KANSAS MOTOR VEHICLE ACCIDENT REPORT CODING MANUAL

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158.2 U056 HWY 65 05/02/2012 20:12 01 12 01 Daylight 04 Dark: street lights on 02 Dawn 05 Dark: no street lights 03 Dusk 99 Unknown 00 ADVERSE WEATHER CONDITIONS 00 No adverse conditions 01 Rain, mist, drizzle 02 Sleet, hail 03 Snow 04 Fog 05 Smoke 06 Strong wind 07 Blowing dust, sand, etc. 08 Freezing rain, mist, drizzle 14 Rain & fog 16 Rain & wind 88 Other: 24 Sleet & fog 36 Snow & wind 99 Unknown 02 SURFACE TYPE 02 01 Pawnee County Sheriff R. Conklin 20 Shoulder 21 Roadside (not shoulder) 22 Median 23 Parking lot or Rest area 88 Other: 99 Unknown 04 +INTERSECTION TYPE 01 Four-way intersection 02 Five-way or more 03 T - intersection 04 Y - intersection 05 L - intersection 06 Roundabout 07 Traffic Circle 08 Part of an interchange 99 Unknown Aldrich V-1 was southbound on US-183; V-2 was eastbound on US-56; V-1 failed to stop at stop sign, collided with V-2 due, and then struck a KDOT sign due to distraction by cell phone KDOT Kansas Motor Vehicle Accident Report KDOT Form 850A Rev 1-2009 Road sign knocked down Investigating Department Reviewed by Investigating Officer Name Badge Number County City Name 46 PN 05/02/2012 38.01188 -99.31407 Local Case No. Example 1 1 4 Milepost Block No Dir Pfx On Road Name Road Type Dir Sfx SpdLmt Date of Accident (mm/dd/yyyy) Time Occur. Day From Dist Ft/Mi From Dir FROM Dir Pfx Reference or At Road Name Road Type Dir Sfx SpdLmt Date Notified (mm/dd/yyyy) Time Notif. Day AT U183WJCT HWY 65 05/02/2012 20:20 Narrative: Describe each traffic unit's pre-crash movement and direction of travel Date Arrived (mm/dd/yyyy) Time Arriv. Day KDOT? Object 1 Damaged & Nature of Damage (show in diagram) ON Latitude (AOI) Longitude (AOI) Photos by ONLY CHOOSE ONE CODE PER CATEGORY UNLESS SPECIFIED OTHERWISE LIGHT CONDITIONS ACC. LOCATION 03 <strong>ACCIDENT</strong> CLASS 03 (of 1st Harmful Event) (mark 1 box per side) st ON ROADWAY: (within travel lanes) 1 Harmful Event Most Harmful Event 11 Non-intersection 00 Other non-collision 12 Intersection + 01 Overturned/Rollover 13 Intersection-related + COLLISION WITH: 02 Pedestrian 14 Access to Parking lot/Drvwy 03 Motor vehicle in-transport* 15 Interchange Area + 04 Legally Parked Vehicle 16 On Crossover 05 Railway train 17 Toll Plaza 06 Pedal cyclist OFF ROADWAY: 07 Animal Type: AT 01 Concrete 02 Blacktop (Asphalt) 03 Gravel 88 Other: 04 Dirt 05 Brick 99 Unknown 01 SURFACE CONDITIONS ON AT 01 Dry 88 Other: 02 Wet 03 Snow 99 Unknown 04 Ice 05 Mud/dirt/sand 06 Debris (oil, etc.) 07 Standing/ moving water 08 Slush Owner Street Address Owner Last Name First Name Middle Name City State Zip KDOT? Object 2 Damaged & Nature of Damage (show in diagram) Owner Street Address Owner Last Name First Name Middle Name City State Zip (See Manual for Definitions) ROAD SPECIAL FEATURES (up to 3) 1 2 3 00 None 00 01 Bridge 02 Bridge Overhead 03 Railroad Bridge 04 RRXING 05 Interchange 06 Ramp 99 Unknown 1 08 Fixed object** 09 Other object: 99 Unknown Personal Phone Work Phone Personal Phone Work Phone **FIXED OBJECT TYPE (mark 1 box per side if applicable) st Harmful Event Most Harmful Event 01 Bridge structure 02 Bridge rail 03 Crash cush./Impact attenuator 04 Divider, median barrier 05 Overhead sign support 06 Utility devices: pole,meter,etc 07 Other post or pole 08 Building 09 Guardrail 10 Sign post 11 Culvert 12 Curb 13 Fence/Gate 14 Hydrant 15 Barricade 16 Mailbox 17 Ditch 18 Embankment 19 Wall 20 Tree 21 RRXING fixtures 88 Other: 99 Unknown 20:40 00 Page of WE WE WE Amended Report DUI Hit & Run I Accident Severity Fatal Injury PDO >= $1,000 PDO < $1,000 Private Property 00 WORK ZONE TYPE ON AT 00 None Apply 01 Construction Zone - KDOT? - LOCATION IN WORK ZONE (AOI) - WORK ZONE CATEGORY 01 Lane closure 02 Lane shift / crossover 03 Work on shoulder / median 04 Intermittent or moving vehicle 88 Other: 99 Unknown 03 *COLLISION WITH <strong>VEHICLE</strong> 03 1 02 Maintenance Zone - 03 Utility Zone - 99 Unknown 01 Before first warning sign 02 Advance warning area 03 Transition area 04 Activity area 05 Termination area 99 Unknown (mark 1 box per side if applicable) st Harmful Event Most Harmful Event 01 Head on 02 Rear end 03 Angle - side impact 04 Sideswipe: opposite direction 05 Sideswipe: Same direction 06 Backed into 88 Other: 99 Unknown TRAFFIC CONTROLS (On / At Road) O/A Type Present 00 None 1 1 O 01 Officer, flagger 2 2 O 02 Traffic signal 3 3 A 03 Stop sign 4 4 04 Flasher A 5 5 05 Yield sign A 06 RR gates / signal 07 RR crossing signs 08 No passing zone 09 Center/Edge lines 10 Warning signs 11 School zone signs 12 Parking lines 88 Other: 99 Unknown 09 08 03 09 08 1 2 3 4 5 OK/NF OK OK OK OK OK
Accident Diagram 850A continued SPECIAL EVENT SPECIAL DATA Local Case No. Page of Example 1 2 4 02 ROADWAY ROAD CHARACTER SPECIAL JURISDICTION NUMBER OF LANES ON AT ON AT A basic diagram is required for all state reportable 00 Normal Jurisdiction (Not Special) accidents showing movements, direction, and positions 01 Straight & Level 01 One 01 National Park Service of all traffic units in relationship to the trafficway. 02 Straight on grade/slope Identify (label) the street(s) and traffic unit(s) along 02 Two 02 Military with the area of impact (AOI) where possible. Refer 03 Straight on hillcrest to vehicles and pedestrians by unique numbers 03 Three 03 Indian Reservation assigned in this report. 04 Curved & level 04 Four to Six 04 College / University Campus 05 Curved on grade/slope 05 Seven or more 88 Other: 99 Unknown 06 Curved on hillcrest 88 Other: 99 Unknown 05 Other Federal property 88 Other: 99 Unknown Indicate North Direction Draw scene as observed or recreate per statements and evidence available
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KANSAS MOTOR VEHICLE ACCIDENT REPOR
Page 3 and 4:
ADDITIONAL PASSENGERS & PEDESTRIANS
Page 5 and 6:
Organization of the Accident Forms:
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ACCIDENT REPORTING QUALIFICATION, S
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BASIC TERMS AND QUALIFICATIONS Many
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GENERAL INFORMATION AND INSTRUCTION
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Special Notes on Working Vehicles A
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ACCIDENT LEVEL CODING 850A INVESTIG
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850A MILEPOST Enter the state milep
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Service or Rest Areas: Milepost: R
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TIME OCCURRED, TIME NOTIFIED, TIME
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property damage on the 850A in thes
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850A ACCIDENT LOCATION The Accident
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The Interchange diagram below indic
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Measuring Interchanges: For ramps,
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850A CODE '21' (1st harm occurs bey
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ACCIDENT CLASSES - CONTINUED 850A N
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850A Basic Sample Diagrams for CWOV
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LIGHT CONDITIONS Mark the option th
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850A BACK SIDE OF THE 850A COLLISIO
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TRAFFIC UNIT INFORMATION 850B SPECI
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DO NOT code legally parked vehicles
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850B DRIVER INFORMATION VIOLATIONS
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850B DRIVER ADDRESS Transcribe the
Page 49 and 50: 850B EXTRICATION: Mark the extricat
Page 51 and 52: 850B NON-COMMERCIAL DL A - For oper
Page 53 and 54: 850B COMMERCIAL ENDORSEMENTS Enter
Page 55 and 56: 850B PASSENGER INFORMATION PASSENGE
Page 57 and 58: 850B CODING EXAMPLES FOR PASSENGERS
Page 59 and 60: 850B REMOVED BY Record who removed
Page 61 and 62: 10,000 lbs, record code ‘11.’ 8
Page 63 and 64: Present (‘P’) or Damaged (‘D
Page 65 and 66: 852 COMMERCIAL MOTOR VEHICLES Vehic
Page 67 and 68: 852 Important data fields for ident
Page 69 and 70: 852 If this vehicle is leased or re
Page 71 and 72: Canadian carriers will not have any
Page 73 and 74: 852 HAZMAT/ROADWAY INFORMATION Indi
Page 75 and 76: 854 ADDITIONAL PASSENGERS & PEDESTR
Page 77 and 78: UNUSUAL ACCIDENT CODING SITUATIONS
Page 79 and 80: Towing Vehicles Vehicles in the lin
Page 81 and 82: DEFINITIONS / CLARIFICATIONS ACCIDE
Page 83 and 84: DEFINITIONS / CLARIFICATIONS HARMFU
Page 85 and 86: DEFINITIONS / CLARIFICATIONS Exampl
Page 87 and 88: DEFINITIONS / CLARIFICATIONS TRUCK
Page 89 and 90: ACCIDENT PHOTOGRAPHS An important p
Page 91 and 92: disappear and must be photographed
Page 93 and 94: 90 COUNTY ABBREVIATIONS The followi
Page 95 and 96: NCIC CODES FOR COMMON AUTOMOBILE MA
Page 97 and 98: A. DRIVER INFORMATION: INSURANCE VE
Page 99: ACCIDENT CODING EXAMPLES Example No
Page 103 and 104: Occupants & Vehicles VEHICLE# 01 SP
Page 105 and 106: Accident Diagram 850A continued SPE
Page 111 and 112: 02 Kansas Motor Vehicle Accident Re
Page 113 and 114: Occupants & Vehicles KDOT Form 850B
Page 115 and 116: Accident Narrative KDOT Form 851 Re
Page 117 and 118: 100 F N AT I470 SN TOPEKA 3200 Gage
Page 127 and 128: 0.5 M W AT K023 Public Works Lane C
Page 131 and 132: Passengers & Pedestrians KDOT Form
Page 133 and 134: EXAMPLE 7A Driver has Intent to Ent
Page 135 and 136: 120.0 I070 FWY 70 11/09/2012 13:20
Page 145 and 146: Investigating Department Reviewed b
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Accident Diagram 850A continued SPE
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Occupants & Vehicles VEHICLE# 01 SP
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Hays Hays KS 67601 02 Kansas Motor
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Occupants & Vehicles KDOT Form 850B
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Accident Narrative KDOT Form 851 Re
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Kansas Motor Vehicle Accident Repor
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175 F N AT 8th 01 Kansas Motor Vehi
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190 F W AT 2nd 01 Kansas Motor Vehi
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Investigating Department Reviewed b
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Passengers & Pedestrians 854 contin
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Example 20
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ROUNDABOUT CHARACTERISTICS EXAMPLE
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EXAMPLE 22 (3 OF 3) ROUNDABOUT ACCI
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1 EXAMPLE 23 2 of 2 “1” locatio
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Investigating Department (Agency)
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Accident Code Sheet CONTRIBUTING CI
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KANSAS MOTOR VEHICLE ACCIDENT REPORT CODING MANUAL

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