Commonwealth of Pennsylvania Police Officers Crash ... - NHTSA

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Table of Contents1. Introduction................................................................ 52. Definitions and Terminology..................................... 5Crash ............................................................................... 6Unstabilized Crash Situations ......................................... 6Motor Vehicle In Transport ............................................ 7Reportable Crash............................................................. 7Non-Reportable Crash..................................................... 8Cataclysm........................................................................ 9Deliberate Intent.............................................................. 9Legal Intervention......................................................... 10Harmful Event............................................................... 10Contributing Information (Driver and pedestrianactions, environmental factors, and vehiclefailures) ......................................................................... 11Non-Collision Crash ..................................................... 11Phantom Vehicle........................................................... 11Commercial Vehicle/License Terms............................. 123. Completing the Paper Police Crash Report Form.. 134. Form Completion Instructions................................ 145. Special Report Form Functions.............................. 15New Cases..................................................................... 16Changes/Continuations ................................................. 166. Submitting Reports to PENNDOT .......................... 177. Ordering Forms........................................................ 178. Alternative Crash Form Submissions..................... 17Page 2
9. “How to Complete”.................................................. 18Legally Parked Vehicle on the Street............................ 19Illegally Parked Vehicle................................................ 19Pedestrian and Pedestrian Conveyance......................... 19Non-Motorized Vehicle ................................................ 20Disabled from Previous Crash...................................... 20Trains ............................................................................ 21Phantom Vehicle........................................................... 2210. Crash Form Page Descriptions ........................... 22Block 1 of the AA-500 1 and AA-500 L ...................... 22Block 2 of the AA-500 1 and AA-500 L ...................... 23Block 3 of AA-500 1 and AA-500 L ............................ 25Blocks 4 and 5 on the AA-500 1 and AA-500 L .......... 28Block 6 on the AA-500 1 and AA-500 L..................... 29Block 7 on the AA-500 1 and AA-500 L...................... 31Ramp Crashes ............................................................... 31Block 8 on the AA-500 1 and AA-500 L...................... 34Block 9 on the AA-500 1 and the AA-500 L................ 35Block 10 on the AA-500 2 and AA-500 U ................... 36Block 11 on the AA-500 2 and AA-500 U ................... 37Block 14 on the AA-500 3 and AA-500 P.................... 43Block 15 on the AA-500 4 and AA-500 H ................... 44Block 16 on the AA-500 4 and AA-500 H ................... 46Block 17 on the AA-500 4 and AA-500 H ................... 49Block 18 on the AA-500 4 and AA-500 H ................... 50Block 19 on the AA-500 4 and AA-500 H ................... 51Page 3
Page 1: Commonwealth of PennsylvaniaPolice
Page 5 and 6: 1. INTRODUCTIONSection 3751 of Titl
Page 7 and 8: • If as a result of a crash, part
Page 9 and 10: was a result of deliberate intent o
Page 11 and 12: Contributing Information (Driver an
Page 13 and 14: such vehicle towing a vehicle with
Page 15 and 16: • Do not punch holes in the formC
Page 17 and 18: Note: When submitting a new report
Page 19 and 20: only to the types of units describe
Page 21 and 22: • Complete Block 14 only if peopl
Page 23 and 24: Incident Number - Number assigned t
Page 25 and 26: 6 th Floor, Harrisburg, PA 17120-00
Page 27 and 28: CrossoverRailroad CrossingDo not co
Page 29 and 30: PY = ParkwayPZ = PlazaRD = RoadRO =
Page 31 and 32: Block 7 on the AA-500 1 and AA-500
Page 33 and 34: amp crash locations. It’s basical
Page 35 and 36: • Yield Sign• Active Railroad C
Page 37 and 38: • If the vehicle is designed to t
Page 39 and 40: Owner Last Name - (If the vehicle i
Page 41 and 42: 06 = Sport Utility Vehicle (SUV)07
Page 43 and 44: such as crash location on private p
Page 45 and 46: Relation to Roadway - Identifies wh
Page 47 and 48: 15 = Struck By Unit 516 = Struck by
Page 49 and 50: L/R - Code this field only when the
Page 51 and 52: Contributing Information - These fi
Page 53 and 54:
Narrative - There is no PENNDOT req
Page 55 and 56:
1 = Explosives2 = Poison Gas, Flamm
Page 57 and 58:
• Underride, Compartment Intrusio
Page 59 and 60:
• Before first Work Zone Warning
Page 61 and 62:
Deleting a Unit• Write the pre-pr
Page 63 and 64:
21 Cumberland22 Dauphin23 Delaware2
Page 65 and 66:
NA NayaritNL Nuevo LeonOA OazacaPU
Page 67 and 68:
• Page AA-500 F must be completed
Page 69 and 70:
D ) Bus PassengersA bus with 10 pas
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Commonwealth of Pennsylvania Police Officers Crash ... - NHTSA

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