1	Direct Questions Concerning This Power Point Presentation To:
2	OH-1 Crash Report
3	General Information OH-1 - New Crash Report Revised 10/99 OH-4 - No Longer Used OH-5 - No Longer Used
4	General Information OH-2 - Use Current Form OH-3 - Use Current Form
5	General Information Top Copies (In Black Ink) Are Sent To The Ohio Department Of Public Safety Bottom Copies are Retained By Agency - SSN Is Blacked Out
6	General Instructions PRINT LEGIBLY USE BLACK BALL-POINT PEN ONLY MARK IN DESIGNATED BOXES ONLY USE BLOCK LETTERS AND NUMBERS ONLY DO NOT SMEAR, FOLD OR STAPLE REPORTS 2 CORRECT 2 NOT CORRECT
7	General Instructions DO NOT DRAW LINES THROUGH ANY UNUSED BOXES LEAVE UNUSED BOXES BLANK CORRECT NOT CORRECT
8	General Instructions DO NOT DRAW LINES THROUGH ANY UNUSED AREAS ON THE FORM LEAVE UNUSED AREAS BLANK
9	General Instructions
10	PAGE ONE
11	Local Report Number * Use Local Report Number Format Complete Blocks Left To Right Do Not Zero Fill Boxes
12	Crash Severity 1 Fatal 2 Injury Visible Or Claimed Injury 3 PDO Property Damage Only 4 Unknown No Injury, Or Property Damage Less Than $400 Local Policy If OH-1 Is Completed
13	Private Property ‘X’ IF YES Leave Blank If Not Used Local Policy If OH-1 Is Completed
14	Hit/Skip 1 Not Hit/Skip 2 Solved 3 Unsolved
15	Photos Taken
16	OH-2 OH-3 OH-1P Other ‘X’ The Box For Associated Reports Used Leave Blank If No Associated Reports Are Used Other - Used For Local Associated Reports
17	N.C.I.C.# * Use Local N.C.I.C. Number Contact “LEADS Steering Committee Chairperson” For NCIC Number
18	Reporting Agency * Name of Agency Reporting Crash Cincinnati PD Knox County S/O Do Not Abbreviate Agency Name CPD KNSO
19	# Units List Total Number Of Units Involved Using Two Digits Includes Motorists Includes Non Motorists Fixed Objects Are Not Listed As Units See Block 9 For Complete List (34 =ATV)
20	Unit Error Indicate By Unit Number The Unit Having The Most Causative Bearing On The Crash 98 = Animal 99 = Unknown No Error Determined
21	Date of Crash * Report Crash Date With 2 Digits For Month And Day. The Year Is Reported In 4 Digits January 1, 2000 Is Recorded As
22	Time of Crash Record Military Time Of Crash 1:20 PM Is Recorded As
23	Day of Week Record Day Of Week Using The First Three Letters Of The Day Monday Is Recorded As
24	City * Village * TWP * ‘X’ The Box For Type Of Reporting Agency
25	Name (of city, village or township)* The Name Of City, Village Or Township Cleveland Arlington Heights Union
26	County # * Indicate County Number Where Crash Occurred Hamilton County County List Found In Block 16
27	Latitude/Longitude Record Latitude And Longitude Using Global Positioning Systems (When Available) Currently Optional Leave Blank If Not used
28	Crash Occurred On Record Crash Location By Prefix Crash Location
29	Prefix Use Prefix ONLY When A Single Street Is Separated Into Both North/South Or East/West Sections West Main St East Main St Leave Blank If No Prefix Is Used
30	Crash Location Crash Location Is Recorded By Roadway Name In This Order Interstate (IR) Federal (US) State (SR) County Road (CR) Township Road (TR) City Street Name
31	Type Loc Type Of Location Point Used 1 Named Street Elm Street 2 Numbered Street 15th Street 3 Numbered Route SR 128 Fifteenth Street Is Changed To 15th St
32	Local Information Use This Area To Identify Districts, Precincts, Named Areas, Private Property, Or Any Other Information Needed To Determine Crash Location
33	At / Reference Record Crash Location Reference Point By Dist Reference Distance From DR Direction From Prefix N S E W Reference Reference Used
34	Dist Reference Distance From Reference Point In Feet Or Miles F = Feet 500 F M = Miles 1.5 M In Decimals Milepost Markers = 10.1
35	DR Direction From Reference Point N = North S = South W = West E = East
36	Prefix Use Reference Prefix ONLY When The Reference Street Is Separated Into Both North/South Or East/West Sections West Main St East Main St Leave Blank If No Prefix Is Used
37	Reference Reference: Street, Object Or Location Used # 31 Street Address Vine Street Street Name 6.2 Mile Post Show Milepost In Decimals
38	Ref Point Record By Number Reference Point Used 01 State Line 02 Intersection 2 Streets 03 County Line 04 House Number (Street Address) 05 Township Boundary 06 Mile Post 07 Corporation Limit 08 Place Name W/O Reference (Objects W/O Names or Numbers) 09 Driveway 10 Street Or Route W/O Reference (No Available Street or Reference To Use)
39	Unit # Starting with 01, Sequentially Number All Units Of this Crash 01, 02, 03, Etc. Refer to Block 9 For Explanation Of Motorist And Non Motorist Fixed Objects Are Not Listed As Units
40	# of Occ. Total Number Of Occupants In Or On This Unit - Using Two Digits 01, 02, 03, Etc.
41	Name (Last, First, Middle) Last Name, First Name And Middle Initial Of Motorist Or Non Motorist Refer to Block 9 For Explanation Of Motorist And Non Motorist
42	Address (Street, City, State, Zip Code) Complete Address Of Motorist Or Non Motorist Including Street, City, State And Zip Code
43	Social Security Number Social Security Number of Motorist Or Non Motorist SSN Is Mandatory For Crash Reports SSN Is Blacked Out On Second (Local) Copy
44	Date of Birth Date Of Birth With 2 Digits For Month And Day. The Year Is Reported In 4 Digits January 1, 2000 Is Reported As
45	Age Age Of The Motorist / Non Motorist Using Two Digits If Less Than One Year Old, Enter 00 If Over 99 Years Old, Enter 99
46	Sex Sex Of The Motorist / Non Motorist M = Male F = Female U = Unknown
47	Home Phone # Work Phone # Include Area Code For Both Home And Work Phone Numbers Of Motorist Or Non Motorist
48	DL State State Issuing Drivers License To The Motorist See Block 33 For State Identifiers Leave Blank For No Drivers License
49	DL # Drivers License Number Of Motorist Enter NONE For No Drivers License Number
50	LP State State Issuing Vehicle License Plate See Block 33 For State Identifiers
51	LP # Vehicle License Plate Number
52	Injured Taken By Action Taken For Injury 1 None 2 EMS 3 Police 4 Other 5 Unknown
53	Transported By Record Who Transported This Patient Leave Blank If Not Transported
54	Injured Taken to Record Where Patient Was Taken Leave Blank If Not Transported
55	Owner Name (if same, write “SAME”) Record Name Of Vehicle Owner If Same As Operator, Use SAME Leave Blank If Non Motorist
56	Address (Street, City, State, Zip Code) Record Address Of Vehicle Owner If Same As Operator, Use SAME Leave Blank If Non Motorist
57	Year Use 4 Digits To Record Vehicle Year 2 0 0 0
58	Make Manufacturers Make Of Vehicle Ford Chevrolet Dodge
59	Model Manufacturers Model Of Vehicle Crown Victoria Caprice Caravan
60	Color Use General Colors Light Brown Brown Dark Brown
61	Insurance Company Insurance Agent Or Company Record NONE If Motorist Is Uninsured Record N/A For Non Motorists
62	Towing Service Towing Company Assisting This Vehicle
63	Owner Phone # Area Code And Phone Number Of Vehicle Owner
64	Offense Charged Record the One Offense Section Number Most Causative In The Crash The Violation Having The Most Impact On The Crash List Only One Offense
65	Offense Description The Offense Description Used For The Most Causative Crash Offense List Only One Offense Additional Offenses Can Be Listed In The Narrative
66	Citation # The Citation Number Used For The Most Causative Crash Violation List Only One Citation Number
67	Local Code? ‘X’ IF YES (A Local Offense Code Is Used ) Leave Blank If “ORC” Is Used
68	Unit # Complete Same As Blocks 21 - 49 Leave Blank If This Area Is Not Used
69	Unit # Unit Number This Occupant Is From List All Injured Occupants First, Followed By Uninjured Occupants, Followed By Witnesses Use OH-1 P For Additional Occupants Or Witnesses Leave Blank For Witness Leave Blank If This Area Is Not Used
70	Name (Last, First, Middle) Last Name, First Name And Middle Initial Of Occupant Or Witness
71	Home Phone # Include Area Code For Home Phone Number
72	Date of Birth Date Of Birth Of Occupant Or Witness Using 2 Digits For Month And Day. The Year Is Reported In 4 Digits January 1, 2000 Is Reported As
73	Age Age Of Occupant Or Witness Using Two Digits If Less Than One Year Old, Enter 00 If Over 99 Years Old, Enter 99
74	Sex Sex Of The Occupant Or Witness M = Male F = Female U = Unknown
75	Address (Street, City, State, Zip Code) Address Of Occupant Or Witness
76	Injured Taken By How Was This Occupant Transported 1 None 2 EMS 3 Police 4 Other 5 Unknown
77	Transported By Record Who Transported Injured Occupant Leave Blank If Not Transported
78	Injured Taken to Record Where Occupant Was Taken Leave Blank If Not Transported
79	Unit # Complete Same As Blocks 51 - 59 Leave Blank If This Area Is Not Used
80	Seating Position 01 Front – Left (MC Driver) 02 Front – Middle 03 Front – Right 04 Second – Left (MC Pass) 05 Second – Middle 06 Second – Right 07 Third – Left (MC Passenger/Side Car) 08 Third – Middle 09 Third – Right 10 Sleeper Section Of Cab 11 Enclosed Cargo Area 12 Unenclosed Cargo Area 13 Trailing Unit 14 Exterior 15 Other 16 Non-Motorist 17 Unknown
81	Safety Equipment Motorist 01 None Used 02 Shoulder Belt Only 03 Lap Belt Only 04 Shoulder/Lap Belt 05 Child Safety Seat 06 MC Helmet Used 07 Use Unknown Non-motorist 08 None Used 09 Helmet Used 10 Protective Pads 11 Reflective Clothing 12 Lighting 13 Other 14 Unknown
82	Air Bag 1 Not-Deployed 2 Deployed-Front 3 Deployed-Side 4 Deployed Both Front/Side 5 Not Applicable 6 Unknown
83	Air Bag Switch 1 Not Present 2 In On Position 3 In Off Position 4 Unknown
84	Ejection 1 Not Ejected 2 Totally Ejected 3 Partially Ejected 4 Not Applicable 5 Unknown
85	Trapped 1 Not trapped 2 Extricated By Mechanical Means 3 Freed By Non-Mechanical Means 4 Unknown
86	Injuries 1 No Injury 2 Possible 3 Non- Incapacitating 4 Incapacitating 5 Fatal Injury 6 Unknown
87	Supplement ‘X’ IF YES Complete Boxes 1, 7, 8, 11, 14, 15, 16, And 68 For Correction Or Addition Areas Are Identified With An * Leave Blank If Not Used
88	PAGE TWO
89	Unit Numbers From Page One, Enter Unit Numbers For A And B
90	Non-Motorist Location 01 Marked crosswalk At Intersection 02 Intersection/ No Crosswalk 03 Non-Intersection Crosswalk 04 Driveway Access Crosswalk 05 In Roadway 06 Not In Roadway 07 Median (But Not Shoulder) 08 Island 09 Shoulder 10 Sidewalk 11 Within 10 Feet Of Roadway (Not Shoulder, Median, Sidewalk, Island) 12 Beyond 10 Feet Of Roadway (Within Trafficway) 13 Outside Trafficway 14 Shared Use Paths Or Trails 15 Unknown
91	Type Of Unit - Motorists Motorist 1 Sub-Compact 2 Compact 3 Mid Size 4 Full Size 5 Minivan 6 Sport Utility Vehicle 7 Pickup 8 Panel/Van 9 Single Unit Truck; 2 Axles, 6 Tires 10 Single Unit Truck; 3+ Axles 11Truck/Trailer 12Truck Tractor (Bobtail) 25 Fire Truck 26 Ambulance/Rescue 27 Taxi 28 Motor Home 29 Train 30 Farm Vehicle 31 Farm Equipment 32 Snowmobile 33 Construction Equipment 34 All Others (ATV)
92	Type Of Unit - Non Motorists Non-Motorist 35 Animal W/Rider 36 Animal W/Buggy 37 Bicycle 38 Pedestrian 39 Pedalcyclist 40 Skater 41 Other-Non Motorist 42 Unknown
93	In Emergency Response 1 No 2 Yes 3 Unknown Mark Yes ONLY When Emergency Vehicle Is In Emergency Response With All Emergency Equipment In Operation
94	Damage Scale 1 None 2 Non-functional Damage 3 Functional Damage 4 Disabling Damage 5 Severe 6 Unknown Non-Functional Damage Is Cosmetic Damage Functional Damage Is Damage That Affects Any Working Part
95	Damage Area Shade In Damaged Areas For Units A And B
96	Most Damaged Area 09 Left Front 10 Top And Windows 11 Undercarriage 12 Load/Trailer 13 Total (All Areas) 14 Other 15 Unknown 01 None 02 Center Front 03 Right Front 04 Right Side 05 Right Rear 06 Rear Center 07 Left Rear 08 Left Side
97	Point of Impact 01 None 02 Center Front 03 Right Front 04 Right Side 05 Right Rear 06 Rear Center 07 Left Rear 08 Left Side 09 Left Front 10 Top And Windows 11 Undercarriage 12 Load/Trailer 13 Total (All Areas) 14 Other 15 Unknown
98	Action 1 Non-contact 2 Non-collision 3 Striking 4 Struck 5 Both Striking And Struck 6 Unknown Action Does Not Imply Fault
99	Striking Vehicle: Override/ Underride 1 No Underride Or Override 2 Underride, Compartment Intrusion 3 Underride, No Compartment Intrusion 4 Underride, Compartment Intrusion Unknown 5 Override, Motor Vehicle In Transport 6 Override, Other Vehicle 7 Unknown Striking Vehicle Only
100	Pre-Crash Actions Motorist 01 Movements Essentially Straight Ahead 02 Backing 03 Changing Lanes 04 Overtaking/Passing 05 Turning Right 06 Turning Left 07 Making U-Turn 08 Entering Traffic Lane 09 Leaving Traffic Lane 10 Parked 11 Slowing/Stopped In Traffic 12 Driverless 13 Other 14 Unknown Non-Motorist 15 Entering/Crossing In Specified Location 16 Walking, Running, Jogging, Playing, Cycling 17 Working 18 Pushing Vehicle 19 Approaching/Leaving Vehicle 20 Playing/Working On Vehicle 21 Standing 22 Other 23 Unknown
101	Contributing Circumstances - Motorist Motorist 01 None 02 Failure to Yield 03 Ran Red Light, Stop Sign 04 Exceeded Speed Limit 05 Unsafe Speed 06 Improper Turn 07 Left of Center 08 Followed Too Closely/ACDA 09 Improper Lane Change/ Drove Off Road/ Improper Passing 10 Improper Backing 11 Improper Start From Parked Position 12 Stopped or Parked Illegally 13 Operating Vehicle In Erratic, Reckless, Careless, Negligent Or Aggressive Manner 14 Swerving to Avoid (Due To Wind, Slippery Surface, Vehicle, Object, Non-Motorist in Roadway, Etc) 15 Failure to Control 16 Vision Obstruction 17 Driver Inattention 18 Fatigue/Asleep 19 Operating Defective Equipment 20 Load Shifting/Falling/Spilling 21 Other Improper Action 22 Unknown
102	Contributing Circumstances - Non Motorist Non-motorist 23 None 24 Improper Crossing 25 Darting 26 Lying And/Or Illegally In Roadway 27 Failure To Yield Right Of Way 28 Not Visible (Dark Clothing) 29 Inattentive 30 Failure To Obey Traffic Signs, Signals, Or Officer 31 Wrong Side Of The Road 32 Other 33 Unknown
103	Vehicle Defect Code Only if ‘19’ Selected Above 01 Turn Signals 02 Head Lamps 03 Tail Lamps 04 Brakes 05 Steering 06 Tire Blowout 07 Worn Or Slick Tires 08 Trailer Equipment Defective 09 Motor Trouble 10 Disabled From Prior Crash 11 Other Defects Code ONLY when 19 Is Used In Block 80 Leave Blank If Not Used
104	Sequence Of Events A B Record In Sequence The Events For Both Units
105	Sequence Of Events Non-Collision 01 Overturn/Rollover 02 Fire/Explosion 03 Immersion 04 Jackknife 05 Cargo/Equipment Loss/Shift 06 Equipment Failure 07 Separation Of Units 08 Ran Off Road Right 09 Ran Off Road Left 10 Cross Median/Centerline 11 Downhill Runaway 12 Other Non-Collision 13 Unknown Non-Collision If The First Event For Unit A Was Leaving The Right Side Of The Roadway Block #1 For Unit A Would Be Coded As “08”
106	Sequence Of Events Collision w/Person, Vehicle, Or Object Not Fixed 14 Pedestrian 15 Pedalcycle 16 Railway Vehicle 17 Animal – Farm 18 Animal – Deer 19 Animal – Other 20 Motor Vehicle In Transport 21 Parked Motor Vehicle 22 Work Zone Maintenance Equipment 23 Other Movable Object 24 Unknown Movable Object If The Second Event For Unit A Was Striking A Pedestrian Block 2 For Unit A Would Be Coded As A “14”
107	Sequence Of Events Collision With Fixed Object 25 Impact Attenuator/Crash Cushion 26 Bridge Overhead Structure 27 Bridge Pier Or Abutment 28 Bridge Parapet 29 Bridge Rail 30 Guardrail Face 31 Guardrail End 32 Median Barrier 33 Highway Traffic Sign Post 34 Overhead Sign Post 35 Light/Luminaries Support 36 Utility Pole
108	First Harmful Event From Block 82 In the Sequence of Events Which Block Number is the First Harmful Event Blocks 1 - 4
109	Most Harmful Event From Block 82 In the Sequence of Events Which Block Number is the Most Harmful Event Blocks 1 - 4
110	Speed Detected 1 Stated 2 Estimated Speed Stated Speed Of Motorist Or Officers Estimated Speed
111	Speed Stated Or Estimated Speed In Miles Per Hour For Units A And B Complete Blocks Left To Right Do Not Zero Fill Boxes
112	Posted Speed Posted Speed Limit For Units A And B In Miles Per Hour
113	Traffic Control 01 No Controls 02 Stop Sign 03 Yield Sign 04 Traffic Signal 05 Traffic Flashers 06 School Zone 07 Railroad Crossbucks 08 Railroad Flashers 09 Railroad Gates 10 Construction Barricade 11 Police Officer 12 Pavement Markings 13 Crosswalk Lines 14 Walk/Don’t Walk Signal 15 Traffic Control Device Inoperative, Missing, Obscured 16 Other **
114	Direction From To 1 North 2 South 3 East 4 West 5 Northeast 6 Northwest 7 Southeast 8 Southwest 9 Unknown Show Direction As From And To
115	Condition 1 Apparently Normal 2 Physical Impairment 3 Emotional 4 Illness 5 Fell Asleep, Fainted, Fatigued, Etc 6 Under The Influence Of Medications/Drugs/Alcohol 7 Other 8 Unknown
116	Alcohol/Drug Suspected 1 None 2 Yes – Alcohol Suspected 3 Yes - HBD Not Impaired 4 Yes – Drugs Suspected 5 Yes – Alcohol / Drugs Suspected 6 Unknown Use None If Alcohol Or Drugs Are Not Suspected
117	Alcohol Test Status 1 None 2 Test Refused 3 Test Given, Contaminated Sample / Unusable 4 Tests Given, Results Known 5 Tests Given, Results Unknown 6 Unknown Use None If Alcohol Is Not Suspected
118	Alcohol Test Type 1 None 2 Blood 3 Urine 4 Breath 5 Other Use None If Alcohol Is Not Suspected
119	Alcohol Test Result Using Three Digits Complete The BAC Level For Alcohol . Leave Blocks Blank If Not Used Supplement Late Results To ODPS
120	Drug Test Status 1 None 2 Test Refused 3 Test Given, Contaminated Sample/Unusable 4 Test Given, Results Known 5 Test Given, Results Unknown 6 Unknown Use None If Drugs Are Not Suspected
121	Drug Test Type 1 None 2 Blood 3 Urine 4 Other Use None If Drugs Are Not Suspected
122	Drug Test 1&2 Result 1 None 2 Marijuana 3 Cocaine 4 Opiates 5 Amphetamines 6 PCP 7 Other 8 Unknown at Time Of Reporting Use None For No Drug Result
123	Type Of Intersection 1 Not An Intersection 2 Four Way Intersection 3 T - Intersection 4 Y- Intersection 5 Traffic Circle/Roundabout 6 Five Point Or More 7 On Ramp 8 Off Ramp 9 Crossover 10 Driveway Access 11 Railway Grade Crossing 12 Shared-Use Paths Or Trails 13 Unknown
124	Occurrence 1 On Roadway 2 On Shoulder 3 In Median 4 On Roadside 5 On Gore 6 Outside Trafficway 7 Unknown
125	Road Contour 1 Straight Level 2 Straight Grade 3 Curve Level 4 Curve Grade
126	Road Conditions 1 Dry 2 Wet 3 Snow 4 Ice 5 Sand, Mud, Dirt, Oil, Gravel 6 Water (Standing, Moving) 7 Slush 8 Debris 9 Rut, Holes, Bumps, Uneven Pavement 10 Other 11 Unknown 1 - 7 Are Primary Conditions Any Can Be Used As Secondary Conditions
127	Supplement ‘X’ IF YES Leave Blank If Not Used
128	Local Report Number * Record The Local Crash Report Number From Page One Do Not Zero Fill Boxes
129	PAGE THREE
130	Narrative Print A Brief And Concise View Of The Crash Refer To Units By Unit Number Narrative And Crash Diagram Must Correspond
131	Manner of Collision or Impact 1 Not Collision Between Two Vehicles in Transport 2 Rear-End 3 Head-On 4 Rear-To-Rear 5 Backing 6 Angle 7 Sideswipe, Same Direction 8 Sideswipe, Opposite Direction 9 Unknown
132	Weather 01 Clear 02 Cloudy 03 Fog, Smog, Smoke 04 Rain 05 Sleet, Hail (Freezing Rain Drizzle) 06 Snow 07 Severe Crosswinds 08 Blowing Sand, Soil, Dirt, Snow 09 Other 10 Unknown
133	Light Conditions 1 Daylight 2 Dawn 3 Dusk 4 Dark - Lighted Roadway 5 Dark - Not Lighted 6 Dark - Unknown Lighting 7 Glare 8 Other 9 Unknown Use Secondary Conditions For Causative Factors Leave Blank If No Secondary Conditions
134	School Bus Related 1 No 2 Yes, Directly Involved 3 Yes, Indirectly Involved 4 Unknown School Bus Is Listed As A Unit If Directly Involved School Bus Is Not Listed As A Unit If Indirectly Involved
135	Work Zone Related 1 No 2 Yes 3 Unknown Was Crash In or Related To A Work Zone Or Construction Area Includes Temporary Work And Construction Zones Properly Marked
136	Type Of Work Zone 1 Lane Closure 2 Lane Shift/Crossover 3 Work On Shoulder Or Median 4 Intermittent/Moving Work 5 Other
137	Location Of Crash In Work Zone 1 Before First Work Zone Warning Sign 2 Advance Warning Area 3 Transition Area 4 Activity Area Example Of Work Zone On Page Separators Included With Each Package Of Reports
138	Workers Present 1 No 2 Yes 3 Unknown
139	Diagram Draw A Picture Of The Crash Based On Officer’s Investigation And/Or Statements From Drivers And Witnesses Use Solid Lines Prior To Impact Use Dashed Lines Post Impact Narrative And Crash Diagram Must Correspond
140	Truck/Bus The Truck/Bus Supplement Eliminates The Use Of The OH-5. The Truck/Bus Supplement Is Not Used In All Cases Involving A Truck Or Bus
141	Truck/Bus The Crash INVOLVED One or More of The Following: A Truck (Motor Vehicle) With a GVWR More Than 10,000 Pounds; Or A Truck (Motor Vehicle) With A Hazardous Materials Placard; Or A Bus Designed For At Least 8 Persons, Including Driver. AND The Crash RESULTED In One Or More Of The Following: A Fatality; Or An Injury Requiring Transportation For Immediate Medical Treatment; Or At Least One Vehicle Was Towed Due To Disabling Damage Or Required Intervening Assistance Before Proceeding Under Its Own Power.
142	Truck/Bus Unit # From Page One, Identify By Unit Number The Truck Or Bus Involved
143	Truck/Bus Company (From Shipping Papers) Verify Company Name From Shipping Papers
144	Truck/Bus Company Phone Record Company Phone Number
145	Truck/Bus Address (Street,City,St,Zip Code) Record Company Address
146	Truck/Bus US DOT Record The US DOT Number From The Vehicle All Of The Following Numbers Are Not Required - Record Displayed Numbers
147	Truck/Bus ICC MC Record The ICC MC Number From The Vehicle
148	Truck/Bus PUCO Record The PUCO Number From The Vehicle
149	Truck/Bus Trailer LP St. State Issuing Trailer License Plate See Block 33 For State Identifiers
150	Truck/Bus Trailer LP Year Use 4 Digits To Record Trailer License Plate Year 2 0 0 0
151	Truck/Bus Trailer LP # Trailer License Plate Number
152	Truck/Bus Placard # Taken From The Center Of The Hazardous Material Placard Diamond See Page 35, Block 125 For Hazardous Material Placard Example
153	Truck/Bus # Dia. Taken From The Bottom Of The Hazardous Material Placard Diamond See Page 35, Block 125 For Hazardous Material Placard Example
154	Truck/Bus Cargo Body Type 01 Not Applicable 08 Dump 02 Bus (9-15 Including Driver) 09 Concrete Mixer 03 Van/Enclosed Box 10 Auto transporter 04 Grain/Chips/Gravel 11 Garbage/Refuse 05 Pole 12 Other 06 Cargo Tank 13 Unknown 07 Flatbed
155	Truck/Bus Weight (GVWR) 1 Less/Equal 10,000 2 10,001 - 26,000 3 More Than 26,000
156	Truck/Bus CDL Class 1 Class A 2 Class B 3 Class C 4 Class M 5 Class D
157	Truck/Bus Hazardous Materials Placard 1 No 2 Yes 3 Unknown
158	Truck/Bus Hazardous Materials Released 1 No 2 Yes 3 Not Applicable 4 Unknown
159	Police Action Date Crash Reported 2 Digits For Month And Day. The Year Is Reported In 4 Digits January 1, 2000 Is Recorded As
160	Police Action Time Received Call Military Time Law Enforcement Received Call
161	Police Action Dispatch Military Time Law Enforcement Was Dispatched To Crash
162	Police Action Arrived Military Time Law Enforcement Arrived At The Crash Scene
163	Police Action Cleared Military Time Crash Scene Was Cleared
164	Police Action Other Record In Minutes Additional Investigative Time After Leaving The Scene - Complete Blocks Left To Right - Do Not Zero Fill Boxes
165	Police Action Total Minutes Total Number Of Minutes Required To Complete The Crash From Dispatch Time Through Other Time Complete Blocks Left To Right Do Not Zero Fill Boxes
166	Police Action Officer’s Name * Print Investigating Officer’s Name Legibly
167	Police Action Badge # * Investigating Officers Badge Or ID Number Fill Blocks Left To Right
168	Police Action Checked By Person Checking Crash Report For Completeness, Accuracy and Legibility Print Name And ID Number
169	Police Action Date Report Filed * Reported With 2 Digits For Month And Day. The Year Is Reported In 4 Digits January 1, 2000 Is Recorded As
170	Police Action Report Taken By 1 Police Agency Law Enforcement Competed Report At Scene Or Viewed Damage 2 Motorist Motorist Completed Report - Law Enforcement Did Not Respond To Scene And Did Not View Damage
171	Police Action Report Taken At 1 Scene Police Responded To Scene 2 Station Report Taken At Station 3 Other Completed By Citizen - No Police Investigation
172	Supplement ‘X’ IF YES Leave Blank If Not Used
173	Local Report Number * Record The Local Crash Report Number From Page One Do Not Zero Fill Boxes
174	OCCUPANT ADDENDUM OH-1P
175	Local Report Number * From Page One Record The Local Crash Report Number Do Not Zero Fill Boxes
176	N.C.I.C.# * From Page One Enter The Local N.C.I.C. Number
177	Reporting Agency * Name of Agency Reporting Crash Cincinnati PD Knox County S/O Do Not Abbreviate Agency Name CPD KNSO
178	Date of Crash * Report Crash Date With 2 Digits For Month And Day. The Year Is Reported In 4 Digits January 1, 2000 Is Recorded As
179	Unit # Unit Number This Occupant Is From List All Injured Occupants First, Followed By Uninjured Occupants, Followed By Witnesses Leave Blank For Witness
180	Name (Last, First, Middle) Last Name, First Name And Middle Initial Of Occupant Or Witness
181	Home Phone # Include Area Code For Home Phone Number
182	Date of Birth Date Of Birth Of Occupant Or Witness Using 2 Digits For Month And Day. The Year Is Reported In 4 Digits January 1, 2000 Is Reported As
183	Age Age Of Occupant Or Witness Using Two Digits If Less Than One Year Old, Enter 00 If Over 99 Years Old, Enter 99
184	Sex Sex Of The Occupant Or Witness M = Male F = Female U = Unknown
185	Address (Street, City, State, Zip Code) Address Of Occupant Or Witness
186	Injured Taken By How Was This Occupant Transported 1 None 2 EMS 3 Police 4 Other 5 Unknown Leave Blank For Witness
187	Transported By Record Who Transported Injured Occupant Leave Blank For Witness
188	Injured Taken to Record Where Occupant Was Taken Leave Blank For Witness
189	Unit # Complete Same As Blocks 150 - 158 Leave Blank If These Areas Are Not Used
190	OH-1 P Blocks 165 - 171 Leave Blocks 165 - 171 Blank For Witness
191	Seating Position 01 Front – Left (MC Driver) 02 Front – Middle 03 Front – Right 04 Second – Left (MC Pass) 05 Second – Middle 06 Second – Right 07 Third – Left (MC Passenger/Side Car) 08 Third – Middle 09 Third – Right 10 Sleeper Section Of Cab 11 Enclosed Cargo Area 12 Unenclosed Cargo Area 13 Trailing Unit 14 Exterior 15 Other 16 Non-Motorist 17 Unknown
192	Safety Equipment Motorist 01 None Used 02 Shoulder Belt Only 03 Lap Belt Only 04 Shoulder/Lap Belt 05 Child Safety Seat 06 MC Helmet Used 07 Use Unknown Non-motorist 08 None Used 09 Helmet Used 10 Protective Pads 11 Reflective Clothing 12 Lighting 13 Other 14 Unknown
193	Air Bag 1 Not-Deployed 2 Deployed-Front 3 Deployed-Side 4 Deployed Both Front/Side 5 Not Applicable 6 Unknown
194	Air Bag Switch 1 Not Present 2 In On Position 3 In Off Position 4 Unknown
195	Ejection 1 Not Ejected 2 Totally Ejected 3 Partially Ejected 4 Not Applicable 5 Unknown
196	Trapped 1 Not trapped 2 Extricated By Mechanical Means 3 Freed By Non-Mechanical Means 4 Unknown
197	Injuries 1 No Injury 2 Possible 3 Non- Incapacitating 4 Incapacitating 5 Fatal Injury 6 Unknown
198	Supplement ‘X’ IF YES Complete Boxes 146, 147, 148, 149, And 172 For Correction Or Addition Areas Are Identified With An * Leave Blank If Not Used
199	Questions And Comments
200	Direct Questions Concerning This Power Point Presentation To: