DI-9 Manual PDF - Utah Department of Public Safety

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DiagramA diagram in the space provided should be completed for all crashes.Indicates Direction of NorthDraw a simple arrow in the circle indicating the direction of North, in conjunction with thediagram of the crash. This is important information for DOT and crash investigators.No DiagramReason for no diagram should be filled out only if there is not a field diagram.Check the No Diagram Box and then write the appropriate code next to REASON1. Office not on scene, 2. Vehicles Moved 3. Other (describe)Narrative of CrashDescribe What HappenedPlease make sure to print legibly so that information can be used by data users.70
Agency Specific InformationEach law enforcement agency has a unique protocol for crash investigation submissions. Pleasecheck with your supervisor for your agencies policies on submission of the DI-9.All agencies are required to submit a reportable crash investigation form (DI-9) within 10 daysfollowing the completion of the crash investigation.Mail the ORIGINAL REPORT to: Driver License Division, 4501 South 2700 West, P.O. Box30560, Salt Lake City, Utah 84130-0560.Officer’s Rank and NameDefinition: Affiliation of the person completing the crash report.Print officer’s name. DO NOT SIGN. Data users need to be able to read the officers name in casethere is further information needed from the investigating officer.Rationale: Important for quality control and identification purposes. The law enforcementreporting agency identifier is critical to report SAFETYNET crashes.Case NumberIf used, it is the same agency case number as entered on the front side of the DI-9.Date of ReportDefinition: The date (month, day, year) which the law enforcement agency officer wrote the crashreport.Write the date using the MM/DD/YYYY format.Rationale: Useful as a surrogate for date of the crash.71
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37. First Harmful Event ...........
Page 8 and 9:
FOREWARDThe Utah Department of Tran
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DI-9 CRASH FORM CHANGESThe DI-9 cra
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9. Occasionally, crashes occur as a
Page 15 and 16:
REPORT SUBMISSION GUIDELINESAll law
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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 66 and 67: EjectionDefinition: Occupant comple
Page 68 and 69: AgeEnter the age of the person from
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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