DI-9 Manual PDF - Utah Department of Public Safety

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Policy NumberWrite the insurance company policy number.Insurance ValidCheck the appropriate box. Mark “yes” if valid insurance is provided. Mark “no” if no insurancecan be verified.Agency/Agent that Sold PolicyWrite the name of the insurance agent that provided the insurance for the vehicle as indicated onthe card or by the driver.AddressWrite the address of the insurance agency. DO NOT FORGET THE ZIP CODE. This is veryimportant especially with large companies.PhoneWrite the phone number including area code. It is critical to indicate a phone number for FinancialResponsibility’s department in the Driver License Division.VEHICLE NUMBER 2, 3, 4, etc.This section should be filled out exactly as described above for vehicle number one.36
WORK ZONEA work zone is an area of highway that contains construction, maintenance, or utility workactivities. The work zone typically extends from the first advance warning sign to the END ROADWORK sign, or the last traffic control device. Work zones may exist for short or long durations andmay include stationary or moving activities. It is not necessary for workers or work vehicles to bepresent to be considered a work zone. Traffic control devices define a work zone.A work zone crash is a traffic crash, including both collision and non-collision crashes, that has theFirst Harmful Event occurring:A. Within the boundaries of a work zone, or;B. On an approach to or exit from a work zone, when the crash results from an activity,behavior, or control related to the movement of the traffic units through the work zone.A work zone crash excludes single vehicle crashes involving working vehicles not located in thetrafficway. For example: 1) a maintenance truck strikes a highway worker inside the work site; 2) autility worker repairing the electrical lines over the trafficway falls from the bucket of a cherrypicker.Work zones represent special hazards on the roadways. It is important to capture information aboutcrashes occurring in and around roadway work. Collection of this information helps to make ourroadways safer for drivers, their passengers, workers, and law enforcement officers who assist inmonitoring work zone areas.Work Zone RelatedWork zones represent special hazards on the roadways. It is important to capture information aboutcrashes occurring in and around roadway work. This will help make these areas safer for workersand motorists alike.Definition: A crash that occurs in or related to a construction, maintenance, or utility work zone,whether or not workers were actually present at the time of the crash. Work zone-related’ crashesmay also include those involving motor vehicles slowed or stopped because of the work zone, evenif the first event occurred before the first warning sign.Check the appropriate box.Note: In large work zone project areas especially on freeways, the zone may be several miles long.Rationale: Important to assess the impact on traffic safety of various types of on-highway workactivity, to evaluate Traffic Control Plans used at work zones, and to make adjustments to theTraffic Control Plans for the safety of workers and the traveling public. This data element needs tobe collected at the scene because work zones are relatively short term or moving operations thatare not recorded in permanent road inventory files.Workers PresentDefinition: When a work zone crash occurs, determine whether or not workers were actuallypresent at the time of the crash.Check the appropriate box whether or not workers were present at the time of the crash.37
Page 6 and 7: 37. First Harmful Event ...........
Page 8 and 9: FOREWARDThe Utah Department of Tran
Page 10 and 11: DI-9 CRASH FORM CHANGESThe DI-9 cra
Page 12 and 13: 9. Occasionally, crashes occur as a
Page 15 and 16: REPORT SUBMISSION GUIDELINESAll law
Page 17 and 18: Location fields are critical for UD
Page 19 and 20: Case NumberThis is the case number
Page 21 and 22: TrailersSpecial Instructions for ve
Page 23 and 24: ModelDefinition: The manufacturer-a
Page 25 and 26: StateDefinition: The geographic or
Page 27 and 28: Charge(s)Indicate charge(s) relatin
Page 29 and 30: The identification number (found on
Page 31 and 32: Example #1: If a commercial vehicle
Page 33 and 34: Sequence of EventsDefinition: The e
Page 35: codes listed under sequence of even
Page 39 and 40: Property DamageDamage to Property o
Page 41 and 42: Report TypeCheck the appropriate bo
Page 43 and 44: OVERLAY FIELDSFront SideIdentified
Page 45 and 46: 4. Cargo Body TypeDefinition: The e
Page 47 and 48: 8. Extent of Deformity for Most Dam
Page 49 and 50: 12. Work Zone TypeDefinition: The g
Page 51 and 52: 16. Driver ConditionDefinition: Any
Page 53 and 54: 20. Traffic Control DeviceDefinitio
Page 56 and 57: SIDE TWO OF DI-9 CRASH FORM OVERLAY
Page 58 and 59: DRIVER(S) & PERSON(S) INVOLVED INFO
Page 60 and 61: Blood Alcohol ContentIf a Blood Alc
Page 62 and 63: Injury DescriptionsInjury LevelThes
Page 64 and 65: Transported ByDefinition: Type and
Page 66 and 67: EjectionDefinition: Occupant comple
Page 68 and 69: AgeEnter the age of the person from
Page 70 and 71: DiagramA diagram in the space provi
Page 72 and 73: SIDE TWO OVERLAY FIELDS24. Visual C
Page 74 and 75: Roadway/Junction Features include:
Page 76 and 77: 32. Non-Motorist LocationDefinition
Page 78 and 79: 36. Location of First Harmful Event
Page 80 and 81: OTHER COUNTRIES (con’t)Honduras,
Page 82 and 83: Appendix C - Work Zone Diagram82
Page 84 and 85: Appendix E - Vehicle Impact Points
Page 86 and 87:
Appendix G - FMCSA Reporting86
Page 88 and 89:
Appendix J - Carrier and U.S. Dot N
Page 90 and 91:
Appendix L - Commercial Driver’s
Page 92 and 93:
CROSSWALK - (a) That part of a road
Page 94 and 95:
In Transport May Also Include:— D
Page 96 and 97:
POLE TRAILER - Every vehicle withou
Page 98 and 99:
WORK ZONE - Work zone locations inc
Page 100 and 101:
Investigation Completion Date, 40La
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DI-9 Manual PDF - Utah Department of Public Safety

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