Tennessee Electronic Traffic Crash Report
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1 11/22/ :45 AM Master Record Number Type Of Crash Property Damage Approved By 858 Tennessee Electronic Traffic Crash Report Incident Information Date of Crash Day Of Crash Local Agency Number Reporting Agency Name Agency Tracking Number 9/20/2016 Tuesday Chattanooga Police Dept Time of Crash County City 14:40 Hamilton Chattanooga Hit and Run Solved Police Pursuit School Bus Involved Work Zone N N ne Area Intersection Type Relation To Junction Residential n-junction Block Number Roadway Number Roadway Name Suffix Mile Marker 600 SYLVAN DR 0.00 Estimated Distance Distance Type Direction From Highway/Intersection Suffix Intersect Number 0.00 Roadway Local Id Latitude Longitude First Harmful Event Trafficway Type Motor Vehicle-In-Transport On Same Roadway Trafficway-OPEN Weather Conditions Light conditions Manner Of Collision Clear Daylight Sideswipe, Opposite Direction Incident Management Secondary Crash Secondary Crash Type Blockage Occurred N N Roadway / Lanes Blocked Roadway Lanes/ Cleared Lanes Blocked Incident Started Incident Cleared Investigating Officer Details Investigation Complete Rank First Name Middle Initial Last Name Suffix Y MPO MARK H BENDER Badge Number District/Zone Car Number Report Date 930 MPO 1C2 09/20/2016 SF (Rev 7/15) 1 of 6
2 Vehicle Number Number of Occupants Driver Presence 1 1 Driver Operated Driver Information First Name Middle Initial Last Name Date Of Birth Age JOHNTHONY K WALKER 24 Address Line 1 Address Line 2 City State Zip Code Chattanooga TN Phone 1 Phone 2 Phone 3 Gender M Drivers License Number Drivers License State Expiration Date Drivers License Class Drivers License Status TN 2024 B Valid Safety Equipment Airbag Seat Position Shoulder And Lap Belt Used t Available Front Seat-Left Side Endorsement 1 Complied With Endorsement 2 Complied With Endorsement 3 Complied With PS Y Restriction 1 Complied With Restriction 2 Complied With Restriction 3 Complied With Corrective Lenses Y Except Class A Bus Y Other Y Ejected Trapped/Extricated Injury Code Medical Transport t Ejected t Trapped Injury t Transported Driver Conditions and Actions Hit and Run Driver/Vehicle Maneuver Distraction Hit And Run Negotiating A Curve ne Driver's 1st Condition Driver's 2nd Condition Driver's 3rd Condition Driver's 1st Action Failure To Yield Right of Way Driver's 3rd Action Drivers 2nd Action Driver's 4th Action Alcohol and Drugs Presence of Alcohol Presence of Drugs Alcohol Test Status Drug Test Status Driver Violations 1st Violation 1st Violation Category 1st Violation Description 1st Violation Statute 2nd Violation 2nd Violation Category 2nd Violation Description 2nd Violation Statute 3rd Violation 3rd Violation Category 3rd Violation Description 3rd Violation Statute 4th Violation 4th Violation Category 4th Violation Description 4th ViolationStatute 5th Violation 5th Violation Category 5th Violation Description 5th ViolationStatute Vehicle Information Owner Same as Driver Owner First Name Owner Middle Name Owner Last Name N DURHAM SCHOOL SERVICES LP Address Line 1 Address Line 2 City State Zip Code Phone 1 NEENAH WI Vehicle Year Vehicle Make Vehicle Model Color Body Style 2008 THO SCH Yellow Cross Country Intercity Bus VIN License Plate Number State Plate Expiration Unit Type Motor Vehicle In-Transport Towed Trailer Description Trailer License Plate Information Insurance 1 Insurance 1 Type Insurance 1 Carrier Insurance 1 Start Date Insurance 1 End Date MWTB Carrier-Passenger OLD REPUBLIC INS CO 11/1/ /1/2016 Insurance 2 Insurance 2 Type Insurance 2 Carrier Insurance 2 Start Date Insurance 2 End Date Insurance 3 Insurance 3 Type Insurance 3 Carrier Insurance 3 Start Date Insurance 3 End Date SF (Rev 7/15) 2 of 6
3 Vehicle Damage and Roadway Characteristics Most Harmful Event Motor Vehicle-In-Transport On Same Roadway Extent of Damage Minor Damage Travel Direction Traveling On Point of First Impact Left Side-Center Officer Damage Estimate Greater Than 400 Dollars Traffic Control Devices Traffic Control Device Functioning Speed Limit Control Controls 25 Roadway Surface Conditions Roadway Character Alignment Number of Travel Lanes Dry Curve Right Two Lanes SF (Rev 7/15) 3 of 6
4 Vehicle Number Number of Occupants Driver Presence 2 1 Driver Operated Driver Information First Name Middle Initial Last Name Date Of Birth Age BELINDA G HAMILTON 33 Address Line 1 Address Line 2 City State Zip Code RINGGOLD GA Phone 1 Phone 2 Phone 3 Gender F Drivers License Number Drivers License State Expiration Date Drivers License Class Drivers License Status GA 2018 C Valid Safety Equipment Airbag Seat Position Shoulder And Lap Belt Used AirBag Available- Deployment Front Seat-Left Side Endorsement 1 Complied With Endorsement 2 Complied With Endorsement 3 Complied With ne Restriction 1 Complied With Restriction 2 Complied With Restriction 3 Complied With ne Ejected Trapped/Extricated Injury Code Medical Transport t Ejected t Trapped Injury t Transported Driver Conditions and Actions Hit and Run Driver/Vehicle Maneuver Distraction Hit And Run Negotiating A Curve ne Driver's 1st Condition Driver's 2nd Condition Driver's 3rd Condition Driver's 1st Action ne Driver's 3rd Action Drivers 2nd Action Driver's 4th Action Alcohol and Drugs Presence of Alcohol Presence of Drugs Alcohol Test Status Drug Test Status Driver Violations 1st Violation 1st Violation Category 1st Violation Description 1st Violation Statute 2nd Violation 2nd Violation Category 2nd Violation Description 2nd Violation Statute 3rd Violation 3rd Violation Category 3rd Violation Description 3rd Violation Statute 4th Violation 4th Violation Category 4th Violation Description 4th ViolationStatute 5th Violation 5th Violation Category 5th Violation Description 5th ViolationStatute Vehicle Information Owner Same as Driver Owner First Name Owner Middle Name Owner Last Name Y BELINDA G HAMILTON Address Line 1 Address Line 2 City State Zip Code Phone 1 RINGGOLD GA Vehicle Year Vehicle Make Vehicle Model Color Body Style 2016 KIA SOUL White Five-Door, 4-Door Hatchback VIN License Plate Number State Plate Expiration Unit Type Motor Vehicle In-Transport Towed Trailer Description Trailer License Plate Information Insurance 1 Insurance 1 Type Insurance 1 Carrier Insurance 1 Start Date Insurance 1 End Date Owner GEICO 6/21/ /21/2016 Insurance 2 Insurance 2 Type Insurance 2 Carrier Insurance 2 Start Date Insurance 2 End Date Insurance 3 Insurance 3 Type Insurance 3 Carrier Insurance 3 Start Date Insurance 3 End Date SF (Rev 7/15) 4 of 6
5 Vehicle Damage and Roadway Characteristics Most Harmful Event Motor Vehicle-In-Transport On Same Roadway Extent of Damage Minor Damage Travel Direction Traveling On Point of First Impact Rear End Officer Damage Estimate Greater Than 400 Dollars Traffic Control Devices Traffic Control Device Functioning Speed Limit Control Controls 25 Roadway Surface Conditions Roadway Character Alignment Number of Travel Lanes Dry Curve Right Two Lanes SF (Rev 7/15) 5 of 6
6 Narrative Vehicle #1 was traveling eastbound on Sylvan Drive and entered into a blind curve while vehicle #2 was traveling westbound on Sylvan drive and entered the curve at the same time. The driver of vehicle #1 crossed over into the oncoming traffic lane to manuever the bus through the curve and struck vehicle #2 in doing so. There were no children in the front rows and no reports of any injuries. The damage were minor to both vehicles. MPO Bender #930 SF (Rev 7/15) 6 of 6
7
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