Department of Transportation State of Wyoming

Transcription

1 Matt Mead Governor Department of Transportation State of Wyoming April 28, 217 Bill Panos Director Dear Reader, Wyoming's Report on Traffic for 216 has been published for your information. This year's report continues to provide you with information on traffic crashes. This publication contains general information rather than all of the detailed information. The detailed information is still available in an individual report and can be printed to add to your 216 Traffic Crash Report from the web site below. Our publication is enclosed: dot safetysafety statistics.html If you require further information, or you have questions, comments or suggestions about the annual report, please contact our office at the address below. If you can't find the information you are looking for please contact Michael Janicek at (37) or Chris Kwilinski at (37) or for additional crash information. Wyoming Department of Transportation Highway Safety Program Michael Janicek 53 Bishop Blvd Cheyenne, Wyoming (37) atthew D. Carlson, P.E. State Highway Safety Engineer Data Provided By: Crash Data Management Section

2 TABLE OF CONTENTS DEFINITIONS 1 QUICK LOOK General Information 2 Economic Loss County 3 Holiday Crash Statistics 4 Fatal Crash Count by County - Map 5 GENERAL CRASH INFORMATION Crash Counts by County & Month 6 by First Harmful Event PEOPLE INVOLVED INFORMATION Drivers Involved in Fatal, and PDO by & Gender 8 Occupants with Seat Belt Usage by County 9-1 Pedestrian 11 Pedacyclists (Bicyclists) 12 THE ENVIRONMENT Road Surface & Road Condition by Crash Severity 13 Weather Conditions & Lighting Conditions by Crash Severity 14 VEHICLES Vehicle Types by Crash Severity 15 Contributing Circumstances by Crash Severity 16 WYONG COMMUNITIES CityTown by Crash Severity Manner of Collision by Intersection Type 19 ALCOHOL INVOLVED CRASHES Alcohol Involved Alcohol Involved Drivers Group by Crash Severity Fatal Alcohol Involved Fatal by County City 23 Alcohol Involved Fatal by Vehicle Type, Estimated Speed, & Gender 24 Alcohol Involved by County City 25 Alcohol Involved by Vehicle Type, Estimated Speed, & Gender 26 PDO Alcohol Involved PDO by County City 27 Alcohol Involved PDO by BAC Results, Crash Severity & Group 28-29

3 DRIVERS AGE 14-2 Young Driver with Fatal, and PDO by Gender and 3 TRUCKS, SCHOOL BUSES & MOTORCYCLES Trucks 212 to 216 Med. & Heavy Trucks by Crash Severity and Highway System Type 31 School Buses 212 to 216 Number of School Bus and Injured Charts 32 School Bus Crash Severity by County and Collision Type by Crash Severity 33 Motorcycles 212 to 216 Number of Motorcycle and Injured Charts 34 Motorcycle Crash Severity by County and Collision Type by Crash Severity 35

4 DEFINITIONS REPORTABLE TRAFFIC CRASH A Reportable Traffic Crash is one which results in bodily injury or death of any person or a total property damage of $1 or more. CRASH SEVERITY Fatal Crash A traffic crash involving one or more persons who were killed. Crash A traffic crash involving one or more persons who were injured but there were no fatalities. Property Damage Only (PDO) A traffic crash involving property damage of $1 or more with no injuries or fatalities. INJURY STATUS Fatal Any injury resulting in death within 3 days after the traffic crash. Incapacitating Any injury, other than a fatal injury, which prevents the injured person from walking, driving or normally continuing any activities the person was capable of performing before the injury occurred. Non-Incapacitating Any injury, other than a fatal or incapacitating injury, which is evident to observers at the scene of the traffic crash Possible No evidence of an injury, but complaint of pain.

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6 QUICK LOOK 216 Crash Counts TOTAL CRASHES FATAL CRASHES INJURY CRASHES PDO CRASHES K 16K 14K TOTAL CRASHES YEAR 216 Involved Counts NUMBER OF VEHICLES NUMBER OF DRIVERS NUMBER OF PERSONS NUMBER OF PEDESTRIANS NUMBER OF PEDACYCLISTS Fatal Counts INJURY CRASHES 2457 NUMBER INJURED FATAL CRASHES NUMBER KILLED 112 PEDESTRIAN CRASHES 91 PEDESTRIANS INJURED 94 PEDESTRIANS KILLED 5 BICYCLIST CRASHES 72 BICYCLISTS INJURED 71 BICYCLISTS KILLED Location Counts URBAN CRASHES RURAL CRASHES 216 Alcohol Statistics ALCOHOL RELATED CRASHES 713 ALCOHOL FATAL CRASHES 28 ALCOHOL FATALITIES 32 ALCOHOL INJURY CRASHES 32 ALCOHOL INJURIES 385 ALCOHOL PDO CRASHES Motorcycle Statistics MOTORCYCLE CRASHES 229 MOTORCYCLE FATALITIES 24 MOTORCYCLE INJURIES K 1K 8K 6K 4K 2K K CRASHES COUNTY ALBANY 947 BIG HORN 262 CAMPBELL 997 CARBON 76 CONVERSE CROOK FREMONT 833 GOSHEN HOT SPRINGS JOHNSON LARAE 1,985 LINCOLN 354 NATRONA 1,952 NIOBRARA 87 PARK 562 PLATTE 42 SHERIDAN 721 SUBLETTE 226 SWEETWATER 1,267 TETON UINTA WASHAKIE WESTON

7 216 WYONG ECONOC LOSSCOUNTY COUNTY POPULATION ECONOC LOSS ALBANY 38,256 BIG HORN 12,5 CAMPBELL 48,83 CARBON 15,618 CONVERSE 14,191 CROOK 7,464 FREMONT 4,242 GOSHEN 13,39 HOT SPRINGS 4,679 JOHNSON 8,486 LARAE 98,136 LINCOLN 19,11 NATRONA 81,39 NIOBRARA 2,48 PARK 29,353 PLATTE 8,68 SHERIDAN 3,2 SUBLETTE 9,769 SWEETWATER 44,165 TETON 23,191 UINTA 2,773 WASHAKIE 8,235 WESTON 7,236 $351,483,145 $96,917,83 $263,645,71 $333,626,89 $138,893,145 $14,693,25 $366,636,175 $15,235,37 $87,976,645 $124,486,2 $687,321,535 $186,593,18 $464,69,755 $65,629,355 $216,628,98 $21,296,855 $243,25,68 $62,89,755 $457,159,515 $144,682,75 $257,837,58 $55,61,6 $73,526,55 TOTAL 585,51 $5,91,8,425 Population Source: U.S. Census Bureau 216 estimates. Figures used to determine Economic Loss came from the US Department of Transportation Memorandun; dated June 17, 215 for the "Treatment of the Economic Value of a Statistical Life in Departmental Analyses." WYDOT has adopted a slightly modified version of the Relative Disutility Factors by Status level. 3

8 HOLIDAY CRASH STATISTICS New Years Memorial Day Independence Day Labor Day Thanksgiving Christmas PDO Fatalities Injuries Fatal Hours Hours Fatal PDO Fatalities Injuries Hours Fatal PDO Fatalities Injuries Hours Fatal PDO Fatalities Injuries Hours Fatal PDO Fatalities Injuries Hours Fatal PDO Fatalities Injuries Time Period 4

9 PARK FREMONT CARBON SWEETWATER TETON NATRONA ALBANY SUBLETTE LINCOLN CAMPBELL JOHNSON CROOK CONVERSE UINTA BIGHORN LARAE WESTON PLATTE GOSHEN NIOBRARA SHERIDAN WASHAKIE HOTSPRINGS WYONG FATAL CRASH MAP by County 5

10 GENERAL CRASH INFORMATION 216 Crash Counts by County Fatal Fatalities Injuries PDO ALBANY BIG HORN CAMPBELL CARBON CONVERSE CROOK FREMONT GOSHEN HOT SPRINGS JOHNSON LARAE LINCOLN NATRONA NIOBRARA PARK PLATTE SHERIDAN SUBLETTE SWEETWATER TETON UINTA WASHAKIE WESTON Crash Count by Month January February March April May June July August September October November December 1,294 1,84 1, ,114 1,223 1,17 1,72 1,86 1,434 1,

11 212 TO 216 CRASHES BY HARMFUL EVENT CATEGORY Harmful Event Category Non-Collision Moving Vehicle Animal Fixed Object Others

12 PEOPLE INVOLVED INFORMATION 216 TOTAL DRIVERS INVOLVED IN FATAL CRASHES DRIVER'S AGE DRIVER'S GENDER UK Female Male X X= Unknown. Unknown gender in this crash is due to investigating officers being unable to determine who was driving the vehicle. 216 TOTAL DRIVERS INVOLVED IN INJURY CRASHES DRIVER'S AGE DRIVER'S GENDER UK Female Male Unknown Unknown gender & age are a result of hit and run crashes 216 TOTAL DRIVERS INVOLVED IN PDO CRASHES DRIVER'S AGE DRIVER'S GENDER UK Female Male Unknown Unknown gender & age are a result of hit and run crashes 8

13 OCCUPANTS WITH SEAT BELT USAGE BY COUNTY from STATE CRASH DATA Proper Use Misuse Not Used UNK Proper Use Misuse Not Used UNK Proper Use Misuse Not Used UNK 9 Driver's Passenger's Driver's Passenger's Driver's Passenger's Driver's Passenger's Driver's Passenger's Driver's Passenger's Driver's Passenger's Driver's Passenger's Driver's Passenger's Driver's Passenger's Driver's Passenger's Driver's Passenger's Driver's Passenger's Driver's Passenger's Driver's Passenger's ALBANY % % 62 4% 1811% % 3 % 63 4% % 12 86% 3 % 3 2% 139 1% % 27 5% 64 11% % % 14 3% 65 13% 89 17% % 8 2% 53 1% 79 15% BIG HORN % 2 1% 2 6% 64 21% 88 34% 1 % 25 1% 37 14% % 1 % 17 6% 3 1% 79 88% 6 7% 5 6% % 3 67% 2 4% 6 13% 7 16% % 3 2% 9 7% 6 4% CAMPBELL % 4 % 99 5% 174 9% % 3 % 87 5% % % 1 % 44 3% 138 9% % 29 4% 61 8% % % 27 4% 34 5% 78 13% % 27 5% 18 3% 3 5% CARBON 68 7% 1 % 37 4% 11513% % 3 % 38 4% % % 3 % 22 2% % % 4 1% 76 22% % 194 7% 8 3% 48 17% 28 1% % 1 3% 64 16% 68 17% CONVERSE % 1 % 36 5% 1315% % 1 % 23 4% 71 12% % % 24 5% 48 1% % 5 2% 2 1% % % 8 4% 17 9% 12 6% 18 89% 3 1% 12 6% 7 3% CROOK 15 51% % 33 11% 24 8% % % 26 9% 18 6% % % 14 4% 9 3% % 1 1% 15 11% % 8 67% 1 1% 15 13% 24 2% % 1 1% 8 5% 3 2% FREMONT % 3 % 86 7% 2672% % 3 % 65 6% % % 4 % 36 3% % % 2 4% 43 8% % 254 6% 11 3% 93 22% 64 15% 4 82% 9 2% 27 6% 52 11% GOSHEN 17 6% % 14 5% 39 14% % 1 % 33 11% 44 14% % % 15 5% 34 11% 111 9% 4 3% 9 7% % 69 87% 3 4% 6 8% 1 1% 12 86% 1 1% 7 6% 9 8% HOT SPRINGS 47 42% 1 1% 7 6% 27 24% 44 38% 1 1% 8 7% 26 22% 19 81% 2 1% 7 5% 12 9% 37 9% % 4 1% % 14 67% 3 14% 1 5% 3 14% 46 92% % 4 8% % JOHNSON % 2 % 18 4% 64 15% % % 2 5% 38 1% 248 8% % 18 6% 42 14% % 3 2% 3 17% % 78 8% 5 5% 5 5% 1 1% 13 89% 1 1% 3 2% 12 8% LARAE % 5 % 14 3% 253 7% 37 86% 4 % 126 4% 26 7% % 4 % 16 3% 257 8% % 6 5% 77 6% % % 42 3% 14 1% 146 1% % 38 3% 111 9% 92 7% LINCOLN % 3 1% 19 6% 37 11% 184 5% 2 1% 33 9% 31 8% % 1 % 19 5% 35 8% 156 9% 2 1% 16 9% % % 8 5% 2 13% 7 5% 24 8% 8 3% 25 1% 19 7% NATRONA 39 81% 4 % 147 4% 44512% 31 79% 2 % 181 5% % % 4 % 76 2% % 137 9% 68 4% 82 5% % % 69 5% 76 5% 88 6% % 5 4% 47 4% 68 6% NIOBRARA 37 46% % 9 11% 21 26% 25 32% % 7 9% 2 26% 65 63% 1 1% 6 6% 28 27% 26 74% 1 3% 8 23% % 8 57% % 4 29% 2 14% 32 65% % 4 8% 13 27% PARK 44 56% 1 % 39 5% 13217% % % 54 7% % % 1 % 27 4% 76 1% % 15 5% 16 6% % % 7 3% 23 11% 19 9% % 4 1% 17 6% 16 6%

14 Proper Use Misuse Not Used UNK Proper Use Misuse Not Used UNK Proper Use Misuse Not Used UNK Driver's Passenger's Driver's Passenger's Driver's Passenger's Driver's Passenger's Driver's Passenger's Driver's Passenger's Driver's Passenger's Driver's Passenger's Driver's Passenger's Driver's & Passenger's PLATTE % % 39 8% 42 8% % % 25 6% 43 9% % 1 % 19 4% 4 9% % 7 2% 4 14% % % 6 4% 9 6% 9 6% % 6 2% 12 5% 16 6% SHERIDAN % % 38 4% 22% % % 47 5% 19 21% 71 72% % 46 5% 29 22% % 9 3% 15 4% % 2 59% 8 2% 23 7% 19 32% 33 8% 9 2% 12 3% 56 15% SUBLETTE % 1 % 22 8% 32 11% 14 41% 1 % 18 7% 25 1% % % 5 2% 21 8% 11 91% 3 2% 8 7% % 37 7% 2 4% 8 15% 6 11% % % 16 11% 1 7% SWEETWATER % 2 % 99 5% 2611% % 2 % 72 4% % % 3 % 62 4% % % 27 4% 9 14% % % 3 4% 16 16% 54 8% % 42 6% 89 12% 37 5% TETON % 3 % 2 2% 1662% % 4 1% 22 3% % % 2 % 15 2% % % 19 6% 16 5% % 22 59% 18 5% 13 4% 19 32% % 7 2% 7 2% 6 21% UINTA 31 62% % 25 5% 55 11% 332 6% 1 % 29 5% 8 15% % 1 % 21 4% 73 13% 21 86% 6 2% 29 12% % % 11 4% 41 16% 16 6% % 4 1% 43 12% 56 15% WASHAKIE 6 37% % 15 9% 61 38% 79 49% 1 1% 11 7% 31 19% 15 63% 1 1% 12 7% 45 27% 38 88% 2 5% 3 7% % 45 74% 1 2% 5 8% 1 16% 47 72% 2 3% 5 8% 11 17% WESTON 64 43% 1 1% 21 14% 32 21% 57 38% % 11 7% 24 16% 95 7% 1 1% 1 7% 23 17% 22 71% % 9 29% % 13 59% % 4 18% 5 23% 34 81% 1 2% 4 1% 3 7% TOTAL % 33 % 817 4% 2,77 13% ,424 74% 3% 8% 15% % 351 1% % % % % 4% 13% % 3% 8% 1% COMBINED TOTAL % 1% 5% 12% ,226 85% % 3% 12% % 3% 7% 28% % 1% 5% 11% * The formulas used to determine seat belt use were revised in 216 and are not applied to years prior. 1

15 216 PEDESTRIANS IN ALL CRASHES AGE INJURY STATUS Fatal Incap Non-Incap Possible Unknown GENDER Female 43 Male 56 11

16 216 BICYCLIST IN ALL CRASHES AGE INJURY STATUS Fatal Incap Non-Incap Possible Unknown Others 1 GENDER Female 18 Male 53 "Others" refers to a bicyclist who left the crash scene before being identified 12

17 ENVIRONMENTAL 216 CRASHES WITH ROAD SURFACE TYPE Road Surface Fatal PDO Asphalt BrickStone 1 1 Concrete Dirt GravelRock Unknown Unknown road surface crashes include animal crash form (see appendix) where element is not included CRASHES ROAD CONDITIONS Road Conditions 1st Condition Fatal 2nd Condition 1st Condition 2nd Condition PDO 1st Condition 2nd Condition 1st Condition 2nd Condition Dry Wet IceFrost Snow MudDirtGravel Slush OilFuel Sand on Dry Pavement Sand on Icy Road Water StandingRunning Other Unknown NOTE: Every crash can have up to two road conditions selected

18 216 CRASHES WEATHER CONDITIONS Weather Conditions Fatal PDO 1st Condition 2nd Condition 1st Condition 2nd Condition 1st Condition 2nd Condition 1st Condition 2nd Condition Clear Raining Snowing Fog Blowing DustSandDirt Severe Wind Only Blizzard SleetHailFreezing Rain Blowing Snow Cloudy, Overcast Smoke Other Unknown NOTE: Every crash can have up to two weather conditions selected 216 CRASHES LIGHTING CONDITIONS Lighting Conditions Fatal PDO Darkness Lighted Darkness Unlighted Dawn Daylight Dusk Other Unknown

19 VEHICLES 216 VEHICLE TYPES Vehicle Type Fatal Number of Vehicles involved in: PDO Vehicles Passenger Passenger Van PU School Bus Other Bus Transit Bus Charter Bus MC > 15cc Off Road MC 5 5 Other Vehicle SUV Cargo Van Motor Home Light Truck (< 1K) Medium Truck (>1K - <26K) Heavy Truck (>26K) Farm Equipment 5 5 Construction Vehicle MC <15 cc Moped 2 2 Snowmobile ATV MPV Unknown

20 Contributing Circumstances 216 VEHICLE WITH CONTRIBUTING CIRCUMSTANCES Number of Vehicles involved in: Fatal PDO Vehicles Brakes Cruise Control Defroster Exhaust System 3 3 Lights (Head, Signal, or Tail) Mirrors 2 2 None Other Oversized Load Power Train RainSnowIce on Windshield Stalled Vehicle Steering Suspension Tinted Windows Tire Trailer Brakes Truck CouplingTrailer HitchS Unknown Vehicle Cargo Blocking View 4 4 Wheels WindowsWindshield

21 WYONG COMMUNITIES 216 CITYTOWN CRASHES WITH INJURIES AND FATALITIES CityTown Fatal PDO # Persons Injured # Persons Killed 17 AFTON ALPINE BASIN 5 5 BEAR RIVER 2 2 BIG PINEY BUFFALO BURLINGTON BURNS BYRON 2 2 CASPER CHEYENNE CHUGWATER CODY COKEVILLE 4 4 COWLEY 1 1 DAYTON 3 3 DIAMONDVILLE 2 2 DIXON 1 1 DOUGLAS DUBOIS EAST THERMOPOLIS ENCAMPMENT EVANSTON EVANSVILLE FT LARAE 3 3 GILLETTE GLENDO 1 1 GLENROCK GRANGER 1 1 GREEN RIVER GREYBULL GUERNSEY HANNA HUDSON HULETT 3 3 JACKSON KAYCEE 3 3 KEMMERER LANDER LARAE LINGLE 4 4 LOVELL LUSK LYMAN MARBLETON 2 2 MEDICINE BOW 2 2 MEETEETSE 2 2 LLS MOORCROFT MOUNTAIN VIEW 1 1 NEWCASTLE PINE BLUFFS PINEDALE POWELL

22 CityTown Fatal PDO # Persons Injured # Persons Killed RANCHESTER RAWLINS RIVERTON ROCK RIVER 1 1 ROCK SPRINGS SARATOGA SHERIDAN SHOSHONI 3 3 SINCLAIR STAR VALLEY RANCH 6 6 SUNDANCE THAYNE THERMOPOLIS TORRINGTON UPTON WAMSUTTER WHEATLAND WORLAND WRIGHT

23 CITYTOWN CRASHES INTERSECTION TYPE AND MANNER OF COLLISION Intersection Type Manner of Collision Five (5) Point or more Four (4)-Way Intersection Intersection as part of an Interchange L Intersection Not an Intersection Roundabout T Intersection Unknown Y Intersection Angle (Front to Side), Opposing Direction Angle Direction not Specified Angle Right (Front to Side, includes Broadside) Angle Same Direction (Front to Side) Head On (Front to Front) Not a Collision w2 Vehicles in Transport , Other Rear End (Front to Rear) Rear to Front (Normally Backing) Rear to Rear (Normally Backing) Rear to Side (Normally Backing) Sideswipe Opposite Direction (Meeting) Sideswipe Same Direction (Passing) Unknown

24 ALCOHOL INVOLVED CRASHES 216 ALCOHOL INVOLVED TRAFFIC CRASHES Fatal PDO Year All Alcohol % Alcoh Alcohol % Alcoh All Alcohol % Alcoh * * Alcohol % Alcoh All Alcohol % Alcoh Fatalities Fatalities Fatalities Injuries Injuries Injuries % % % % % % % % % % % % % % % % % % % % % % % % % * Injuries include injuries from fatal crashes 14 Alcohol Fatal Alcohol Fatalities 8 6 #All Fatal #Alcohol Fatal #All Fatalities #Alcoh Fatalities

25 ALCOHOL INVOLVED CRASHES WITH AGE OF DRINKING DRIVERS 212 Drivers Involved in Groups Fatal PDO Drivers Unknown Groups Fatal Drivers Involved in PDO Drivers Unknown Drivers Involved in Groups Fatal PDO Drivers Unknown

26 ALCOHOL INVOLVED CRASHES WITH AGE OF DRINKING DRIVERS 215 Drivers Involved in Groups Fatal PDO Drivers Unknown Drivers Involved in Groups Fatal PDO Drivers Unknown

27 ALCOHOL INVOLVED FATAL CRASHES 216 ALCOHOL INVOLVED FATAL CRASHES BY COUNTY County Number Number Injured Number Killed Albany 1 1 Big Horn 1 1 Carbon Fremont Johnson 2 2 Laramie Lincoln 1 1 Natrona 2 2 Platte 2 2 Sheridan Sweetwater 2 2 Uinta Weston City 216 ALCOHOL INVOLVED FATAL CRASHES BY CITY Number Number Injured Number Killed CASPER 1 1 CHEYENNE RIVERTON

28 216 ALCOHOL INVOLVED FATAL CRASHES BY VEHICLE TYPE Vehicle Type Number of Vehicles ATV 2 Heavy Truck > 26, 2 MC > 15 cc 6 PU 13 Passenger 5 Passenger Van 2 SUV ALCOHOL INVOLVED FATAL CRASHES ESTIMATED SPEED Estimated Speed Number of Vehicles Others ALCOHOL INVOLVED FATAL CRASHES WITH AGE AND GENDER OF DRIVERS Groups Male Female Drivers UK

29 ALCOHOL INVOLVED INJURY CRASHES 216 ALCOHOL INVOLVED INJURY CRASHES BY COUNTY County Number Injured City 216 ALCOHOL INVOLVED INJURY CRASHES BY CITY Number of Number Injured ALPINE 1 1 BIG PINEY 1 1 BUFFALO 1 3 BURLINGTON 1 1 CASPER 36 5 CHEYENNE CODY 6 9 DOUGLAS 2 2 DUBOIS 1 1 EAST THERMOPOLIS 1 1 EVANSTON 1 1 GILLETTE GLENROCK 1 1 GREEN RIVER 3 3 HANNA 1 1 HUDSON 1 2 JACKSON 1 1 KEMMERER 1 1 LANDER 1 1 LARAE 8 11 LYMAN 1 1 PINE BLUFFS 1 1 RIVERTON ROCK SPRINGS SHERIDAN 6 7 TORRINGTON 2 2 WORLAND Albany Big Horn 5 7 Campbell 3 33 Carbon 8 1 Converse 8 9 Crook 1 2 Fremont Goshen 6 7 Hot Springs 6 9 Johnson 3 5 Laramie 47 6 Lincoln 9 9 Natrona 44 6 Park Platte 5 8 Sheridan Sublette 3 3 Sweetwater Teton 8 11 Uinta 5 5 Washakie 7 9 Weston

30 216 ALCOHOL INVOLVED INJURY CRASHES WITH VEHICLE TYPE Vehicle Type Number of Vehicles % Vehicles ATV 4 1.% Cargo Van 1.2% Heavy Truck > 26, 9 2.1% MC < 15 cc 2.5% MC > 15 cc % MPV 5 1.2% Motor Home 1.2% Off Road MC 1.2% PU % Passenger % Passenger Van 8 1.9% SUV % Unknown 2.5% 421 1% 216 ALCOHOL INVOLVED INJURY CRASHES WITH ESTIMATED SPEED Estimated Speed Number of Vehicles Others ALCOHOL INVOLVED INJURY CRASHES WITH AGE AND GENDER OF DRIVERS Groups Male Female Unknown Drivers Unknown

31 ALCOHOL INVOLVED PDO CRASHES 216 BY CITY 216 BY COUNTY County PDO Albany 18 Big Horn 6 Campbell 28 Carbon 15 Converse 9 Crook 5 Fremont 23 Goshen 8 Hot Springs 1 Johnson 3 Laramie 59 Lincoln 9 Natrona 72 Niobrara 1 Park 8 Platte 6 Sheridan 32 Sublette 3 Sweetwater 43 Teton 19 Uinta 7 Washakie 7 Weston City PDO ALPINE 1 BYRON 1 CASPER 58 CHEYENNE 52 CODY 3 DAYTON 1 DIAMONDVILLE 1 DOUGLAS 2 ENCAMPMENT 1 EVANSTON 2 EVANSVILLE 3 GILLETTE 22 GLENROCK 1 GREEN RIVER 6 JACKSON 9 KEMMERER 1 LANDER 3 LARAE 13 LOVELL 1 LUSK 1 MEDICINE BOW 1 LLS 7 PINE BLUFFS 2 POWELL 3 RANCHESTER 1 RAWLINS 8 RIVERTON 14 ROCK SPRINGS 28 SARATOGA 2 SHERIDAN 24 SINCLAIR 1 SUNDANCE 1 TORRINGTON 1 WAMSUTTER 1 WHEATLAND 2 WORLAND 2 WRIGHT

32 216 ALCOHOL INVOLVED CRASHES WITH AGE AND BAC RESULTS OF DRIVERS Groups BAC Results Drivers in Fatal Drivers in Drivers in PDO Others Others Others Others Others Others Others is a result of no reported BAC result 28

33 Groups BAC Results Drivers in Fatal Drivers in Drivers in PDO UK Others Others Others Others Others Others Others Others Others is a result of no reported BAC result

34 DRIVERS AGE FATAL CRASHES INVOLVING DRIVERS BETWEEN AGES 14-2 GENDER Male Female 216 INJURY CRASHES INVOLVING DRIVERS BETWEEN AGES 14-2 GENDER Male Female PDO CRASHES INVOLVING DRIVERS BETWEEN AGES 14-2 GENDER Male Female

35 TRUCKS Year TRUCK CRASHES MEDIUM TRUCK (>1K - <26K) & HEAVY TRUCK (> 26K) Fatal Fatalities # Truck Driver's Killed Injuries # Truck Driver's Injured PDO TRUCK CRASHES MEDIUM TRUCK (>1K - <26K) & HEAVY TRUCK (> 26K) BY ROADWAY Roadway Type Fatal PDO Interstate Primary Secondary City Street County Road Rural State Highway M Route BLM Forest Service 1 1 Service Road County Road Urban

36 SCHOOL BUS 216 School Bus Number Injured in School Bus

37 216 SCHOOL BUS INVOLVED CRASHES COUNTY CRASH SEVERITY County Fatal PDO ALBANY 3 3 BIG HORN 1 1 CAMPBELL FREMONT 3 3 LARAE 6 6 LINCOLN NATRONA 7 7 PARK 1 1 SHERIDAN 1 1 SWEETWATER TETON SCHOOL BUS INVOLVED CRASHES COLLISION TYPE CRASH SEVERITY Collision Type Fatal PDO Deer 1 1 Motor Vehicle in Transport on Roadway Other Fixed Object 2 2 Parked Motor Vehicle

38 MOTORCYCLES Motorcycle Number Injured in Motorcycle

39 216 MOTORCYCLE INVOLVED CRASHES COUNTYCRASH SEVERITY County Fatal PDO ALBANY BIG HORN CAMPBELL CARBON CONVERSE 4 4 CROOK FREMONT GOSHEN HOT SPRINGS 3 3 LARAE LINCOLN 3 3 NATRONA NIOBRARA PARK PLATTE SHERIDAN SUBLETTE 2 2 SWEETWATER TETON UINTA WASHAKIE 2 2 WESTON MOTORCYCLE INVOLVED CRASHES COLLISION TYPECRASH SEVERITY Collision Type Fatal PDO 35 Cattle Guard 1 1 Cow 1 1 Deer Delineator Post Ditch 1 1 Earth EmbankmentBerm 1 1 End of Drainage PipeStructureCulvert 1 1 FellJumped from a MV 3 3 Guardrail End 1 1 Guardrail Face 4 4 Motor Vehicle in Transport on Roadway Other Fixed Object 1 1 Other NON-Fixed Object Other Non-Collision (MC Loss of Control Parked Motor Vehicle Pedacycle 1 1 Pedestrian 1 1 Raised Median or Curb 3 3 Rock, Boulder, Rock Slide 3 3 Sign Support Single Post 1 1 Utility PoleLight Support 2 2 Work Zone Channeling Device

40 APPENDIX

41 Yes Date of Crash (yyyymmdd) 2 No If NOT at Intersection Badge # Combined Damage greater than or equal to $1, Yes No Occurred on Private Property County Yes Hit & Run PublicPrivate Property Damage Yes No City Crash occurred on: HighwayStreet AtRelated intersection: HighwayStreet. No Investigating ncy Officer Name & Rank CASE NO. INVESTIGATOR'S TRAFFIC CRASH REPORT Mail completed form within 1 days to: Wyoming Department of Transportation Crash Records 53 Bishop Boulevard Cheyenne, WY Time (24 hr) : Investigated at the Scene Yes $ Feet or Miles Su Day of Week Mo Th Photo None Amount of Property Damage (if known) In CityTown No Yes No Direction GPS Latitude INSTRUCTIONS TO ENSURE ACCURACY PRINT IN UPPER-CASE LETTERS USING A BLACK OR DARK BLUE PEN! PRINT NEATLY If 'Other' is selected in any field, describe in narrative If a vehicle is towed, describe towed vehicle in narrative mark if attached SUPPLEMENTAL REPORTS If more than 2 vehicles are involved, complete form 'Supplemental Additional VehicleDriver Form' If more than 5 persons in a crash, complete form 'Supplemental Additional Vehicle Occupant Information' Trucks or Commercial Motor Vehicles complete form 'Supplemental TruckCMV Information' If a non-motorist is involved, complete form 'Supplemental Non-Motorist' If a bus is involved and carrying passengers, complete form 'Supplemental Bus Information' If any drug tests are performed, complete 'Supplemental Drug Test Results' Previous report submitted OF Tu Fr We Sa PhotoVideo Video Both # Vehicle(s). GPS Longitude Police Notified: Arrived: EMS Notified: Arrived: Date: yyyymmdd EMS Hospital Arrival Time : # Driver(s) # Person(s) # non Motorists # Injured # Killed. : Highway LRS # Milepost Marker CAT. ID # DIR Highway Section #. Intersection LRS # Occurred on Incr Decr CAT. ID # DIR Divided RDway if yes Incr Decr No Yes Unknown A B C D City PD 2 - Sheriff 3 - BIA 4 - Forest Service 5 - Campus Police 6 - WHP 7 - Other - nearest street, highway, ramp, bridge, city, railroad crossing, etc. Division (WHP only) Time (24 hr) : : : First Signature Highway Safety Use Only Rank Report Date (yyyymmdd) 2 Proximity to Residence Rural PID NON-PID Highway District 1-Same Town 2-25 miles or less 3-25 miles Plus 4-Out of State Accurately Located Date Received: Crash Type: G > $1, M - Missing Location Report Number: N < $1, I - Industrial Crash Highway System P - Private D - Deliberate Last PR92 Revised

42 1 Page Last Name Street Number Street Name Mailing Address (PO Box Number) Occupation Home Work Cell Phone Driver Phone - Driver's License Number DriverVehicle Information City Employer First Name Home Work Cell Phone Emp Phone - State (FIPS) Gender State Zip Code SSN (fatals only) DOB (yyyymmdd) Restrictions CDL Endorsement - DL Type 1 - Not Licensed 5 - CDL 2 - Driver License 6 - CDL Permit 3 - Instruction Permit 7 - No License Required 4 - I2 Permit-intermediate 8 - Restricted License DL Class 1 - A 5 - Improper or 2 - B No Endorsement 3 - C 6 - Other 4 - M DL Status 1 - Clear 4 - Revoked 2 - Expired 5 - Suspended 3 - Canceled or Denied No. of Vehicle Occupants (1 to 5) Posted Speed Estimated Speed Last Name First Name Vehicle Owner same as driver 2 Street Number Make (ie, Chevrolet, Dodge, Toyota) Model (ie, Silverado, Dakota, Solara) Year Vehicle Identification Number Insurance E-Verified Vehicle Towed Extent of Damage Last Name Y-Yes N -No Street Number Company Policy # By To Street Name 1 - None 2 - Functional 3 - Minor 4 - Disabling Street Name Mailing Address (PO Box Number) Occupation Y-Yes N-No City Employer City License Plate No. MV Damage >$1, First Name 1-Yes 2-No 99-Unk. State (FIPS) Direction of Travel Prior to Crash Expir. Date (mmyy) 1 - North 5 - South 2 - Northeast 6 - Southwest 3 - East 7 - West 4 - Southeast 8 - Northwest - Color State Zip Code Initial Impact Most Damaged Point Area Non-Collision (OverturnRollover) 1-12 (Use 12 Point Clock Diagram) 13 Top (Roof) 14 Undercarriage 99 Unknown (Can't determine) DOB (yyyymmdd) Home Work Cell Phone Home Work Cell Phone SSN (fatals only) Driver Emp Phone Phone Driver's License Number State (FIPS) Restrictions CDL Endorsement State Gender Zip Code - DL Type 1 - Not Licensed 5 - CDL 2 - Driver License 6 - CDL Permit 3 - Instruction Permit 7 - No License Required 4 - I2 Permit-intermediate 8 - Restricted License DL Class 1 - A 5 - Improper or 2 - B No Endorsement 3 - C 6 - Other 4 - M DL Status 1 - Clear 4 - Revoked 2 - Expired 5 - Suspended 3 - Canceled or Denied No. of Vehicle Occupants (1 to 5) Posted Speed Estimated Speed Last Name First Name Vehicle Owner same as driver Street Number Make (ie, Chevrolet, Dodge, Toyota) Model (ie, Silverado, Dakota, Solara) Year Vehicle Identification Number Insurance E-Verified Vehicle Towed Extent of Damage Y-Yes N -No Y-Yes N -No By To Street Name Company Policy # 1 - None 2 - Functional 3 - Minor 4 - Disabling City License Plate No. MV Damage >$1, 1-Yes 2-No 99-Unk. State (FIPS) Direction of Travel Prior to Crash Expir. Date (mmyy) - Color 1 - North 5 - South 2 - Northeast 6 - Southwest 3 - East 7 - West 4 - Southeast 8 - Northwest State Zip Code Initial Impact Most Damaged Point Area Non-Collision (OverturnRollover) 1-12 (Use 12 Point Clock Diagram) 13 Top (Roof) 14 Undercarriage 99 Unknown (Can't determine)

43 Page Seat Position 1-Driver 2-Front Row Middle 3-Front Row Right 4-Passenger Front Row Left (for foreign or postal vehicles where the driver is on the Right) 5-Second Row Left 6-Second Row Middle 7-Second Row Right 8-Third Row Left 9-Third Row Middle 1-Third Row Right 11-Fourth Row Left 12-Fourth Row Middle 13-Fourth Row Right 14-Other Row (ie. Bus, Van) 15-Lying Down-Front Seat 16-Lying Down-Other Seat 17-Motorcycle Passenger 18-Sleeper Section of Cab 19-Other Enclosed Area 2-Unenclosed Cargo Area 21-Trailing Unit 97-Riding on MV Exterior 98-Other (explain in narrative) (explain in narrative) MV # 1 2 MV # Driver # 1 1 Driver # 2 Person Type 1 - Driver 2 - Passenger If non-motorist, complete supplemental form Person Type Seat Position Seat Belt Usage Vehicle Occupant Information Air Bag Deployed 1-Not Applicable 2-Not Deployed 3-Deployed Front 4-Deployed Side 5-Deployed Combination 6-Deployed Other 99-Deployment Unknown Occupant Protection System Operation 1-Apparently Normal 2-FailureMalfunction 3-Misuse 4-Air Bag System Turned off or Rendered Inoperative Safety Equipment Usage 1-None Used 2-Not Available 3-Shoulder & Lap belt 4-Shoulder Belt Only 5-Lap Belt Only 6-Passive Restraint Only 7-Restraint used-type Unk. 8-Forward Facing Child 9-Rear Facing Child Restraint 1-Booster Seat 11-Child Restraint-Type Unk. 12-Helmet Used 13-Other EMS ID EMS Run # Seat Belt Operation Ejection 1-Not Ejected 2-Partially Ejected 3-ly Ejected 4-Trapped & Extricated 5-Not Applicable Air Bag Deployed Ejection Status Status Description 1-Fatal 1-Severe Lacerations 2-Incapacitating 2-Broken 3-Non-Incapacitating 3-Crushed 4-Possible 4-Unconsciousness 5-No 5-Internal Unknown 6-Lumps 7-Abrasions 8-Bruises 9-Minor Lacerations 1-Limping Most Injured Area 11-Pain 12-Nausea 1-Head 13-Other (explain in narrative) 2-Face 14- No 3-Neck 4-Thorax (Chest) 5-AbdomenPelvis Classification 6-Spine 1-Fatal (Not Documented) 7-Upper Extremity (Arm...) 2-Fatal (Autopsy) 8-Lower Extremity (Leg...) 3-Fatal (Medical Diagnosis) 9-No 4-Non-Fatal (Hospitalized overnight or longer) 5-Non-Fatal (Treated & Released from Hospital) 6-First Aid Given at Scene 7-No Treatment 8-Refused Treatment Inj. Transported by 1-Not Transported 2-EMS (Ground) 3-EMS (Air) 4-Law Enforcement 5-Other (Private MV) EMS ID EMS Run # Area Description CASE NO. Classication Injured Transported by Medical Facility EMS ID EMS Run # Medical Facility Occupant Information Last Name Last Name SSN (Fatals Only) First Name : Home Work Cell Phone Home Work Cell Phone and or SSN (Fatals Only) First Name : Medical Facility DOB DOB Gender M, F, X Gender M, F, X Last Name Last Name Home Work Cell Phone Home Work Cell Phone and or SSN (Fatals Only) First Name : Home Work Cell Phone Home Work Cell Phone and or SSN (Fatals Only) First Name : Home Work Cell Phone Home Work Cell Phone and or Last First Name Name SSN (Fatals Only) : Home Work Cell Phone Home Work Cell Phone and or Medical Facility Medical Facility Medical Facility Medical Facility DOB DOB DOB yyyymmdd yyyymmdd yyyymmdd Gender M, F, X Gender M, F, X Gender M, F, X If more then 5 occupants add page three from Supplemental Additional DriverVehicle form

44 1 Page 1st event 2nd event Sequence choose up to 4: 3rd event Most Harmful Event 4th event choose 1 Non-Collision 1 - OverturnRollover 2 - FireExplosion 3 - Immersion 4 - Jacknife 5 - CargoEquipment Loss or Shift 6 - Equipment Failure 7 - Separation of Units 8 - Ran Off the Road Right 9 - Ran Off the Road Left 1 - Cross Median 74 - Cross Centerline 11 - Downhill Runaway 12 - FellJumped from a MV 13 - Thrown or Falling Object 14 - Avoiding an Object on Road 15 - Avoiding an Animal on Road 16 - Carbon Monoxide (CO) Poisoning 17 - Injuries by being thrown against part of vehicle 18 - Other Non-Collision (MC Loss of Control) Collision w Person, MV, or Non-Fixed Object 19 - Pedestrian 2 - Pedacycle 21 - Railway Vehicle 22 - Motor Vehicle in Transport on Roadway 23 - Motor Vehicle in Transport on OTHER Roadway 24 - Parked Motor Vehicle 26 - Other NON-Fixed Object 27 - Work ZoneMaintenance Equipment 28 - Work Zone Channeling Device 29 - Object Set in Motion by Another Vehicle Animals 3 - Horse 31 - Cow 32 - Pig 33 - Sheep 34 - Other Domestic (Dog, Llama,...) 35 - Elk 36 - Deer 37 - Moose 38 - Antelope 39 - Buffalo 4- Other Wild Collision w Fixed Object 41 - Guardrail End 42 - Guardrail Face 43 - Impact AttenuatorCrash Cushion 44 - Bridge Pier or Support 45 - Bridge Overhead Structure 46 - Bridge Rail 47 - Concrete Traffic BarrierJersey Barrier 48 - Other Traffic Barrier (Includes temporary) 49 - Utility PoleLight Support 5 - Traffic Signal Support 51 - Traffic Sign Support 52 - Overhead Traffic Sign 53 - Sign Support Single Post 54 - Sign Support Multiple Post 55 - Other Traffic Sign Support 56 - Barricade 57 - TreeShrubbery 58 - Cut Slope 59 - Road Approach 6 - Rock, Boulder, Rock Slide 61 - End of Drainage PipeStructureCulvert 62 - Building or Other Structure Wall 63 - Fence (Including Post) 64 - Raised Median or Curb 65 - Delineator Post 66 - Earth EmbankmentBerm 67 - Ditch 68 - Snow Embankment 69 - Mail Box 7 - Tunnel 71 - Cattle Guard 72 - Other Fixed Object 73 - Cable Barrier Vehicle (1) Information Motor Vehicle Unit Type 1 - Motor Vehicle in Transport 2 - Parked Motor Vehicle 3 - Working VehicleEquipment Commercial Motor Vehicle or HM Placard 1 - Yes 2 - No if yes, complete CMV supplement Vehicle Owner 1 - Same as Driver 2 - Other 3 - Passenger 4 - Relative 5 - Rental Vehicle 6 - Commercial 7 - Occupant 8 - Vehicle Parked 9 - Federal Law Enforcement 1 - Federal Other Vehicle Type 1 - Passenger 2 - Passenger Van 3 - PU 4 - School Bus 5 - Other Bus 6 - Transit Bus 7 - Charter Bus 8 - MC >15 cc 9 - Off Road MC 12 - Low Speed Vehicle 13 - Other Vehicle 14 - SUV 15 - Cargo Van Non -Commercial Trailer Style 1 - No Trailer 2 - Camping Trailer 3 - Mobile Home 4 - Utility Trailer 5 - BoatJet Ski Trailer 6 - Towed Vehicle UnderrideOverride 1 - No Underride or Override 2 - Underride-Compartment Intrusion 3 - Underride-No Compartment Intrusion 4 - Underride-Compartment Intrusion Unkown 5 - Override-Motor Vehicle in Transport 6 - Override-Other Motor Vehicle if Underride or Override Emergency Vehicle Use 1 - Yes 2 - No Emergency Equipment Activated 1 - Yes 2 - No Special Function of MV in Transport 1 - None 2 - Police 3 - AmbulanceEMS 4 - Fire Truck 5 - Military 6 - Snow Plow 7 - Tow Truck Contributing 11 - County Law Enforcement 12 - County Fire Department 13 - County Other 14 - City Law Enforcement 15 - City Fire Department 16 - City Other 17 - Government Other 18 - AmbulanceEMS 19 - WHP 2 - State Law Enforc Other 16 - Motor Home 17 - Light Truck (1K or less) 18 - Medium Truck (>1K - <26K) 19 - Heavy Truck (>26K) 2 - Farm Equipment 21 - Construction Vehicle 22 - MC <15 cc 23 - Moped 24 - Snowmobile 26 - ATV 27 - MPV 7 - HorseStock Trailer 8 - Motorcycle Trailer 9 - Multiple Trailers 1 - Other (ie. Bicycle) 8 - MV used as School Bus 9 - MV used as Other Bus 1 - Construction Equipment 11 - Farm Equipment 12 - Taxi 13 - Train Circumstance 1 - None 2 - Brakes 3 - Trailer Brakes 4 - Steering 5 - Power Train 6 - Suspension 7 - Tires 8 - Wheels 9 - Lights (Head, Signal or Tail) 1 - WindowsWindshield 11 - RainSnowIce on Windshield 12 - Tinted Windows 13 - Vehicle Cargo Blocking View 14 - Exhaust System 15 - Oversized Load 16 - Defroster 17 - Mirrors 18 - Wipers 19 - Truck CouplingTrailer HitchSafety Chain 2 - Stalled Vehicle 21 - Cruise Control 1st choice 2nd choice 22 - Other Vehicle ManeuverAction prior to crash 1 - Straight Ahead 2 - Backing 3 - Changing Lanes 4 - OvertakingPassing 5 - Turning RIght 6 - Turning Left 7 - Make U-Turn 8 - Leaving a Traffic LaneParking 9 - Entering a Traffic Lane 1 - Slowing 11 - Negotiating a Curve 12 - Parked 13 - Stopped in Traffic 14 - Driverless Motor Vehicle 15 - Trafficway Maintenance 16 - Other Road Surface 1 - Concrete 2 - Asphalt 3 - GravelRock 4 - Dirt 5 - BrickStone Horizontal Alignment Grade 1 - Level 2 - Hillcrest 3 - Uphill 4 - Downhill 5 - Sag (Bottom) 1 - Straight 3 - Curve Left 2 - Curve Right No. Lanes 1-6, 99 = Unknown (exclude turn lanes) Traffic Control Working Properly 1 - Yes 2 - No Traffic Control 1 - None 2 - Stop Sign 3 - Yield Sign 4 - Flashing Traffic Signal 5 - Do Not Enter Sign 6 - Traffic Signal 7 - Traffic Signal w Ped 8 - Traffic Signal w Ped & Audible Signals 9 - Person (OfficerFlagger, Xing Guard, etc) 1 - Pedestrian Crossing 11 - No Passing Zone 12 - Warning Signs 13 - Pavement Markings 14 - Traffic BarrelsCones 15 - Temporary Jersey Barrier 16 - School Bus Flashing Stop Lamps 17 - School Zone Crossing 18 - RR Crossing Signal 19 - RR Crossing Signal & Gate 2 - RR Crossing Cross Buck Sign Only 21 - RR Crossing Cross Buck with Stop Sign 22 - RR Crossing Cross Buck with Yield Sign 23 - Other Trafficway Description 1 - Two-Way-Undivided 2 - Two-Way-Undivided w Continuous Left Turn Lane 3 - Two-Way-Divided, No Barrier 4 - Two-Way-Divided, With Barrier 5 - One Way Rumble Strips Present 1 - Yes 2 - No Rumble Strips Applicable 1 - Yes 2 - No Rumble Strips 1 - None 2 - Centerline Rumble Strips 3 - Median Shoulder Only 4 - Transverse Rumble Strips (Road Apprch) 5 - Both Shoulders 6 - Both Centerline and Outside Shoulder 7 - Outside Shoulders Only

45 2 Page 1st event 2nd event 3rd event 4th event Sequence choose up to 4: Most Harmful Event choose 1 Non-Collision 1 - OverturnRollover 2 - FireExplosion 3 - Immersion 4 - Jacknife 5 - CargoEquipment Loss or Shift 6 - Equipment Failure 7 - Separation of Units 8 - Ran Off the Road Right 9 - Ran Off the Road Left 1 - Cross Median 74 - Cross Centerline 11 - Downhill Runaway 12 - FellJumped from a MV 13 - Thrown or Falling Object 14 - Avoiding an Object on Road 15 - Avoiding an Animal on Road 16 - Carbon Monoxide (CO) Poisoning 17 - Injuries by being thrown against part of vehicle 18 - Other Non-Collision (MC Loss of Control) Collision w Person, MV, or Non-Fixed Object 19 - Pedestrian 2 - Pedacycle 21 - Railway Vehicle 22 - Motor Vehicle in Transport on Roadway 23 - Motor Vehicle in Transport on OTHER Roadway 24 - Parked Motor Vehicle 25 - Struck by Falling, Shifting Cargo or Anything Else Set in Motion by Motor Vehicle 26 - Other NON-Fixed Object 27 - Work ZoneMaintenance Equipment 28 - Work Zone Channeling Device 29 - Object Set in Motion by Another Vehicle Animals 3 - Horse 31 - Cow 32 - Pig 33 - Sheep 34 - Other Domestic (Dog, Llama,...) 35 - Elk 36 - Deer 37 - Moose 38 - Antelope 39 - Buffalo 4- Other Wild Collision w Fixed Object 41 - Guardrail End 42 - Guardrail Face 43 - Impact AttenuatorCrash Cushion 44 - Bridge Pier or Support 45 - Bridge Overhead Structure 46 - Bridge Rail 47 - Concrete Traffic BarrierJersey Barrier 48 - Other Traffic Barrier (Includes temporary) 49 - Utility PoleLight Support 5 - Traffic Signal Support 51 - Traffic Sign Support 52 - Overhead Traffic Sign 53 - Sign Support Single Post 54 - Sign Support Multiple Post 55 - Other Traffic Sign Support 56 - Barricade 57 - TreeShrubbery 58 - Cut Slope 59 - Road Approach 6 - Rock, Boulder, Rock Slide 61 - End of Drainage PipeStructureCulvert 62 - Building or Other Structure Wall 63 - Fence (Including Post) 64 - Raised Median or Curb 65 - Delineator Post 66 - Earth EmbankmentBerm 67 - Ditch 68 - Snow Embankment 69 - Mail Box 7 - Tunnel 71 - Cattle Guard 72 - Other Fixed Object 73 - Cable Barrier Vehicle (2) Information Motor Vehicle Unit Type 1 - Motor Vehicle in Transport 2 - Parked Motor Vehicle 3 - Working VehicleEquipment Commercial Motor Vehicle or HM Placard 1 - Yes 2 - No if yes, complete CMV supplement Vehicle Owner 1 - Same as Driver 2 - Other 3 - Passenger 4 - Relative 5 - Rental Vehicle 6 - Commercial 7 - Occupant 8 - Vehicle Parked 9 - Federal Law Enforcement 1 - Federal Other Vehicle Type 1 - Passenger 2 - Passenger Van 3 - PU 4 - School Bus 5 - Other Bus 6 - Transit Bus 7 - Charter Bus 8 - MC >15 cc 9 - Off Road MC 12 - Low Speed Vehicle 13 - Other Vehicle 14 - SUV 15 - Cargo Van Non -Commercial Trailer Style 1 - No Trailer 2 - Camping Trailer 3 - Mobile Home 4 - Utility Trailer 5 - BoatJet Ski Trailer 6 - Towed Vehicle UnderrideOverride 1 - No Underride or Override 2 - Underride-Compartment Intrusion 3 - Underride-No Compartment Intrusion 4 - Underride-Compartment Intrusion Unkown 5 - Override-Motor Vehicle in Transport 6 - Override-Other Motor Vehicle if Underride or Override Emergency Vehicle Use 1 - Yes 2 - No Emergency Equipment Activated 1 - Yes 2 - No Special Function of MV in Transport 1 - None 2 - Police 3 - AmbulanceEMS 4 - Fire Truck 5 - Military 6 - Snow Plow 7 - Tow Truck Contributing Circumstance 1 - None 2 - Brakes 3 - Trailer Brakes 4 - Steering 5 - Power Train 6 - Suspension 7 - Tires 8 - Wheels 9 - Lights (Head, Signal or Tail) 1 - WindowsWindshield 11 - RainSnowIce on Windshield 12 - Tinted Windows 13 - Vehicle Cargo Blocking View 14 - Exhaust System 15 - Oversized Load 16 - Defroster 17 - Mirrors 18 - Wipers 19 - Truck CouplingTrailer HitchSafety Chain 2 - Stalled Vehicle 21 - Cruise Control 11 - County Law Enforcement 12 - County Fire Department 13 - County Other 14 - City Law Enforcement 15 - City Fire Department 16 - City Other 17 - Government Other 18 - AmbulanceEMS 19 - WHP 2 - State Law Enforc Other 16 - Motor Home 17 - Light Truck (1K or less) 18 - Medium Truck (>1K - <26K) 19 - Heavy Truck (>26K) 2 - Farm Equipment 21 - Construction Vehicle 22 - MC <15 cc 23 - Moped 24 - Snowmobile 26 - ATV 27 - MPV 7 - HorseStock Trailer 8 - Motorcycle Trailer 9 - Multiple Trailers 1 - Other (ie. Bicycle) 8 - MV used as School Bus 9 - MV used as Other Bus 1 - Construction Equipment 11 - Farm Equipment 12 - Taxi 13 - Train 1st choice 2nd choice 22 - Other Vehicle ManeuverAction prior to crash 1 - Straight Ahead 2 - Backing 3 - Changing Lanes 4 - OvertakingPassing 5 - Turning RIght 6 - Turning Left 7 - Make U-Turn 8 - Leaving a Traffic LaneParking 9 - Entering a Traffic Lane 1 - Slowing 11 - Negotiating a Curve 12 - Parked 13 - Stopped in Traffic 14 - Driverless Motor Vehicle 15 - Trafficway Maintenance 16 - Other Road Surface 1 - Concrete 2 - Asphalt 3 - GravelRock 4 - Dirt 5 - BrickStone Horizontal Alignment Grade 1 - Level 2 - Hillcrest 3 - Uphill 4 - Downhill 5 - Sag (Bottom) 1 - Straight 3 - Curve Left 2 - Curve Right No. Lanes 1-6, 99 = Unknown (exclude turn lanes) Traffic Control Working Properly 1 - Yes 2 - No Traffic Control 1 - None 2 - Stop Sign 3 - Yield Sign 4 - Flashing Traffic Signal 5 - Do Not Enter Sign 6 - Traffic Signal 7 - Traffic Signal w Ped 8 - Traffic Signal w Ped & Audible Signals 9 - Person (OfficerFlagger, Xing Guard, etc) 1 - Pedestrian Crossing 11 - No Passing Zone 12 - Warning Signs 13 - Pavement Markings 14 - Traffic BarrelsCones 15 - Temporary Jersey Barrier 16 - School Bus Flashing Stop Lamps 17 - School Zone Crossing 18 - RR Crossing Signal 19 - RR Crossing Signal & Gate 2 - RR Crossing Cross Buck Sign Only 21 - RR Crossing Cross Buck with Stop Sign 22 - RR Crossing Cross Buck with Yield Sign 23 - Other Trafficway Description 1 - Two-Way-Undivided 2 - Two-Way-Undivided w Continuous Left Turn Lane 3 - Two-Way-Divided, No Barrier 4 - Two-Way-Divided, With Barrier 5 - One Way Rumble Strips Present 1 - Yes 2 - No Rumble Strips Applicable 1 - Yes 2 - No Rumble Strips 1 - None 2 - Centerline Rumble Strips 3 - Median Shoulder Only 4 - Transverse Rumble Strips (Road Apprch) 5 - Both Shoulders 6 - Both Centerline and Outside Shoulder 7 - Outside Shoulders Only

46 1 2 Page Driver's Action (choose up to 4). 1st choice 2nd choice 1 - No Improper Driving 3rd choice 2 - Ran Off Road 3 - Failed to Yield ROW 4th choice 4 - Disregarded Traffic Signs 5 - Ran Red Light 6 - Disregarded Other Road Marking 7 - Speeding 8 - Drove too Fast for Conditions 9 - Improper Turn or No Signal 1 - Improper Backing 11 - Improper Passing 12 - Improper Parking 13 - Wrong SideWrong Way 14 - Following too Close 15 - Failed to Keep Proper Lane 16 - ErraticRecklessCarelessAggressive 17 - Avoiding an Object on Road 18 - Avoiding Animal 19 - Avoiding Non-Motorist 2 - Avoiding MV 21 - Swerve Due to WindSlippery Surface 22 - Over CorrectedOver Steered 23 - Evading Law Enforcement 24 - Other Improper Action Suspect Alcohol Test Alcohol Type 1 - Yes 2 - No If Alcohol Test performed other than Breath then form 92E will be required with results at a later date. Alcohol Test Result. 1 - No Test Performed 2 - Test Refused 3 - Blood 4 - Serum 5 - Breath 6 - Urine 7 - Other 1st choice 1 - No Improper Driving 3rd choice 2 - Ran Off Road 3 - Failed to Yield ROW 4th choice 4 - Disregarded Traffic Signs 5 - Ran Red Light 6 - Disregarded Other Road Marking 7 - Speeding 8 - Drove too Fast for Conditions 9 - Improper Turn or No Signal 1 - Improper Backing 11 - Improper Passing 12 - Improper Parking 13 - Wrong SideWrong Way 14 - Following too Close 15 - Failed to Keep Proper Lane 16 - ErraticRecklessCarelessAggressive 17 - Avoiding an Object on Road 18 - Avoiding Animal 19 - Avoiding Non-Motorist 2 - Avoiding MV 21 - Swerve Due to WindSlippery Surface 22 - Over CorrectedOver Steered 23 - Evading Law Enforcement 24 - Other Improper Action Suspect Alcohol Test Alcohol Type 1 - Yes 2 - No Driver's Action (choose up to 4) If Alcohol Test performed other than Breath then form 92E will be required with results at a later date. Alcohol Test Result 2nd choice 1 - No Test Performed 2 - Test Refused 3 - Blood 4 - Serum 5 - Breath 6 - Urine 7 - Other Driver Information Driver's Condition 1st choice (choose up to 2) 2nd choice 1 - Apparently Normal 2 - Emotional (depressed, angry, disturbed...) 3 - ill (Sick) 4 - Fell Asleep, Fainted 5 - Fatigued 6 - Under Influence of Medication 7 - Physical Disability 8 - Suspected Drug Use 9 - Suspected Alcohol Use 1 - Other 11 - Driver Inattention Suspect Drugs 1 - Yes 2 - No Driver's Distraction (choose one) 1 - Not Distracted 2 - Electronic Communication Device (cell, pager..) 3 - Other Electronic Device (palm, TV, computer...) 4 - Other Distraction Inside MV (passenger, pet...) 5 - Other Distraction Outside MV If Drug Test performed then form 92E will be required with results at a later date. Drug Test Type 1 - No Test Performed 2 - Test Refused 3 - Blood 4 - Serum 5 - Urine 6 - Other Driver's Condition 1st choice (choose up to 2) 2nd choice 1 - Apparently Normal 2 - Emotional (depressed, angry, disturbed...) 3 - ill (Sick) 4 - Fell Asleep, Fainted 5 - Fatigued 6 - Under Influence of Meds 7 - Physical Disability 8 - Suspected Drug Use 9 - Suspected Alcohol Use 1 - Other 11 - Driver Inattention Driver's Distraction (choose one) 1 - Not Distracted 2 - Electronic Communication Device (cell, pager..) 3 - Other Electronic Device (palm, TV, computer...) 4 - Other Distraction Inside MV (passenger, pet...) 5 - Other Distraction Outside MV Suspect Drugs 1 - Yes 2 - No If Drug Test performed then form 92E will be required with results at a later date. Drug Test Type 1 - No Test Performed 2 - Test Refused 3 - Blood 4 - Serum 5 - Urine 6 - Other Citations Issued choose up to None 2 - DWUI 3 - Drinking - (i.e.,open container) 4 - Exceeding Speed Limit 5 - Speed too Fast 6 - Following too Close 7 - Wrong Side of Road 8 - Improper or No Signal 9 - Improper Lane Use 1 - Improper Turn 11 - Improper Passing 12 - Improper Starting Out 13 - Failed to Grant ROW to Ped 14 - Failed to Grant ROW to MV 15 - Disregard Officer 16 - Disregard Stop Light 17 - Disregard Stop Sign 18 - Disregard Other 19 - Improper Parking 2 - Reckless Driving 21 - Vehicular Homicide 22 - Driver's License Violation 23 - Improper Backing 24 - No Insurance 25 - Hit & Run 26 - Registration Violation 27 - Failure to Use Seat Belt 28 - Charges Pending 29 - Fed R & R Driver 3 - Fed R & R Vehicle 31 - Racing 32 - Careless 33 - Other (explain in narrative) DL Investigation Citations Issued choose up to 5 1st choice 2nd choice 3rd choice 4th choice 5th choice 1 - None 2 - DWUI 3 - Drinking - (i.e.,open container) 4 - Exceeding Speed Limit 5 - Speed too Fast 6 - Following too Close 7 - Wrong Side of Road 8 - Improper or No Signal 9 - Improper Lane Use 1 - Improper Turn 11 - Improper Passing 12 - Improper Starting Out 13 - Failed to Grant ROW to Ped 14 - Failed to Grant ROW to MV 15 - Disregard Officer 16 - Disregard Stop Light 17 - Disregard Stop Sign 18 - Disregard Other 19 - Improper Parking 2 - Reckless Driving 21 - Vehicular Homicide 22 - Driver's License Violation 23 - Improper Backing 24 - No Insurance 25 - Hit & Run 26 - Registration Violation 27 - Failure to Use Seat Belt 28 - Charges Pending 29 - Fed R & R Driver 3 - Fed R & R Vehicle 31 - Racing 32 - Careless 33 - Other (explain in narrative) DL Investigation 1 - Yes 2 - No 1st choice 2nd choice 3rd choice 4th choice 5th choice 1 - Yes 2 - No

47 Page FIRST HARMFUL EVENT Non - Collision: 1 - OverturnRollover 2 - FireExplosion 3 - Immersion 4 - Jacknife 5 - CargoEquipment Loss or Shift 12 - FellJumped from a motor vehicle 13 - Thrown or Falling Object 16 - Carbon Monoxide (CO) Poisoning 17 - Injuries by being thrown against part of the vehicle 18 - Other Non-Collision (Motorcycle Loss of Control) Collision w Person, MV, or Non-Fixed Object: 19 - Pedestrian 2 - Pedacycle 21 - Railway Vehicle 22 - Motor Vehicle in Transport on Roadway 23 - Motor Vehicle on OTHER Roadway 24 - Parked Motor Vehicle 26 - Other NON-Fixed Object 27 - Work ZoneMaintenance Equipment 28 - Work Zone Channeling Device 29 - Object Set in Motion by Another Vehicle Animals: 3 - Horse 31 - Cow 32 - Pig 33 - Sheep 34 - Other Domestic (Dog, Llama, etc) 35 - Elk 36 - Deer 37 - Moose 38 - Antelope 39 - Buffalo 4 - Other Wild (Bear, Coyote, Eagle) Collision w Fixed Object 41 - Guardrail End 42 - Guardrail Face 43 - Impact AttenuatorCrash Cushion 44 - Bridge Pier or Support 45 - Bridge Overhead Structure 46 - Bridge Rail 47 - Concrete Traffic BarrierJersey Barrier 48 - Other Traffic Barrier (Includes temporary) 49 - Utility PoleLight Support 5 - Traffic Signal Support 51 - Traffic Sign Support 52 - Overhead Traffic Sign 53 - Sign Support Single Post 54 - Sign Support Multiple Post 55 - Other Traffic Sign Support 56 - Barricade 57 - TreeShrubbery 58 - Cut Slope 59 - Road Approach 6 - Rock, Boulder, Rock Slide 61 - End of Drainage PipeStructureCulvert 62 - Building or Other Structure Wall 63 - Fence (Including Post) 64 - Raised Median or Curb 65 - Delineator Post 66 - Earth EmbankmentBerm 67 - Ditch 68 - Snow Embankment 69 - Mail Box 7 - Tunnel 71 - Cattle Guard 72 - Fixed Object Other 73 - Cable Barrier 99 -Unknown Base Information Location of FHE Weather 1st choice Road 1st choice Lighting 1 - Clear 2nd choice 1 - Dry 2 - Raining 2 - Wet 2nd choice 3 - Snowing 4 - Fog 5 - Blowing DustSandDirt 6 - Severe Wind Only 7 - Blizzard 3 - IceFrost 4 - Snow 5 - MudDirtGravel 6 - Slush 7 - OilFuel 8 - SleetHailFreezing Rain 8 - Sand on Dry Pavement 9 - Blowing Snow 9 - Sand on Icy Road School Bus 1 - Cloudy,Overcast 1 - Water standingrunning Related 11 - Smoke 12 - Other 11 - Other 1 - On Roadway 2 - Off Roadway 3 - Shoulder 4 - Median 5 - On OTHER Roadway 6 - Outside of ROW 7 - Gore 8 - Separator 9 - In Parking LaneZone 1 - Tunnel 11 - Bridge 12 - Port of Entry 13 - Rest Area Road Circumstance choose up to None 3rd choice 2 - Road Surface Condition 3 - Debris, loose material on the surface 4 - Ruts, Holes, Bumps 5 - Work ZoneConstruction Zone 6 - Worn or Polished Surface 7 - Obstruction in Roadway 8 - Traffic Control Device Missing 9 - Traffic Control Device Inoperative 1 - Traffic Control Device Obscured 11 - Shoulders (None, Low, Soft, High) 12 - Non- Highway Work 13 - Reduced Road Width 14 - Lane Markings Missing or Faded 15 - Obstructed by a Previous Crash 16 - Other Work Zone Related 1 - Yes 2 - No Work Zone Workers Present Work Zone Location 1 - Before the First Warning Sign 2 - Advance Warning Area 3 - Transition Area 4 - Activity Area 5 - Termination Area Type of Work Zone 1 - Lane Closure 2 - Lane Shift or Crossover 3 - Work on ShoulderMedian 4 - Intermittent or Moving Work 5 - Other Manner of Collision *see diagram right 1 - Rear End (Front to Rear) 2 - Head On (Front to Front) 3 - Angle Same Direction (Front to Side) 4 - Angle (Front-to-Side), Opposing Direction 5 - Angle Right (Front to Side, includes Broadside) 6 - Angle Direction not Specified 7 - Sideswipe Same Direction (Passing) 8 - Sideswipe Opposite Direction (Meeting) 9 - Rear to Side (Normally Backing) 1 - Rear to Rear (Normally Backing) 11 - Rear to Front (Normally Backing) 12 - Not a Collision w2 Vehicles in Transport 13 - Other Direction of Force 1st choice 2nd choice 1 - Opposing (Opposite Direction within 15 degrees) 2 - Angle (force exceeds 15 degrees) 3 - Same (same direction within 15 degrees) 4 - Meeting (glancing collision from opposite direction) 5 - Passing (glancing collision from same direction) Environmental Circumstance choose up to Weather Conditions 3rd choice 2 - Visual Obstruction Buildings 3 - Visual Obstruction Other Vehicle 4 - Visual Obstruction Vegetation 5 - Visual Obstruction Hillcrest 6 - Visual Obstruction Embankment-Snow, Rock,etc 7 - Other Physical Obstruction 8 - Glare (Sun or Headlight) 9 - Animals in Roadway 1 - Other 11 - None Type of Intersection 1 - Not an Intersection 2 - Four (4) -Way Intersection 3 - T Intersection 4 - Y Intersection 5 - Five (5) Point or more 1 - Daylight 2 - Darkness Unlighted 3 - Darkness Lighted 4 - Dawn 5 - Dusk 6 - Other 1 - No 2 - Yes, Directly Involved 3 - Yes, Indirectly Involved 1st choice 2nd choice Relation to Junction Non-Interstate Interstate 1 - Non-Junction 12 - Thru Roadway 2 - Intersection 13 - Intersection 3 - Intersection Related 14 - Intersection Related 4 - Driveway Related 15 - Ramp 5 - EntranceExit Ramp 16 - Other Parts (Gore) 6 - Railway Grade Crossing Interchange 7 - Crossover Related 8 - Business Entrance 9 - Alley 1 - Other Non-Interchange (ie. Bike, Snowmobile Trail, School Xing) (describe in narrative) 6 - Intersection as part of an Interchange 7 - Roundabout 8 - L Intersection Manner of Collision CLARIFICATION 1 - Rear End (Front-to-Rear) 2 - Head-on (Front-to-Front) 3 - Angle (Front-to-Side), Same Direction 4 - Angle (Front-to-Side), Opposing Direction 5 - Angle (Front-to-Side), Right AngleBroadside

48 Page Indicate North 1st First Name Last Name Street Number Street Name City: State: Zip Code Witnesses Home Work Cell Phone - 2nd Street Number First Name Street Name Home Work Cell Phone and or - Last Name City: State: Zip Code Home Work Cell Phone 3rd - First Name and Home Work Cell Phone or - Last Name Street Number Street Name City: State: Zip Code Home Work Cell Phone Home Work Cell Phone and or

49 Supplemental Additional DriverVehicle Form Vehicle No. Last Name Street Number Street Name CASE NO. First Name Gender DOB (yyyymmdd) Mailing Address (PO Box Number) Occupation Driver Phone Driver's License Number Home Work Cell Phone - City Employer Emp Phone Home Work Cell Phone - State (FIPS) State Zip Code SSN (fatals only) Restrictions CDL Endorsement - DL Type 1 - Not Licensed 5 - CDL 2 - Driver License 6 - CDL Permit 3 - Instruction Permit 7 - No License Required 4 - I2 Permit-intermediate 8 - Restricted License DL Class 1 - A 5 - Improper or 2 - B No Endorsement 3 - C 6 - Other 4 - M DL Status 1 - Clear 4 - Revoked 2 - Expired 5 - Suspended 3 - Canceled or Denied No. of Vehicle Occupants (1 to 5) Posted Speed Estimated Speed Last Name First Name Vehicle Owner same as driver Street Number Make (ie, Chevrolet, Dodge, Toyota) Model (ie, Silverado, Dakota, Solara) Year Vehicle Identification Number Insurance E-Verified Vehicle Towed Extent of Damage Y-Yes N-No Y-Yes N-No Street Name Company Policy # By To 1 - None 2 - Functional 3 - Minor 4 - Disabling City License Plate No. MV Damage >$1, 1-Yes 2-No 99-Unk. State (FIPS) Direction of Travel Prior to Crash Expir. Date (mmyy) 1 - North 5 - South 2 - Northeast 6 - Southwest 3 - East 7 - West 4 - Southeast 8 - Northwest - Color State Zip Code Initial Impact Most Damaged Point Area Non-Collision (OverturnRollover) 1-12 (Use 12 Point Clock Diagram) 13 Top (Roof) 14 Undercarriage 99 Unknown (Can't determine) Driver's Action 1st choice (choose up to 4 ie. 1, 1, 25) 2nd choice 1 - No Improper Driving 3rd choice 2 - Ran Off Road 3 - Failed to Yield ROW 4th choice 4 - Disregarded Traffic Signs 5 - Ran Red Light 6 - Disregarded Other Road Marking 7 - Speeding 8 - Drove too Fast for Conditions 9 - Improper Turn or No Signal 1 - Improper Backing 11 - Improper Passing 12 - Improper Parking 13 - Wrong SideWrong Way 14 - Following too Close 15 - Failed to Keep Proper Lane 16 - ErraticRecklessCarelessAggressive 17 - Avoiding an Object on Road 18 - Avoiding Animal 19 - Avoiding Non-Motorist 2 - Avoiding MV 21 - Swerve Due to WindSlippery Surface 22 - Over CorrectedOver Steered 23 - Evading Law Enforcement 24 - Other Improper Action Suspect Alcohol Test Alcohol Type 1 - Yes 2 - No If Alcohol Test preformed other then Breath then form 92E will be required with results at a later date. Alcohol Test Result. 1 - No Test Performed 2 - Test Refused 3 - Blood 4 - Serum 5 - Breath 6 - Urine 7 - Other Driver's Condition 1st choice (choose up to 2) 2nd choice 1 - Apparently Normal 2 - Emotional (depressed, angry, disturbed...) 3 - ill (Sick) 4 - Fell Asleep, Fainted 5 - Fatigued 6 - Under Influence of Medication 7 - Physical Disability 8 - Suspected Drug Use 9 - Suspected Alcohol Use 1 - Other 11 - driver Inattention Suspect Drugs 1 - Yes 2 - No Driver's Distraction (choose one) 1 - Not Distracted 2 - Electronic Communication Device (cell, pager..) 3 - Other Electronic Device (palm, TV, computer...) 4 - Other Distraction Inside MV (passenger, pet...) 5 - Other Distraction Outside MV If Drug Test preformed then form 92E will be required with results at a later date. Drug Test Type 1 - No Test Performed 2 - Test Refused 3 - Blood 4 - Serum 5 - Urine 6 - Other Citations Issued choose up to None 2 - DWUI 3 - Drinking - (i.e.,open container) 4 - Exceeding Speed Limit 5 - Speed too Fast 6 - Following too Close 7 - Wrong Side of Road 8 - Improper or No Signal 9 - Improper Lane Use 1 - Improper Turn 11 - Improper Passing 12 - Improper Starting Out 13 - Failed to Grant ROW to Ped 14 - Failed to Grant ROW to MV 15 - Disregard Officer 16 - Disregard Stop Light 17 - Disregard Stop Sign 18 - Disregard Other 19 - Improper Parking 2 - Reckless Driving 21 - Vehicular Homicide 22 - Driver's License Violation 23 - Improper Backing 24 - No Insurance 25 - Hit & Run 26 - Registration Violation 27 - Failure to Use Seat Belt 28 - Charges Pending 29 - Fed R & R Driver 3 - Fed R & R Vehicle 31 - Racing 32 - Careless 33 - Other (explain in narrative) DL Investigation 1st choice 2nd choice 3rd choice 4th choice 5th choice 1 - Yes 2 - No PR-92A Revised 11911

50 Page 2 1st event 2nd event Vehicle No Sequence choose up to 4: 3rd event Most Harmful Event 4th event choose 1 Non-Collision 1 - OverturnRollover 2 - FireExplosion 3 - Immersion 4 - Jacknife 5 - CargoEquipment Loss or Shift 6 - Equipment Failure 7 - Separation of Units 8 - Ran Off the Road Right 9 - Ran Off the Road Left 1 - Cross Median 74 - Cross Centerline 11 - Downhill Runaway 12 - FellJumped from a MV 13 - Thrown or Falling Object 14 - Avoiding an Object on Road 15 - Avoiding an Animal on Road 16 - Carbon Monoxide (CO) Poisoning 17 - Injuries by being thrown against part of vehicle 18 - Other Non-Collision (MC Loss of Control) Collision w Person, MV, or Non-Fixed Object 19 - Pedestrian 2 - Pedacycle 21 - Railway Vehicle 22 - Motor Vehicle in Transport on Roadway 23 - Motor Vehicle in Transport on OTHER Roadway 24 - Parked Motor Vehicle 25 - Struck by Falling, Shifting Cargo or Anything Else Set in Motion by Motor Vehicle 26 - Other NON-Fixed Object 27 - Work ZoneMaintenance Equipment 28 - Work Zone Channeling Device 29 - Object Set in Motion by Another Vehicle Animals 3 - Horse 31 - Cow 32 - Pig 33 - Sheep 34 - Other Domestic (Dog, Llama,...) 35 - Elk 36 - Deer 37 - Moose 38 - Antelope 39 - Buffalo 4- Other Wild Collision w Fixed Object 41 - Guardrail End 42 - Guardrail Face 43 - Impact AttenuatorCrash Cushion 44 - Bridge Pier or Support 45 - Bridge Overhead Structure 46 - Bridge Rail 47 - Concrete Traffic BarrierJersey Barrier 48 - Other Traffic Barrier (Includes temporary) 49 - Utility PoleLight Support 5 - Traffic Signal Support 51 - Traffic Sign Support 52 - Overhead Traffic Sign 53 - Sign Support Single Post 54 - Sign Support Multiple Post 55 - Other Traffic Sign Support 56 - Barricade 57 - TreeShrubbery 58 - Cut Slope 59 - Road Approach 6 - Rock, Boulder, Rock Slide 61 - End of Drainage PipeStructureCulvert 62 - Building or Other Structure Wall 63 - Fence (Including Post) 64 - Raised Median or Curb 65 - Delineator Post 66 - Earth EmbankmentBerm 67 - Ditch 68 - Snow Embankment 69 - Mail Box 7 - Tunnel 71 - Cattle Guard 72 - Other Fixed Object 73 - Cable Barrier 4 Supplemental Vehicle Information Motor Vehicle Unit Type 1 - Motor Vehicle in Transport 2 - Parked Motor Vehicle 3 - Working VehicleEquipment HM Placard or Commercial Motor Vehicle 1 - Yes 2 - No if yes, complete CMV supplement Vehicle Owner 1 - Same as Driver 2 - Other 3 - Passenger 4 - Relative 5 - Rental Vehicle 6 - Commercial 7 - Occupant 8 - Vehicle Parked 9 - Federal Law Enforcement 1 - Federal Other Vehicle Type 1 - Passenger 2 - Passenger Van 3 - PU 4 - School Bus 5 - Other Bus 6 - Transit Bus 7 - Charter Bus 8 - MC >15 cc 9 - Off Road MC 1 - Motorized SkateboardScter 11 - Pedestrian Vehicle 12 - Low Speed Vehicle 13 - Other Vehicle Non -Commercial Trailer Style 1 - No Trailer 2 - Camping Trailer 3 - Mobile Home 4 - Utility Trailer 5 - BoatJet Ski Trailer 6 - Towed Vehicle UnderrideOverride 1 - No Underride or Override 2 - Underride-Compartment Intrusion 3 - Underride-No Compartment Intrusion 4 - Underride-Compartment Intrusion Unkown 5 - Override-Motor Vehicle in Transport 6 - Override-Other Motor Vehicle if Underride or Override Emergency Vehicle Use 1 - Yes 2 - No Emergency Equipment Activated 1 - Yes 2 - No Special Function of MV in Transport 1 - None 2 - Police 3 - AmbulanceEMS 4 - Fire Truck 5 - Military 6 - Snow Plow 7 - Tow Truck Contributing Circumstance 1 - None 2 - Brakes 3 - Trailer Brakes 4 - Steering 5 - Power Train 6 - Suspension 7 - Tires 8 - Wheels 9 - Lights (Head, Signal or Tail) 1 - WindowsWindshield 11 - RainSnowIce on Windshield 12 - Tinted Windows 13 - Vehicle Cargo Blocking View 14 - Exhaust System 15 - Oversized Load 16 - Defroster 17 - Mirrors 18 - Wipers 19 - Truck CouplingTrailer HitchSafety Chain 2 - Stalled Vehicle 21 - Cruise Contro 11 - County Law Enforcement 12 - County Fire Department 13 - County Other 14 - City Law Enforcement 15 - City Fire Department 16 - City Other 17 - Government Other 18 - AmbulanceEMS 19 - WHP 2 - State Law Enforc Other 14 - SUV 15 - Cargo Van 16 - Motor Home 17 - Light Truck (1K or less) 18 - Medium Truck (>1K-<26K) 19 - Heavy Truck (>26K) 2 - Farm Equipment 21 - Construction Vehicle 22 - MC <15 cc 23 - Moped 24 - Snowmobile 25 - Segway 26 - ATV 7 - HorseStock Trailer 8 - Motorcycle Trailer 9 - Multiple Trailers 1 - Other (ie. Bicycle) 8 - MV used as School Bus 9 - MV used as Other Bus 1 - Construction Equipment 11 - Farm Equipment 12 - Taxi 13 - Train 1st choice 2nd choice 22- Other Vehicle ManeuverAction prior to crash 1 - Straight Ahead 2 - Backing 3 - Changing Lanes 4 - OvertakingPassing 5 - Turning RIght 6 - Turning Left 7 - Make U-Turn 8 - Leaving a Traffic LaneParking 9 - Entering a Traffic Lane 1 - Slowing 11 - Negotiating a Curve 12 - Parked 13 - Stopped in Traffic 14 - Driverless Motor Vehicle 15 - Trafficway Maintenance 16 - Other Road Surface 1 - Concrete 2 - Asphalt 3 - GravelRock 4 - Dirt 5 - BrickStone Horizontal Alignment Grade 1 - Level 2 - Hillcrest 3 - Uphill 4 - Downhill 5 - Sag (Bottom) 1 - Straight 3 - Curve Left 2 - Curve Right No. Lanes 1-6, 99 = Unknown (exclude turn lanes) Traffic Control Working Properly 1 - Yes 2 - No Traffic Control 1 - None 2 - Stop Sign 3 - Yield Sign 4 - Flashing Traffic Signal 5 - Do Not Enter Sign 6 - Traffic Signal 7 - Traffic Signal w Ped 8 - Traffic Signal w Ped & Audible Signals 9 - Person (OfficerFlagger, Xing Guard, etc) 1 - Pedestrian Crossing 11 - No Passing Zone 12 - Warning Signs 13 - Pavement Markings 14 - Traffic BarrelsCones 15 - Temporary Jersey Barrier 16 - School Bus Flashing Stop Lamps 17 - School Zone Crossing 18 - RR Crossing Signal 19 - RR Crossing Signal & Gate 2 - RR Crossing Cross Buck Sign Only 21 - RR Crossing Cross Buck with Stop Sign 22 - RR Crossing Cross Buck with Yield Sign 23 - Other Trafficway Description 1 - Two-Way-Undivided 2 - Two-Way-Undivided w Continuous Left Turn Lane 3 - Two-Way-Divided, No Barrier 4 - Two-Way-Divided, With Barrier 5 - One Way Rumble Strips Present 1 - Yes 2 - No Rumble Strips Applicable 1 - Yes 2 - No Rumble Strips 1 - None 2 - Centerline Rumble Strips 3 - Median Shoulder Only 4 - Transverse Rumble Strips (Road Apprch) 5 - Both Shoulders 6 - Both Centerline and Outside Shoulder 7 - Outside Shoulders Only

51 Page 3 MV # Supplemental Vehicle Occupant Information Seat Position 1-Driver 2-Front Row Middle 3-Front Row Right 4-Passenger Front Row Left (for foreign or postal vehicles where the driver is on the Right) 5-Second Row Left 6-Second Row Middle 7-Second Row Right 8-Third Row Left 9-Third Row Middle 1-Third Row Right 11-Fourth Row Left 12-Fourth Row Middle 13-Fourth Row Right 14-Other Row (ie. Bus, Van) 15-Lying Down-Front Seat 16-Lying Down-Other Seat 17-MC Passenger 18-Sleeper Section of Cab 19-Other Enclosed Area 2-Unenclosed Cargo Area 21-Trailing Unit 97-Riding on MV Exterior 98-Other (explain in narrative) MV # Person Type 1-Driver 2-Passenger If non-motorist, complete supplemental form Person Type: Seat Position Seat Belt Usage Air Bag Deployed 1-Not Applicable 2-Not Deployed 3-Deployed Front 4-Deployed Side 5-Deployed Combination 6-Deployed Other 99-Deployment Unknown Occupant Protection System Operation 1-Apparently Normal 2-FailureMalfunction 3-Misuse 4-Air Bag System Turned off or Rendered Inoperative Seat Belt Usage 1-None Used 2-Not Available 3-Shoulder & Lap belt 4-Shoulder Belt Only 5-Lap Belt Only 6-Passive Restraint Only 7-Restraint used-type Unk. 8-Forward Facing Child 9-Rear Facing Child Restraint 1-Booster Seat 11-Child Restraint-Type Unk. 12-Helmet Used 13-Other Ejection 1-Not Ejected 2-Partially Ejected 3-ly Ejected 4-Trapped & Extricated 5-Not Applicable Seat Belt Operation Air Bag Deployed Ejection Status Status Description 1-Fatal 1-Severe Lacerations 2-Incapacitating 2-Broken 3-Non-Incapacitating 3-Crushed 4-Possible 4-Unconsciousness 5-No 5-Internal Unknown 6-Lumps 7-Abrasions 8-Bruises 9-Minor Lacerations Most Injured Area 1-Limping 11-Pain 1-Head 12-Nausea 2-Face 13-Other (explain in narrative) 3-Neck 14- No 4-Thorax (Chest) 5-AbdomenPelvis Classification 6-Spine 1-Fatal (Not Documented) 7-Upper Extremity (Arm...) 2-Fatal (Autopsy) 8-Lower Extremity (Leg...) 3-Fatal (Medical Diagnosis) 9-No 4-Non-Fatal (Hospitalized overnight or longer) 5-Non-Fatal (Treated & Released from Hospital) 6-First Aid Given at Scene 7-No Treatment 8-Refused Treatment Inj. Transported by 1-Not Transported 2-EMS (Ground) 3-EMS (Air) 4-Law Enforcement 5-Other (Private MV) EMS ID EMS Run # Area Description Classication Injured Transported by CASE NO. Driver EMS ID EMS Run # Medical Facility Occupant Information Last Name First Name SSN (Fatals Only) : Home Work Cell Phone Home Work Cell Phone and or Medical Facility Last Name First Name SSN (Fatals Only) : DOB DOB yyyymmdd Gender M, F, X Gender M, F, X Home Work Cell Phone Home Work Cell Phone and or Medical Facility Last First Name Name SSN (Fatals Only) : Home Work Cell Phone Home Work Cell Phone and or Medical Facility Last Name First Name SSN (Fatals Only) : Home Work Cell Phone Home Work Cell Phone and or Medical Facility Last First Name Name SSN (Fatals Only) : Home Work Cell Phone Home Work Cell Phone and or Medical Facility Last First Name Name SSN (Fatals Only) : DOB DOB DOB DOB yyyymmdd yyyymmdd yyyymmdd Gender M, F, X Gender M, F, X Gender M, F, X Gender M, F, X Home Work Cell Phone Home Work Cell Phone and or Medical Facility

52 CASE NO. Supplemental TruckCMV Information 1 - Commercial Vehicle 2 - Non-Commercial Vehicle Vehicle Number Driver Last Name Driver First Name GVW Combination GVW 1-1, lbs or less 2-1,1 to 26, lbs 3 - More than 26, lbs ICCMC No. Carrier's Name US DOT No. No. Axles 2-98 or 99 for unknown Carrier's Street Number Carrier's Street Name Street Address or PO Box of Individual, Partnership, or Corporation City State Zip Code - Carrier's Country Commercial Cargo Body Type 1 - No Cargo Body 2 - Bus 3 - VanEnclosed Box 4 - Hopper (grainchipsbenonite) 5 - Pole 6 - Cargo Tank 7 - Flatbed 8 - Dump (Belly, Side, or Tail Dump) 9 - Concrete Mixer 1 - Auto Transporter 11 - Tow Truck 12 - GarbageRefuse 13 - Snowplow 14 - Livestock 15 - Drilling Equipment 16 - Other Truck 17 - Logging 18 - Intermodal HZ Materials Placard 1 - Yes, (If yes continue on) 2 - No HZ Material Placard ID No. 1 HZ Material Placard ID No. 2 HZ Material Placard ID No. 3 Commercial Cargo 1 - Not Applicable (Light MV wo HM Placard or Bobtail) 2 - General Freight 3 - Household Goods 4 - Heavy Machinery 5 - Motor Vehicles 6 - Gases in Bulk 7 - Livestock 8 - Solids in Bulk 9 - Liquids in Bulk 1 - Explosives 11 - Other Hazardous Materials 12 - Empty 13 - Refrigerated Foods 14 - Other HZ Materials Spill 1 - Yes 2 - No Commercial MV Configuration 1 - Passenger Vehicles Carrying Hazardous Materials 2 - Single-Unit Truck (2 axle and GVWR more than 1, lbs) 3 - Single-Unit Truck (3 or more axles) 4 - Truck Pulling Trailer(s) 5 - Truck Tractor Only (Bobtail) 6 - Truck TractorSemi-Trailer 7 - Truck TractorDouble Trailer 8 - Truck TractorTriple Trailer (illegal in WY) 9 - Truck - Can't Classify (More than 1, lbs GVWR) HZ Material Placard Class 1st 1 - Class 1 Explosives 2nd 2 - Class 2 Gases (Flammable, Non- Flammable, Poison and Toxic 3rd 3 - Class 3 Flammable Liquids 4 - Class 4 Flammable Solids 5 - Class 5 Oxidizers & Organic Peroxides 6 - Class 6 Poisonous & Toxic 7 - Class 7 Radioactive Materials 8 - Class 8 Corrosives 9 - Class 9 Miscellaneous Hazardous Materials 1 - Other Placards (Dangerous Mixed Loads, Hot Markings) 11 - Not Applicable. PR-92B Revised 727

53 Supplemental NON-Motorist CASE NO. Non Motorist Segment No: Vehicle No Last Name Gender: M, F, X SSN (Fatals Only) First Name DOB (yyyymmdd) Home Work Cell Phone Home Work Cell Phone and or EMS ID EMS Run # Medical Facility Non Motorist Action Prior to Crash 1 - EnteringCrossing Road 2 - Traveling along road w traffic 3 - Traveling along road against traffic 4 - Pushing a Motor Vehicle 5 - Approaching or Leaving MV 6 - Playing or Working On Motor Vehicle 7 - StandingLaying Down 8 - In a parked MV (sitting, etc.) 9 - Other Non Motorist Pursuit 1 - Recreation Pursuit 2 - Going tofrom school 3 - Non motorist commuter 4 - Stranded Motorist 5 - Working 6 - Cycling 7 - Other Non Motorist Location at time of Crash 1 - Marked Crosswalk at Intersection 2 - Intersection wo Marked Crosswlk 3 - Non-intersection Crosswalk 4 - Driveway Access Crosswalk 5 - In Roadway (not in crosswalk or intersection) 6 - Median (Not Shoulder) 7 - Island 8 - Shoulder 9 - Sidewalk 1 - Roadside 11 - Outside of Traffic Way 12 - Dedicated Bike Lane 13 - Shared-Used Path or Trail 14 - Inside Building 15 - Other Suspect Alcohol on Non Motorist 1-Yes 2-No If Alcohol Test preformed other then Breath then form 92E will be required with results at a later date. Alcohol Test Result.. Alcohol Test Type 1 - No Test Performed 2 - Test Refused 3 - Blood 4 - Serum 5 - Breath 6 - Urine 7 - Other Most Injured Area 1 - Head 2 - Face 3 - Neck 4 - Thorax (Chest) 5 - AbdomenPelvis 6 - Spine 7 - Upper Extremity-(ie Arm) 8 - Lower Extremity-(ie Leg) 9 - No Non Motorist Type 3 - Pedestrian 4 - Pedacyclist 5 - Occupant of MV NOT in transport (parked) 6 - Pedestrian Conveyance 7 - Other Pedestrian (ie.wheelchair) type Non Motorist Condition at Time of Crash 1 - Apparently Normal 2 - Emotional (ie, depressed, angry) 3 - Ill (sick) 4 - Fell Asleep, Fainted 5 - Fatigued 6 - Under Influence of Medication 7 - Physical Disability 8 - Suspected Drug Use 9 - Suspected Alcohol Use 1 - Other Non Motorist Action at Time of Crash (choose up to 2) 1 - No Improper Action 2 - Improper Crossing 3 - Darting 4 - In Roadway 5 - Failure to yield ROW 6 - Not Visible (Dark Clothing) 7 - Inattentive (talking, eating, etc) 8 - Disobey Traffic Signs, Officer, etc. 9 - On Wrong Side of Road 1 - Other Improper Action Suspect Drugs on Non Motorist 1-Yes 2-No If Drug Test preformed then form 92E will be required with results at a later date. Injured Transported by 1-Not Transported 2-EMS (Ground) 3-EMS (Air) 4-Law Enforcement 5-Other (Private MV) 1st 2nd Drug Test Type 1 - No Test Performed 2 - Test Refused 3 - Blood 4 - Serum 5 - Urine 6 - Other Classification 1 - Fatal (Not Documented) 2 - Fatal (Autopsy) 3 - Fatal (Medical Diagnosis) 4 - Non-Fatal (hospitalized overnight or longer) 5 - Non-Fatal (Treated and Released from Hospital) 6 - First Aid Given at Scene 7 - No Treatment 8 - Refused Treatment Description 1 - Severe Lacerations 2 - Broken 3 - Crushed 4 - Unconsciousness 5 - Internal Unknown 6 - Lumps 7 - Abrasions 8 - Bruises 9 - Minor Lacerations 1 - Limping 11 - Pain 12 - Nausea 13 - Other 14 - No Non Motorist Proximity 1 - Same city as report made 2 - Lives 25 miles or less from crash scene 3 - Lives greater than 25 miles from crash scene by within Wyoming 4 - Does not have residence in Wyoming Non Motorist Safety Equipment (choose up to 2) 1 - None 2 - Helmet 3 - Protective Pad (elbow, knee, etc.) 4 - Reflective Clothing 5 - Lighting 6 - Other 7 - Not Applicable Status 1st 2nd 1 - Fatal 2 - Incapacitating 3 - Non-Incapacitating 4 - Possible 5 - No PR-92C Revised 727

54 CASE NO. SUPPLEMENTAL BUS INFORMATION Vehicle No Carrier's Name Actual No. of Bus Occupants (1 to 99) Carrier's Street Number Carrier's City Street Name Street Address or PO Box of Individual, Partnership, or Corporation City State Zip Code Carrier's Country - ICCMC No. US DOT No. Occupant Data Required only for Fatal or Injured Occupants 2-6 (see bus layout for passenger position) 97-Riding on MV Exterior 98-Other (explain in narrative) MV # MV # Seat Position Person Type 2-Passenger If non-motorist, complete supplemental form Person Type: Seat Position AISLE Commercial Charter School Bus Layouts Seat Belt Usage A B C Other Bus D (BusVan 9-15 passengers) Occupant Protection System Operation 1-Apparently Normal 2-FailureMalfunction 3-Misuse Seat Belt Usage 1-None Used 2-Not Available 3-Shoulder & Lap belt 4-Shoulder Belt Only 5-Lap Belt Only 6-Passive Restraint Only 7-Restraint used-type Unk. 8-Forward Facing Child 9-Rear Facing Child Restraint 1-Booster Seat 11-Child Restraint-Type Unk. 12-Helmet Used 13-Other AISLE Seat Belt Operation Ejection 1-Not Ejected 2-Partially Ejected 3-ly Ejected 4-Trapped & Extricated 5-Not Applicable Ejection Status Layout C Status 1-Fatal 2-Incapacitating 3-Non-Incapacitating 4-Possible 5-No Most Injured Area 1-Head 2-Face 3-Neck 4-Thorax (Chest) 5-AbdomenPelvis 6-Spine 7-Upper Extremity (Arm...) 8-Lower Extremity (Leg...) 9-No Area AISLE Description Classication Injured Transported by Layout D 3 2 Driver Description 1-Severe Lacerations 2-Broken 3-Crushed 4-Unconsciousness 5-Internal Unknown 6-Lumps 7-Abrasions 8-Bruises 9-Minor Lacerations 1-Limping 11-Pain 12-Nausea 13-Other (explain in narrative) 14- No Classification 1-Fatal (Not Documented) 2-Fatal (Autopsy) 3-Fatal (Medical Diagnosis) 4-Non-Fatal (Hospitalized overnight or longer) 5-Non-Fatal (Treated & Released from Hospital) 6-First Aid Given at Scene 7-No Treatment 8-Refused Treatment Inj. Transported by 1-Not Transported 2-EMS (Ground) 3-EMS (Air) 4-Law Enforcement 5-Other (Private MV) EMS ID EMS Run # Last Name First Name SSN (Fatals Only) : Home Work Cell Phone Home Work Cell Phone and or Medical Facility Last First Name Name SSN (Fatals Only) : Home Work Cell Phone Home Work Cell Phone and or Medical Facility DOB DOB yyyymmdd yyyymmdd Gender M, F, X Gender M, F, X PR-92D Revised

55 Page 2 SUPPLEMENTAL BUS INFORMATION AISLE AISLE Layout C AISLE Layout D 3 2 Driver MV # Person Type: Seat Position Seat Belt Usage Last Name First Name SSN (Fatals Only) : Home Work Cell Phone Home Work Cell Phone and or Medical Facility Last First Name Name SSN (Fatals Only) : Home Work Cell Phone Home Work Cell Phone and or Medical Facility Last First Name Name SSN (Fatals Only) : Home Work Cell Phone Home Work Cell Phone and or Medical Facility Last First Name Name SSN (Fatals Only) : Home Work Cell Phone Home Work Cell Phone and or Medical Facility Last First Name Name SSN (Fatals Only) : Home Work Cell Phone Home Work Cell Phone and or Medical Facility Last First Name Name SSN (Fatals Only) : Home Work Cell Phone Home Work Cell Phone and or Medical Facility Last First Name Name SSN (Fatals Only) : Home Work Cell Phone Home Work Cell Phone and or Medical Facility Last First Name Name SSN (Fatals Only) : Seat Belt Operation Ejection Status Area Description Classication Injured Transported by Home Work Cell Phone Home Work Cell Phone and or Medical Facility Last First Name Name SSN (Fatals Only) : Home Work Cell Phone Home Work Cell Phone and or Medical Facility EMS ID EMS Run # DOB DOB DOB DOB DOB DOB DOB DOB DOB yyyymmdd yyyymmdd yyyymmdd yyyymmdd yyyymmdd yyyymmdd yyyymmdd Gender M, F, X Gender M, F, X Gender M, F, X Gender M, F, X Gender M, F, X Gender M, F, X Gender M, F, X Gender M, F, X Gender M, F, X PR-92D Revised 727