The Ohio Traffic Crash Report form is a crucial document used by law enforcement to record details of traffic accidents occurring within the state. This form captures essential information about the crash, including the time, location, involved parties, and any injuries sustained. Understanding how to properly complete this report can help ensure accurate data collection, which is vital for improving road safety and preventing future incidents.
The Ohio Traffic Crash Report form serves as a crucial tool for documenting the details surrounding vehicle accidents within the state. This form collects essential information, including the date, time, and location of the crash, as well as the severity of injuries involved, such as fatalities or property damage. It also requires details about the vehicles and individuals involved, including driver information, vehicle make and model, and insurance details. The report categorizes crashes based on their severity, ranging from minor injuries to fatal incidents, and captures data on contributing factors, such as weather conditions and road types. Additionally, it addresses the actions of the motorists prior to the crash, offering insights into potential causes. Witness information and police actions taken at the scene are also included, ensuring a comprehensive overview of the incident. By standardizing this information, the form aids law enforcement and insurance companies in analyzing crash trends and improving roadway safety across Ohio.
TRAFFIC CRASH REPORT
LOCAL REPORT # *
OH-1(Rev.10/99)
PRIVATE
PHOTOS
OH-2
OH-3
OH-1P OTHER
CRASH SEVERITY
HIT/SKIP
PROPERTY
1 NOT HIT/SKIP
TAKEN
1 FATAL
3 PDO
‘X’
2 SOLVED
2 INJURY
4 UNKNOWN
IF YES
3 UNSOLVED
N.C.I.C.# *
TIME OF CRASH
DAY OF WEEK
REPORTING AGENCY *
# UNITS
CITY *
VILLAGE *
TWP *
NAME (OF CITY, VILLAGE OR TOWNSHIP) *
UNIT ERROR
DATE OF CRASH *
98= ANIMAL
99= UNKNOWN
COUNTY # *
LATITUDE
LONGITUDE
CRASH OCCURRED ON
TYPE LOCATION POINT USED
PREFIX CRASH LOCATION
TYPE LOC
1 NAMED STREET
3 NUMBERED ROUTE
2 NUMBERED STREET
REFERENCEPOINTUSED
AT / REFERENCE
DIST REFERENCE
DR
PREFIX
REFERENCE
REF POINT 01
STATE LINE
02
INTERSECTION 2 STREETS
03
COUNTY LINE
LOCAL INFORMATION
04
HOUSE NUMBER
08
PLACE NAME W/O REFERENCE
05
TOWNSHIP BOUNDARY
09
DRIVEWAY
06
MILE POST
10
STREET OR ROUTE W/O
07
CORPORATION LIMIT
UNIT #
A
#OF OCC.
NAME (LAST, FIRST, MIDDLE)
ADDRESS (STREET, CITY, STATE, ZIP CODE)
SOCIAL SECURITY NUMBER
DATE OF BIRTH
AGE
SEX
HOME PHONE #
WORK PHONE #
DL STATE
DL #
LP STATE
LP #
INJURED
1 NONE
4 OTHER
TRANSPORTED BY
INJURED TAKEN TO
TAKEN BY
2 EMS
5
UNKNOWN
3 POLICE
Motorist-Motorist/Non
OWNER NAME (IF SAME, WRITE “SAME”)
YEAR
MAKE
MODEL
COLOR
INSURANCE COMPANY
TOWING SERVICE
OWNER PHONE #
OFFENSE CHARGED
OFFENSE DESCRIPTION
CITATION #
LOCAL
CODE?
B
# OF OCC.
NAME
(LAST, FIRST, MIDDLE)
LP S
TATE
C
Occupant
INJURED TAKEN BY
5 UNKNOWN
DATE
OF BIRTH
D
SEATING POSITION
SAFETYEQUIPMENT
AIRBAG
AIRBAGSWITCH
EJECTION
01
FRONT – LEFT (MC DRIVER)
MOTORIST
1
NOT-DEPLOYED
NOT PRESENT
NOT EJECTED
FRONT – MIDDLE
NONE USED
2
DEPLOYED-FRONT
IN ON POSITION
TOTALLY EJECTED
FRONT
– RIGHT
SHOULDER BELT ONLY
3
DEPLOYED-SIDE
IN OFF POSITION
PARTIALLY EJECTED
SECOND – LEFT (MC PASS)
LAP BELT ONLY
4
DEPLOYED BOTH
NOT APPLICABLE
SECOND – MIDDLE
SHOULDER/LAP BELT
FRONT/SIDE
06 SECOND – RIGHT
05 CHILD SAFETY SEAT
THIRD – LEFT
MC HELMET USED
6
(MC PASSENGER/SIDE CAR)
USE UNKNOWN
THIRD
– MIDDLE
NON-MOTORIST
SLEEPER SECTION OF CAB
HELMET USED
11
ENCLOSED CARGO AREA
PROTECTIVE PADS
12
UNENCLOSED CARGO AREA
REFLECTIVE CLOTHING
13
TRAILING UNIT
LIGHTING
BLANK FOR
14
EXTERIOR
OTHER
15
WITNESS
16
17
HSY7001
TOP COPY - ODPS
BOTTOM COPY - AGENCY
TRAPPED
1NOT TRAPPED
A2 EXTRICATED BY MECHANICAL MEANS
3FREED BY
BNON-MECHANICAL MEANS
4UNKNOWN
INJURIES
1NO INJURY
A 2 POSSIBLE
3NON-
INCAPACITATING
4INCAPACITATING
B5 FATAL INJURY
6 UNKNOWN
SUPPLEMENT *
‘X” IF YES
UNITNUMBERS
DAMAGEAREA
PRE-CRASH ACTIONS
SEQUENCE OF EVENTS
POSTEDSPEED
DRUGTEST STATUS
NONE
NON-MOTORIST LOCATION
01 MOVEMENTS ESSENTIALLY
EST
R
EFUSED
TRAFFICCONTROL
T
STRAIGHT AHEAD
TEST GIVEN, CONTAMINATED
02 BACKING
SAMPLE/UNUSABLE
4 TEST GIVEN, RESULTS KNOWN
03 CHANGING LANES
04 OVERTAKING/PASSING
TEST GIVEN, RESULTS UNKNOWN
01 MARKED CROSSWALK AT
05 TURNING RIGHT
01 NO CONTROLS
INTERSECTION
06 TURNING LEFT
02 STOP SIGN
DRUGTESTTYPE
02 INTERSECTION/ NO CROSSWALK
07 MAKING U-TURN
03 YIELD SIGN
03 NON-INTERSECTION CROSSWALK
08 ENTERING TRAFFIC LANE
04 TRAFFIC SIGNAL
04 DRIVEWAY ACCESS CROSSWALK
09 LEAVING TRAFFIC LANE
05 TRAFFIC FLASHERS
05 IN ROADWAY
10 PARKED
06 SCHOOL ZONE
06 NOT IN ROADWAY
11 SLOWING/STOPPED IN TRAFFIC
NON-COLLISION
07 RAILROAD CROSSBUCKS
07 MEDIAN (BUT NOT SHOULDER)
12 DRIVERLESS
OVERTURN/ROLLOVER
08 RAILROAD FLASHERS
BLOOD
08 ISLAND
13 OTHER
FIRE/EXPLOSION
AILROAD
G
ATES
URINE
09 SHOULDER
14 UNKNOWN
09 R
IMMERSION
ONSTRUCTION
ARRICADE
10 SIDEWALK
10 C
JACKKNIFE
11 POLICE OFFICER
11 WITHIN 10 FEET OF ROADWAY
15 ENTERING/CROSSING IN SPECIFIED
DRUGTEST1&2 RESULT
CARGO/EQUIPMENT LOSS/SHIFT
12 PAVEMENT MARKINGS
(NOT SHOULDER, MEDIAN,
LOCATION
EQUIPMENT FAILURE
CROSSWALK LINES
SIDEWALK, ISLAND)
WALKING, RUNNING, JOGGING,
SEPARATION OF UNITS
14 WALK/DON’T WALK SIGNAL
12 BEYOND 10 FEET OF ROADWAY
PLAYING, CYCLING
RAN OFF ROAD RIGHT
15 TRAFFIC CONTROL DEVICE INOPERATIVE,
(WITHIN TRAFFICWAY)
17 WORKING
RAN OFF ROAD LEFT
MISSING, OBSCURED
13 OUTSIDE TRAFFICWAY
18 PUSHING VEHICLE
CROSS MEDIAN/CENTERLINE
16 OTHER
14 SHARED USE PATHS OR TRAILS
19 APPROACHING/LEAVING VEHICLE
DOWNHILL RUNAWAY
MOSTDAMAGEDAREA
20 PLAYING/WORKING ON VEHICLE
15 UNKNOWN
OTHER NON-COLLISION
DIRECTION
21 STANDING
UNKNOWN NON-COLLISION
MARIJUANA
TYPEOFUNIT
FROM
TO
22 OTHER
COLLISIONW/PERSON,VEHICLE,
COCAINE
23 UNKNOWN
OROBJECTNOTFIXED
OPIATES
PEDESTRIAN
AMPHETAMINES
PEDALCYCLE
PCP
01 NONE
CONTRIBUTINGCIRCUMSTANCES
RAILWAY VEHICLE
NORTH
7
02 CENTER FRONT
ANIMAL – FARM
8 UNKNOWN AT TIME OF REPORTING
SOUTH
01 SUB-COMPACT
03 RIGHT FRONT
18
ANIMAL – DEER
EAST
02 COMPACT
04 RIGHT SIDE
TYPE OF INTERSECTION
19
ANIMAL – OTHER
WEST
03 MID SIZE
05 RIGHT REAR
20
MOTOR VEHICLE IN TRANSPORT
NORTHEAST
04 FULL SIZE
06 REAR CENTER
21
PARKED MOTOR VEHICLE
NORTHWEST
05 MINIVAN
07 LEFT REAR
22
WORK ZONE MAINTENANCE EQUIPMENT
SOUTHEAST
06 SPORT UTILITY VEHICLE
08 LEFT SIDE
23
OTHER MOVABLE OBJECT
02 FAILURE TO YIELD
8
SOUTHWEST
07 PICKUP
09 LEFT FRONT
01 NOT AN INTERSECTION
24
UNKNOWN MOVABLE OBJECT
03 RAN RED LIGHT, OR STOP SIGN
9
08 PANEL/VAN
10 TOP AND WINDOWS
02 FOUR-WAY INTERSECTION
COLLISIONWITHFIXEDOBJECT
04 EXCEEDED SPEED LIMIT
09 SINGLE UNIT TRUCK;
11 UNDERCARRIAGE
T-INTERSECTION
05 UNSAFE SPEED
25
IMPACT ATTENUATOR/CRASH CUSHION
2 AXLES, 6 TIRES
LOAD/TRAILER
CONDITION
Y-INTERSECTION
26
BRIDGE OVERHEAD STRUCTURE
IMPROPER TURN
10 SINGLE UNIT TRUCK; 3+ AXLES
13 TOTAL (ALL AREAS)
05 TRAFFIC CIRCLE/ROUNDABOUT
27
BRIDGE PIER OR ABUTMENT
07 LEFT OF CENTER
11 TRUCK/TRAILER
14 OTHER
06 FIVE-POINT, OR MORE
08 FOLLOWED TOO CLOSELY/ACDA
28
BRIDGE PARAPET
12 TRUCK TRACTOR (BOBTAIL)
07 ON RAMP
29
BRIDGE RAIL
IMPROPER LANE CHANGE/
TRACTOR/SEMI-TRAILER
08 OFF RAMP
30
GUARDRAIL FACE
DROVE OFF ROAD/
14 TRACTOR/DOUBLE SHORT
APPARENTLY NORMAL
09 CROSSOVER
POINTOFIMPACT
31
GUARDRAIL END
IMPROPER PASSING
TRACTOR/DOUBLE LONG
PHYSICAL IMPAIRMENT
DRIVEWAY/ACCESS
10 IMPROPER BACKING
32
MEDIAN BARRIER
16 FIFTH WHEEL OR
EMOTIONAL
11 RAILWAY GRADE CROSSING
33
HIGHWAY TRAFFIC SIGN POST
11 IMPROPER START FROM PARKED POSITION
CONVERTER DOLLY
ILLNESS
12 SHARED-USE PATHS OR TRAILS
34
OVERHEAD SIGN POST
12 STOPPED OR PARKED ILLEGALLY
TRACTOR/TRIPLES
ELL
SLEEP
, F
AINTED
ATIGUED
TC
13 UNKNOWN
13 OPERATING VEHICLE IN ERRATIC,
35
LIGHT/LUMINARIES SUPPORT
F
, E
18 MOTORCYCLE
UNDER THE INFLUENCE OF
36
UTILITY POLE
RECKLESS, CARELESS, NEGLIGENT OR
19 MOTORIZED BICYCLE
MEDICATIONS/DRUGS/ALCOHOL
OCCURRENCE
37
OTHER POST, POLE OR SUPPORT
AGGRESSIVE MANNER
20 SCHOOL BUS
38 CULVERT
14 SWERVING TO AVOID (DUE TO WIND,
21 CHURCH BUS
SLIPPERY SURFACE, VEHICLE, OBJECT,
39
CURB
22 PUBLIC BUS
40
DITCH
NON-MOTORIST IN ROADWAY, ETC)
ALCOHOL/DRUG SUSPECTED
23 OTHER BUS
15 FAILURE TO CONTROL
41
EMBANKMENT
24 POLICE VEHICLE
ON ROADWAY
16 VISION OBSTRUCTION
42
FENCE
25 FIRE TRUCK
ON SHOULDER
17 DRIVER INATTENTION
43
MAILBOX
26 AMBULANCE/RESCUE
IN MEDIAN
44
TREE
18 FATIGUE/ASLEEP
27 TAXI
ON ROADSIDE
45
OTHER FIXED OBJECT
19 OPERATING DEFECTIVE EQUIPMENT
28 MOTOR HOME
ON GORE
20 LOAD SHIFTING/FALLING/SPILLING
46
YES – ALCOHOL SUSPECTED
29 TRAIN
OUTSIDE TRAFFICWAY
12 LOAD/TRAILER
21 OTHER IMPROPER ACTION
47
UNKNOWN FIXED OBJECT
YES – HBD NOT IMPAIRED
30 FARM VEHICLE
22 UNKNOWN
48
YES – DRUGS SUSPECTED
31 FARM EQUIPMENT
49
YES – ALCOHOL / DRUGS SUSPECTED
32 SNOWMOBILE
ROADCONTOUR
23 NONE
33 CONSTRUCTION EQUIPMENT
FIRSTHARMFUL EVENT
24 IMPROPER CROSSING
ALCOHOLTESTSTATUS
34 ALL OTHERS
ACTION
25 DARTING
26 LYING AND/OR ILLEGALLY IN ROADWAY
35 ANIMAL W/RIDER
27 FAILURE TO YIELD RIGHT OF WAY
36 ANIMAL W/BUGGY
STRAIGHT LEVEL
28 NOT VISIBLE (DARK CLOTHING)
37 BICYCLE
OF THE SEQUENCE OF EVENTS – WHICH
STRAIGHT GRADE
INATTENTIVE
38 PEDESTRIAN
ONE IS THE FIRST HARMFUL EVENT
(1-4)
CURVE LEVEL
NON-CONTACT
30 FAILURE TO OBEY TRAFFIC SIGNS,
EDALCYCLIST
TEST REFUSED
CURVE GRADE
39 P
SIGNALS, OR OFFICER
40 SKATER
MOSTHARMFUL EVENT
STRIKING
31 WRONG SIDE OF THE ROAD
41 OTHER-NON MOTORIST
ROADCONDITIONS
STRUCK
32 OTHER
42 UNKNOWN
TEST GIVEN, RESULTS KNOWN
PRIMARY
SECONDARY
BOTH STRIKING AND STRUCK
33 UNKNOWN
5 TEST GIVEN, RESULTS UNKNOWN
INEMERGENCYRESPONSE
VEHICLEDEFECT
ALCOHOL
TEST TYPE
CODEONLYIF‘19’
ONE IS THE MOST HARMFUL EVENT (1-4)
SELECTEDABOVE
RY
01 D
STRIKINGVEHICLE:
02 WET
NO
SPEED DETECTED
03 SNOW
OVERRIDE/UNDERRIDE
YES
ICE
BREATH
05 SAND, MUD, DIRT, OIL, GRAVEL
06 WATER (STANDING, MOVING)
DAMAGESCALE
01 T
S
07 SLUSH
URN
IGNALS
**
02 HEAD LAMPS
STATED
ALCOHOLTESTRESULT
08 D
1 NO UNDERRIDE OR OVERRIDE
EBRIS
TAIL LAMPS
ESTIMATED SPEED
UT
, H
OLES
UMPS
NEVEN
UNDERRIDE, COMPARTMENT
.
, B
, U
BRAKES
PAVEMENT **
INTRUSION
05 STEERING
SPEED
10 OTHER
UNDERRIDE, NO COMPARTMENT
06 TIRE BLOWOUT
11 UNKNOWN
07 WORN OR SLICK TIRES
* *SECONDARY ROAD CONDITIONS ONLY
NON-FUNCTIONAL DAMAGE
08 TRAILER EQUIPMENT
INTRUSION UNKNOWN
FUNCTIONAL DAMAGE
DEFECTIVE
OVERRIDE, MOTOR VEHICLE IN
ISABLING
AMAGE
09 MOTOR TROUBLE
TRANSPORT
ISABLED
ROM
P
RIOR
SUPPLEMENT
SEVERE
OVERRIDE, OTHER VEHICLE
10 D
‘X” IF YES *
CRASH
11 OTHER DEFECTS
TOP COPY - ODPS BOTTOM COPY - AGENCY
Narrative
MANNEROFCOLLISIONORIMPACT
SCHOOLBUSRELATED
Diagram
Writean“N”
onthecompass
diagramtoindicate
thedirectionof
north.
NOT COLLISION BETWEEN
TWO VEHICLES IN TRANSPORT
YES, DIRECTLY INVOLVED
REAR-END
YES, INDIRECTLY INVOLVED
HEAD-ON
REAR-TO-REAR
WORKZONERELATED
BACKING
ANGLE
7 SIDESWIPE, SAME DIRECTION
8 SIDESWIPE, OPPOSITE DIRECTION
WEATHER
TYPEOFWORKZONE
01 CLEAR
02 CLOUDY
LANE CLOSURE
FOG, SMOG, SMOKE
LANE SHIFT/CROSSOVER
04 RAIN
WORK ON SHOULDER OR MEDIAN
SLEET, HAIL (FREEZING RAIN DRIZZLE)
INTERMITTENT/ MOVING WORK
06 SNOW
07 SEVERE CROSSWINDS
LOCATIONOFCRASH IN
BLOWING SAND,SOIL, DIRT,SNOW
WORKZONE
09 OTHER
10 UNKNOWN
LIGHTCONDITIONS
BEFORE FIRST WORK ZONE
WARNING SIGN
ADVANCE WARNING AREA
DAYLIGHT
TRANSITION AREA
ACTIVITY AREA
DAWN
DUSK
WORKERSPRESENT
DARK – LIGHTED ROADWAY
DARK –NOT LIGHTED
DARK – UNKNOWN LIGHTING
GLARE
Truck/Bus
THE CRASH INVOLVED ONE OR MORE OF THE FOLLOWING:
A THE CRASH RESULTED IN ONE OR MORE OF THE FOLLOWING:
A TRUCK (MOTOR VEHICLE) WITH A GVWR MORE THAN 10,000 POUNDS; OR
N
A FATALITY; OR
A TRUCK (MOTOR VEHICLE) WITH A HAZARDOUS MATERIALS PLACARD; OR
AN INJURY REQUIRING TRANSPORTATION FOR IMMEDIATE MEDICAL TREATMENT; OR
A BUS DESIGNED FOR AT LEAST 8 PERSONS, INCLUDING DRIVER .
AT LEAST ONE VEHICLE WAS TOWED DUE TO DISABLING DAMAGE OR REQUIRED INTERVENING ASSISTANCE BEFORE PROCEEDING UNDER ITS OWN POWER.
COMPANY (FROM SHIPPING PAPERS)
COMPANY PHONE
ADDRESS (STREET, CITY, ST, ZIP CODE)
US DOT
ICC MC
PUCO
TRAILER LP ST.
TRAILER LP YEAR
TRAILER LP #
PLACARD #
# DIA.
CARGOBODYTYPE01
Weight (GVWR)
CDLClass
Hazardous
POLE
CONCRETE MIXER
CLASS A
MaterialsPlacard
MaterialReleased
BUS (9-15 INCLUDING DRIVER)
CARGO TANK
UTO
RANSPORTER
LESS/EQUAL 10,000
CLASS B
10,001 - 26,000
V
AN
/E
NCLOSED
OX
LATBED
ARBAGE EFUSE
LASS
/R
RAIN
/C
HIPS RAVEL
UMP
THER
MORE THAN 26,000
CLASS M
/G
O
CLASS D
Police Action
DATE CRASH REPORTED
TIME REC CALL
OFFICER’S NAME *
DISPATCH
BADGE # *
ARRIVEDCLEAREDOTHERTOTAL MINUTES
CHECKED BY
DATE REPORT FILED
*
REPORTTAKENBY
1 POLICE AGENCY
REPORTTAKEN AT
1 SCENE
LOCAL REPORT #
2 MOTORIST
2 STATION
3 OTHER
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