ALCOHOL AND / OR DRUG TEST GIVEN |
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PEDESTRIAN MANEUVER |
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CONTRIBUTING FACTORS |
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VEHICLE TYPE |
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1 - Passenger Car |
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12 - Vehicle With Trailer |
1 - Yes |
2 - No |
3 - Refused |
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1 - Crossing, Not At Crosswalk |
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2 - Pickup Truck |
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13 - Bus |
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6 - Other Working in Road |
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1 - No Contributing Factors |
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TYPE TEST |
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2 - Crossing at Crosswalk |
7 - Playing Roadway |
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2 - D.U.I. |
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3 - Truck Tractor (Bobtail) |
14 - Truck Towing House Trailer |
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3 - Walking with Traffic |
8 - Standing in Roadway |
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4 - Tractor/Trailor |
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3 - Following Too Close |
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15 - Ambulance |
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1 - Blood 2 - Breath |
3 - Urine |
4 - Other |
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4 - Walking Against Traffic |
9 - Off Roadway |
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5 - Tractor W /Twin Trailers |
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4 - Failed to Yield |
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16 - Motorized Recreational Vehicle |
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DRIVER CONDITION |
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5 - Pushing Or Working on |
10 -Other |
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5 - Exceeding Speed Limit |
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6 - Logging Truck |
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17 - Motorcycle, Scooter, Minibike |
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Vehicle |
11 -Darting Into Traffic |
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7 - Logging Tractor/Trailer |
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1 - Not Drinking |
5 - U.I. Drugs |
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6 - Disregard Stop Sign /Signal |
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18 - Moped |
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8 - Single Unit Truck |
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19 - Pedalcycle, Bicycle |
2 - Not Known if U .I. |
6 - U.I.Alcohol & Drugs |
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7 - Wrong Side Of Road |
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9 - Panel Truck |
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20 - Farm or Construction . Equip. |
3 - Drinking Not Impaired |
7 - Physical |
Impairment |
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8 - Weather Conditions |
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10 - Van |
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FIRST HARMFUL EVENT /MOST HARMFUL EVENT |
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21 - All Terrain Vehicle |
4 - U.I. Alcohol |
8 - Apparently Fell Asleep |
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9 - Improper Passing |
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11 - Utility Passenger Vehicle . |
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NON -COLLISION |
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22 - Other |
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10 - Driver Lost Control |
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DIRECTION OF TRAVEL |
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1 - Overturn |
4 - Jackknife |
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11 - Changed Lanes Improperly |
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23 - Go cart |
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2 - Fire/Explosion |
5 - Other Non -Collision |
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12 - Object Or Animal |
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1 - North |
2 - South |
3 - East |
4 - |
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TRAFFIC CONTROL |
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13 - Improper Turn |
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3 - Immersion |
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West |
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5 - Stop Or Yield Sign |
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14 - Parked Improperly |
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0 - Gates |
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VISION OBSCURED BY |
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COLLISION WITH OBJECT NOT FIXED |
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15 - Mechanical Or Vehicle Failure |
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1 - No Control Present |
6 - No Passing Zone |
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16 - Surface Defects |
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7 - Lanes |
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1 - Not Obscured |
5 - Trees, Bushes |
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6 - Pedestrian |
11 - Motor Vehicle In Motion |
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2 - Traffic Signal |
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2 - Headlights |
6 - Rain, Snow, Ice on |
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17 - Misjudged Clearance |
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3 - RR Signal/Sign |
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8 - Other |
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7 - Pedalcycle |
12 - Motor Vehicle In Motion – |
In |
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18 - Improper Backing |
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4 - Warning Sign |
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9 - Flashing Lights |
3 - Sunlight |
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Windshield |
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8 - Railway Train |
Other Roadway |
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4 - Parked Vehicle |
7 - Other |
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19 - No Signal/Improper Signal |
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9 - Animal |
13 - Other Object (Not Fixed) |
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20 - Driver Condition |
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CARGO BODY TYPE |
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10 - Parked Motor Vehicle |
14 - Deer |
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VEHICLE CONDITION |
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21 - Driver's Vehicle |
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1 - No Known Defects |
5 - Steering Failure |
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COLLISION WITH FIXED OBJECT |
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22 - Too Fast For Conditions |
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1 - Van (Encl. Box) |
4 - Dump |
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7 - Cargo Tanker |
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23 - Improper Passing Of School Bus |
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2 - Tire Failure |
6 - Slick Tires |
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2 - Auto Carrier |
5 - Garbage/Refuse |
8 - Concrete Mixer |
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15 - Impact Attenuate |
25 - Utility Pole |
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24 - Disregard Police Officer |
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3 - Bus |
6 - Flatbed |
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9 - Other |
3 - Brake Failure |
7 - Other |
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16 - Bridge Pier/Abutment |
26 - Other Post |
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25 - Distracted |
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4 - Improper Lights |
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17 - Bridge Parapet End |
27 - Culvert |
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26 - Other |
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18 - Bridge Rail |
28 - Curb |
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27 - Cell Phone |
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VEHICLE CONFIGURATION |
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VEHICLE MANEUVER |
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19 - Guardrail Face |
29 - Ditch |
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28 - Inattentive |
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1 - Bus (Seating for More Than 15 Passengers) |
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1 - Turning Left |
8 - Parked |
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20 - Guardrail End |
30 - Embankment |
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2 - Turning Right |
9 - Passing |
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21 - Median Barrier |
31 - Fence |
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2 - Single Unit Truck: 2 Axles |
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VEHICLE CLASS |
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3 - Single Unit Truck: 3 or More Axles |
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3 - Making U-turn |
10 - Negotiating A Curve |
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22 - Highway Traffic Sign |
32 - Mailbox |
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1 - Privately Owned |
6 - Military |
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4 - Truck Trailer |
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4 - Stopped |
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11 - Entering/Leaving |
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Post |
33 - Tree |
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2 - Police |
7 - Commercial Vehicle (For |
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5 - Truck Tractor (Bobtail) |
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5 - Straight |
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Parking |
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23 - Overhead Sign Support 34 - Other - Fixed Object |
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3 - Fire |
Acc. Reporting Purposes |
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6 - Tractor Tralier |
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6 - Changing Lanes |
12 - Entering/Leaving |
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24 - Luminaire light Support |
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4 - School |
Only) |
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7 - Tractor With Twin Trailers |
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7 - Backing |
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Driveway |
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5 - Other Govt. Owned |
8 - Other |
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8 - Unknown Heavy Truck (Cannot Classify) |
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TRAFFIC -WAY FLOW |
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LOCATION AT AREA OF IMPACT |
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AGE |
SEX |
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1 - Two-way Traffic-way |
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00 - Up To One Year |
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1 - On Roadway |
4 - Median |
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M - Male F - Female |
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With No Physical Separation |
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01 - 97 Actual Age |
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2 - On Shoulder |
5 - Ramp |
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2 - Two-way Traffic-way |
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3 - Off Roadway |
6 - Gore |
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98 - Ninety-eight Or Older |
TAKEN FOR TREATMENT |
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With a Physical Separation |
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99 - Unknown |
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1 - Yes |
2 - No |
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3 - Two-way Traffic-way |
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ROAD COMPOSITION |
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INJURY CODE |
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1 |
2 |
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3 |
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With a Physical Barrier |
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4 |
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6 |
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1 - Concrete |
4 - Dirt |
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4 - One-way Traffic-way |
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0 - Not injured |
3 - Visible |
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2 - Black Top |
5 - Gravel |
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8 |
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5 - Continuous Turning Lane |
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1 - Killed |
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4 - Complaint |
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7 |
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8 |
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3 - Tar And Gravel |
6 - Other |
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2 - Serious |
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8 |
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1 - Clear |
WEATHER |
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CONSTRUCTION / MAINTENANCE ZONE CODES |
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SEATING POSITION |
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5 - Sleet |
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CONTRIBUTING ROAD DEFECTS |
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0 - None |
1 - Construction |
2 - Maintenance |
3 - Utility |
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2 - Cloudy |
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6 - Fog |
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1- No Defects |
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4 - Unknown type |
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3 - Rain |
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7 - Other |
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POINTS OF INITIAL CONTACT |
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2 - Defective Shoulders |
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4 - Snow |
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3 - Holes, Deep Ruts , Bumps |
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EJECTION |
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00 - Overturned |
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SURFACE CONDITION |
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4 - Loose Material On Surface |
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1 - Not Ejected |
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3 - Totally Ejected |
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13 - Top |
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1 - Dry |
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6 - Mud |
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5 - Water Standing |
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2 - Trapped |
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4 - Partially Ejected |
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14 - Undercarriage |
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6 - Road Under Construction |
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2 - Wet |
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7 - Sand |
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15 - Non-Contact Vehicle |
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7 - Running Water |
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3 - Snowy |
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8 - Slush |
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SAFETY EQUIPMENT |
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8 - Other |
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4 - Icy |
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9 - Oil |
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0 - None Used |
6 - Motorcycle Helmet |
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5 - Other |
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ROAD CHARACTER |
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1 - Shoulder Belt |
7 - Bicycle Helmet |
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2 - Lap Belt |
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8 - Unknown |
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LIGHT CONDITION |
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1 - Straight And Level |
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3 - Lap and Shoulder Belt |
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1 - Daylight |
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4 - Dark - Lighted |
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2 - Straight On Grade |
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4 - Child Safety Seat (Property Used) |
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2 - Dusk |
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5 - Dark - Not Lighted |
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3 - Straight On Hillcrest |
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5 - Child Safety Seat (Improperly Used) |
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3 - Dawn |
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4 - Curve And Level |
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5 - Curve On Grade |
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EXTRICATION (Equipment Used ) |
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MANNER OF COLLISION |
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6 - Curve On Hillcrest |
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1 - Yes |
2 - No |
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1 - Angle |
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DAMAGE TO VEHICLE |
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AIR BAG FUNCTION |
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2 - Head On |
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3 - Rear End |
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1 - None |
4 - Extensive |
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0 - No Air Bag In This Seat |
5 - Deployed Multiple Directions |
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4 - Sideswipe - Same Direction |
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2 - Slight |
5 - Fire Present |
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1 - Deployed Air Bag |
6 - Non-Deployed Front |
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5 - Sideswipe - Opposite Direction |
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3 - Moderate |
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2 - Non -Deployed Air Bag |
7 - Non-Deployed Side |
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6 - Not A Collision With a Motor Vehicle |
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3 - Deployed Side |
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8 - Non-Deployed Other Direction |
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4 - Deployed other Directions |
9 - Non-Deployed Multiple Direction |
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