TABLE OF CONTENTS DEFINITIONS 1

Transcription

1 W Y O M I N G S R E P O R T O N T R A F F I C C R A S H E S

2 TABLE OF CONTENTS DEFINITIONS 1 QUICK LOOK General Information 2 Economic Loss /County 3 Holiday Crash Statistics 4 Crash Count by County - Map 5 GENERAL CRASH INFORMATION Crash Counts by County & Month 6 Collision Type 21 to PEOPLE INVOLVED INFORMATION Drivers Involved in, and by Age & 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 WYOMING COMMUNITIES City/Town by Crash Severity Manner of Collision by Intersection Type 19 ALCOHOL INVOLVED CRASHES Alcohol Involved 21 to to 214 Alcohol Involved Drivers Age Group by Crash Severity Alcohol Involved by County / City 23 Alcohol Involved by Vehicle Type, Estimated Speed, Age & Gender 24 Alcohol Involved by County / City 25 Alcohol Involved by Vehicle Type, Estimated Speed, Age & Gender 26 Alcohol Involved by County / City 27 Alcohol Involved by BAC Results, Crash Severity & Age Group 28-29

3 DRIVERS AGE 14-2 Young Driver with, and by Gender and Age 3 TRUCKS, SCHOOL BUSES & MOTORCYCLES Trucks 21 to 214 Med. & Heavy Trucks by Crash Severity and Highway System Type 31 School Buses 28 to 214 Number of School Bus and Injured Charts 32 School Bus Crash Severity by County and Collision Type by Crash Severity 33 Motorcycles 28 to 214 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 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 () A traffic crash involving property damage of $1 or more with no injuries or fatalities. INJURY STATUS 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. 1

5 QUICK LOOK 214 Crash Counts TOTAL CRASHES FATAL CRASHES INJURY CRASHES CRASHES K 16K 14K TOTAL CRASHES / YEAR 214 Involved Counts NUMBER OF VEHICLES NUMBER OF DRIVERS NUMBER OF PERSONS NUMBER OF PEDESTRIANS NUMBER OF PEDACYCLISTS / Counts INJURY CRASHES 2818 NUMBER INJURED FATAL CRASHES NUMBER KILLED 15 PEDESTRIAN CRASHES 1 PEDESTRIANS INJURED 16 PEDESTRIANS KILLED 5 BICYCLIST CRASHES 72 BICYCLISTS INJURED 69 BICYCLISTS KILLED Location Counts URBAN CRASHES RURAL CRASHES 214 Alcohol Statistics ALCOHOL RELATED CRASHES 883 ALCOHOL FATAL CRASHES 48 ALCOHOL FATALITIES 51 ALCOHOL INJURY CRASHES 327 ALCOHOL INJURIES 456 ALCOHOL CRASHES Motorcycle Statistics MOTORCYCLE CRASHES 29 MOTORCYCLE FATALITIES 16 MOTORCYCLE INJURIES K 1K 8K 6K 4K 2K K CRASHES / COUNTY ALBANY 112 BIG HORN 248 CAMPBELL 1223 CARBON CONVERSE CROOK 249 FREMONT 868 GOSHEN 211 HOT SPRINGS 87 JOHNSON 352 LARAMIE 263 LINCOLN 269 NATRONA 2351 NIOBRARA 64 PARK PLATTE SHERIDAN SUBLETTE 242 SWEETWATER 1332 TETON UINTA WASHAKIE WESTON

6 214 WYOMING ECONOMIC LOSS/COUNTY COUNTY POPULATION ECONOMIC LOSS ALBANY 37,422 $1,52,19,732 BIG HORN 11,994 $359,48,82 CAMPBELL 15,748 $1,991,712,42 CARBON 48,176 $1,41,991,41 CONVERSE 14,313 $663,711,432 CROOK 7,184 $368,292,815 FREMONT 4,998 $1,338,265,76 GOSHEN 13,612 $263,663,637 HOT SPRINGS 4,847 $132,138,572 JOHNSON 8,628 $432,262,453 LARAMIE 95,89 $3,381,47,435 LINCOLN 18,364 $399,326,89 NATRONA 8,973 $3,326,537,633 NIOBRARA 2,541 $158,482,2 PARK 29,227 $778,844,466 PLATTE 8,765 $726,138,139 SHERIDAN 29,824 $873,564,167 SUBLETTE 1,41 $295,335,158 SWEETWATER 45,237 $1,94,94,427 TETON 22,268 $87,45,185 UINTA 21,66 $574,242,869 WASHAKIE 8,463 $152,99,391 WESTON 7,158 $178,991,688 TOTAL 582,658 $21,767,979,259 Population Source: U.S. Census Bureau 213 estimates - no 214 estimates available. Figures used to determine Economic Loss came from the US Department of Transportation Memorandun; have been updated from 28 to 212 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 (MAIS) found on page 5 of the attachment in this US DOT Memorandum. 3

7 HOLIDAY CRASH STATISTICS New Years Memorial Day Independence Day Labor Day Thanksgiving Christmas ities Injuries Hours Hours ities Injuries Hours ities Injuries Hours ities Injuries Hours ities Injuries Hours ities Injuries Time Period 4

8 214 WYOMING FATAL CRASH MAP by County 5

9 GENERAL CRASH INFORMATION 214 Crash Counts by County ities Injuries ALBANY BIG HORN CAMPBELL CARBON CONVERSE CROOK FREMONT GOSHEN HOT SPRINGS JOHNSON LARAMIE LINCOLN NATRONA NIOBRARA PARK PLATTE SHERIDAN SUBLETTE SWEETWATER TETON UINTA WASHAKIE WESTON Crash Count by Month 1,44 1,377 1, ,53 1,76 1,15 1,91 1,113 1,131 1,667 1,565 JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER 6

10 21 TO 214 COLLISION TYPE CRASHES Harmful Event Category Non-Collision Moving Vehicle Animal Fixed Object Others

11 PEOPLE INVOLVED INFORMATION 214 TOTAL DRIVERS INVOLVED IN FATAL CRASHES DRIVER'S AGE DRIVER'S GENDER Female Male 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 214 TOTAL DRIVERS INVOLVED IN CRASHES DRIVER'S AGE DRIVER'S GENDER UK Female Male Unknown Unknown gender & age are a result of hit and run crashes 8

12 OCCUPANTS WITH SEAT BELT / USAGE BY COUNTY from STATE CRASH DATA Proper Use Misuse 212 Not Used Not Avail % % % % 1 2% 16% % % 82 59% % % 32 3% 1 1% 37% 72 69% % % 1 % 27 4 % 53 74% 25 3% 19% 16 22% % % 1 % % % 9 3% 22% 63 22% % % % % % 5 3% 21% 54 28% % % % % 51 88% 2 3% 23% 5 9% % % 1 % % % 12 3% 25% % % % % 79 1 % 57 77% 4 5% 36% 13 18% % 63 5% % % 1 2% 39% 28 49% 11% % 142 7% % % 91 81% 4 4% 29% 18 16% % % 2 % % % 62 5% 11% % % % % % 96 62% 6 4% 25% 52 34% % % 3 % % % 43 3% 2% % % 36 68% % 17 % 25 71% 1 3% 32% 9 26% % 43 74% % % % 5 2% 26% 96 4% % Proper Use Misuse Not Used Not Avail Proper Use Misuse Not Used Not Avail ALBANY % 2 % 23 14% 2 % % % 15% % 2 3% 1 17% 4 1% % 26 5% % 14 % BIG HORN 3% 96 59% 2 1% 58 36% 6 4% % 2 1% 66 31% % % 97 81% % 44 7% 4 6% 14 22% 1 1% CAMPBELL 2% % % % 3 % 15 86% 4 % 14% % 33 4% 152 2% 2 % % % % 1 % CARBON % % 4 1% % 1 % % 1 % 19% % 11 4% 61 19% 8 3% % 4 1% % 8 % CONVERSE 3% % % 14 25% % % 1 % 21% 182 8% 5 2% 4 18% % % % 62 29% 2 % CROOK 1% % 2 1% 44 23% 1 1% 15 8% % 38 2% 64 74% % 21 24% 1 1% 8 51% 1 1% 76 48% % FREMONT % % % % 3 % % 3 % 26% % 16 4% 125 3% 9 2% 31 71% % 16 24% 5 % GOSHEN 1% % 1 % 45 22% % 17 77% % 5 23% % 5 6% 12 16% 1 1% 83 81% 4 4% 15 15% 1 % HOT SPRINGS 1% 66 75% % 22 25% % 47 59% 1 1% 31 39% 24 8% % 6 2% % 26 74% % 9 26% % JOHNSON % 26 74% 1 % 7 25% % 17 68% 2 1% 77 31% 72 64% 2 2% 37 33% 1 1% 72 64% 2 2% 38 34% 1 % LARAMIE 1% 344 9% 8 % 341 1% 3 % % 5 % 1% % 51 4% % 8 1% % % 24 18% 12 % LINCOLN 1% 25 81% % 49 19% % 19 8% 3 1% 44 19% % 7 4% 19 12% 1 1% 13 82% 2 2% 17 14% 3 % NATRONA 2% % 3 % 56 16% 1 % % 5 % 15% % 71 5% 148 1% 5 % % % % 4 % NIOBRARA % 53 76% % 14 2% 3 4% 35 58% % 25 42% 25 71% % 7 2% 3 9% 19 61% 1 3% 11 35% % PARK % % 3 1% % % % % 26% % 9 4% 19 43% % % % 86 33% 1 % % 9

13 & Proper Use Misuse 212 Not Used Not Avail 191 8% % 46 1 % % 8 6% 19% 11 8% % % 1 % 189 % % 6 2% 28% 16 34% % 81 6% % 54 % 28 74% 1 3% 4% 9 24% % % 5 % 34 7 % 612 8% 15 2% 18% % % 567 8% % 14 3 % 32 58% 14 3% 2% 24 39% % 313 7% % % % 5 3% 29% 63 32% % 52 51% % 49 % 27 57% 3 6% 48% 17 36% % 65 58% % % 16 5% % 41% 16 5% % % % % % 2% % 242 1,769 3% 23% % % 21% % Proper Use Misuse Not Used Not Avail Proper Use Misuse Not Used Not Avail PLATTE % 1 % 5 17% 2 1% 32 81% % 73 19% % 2 2% 1 9% 1 1% % 5 2% 99 37% 3 % SHERIDAN 1% % 2 % % 2 % % % 28% % 8 3% 67 23% 2 1% % 8 3% % 3 % SUBLETTE 1% % % 41 26% % % 1 1% 36 23% % 1 2% 12 26% % 67 83% 3 4% 1 12% 1 1% SWEETWATER 1% % 3 % % 4 % % 2 % 16% % 36 5% % 13 2% % % 27 34% 15 % TETON 2% 43 71% 2 % % % % 3 % 23% % 9 3% % % 28 57% % 14 38% 1 % UINTA % % 1 % 14 25% 1 % 31 81% % 7 19% % 6 3% 36 17% % % 6 3% 39 2% 3 % WASHAKIE 2% 64 45% % 78 55% % 58 45% % 7 55% 36 71% % 1 2% 21 6% 2 6% 11 31% 1 % 1% WESTON 3% 55 64% 1 1% 28 33% 1 1% 64 58% 1 1% 46 41% 1 4% 1 4% 14 56% % 14 44% % 18 56% % % TOTAL % 42% 39% 38% % 4% 2% 1% COMBINED TOTAL % % 19% % % % 18% % % 4% 23% % % 1% 19% % 1

14 214 PEDESTRIANS IN ALL CRASHES AGE / INJURY STATUS Incap Non-Incap Possible GENDER Female 52 Male 59 11

15 214 BICYCLIST IN ALL CRASHES AGE / INJURY STATUS Incap Non-Incap Possible Unknown Others 1 GENDER Female 14 Male 59 "Others" in Gender refers to a hit and run bicyclist who left the crash scene before being identified 12

16 ENVIRONMENTAL 214 CRASHES WITH ROAD SURFACE TYPE Road Surface Asphalt Brick/Stone 1 1 Concrete Dirt Gravel/Rock Unknown Unknown road surface crashes include animal crash forms where element is not included CRASHES ROAD CONDITIONS Road Conditions 1st Condition 2nd Condition 1st Condition 2nd Condition 1st Condition 2nd Condition 1st Condition 2nd Condition Dry Wet Ice/Frost Snow , Mud/Dirt/Gravel Slush Oil/Fuel Sand on Dry Pavement Sand on Icy Road Water Standing/Running Other Unknown NOTE: Every crash can have two road condition choices 13

17 214 CRASHES WEATHER CONDITIONS Weather Conditions 1st Condition 2nd Condition 1st Condition 2nd Condition 1st Condition 2nd Condition 1st Condition 2nd Condition Clear Raining Snowing Fog Blowing Dust/Sand/Dirt Severe Wind Only Blizzard Sleet/Hail/Freezing Rain Blowing Snow Cloudy, Overcast Smoke 3 3 Other Unknown NOTE: Every crash can have two weather condition choices 214 CRASHES LIGHTING CONDITIONS Lighting Conditions Darkness Lighted Darkness Unlighted Dawn Daylight Dusk Other 2 2 Unknown

18 VEHICLES 214 VEHICLE TYPES Vehicle Type Number of Vehicles involved in: Vehicles Passenger Passenger Van PU School Bus Other Bus Transit Bus Charter Bus MC > 15cc Off Road MC 3 3 Low Speed Vehicle 1 1 Other Vehicle SUV Cargo Van Motor Home Light Truck (< 1K) Medium Truck (>1K - <26K) Heavy Truck (>26K) Farm Equipment Construction Vehicle MC <15 cc Moped 2 2 Snowmobile 1 1 ATV MPV Unknown

19 Contributing Circumstances 214 VEHICLE WITH CONTRIBUTING CIRCUMSTANCES Number of Vehicles involved in: Vehicles Brakes Cruise Control Defroster Exhaust System 1 1 Lights (Head, Signal, or Tail) Mirrors 1 1 None Other Oversized Load Power Train Rain/Snow/Ice on Windshield Stalled Vehicle Steering Suspension Tinted Windows 2 2 Tire Trailer Brakes Truck Coupling/Trailer Hitch/S Unknown Vehicle Cargo Blocking View 5 5 Wheels Windows/Windshield Wipers

20 WYOMING COMMUNITIES 214 CITY/TOWN CRASHES WITH INJURIES AND FATALITIES City/Town # Persons Injured # Persons Killed AFTON ALPINE BAGGS 1 1 BASIN 1 1 BEAR RIVER 1 1 BIG PINEY 6 6 BUFFALO BURLINGTON 2 2 BURNS 2 2 BYRON 3 3 CASPER CHEYENNE CHUGWATER CODY COKEVILLE COWLEY 2 2 DAYTON 2 2 DIAMONDVILLE DOUGLAS DUBOIS EAST THERMOPOLIS 2 2 EVANSTON EVANSVILLE FRANNIE 1 1 GILLETTE GLENDO 2 2 GLENROCK GRANGER 1 1 GREEN RIVER GREYBULL GUERNSEY 1 1 HANNA HARTVILLE 1 1 HUDSON HULETT JACKSON KAYCEE 1 1 KEMMERER LAGRANGE 1 1 LANDER LARAMIE LINGLE 4 4 LOST SPRINGS 1 1 LOVELL LUSK LYMAN MARBLETON 1 1 MEETEETSE 1 1 MIDWEST 1 1 MILLS MOORCROFT MOUNTAIN VIEW NEWCASTLE PINE BLUFFS

21 City/Town # Persons Injured # Persons Killed PINEDALE POWELL RANCHESTER 4 4 RAWLINS RIVERTON ROCK RIVER 1 1 ROCK SPRINGS SARATOGA SHERIDAN SHOSHONI 3 3 SINCLAIR STAR VALLEY RANCH SUNDANCE THAYNE 2 2 THERMOPOLIS TORRINGTON UPTON WAMSUTTER WHEATLAND WORLAND WRIGHT

22 214 CITY/TOWN 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 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 w/2 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

23 ALCOHOL INVOLVED CRASHES 214 ALCOHOL INVOLVED TRAFFIC CRASHES Year All Alcohol % Alcoh Alcohol % Alcoh All Alcohol % Alcoh * * Alcohol % Alcoh All Alcohol % Alcoh ities ities ities Injuries Injuries Injuries % % % % % % % % % % % % % % % % % % % % % % % % % * Injuries include injuries from fatal crashes 14 Alcohol #All #Alcohol Alcohol ities #All ities #Alcoh ities

24 ALCOHOL INVOLVED CRASHES WITH AGE OF DRINKING DRIVERS 21 Drivers Involved in Age Groups Drivers Unknown Drivers Involved in Age Groups Drivers Unknown Drivers Involved in Age Groups Drivers Unknown

25 ALCOHOL INVOLVED CRASHES WITH AGE OF DRINKING DRIVERS 213 Drivers Involved in Age Groups Drivers Unknown Drivers Involved in Age Groups Drivers Unknown

26 ALCOHOL INVOLVED FATAL CRASHES 214 ALCOHOL INVOLVED FATAL CRASHES BY COUNTY County Number Number Injured Number Killed Albany Big Horn Campbell Carbon Converse 3 4 Crook 1 1 Fremont Goshen 1 1 Hot Springs Johnson 1 1 Laramie 3 4 Lincoln 1 1 Natrona 2 2 Niobrara Park Platte 1 1 Sheridan 1 1 Sublette 2 2 Sweetwater City 214 ALCOHOL INVOLVED FATAL CRASHES BY CITY Number Number Injured Number Killed CASPER 2 2 CHEYENNE 1 1 CODY 1 1 DOUGLAS 1 1 GILLETTE 1 1 RIVERTON ROCK SPRINGS 3 3 STAR VALLEY RANCH 1 1 TORRINGTON

27 214 ALCOHOL INVOLVED FATAL CRASHES VEHICLE TYPE Vehicle Type Number of Vehicles ATV 1 Heavy Truck > 26, 2 MC > 15 cc 3 Medium Truck 1 PU 24 Passenger 16 Passenger Van 1 SUV ALCOHOL INVOLVED FATAL CRASHES ESTIMATED SPEED Estimated Speed Others ALCOHOL INVOLVED FATAL CRASHES WITH AGE AND GENDER OF DRIVERS Age Groups Male Female Drivers

28 ALCOHOL INVOLVED INJURY CRASHES 214 ALCOHOL INVOLVED INJURY CRASHES BY COUNTY County Number Injured City 214 ALCOHOL INVOLVED INJURY CRASHES BY CITY Number of Number Injured BUFFALO 1 1 CASPER CHEYENNE 5 74 CODY 3 3 DOUGLAS 8 1 DUBOIS 1 1 EVANSTON 1 2 EVANSVILLE 5 5 GILLETTE 21 3 GREEN RIVER 2 2 GREYBULL 1 1 JACKSON 1 1 LANDER 1 1 LARAMIE MILLS 5 5 NEWCASTLE 1 2 POWELL 2 2 RAWLINS 7 18 RIVERTON 5 7 ROCK SPRINGS 2 22 SARATOGA 1 1 SHERIDAN 4 5 SINCLAIR 1 1 THERMOPOLIS 1 1 TORRINGTON 3 3 UPTON 1 1 WHEATLAND 2 2 WORLAND Albany 2 26 Big Horn 1 1 Campbell Carbon Converse 1 12 Crook 7 7 Fremont Goshen 4 4 Hot Springs 1 1 Johnson 3 3 Laramie Lincoln 8 11 Natrona Park 9 9 Platte 3 3 Sheridan Sublette 7 8 Sweetwater Teton Uinta 7 1 Washakie 1 1 Weston

29 214 ALCOHOL INVOLVED INJURY CRASHES WITH VEHICLE TYPE Vehicle Type Number of Vehicles % Vehicles ATV 3.7% Cargo Van 3.7% Heavy Truck > 26, % Light Truck 1.2% MC > 15 cc % MPV 1.2% Moped 1.2% Other Vehicle 1.2% PU % Passenger % Passenger Van 7 1.5% SUV % Snowmobile 1.2% Unknown 1.2% 459 1% 214 ALCOHOL INVOLVED INJURY CRASHES WITH ESTIMATED SPEED Estimated Speed Number of Vehicles Others ALCOHOL INVOLVED INJURY CRASHES WITH AGE AND GENDER OF DRIVERS Age Groups Male Female Unknown Drivers

30 ALCOHOL INVOLVED CRASHES 214 BY CITY 214 BY COUNTY County Albany 23 Big Horn 3 Campbell 43 Carbon 18 Converse 18 Crook 8 Fremont 47 Goshen 6 Hot Springs 4 Johnson 7 Laramie 61 Lincoln 4 Natrona 96 Niobrara 2 Park 17 Platte 8 Sheridan 4 Sublette 11 Sweetwater 57 Teton 17 Uinta 4 Washakie 9 Weston 5 58 City BUFFALO 4 CASPER 8 CHEYENNE 55 CODY 8 DOUGLAS 12 DUBOIS 2 EVANSTON 1 EVANSVILLE 1 GILLETTE 35 GLENROCK 1 GREEN RIVER 11 GREYBULL 1 GUERNSEY 1 JACKSON 7 LANDER 11 LARAMIE 19 LINGLE 1 LOVELL 1 LUSK 1 MILLS 8 NEWCASTLE 3 POWELL 3 RANCHESTER 1 RAWLINS 13 RIVERTON 17 ROCK SPRINGS 35 SARATOGA 1 SHERIDAN 29 THERMOPOLIS 3 TORRINGTON 3 UPTON 1 WHEATLAND 3 WORLAND 7 WRIGHT

31 214 ALCOHOL INVOLVED CRASHES WITH AGE AND BAC RESULTS OF DRIVERS Age Groups BAC Results Drivers in Drivers in Drivers in Others is a result of no reported BAC result Others Others Others Others Others Others

32 Age Groups BAC Results Drivers in Drivers in Drivers in UK Others Others Others Others Others Others Others 5 5 Others Others is a result of no reported BAC result

33 DRIVERS AGE FATAL CRASHES INVOLVING DRIVERS BETWEEN AGES 14-2 GENDER Age Male Female INJURY CRASHES INVOLVING DRIVERS BETWEEN AGES 14-2 GENDER Age Male Female CRASHES INVOLVING DRIVERS BETWEEN AGES 14-2 GENDER Age Male Female

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

35 SCHOOL BUS School Bus Number Injured in School Bus

36 214 SCHOOL BUS INVOLVED CRASHES COUNTY / CRASH SEVERITY County ALBANY 2 2 CAMPBELL CARBON 2 2 FREMONT JOHNSON 1 1 LARAMIE 6 6 LINCOLN 1 1 NATRONA PARK 4 4 PLATTE SWEETWATER TETON SCHOOL BUS INVOLVED CRASHES COLLISION TYPE / CRASH SEVERITY Collision Type Motor Vehicle in Transport on Roadway Other NON-Fixed Object Overturn/Rollover 1 1 Parked Motor Vehicle 9 9 Work Zone/Maintenance Equipment

37 MOTORCYCLES 214 Motorcycle Number Injured in Motorcycle

38 214 MOTORCYCLE INVOLVED CRASHES COUNTY/CRASH SEVERITY County ALBANY BIG HORN CAMPBELL CARBON CONVERSE 6 6 CROOK FREMONT GOSHEN 1 1 HOT SPRINGS JOHNSON 2 2 LARAMIE LINCOLN NATRONA NIOBRARA 3 3 PARK PLATTE SHERIDAN SUBLETTE SWEETWATER TETON UINTA 3 3 WASHAKIE 3 3 WESTON MOTORCYCLE INVOLVED CRASHES COLLISION TYPE/CRASH SEVERITY Collision Type Antelope 2 2 Concrete Traffic Barrier/Jersey Barrier 1 1 Deer Delineator Post Ditch 3 3 Earth Embankment/Berm End of Drainage Pipe/Structure/Culvert 1 1 Fell/Jumped from a MV 2 2 Fence (including Post) Guardrail Face Motor Vehicle in Transport on Roadway Other Domestic (Dog, Llama...) 2 2 Other Fixed Object Other NON-Fixed Object 1 1 Other Non-Collision (MC Loss of Control Parked Motor Vehicle Pedacycle 1 1 Raised Median or Curb Rock, Boulder, Rock Slide 2 2 Traffic Sign Support 1 1 Trees/Shrubbery

39 A P P E N D I X

40 Yes Date of Crash (yyyy/mm/dd) 2 No If NOT at Intersection mark if attached Badge # / / Combined Damage greater than or equal to $1, Yes No Occurred on Private Property County Yes Hit & Run Public/Private Property Damage Yes No City Crash occurred on: Highway/Street At/Related intersection: Highway/Street. No INVESTIGATOR'S TRAFFIC CRASH REPORT Investigating Agency 1 - City PD 2 - Sheriff 3 - BIA 4 - Forest Service 5 - Campus Police 6 - WHP 7 - Other Officer Name & Rank Time (24 hr) : Investigated at the Scene Feet or Miles Su Day of Week Mo Tu We Th Fr Sa Photo None Amount of Property Damage (if known) $ Photo/Video OF # Vehicle(s) GPS Latitude Police Notified: Arrived: CASE NO. Mail completed form within 1 days to: Wyoming Department of Transportation Crash Records 53 Bishop Boulevard Cheyenne, WY Yes In City/Town No Yes No Direction 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 SUPPLEMENTAL REPORTS If more than 2 vehicles are involved, complete form 'Supplemental Additional Vehicle/Driver Form' If more than 5 persons in a crash, complete form 'Supplemental Additional Vehicle Occupant Information' Trucks or Commercial Motor Vehicles complete form 'Supplemental Truck/CMV 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 Video Both 4 EMS Notified: Arrived:. GPS Longitude A B C D Date: yyyy/mm/dd EMS Hospital Arrival Time : # non # Driver(s) # Person(s) Motorists # Injured # Killed.. Milepost Marker Highway Section # Intersection LRS # CAT. ID # DIR 1 / / : / / : / / : / / : Occurred on Divided Hwy No Yes Highway LRS # CAT. ID # DIR if yes Incr / Decr Incr Decr Unknown nearest street, highway, ramp, bridge, city, railroad crossing, etc. Division (WHP only) Time (24 hr) First MI Signature Highway Safety Use Only Rank Report Date (yyyy/mm/dd) 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 Crash Type: G > $1, M - Missing Location Date Received: N < $1, I - Industrial Crash Report Number: Highway System P - Private D - Deliberate Last PR92 Revised 2/5/8

41 1 Page 2 Last Name Street Number Street Name Mailing Address (PO Box Number) Occupation Home Work Cell Phone Driver Phone - License Number Driver/Vehicle Information City Employer Emp Phone - - First Name Home Work Cell Phone - State (FIPS) Restrictions MI Gender State Zip Code SSN (fatals only) - - DOB (yyyy/mm/dd) / / - Age 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 MI Vehicle Owner same as driver 2 Street Number Make (ie, Chevrolet, Dodge, Toyota) Model (ie, Silverado, Dakota, Solara) Year Vehicle Identification Number Insurance Verified Vehicle Towed Extent of Damage Last Name Y-Yes N -No 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) City 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 (mm/yy) 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 (Overturn/Rollover) 1-12 (Use 12 Point Clock Diagram) 13 Top (Roof) 14 Undercarriage 99 Unknown (Can't determine) DOB (yyyy/mm/dd) Occupation Employer Age Home Work Cell Phone Home Work Cell Phone SSN (fatals only) Driver Emp Phone - - Phone License Number State (FIPS) Restrictions CDL Endorsement MI 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 MI Vehicle Owner same as driver Street Number Make (ie, Chevrolet, Dodge, Toyota) Model (ie, Silverado, Dakota, Solara) Year Vehicle Identification Number Insurance Verified Vehicle Towed Extent of Damage Y-Yes N -No Y-Yes N -No Policy # By To Street Name Company 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 (mm/yy) - 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 (Overturn/Rollover) 1-12 (Use 12 Point Clock Diagram) 13 Top (Roof) 14 Undercarriage 99 Unknown (Can't determine)

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

43 1 Page 4 1st event 2nd event Sequence choose up to 4: 3rd event Most Harmful Event 4th event choose 1 Non-Collision 1 - Overturn/Rollover 2 - Fire/Explosion 3 - Immersion 4 - Jacknife 5 - Cargo/Equipment 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 or Centerline 11 - Downhill Runaway 12 - Fell/Jumped 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 Zone/Maintenance 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 Attenuator/Crash Cushion 44 - Bridge Pier or Support 45 - Bridge Overhead Structure 46 - Bridge Rail 47 - Concrete Traffic Barrier/Jersey Barrier 48 - Other Traffic Barrier (Includes temporary) 49 - Utility Pole/Light 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 - Tree/Shrubbery 58 - Cut Slope 59 - Road Approach 6 - Rock, Boulder, Rock Slide 61 - End of Drainage Pipe/Structure/Culvert 62 - Building or Other Structure Wall 63 - Fence (Including Post) 64 - Raised Median or Curb 65 - Delineator Post 66 - Earth Embankment/Berm 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 Vehicle/Equipment 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 Non -Commercial Trailer Style Underride/Override 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 - Ambulance/EMS 4 - Fire Truck 5 - Military 6 - Snow Plow 7 - Tow Truck 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 - Ambulance/EMS 19 - WHP 2 - State Law Enforc Other 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 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 1 - Motorized Skateboard/Scter 23 - Moped 11 - Pedestrian Vehicle 12 - Low Speed Vehicle 24 - Snowmobile 25 - Segway 27 - MPV 13 - Other Vehicle 26 - ATV 1 - No Trailer 2 - Camping Trailer 3 - Mobile Home 4 - Utility Trailer 5 - Boat/Jet Ski Trailer 6 - Towed Vehicle Contributing 7 - Horse/Stock 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 - Windows/Windshield 11 - Rain/Snow/Ice on Windshield 12 - Tinted Windows 13 - Vehicle Cargo Blocking View 14 - Exhaust System 15 - Oversized Load 16 - Defroster 17 - Mirrors 18 - Wipers 19 - Truck Coupling/Trailer Hitch/Safety Chain 2 - Stalled Vehicle 21 - Cruise Control 1st choice 2nd choice 22 - Other Vehicle Maneuver/Action prior to crash 1 - Straight Ahead 2 - Backing 3 - Changing Lanes 4 - Overtaking/Passing 5 - Turning RIght 6 - Turning Left 7 - Make U-Turn 8 - Leaving a Traffic Lane/Parking 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 - Gravel/Rock 4 - Dirt 5 - Brick/Stone 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 (Officer/Flagger, Xing Guard, etc) 1 - Pedestrian Crossing 11 - No Passing Zone 12 - Warning Signs 13 - Pavement Markings 14 - Traffic Barrels/Cones 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

44 2 Page 5 1st event 2nd event Sequence choose up to 4: 3rd event Most Harmful Event 4th event choose 1 Non-Collision 1 - Overturn/Rollover 2 - Fire/Explosion 3 - Immersion 4 - Jacknife 5 - Cargo/Equipment 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 or Centerline 11 - Downhill Runaway 12 - Fell/Jumped 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 Zone/Maintenance 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 Attenuator/Crash Cushion 44 - Bridge Pier or Support 45 - Bridge Overhead Structure 46 - Bridge Rail 47 - Concrete Traffic Barrier/Jersey Barrier 48 - Other Traffic Barrier (Includes temporary) 49 - Utility Pole/Light 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 - Tree/Shrubbery 58 - Cut Slope 59 - Road Approach 6 - Rock, Boulder, Rock Slide 61 - End of Drainage Pipe/Structure/Culvert 62 - Building or Other Structure Wall 63 - Fence (Including Post) 64 - Raised Median or Curb 65 - Delineator Post 66 - Earth Embankment/Berm 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 Vehicle/Equipment 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 Non -Commercial Trailer Style Underride/Override 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 - Ambulance/EMS 4 - Fire Truck 5 - Military 6 - Snow Plow 7 - Tow Truck 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 - Windows/Windshield 11 - Rain/Snow/Ice on Windshield 12 - Tinted Windows 13 - Vehicle Cargo Blocking View 14 - Exhaust System 15 - Oversized Load 16 - Defroster 17 - Mirrors 18 - Wipers 19 - Truck Coupling/Trailer Hitch/Safety 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 - Ambulance/EMS 19 - WHP 2 - State Law Enforc Other 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 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 1 - Motorized Skateboard/Scter 23 - Moped 11 - Pedestrian Vehicle 12 - Low Speed Vehicle 24 - Snowmobile 25 - Segway 27 - MPV 13 - Other Vehicle 26 - ATV 1 - No Trailer 2 - Camping Trailer 3 - Mobile Home 4 - Utility Trailer 5 - Boat/Jet Ski Trailer 6 - Towed Vehicle Contributing 7 - Horse/Stock 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 Maneuver/Action prior to crash 1 - Straight Ahead 2 - Backing 3 - Changing Lanes 4 - Overtaking/Passing 5 - Turning RIght 6 - Turning Left 7 - Make U-Turn 8 - Leaving a Traffic Lane/Parking 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 - Gravel/Rock 4 - Dirt 5 - Brick/Stone 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 (Officer/Flagger, Xing Guard, etc) 1 - Pedestrian Crossing 11 - No Passing Zone 12 - Warning Signs 13 - Pavement Markings 14 - Traffic Barrels/Cones 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 1 2 Page 6 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 Side/Wrong Way 14 - Following too Close 15 - Failed to Keep Proper Lane 16 - Erratic/Reckless/Careless/Aggressive 17 - Avoiding an Object on Road 18 - Avoiding Animal 19 - Avoiding Non-Motorist 2 - Avoiding MV 21 - Swerve Due to Wind/Slippery Surface 22 - Over Corrected/Over 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 Action (choose up to 4). 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 Side/Wrong Way 14 - Following too Close 15 - Failed to Keep Proper Lane 16 - Erratic/Reckless/Careless/Aggressive 17 - Avoiding an Object on Road 18 - Avoiding Animal 19 - Avoiding Non-Motorist 2 - Avoiding MV 21 - Swerve Due to Wind/Slippery Surface 22 - Over Corrected/Over 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 2nd choice 1 - No Test Performed 2 - Test Refused 3 - Blood 4 - Serum 5 - Breath 6 - Urine 7 - Other Driver Information 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 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 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 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 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 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 - 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 - 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

46 Page 7 FIRST HARMFUL EVENT Non - Collision: 1 - Overturn/Rollover 2 - Fire/Explosion 3 - Immersion 4 - Jacknife 5 - Cargo/Equipment Loss or Shift 12 - Fell/Jumped 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 Zone/Maintenance 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 Attenuator/Crash Cushion 44 - Bridge Pier or Support 45 - Bridge Overhead Structure 46 - Bridge Rail 47 - Concrete Traffic Barrier/Jersey Barrier 48 - Other Traffic Barrier (Includes temporary) 49 - Utility Pole/Light 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 - Tree/Shrubbery 58 - Cut Slope 59 - Road Approach 6 - Rock, Boulder, Rock Slide 61 - End of Drainage Pipe/Structure/Culvert 62 - Building or Other Structure Wall 63 - Fence (Including Post) 64 - Raised Median or Curb 65 - Delineator Post 66 - Earth Embankment/Berm 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 2 - Raining 2nd choice 1 - Dry 2 - Wet 2nd choice 3 - Snowing 4 - Fog 5 - Blowing Dust/Sand/Dirt 6 - Severe Wind Only 7 - Blizzard 3 - Ice/Frost 4 - Snow 5 - Mud/Dirt/Gravel 6 - Slush 7 - Oil/Fuel 8 - Sleet/Hail/Freezing Rain 8 - Sand on Dry Pavement 9 - Blowing Snow 9 - Sand on Icy Road School Bus 1 - Cloudy,Overcast 1 - Water standing/running 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 Lane/Zone 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 Zone/Construction 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 Shoulder/Median 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 w/2 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 - Entrance/Exit 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 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 Angle/Broadside

47 Page 8 Indicate North 1st First Name MI Last Name Street Number Street Name City: State: Zip Code Witnesses Home Work Cell Phone - 2nd Street Number and/ or - - First Name Street Name Home Work Cell Phone MI Last Name - City: State: Zip Code Home Work Cell Phone 3rd First Name and/ or Home Work Cell Phone MI Last Name Street Number Street Name City: - State: Zip Code Home Work Cell Phone and/ or Home Work Cell Phone -

48 W Y O M I N G D E P A R T M E N T OF T R A N S P O R T A T I O N H I G H W A Y S A F E T Y P R O G R A M 5 3 B I S H O P B L V D. C H E Y E N N E, W Y 8 2 9