Toolkits for Urban Transport Development - UNEP
Toolkits for Urban Transport Development - UNEP
Toolkits for Urban Transport Development - UNEP
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Impacting-Vehicle/Object<br />
If another vehicle impacted this vehicle use Vehicle Type from above 20=Tree 21=Kerb<br />
22=Median 23= Pole 24= Pedestrian 98=Other 99=Unknown<br />
Model-Make Model – Year Impacting Vehicle No.<br />
Victim In<strong>for</strong>mation Victim No.<br />
Form No. Vehicle No.<br />
Road User 1= Passenger 2= Driver 3= Pedestrian 4=Others 9= Unknown<br />
Seating Position 1= Front 2= Back 3= Other 4= Not Applicable 9=Unknown<br />
Location of Non Motorised Traffic 1=Motorised Vehicle Lane 2=Pedestrian Pathway 3=Median<br />
4=Shoulder 5=Cycle Lane 6=Others 9=Unknown<br />
Age<br />
Sex 1 = Male 2 = Female<br />
Injury 1 = No injury 2= Injured 3 = Fatal 9 = Unknown<br />
Impacting Vehicle No.<br />
Mode of Treatment 1=None 2=First aid only 3=Discharge after casualty ward treatment 4=Admitted to hospital<br />
5=Dead Be<strong>for</strong>e Reaching Hospital 6=Others 9=Unknown<br />
No. of Days in Hospital<br />
Page<br />
81
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