~ -6-/b TRAFFIC CRASH REPORT LOCAL REPORT NUMBER' CRASH SeVERITY HIT/SKIP @] I.FATAl ~',SOLveD ILOCAl iNfORMATION 16 MPD 1307 3 ,.iNJURV 2 2. UNSOLVED 16MPD1307 3·POO • PHOTOS TA"N I D~~A~UNoeR 10 PRIVATE 'I~EPOAlING AGENCV NCIC'I ~EPORTlNQ AGENCY NAME' NUMBER Of D OH ~2 DOH -lP REPORTABlE PROPERTY UNITS II UN~ IN rii~ ••••o OH·3 OOTHER DOLLARA~OUNT 03801 Millersburg Police Department 1m COUNTY • DeiTY" CITY, VillAGE, TOWNSHIP' CRASH DATE' TIME Of CRASH DAYOr WeEK • VILLAGE" Holmes Millersburg OTOWNSHIP' 08/04/2016 0930 Thu DEaREESJM1NU1~S/SJ::tONDS I DeCIMAL DEGREES LAnTUOE LONGITUDE • LATITUDE LONGITUDE 40:33:04.02 81:55:07.03 i N DIVIDED lANE DtRECT10NOF TRAVEL NUMBER Of THRU lANES ROAD TvpeSOR M1LEPOST .. 0 DIVIDED AL·Au.ev ·CR • C,RCLE HE· HEIGHTS MP • MilePoST 'PL PlACE· ST· STR'" WA,WAV.. DN - NORTHBOUND E - EAsTSOUND UNDIVIDED AV -.AVEHUE CT • CouRT HW·HIGHWAY PK· PARKWAV ·RD • ROAD S ~ SOUTH80UND W -WESTBOUND 2 ' TE .... TERRA~~ • BL ­ BOULEVARD. , DR • DRIVE LA'LANE PI P,,, . .SQ-Sou'R' TL.· TRAlL· LOCATION ROUTE NUMBER Loc PREFIX LoCAnON ROAD NAME ' Route TwEs . .. DLOCAT1ON [§JjLOCATiON dR".. INTERSTATe ROUTEONC:TURNPlKE):-­ . ROUTE ~ N,S. ST ROAD us' US ROUTE CR· NUMBERED CouNTY RouTe TVPE E.W Washington St. TYPE , 'SR·· ,$rAVE ROUTE TR.•NuMBERED TOWNSHlP ROUTI! DISTANCE FROM RefERENCE IDIRF.OMREF REFERENCE ROUTE NUMBER REF PR.,.'" REFERENCE NAME (ROAD, Mll.EPOST, HOUse.'l REFERENCE o MILES N S I [§] ON.S. 1ST IROAD 40 •OYAR FE:':'. S E'W• ID~~~~' E.W Smith St. TVPE REFERENCE PO;NT USED CRASH LOCATION OF FIRST HARMFUL EVENT NOT AN INTERSECTION FtVE-POINT.ORMORE LOCATION 01 - 06 - 11 - RAilWAY GRADE CROSStNG 1 ~ ON: RoADWAY [TI 1·INTERSECTION D IHTERSEcnON S·ONGoRE 07. ON RAMP 12 ~ SHARfD.Use PATHS OR TRAilS [Q1J 02 ­ FOUR. WAY iNTERSECTION 2 . ON SHOULDE OuTSIDE TRAFFICWAY 1 2·MIlE POST RELATED [TI 6 - 01 03 ­ T-INTERSECTION 08 • Off RAMP 99· UNKNOWN 3 ~HOUSE NUMBER 3·iN MEDIAN 9- UN1<NOWN 04 - Y -INTERSECTION 09 . CROSSOVER 4 • ON ROADSIDE 05 - TRAFFlCCtRCl.EtRouNDABOUT 10 ~ DRIVEWAY/Alu;yAcCESS IROAD ComoUR ROAD CoNDITIONS 01·DRv 05 SAND, MUD, DIRT. 0.1.. GRAVEL 09 - RIJT, HOl.ES. BUM.PS. UNEVEN PAVEMENT' ~ 1 • STRAl""T LEVEL 4 - CURVE GRADE PRIMARY SECONDARY 02 -WET 06 - WATER ,STANDING. MOVING) 10·0ruEA 2 • SnV.IOliT GRADE 9 .. UNKNOWN 03· SNOW 07 Sl.USH 99 - UNKNOWN 3 - CURVE lEvEl [Q1J D O4·lc, 08 DEBRIS' ·Sl':~C~tIONo""y MANNER OF ClASH CoLUSIONi!MPACT WEATHER [TI 1 M NOT COlliSION BETWEEN 2 - REAR.END 5 - BACKING 8 - SIDESWIPE. OPPOSITE 1· CLF"R 4· RAIN 7 SEVERE CROSSWINDS TWOMOlORVEH1ClES 3 _ HEAD.ON 6 • ANGLE DIRE:CTION [TI 2 -CLOUDY 5 - SLEET,HAlL 8 - BLOWING SAND.SOIl. DIAT.SNOW IN TRANSPORT 4 ~ REAR.TO.REAR 7 ~ SIDESWIPE, .SAME DIRECTION 9 - UNKNOWN :3 - FOO.SMOG, SMOKE 6· SNOW 9 - OfHEruUNKNQWN ROAD SURF ACE LIGHT CONDiTiONS ScHOOl Bus RELATED SECONDAR 1 ~ DAYLIGHT 5 - DARK> ROADWAY NOT UGHTEO 9- UNKNOWN 0 ScHOOl. o YES. ScHOOl Bus 1 - CONCRETE 4 - SLAG. GRAVEL BJ PRIMARV D 6 ~ DARK. UNKNOWN ROADWAY UGHTING ZooE DIFlECTlY INVOlVED 2 .. Bf ACKTOP. STONE 2· DAwN ~ 7 • RELATEO 8nUMIf.lOUS, AsPHALT S·DIR' 3 - DUSK GUIRE' o YES. ScHOOl Bus 4 - DARK·LIGHTED ROADWAV B- 3 BRICKrBlOCK 6·0T",R OrHER ·s€~CJ:»"p:ncHO...Y INDIREcnY IN\I01. 'lEO o WORKERS PRESENT TVP£ 0' WORK ZoNE LOCATIONOf' CRASH IN WORt< ZONE o LAw ENFORCEMEN f PRESENT D1-LANE ClOSURE 4 ~ INTEAt,(ITTENl OA MOVING WORK 1 - BEFORE THE FIRST WORK Zorn: WARNING SIGN 4 - ACTIVITY AREA (O,ncnu'V£t<t.El 2 - LANE SHIFTI CROSSOVER S-OTHER D 2 - ADVANCE WAAN1NG AREA 5 - TERM1NATIONAHEA 0 LAW ENfORCEMENT PREseNT 3 - WORt< ON SHOULDER OR MEDIAN 3 - TRANSlnON AREA !V£MQ.£O... ~ I NARRAilYE Unit 02 was parked in a parking space along S. Washington St. in front of /---', 310 S. Washington St. Unit 01, and unknown vehicle, struck Unit 02 / + \ causing damage on the left side of the vehicle. The driver of Unit 01 did \ N I not leave any identifying information on Unit 02 and did not contact law enforcement. "--'-/) Smith st. 1Downhill Grade u5 -­ .~- :=. ~- i ! u) 310 S. Washington St , o SWPlEMENT lCa:!Rr;cllCflM Al,'QnON IQ~ R'PO~T::;;!:NCY o MOTORIST E);I$lIJ,G Rcl'\(lA1' SEIn TO OOPS) I DATE CRASHRfPORT£:.D ID,SPATCH TIME ARRiVAL TIME TIME CLEARED 10T"ER INVESTIGATIONTIME TOTAL MINUTES 08/04/2016 1~209 1209 1215 1224 10 25 OFfICER'S NAME" OFFICER'S BAOGE NUMBER CHECKED Bv Brown. Kevin 108 uNIT ILOCAL REPORT NUMBER t ,"­ .... ,&....,......... ,................... I 16 MPD 1307 UNIT NUMBER IOwNER NAME' LAST. F,RST. MIDDLE ( 0 SAME As DRIVER) I OWNER PHONE NUMBER DAMAGE SCALE DAMAGE AREA FRONT 1 ' , OwNER AODRESS: CiTY, STATE. Zip OSAME As DRIVER) ~ D~;-D- 1 - NONE _ J...---.. ,OH -~ 2 - MINOR ,,~ LPSTATE ILICENSE PLATE NUMBER VEHICLE IOENTIFICAnON NUMBER rOCCUPANT~ [ 0 3 - FUNCTIONAL I I P VEHICLE YEAR IVEHICLE MAKE VEHICLE MODEL IVEHICLE COLOR 4 - DISABLING 0 Unknown I o PROOFOF rNSURANCE CoMPANY POLICY NUMBER I TOWED By 9 - UNKNOWN INSURANCE I ccFc1~ Stl0WN CARRIER NAME. ADDRESS. CITY, STATE. ZIp ICARRIER PHONE USDOT VEHICLE WEIGHT GVWRIGCWR CARGO BODY Twe TRAFFICWAY DeSCRIPTION 001 - No CARGO BODVTvPEINoT ApPUCABl 09 - POLE D1 - Less THAN OR EOUAL 10 10K Las [1] 1 - TWO.WAY, NOT DIVIDED 2 -10.001 TO 26,000K LBS 02 - BUS/VAN (9-15 SEATS, INC DRIVER) 10 - CARGO TANK 1 2 - TWO-WAY. NOT DIVIDED. CoNTINUOUS LEFT TURN lANe HM PLACARD 10 NO. 03-Bus(16+SEATs.INcDRIVER) l1-FlATBED 3 - MORE THAN 26,000K LBS 3 - T WO.WAY, DIVIDED. UNPROTECTED/PAINTED OR GRASS .. 4FT.) MEDIA 04 ­ VEHICLE TOWING ANOTHER VEHICLE 12 - DUMP 4 - Two.WAY, DIVIDED, POSITIVE MEDIAN BARRIER 05 ­ LOGGING 13 ­ CONCRETE MIXER 5 - ONE.WAyTRAFFICWAY HAZARDOUS MATERIAL 06 -INTERMODAL CONTAINER CHASIS 14 - AUTO TRANSPORTER HM CLASS RELATED 07 ­ CARGO VAN/ENCLOSED Box 0 15 - GARBAGE/REFUSE HIT / SKIP UNIT NUMBER 08 ­ GRAIN. CHIPS. GRAVEL 99 - OTHER/UNKNowN • NON.MOTORIST LOCATION PRIOR TO IMPACT TYPE OF USE UNIT TYPE 01 - INTERSECTION. MARKED CROSSWAL PASSEHGER VEHICLES (LESS 11iAH 9 PA88EHIl8IS MEDiHEAVY TRUCKS OR CoMBO UNTTB> 10K lBB BuaNANli.JMo(9 OR MORE INa.UD1N. DRIVER) 02 ­ INTERSECTION. No CROSSWALK D 01 - SUB·COMPACT 13 ­ SINGLE UNITTRUCK OR VAN 2AKLE, 6 TIRES 21 - BusNAN (9-15 SE.ATS I~ DRMP) 0 03 ­ INTERSECTION OTHER 1 - PERSONAL ~ 02 ­ COMPACT 14 ­ SINGLE UNITTRUCK: 3+ AXLES 22 - Bus (16+ SE.ATs.l~ ORNEP) 04 - MIDBLOCK . MARKED CROSSWAlK 99 ­ UNKNOWN 03 ­ MID SIZE 2 - COMMERCIAL 15 ­ SINGLE UNITTRUCKITRA1LER NON-MOTORIST as ­ TRAVEL LANE .OTHER LOCATION OR HiT/SKIP 04 ­ FULL SIZE 23 ­ ANIMAL WITH RIDER 06 ­ BICYCLE LANE 16 ­ TRUCK/TRACTOR (BOBTAIL) 3 - GoVERNMENT 05 ­ MINIVAN 24 - ANIMAL WITH BUGGY. WAGON. SURREY 07 - SHOULDERfRoADSIDE 17 - TRACTOR/SEMI.TRAILER 06 ­ SPORT UTILITY VEHICLE 08 ­ SIDEWALK 18 - TRACTOR/DoUBLE 25 - BICYCLEiPEDACYCLIST 07 ­ PICKUP 19 - TRACTORtTRIPLES 26 ­ PEDESTRIANISKATER 09 ­ MEDLAN,cROSSING ISLAND o IN EMERGENCY 08 - VAN 20 ­ OTHER MEo/HEAVY VEHICLE 27 - OTHER NON.MoTORIST 10 - DRIVE WAY ACCESS RESPONSE 09 - MOTORCYCLE 11 - SHARED·USE PATH OR TRAIL 10 - MOTORIZED BICYCLE 12 ­ NON.TRAFF1CWAYAREA 11 - SNOWMOBILEIATV HAS HM PLACARD 99 ­ OTHER/UNKNOWN 12 - OTHER PASSENGER VEHICLE 10 1 SPECIAL FUNCTIONal - NONE 09 ­ AMBULANCE 17 ­ FARM VEHICLE MOST DAMAGED AREA AcTION 02 ­ TAXI 10 - FIRE 18 ­ FARM EOUIPMENT 08 ­ LEFT SIDE 99 ­ UNKNOWN 01- NONE ~ '-NON.CONTACT 03 ­ RENTAL TRUCK (OVER 10K LSS) 19 - MOTORHOME 11 - HiGHWAy/MAINTENANCE 02 ­ CENTER FRONT 09 - LEFT FRONT 9 2 - NON.COLLISION 0 04 - Bus. SCHOOL (PUBLIC OR PRNATE) 12 ­ MILITARY 20 ­ GOLF CART ~ 03 ­ RIGHT FRONT 10 ­ Top AND WINDOWS 3 - STRIKING 05 ­ Bus. TRANSIT 21 - TRAIN IMPACT ARE 13 ­ POLICE 04 - RIGHT SIDE 11 - UNDERCARRIAGE 4 - STRUCK 06 ­ Bus. CHARTER 22 ­ OTHER (E ....p\..,l.IN~ N..RlUlIV£) 14 ­ PUBLIC UTILITY as - RIGHT REAR 12 - LOAD/TRAILER 5 - SmlKINGlSTRUCK 07 - Bus. SHUTTlE 06 ­ REAR CENTER 15 ­ OTHER GoVERNMENT 13 - TOTAL (ALL AREAS) 9 - UNKNOWN 08 ­ Bus. OTHER 16 ­ CONSTRUCTION EOIP. ~ 07 ­ LEFT REAR 14 - OTHER PRE. CRASH Ac nONS MOTORIST NON-MOTORIST ~ 01 - STRAIGHT AHEAD 07 ­ MAKING U-TURN 13 ­ NEGOTIATING A CURVE 15 ­ ENTERING OR CROSSING SPECIFIED LOCATIO 21 - OTHER NON.MoTORIST ACTION 02 - BACKING 08 - ENTERING TRAFFIC LANE 14 ­ OTHER MOTORIST ACTIO 16 - WALKING.RuNNING. JOGGING. PLAVING. CYCLING 03 ­ CHANGING LANES 09 ­ LEAVING TRAFFIC LANE 17 -WORKING 99 ­ UNKNOWN 04 - OVERTAKINGiPASSING 10 ­ PARKED 18 ­ PUSHING VEHICLE 05· MAKING RIGHT TURN l' - SLOWING OR STOPPED IN TRAFFIC 19 - ApPROACllING OR LEAVING VEHICLE 06 ­ MAKING LEFT TURN 12 - DRIVERl ESS 20 - STANDING CONTRIBUTING CIRCUMSTANCE VEHICLE DEFECTS PRIMARY MOTORIST NON-MOlORIS1 o 01 - TURN SIGNALS 01 - NONE 11 - IMPROPER BACKING 22 - NONE 02 ­ HEAD LAMPS 02 - FAILURE TO YielD 12 -IMPROPER START FROM PARKED POSITION 23 ­ IMPROPER CROSSING 03 ­ TAIL LAMPS ~ 03 ­ RAN RED LIGHT 13 ­ STOPPED OR PARKED ILLEGALLY 24 - DARTING 04 - BRAKES 04 - RAN STOP SIGN 14 ­ OPERATING VEHICLE IN NEGLIGENT MANNER 25 ­ LVINGAND.QR ILLEGAlLY IN ROADWAY 05 ­ STEERING SECONDARY 05 - EXCEEDED SPEED LIMIT 15 ­ SWERING 10 AVOID (DUE TO EXTEHNAL CONDITIONS) 26 ­ FALURE TO YIELD RIGHT OF WAY 06 ­ TIRE BLOWOUT 06 - UNSAFE SPEED 16 - WRONGSIDElWRONGWAY 27 ­ NOT VISIBLE (DARK CLOTHING) 07 - WORN OR SLICK TIRES 07 -IMPROPER TURN 17 - FALURE TO CONTROL 28 ­ INATTENTIVE 08 ­ TRAILER EOUIPMENT DEFECTIVE 0 08 - LI:FT OF CENTER 18 ­ VISION OSSTRUCTION 29 ­ FAILURE TO OBEY TRAFFIC SIGNS 09 ­ MOTOR TROUBLE 09 - FOLLOWEDTooCLOSEly/ACDA 19 ­ OPERATING DEFECTIVE EOUIPMENT ISIGNALS/OFFICER 10 ­ DISABLED FROM PRIOR ACCIDENT 99 - UNKNOWN 10 ­ IMPROPER LANE CHANGE 20 ­ LOAD SHIFTING/FALLING/SPILLING 30 ­ WRONG SIDE OF THE ROAD 11 - OTHER DEFECTS ,PASSINGtOFF ROAD 21