INVESTIGATING OFFICER'S REPORT OF MOTOR VEHICLE ACCIDENT
CODE SHEET
Form 433014 (04-18)
Page 2 of 4
Alcohol Test Given
1 - None
2 - Blood
3 - Urine
4 - Breath
5 - Vitreous
9 - Refused
Driver Characteristics
Contributing Circumstances, Driver (up to two)
1 - Ran traffic signal Failed to yield right-of-way (FTYROW):
2 - Ran Stop sign 40 - From Stop sign
3 - Exceeded authorized speed 41 - From Yield sign
4 - Driving less than the posted speed limit 42 - Making left turn
5 - Driving too fast for conditions 43 - Making right turn on red signal
6 - Lost control 44 - From driveway
7 - Followed too close 45 - From parked position
8 - Operating vehicle in a reckless, erratic 46 - To non-motorist
careless, negligent manner 47 - At uncontrolled intersection
9 - Improper or erratic lane changing 97 - Other FTYROW (explain in narrative)
10 - Aggressive driving/road rage
11 - Made improper turn Other (explain in narrative):
12 - Failed to yield to emergency vehicle 50 - Vision obstructed
13 - Traveling wrong way/on wrong side 51 - Operating without required equipment
14 - Traveling on prohibited traffic way 52 - Failure to obey displayed vehicle
15 - Over-correcting/over-steering warnings or instructions
16 - Failed to keep in proper lane 53 - Disregarded signs/road markings
17 - Failure to signal intentions 54 - Illegal off-road driving
18 - Swerved to avoid: vehicle, object 55 - Towing improperly
non-motorist, or animal in roadway 56 - Getting off/out of vehicle
19 - Starting or backing improperly 57 - Overloading/improper loading
20 - Failure to dim lights/have lights on with passengers/cargo
21 - Vehicle stopped on railroad tracks
22 - Vehicle drove around grade crossing gates
58 - Operator inexperience
Passing
30 - On wrong side 88 - No improper action
31 - Where prohibited by signs/markings
32 - With insufficient distance/inadequate visibility 98 - Other (explain in narrative)
33 - Through/around barrier 99 - Unknown
96 - Other passing (explain in narrative)
Driver Condition
1 - Apparently normal 8 - Physical impairment
2 - Emotional (e.g., depressed, angry) 9 - Walks with a cane/crutches
3 - Asleep/fatigued 10 - Paraplegic/wheelchair restricted
4 - Illness/fainted 11 - Impaired due to previous injury
5 - Medical condition (seizure, reaction)
12 - Hearing impaired/deaf
6 - Under the influence of alcohol 13 - Visually impaired
7 - Under the influence of drugs/meds 98 - Other (explain in narrative)
99 - Unknown
Vision Obscured
1 - Not obscured 11 - Broken/dirty windshield
2 - Trees/crops 12 - Frosted windows/windshield
3 - Embankment 13 - External mirrors
4 - Hillcrest 14 - Blowing snow
5 - Building(s)
15 - Fog/smoke/dust
6 - Sign/billboard 16 - Splash/spray of passing vehicle
7 - Parked vehicle(s) 17 - Inadequate vehicle lighting
8 - Moving vehicle(s) 18 - Exterior angle/blind spot on vehicle
9 - Person/object in or on vehicle 98 - Other (explain in narrative)
10 - Blinded by sun or headlights 99 - Unknown
Alcohol/Drug Testing
Accident Environment
Drug Test Given
1 - None
2 - Blood
3 - Urine
4 - Breath
5 - Vitreous
9 - Refused
Drug Test Result
1 - Negative 6 - Inhalants
2 - Cannabis 7 - Narcotic
3 - Central Nervous Analgesics
Sys. depressants 8 - Disociative
4 - Central Nervous Anesthetic (PCP)
Sys, stimulants 9 - Prescription Drug
5 - Hallucinogens 98 - Other (explain
in narrative)
Light Conditions
1 - Daylight 4 - Dark, roadway lighted
2 - Dusk 5 - Dark, roadway not lighted
3 - Dawn 6 - Dark, unknown roadway lighting
9 - Unknown
Driver Re-Examination Needed:
1 - Yes (explain in narrative)
2 - No
Driver Distraction:
1 - Not applicable/no driver
2 - Not distracted
Electronic devices:
3 - Manual operation of an electronic
communication device (texting, typing, dialing)
4 - Talking on hand-held device
5 - Talking on hands free device
6 - Adjusting devices (radio, climate)
96 - Other activity with electronic device
(explain in narrative)
Other distraction inside vehicle:
10 - Passenger
11 - Unrestrained animal
12 - Eating or drinking related
13 - Smoking related
14 - Reaching for object(s)/fallen object(s)
15 - Inattentive/lost in thought
16 - Looked but did not see
97 - Other distraction inside vehicle
(explain in narrative)
98 - Distraction outside vehicle
(explain in narrative)
99 - Unknown
Location of First Harmful Event
1 - On roadway
2 - Shoulder
3 - Median
4 - Roadside
5 - Gore
6 - Outside trafficway
7 - In parking lane/zone
8 - Continuous left turn lane
9 - Separator
98 - Other (explain in narrative)
99 - Unknown
Surface Conditions
1 - Dry
2 - Wet
3 - Ice/Frost
4 - Snow
5 - Slush
6 - Mud, dirt
7 - Water (standing or moving)
8 - Sand
9 - Oil
10 - Gravel
98 - Other (explain in narrative)
99 - Unknown
Manner of Crash/Collision
1 - Non-collision (single vehicle)
2 - Head-on (front to front)
3 - Rear end (front to rear)
4 - Angle, oncoming left turn
5 - Broadside (front to side)
6 - Sideswipe, same direction
7 - Sideswipe, opposite direction
8 - Rear to rear
9 - Rear to side
98 - Other (explain in narrative)
99 - Unknown
Weather Conditions (up to two)
1 - Clear
2 - Cloudy
3 - Fog, smoke, smog
4 - Freezing rain/drizzle
5 - Rain
6 - Sleet, hail
7 - Snow
8 - Blowing snow
9 - Severe winds
10 - Blowing sand, soil, dirt
98 - Other (explain in narrative)
99 - Unknown