Fill Out a Valid Oklahoma Traffic Collision Report Template Access Form Here

Fill Out a Valid Oklahoma Traffic Collision Report Template

The Oklahoma Traffic Collision Report form serves as an essential document for recording detailed information pertaining to traffic collisions within the state of Oklahoma. It is meticulously structured to capture a wide array of data, including but not limited to, the specifics of the incident, details about the vehicles involved, and the individuals affected by the collision. Whether you're involved in a minor fender-bender or a more serious accident, filling out this form accurately is crucial for insurance, legal, and statistical purposes. Click the button below to understand how to properly fill out the form.

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The Official Oklahoma Traffic Collision Report form serves as a critical document for accurately recording details about traffic collisions within the state. This comprehensive form captures a wide array of information starting with basic details like the reporting agency, case number, and whether the investigation was conducted at the scene. Key data points include the date and time of the collision, the number of vehicles involved, as well as the number of injuries and fatalities. The form meticulously details the specific location of the collision, including distances from the nearest city or town and relevant geographic coordinates. It requires information about the drivers involved, such as names, addresses, driver license numbers, and details regarding the severity of injuries. Additionally, the form encompasses vehicle-specific information like make, model, year, insurance details, and the extent of damage. Critical incident factors such as airbag deployment, ejection of passengers, and whether a chemical test was administered are also recorded. Furthermore, the document provides space for documenting the involvement of commercial vehicles, including details about the carrier and any hazardous materials involved. Notably, the form considers the context of the collision by including sections on road conditions, weather, visibility, and even the specific events leading up to the collision. The supplement section ensures that information regarding passengers, witnesses, or property owners affected by the incident is not overlooked. Overall, the careful design of the Oklahoma Traffic Collision Report form ensures that all pertinent aspects of a traffic incident are documented systematically, providing an invaluable resource for law enforcement, insurance investigations, and roadway safety analyses.

Sample - Oklahoma Traffic Collision Report Form

 

 

 

 

Y

 

N

Pg

of

 

 

 

Incident Report

 

 

 

 

 

 

 

[

DO NOT WRITE IN THIS SPACE

]

 

 

 

 

 

Y N

 

 

 

Investigation Completed

 

 

Revised

 

 

 

 

OFFICIAL OKLAHOMA TRAFFIC COLLISION REPORT

 

Investigation Made at Scene

 

 

Fatality

 

 

 

 

 

Photographs

 

 

 

Hit and Run

 

 

 

 

 

 

 

 

 

 

 

 

(1) Reporting Agency

Case Number (Agency Use)

 

 

 

 

 

 

 

 

 

 

 

Motor Vehicles Involved

Number Injured

Number Killed

(2) Date of Collision (mm/dd/yyyy)

Time

 

County Number and Name

Nearest City or Town Number and Name

 

 

 

 

 

 

 

 

 

 

 

In

 

 

 

 

 

 

 

 

 

 

 

 

 

Near

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(3)

Distance from Nearest City or Town Limits

 

 

 

 

 

 

 

 

Control # Int ID

 

Location

 

 

 

 

East Grid

 

 

 

 

 

North

Grid

 

 

 

 

Administrative

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mi.

 

 

 

N

 

 

 

 

 

 

 

Mi.

 

 

 

 

E

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

+

 

 

 

 

 

 

 

 

 

+

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ft.

 

 

 

 

S

 

 

 

 

 

 

Ft.

 

 

 

 

W

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(4)

 

Street,

Road or

Highway

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Distance from

 

 

 

 

 

 

(Nearest) Intersecting Street, Road or Highway

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

At

 

 

 

 

 

 

 

 

 

 

Mi.

 

 

 

N E

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ft.

 

 

 

S W of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(5)

Unit

 

Occupants

 

Type

 

Hit &

 

 

 

Last Name

 

 

 

 

 

 

 

 

 

First

 

 

 

 

 

 

 

 

 

 

Middle

 

 

 

 

 

 

 

 

 

 

 

Date of Birth (mm/dd/yyyy)

 

 

 

 

Sex

 

 

 

 

 

 

 

 

 

 

 

 

 

Run

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CMV

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(6)

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

State

Zip

 

 

 

 

 

 

 

 

Telephone

 

(Use Area

 

Code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(7) Driver License Number

State

Class Endorsement(s)

 

Restriction(s)

 

Inj. Sev. Type of Injury

Drv./Ped. Cond. OP Use

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(8)

 

Ejected Extricated Test

 

(% BAC) Transported by

 

 

 

 

 

To Medical Facility

 

 

 

 

 

 

 

 

License

Plate Number

 

 

 

 

Air

 

 

 

 

 

 

 

 

 

 

 

0.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Bag

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(9) VIN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Year

 

Color

 

2nd Color

Make

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(10)

 

 

 

 

 

 

 

Insurance Company Name

 

 

 

 

 

 

 

 

 

 

 

 

 

Policy Number

 

 

 

 

 

 

 

 

 

 

 

 

 

Insurance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Verification

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(11) Vehicle Removed by

 

 

 

 

 

 

 

 

Owner's Last Name

 

 

 

 

 

 

First

 

 

 

 

 

 

State Month Year

Model

Veh. Conf.

Extent of

Damage

Insurance Telephone (Use Area Code)

Middle Initial

Driver

 

 

 

 

(12) Owner's Address

City

Same as Driver

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

Zip

 

Towed Veh. Type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Oversized

 

 

 

 

Rolled

 

Phone present

 

 

 

 

 

 

 

 

 

 

 

 

 

Load

 

 

 

 

 

 

Phone in use

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Burned

 

 

 

(13)

Citation

 

 

 

 

 

 

 

 

 

 

 

 

 

Statute/Ordinance

 

Citation

 

 

 

 

 

 

 

 

 

 

Statute/Ordinance

 

 

 

 

 

 

 

 

 

 

Number

 

 

 

 

 

 

 

 

 

 

 

 

 

Number

 

Number

 

 

 

 

 

 

 

 

 

 

Number

 

 

 

 

 

 

 

 

 

(14)

Unit

Occupants

Type

Hit &

 

 

Last Name

 

First

 

Middle

 

 

 

 

 

 

 

Date of Birth (mm/dd/yyyy)

 

 

 

 

Sex

 

 

 

 

 

 

 

 

 

 

Run

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CMV

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(15)

Address

 

 

 

 

 

 

 

 

 

 

 

 

City

 

State

Zip

 

 

 

 

 

Telephone (Use Area Code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(16) Driver License Number

State

Class Endorsement(s)

 

Restriction(s)

 

Inj. Sev. Type of Injury

Drv./Ped. Cond. OP Use

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(17)

 

Ejected Extricated Test

 

(% BAC) Transported by

 

 

 

 

 

To Medical Facility

 

 

 

 

 

 

 

 

License

Plate Number

 

 

 

 

Air

 

 

 

 

 

 

 

 

 

 

 

0.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Bag

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(18)

VIN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Year

 

Color

 

2nd Color

 

 

 

Make

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(19)

 

 

 

 

 

 

 

Insurance Company Name

 

 

 

 

 

 

 

 

 

 

 

 

 

Policy Number

 

 

 

 

 

 

 

 

 

 

 

 

 

Insurance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Verification

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(20)

Vehicle Removed by

 

 

 

 

 

 

 

 

Owner's Last Name

 

 

 

 

 

 

First

 

 

 

 

 

 

 

 

 

State Month Year

Model

Veh. Conf.

Extent of

Damage

Insurance Telephone (Use Area Code)

Middle Initial

Driver

 

 

 

 

(21) Owner's Address

City

Same as Driver

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

Zip

 

Towed Veh. Type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Oversized

 

 

 

 

Rolled

 

Phone present

 

 

 

 

 

 

 

 

 

 

 

 

 

Load

 

 

 

 

 

 

Phone in use

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Burned

 

 

 

(22) Citation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Statute/Ordinance

 

 

 

 

 

 

 

 

 

 

Citation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Statute/Ordinance

 

 

 

 

 

 

 

Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number

 

 

 

 

 

 

 

 

 

 

 

 

Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number

 

 

 

 

 

 

 

 

 

 

 

 

(23) Investigating Officer

 

 

 

 

 

 

 

 

 

 

 

Badge Number

 

 

 

 

 

Troop/Div.

 

 

 

Reviewed by (Init.)

 

Reviewer Badge Number

 

Date of Report (mm/dd/yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unit Type

 

 

 

Injury Severity

 

 

 

 

Type of Injury

 

 

 

 

Driver/Pedestrian Condition

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Occupant Protection (OP) In Use

 

 

 

 

 

D Driver

 

Z Other Cyclist

0

N/A

 

4

Incapacitating

0

N/A

3

Trunk -

00

Not Applicable

 

 

05 Under the

08

Ill (Sick)

 

 

 

00

Not Applicable

 

05

Child Restraint Type Unknown

 

10 Booster Seat

P Pedestrian

 

C Parked Car

1

No Injury

5

Fatal

 

 

1 Head

4

Internal

01

Apparently Normal

 

 

 

 

Influence of

09

Dizzy/Faint

 

 

01 None Used

 

06

Restraint Type Unknown

 

11 Other

X Pedestrian

 

A Animal

2

Possible

6

Unknown

 

 

2 Trunk -

Arms

02

Drinking - Ability Impaired

Medications

10

Emotional

 

 

02

Lap Belt Only

 

07

Helmet

 

 

 

 

 

 

 

 

99 Unknown

 

Conveyance

 

T Train

3

Non -

 

 

 

 

 

 

 

 

External

5

Legs

03

Odor of Alcohol Beverage 06

Very Tired

11

Other

 

 

 

03

Shoulder Belt Only

 

08

Child Restraint - Forward Facing

 

 

 

 

 

B Bicyclist

 

 

 

 

 

incapacitating

 

 

 

 

 

 

 

 

6

Unknown

04

Illegal Drugs

07

Sleepy

99

Unknown

 

 

04

Shoulder and Lap Belt

 

09

Child Restraint - Rear Facing

 

 

 

 

 

 

Air Bag Deployed

 

 

 

 

 

 

Ejected

 

 

 

 

Extricated

 

 

 

 

Chemical Test

 

Extent of Damage

 

Insurance Verification

Oversized Load

 

 

 

 

 

 

Towed Vehicle Type

 

 

 

0

Not Applicable

4

Deployed - Other (knee,

0

Not Applicable 3

Ejected,

 

0 N/A

 

 

0

N/A

 

 

 

4 Test Refused

0 N/A

3

Functional

0

N/A

3

Operator

0 N/A

00

N/A

 

 

 

 

05

Another Vehicle

09

Cattle Trailer

1

Not Deployed

 

air belt, etc.)

 

 

 

1

Not Ejected

Totally

 

1 No

 

 

1

Blood

 

 

 

5 None Given

1 None

4

Disabling

 

1

No

4

Exempt

N Not Permitted

01

Boat Trailer

06

Utility Vehicle

10

No Trailer in Tow

2

Deployed - Front 5

Deployed - Combination

2

Ejected,

9

Unknown

 

2 Yes

 

 

2

Breath

 

 

 

6 Other

2 Minor

9

Unknown

 

2

Owner

 

 

 

 

 

 

 

P Permitted

02

House Trailer

07

Homemade

11

Other

3

Deployed - Side

9

Deployment Unknown

 

Partially

 

 

 

 

 

 

 

 

 

 

3

Blood/Breath

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

03

Farm Trailer

08

Trailer

99

Unknown

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

04

Horse Trailer

Box Trailer

 

 

 

 

 

WARNING - STATE LAW

 

Use of contents for commercial solicitation is unlawful

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

234

Case Number

 

 

 

 

Pg

 

of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(24) Unit

Pos in Veh. Last Name

First

Middle Initial

Date of Birth (mm/dd/yyyy)

 

 

Sex

Injured

Witness

(25) Address

Passenger Prop. Owner

 

 

 

City

State

Zip

Telephone (Use Area Code)

 

Same as Driver

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(26)

Injury Severity / Type

 

OP Use Air Bag Ejected

Extricated Transported by

 

 

To

Medical

 

Facility

 

 

 

 

 

 

 

Property Type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(27)

Unit

 

 

Pos in Veh. Last

Name

First

Middle Initial

 

Date of Birth (mm/dd/yyyy)

 

 

 

Sex

Injured

Witness

(28) Address

Passenger Prop. Owner

 

 

 

City

State

Zip

Telephone (Use Area Code)

 

Same as Driver

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(29)

Injury Severity / Type

 

OP Use Air Bag Ejected

Extricated Transported by

 

 

To Medical

 

Facility

 

 

 

 

 

 

 

Property Type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(30)

Unit

 

 

Pos in Veh. Last

Name

First

Middle Initial

 

Date of Birth (mm/dd/yyyy)

 

 

 

Sex

Injured

Witness

(31) Address

Passenger Prop. Owner

 

 

 

City

State

Zip

Telephone (Use Area Code)

 

Same as Driver

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(32)

Injury Severity / Type

 

OP Use Air Bag Ejected

Extricated Transported by

 

 

To Medical

 

Facility

 

 

 

 

 

 

 

Property Type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(33)

Unit

 

 

Pos in Veh. Last

Name

First

Middle Initial

 

Date of Birth (mm/dd/yyyy)

 

 

 

Sex

 

 

Injured

 

Passenger

 

 

 

 

 

 

 

 

 

 

Witness

 

Prop. Owner

 

 

 

 

 

 

 

 

(34) Address

 

 

 

 

 

 

 

City

State

Zip

Same as Driver

Telephone (Use Area Code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(35) Injury Severity / Type

 

OP Use Air Bag Ejected Extricated Transported by

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

To Medical Facility

Property Type

Complete information below if this vehicle is being used for COMMERCE/BUSINESS and has a GVWR/GCWR IN EXCESS OF 10,000 LBS., or has a HAZMAT PLACARD, or is a BUS WITH SEATING FOR NINE OR MORE INCLUDING THE DRIVER

 

(36)

Unit

Carrier Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(37)

City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

 

Zip

 

GVWR

 

 

 

0 - 10K lbs.

 

 

 

Axle Qty. Cargo Body

Vehicle Use

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10,001 - 26K lbs.

 

 

 

 

 

 

 

 

 

 

Interstate Commerce

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GCWR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

26K+ lbs.

 

 

 

 

 

 

 

 

 

 

Intrastate Commerce

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(38)

U.S. DOT Number

 

 

 

 

 

Vehicle Inspection Number

 

 

 

 

 

 

 

 

Placard Number

 

Haz. Mat. Class Haz. Mat. Involved

 

Haz.

Mat.

Release

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other Non-Commercial

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OK

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

 

 

 

Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No

 

 

 

 

 

 

No

 

 

 

Government

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(39)

Unit

 

Carrier Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

(40)

City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(41)

U.S. DOT Number

 

 

 

 

 

Vehicle Inspection Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OK

 

 

 

 

 

 

 

 

 

 

 

Zip

 

GVWR

 

 

 

0 - 10K lbs.

 

 

 

Axle Qty. Cargo Body

Vehicle Use

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10,001 - 26K lbs.

 

 

 

 

 

 

 

 

 

 

 

Interstate Commerce

 

 

 

 

 

 

 

 

 

 

 

 

GCWR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

26K+ lbs.

 

 

 

 

 

 

 

 

 

 

 

Intrastate Commerce

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Placard Number

 

Haz. Mat. Class Haz. Mat. Involved

 

Haz.

Mat.

Release

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

 

 

 

Yes

 

 

 

 

Other Non-Commercial

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No

 

 

 

 

 

No

 

 

 

Government

 

Position in Vehicle

00.Not Applicable

18.Front Row - Other

28.Second Row - Other

38.Thrid Row - Other

48.Fourth Row - Other

Vehicle Configuration

00.

N/A

 

 

 

 

 

 

07. School Bus

13. Bus/Large Van

18.

Farm

 

 

 

9-15 occupants

 

Machinery

01.

Passenger

 

including driver

 

 

 

Veh.-2 Dr

08. Truck/Trailer

 

 

 

02.

Passenger

 

 

 

 

 

 

 

 

Veh.-4 Dr

 

 

 

 

03.

Passenger

 

14. Bus 16+

19.

ATV

 

Veh. Conv.

 

 

 

 

09. Truck-Tractor

occupants

 

 

 

 

including driver

 

 

 

 

(Bobtail)

 

20. SUV

 

 

 

 

04.

Pickup

10. Truck-Tractor/

 

 

 

 

 

15. Motorcycle

 

 

 

 

Semi-Trailer

 

21.

Passenger Van

 

 

 

 

05.

Single Unit

 

 

22.

Truck more

11. Truck-Tractor/

 

 

than 10,000

 

Truck, 2 axles

16. Motor Scooter/

 

 

 

Double

Moped

 

lbs., Cannot

 

 

 

 

Classify

 

 

 

 

 

 

 

 

 

23.

Van 10,000

 

 

 

 

 

lbs. or Less

06.

Single Unit

12. Truck-Tractor/

 

24.

Other

 

Truck, 3+ axles

Triple

17. Motor Home

99.

Unknown

Cargo Body Type

00.

N/A

 

 

 

 

 

 

06.

Intermodal

11.

Hopper (grain/

01.

Bus 9-15 seats

 

 

 

chips/gravel)

 

 

 

 

 

 

07.

Dump Truck/

12.

Pole Trailer

02.

Bus 16+ seats

 

Trailer

 

 

 

 

03.

Van/Enclosed

08.

Concrete Mixer

13.

Log Trailer

 

Box

 

 

 

 

04.

Cargo Tank

09.

Auto Transporter

14.

Vehicle Towing

 

 

 

 

 

Vehicle

 

 

 

 

15.

Other

05.

Flatbed

10.

Garbage/Refuse

99.

Unknown

235

Case Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OFFICIAL OKLAHOMA TRAFFIC COLLISION REPORT

Pg

 

 

of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Lanes

Legal

 

 

 

 

 

 

 

 

Pedestrian / Pedalcyclist Only

 

 

 

 

 

 

 

 

 

Was the collision in or near a construction, maintenance or utility

Yes

 

 

 

Unit

Actions Prior

Location at Time

Safety

Unit Number of

 

 

 

 

in Roadway

Speed

 

 

 

 

 

 

 

work zone? (If yes, complete this section)

 

 

 

No

This unit will

 

 

 

 

to Collision

of Collision

Equip.

Vehicle Striking

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

correspond

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of Work Zone

 

 

 

Location of the Work Zone

to 'Unit 1'

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Collision

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

This unit will

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

Lane Closure

 

 

 

 

 

 

 

 

 

 

1 Before the First Work

 

 

 

 

correspond

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

Lane Shift/Crossover

 

 

 

 

 

 

 

Zone Warning Sign

 

 

 

 

to 'Unit 2'

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3 Work on Shoulder or Median

 

 

 

2

Advance Warning Area

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Light

 

 

 

 

 

 

What

 

Unit 1

 

 

 

 

Unit 2

 

 

Underride/

 

 

Unit 1

Unit 2

 

 

 

 

4 Intermittent or Moving Work

3

Transition Area

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9

Unknown

 

 

 

 

 

 

 

 

 

 

4

Activity Area

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Override

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5

Termination Area

 

 

 

 

1

Daylight

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Was Going

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9

Unknown

 

 

 

 

 

 

 

2

Dark-Not Lighted

 

 

 

 

 

to Do

 

 

 

 

 

 

 

 

 

 

 

 

0

 

Not Applicable

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3

Dark-Lighted

 

 

00

Not Applicable

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

No Underride or Override

 

 

 

 

 

 

 

 

 

 

 

 

Workers Present Yes

No

 

 

 

Unknown

 

 

 

 

 

 

 

4

Dawn

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

01

Go Ahead

 

 

 

 

 

 

 

 

 

2

 

Underride, Compartment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5

Dusk

 

 

02

Turn Left

 

 

 

 

 

 

 

 

 

 

 

Intrusion

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unit 1

Unit 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unit 1

 

Unit 2

6

Dark-Unknown

 

 

03

Turn Right

 

 

 

 

 

 

 

 

 

3

 

Underride, No

 

 

 

 

 

 

 

 

Trafficway

 

 

 

 

 

 

 

 

 

 

 

 

Unsafe / Unlawful

 

 

 

 

 

 

 

 

 

 

 

Lighting

 

 

04

Make “U” Turn

 

 

 

 

 

 

 

 

 

 

 

Compartment Intrusion

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Contributing Factors

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7

Other

 

 

05

Stop

 

 

 

 

 

 

 

 

 

 

 

 

4

 

Underride, Compartment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9

Unknown

 

 

06

Slow for Cause

 

 

 

 

 

 

 

 

 

 

 

Intrusion Unknown

 

 

 

 

 

 

0

Not Applicable

 

 

 

 

 

 

 

 

FAILED TO YIELD

 

 

 

49

Tires

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

07

Start from Park/Stop

5

 

Override, Motor Vehicle in

1

Two-Way, Not Divided

 

01

From Stop Sign

 

 

 

50

Suspension

 

 

 

 

 

 

 

 

 

 

 

 

 

08

Change Lanes

 

 

 

 

 

 

 

 

 

 

 

Transport

 

 

 

 

 

 

 

 

 

 

 

 

2

Two-Way, Not Divided

 

02

From Yield Sign

 

 

 

51

Headlights

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weather

 

 

 

 

09

Overtake

 

 

 

 

 

 

 

 

 

6

 

Override, Other Motor

 

 

 

with a Continuous Left

 

03

Private Drive

 

 

 

52

Tail Lights

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10

Pass

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Turn Lane

 

 

 

 

 

 

 

 

 

 

04

County Road at

 

 

 

53

Stop Lights

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

01

Clear

 

 

11

Back

 

 

 

 

 

 

 

 

 

 

 

 

9

 

Unknown

 

 

 

 

 

 

 

 

 

 

 

 

3

Two-Way, Divided,

 

 

 

 

 

 

Through Highway

 

54

Wheel

 

 

 

 

 

 

 

02

Fog/Smog/Smoke

 

 

12

Remain Stopped

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unprotected (painted > 4

 

05

From Signal Light

 

55

Exhaust System

 

 

 

 

 

 

 

 

 

 

 

 

 

Traffic

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

03

Cloudy

 

 

13

Remain Parked

 

 

 

 

 

 

 

Unit 1

 

Unit 2

 

 

 

feet) Median

 

 

 

 

 

 

 

 

06

From Alley

 

 

 

56

Windshield Wipers

 

 

 

 

04

Rain

 

 

14

Enter/Merge in Traffic

 

 

Control

 

 

 

 

 

 

 

 

 

 

 

 

 

4

Two-Way, Divided,

 

 

 

 

 

07

To Pedestrian

 

 

 

57

Other Mechanical Defects

05

Snow

 

 

15

Negotiate a Curve

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Positive Median Barrier

 

08

To Vehicle on Right

 

LEFT OF CENTER

 

 

 

 

06

Sleet/Hail (Freezing

16

Park

 

 

 

 

 

 

 

 

 

 

 

 

00

No Control

 

 

 

 

 

 

 

 

 

 

 

 

5

Two-Way, Divided, Cable

 

09

To Vehicle in

 

 

 

58

In Meeting

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Intersection

 

 

 

59

No Passing Zone (Unmarked)

 

Rain/Drizzle)

 

 

17

Other

 

 

 

 

 

 

 

 

 

01

Stop Sign

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Barrier

 

 

 

 

 

 

 

 

 

 

 

 

 

 

07

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10

To Emergency

 

 

 

60

Marked Zone

 

 

 

 

Severe Crosswind

 

 

99

Unknown

 

 

 

 

 

 

 

 

 

02

Traffic Signal

 

 

 

 

 

 

6

One-Way

9 Unknown

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicles

 

 

 

61

Other

 

 

 

 

 

 

 

08

Blowing Snow

 

 

 

 

 

 

 

 

 

Unit 1

 

 

 

 

Unit

2

 

03

Flashing Traffic Signal

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12

 

 

 

 

 

 

 

 

 

 

09

Blowing Sand, Soil,

 

 

 

What

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unit 1

Unit 2

 

Other

 

 

 

IMPROPER OVERTAKING

 

Dirt

 

 

 

 

Vehicle

 

 

 

 

 

 

 

 

 

 

 

04

School Zone Signs

 

 

 

 

 

 

 

 

 

Vehicle

 

 

 

 

 

 

 

 

 

 

FOLLOWED TOO

 

 

 

62

In Marked Zone

 

 

 

 

10

 

 

 

 

 

Did

 

 

 

 

 

 

 

 

 

 

 

 

05

Yield Sign

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Removal

 

 

 

 

 

 

 

 

 

 

CLOSELY

 

 

 

63

On Hill/Curve

 

 

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

06

Warning Sign

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13

Human Element

 

64

At Intersection

 

 

 

 

99

Unknown

 

 

00

Not Applicable

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

07

Railroad Advance

 

 

 

 

 

 

0

Not Applicable

 

 

 

 

 

 

 

 

14

Traffic Condition

 

65

Without Sufficient Clearance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

01

Went Ahead

 

 

 

 

 

 

 

 

 

 

 

Warning Sign

 

 

 

 

 

 

1

Towed Due to

 

 

 

 

 

 

 

 

15

Weather Condition

 

66

Other

 

 

 

 

 

 

 

 

Locality

 

 

 

02

Turned Left

 

 

 

 

 

 

 

 

 

08

Railroad Cross Bucks

 

 

 

 

 

 

 

 

Vehicle Damage

 

 

 

 

 

UNSAFE SPEED

 

 

 

IMPROPER PARKING

 

 

 

 

 

 

 

 

 

 

 

 

03

Turned Right

 

 

 

 

 

 

 

 

 

09

Railroad Gates

 

 

 

 

 

 

2

Towed For Reasons

 

16

Driver's Ability (Age)

 

67

On Roadway

 

 

 

 

1

Residential

 

 

04

Entered “U” Turn

 

 

 

 

 

10

Railroad Signal

 

 

 

 

 

 

 

 

 

Other Than Damage

 

17

Inexperienced Driver -

68

Where Prohibited

 

 

 

 

2

Business

 

 

05

Stopped

 

 

 

 

 

 

 

 

 

11

No Passing Zone

 

 

 

 

 

 

3

Remained at Scene

 

 

 

 

 

 

Young

 

 

 

69

Other

 

 

 

 

 

 

 

3

Industrial

 

 

06

Slowed

 

 

 

 

 

 

 

 

 

12

Person (including flagger,

4

Driven from Scene

 

 

 

 

 

18

Exceeding Legal Limit

INATTENTION

 

 

 

 

4

School

 

 

07

Started From Park/Stop

 

 

law enforcement, crossing

9

Unknown

 

 

 

 

 

 

 

 

 

 

19

For Traffic Conditions

70

Distracted by Passenger in

5

Not Built-up

 

 

08

Entered Other Lane

 

 

 

 

 

13

guard, etc.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20

For Type of Roadway

71

Vehicle

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unit 1

Unit 2

 

 

 

 

 

 

 

 

6

Mixed Use

 

 

09

Overtaking

 

 

 

 

 

 

 

 

 

Abnormal Control

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Gravel, Dirt, etc.)

 

Other Distraction Inside

7

Other

 

 

10

Passing

 

 

 

 

 

 

 

 

 

14

Posted Speed

 

 

 

 

 

 

 

 

Vehicle

 

 

 

 

 

 

 

 

 

 

 

 

21

For Ice or Snow on

 

72

Vehicle

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9

Unknown

 

 

11

Backed

 

 

 

 

 

 

 

 

 

15

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

Condition

 

 

 

 

 

 

 

 

 

 

 

 

Roadway

 

 

 

Distraction From Outside

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12

Remained Stopped

 

 

 

 

 

99

Unknown

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

22

Rain or Wet Roadway

 

 

Vehicle

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of

 

 

 

13

Remained Parked

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

00

Not Applicable

 

 

 

 

 

 

 

 

23

Wind

 

 

 

73

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Intersection

 

 

 

14

Entered/Merged

 

 

 

 

 

 

 

Road

 

Unit 1

 

 

Unit

2

 

01

Apparently Normal

 

 

 

 

 

24

Other Weather

 

 

 

WRONG WAY

 

 

 

 

0

Not an Intersection

15

Departed Rdwy-Right

 

Surface

 

 

 

 

 

 

 

 

 

 

 

 

 

02

Brakes

 

 

 

 

 

 

 

 

 

 

 

Conditions

 

 

 

74

On One Way

 

 

 

 

16

Departed Rdwy-Left

 

 

 

 

 

Conditions

 

 

 

 

 

 

 

 

 

 

 

 

 

03

Headlights

 

 

 

 

 

 

 

 

 

 

25

Vehicle Condition

 

75

On Exit Ramp

 

 

 

 

1

Y-Intersection

 

 

17

Swerved Right

 

 

 

 

 

 

 

 

 

01

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

04

Steering

 

 

 

 

 

 

 

 

 

 

26

View Obstruction

 

76

On Entrance Ramp

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dry

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

T-Intersection

 

 

18

Swerved Left

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

05

Tail Lights

 

 

 

 

 

 

 

 

 

 

27

On Curve/Turn

 

 

 

77

Other

 

 

 

 

 

 

 

3

Four-Way

 

 

19

Parked

 

 

 

 

 

 

 

 

 

02

Wet

 

 

 

 

 

 

 

 

 

 

 

 

06

Brake Lights

 

 

 

 

 

 

 

 

28

Impeding Traffic

 

IMPROPER START FROM

4

Intersection

 

 

20

Other

 

 

 

 

 

 

 

 

 

03

Ice/Frost

 

 

 

 

 

 

 

 

 

 

 

 

07

Tires/Wheels

 

 

 

 

 

 

 

 

29

Other

 

 

 

78

Parked Position

 

 

 

 

 

Five-Point, or More

99

Unknown

 

 

 

 

 

 

 

 

 

04

Snow

 

 

 

 

 

 

 

 

 

 

 

 

08

Suspension

 

 

 

 

 

 

 

 

IMPROPER TURN

 

 

 

79

Other

 

 

 

 

 

 

 

5

Intersection as Part

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

05

Mud, Dirt, Gravel

 

 

 

 

 

 

09

Signal lights

 

 

 

 

 

 

 

 

30

From Wrong Lane

 

80

ALCOHOL-DUI/DWI

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

of Interchange

 

 

 

Visibility Unit 1

 

 

 

 

Unit 2

06

Slush

 

 

 

 

 

 

 

 

 

 

 

 

10

Windows

 

 

 

 

 

 

 

 

 

 

31

From Direct Course

 

81

DRUG-DUI

 

 

 

 

6

Traffic Circle

 

 

 

Obscured

 

 

 

 

 

 

 

 

 

 

 

07

Water (standing, moving)

11

Truck Coupling/Trailer

 

32

Right

 

 

 

OTHER IMPROPER ACT/

7

Roundabout

 

 

 

 

 

by

 

 

 

 

 

 

 

 

 

 

 

 

08

Sand

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hitch/Safety Chains

 

 

 

 

 

33

Left

 

 

 

MOVEMENT

 

 

 

 

 

 

 

9

Unknown

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

09

Oil

 

 

 

 

 

 

 

 

 

 

 

 

12

Mirrors

15

Other

 

34

Turn About/U-Turn

 

82

Failed to Signal

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

00

Not Applicable

 

 

 

 

 

 

 

 

 

10

Other

 

 

 

 

 

 

 

 

 

 

 

 

13

Wipers

99 Unknown

 

35

To Enter Private Drive

83

Disregarded Warning Signal

Incident Type

 

 

 

 

01

Trees

 

 

 

 

 

 

 

 

 

99

Unknown

 

 

 

 

 

 

 

 

 

 

 

 

14

Power Train

 

 

 

 

 

 

 

 

36

In Front of Oncoming

 

84

Improper Use of Lane

 

 

 

 

02

Embankment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Traffic

 

 

 

85

Improper Backing

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

00

 

 

 

 

 

 

 

03

Building

 

 

 

 

 

 

 

 

 

 

 

 

Road Character

 

 

 

 

 

 

 

Special

 

Unit 1

Unit 2

 

37

Other

 

 

 

86

Apparently Sleepy

 

 

 

 

Not an Incident

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

04

Signs

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Function

 

 

 

 

 

 

 

 

 

 

 

 

38

CHANGED LANES

 

87

Failed to Secure Load

51

Private Property

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

05

Parked Vehicles

 

 

 

 

 

 

 

Grade

 

 

Unit 1

Unit 2

 

of Vehicle

 

 

 

 

 

 

 

 

 

 

 

 

UNSAFELY

 

 

 

88

Other

 

 

 

 

 

 

 

52

Deliberate Intent

 

 

 

 

 

 

 

1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

06

High Weeds

 

 

 

 

 

 

 

 

 

 

Level

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

39

STOPPED IN

 

 

 

UNKN./NO IMPROPER ACT

53

Medical Condition

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

00

Not Applicable

 

 

 

 

 

 

 

 

 

 

 

 

 

07

Fences

 

 

 

 

 

 

 

 

 

2

 

Hillcrest

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TRAFFIC LANE

 

89

Deer in Roadway

 

 

 

 

54

Legal Intervention

 

 

08

Shrubbery

 

 

 

 

 

 

 

 

 

3

 

Uphill

 

 

 

 

 

 

 

 

 

 

 

 

01

School Bus

 

 

 

 

 

 

 

 

 

 

FAILED TO STOP

 

 

 

90

Animal in Roadway

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

55

Suicide

 

 

09

Ice, Snow or Frost on

4

 

Downhill

 

 

 

 

 

 

 

 

 

 

 

 

02

Transit Bus

 

 

 

 

 

 

 

 

 

 

40

For Stop Sign

 

 

 

91

Domestic Animal in Rdwy

57

Drowning

 

 

 

 

 

Windows

 

 

 

 

 

 

 

 

 

5

 

Sag (bottom)

 

 

 

 

 

 

03

Intercity Bus

 

 

 

 

 

 

 

 

41

For Traffic Signal

 

92

Avoiding Other Vehicle

58

Other

 

 

10

Smoke

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

04

Charter Bus

 

 

 

 

 

 

 

 

42

For School Bus

 

 

 

93

Avoiding Pedestrian

 

 

 

 

 

 

 

 

11

Fog

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Horizontal

 

 

Unit 1

Unit 2

05

Other Bus

 

 

 

 

 

 

 

 

 

 

43

For Railroad Gates/

 

94

Object/Debris in Roadway

Location of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12

Dust

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Alignment

 

 

 

 

 

 

 

 

 

 

 

 

06

Military

 

 

 

 

 

 

 

 

 

 

 

Signal

 

 

 

95

Defect in Roadway

 

 

 

 

First Harmful

 

 

 

 

13

Rain

 

 

 

 

 

 

 

 

 

 

 

 

1

 

Straight

 

 

 

 

 

 

 

 

 

 

 

 

07

OHP

 

 

 

 

 

 

 

 

 

 

 

 

44

For Officer/Flagman

 

96

Abnormal Traffic Control

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Event

 

 

14

Sun

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

08

Other Police

 

 

 

 

 

 

 

 

45

At Sidewalk/Stopline

 

97

Improper Bicyclist Action

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

 

Curve - Left

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

01

On Roadway

 

 

15

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

09

Other Law Enforcement

 

46

Other

 

 

 

98

NO IMPROPER ACTION BY

 

 

 

 

 

 

 

 

 

 

 

3

 

Curve - Right

 

 

 

 

 

 

 

 

 

 

02

Shoulder

 

 

99

Unknown

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10

Ambulance

 

 

 

 

 

 

 

 

 

 

UNSAFE VEHICLE

 

 

 

DRIVER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

03

Median

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11

Fire Truck

 

 

 

 

 

 

 

 

 

 

47

Brakes

 

 

 

99

PEDESTRIAN ACTION

04

Roadside

 

 

 

 

Driver

 

 

Unit 1

Unit 2

 

 

Road

 

 

Unit 1

Unit 2

12

Public Owned Vehicle

 

48

Steering

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

05

Gore

 

 

 

Distracted

 

 

 

 

 

 

 

 

 

 

Surface

 

 

 

 

 

 

 

 

 

 

 

 

13

Highway Equipment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unit

1

 

 

Unit

2

 

 

 

 

 

 

 

 

06

Separator

 

 

 

 

 

by

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type

 

 

 

 

 

 

 

 

 

 

 

 

14

Special Mobilized Machine

 

Point of First

 

 

 

 

 

 

 

 

 

 

 

07

Parking Lane/Zone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

Concrete

 

 

 

 

 

 

 

 

 

 

 

 

15

Other

 

 

99 Unknown

 

Contact on

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

0

Not Applicable/None

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

08

Off Roadway,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

Electronic Communication

2

 

Asphalt

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Emergency

 

Unit 1

Unit 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Location Unknown

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unit 1

 

 

Unit 2

 

 

 

 

 

 

 

09

Outside Right-of

 

 

 

 

 

Devices

 

 

 

 

 

 

 

 

 

3

 

Gravel

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle

 

 

 

 

 

 

 

 

 

 

Most Damaged

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

Other Electronic Device

4

 

Dirt

 

 

 

 

 

 

 

 

 

 

 

 

 

Responding to

 

 

 

 

 

 

 

 

 

Area

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Way

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10

 

 

3

Other Inside Vehicle

 

 

 

 

 

5

 

Brick

 

 

 

 

 

 

 

 

 

 

 

 

 

an Emergency

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

0

N/A

 

 

2

No

 

 

 

 

 

13

Top

15 Non-Collision

 

 

 

 

 

 

 

 

 

4

Other Outside Vehicle

6

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

99

Unknown

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9

Unknown

 

 

 

 

 

 

 

 

 

9

 

Unknown

 

 

 

 

 

 

 

 

 

 

 

 

1

Yes

 

 

9

Unknown

 

14

Undercarriage

99 Unknown

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

236

Case Number

Latitude

.

Longitude

N

.

Railroad Crossing Number

W

Pg of

Direction of Travel Before Collision

Unit

 

 

N E

 

Unit

 

 

N E

Number

 

 

S W

 

Number

 

 

S W

Indicate North

by Arrow

COLLISION EVENTS

Unit

First Event

Second Event

Third Event

Fourth Event

First Harmful Event

First Harmful

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Event for the

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Entire

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Collision

 

Unit

First Event

Second Event

Third Event

Fourth Event

First Harmful Event

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

37

Work Zone/Maintenance

56

Pavement Drop-Off

38

Equipment

57

Ditch

Other Non-Fixed Object

58

Embankment

FIXED OBJECT:

59

Tree (Standing)

40

Barrier (Cable)

60

Dividing Strip

41

Barrier (Concrete)

61

Retaining Wall

42

Barrier (Other)

62

Bridge Abutment

43

Fence Pole

63

Bridge Pier or Support

44

Fence

64

Bridge Rail

10Overturn/Rollover

11Fire/Explosion

12Immersion

13Jackknife

14Cargo/Equipment Loss or Shift

15Equipment Failure (Blown Tire, Brake Failure, etc.)

16Separation of Units

17Departed Road Right

18Departed Road Left

19Cross Median/Centerline

20Downhill Runaway

21Fell/Jumped From Motor Vehicle

22Thrown Or Falling Object

23Other Non-Collision

PERSON, MOTOR VEHICLE, OR NON-

FIXED OBJECT:

30 Pedestrian

31 Pedal Cycle

32 Railway Vehicle (train, engine)

33 Animal

34 Motor Vehicle in Transport

35 Parked Motor Vehicle

36 Struck by Falling, Shifting Cargo or Anything Set in Motion by Motor Vehicle

45

Traffic Signal Support

65

Bridge Post

46

Traffic Sign Support

66

Bridge Curb

47

Utility Pole/Light Support

67

Bridge Super Structure (Beams)

48

Other Post/Pole/Support

68

Bridge Overhead Structure

49

Guardrail/Guardrail Face

69

Delineator

50

Guardrail End

70

Mailbox

51

Culvert

71

Other Fixed Object

52

Curb

72

Other Highway Structure

53

Island

73

Ground

54

Sand Barrels

99

Unknown

55

Impact Attenuator/ Crash

 

 

 

Cushion

 

 

Remarks

237

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OFFICIAL OKLAHOMA TRAFFIC COLLISION REPORT

 

 

 

 

 

 

 

 

 

 

Pg

 

 

 

of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Case Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PERSONS SUPPLEMENTAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(42)

Unit

 

 

 

 

 

 

 

Pos in Veh.

 

Last Name

First

Middle Initial

 

 

 

 

 

 

Date of Birth (mm/dd/yyyy)

 

 

 

 

 

Sex

 

 

 

 

 

 

Injured

 

 

Passenger

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Witness

 

 

Prop. Owner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(43)

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

State

Zip

 

Telephone

 

(Use Area

 

Code)

 

 

 

 

 

 

 

 

 

Same as Driver

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(44)

Injury Severity / Type

 

OP Use

 

Air Bag Ejected Extricated Transported by

 

 

To

Medical

 

Facility

 

 

 

 

 

 

 

Property Type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(45)

Unit

 

 

 

 

 

 

 

Pos in Veh.

 

Last Name

First

Middle Initial

 

 

 

 

 

 

Date of Birth (mm/dd/yyyy)

 

 

 

 

 

Sex

 

 

 

 

 

 

Injured

 

 

Passenger

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Witness

 

 

Prop. Owner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(46)

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

State

Zip

 

Telephone

 

(Use Area

 

Code)

 

 

 

 

 

 

 

 

 

Same as Driver

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(47)

Injury Severity / Type

 

OP Use

 

Air Bag Ejected Extricated Transported by

 

 

To

Medical

 

Facility

 

 

 

 

Property Type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(48)

Unit

 

 

 

 

 

 

 

Pos in Veh.

 

Last Name

First

Middle Initial

 

 

 

 

 

 

Date of Birth (mm/dd/yyyy)

 

 

 

 

 

Sex

 

 

 

 

 

 

Injured

 

 

Passenger

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Witness

 

 

Prop. Owner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(49)

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

State

Zip

 

Telephone

 

(Use Area

 

Code)

 

 

 

 

 

 

 

 

 

Same as Driver

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(50)

Injury Severity / Type

 

OP Use

 

Air Bag Ejected Extricated Transported by

 

 

To

Medical

 

Facility

 

 

 

 

Property Type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(51)

Unit

 

 

 

 

 

 

 

Pos in Veh.

 

Last Name

First

Middle Initial

 

 

 

 

 

 

Date of Birth (mm/dd/yyyy)

 

 

 

 

 

Sex

 

 

 

 

 

 

Injured

 

 

Passenger

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Witness

 

 

Prop. Owner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(52)

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

State

Zip

 

Telephone

 

(Use Area

 

Code)

 

 

 

 

 

 

 

 

 

Same as Driver

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(53)

Injury Severity / Type

 

OP Use

 

Air Bag Ejected Extricated Transported by

 

 

To

Medical

 

Facility

 

 

 

 

Property Type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(54)

Unit

 

 

 

 

 

 

 

Pos in Veh.

 

Last Name

First

Middle Initial

 

 

 

 

 

 

Date of Birth (mm/dd/yyyy)

 

 

 

 

 

Sex

 

 

 

 

 

 

Injured

 

 

Passenger

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Witness

 

 

Prop. Owner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(55)

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

State

Zip

 

Telephone

 

(Use Area

 

Code)

 

 

 

 

 

 

 

 

 

Same as Driver

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(56)

Injury Severity / Type

 

OP Use

 

Air Bag Ejected Extricated Transported by

 

 

To

Medical

 

Facility

 

 

 

 

Property Type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(57)

Unit

 

 

 

 

 

 

 

Pos in Veh.

 

Last Name

First

Middle Initial

 

 

 

 

 

 

Date of Birth (mm/dd/yyyy)

 

 

 

 

 

Sex

 

 

 

 

 

 

Injured

 

 

Passenger

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Witness

 

 

Prop. Owner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(58)

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

State

Zip

 

Telephone

 

(Use Area

 

Code)

 

 

 

 

 

 

 

 

 

Same as Driver

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(59)

Injury Severity / Type

 

OP Use

 

Air Bag Ejected Extricated Transported by

 

 

To

Medical

 

Facility

 

 

 

 

Property Type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(60)

Unit

 

 

 

 

 

 

 

Pos in Veh.

 

Last Name

First

Middle Initial

 

 

 

 

 

 

Date of Birth (mm/dd/yyyy)

 

 

 

 

 

Sex

 

 

 

 

 

 

Injured

 

 

Passenger

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Witness

 

 

Prop. Owner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(61)

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

State

Zip

 

Telephone

 

(Use Area

 

Code)

 

 

 

 

 

 

 

 

 

Same as Driver

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(62)

Injury Severity / Type

 

OP Use

 

Air Bag Ejected Extricated Transported by

 

 

To

Medical

 

Facility

 

 

 

 

Property Type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(63)

Unit

 

 

 

 

 

 

 

Pos in Veh.

 

Last Name

First

Middle Initial

 

 

 

 

 

 

Date of Birth (mm/dd/yyyy)

 

 

 

 

 

Sex

 

 

 

 

 

 

Injured

 

 

Passenger

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Witness

 

 

Prop. Owner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(64)

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

State

Zip

 

Telephone

 

(Use Area

 

Code)

 

 

 

 

 

 

 

 

 

Same as Driver

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(65)

Injury Severity / Type

 

OP Use

 

Air Bag Ejected Extricated Transported by

 

 

To

Medical

 

Facility

 

 

 

 

Property Type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(66)

Unit

 

 

 

 

 

 

 

Pos in Veh.

 

Last Name

First

Middle Initial

 

 

 

 

 

 

Date of Birth (mm/dd/yyyy)

 

 

 

 

 

Sex

 

 

 

 

 

 

Injured

 

 

Passenger

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Witness

 

 

Prop. Owner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(67)

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

State

Zip

 

Telephone

 

(Use Area

 

Code)

 

 

 

 

 

 

 

 

 

Same as Driver

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(68)

Injury Severity / Type

 

OP Use

 

Air Bag Ejected Extricated Transported by

 

 

To

Medical

 

Facility

 

 

 

 

Property Type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

238

OFFICIAL OKLAHOMA TRAFFIC COLLISION REPORT

DIAGRAM SUPPLEMENTAL

Case Number

Pg of

Indicate North

by Arrow

239

 

 

OFFICIAL OKLAHOMA TRAFFIC COLLISION REPORT

Pg

 

of

 

 

 

 

Case Number

 

ADDITIONAL NARRATIVE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

240

Document Information

Fact Name Detail
Form Function The form is used to report details of a traffic collision in Oklahoma.
Reporting Agency Use Includes fields for agency case number and investigation details.
Incident Details Collects data on the date, time, location, and nature of the collision, including hit and run incidents.
Participant Information Gathers detailed information about drivers, occupants, and vehicles involved, including injury severity and insurance verification.
Citation Information Includes space to document citation statutes and numbers related to the collision.
Governing Law Oklahoma traffic laws regulate the reporting and documentation requirements captured in this form.

Guide to Filling Out Oklahoma Traffic Collision Report

When you've been involved in a traffic collision in Oklahoma, filling out the Oklahoma Traffic Collision Report form is a crucial step in documenting the incident. This report is not only a detailed account of what happened but also serves as an essential piece of evidence for insurance claims, investigations, and possible legal proceedings. The accuracy and completeness of this report can significantly impact the outcome of any insurance claims or legal matters that might arise from the collision. To ensure clarity and avoid any confusion, follow the step-by-step instructions for filling out the form correctly.

  1. Start by entering the date and time of the collision in the spaces provided at the top of the form.
  2. Under the "Motor Vehicles Involved" section, specify the number of vehicles involved, number injured, and number killed if applicable.
  3. Record the exact location of the collision, including county, city or town nearest to the incident, and the distance from the nearest city or town limits.
  4. Provide the street, road, or highway name and the distance from the nearest intersecting street.
  5. For each vehicle involved, fill out the driver’s information, including last name, first name, date of birth, sex, address, telephone number, driver license number, and state.
  6. Describe the vehicle involved by including the license plate number, vehicle identification number (VIN), year, color, make, and insurance information.
  7. Detail the collision in the "Collision Events" section by indicating the units involved, the first harmful event, and sequence of events leading to the collision.
  8. For any injuries, use the "Persons Supplemental" section to list each person involved, their position in the vehicle, injury severity, and whether they were taken to a medical facility.
  9. If there are witnesses or property owners affected, include their information in the provided spaces.
  10. For commercial vehicles, complete the section with details about the unit carrier name, address, the U.S. DOT number, vehicle use, and if hazardous materials were involved.
  11. Don’t forget to fill out the Investigating Officer section at the end, including the officer's badge number and the review date.

Once you've completed all sections of the Oklahoma Traffic Collision Report form, review it carefully for accuracy. Ensure that all information is correct and that no sections have been missed. This form becomes a vital document for the record and must be submitted to the appropriate Oklahoma authority, either by law enforcement at the scene or as directed in the aftermath of the collision. Remember, this report will play a key role in any legal or insurance processes that follow.

Get Clarifications on Oklahoma Traffic Collision Report

  1. What is the purpose of the Official Oklahoma Traffic Collision Report?

    The Official Oklahoma Traffic Collision Report serves a pivotal role in documenting the specifics of vehicular accidents within the state of Oklahoma. Its primary aim is to record accurate details about the incident, participants (drivers, occupants, and pedestrians), and conditions that prevailed at the time of the collision. These reports are crucial for law enforcement to analyze traffic patterns, identify potential hazards, and implement measures to enhance road safety. Furthermore, they provide essential documentation for involved parties seeking insurance claims or legal action related to the accident.

  2. How is the scene of the accident described in the report?

    In the report, the scene of the accident is described meticulously to offer a comprehensive understanding of the location and circumstances surrounding the collision. The report includes details such as the date and time of the collision, the nearest city or town, distance from city limits, and the specific street or highway where the incident occurred. It also specifies the exact location in terms of distance from the nearest intersecting road, including directions in miles north, east, south, or west, plus additional identifiers like grid coordinates. This precise description aids in pinpointing the exact location, which is vital for investigating the causes and determining liability.

  3. What information about the vehicles involved is captured in the report?

    The report captures detailed information about the vehicles involved in the collision. This includes not only the make, model, year, and color of each vehicle but also specific identifiers like the Vehicle Identification Number (VIN) and license plate number. Furthermore, data on the vehicle’s insurance, including the insurance company name and policy number, are documented for insurance verification purposes. The extent of the vehicle’s damage, whether it was removed by the owner or towed, and if it was involved in commercial activities at the time, are also recorded. Such detailed vehicle information is vital for insurance claims processing and legal investigations.

  4. How does the report address the individuals involved in the collision?

    The report provides a thorough account of each individual involved in the collision, whether they are drivers, passengers, or pedestrians. Personal information, including names, addresses, dates of birth, and contact information, is recorded alongside details about their condition immediately following the accident—ranging from the severity of injuries to whether any form of occupant protection was used. The report also notes the actions taken with the injured, such as ejection from the vehicle, extrication needs, and transportation to medical facilities. This people-first approach ensures that the immediate and future needs of those affected are considered, facilitating insurance claims and healthcare follow-ups.

Common mistakes

When completing the Oklahoma Traffic Collision Report form, attention to detail is crucial. However, certain mistakes are frequently made, which can lead to inaccuracies in the report and potentially impact the outcomes for those involved. Below are some common errors to avoid:

  1. Not providing complete information on all vehicles and persons involved, including making sure every field is filled out, even if the response is "N/A" or "Unknown".
  2. Failing to accurately describe the collision's location, which includes not just the street names but also the precise distance from the nearest intersection or landmark.
  3. Incorrectly identifying the type of collision, such as misclassifying between a "hit and run" and an incident where the driver remained at the scene.
  4. Omitting details on the weather or road conditions at the time of the accident, which could be crucial in understanding contributing factors.
  5. Forgetting to document the exact positions of occupants within the vehicles, which is important for injury analysis.
  6. Misreporting or not specifying the types of injuries sustained by those involved, as well as the severity of these injuries.
  7. Not properly detailing whether safety devices were used, like seat belts or airbags, and if they functioned correctly during the incident.
  8. Leaving out information or incorrectly filling out details about any citations issued or laws that were violated leading up to the collision.
  9. Overlooking the need to report if the collision occurred in or near a work zone, which has additional legal implications.

It's essential to review the form carefully before submission to ensure all data is accurate and complete. This ensures that the report provides a clear and comprehensive account of the incident, which is vital for legal, insurance, and statistical purposes.

Documents used along the form

When dealing with the aftermath of a traffic collision in Oklahoma, the Oklahoma Traffic Collision Report form is a key document that captures all pertinent details of the incident. However, to comprehensively address the legal, insurance, and repair processes that typically follow, a number of additional forms and documents are often required. These serve to provide a fuller picture of the incident, ensuring that all aspects are properly documented for future reference.

  • Insurance Policy Document: This verifies the insurance coverage of the vehicles involved. It includes details such as policy numbers, extents of coverage, and the insurance company's contact information.
  • Vehicle Registration: Shows proof of the vehicle's legal registration, indicating ownership and the validity of the vehicle being on the road at the time of the accident.
  • Driver's License Copies: Copies of the driver's licenses of all parties involved are necessary to confirm their identities and legal driving statuses.
  • Witness Statements: Written or recorded statements from witnesses can provide additional perspectives on the accident, which may be crucial for investigations and insurance claims.
  • Medical Reports: In cases of injuries, detailed medical reports highlight the extent and nature of the injuries sustained, which is vital for insurance claims and potential legal action.
  • Photographs of the Scene: Photos taken immediately after the accident can offer visual evidence of the scene, including vehicle positions, road conditions, and any relevant signage or signals.
  • Repair Estimates: Detailed estimates from auto repair shops detailing the anticipated costs to fix the vehicle damages caused by the collision.
  • Police Incident Number: A reference number provided by the police, which can be used to obtain the official police report of the accident, aiding in the insurance claim process.

Each of these documents plays a crucial role in piecing together what happened during the incident, ensuring that all parties involved have the necessary information to proceed with repairs, claims, and any possible legal matters. Together, they complement the Oklahoma Traffic Collision Report form, creating a comprehensive dossier that aids all stakeholders in effectively managing the aftermath of a traffic incident.

Similar forms

The Oklahoma Traffic Collision Report form bears similarities to various other legal and official documents, each fulfilling a unique role in data collection, reporting, and analysis across different contexts. One such document is the Police Incident Report, which may include detailed narratives and classifications similar to those in traffic collision reports but covers a wide range of incidents, from burglaries to disturbances. Both types collect essential data for legal, administrative, and planning purposes, specifying the involved parties, the nature of the incident, and outcomes like injuries or fatalities.

Another related document is the Motor Vehicle Accident Claim Form used by insurance companies. This form typically requires detailed information about the accident, much like the traffic collision report, including specifics of the vehicles involved, the accident's circumstances, and any damages or injuries. These details are crucial for processing claims, assessing liabilities, and determining compensation, demonstrating how both types of documents serve pivotal roles in post-accident procedures.

The Driver's Crash Report form, which individuals involved in traffic accidents may be required to submit to state departments of motor vehicles (DMVs) or insurance companies, also shares similarities. While this report is filled out by the drivers rather than law enforcement, it similarly collects comprehensive information on the crash, aiming to document the incident accurately for legal and insurance evaluation purposes.

Commercial Vehicle Pre-Trip Inspection Reports are another similar document, focusing on the condition of commercial vehicles before use. Though primarily a preventive measure against accidents, rather than a post-accident assessment, it overlaps with the Traffic Collision Report in its attention to vehicle specifics, potential hazards, and ensuring vehicular safety. Regular inspection reports can be crucial in identifying factors contributing to accidents, underlining their interconnected purpose.

Oversize Load Permits share a preventive goal, requiring detailed planning and communication to safely manage the transport of exceptionally large loads. These permits necessitate specific route plans, vehicle descriptions, and safety measures, akin to the detailed reporting seen in collision reports, to prevent incidents on public roadways. Both documents reflect the broader aim of ensuring road safety and minimizing disruptions.

The Hazardous Material Incident Report, required for accidents involving hazardous materials, is another analogous document. It contains detailed information on the incident, the materials involved, and the response actions taken. This specificity parallels the Oklahoma Traffic Collision Report's detailed account of an accident, emphasizing the importance of clear documentation in managing and mitigating the impact of such events.

Worker's Compensation Claim Forms, required when an employee is injured at work, including vehicle accidents while on the job, also align with the purpose served by traffic collision reports. Both document the specifics of how, where, and when the injuries occurred, key information for investigating claims, determining compensation eligibility, and implementing measures to prevent future incidents.

The National Highway Traffic Safety Administration (NHTSA) Accident Investigation Form serves a related but distinct purpose, focusing on collecting data for research that can inform vehicle safety standards and road safety policies. While more specialized, it shares the goal of detailed accident documentation found in the Oklahoma report, contributing to broader efforts to understand and prevent traffic accidents.

Lastly, Emergency Medical Services (EMS) Run Sheets, which document care provided during emergency medical responses, complement the information found in traffic collision reports. While EMS run sheets focus on medical interventions and patient status, both types of documents together provide a comprehensive view of the accident's impact, instrumental in legal, medical, and insurance processes following an incident.

While each of these documents serves a specific function, from preventive measures to post-incident analyses, they collectively underscore the importance of detailed reporting and documentation across different emergencies and regulatory needs. The Oklahoma Traffic TAB(fill in this tab) Collision Report exemplifies this interconnected system of documentation, underscoring the collective aim of enhancing public safety, accountability, and recovery following traffic incidents.

Dos and Don'ts

Filling out the Oklahoma Traffic Collision Report form accurately and thoroughly is crucial for ensuring all involved parties and their insurers can effectively process the incident. Here's a concise guide on what you should and shouldn't do when completing this form:

Do:
  • Review the entire form first: Understand what information is required before you start filling it out.
  • Provide accurate information: Ensure all details about the incident, vehicles, and individuals involved are correct.
  • Include specific location details: Clearly state the accident location, including nearest cross streets or landmarks.
  • Report all injuries and damages: Document every injury and all damages, no matter how minor they seem.
  • Use clear, legible handwriting: If the form is handwritten, make sure it's readable to avoid any misunderstandings.
  • Contact your insurance company: Notify them of the accident and the completion of the report.
  • Keep a copy of the completed form: This will help you track the progress of your claim and resolve any disputes.
Don't:
  • Leave sections blank: If a section doesn’t apply, write “N/A” (Not Applicable) to indicate you didn’t overlook it.
  • Guess information: If you’re unsure about specific details, it's better to confirm first rather than provide incorrect information.
  • Ignore witness information: If there were witnesses, their accounts could be valuable. Include their contact information.
  • Forget to document the scene: If possible, take photos of the incident scene and attach them with your report.
  • Delay filling out the form: Timely submission is crucial in processing claims or legal issues that may arise.
  • Use aggressive or emotional language: Stick to the facts and describe the incident objectively.
  • Sign without reviewing: Ensure all information is accurate and complete before you sign the report.

Misconceptions

There are common misunderstandings surrounding the Oklahoma Traffic Collision Report form that can lead to confusion for individuals involved in traffic incidents. Clarifying these misconceptions is essential for accurate reporting and understanding of collision documentation in Oklahoma.

  • Misconception 1: The report is only for law enforcement use.

    Many people believe that the Oklahoma Traffic Collision Report form is exclusively for law enforcement officials. However, while law enforcement agencies complete the form at the scene of the collision, the information it contains is useful for insurance claims, legal proceedings, and personal records. Anyone involved in a collision has the right to obtain a copy of the report.

  • Misconception 2: All collisions must be reported on this form.

    This form is not required for all traffic collisions. The state mandates its use primarily for collisions resulting in injury, death, or significant property damage. Minor incidents without injuries or significant damage may not necessitate a report, depending on local policies.

  • Misconception 3: The report determines fault in a collision.

    While the Oklahoma Traffic Collision Report provides a detailed account of the incident, including contributing factors and conditions, it does not officially determine fault. Fault is determined through insurance investigations or legal proceedings, which may use the report as evidence.

  • Misconception 4: Information on the form is only preliminary.

    Some individuals assume that the information gathered at the scene is preliminary and can be significantly altered later. While additional details may emerge, the Oklahoma Traffic Collision Report is a formal document, and the information it captures is considered accurate to the best knowledge of the responding officer and parties involved at the time.

  • Misconception 5: The report is immediately available after a collision.

    There exists a belief that the report is available immediately after its completion. In reality, processing and filing the report takes time. Individuals involved in the collision may need to wait several days or even weeks before the report is available for request from the reporting law enforcement agency or other designated state department.

Understanding these aspects of the Oklahoma Traffic Collision Report form is crucial for individuals involved in traffic collisions within the state. Clarifying these misconceptions ensures that all parties have accurate expectations regarding the documentation and use of these reports.

Key takeaways

Filling out and using the Oklahoma Traffic Collision Report form correctly is crucial for accurately documenting traffic collisions within the state. Here are key takeaways to ensure the form is used effectively:

  • It's essential to complete all sections of the report accurately, providing detailed information about the collision, including the date, time, and specific location. This information helps in the analysis and prevention of future accidents.
  • Identification of all parties involved is a critical component. This includes drivers, passengers, pedestrians, or any property owners affected by the incident. Precise details such as names, addresses, and contact information are necessary for follow-up and legal purposes.
  • The form requires detailed descriptions of the vehicles involved, including make, model, year, color, VIN, and insurance information. Accurate vehicle information aids in the investigation and insurance claims process.
  • Documenting the extent of injuries and the severity is fundamental. This needs to include not only the type of injuries but also if hospitalization was required, all of which have implications for legal and insurance outcomes.
  • Specific details about the collision, such as the mechanism of the crash, road conditions, and whether it occurred in a construction zone, are crucial for understanding contributing factors and responsibilities.
  • The report includes sections on traffic citations issued and statutes or ordinances violated. This information is important for legal proceedings and traffic safety analysis.
  • Investigation details, including photographs, hit and run information, and whether the investigation was completed at the scene, provide a comprehensive overview of the incident for both law enforcement and insurance companies.
  • For commercial vehicles or incidents involving hazardous materials, additional information regarding the carrier, U.S. DOT number, and hazmat details are required. This information is crucial for regulatory compliance and safety analyses.

Proper completion and utilization of the Oklahoma Traffic Collision Report form play a vital role in legal, insurance, and safety considerations following a traffic collision. Ensuring the accuracy and completeness of every field contributes to a clearer understanding of the circumstances surrounding each incident and can help in the development of strategies aimed at reducing future collisions.

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