2. Enter the total number of bus accidents that occurred during the school year.
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1 Welcme Page Welcme t the Bus Accident Reprting System survey. Yu will be asked t prvide summary level data abut bus accidents that ccurred in yur schl district during the schl year. EVERY schl district and pen-enrllment charter schl must use the survey t submit its wn individual reprt between July 1 and August 31. If n accidents meeting the reprting requirements ccurred during the schl year, yur schl district r charter schl must submit a reprt shwing zer as the number f bus accidents. A nte n what t reprt: If an incident invlved a citatin, yur district r charter schl must reprt the incident as an accident. Fr an incident that did nt invlve a citatin, yur district r charter schl has discretin ver whether t reprt the incident as an accident. Please take a mment t preview the questins that will be asked f yu. Yu may dwnlad a cpy f the questins by visiting the Bus Accident Reprting System web page at District Selectin and Bus Accident Cunt 1. Select yur schl district r charter schl: 2. Enter the ttal number f bus accidents that ccurred during the schl year. 0. If n accidents ccurred, then yur reprt is cmplete. Yu will be taken t the end f the survey t send yur data. 1 r mre. If yu have 1 r mre accidents t reprt, enter the specific number f accidents here: Summary f Bus Accident Infrmatin Number f Buses 3. Enter the ttal number f buses invlved in the accidents. Page 1
2 4. Enter the number f accidents that ccurred n each type f bus. The sum f the number f accidents must be equal t the ttal number f buses reprted in questin 3. Number f Accidents That Occurred n a Schl Bus (District Owned) Number f Accidents That Occurred n a Schl Bus (Cntractr Owned) Number f Accidents That Occurred n a Multifunctinal Schl Activity Bus (District Owned) Number f Accidents That Occurred n a Multifunctinal Schl Activity Bus (Cntractr Owned) Number f Accidents That Occurred n a Schl Activity Bus (District Owned) Number f Accidents That Occurred n a Schl Activity Bus (Cntractr Owned) Number f Accidents That Occurred n a Mtr Bus (District Owned) Number f Accidents That Occurred n a Mtr Bus (Chartered) 5. Enter the number f buses that were equipped with each type f driver seat belt. The sum f the number f buses must be equal t the ttal number f buses reprted in questin 3. Number f Buses Equipped With Driver's Seat 3-Pint Lap/Shulder Belts Number f Buses Equipped With Driver's Seat Lap Belts Only 6. Enter the number f buses that were equipped with each type f passenger seat belt. The sum f the number f buses must be equal t the ttal number f buses reprted in questin 3. Number f Buses That Had All Passenger Seats Equipped With 3-Pint Lap/Shulder Belts Number f Buses That Had All Passenger Seats Equipped With Lap Belts Only Number f Buses That Had Sme Passenger Seats Equipped With 3-Pint Lap/Shulder Belts Number f Buses That Had Sme Passenger Seats Equipped With Lap Belts Only Number f Buses That Had N Passenger Seats Equipped With Seat Belts Student Passenger Summary Infrmatin 7. Enter the ttal number f student passengers invlved in the accidents. 0 (N student passengers were invlved in the accidents.) 1 r mre. If 1 r mre student passengers were invlved in the accidents, enter the specific number f student passengers invlved here: Page 2
3 Student Passenger Injury Summary Infrmatin 8. Enter the ttal number f student passengers injured in the accidents. 0 (N student passengers were injured in the accidents.) 1 r mre. If 1 r mre student passengers were injured in the accidents, enter the specific number f student passengers injured here: Student Passenger Injury Detail Infrmatin 9. Enter the number f injured students wh sustained each type f injury. The sum f the number f injured student passengers must be equal t the ttal number f injured students reprted in questin 8. Number f Students With Fatal Number f Students With Serius Number f Students With Minr 10. Hw many f the injured student passengers were wearing seat belts? The sum f the number f injured student passengers must be equal t the ttal number f injured students reprted in questin 8. Number f Students Wearing Lap Belts Only Number f Students Wearing 3-Pint Lap/Shulder Belts Number f Students Nt Wearing Seat Belts (Passenger Seats Nt Equipped With Seat Belts) Number f Students Nt Wearing Seat Belts (Passenger Seats Equipped With Seat Belts) Adult Passenger Summary Infrmatin 11. Enter the ttal number f adult passengers invlved in the accidents. 0 (N adult passengers were invlved in the accidents.) 1 r mre. If 1 r mre adult passengers were invlved in the accidents, enter the specific number f adult passengers invlved here: Page 3
4 Adult Passenger Injury Summary Infrmatin 12. Enter the ttal number f adult passengers injured in the accidents. 0 (N adult passengers were injured in the accidents.) 1 r mre. If 1 r mre adult passengers were injured in the accidents, enter the specific number f adult passengers injured here: Adult Passenger Injury Detail Infrmatin 13. Enter the number f injured adults wh sustained each type f injury. The sum f the number f injured adult passengers must be equal t the ttal number f injured adults reprted in questin 12. Number f Adults With Fatal Number f Adults With Serius Number f Adults With Minr 14. Hw many f the injured adult passengers were wearing seat belts? The sum f the number f injured adult passengers must be equal t the ttal number f injured adults reprted in questin 12. Number f Adults Wearing Lap Belts Only Number f Adults Wearing 3-Pint Lap/Shulder Belts Number f Adults Nt Wearing Seat Belts (Passenger Seats Nt Equipped With Seat Belts) Number f Adults Nt Wearing Seat Belts (Passenger Seats Equipped With Seat Belts) Bus Driver Injury Summary Infrmatin 15. Enter the ttal number f bus drivers injured in the accidents. 0 (N bus drivers were injured in the accidents.) 1 r mre. If 1 r mre bus drivers were injured in the accidents, enter the specific number f bus drivers injured here: Page 4
5 Bus Driver Injury Detail Infrmatin 16. Enter the number f injured bus drivers wh sustained each type f injury. The sum f the number f injured bus drivers must be equal t the ttal number f injured bus drivers reprted in questin 15. Number f Bus Drivers With Fatal Number f Bus Drivers With Nnfatal Pedestrian Injury Summary Infrmatin 17. Enter the ttal number f pedestrians injured in the accidents. 0 (N pedestrians were injured in the accidents.) 1 r mre. If 1 r mre pedestrians were injured in the accidents, enter the specific number f pedestrians injured here: Pedestrian Injury Detail Infrmatin 18. Enter the number f injured pedestrians wh sustained each type f injury. The sum f the number f injured pedestrians must be equal t the ttal number f injured pedestrians reprted in questin 17. Number f Pedestrians With Fatal Number f Pedestrians With Nnfatal Cntact Infrmatin We may need t cntact yu fr data validatin purpses. Full Name 19. Please prvide the fllwing cntact infrmatin: Phne Number (Including Area Cde) Address Submit Bus Accident Reprting System Respnses Yu have reached the end f the Bus Accident Reprting System survey. Please ensure yur respnses are cmplete, and then click the "Submit Respnses" buttn t submit yur data. Page 5
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