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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
General InformationGeneral Information
OH-2 -OH-2 - Use Current Form Use Current Form
OH-3 - OH-3 - Use Current Form Use Current Form
General InformationGeneral Information
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
General InstructionsGeneral Instructions
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
General InstructionsGeneral Instructions
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
General InstructionsGeneral Instructions
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
‘X’ IF YESIF YES
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
Leave Blank If Not TransportedLeave Blank If Not Transported
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 BirthDate of Birth
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
January 1, 2000 Is Reported AsJanuary 1, 2000 Is Reported As0 1 0 1 2 0 0 0
AgeAge
Age Of Occupant Or Witness Using Age Of Occupant Or Witness Using Two DigitsTwo 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 Occupant Or WitnessSex Of The Occupant Or Witness
M = Male F = Female U = Unknown
AddressAddress(Street, City, State, Zip Code)(Street, City, State, Zip Code)
Address Of Occupant Or WitnessAddress Of Occupant Or Witness
Injured Taken ByInjured Taken By
How Was This Occupant TransportedHow Was This Occupant Transported
1 None2 EMS3 Police 4 Other5 Unknown
Transported ByTransported By
Record Who Transported Injured Record Who Transported Injured OccupantOccupant
Leave Blank If Not TransportedLeave Blank If Not Transported
Injured Taken toInjured Taken to
Record Where Occupant Was Record Where Occupant Was TakenTaken
Leave Blank If Not TransportedLeave Blank If Not Transported
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
‘X’ IF YESIF YES
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 *
Leave Blank If Not UsedLeave Blank If Not Used
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
Sequence Of EventsSequence Of Events
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”
Sequence Of EventsSequence Of Events
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”
Sequence Of EventsSequence Of Events
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
SupplementSupplement
‘X’
IF YESIF YES
Leave Blank If Not UsedLeave Blank If Not Used
Local Report Number *Local Report Number *
Record The Local Crash Report Record The Local Crash Report Number From Page OneNumber From Page One
Do Not Zero Fill BoxesDo Not Zero Fill Boxes
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
Police ActionPolice Action
Time Received CallTime Received Call
Military Time Law Enforcement Military Time Law Enforcement Received CallReceived Call
1 3 2 0
Police ActionPolice Action
Dispatch
Military Time Law Military Time Law Enforcement Was Enforcement Was Dispatched To CrashDispatched To Crash
1 3 2 5
Police ActionPolice Action
Arrived
Military Time Law Military Time Law Enforcement Arrived At The Enforcement Arrived At The Crash SceneCrash Scene
1 3 4 0
Police ActionPolice Action
Cleared
Military Time Crash Scene Military Time Crash Scene Was ClearedWas Cleared
1 4 0 0
Police ActionPolice Action
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
Police ActionPolice Action
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
Do Not Zero Fill BoxesDo Not Zero Fill Boxes
6 5
Police ActionPolice Action
Officer’s Name *
PrintPrint Investigating Officer’s Investigating Officer’s NameName
LegiblyLegibly
Police ActionPolice Action
Badge # *Badge # *
Investigating Officers Badge Investigating Officers Badge Or ID NumberOr ID Number
Fill Blocks Left To RightFill Blocks Left To Right
Police ActionPolice Action
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
Police ActionPolice Action
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
Police ActionPolice Action
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
Police ActionPolice Action
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
SupplementSupplement
‘X’
IF YESIF YES
Leave Blank If Not Leave Blank If Not Used Used
Local Report Number *Local Report Number *
Record The Local Crash Report Record The Local Crash Report Number From Page OneNumber From Page One
Do Not Zero Fill BoxesDo Not Zero Fill Boxes
1 2 3 4 5
2 0 0 0 - 0 1
OCCUPANT ADDENDUM OCCUPANT ADDENDUM OH-1POH-1P
Local Report Number *Local Report Number *
From Page One Record The Local From Page One Record The Local Crash Report NumberCrash Report Number
Do Not Zero Fill BoxesDo Not Zero Fill Boxes
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 BirthDate of Birth
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
January 1, 2000 Is Reported AsJanuary 1, 2000 Is Reported As0 1 0 1 2 0 0 0
AgeAge
Age Of Occupant Or Witness Using Age Of Occupant Or Witness Using Two DigitsTwo 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 Occupant Or WitnessSex Of The Occupant Or Witness
M = Male F = Female U = Unknown
AddressAddress(Street, City, State, Zip Code)(Street, City, State, Zip Code)
Address Of Occupant Or WitnessAddress Of Occupant Or Witness
Injured Taken ByInjured Taken By
How Was This How Was This OccupantOccupant Transported Transported
1 None2 EMS3 Police 4 Other5 Unknown
Leave Blank For WitnessLeave Blank For Witness
Transported ByTransported By
Record Who Transported Injured Record Who Transported Injured OccupantOccupant
Leave Blank For WitnessLeave Blank For Witness
Injured Taken toInjured Taken to
Record Where Record Where OccupantOccupant Was Was TakenTaken
Leave Blank For WitnessLeave Blank For Witness
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
SupplementSupplement
‘X’ IF YESIF YES
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 *
Leave Blank If Not UsedLeave Blank If Not Used
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
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