Vehicle damage area
- Front
- Passenger side front
- Passenger side
- Passenger side rear
- Rear
- Driver side rear
- Driver side
- Driver side front
Damage scale
Rate from 1-5 with 1 being no visible damage and 5 being extensive damage.
Damage severity
Rate from 1-5 with 1 being little or no damage and 5 being inoperable and unrepairable.
Safety equipment (on vehicle)
- No lap belts, shoulder belts or airbag
- Lap belts only
- Lap & shoulder belts only
- Airbags, driver's side only
- Airbags, driver and passenger
- Airbags, front and side
- Other
- Unknown
Race
C-Caucasian
N-Negro
A-Asian
U-Unknown
Sex
M-Male
F-Female
Safety E. (Safety equipment used)
- None used
- Lap & shoulder belt used
- Shoulder belt only used
- Lap belt only used
- Airbag deployed
- Airbag not deployed
- Airbag not available
- Child safety seat used
- Child booster seat used
- Helmet used
- Restraint use unknown
Eject. (Ejected/Trapped)
- Not ejected or trapped
- Partially ejected
- Totally ejected
- Trapped; occupant removed without equipment
- Trapped; equipment used in extrication
- Unknown
Injury (Injury severity)
- Killed
- Disabled; cannot leave scene without assistance (broken bones, severe cuts, prolonged unconsciousness, etc.)
- Visible but not disabling (minor cuts, swelling, etc.)
- Possible but not visible (complaint of pain, etc.)
- None
Drivers and Vehicles (indicate all that may apply)
- Physical defects prior to accident
- Apparently normal
- Eyesight impaired, wearing corrective lenses
- Eyesight impaired, not wearing corrective lenses
- Impairment to hands or arms
- Impairment to feet or legs
- Impairment to hands/arms and feet/legs
- Vehicle defects prior to accident
- None
- Broken or inoperable headlights
- Broken or inoperable tail lights
- Broken or inoperable turn signals
- Cracked or damaged windshield
- Cracked or damage side or rear windows
- Insufficient tread on tires
- Malfunctioning brakes
- Malfunctioning steering
- Other
- Unknown
- Contributing circumstances
- No improper driving
- Failed to yield right of way
- Disregarded traffic signs, signals, road markings
- Exceeded authorized speed limit
- Driving too fast for conditions
- Made improper turn
- Wrong side or wrong way
- Followed too closely
- Failed to keep in proper lane or ran off road
- Operating vehicle in erratic, negligent, reckless, careless or aggressive manner
- Swerved due to wind, slippery surface, other object or pedestrian
- Over-correcting/over-steering
- Visibility obstructed
- Inattention
- Mobile phone distraction
- Distracted-other
- Fatigued/asleep
- Operating defective equipment
- Other improper action
- Unknown
- Lighting condition
- Daylight
- Dawn
- Dusk
- Dark; lighted roadway
- Dark; roadway not lighted
- Dark; unknown roadway lighting
- Other
- Unknown
- Weather
- Fair
- Cloudy
- Fog, smog, smoke
- Rain
- Sleet, hail, freezing rain/drizzle
- Snow
- Severe crosswinds
- Blowing sand, soil, dirt, snow
- Other
- Unknown
- Road surface
- Concrete
- Asphalt
- Brick
- Gravel
- Dirt
- Other
- Road defects
- None
- Oil, sand or gravel on surface
- Ruts, holes, bumps
- Construction zone
- Worn, polished surface
- Obstruction in road
- Traffic control device inoperative
- Shoulders (none, low, soft, high)
- Traffic control
- None
- Traffic control signal
- Flashing traffic control signal
- School zone signal
- Stop sign
- Yield sign
- Warning sign
- Railroad crossing device
- Unknown
- Type location
- Intersection (3-way)
- Intersection (4-way)
- Public street or highway
- Private driveway or parking lot
- Trafficway character
- Straight and level
- Straight and on slope
- Straight and on hilltop
- Curved and level
- Curved and on slope
- Curved and on hilltop
- Trafficway lanes
- One lane
- Two lanes
- Three lanes
- Four lanes
- Five lanes
- Six or more lanes
- Vision obscured
- No obstruction
- Obstruction in one or more of the vehicles (passengers, cargo, etc.)
- Shrubs, trees
- Walls, buildings
- Roads intersect at odd angle
- Other vehicles
- Class of trafficway
- Residential street
- Arterial street
- Highway, uncontrolled access
- Highway, controlled access
- Type of trafficway
- Undivided two-way traffic
- Two-way traffic separated by yellow line
- Two-way traffic separated by median
- One way traffic
- One-way traffic with two or more lanes