 4 Digits4 Digits


AgeAge

Age Of Occupant Or Witness Using Age Of Occupant Or Witness Using Two DigitsTwo Digits



SexSex

Sex Of The Occupant Or WitnessSex Of The Occupant Or Witness



Address Of Occupant Or WitnessAddress Of Occupant Or Witness


How Was This Occupant TransportedHow Was This Occupant Transported

1 None2 EMS3 Police 4 Other5 Unknown


Record Who Transported Injured Record Who Transported Injured OccupantOccupant



Record Where Occupant Was Record Where Occupant Was TakenTaken


Unit #Unit #

Complete Same As Blocks 51 - 59Complete Same As Blocks 51 - 59

Leave Blank If This Area Is Not Leave Blank If This Area Is Not UsedUsed

D

Seating PositionSeating Position

01 Front – Left (MC Driver)02 Front – Middle03 Front – Right 04 Second – Left (MC

Pass)05 Second – Middle06 Second – Right

07 Third – Left (MC Passenger/Side

Car)08 Third – Middle

09 Third – Right

10 Sleeper Section Of Cab 11 Enclosed Cargo Area

12 Unenclosed Cargo Area

13 Trailing Unit

14 Exterior

15 Other 16 Non-Motorist

17 Unknown

Safety EquipmentSafety Equipment

Motorist01 None Used 02 Shoulder Belt

Only 03 Lap Belt Only 04 Shoulder/Lap Belt 05 Child Safety Seat 06 MC Helmet Used07 Use Unknown

Non-motorist 08 None Used09 Helmet Used10 Protective Pads 11 Reflective

Clothing12 Lighting13 Other14 Unknown

Air BagAir Bag

1 Not-Deployed2 Deployed-Front3 Deployed-Side4 Deployed Both Front/Side 5 Not Applicable6 Unknown

Air Bag SwitchAir Bag Switch

1 Not Present2 In On Position3 In Off Position4 Unknown

EjectionEjection

1 Not Ejected2 Totally Ejected3 Partially

Ejected4 Not Applicable 5 Unknown

TrappedTrapped

1 Not trapped 2 Extricated By Mechanical Means3 Freed By Non-Mechanical Means4 Unknown

InjuriesInjuries

1 No Injury2 Possible3 Non- Incapacitating4 Incapacitating 5 Fatal Injury6 Unknown

SupplementSupplement


Complete Boxes 1, 7, 8, 11, 14, 15, Complete Boxes 1, 7, 8, 11, 14, 15, 16, And 68 For Correction Or Addition 16, And 68 For Correction Or Addition

Areas Are Identified With An *Areas Are Identified With An *


PAGE TWOPAGE TWO

Unit NumbersUnit Numbers

From Page One, Enter Unit From Page One, Enter Unit Numbers For A And BNumbers For A And B

Non-Motorist LocationNon-Motorist Location

01 Marked crosswalk At Intersection02 Intersection/ No Crosswalk03 Non-Intersection

Crosswalk04 Driveway Access

Crosswalk05 In Roadway06 Not In Roadway07 Median (But Not Shoulder)08 Island

09 Shoulder10 Sidewalk11 Within 10 Feet Of

Roadway (Not Shoulder, Median, Sidewalk, Island)12 Beyond 10 Feet Of

Roadway (Within Trafficway)13 Outside Trafficway14 Shared Use Paths Or Trails15 Unknown

Type Of Unit - Type Of Unit - MotoristsMotorists

Motorist1 Sub-Compact2 Compact3 Mid Size4 Full Size5 Minivan6 Sport Utility Vehicle7 Pickup8 Panel/Van9 Single Unit Truck; 2 Axles, 6 Tires10 Single Unit Truck; 3+

Axles11Truck/Trailer 12Truck Tractor (Bobtail)

25 Fire Truck26

Ambulance/Rescue

27 Taxi28 Motor Home29 Train 30 Farm Vehicle31 Farm Equipment32 Snowmobile33 Construction

Equipment34 All Others (ATV)

13 Tractor/Semi-Trailer14 Tractor/Double Short15 Tractor/Double Long16 Fifth Wheel Or Converter Dolly17 Tractor/Triples18 Motorcycle19 Motorized Bicycle20 School Bus21 Church Bus22 Public Bus23 Other Bus

Type Of Unit - Type Of Unit - Non Non MotoristsMotorists

Non-Motorist35 Animal W/Rider36 Animal

W/Buggy37 Bicycle38 Pedestrian 39 Pedalcyclist 40 Skater41 Other-Non

Motorist 42 Unknown

In Emergency ResponseIn Emergency Response

1 No2 Yes3 Unknown

Mark YesMark Yes ONLYONLY When Emergency When Emergency Vehicle Is In Emergency Response Vehicle Is In Emergency Response With All Emergency Equipment In With All Emergency Equipment In OperationOperation

Damage ScaleDamage Scale

1 None2 Non-functional

Damage3 Functional

Damage4 Disabling Damage5 Severe6 Unknown

Non-Functional Non-Functional Damage Is Damage Is Cosmetic DamageCosmetic Damage

Functional Functional Damage Is Damage Is Damage That Damage That Affects Any Affects Any Working PartWorking Part

Damage AreaDamage Area

Shade In Shade In Damaged Areas Damaged Areas For Units A For Units A And BAnd B

Most Damaged AreaMost Damaged Area

09 Left Front10 Top And

Windows11 Undercarriage12 Load/Trailer13 Total (All Areas)14 Other15 Unknown

01 None02 Center Front03 Right Front04 Right Side05 Right Rear06 Rear Center07 Left Rear08 Left Side

Point of ImpactPoint of Impact

01 None02 Center Front03 Right Front04 Right Side05 Right Rear06 Rear Center07 Left Rear08 Left Side

09 Left Front10 Top And Windows11 Undercarriage12 Load/Trailer13 Total (All Areas)14 Other15 Unknown

ActionAction

1 Non-contact2 Non-collision3 Striking4 Struck5 Both Striking And Struck6 Unknown

Action Action DoesDoes NotNot Imply Fault Imply Fault

Striking Vehicle:Striking Vehicle:Override/ UnderrideOverride/ Underride

1 No Underride Or Override 2 Underride, Compartment Intrusion3 Underride, No

Compartment Intrusion4 Underride, Compartment Intrusion Unknown5 Override, Motor Vehicle In Transport6 Override, Other Vehicle7 Unknown

Striking Vehicle Striking Vehicle OnlyOnly

Pre-Crash ActionsPre-Crash Actions

Motorist01 Movements Essentially Straight Ahead02 Backing03 Changing Lanes04 Overtaking/Passing05 Turning Right06 Turning Left07 Making U-Turn08 Entering Traffic Lane09 Leaving Traffic Lane10 Parked11 Slowing/Stopped In Traffic12 Driverless

13 Other14 UnknownNon-Motorist15 Entering/Crossing In Specified Location16 Walking, Running, Jogging, Playing, Cycling17 Working18 Pushing Vehicle19 Approaching/Leaving Vehicle20 Playing/Working On Vehicle21 Standing22 Other23 Unknown

Contributing Contributing Circumstances - Circumstances - MotoristMotorist

Motorist01 None02 Failure to Yield03 Ran Red Light, Stop Sign 04 Exceeded Speed Limit05 Unsafe Speed06 Improper Turn07 Left of Center08 Followed Too Closely/ACDA09 Improper Lane Change/ Drove Off Road/ Improper Passing10 Improper Backing11 Improper Start From Parked Position

12 Stopped or Parked Illegally13 Operating Vehicle In Erratic, Reckless, Careless, Negligent Or Aggressive Manner14 Swerving to Avoid (Due To Wind, Slippery Surface, Vehicle, Object, Non-Motorist in Roadway, Etc)15 Failure to Control16 Vision Obstruction17 Driver Inattention18 Fatigue/Asleep19 Operating Defective Equipment20 Load Shifting/Falling/Spilling21 Other Improper Action22 Unknown

Contributing Contributing Circumstances - Circumstances - Non Non MotoristMotorist

Non-motorist 23 None24 Improper Crossing25 Darting26 Lying And/Or Illegally In

Roadway27 Failure To Yield Right Of Way28 Not Visible (Dark Clothing)29 Inattentive 30 Failure To Obey Traffic Signs, Signals, Or Officer31 Wrong Side Of The Road32 Other33 Unknown

Vehicle DefectVehicle Defect

Code Only if ‘19’ Selected Above01 Turn Signals02 Head Lamps03 Tail Lamps04 Brakes05 Steering06 Tire Blowout07 Worn Or Slick Tires08 Trailer Equipment Defective09 Motor Trouble10 Disabled From Prior Crash11 Other Defects

Code Code ONLYONLY when 19 Is when 19 Is Used In Block Used In Block 8080

Leave Blank If Leave Blank If Not UsedNot Used

Sequence Of EventsSequence Of Events

A B

Record In Record In Sequence The Sequence The Events For Both Events For Both UnitsUnits

1 1

2 2

3 3

4 4


Non-Collision

01 Overturn/Rollover

02 Fire/Explosion03 Immersion

04 Jackknife05 Cargo/Equipment Loss/Shift06 Equipment Failure 07 Separation Of Units 08 Ran Off Road Right09 Ran Off Road Left10 Cross Median/Centerline

11 Downhill Runaway12 Other Non-Collision13 Unknown Non-Collision

If The First If The First Event For Unit A Event For Unit A Was Leaving Was Leaving The Right Side The Right Side Of The RoadwayOf The Roadway

Block #1 For Block #1 For Unit A Would Unit A Would Be Coded As Be Coded As “08”“08”


Collision w/Person, Vehicle,Or Object Not Fixed

14 Pedestrian15 Pedalcycle16 Railway Vehicle 17 Animal – Farm18 Animal – Deer19 Animal – Other20 Motor Vehicle In Transport21 Parked Motor Vehicle22 Work Zone Maintenance

Equipment23 Other Movable Object24 Unknown Movable Object

If The Second If The Second Event For Unit Event For Unit A Was Striking A Was Striking A PedestrianA Pedestrian

Block 2 For Block 2 For Unit A Would Unit A Would Be Coded As A Be Coded As A “14”“14”


Collision With Fixed Object

25 Impact Attenuator/Crash Cushion

26 Bridge Overhead Structure27 Bridge Pier Or Abutment28 Bridge Parapet29 Bridge Rail30 Guardrail Face31 Guardrail End32 Median Barrier33 Highway Traffic Sign Post34 Overhead Sign Post35 Light/Luminaries Support36 Utility Pole

37 Other Post, Pole Or Support38 Culvert39 Curb40 Ditch41 Embankment42 Fence43 Mailbox44 Tree45 Other Fixed Object 46 Work Zone Maintenance Equipment47 Unknown Fixed Object48 Other49 Unknown

First Harmful EventFirst Harmful Event

From Block 82 From Block 82 In the In the Sequence of Sequence of Events Which Events Which Block Number Block Number is the is the FirstFirst Harmful EventHarmful Event

Blocks 1 - 4Blocks 1 - 4

Most Harmful EventMost Harmful Event

From Block 82 From Block 82 In the In the Sequence of Sequence of Events Which Events Which Block Number Block Number is the is the MostMost Harmful Event Harmful Event

Blocks 1 - 4Blocks 1 - 4

Speed DetectedSpeed Detected

1 Stated 2 Estimated

Speed

Stated Speed Stated Speed Of MotoristOf Motorist

Or Officers Or Officers Estimated SpeedEstimated Speed

SpeedSpeed

Stated Or Stated Or Estimated Speed In Estimated Speed In Miles Per Hour For Miles Per Hour For Units A And BUnits A And B

Complete Blocks Complete Blocks Left To RightLeft To Right

Do Not Zero Fill Do Not Zero Fill BoxesBoxes

3 5

Posted SpeedPosted Speed

Posted Speed Posted Speed Limit For Units Limit For Units A And B In A And B In Miles Per HourMiles Per Hour

3 5

Traffic ControlTraffic Control

01 No Controls02 Stop Sign03 Yield Sign04 Traffic Signal05 Traffic Flashers06 School Zone07 Railroad Crossbucks08 Railroad Flashers 09 Railroad Gates

10 Construction Barricade11 Police Officer12 Pavement Markings13 Crosswalk Lines14 Walk/Don’t Walk Signal15 Traffic Control Device Inoperative, Missing,

Obscured16 Other **

DirectionDirection From ToFrom To

1 North 2 South 3 East 4 West 5 Northeast6 Northwest7 Southeast8 Southwest9 Unknown

Show Direction AsShow Direction As From From And ToAnd To

ConditionCondition

1 Apparently Normal2 Physical Impairment3 Emotional 4 Illness5 Fell Asleep, Fainted,

Fatigued, Etc6 Under The Influence Of

Medications/Drugs/Alcohol

7 Other8 Unknown

Alcohol/Drug SuspectedAlcohol/Drug Suspected

1 None2 Yes – Alcohol Suspected3 Yes - HBD Not Impaired4 Yes – Drugs Suspected5 Yes – Alcohol / Drugs Suspected6 Unknown

Use None If Use None If Alcohol Or Drugs Alcohol Or Drugs Are Not SuspectedAre Not Suspected

Alcohol Test StatusAlcohol Test Status

1 None2 Test Refused 3 Test Given, Contaminated Sample / Unusable4 Tests Given, Results Known5 Tests Given, Results Unknown6 Unknown

Use None If Alcohol Is Use None If Alcohol Is Not SuspectedNot Suspected

Alcohol Test TypeAlcohol Test Type

1 None2 Blood 3 Urine4 Breath5 Other

Use None If Use None If Alcohol Is Not Alcohol Is Not SuspectedSuspected

Alcohol Test ResultAlcohol Test Result

Using Three Digits Using Three Digits Complete The BAC Complete The BAC Level For AlcoholLevel For Alcohol

..

Leave Blocks Blank If Not Leave Blocks Blank If Not UsedUsed

Supplement Late Results Supplement Late Results To ODPSTo ODPS

1 2 0

Drug Test StatusDrug Test Status1 None 2 Test Refused3 Test Given, Contaminated Sample/Unusable4 Test Given, Results

Known5 Test Given, Results

Unknown

6 Unknown

Use None If Drugs Use None If Drugs Are Not Suspected Are Not Suspected

Drug Test TypeDrug Test Type

1 None2 Blood 3 Urine4 Other

Use None If Use None If Drugs Are Not Drugs Are Not SuspectedSuspected

Drug Test 1Drug Test 1&&2 Result2 Result

1 None

2 Marijuana

3 Cocaine

4 Opiates

5 Amphetamines

6 PCP

7 Other

8 Unknown at Time Of Reporting

Use None For Use None For No Drug Result No Drug Result

Type Of IntersectionType Of Intersection

1 Not An Intersection2 Four Way

Intersection3 T - Intersection4 Y- Intersection5 Traffic

Circle/Roundabout6 Five Point Or More 7 On Ramp

8 Off Ramp 9 Crossover 10 Driveway Access 11 Railway Grade

Crossing 12 Shared-Use Paths

Or Trails 13 Unknown

OccurrenceOccurrence

1 On Roadway2 On Shoulder3 In Median4 On Roadside5 On Gore6 Outside Trafficway 7 Unknown

Road ContourRoad Contour

1 Straight Level2 Straight Grade3 Curve Level4 Curve Grade

Road ConditionsRoad Conditions

1 Dry2 Wet3 Snow4 Ice5 Sand, Mud, Dirt, Oil, Gravel6 Water (Standing, Moving)7 Slush8 Debris**9 Rut, Holes, Bumps, Uneven Pavement **10 Other11 Unknown

1 - 7 Are 1 - 7 Are Primary Primary ConditionsConditions

Any Can Be Any Can Be Used As Used As Secondary Secondary ConditionsConditions


‘X’

IF YESIF YES



Record The Local Crash Report Record The Local Crash Report Number From Page OneNumber From Page One


1 2 3 4 5

2 0 0 0 - 0 1

PAGE THREEPAGE THREE

NarrativeNarrative

Print A Brief And Concise Print A Brief And Concise View Of The CrashView Of The Crash

Refer To Units By Unit Refer To Units By Unit NumberNumber

Narrative And Crash Narrative And Crash Diagram Must CorrespondDiagram Must Correspond

Manner of CollisionManner of Collisionor Impactor Impact

1 Not Collision Between Two Vehicles in Transport2 Rear-End3 Head-On4 Rear-To-Rear5 Backing6 Angle7 Sideswipe, Same

Direction8 Sideswipe, Opposite

Direction9 Unknown

WeatherWeather

01 Clear02 Cloudy03 Fog, Smog, Smoke04 Rain05 Sleet, Hail (Freezing Rain Drizzle)06 Snow07 Severe Crosswinds08 Blowing Sand, Soil, Dirt,

Snow09 Other10 Unknown

Light ConditionsLight Conditions

1 Daylight2 Dawn3 Dusk4 Dark - Lighted

Roadway5 Dark - Not Lighted6 Dark - Unknown

Lighting7 Glare8 Other9 Unknown

Use Secondary Use Secondary Conditions For Conditions For Causative Causative FactorsFactors

Leave Blank If Leave Blank If No Secondary No Secondary ConditionsConditions

School Bus RelatedSchool Bus Related

1 No2 Yes, Directly

Involved3 Yes, Indirectly

Involved4 Unknown

School Bus Is School Bus Is Listed As A Unit If Listed As A Unit If Directly InvolvedDirectly Involved

School Bus Is Not School Bus Is Not Listed As A Unit If Listed As A Unit If Indirectly Indirectly InvolvedInvolved

Work Zone RelatedWork Zone Related

1 No2 Yes3 Unknown

Was Crash In or Was Crash In or Related To A Work Related To A Work Zone Or Zone Or Construction AreaConstruction Area

Includes Includes Temporary Work Temporary Work And Construction And Construction Zones Properly Zones Properly MarkedMarked

Type Of Work ZoneType Of Work Zone

1 Lane Closure2 Lane

Shift/Crossover3 Work On Shoulder

Or Median4 Intermittent/Moving

Work5 Other

Location Of Crash InLocation Of Crash InWork ZoneWork Zone

1 Before First Work Zone

Warning Sign2 Advance Warning

Area3 Transition Area4 Activity Area

Example Of Work Example Of Work Zone On Page Zone On Page Separators Separators Included With Included With Each Package Of Each Package Of ReportsReports

Workers PresentWorkers Present

1 No2 Yes3 Unknown

DiagramDiagram

Draw A Picture Of The Crash Based On Draw A Picture Of The Crash Based On Officer’s Investigation And/Or Officer’s Investigation And/Or Statements From Drivers And WitnessesStatements From Drivers And Witnesses

Use Solid Lines Prior To ImpactUse Solid Lines Prior To Impact

Use Dashed Lines Post ImpactUse Dashed Lines Post Impact

Narrative And Crash Diagram Must Narrative And Crash Diagram Must CorrespondCorrespond

Truck/BusTruck/Bus

The Truck/Bus Supplement Eliminates The Truck/Bus Supplement Eliminates The Use Of The OH-5.The Use Of The OH-5.

The Truck/Bus Supplement Is Not The Truck/Bus Supplement Is Not Used In All Cases Involving A Truck Or Used In All Cases Involving A Truck Or BusBus

Truck/BusTruck/Bus

The Crash INVOLVED One or More of The Following:A Truck (Motor Vehicle) With a GVWR More Than 10,000 Pounds; Or

A Truck (Motor Vehicle) With A Hazardous Materials Placard; Or

A Bus Designed For At Least 8 Persons, Including Driver.

ANDANDThe Crash RESULTED In One Or More Of The Following:

A Fatality; Or

An Injury Requiring Transportation For Immediate Medical Treatment; Or

At Least One Vehicle Was Towed Due To Disabling Damage Or Required

Intervening Assistance Before Proceeding Under Its Own Power.

Truck/BusTruck/Bus

Unit #

From Page One, Identify By From Page One, Identify By UnitUnit

NumberNumber The Truck Or Bus The Truck Or Bus InvolvedInvolved

Truck/BusTruck/Bus

Company Company (From Shipping Papers)(From Shipping Papers)

VerifyVerify Company NameCompany Name From Shipping PapersFrom Shipping Papers

Truck/BusTruck/Bus

Company PhoneCompany Phone

Record Company Phone Record Company Phone NumberNumber

Truck/BusTruck/Bus

Address Address (Street,City,St,Zip Code)(Street,City,St,Zip Code)

Record Company AddressRecord Company Address

Truck/BusTruck/Bus

US DOTUS DOT

Record The US DOT Number From The Record The US DOT Number From The VehicleVehicle

All Of The Following Numbers AreAll Of The Following Numbers Are

Not Required - Record Displayed Not Required - Record Displayed

NumbersNumbers

Truck/BusTruck/Bus

ICC MCICC MC

Record The ICC MC Record The ICC MC Number From The VehicleNumber From The Vehicle

Truck/BusTruck/Bus

PUCOPUCO

Record The PUCO Number Record The PUCO Number From The VehicleFrom The Vehicle

Truck/BusTruck/Bus

Trailer LP St.Trailer LP St.

State Issuing Trailer State Issuing Trailer License PlateLicense Plate

See Block 33 For State See Block 33 For State IdentifiersIdentifiers

Truck/BusTruck/Bus

Trailer LP YearTrailer LP Year

Use 4 Digits To Record Use 4 Digits To Record Trailer License Plate YearTrailer License Plate Year

2 0 0 0

Truck/BusTruck/Bus

Trailer LP #Trailer LP #

Trailer License Plate NumberTrailer License Plate Number

Truck/BusTruck/Bus

Placard #Placard #

Taken From The Center Of The Taken From The Center Of The Hazardous Material Placard DiamondHazardous Material Placard Diamond

See Page 35, Block 125 For See Page 35, Block 125 For Hazardous Material Placard ExampleHazardous Material Placard Example

1 0 9 0

Truck/BusTruck/Bus

# Dia.# Dia.

Taken From The Bottom Of The Taken From The Bottom Of The Hazardous Material Placard DiamondHazardous Material Placard Diamond

See Page 35, Block 125 For See Page 35, Block 125 For Hazardous Material Placard ExampleHazardous Material Placard Example

3

Truck/BusTruck/Bus

Cargo Body Type Cargo Body Type

01 Not Applicable 08 Dump02 Bus (9-15 Including Driver) 09 Concrete Mixer03 Van/Enclosed Box 10 Auto

transporter04 Grain/Chips/Gravel 11

Garbage/Refuse 05 Pole 12 Other06 Cargo Tank 13 Unknown07 Flatbed

Truck/BusTruck/Bus

Weight (GVWR) Weight (GVWR)

1 Less/Equal 10,0002 10,001 - 26,0003 More Than 26,000

Truck/BusTruck/Bus

CDL Class CDL Class

1 Class A2 Class B3 Class C4 Class M5 Class D

Truck/BusTruck/Bus

Hazardous MaterialsHazardous Materials

Placard Placard

1 No2 Yes3 Unknown

Truck/BusTruck/Bus

Hazardous MaterialsHazardous Materials

Released Released

1 No2 Yes3 Not Applicable4 Unknown

Police ActionPolice Action

Date Crash Reported Date Crash Reported 2 Digits For Month And Day. The 2 Digits For Month And Day. The

Year Is Reported In 4 DigitsYear Is Reported In 4 Digits

January 1, 2000 Is Recorded AsJanuary 1, 2000 Is Recorded As

0 1 0 1 2 0 0 0


Time Received CallTime Received Call

Military Time Law Enforcement Military Time Law Enforcement Received CallReceived Call

1 3 2 0


Dispatch

Military Time Law Military Time Law Enforcement Was Enforcement Was Dispatched To CrashDispatched To Crash

1 3 2 5


Arrived

Military Time Law Military Time Law Enforcement Arrived At The Enforcement Arrived At The Crash SceneCrash Scene

1 3 4 0


Cleared

Military Time Crash Scene Military Time Crash Scene Was ClearedWas Cleared

1 4 0 0


Other

Record In Minutes Additional Record In Minutes Additional Investigative Time After Leaving Investigative Time After Leaving The SceneThe Scene - Complete Blocks - Complete Blocks Left To Right - Do Not Zero Fill Left To Right - Do Not Zero Fill BoxesBoxes

3 0


Total MinutesTotal Minutes

Total Number Of Minutes Required Total Number Of Minutes Required To Complete The Crash From To Complete The Crash From DispatchDispatch Time Through Time Through OtherOther Time Time Complete Blocks Left To RightComplete Blocks Left To Right


6 5


Officer’s Name *

PrintPrint Investigating Officer’s Investigating Officer’s NameName

LegiblyLegibly


Badge # *Badge # *

Investigating Officers Badge Investigating Officers Badge Or ID NumberOr ID Number

Fill Blocks Left To RightFill Blocks Left To Right


Checked By

Person Checking Crash Report Person Checking Crash Report For Completeness, Accuracy For Completeness, Accuracy and Legibilityand Legibility

Print Name And ID NumberPrint Name And ID Number


Date Report Filed * Reported With 2 Digits For Month Reported With 2 Digits For Month

And Day. The Year Is Reported In And Day. The Year Is Reported In 4 Digits4 Digits

January 1, 2000 Is Recorded AsJanuary 1, 2000 Is Recorded As

0 1 0 1 2 0 0 0


Report Taken By

1 Police Agency

Law Enforcement Competed ReportLaw Enforcement Competed Report

At Scene Or Viewed DamageAt Scene Or Viewed Damage2 Motorist

Motorist Completed Report - Law Motorist Completed Report - Law Enforcement Did Not Respond To Enforcement Did Not Respond To Scene And Did Not View DamageScene And Did Not View Damage


Report Taken At

1 Scene Police Responded To Police Responded To SceneScene

2 Station Report Taken At StationReport Taken At Station3 Other Completed By Citizen - Completed By Citizen -

No Police No Police InvestigationInvestigation


‘X’

IF YESIF YES

Leave Blank If Not Leave Blank If Not Used Used


Record The Local Crash Report Record The Local Crash Report Number From Page OneNumber From Page One


1 2 3 4 5

2 0 0 0 - 0 1

OCCUPANT ADDENDUM OCCUPANT ADDENDUM OH-1POH-1P


From Page One Record The Local From Page One Record The Local Crash Report NumberCrash Report Number


1 2 3 4 5

2 0 0 0 - 0 1

N.C.I.C.# *N.C.I.C.# *

From Page One Enter The Local From Page One Enter The Local N.C.I.C. NumberN.C.I.C. Number

Reporting Agency *Reporting Agency *

Name of Agency Reporting CrashName of Agency Reporting Crash Cincinnati PD Knox County S/O

Do Not Abbreviate Agency NameDo Not Abbreviate Agency Name CPD KNSO

Date of Crash *Date of Crash *

Report Report Crash DateCrash Date With 2 Digits With 2 Digits For Month And Day. The Year Is For Month And Day. The Year Is Reported In 4 DigitsReported In 4 Digits

January 1, 2000 Is Recorded AsJanuary 1, 2000 Is Recorded As0 1 0 1 2 0 0 0

Unit #Unit #

Unit Number This Occupant Is Unit Number This Occupant Is FromFrom

List All List All InjuredInjured Occupants First, Occupants First, Followed By Uninjured Occupants, Followed By Uninjured Occupants, Followed By WitnessesFollowed By Witnesses

Leave Blank For WitnessLeave Blank For Witness

E

NameName(Last, First, Middle)(Last, First, Middle)

Last Name, First Name And Middle Last Name, First Name And Middle Initial Of Occupant Or WitnessInitial Of Occupant Or Witness

Home Phone #Home Phone #

Include Area Code For Home Phone Include Area Code For Home Phone NumberNumber


Date Of Birth Of Occupant Or Date Of Birth Of Occupant Or Witness Using 2 Digits For Month Witness Using 2 Digits For Month And Day. The Year Is Reported In And Day. The Year Is Reported In 4 Digits4 Digits


AgeAge

Age Of Occupant Or Witness Using Age Of Occupant Or Witness Using Two DigitsTwo Digits



SexSex

Sex Of The Occupant Or WitnessSex Of The Occupant Or Witness



Address Of Occupant Or WitnessAddress Of Occupant Or Witness


How Was This How Was This OccupantOccupant Transported Transported

1 None2 EMS3 Police 4 Other5 Unknown



Record Who Transported Injured Record Who Transported Injured OccupantOccupant



Record Where Record Where OccupantOccupant Was Was TakenTaken


Unit #Unit #

Complete Same As Blocks 150 - Complete Same As Blocks 150 - 158158

Leave Blank If These Areas Are Not Leave Blank If These Areas Are Not UsedUsed

F - K

OH-1 P Blocks 165 - 171OH-1 P Blocks 165 - 171

Leave Blocks 165 - 171 Blank For Leave Blocks 165 - 171 Blank For WitnessWitness

Seating PositionSeating Position

01 Front – Left (MC Driver)02 Front – Middle03 Front – Right 04 Second – Left (MC

Pass)05 Second – Middle06 Second – Right

07 Third – Left (MC Passenger/Side

Car)08 Third – Middle

09 Third – Right

10 Sleeper Section Of Cab 11 Enclosed Cargo Area

12 Unenclosed Cargo Area

13 Trailing Unit

14 Exterior

15 Other 16 Non-Motorist

17 Unknown

Safety EquipmentSafety Equipment

Motorist01 None Used 02 Shoulder Belt

Only 03 Lap Belt Only 04 Shoulder/Lap Belt 05 Child Safety Seat 06 MC Helmet Used07 Use Unknown

Non-motorist 08 None Used09 Helmet Used10 Protective Pads 11 Reflective

Clothing12 Lighting13 Other14 Unknown

Air BagAir Bag

1 Not-Deployed2 Deployed-Front3 Deployed-Side4 Deployed Both Front/Side 5 Not Applicable6 Unknown

Air Bag SwitchAir Bag Switch

1 Not Present2 In On Position3 In Off Position4 Unknown

EjectionEjection

1 Not Ejected2 Totally Ejected3 Partially

Ejected4 Not Applicable 5 Unknown

TrappedTrapped

1 Not trapped 2 Extricated By Mechanical Means3 Freed By Non-Mechanical Means4 Unknown

InjuriesInjuries

1 No Injury2 Possible3 Non- Incapacitating4 Incapacitating 5 Fatal Injury6 Unknown



Complete Boxes 146, 147, 148, 149, Complete Boxes 146, 147, 148, 149, And 172 For Correction Or Addition And 172 For Correction Or Addition

Areas Are Identified With An *Areas Are Identified With An *


Questions And CommentsQuestions And Comments

Traffic Crash Report Rev. 10/99

Direct Questions Direct Questions Concerning This Power Concerning This Power Point PresentationPoint PresentationTo:To:

Tom HollingsworthTom Hollingsworth Chief, Data Services Chief, Data Services

Ohio Department of Public Ohio Department of Public Safety 1970 West Safety 1970 West Broad Street Broad Street Columbus, Ohio 43223Columbus, Ohio 43223

(614) 387-2800(614) 387-2800

Documents

Direct Questions Concerning This Power Point Presentation To: Tom Hollingsworth Chief, Data Services Ohio Department of Public Safety 1970 West Broad Street