DI-9 Manual PDF - Utah Department of Public Safety

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EjectionDefinition: Occupant completely or partially thrown from the interior of the motorvehicle, excluding motorcycles, as a result of a crash.Note: For motorcyclists, pedal cyclists, etc. use code 96 Not Applicable rather than code 01Ejected. Similarly for non-motorists use 96 Not Applicable rather than code 00 Not Ejected.Enter the appropriate two-digit code for the driver and/or passenger(s) ejection:00 Not Ejected96 Not Applicable (motorcycle, snowmobile,01 Totally Ejectedpedestrian, pedal cyclist, etc.)02 Partially Ejected99 UnknownRationale: Occupant protection systems prevent or mitigate ejections to various degrees. Analysesof the effectiveness of safety belts depend on information from this data element.Ejection PathDefinition: Path or area of person(s) who were ejected from vehicle.Enter the appropriate two-digit code for the ejected individual:96 Not Applicable97 Other*01 Windshield99 Unknown02 Side Window/Door66
ExtricationDefinition: Extrication refers to use of equipment or other force to remove personsfrom the vehicles, i.e., more than just lifting or carrying person out of wreckage.Note: Please do not enter a code of 02 Extricated for helping a person from a vehicle. Extricatedwill generally require mechanical means such as a “jaws of life” or other extrication equipment.Enter the appropriate two-digit code for the driver and/or passenger(s) regarding extrication:01 Not Extricated02 Extricated99 UnknownNON-DRIVER PERSONS INVOLVED INFORMATIONNameDefinition: The full name of the occupant and/or pedestrian and/or bicyclist.Enter the names of the non-driver occupants and non-motorists involved in the crash in this space.Rationale: This data element should be collected to facilitate linkage when names are available inthe health and insurance files. When possible, obtain this information from the driver license.Date of Birth (DOB)Definition: The month, day, and year of birth of the person involved in a crash.Indicate the date of birth. This information should be taken from identification (if present),statement or other identification received in the investigation. The date of birth shall be listednumerically mm/dd/yyyy. Example: Month 06 Date 13 Year 1960If you do not have a date of birth put a dash in the box.Write the date of birth of the individual using the mm/dd/yyyy format.Rationale: Accurate reporting of date of birth is used to assess the effectiveness of occupantprotection systems for specific age groups, and to identify the need for safety programs directedtoward them. This element is also critical in providing linkage between the crash, EMS, andhospital records.67
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 and 36: codes listed under sequence of even
Page 37 and 38: WORK ZONEA work zone is an area of
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 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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