Instructional Manual

Chapter 2: The DMV-349 Pad ..................................................................................... 12 The DMV-349 Form................................................................................................................................. 12 Multi-Occupant Vehicle Form .................................................................................................................. 14 Chapter 3: Filling out the DMV-349 Form .................................................................. 16 Statistical Code Boxes 1 through 32 ....................................................................................................... 16 General Crash Information ............................................................................................................... 17 1 Locality ......................................................................................................................................... 17 2 Predominant Development Type ................................................................................................. 17 3 Road Surface Condition ............................................................................................................... 17 4 Weather Condition – First ............................................................................................................ 18 5 Weather Condition – Second ....................................................................................................... 18 6 Weather Contributed to the Crash ............................................................................................... 18 7 Ambient Light ............................................................................................................................... 18 Harmful Events/Contributing Circumstances Information ............................................................ 19 8 Contributing Circumstances, Non-Motorist – First ....................................................................... 19 9 Contributing Circumstances, Non-Motorist – Second .................................................................. 19 10 First Harmful Event (Crash Level) ............................................................................................... 20 11 Most Harmful Event (Crash Level) .............................................................................................. 24 12 Contributing Circumstances, Roadway – First ............................................................................ 24 13 Contributing Circumstances, Roadway – Second ...................................................................... 25 14 Contributing Circumstances, Driver 1 – First .............................................................................. 25 15 Contributing Circumstances, Driver 1 – Second ......................................................................... 26 16 Contributing Circumstances, Driver 1 – Third ............................................................................. 26 17 Contributing Circumstances, Driver 2 – First .............................................................................. 26 18 Contributing Circumstances, Driver 2 – Second ......................................................................... 26 19 Contributing Circumstances, Driver 2 – Third ............................................................................. 27 20 Commercial Motor Vehicle .......................................................................................................... 27 Occupant and Non-Motorist Information ........................................................................................ 28 21 Vehicle Number ........................................................................................................................... 29 22 Person Type ................................................................................................................................ 29 23 Seating Position .......................................................................................................................... 29 24 DOB ............................................................................................................................................. 30 25 Ethnicity ....................................................................................................................................... 30 26 Gender ........................................................................................................................................ 30 27 Occupant/Non-Motorist Protection .............................................................................................. 31 DMV-349Instructional Manual 28 Air Bag Deployment .................................................................................................................... 31 29 Air Bag Switch Status .................................................................................................................. 31 30 Trapped Status ............................................................................................................................ 32 31 Ejection Status ............................................................................................................................ 32 32 Injury Status ................................................................................................................................ 32 Vehicle Towed To/By ....................................................................................................................... 33 Emergency Medical Services ........................................................................................................... 33 Front of DMV-349 .................................................................................................................................... 35 Reporting and Control Information .................................................................................................. 35 Urban Intersections .......................................................................................................................... 39 33 Relation to Roadway Surface ...................................................................................................... 39 Urban Non – Intersections ............................................................................................................... 41 Rural Intersections ........................................................................................................................... 43 Rural Non – Intersections ................................................................................................................. 45 Non – Intersection Near Interchange ............................................................................................... 47 Interchange Ramps .......................................................................................................................... 48 Service Roads .................................................................................................................................. 49 Private Property................................................................................................................................ 50 Public Vehicular Areas ..................................................................................................................... 51 Driver Information .............................................................................................................................. 52 34 Vision Obstruction ....................................................................................................................... 53 35 Physical Condition ....................................................................................................................... 53 36 D.L. Restrictions .......................................................................................................................... 53 37 Alcohol/Drugs Suspected ............................................................................................................ 54 38 Alcohol/Drugs Test ...................................................................................................................... 54 39 Test Results (if known) ................................................................................................................ 54 40 Vehicle Seizure (DWI) ................................................................................................................. 54 Pedestrian, Bicyclist, or Other .......................................................................................................... 55 Owner Information ............................................................................................................................. 57 41 Vehicle Style (Type) .................................................................................................................... 58 42 Vehicle Drivable .......................................................................................................................... 59 43 Traffic Damage (TAD) ................................................................................................................. 60 44 Estimated Damage ...................................................................................................................... 60 Reporting Crashes Involving CMVs ................................................................................................. 61 45 Cargo Body Type ........................................................................................................................ 61 Identifying Vehicle Styles and Cargo Type ...................................................................................... 64 Identifying Motor Carriers in Crashes .............................................................................................. 65 Problems Identifying the Correct Information ................................................................................... 67 Rented and Leased CMVs ............................................................................................................... 67 Commercial Driver License (CDL) ................................................................................................... 68 Emergency Medical Services ........................................................................................................... 71 46 Name of EMS .............................................................................................................................. 71 47 Destination of Injured Person ...................................................................................................... 71 Back of DMV-349 .................................................................................................................................... 72 DMV-349Instructional Manual 48 Points of Initial Contact ................................................................................................................ 72 Crash Sequence (Unit Level) ............................................................................................................ 73 49 Vehicle Maneuver/Action ............................................................................................................ 73 50 Non-Motorist Action ..................................................................................................................... 74 51 Non-Motorist Location Prior to Impact ........................................................................................ 74 52 First Harmful Event - Vehicle Level ............................................................................................. 75 53 Second Harmful Event - Vehicle Level ....................................................................................... 81 54 Third harmful Event - Vehicle Level ............................................................................................ 81 55 Fourth Harmful Event - Vehicle Level ......................................................................................... 82 56 Most Harmful Event - Vehicle Level ............................................................................................ 82 57 Distance/Direction to Object Struck ............................................................................................ 82 58 Vehicle Underride/Override ......................................................................................................... 82 59 Vehicle Defects ........................................................................................................................... 83 Vehicle Information............................................................................................................................ 83 60 Authorized Speed Limit ............................................................................................................... 83 61 Estimate of Original Traveling Speed ......................................................................................... 84 62 Estimate of Speed at Impact ....................................................................................................... 84 63 Tire Impressions Before Impact .................................................................................................. 84 64 Distance Traveled After Impact ................................................................................................... 84 65 Emergency Vehicle Use .............................................................................................................. 84 66 Post Crash Fire ........................................................................................................................... 84 67 School Bus – Contact Vehicle ..................................................................................................... 84 68 School Bus – Noncontact Vehicle ............................................................................................... 85 Roadway Information ........................................................................................................................ 85 69 Road Feature .............................................................................................................................. 85 70 Road Character ........................................................................................................................... 87 71 Road Classification ..................................................................................................................... 88 72 Road Surface Type ..................................................................................................................... 88 73 Road Configuration ..................................................................................................................... 89 74 Access Control ............................................................................................................................ 89 75 Number of Lanes ......................................................................................................................... 90 76 Traffic Control Type ..................................................................................................................... 90 77 Traffic Control Operating ............................................................................................................. 90 Work Zone Related ............................................................................................................................ 91 78 Work Zone Area .......................................................................................................................... 91 79 Work Activity................................................................................................................................ 92 80 Work Area Marked ...................................................................................................................... 92 81 Location of Crash ........................................................................................................................ 92 Trailer Information ............................................................................................................................. 92 82 Trailer Type ................................................................................................................................. 93 83 Overwidth Trailer/Mobile Home................................................................................................... 94 Commercial Vehicle: Hazardous Materials Involvement ............................................................... 94 84 Crash Diagram .............................................................................................................................. 96 85 Narrative ........................................................................................................................................ 97 DMV-349Instructional Manual 86 Additional Property Damage ....................................................................................................... 97 Witnesses ......................................................................................................................................... 98 Traffic Violations ............................................................................................................................... 98 Officer/Agency .................................................................................................................................. 98 Appendix A: Glossary of Terms ................................................................................. 99 Index ........................................................................................................................... 123 DMV-349 Instructional Manual 9 Chapter 1: Introduction to DMV-349 Highway safety starts with Crash data. Only an investigating officer can collect timely information at the crash scene and provide the experience, objectivity and professionalism needed to represent the public’s interest. Information, which he or she may record, should be based on the officer’s professional opinion. North Carolina motor vehicle laws state that a reportable motor vehicle traffic crash must meet at least one of the following criteria: • The crash resulted in a fatality, or • The crash resulted in a non-fatal personal injury, or • The crash resulted in total property damage amounting to $1,000.00 or more, or • The crash resulted in property damage of any amount to a vehicle seized, or • The vehicle has been seized and is subject to forfeiture under G. S. 20-28.3. In addition, a reportable motor vehicle traffic crash must occur on a trafficway (any land way open to the public as a matter of right or custom for moving persons or property from one place to another) or occur after the motor vehicle runs off the roadway but before events are stabilized. The terms collision, accident, and crash are synonymous when describing a motor vehicle crash. Reporting Requirements The DMV Crash Report Form (paper or electronic) is to be used by all law enforcement officers to report motor vehicle crashes in North Carolina. After the investigation of a crash is completed, North Carolina General Statute 20-166.1 requires that the investigating officer make a written report of the crash within 24 hours. The law enforcement agency must submit the report to the Division of Motor Vehicles (DMV) within 10 days after receiving it. If the officer writing the report is a member of the State Highway Patrol, the officer must forward the report to the Division of Motor Vehicle (DMV). Important: When a person injured in a reportable crash dies as a result of the crash within 12 months after the crash, and the death was not reported in the original report, the law enforcement officer investigating the crash must file a supplemental report that includes the death. DMV-349 Instructional Manual 10 The Division of Motor Vehicles (DMV) requests that: • The most current version of the DMV-349 form is used. • The DMV-349 form should be typewritten or, if handwritten, the officer should use black ink. • The report must be legible. This is of the utmost importance for clarity, when reports are microfilmed or imaged. • The original should be submitted to DMV Traffic Records branch at: Mailing address: Data Management Services North Carolina Division of Motor Vehicles 3106 Mail Service Center 1405 N. Church Street Rocky Mount, NC 27804 Physical location: 1405 N. Church Street Rocky Mount, NC 27804 For specific questions about coding, please contact the Operation Support Unit at (919) 861- 3084. The DMV-349 Instructional Manual is available on the DMV Web site at https://connect.ncdot.gov/business/DMV/DMV%20Documents/DMV- 349%20Instructional%20Manual.pdf The North Carolina Division of Motor Vehicles will be replacing the paper version of the DMV-349 Pad with web based printable copies. The web based printable copies are now available on the NCDOT website: https://connect.ncdot.gov/business/DMV/DMV%20Documents/Crash%20Report%20For m%20DMV-349.pdf A release date for a more user-friendly version will be available to Law Enforcement Agencies momentarily. The National Highway Traffic Safety Administration (NHTSA) defines a motor vehicle traffic crash investigation as the thorough examination of all elements contributing to the crash, resulting in a well-founded explanation of the series of events which occurred and based upon the factual data. When an officer submits a North Carolina Crash Report Form to the DMV, he or she provides valuable data to many different groups of people working to make North Carolina streets and highways safer. It is important that officers are also aware of some of the state level uses of this data, such as enforcement of North Carolina’s financial responsibility law by the DMV. Some users of the data may include the county engineer planning to resurface a road, the city consultant developing safe school routes, the high school driver education teacher planning a curriculum, or the public works director planning reconstruction of a hazardous intersection. In addition to county and city DMV-349 Instructional Manual 11 officials, other users of crash data include the university researcher studying the problems of older drivers, the automobile manufacturer evaluating a design, or the people at all levels of the public and private sectors that support law enforcement’s efforts to combat drunk driving. Traffic crash reports are subject to be viewed by lawyers, judges, insurance companies and the general public provided the company, agency or individual is eligible to view personal information based upon exceptions set forth by the Federal Driver’s Privacy Protection Act of 1994 (Chapter 123, Section 2721) enacted into law by Congress on August 24, 1994. Crash prevention programs are dependent upon proper and complete crash investigation and report writing. Subsequent levels of investigation rely on the quality of the information contained on the DMV-349. The location of the crash, the road condition at the time of the crash and the other evidence at the scene cannot be replaced or recreated, unless the officer during the initial investigation documents them. DMV-349 Instructional Manual 12 Chapter 2: The DMV-349 Form DMV-349 Instructional Manual 13 DMV-349 Instructional Manual 14 Multi-Occupant Vehicle Form Use the Multi-Occupant Vehicle form when a multi-occupant vehicle is involved in a crash. Multi-occupant vehicles are vans, shuttles, school or commercial buses. These vehicles may have a middle isle or a side isle. Use the seating position diagram to complete occupant entry. • If the vehicle has two seats on each side of a middle isle (standard bus configuration), omit seats B and E. • For vehicles with side seats use the double letters such as AA and FF to identify the seating position. • For vehicles with a side isle (standard van configuration), use seats A, B and C. Rows can be numbered from 1 through N with “N” being the last row of seats in the vehicle. For example, 2C indicates that the person was in row 2 and seat C. IMPORTANT: Enter the driver of all vehicles and (if applicable) the occupant in the front right seat on the DMV-349 form. Enter all other occupants on the Multi-Occupant Vehicle form. See the section 23 Seating Position for detailed instructions. DMV-349 Instructional Manual 15 Seating Position Diagram DMV-349 Instructional Manual 16 Chapter 3: Filling out the DMV-349 Form When completing the DMV-349 form, if a response to a particular data element, such as Road Surface Condition does not fit one of the code values listed, choose "other" and provide the specific information in the crash narrative. When a data element is not applicable to the crash, enter a dash (-) in the box. For example, when 0 No control present is selected for data element 76 Traffic Control Type, a dash (-) is entered for data element 77 Traffic Control Operating. If an entire section of the DMV-349 form does not apply to the crash being reported, draw a diagonal line through the entire section. An example of a section which might not apply in a given crash is the "Unit 2" section in a single vehicle crash. IMPORTANT: The grayed sections of the DMV-349 form DO NOT represent optional boxes. All boxes must be filled out if information is available. Statistical Code Boxes 1 through 32 First complete the statistical code boxes, using the top cover sheet. The following table lists these numbered boxes: Statistical Code Box(es) Description 1 through 7 General Crash Information. These boxes represent light, weather, and road surface information. 8 through19 These boxes contain contributing circumstances and crash type information. 20 This box represents crashes involving commercial motor vehicles (CMV). 21 through 32 These boxes include information pertaining to the persons involved in the crash. DMV-349 Instructional Manual 17 General Crash Information The general crash information encompasses statistical code boxes 1 through 7. 1 Locality Locality is the general type and level of development in the vicinity of the collision. For example: If the estimated total development is less than 30% or about 1/3 of road frontage on both sides over a substantial distance from the scene of the collision, then enter a “1” for rural development. 1 Rural (<30% developed) 2 Mixed (30% to 70% developed) 3 Urban (>70% developed) 2 Predominant Development Type The predominant type of development in the area in which the collision occurred. For example: Commercial (mainly retail stores), Institutional (schools, hospitals, government buildings). 1 Farms, woods, pastures 2 Residential 3 Commercial 4 Institutional 5 Industrial 3 Road Surface Condition Describes the roadway surface conditions at the time and place of the crash. This information is important to identify and correct high wet-surface crash locations in order to provide information for setting coefficient of pavement friction standards. Critical for preventive programs and engineering evaluations. 1 Dry 2 Wet 3 Water (standing, moving) 4 Ice 5 Snow 6 Slush 7 Sand, mud, dirt, gravel DMV-349 Instructional Manual 18 8 Fuel, oil 9 Other* (write in the narrative) 10 Unknown 4 Weather Condition – First The general atmospheric conditions that existed at the time of the crash. 1 Clear 2 Cloudy 3 Raining 4 Snowing 5 Fog, smog, smoke 6 Sleet, hail, freezing rain/drizzle 7 Severe crosswinds 8 Blowing sand, dirt, snow 9 Other* (write in the narrative) 5 Weather Condition – Second A maximum of two weather conditions may be recorded in the crash, such as rain and severe crosswinds. 6 Weather Contributed to the Crash An indication, in the officer’s opinion as to whether or not weather (for example, smoke or hail) was a contributing factor in the crash. 1 Yes 2 No 3 Unknown 7 Ambient Light The type of light that existed at the time of the crash. Note that extremely cloudy conditions may be classified as dawn (or dusk) if the ambient light conditions are similar. 1 Daylight 2 Dusk 3 Dawn DMV-349 Instructional Manual 19 4 Darkness (lighted roadway) 5 Darkness (roadway not lighted) 6 Darkness (unknown lighting) 7 Other* 8 Unknown Harmful Events/Contributing Circumstances Information The Harmful Events/Contributing Circumstances information encompasses statistical code boxes 8 through 19. 8 Contributing Circumstances, Non-Motorist – First Indicate the first contributing circumstance using the following codes, which include the events or circumstances or actions by the non-motorist, which may have contributed to the crash. A maximum of two contributing circumstances may be recorded for each involved non-motorist. This information is important for evaluating the effect that dangerous behavior by the non-motorist has on the crash. 0 None 1 Coming from behind parked vehicle 2 Darting 3 Lying and/or illegally in the roadway 4 Failure to yield right of way 5 Not visible (dark clothing, etc.) 6 Inattentive (talking, eating, etc.) 7 Failure to obey traffic signs, signals 8 Wrong side of road 9 Other* (write in the narrative) 10 Unknown 9 Contributing Circumstances, Non-Motorist – Second Using the code values from the previous data element (8 Contributing Circumstances, Non-Motorist – First), indicate the second contributing circumstance (if applicable), which includes the events or circumstances or actions by the non- motorist, which may have contributed to the crash. DMV-349 Instructional Manual 20 Recording Data at the Crash Level vs. the Vehicle Level Data elements 10-11 refer to the first harmful and most harmful events at the crash level, while data elements 52-56 refer to the first four harmful events (52-55) and the most harmful event (56) at the vehicle level. It is important that these separate data elements are captured at both the vehicle and crash levels and that a determination is made in a multi-vehicle crash, in addition to which harmful event was “first” in the crash and which was the “most harmful event.” These distinctions are important in classifying and comparing different types of crashes. 10 First Harmful Event (Crash Level) The first harmful event is the first injury or damage producing event. This is used to characterize the crash type. The most harmful event is the event which caused the most severe injury or greatest amount of property damage. The first injury or damage producing event characterizes the crash type and identifies the nature of the first harmful event. This is the first event which led to the crash, even though multiple vehicles may have been involved. Use the Crash Type codes defined below. Non-Collision 1 Ran off Road Right - Vehicle runs off right side of the roadway. 2 Ran off Road Left - Vehicle runs off left side of the roadway. 3 Ran off Road Straight Ahead - Vehicle runs through “Y” or “T” intersection. 4 Jackknife – Truck pulling a semi-trailer or trailers where the trailing unit(s) and the pulling vehicle rotate with respect to each other. 5 Overturn/Rollover - Any event in which a motor vehicle in transport overturns for any reason. 13 Other Non-Collision* (write in the narrative) – Any other event involving only the motor vehicle in transport, that is of a non-collision nature. Includes: Accidental carbon monoxide poisoning by a motor vehicle in transport. Breakage of any part of the motor vehicle, resulting in injury or further damage. Explosion of any part of the motor vehicle. Fire starting in the motor vehicle. Falling or jumping from the motor vehicle. Occupant hit by an object in, or thrown against the motor vehicle. Injury or damage from a moving part of the motor vehicle. Object falling from, or in the motor vehicle. Striking a hole or bump in the roadway, etc. Excludes: Carbon monoxide poisoning in a motor vehicle not in transport. Injury or damage resulting from a fight between occupants, cigarette burns, DMV-349 Instructional Manual 21 discharge of a firearm in the motor vehicle, working on a motor vehicle not in transport, etc. Collision of Motor Vehicle With 14 Pedestrian - Any collision involving a motor vehicle in transport and a pedestrian. Includes: Person afoot, sitting, lying, or working upon a land way or place. Person in or operating a pedestrian conveyance. Excludes: Person boarding or alighting from another conveyance, except a pedestrian conveyance. Person in the process of jumping or falling from a motor vehicle in transport. 15 Pedalcyclist - Any collision involving a motor vehicle in transport and a pedalcyclist, including devices known as bicycles, pedalcycles, unicycles and sidecars or trailers attached to these devices (which are moved by human power). Includes: Includes any of the following devices in transport: Bicycle, tricycle, unicycle, trailers or sidecars attached to any of the above devices. Excludes: Pedalcycle towed by motor vehicle, including: Hitching, and an unoccupied pedalcycle. General: A pedalcyclist is any person riding upon a pedalcycle or in a sidecar attached to the pedalcycle. A stopped pedalcycle is considered to be in transport if it is in readiness for transport, such as stopped at a stop sign, traffic light, or waiting in traffic for any reason, if attended, and the pedalcyclist need not be occupying the riding saddle, but not pushing the pedalcycle. A coasting pedalcycle with rider is considered in transport. If the motor vehicle and pedalcycle are in transport, which one does the actual striking is immaterial. 16 Railway Train, Engine - Any collision involving a motor vehicle in transport and a railway train or railway vehicle. Includes: Railway train, with or without cars. Motorized railway device. Railway device, such as cars, set in motion by a railway train or railway vehicle. Excludes: Devices operated upon railway rails by human power. Non-motorized devices not set in motion by a railway train or railway vehicle. Collisions in which a railway train was involved in a railway transport collision prior to involvement with the motor vehicle, such as derailment, or throwing some part, other road vehicle, animal, or pedestrian against a motor vehicle. General: Motion of the motor vehicle is immaterial; it can be in motion or stopped in the path of the railway train. DMV-349 Instructional Manual 22 Motion of the railway train is immaterial; it can be stopped in the path of the motor vehicle or in motion. Whether the motor vehicle or the railway train does the actual striking is immaterial. 17 Animal - Any collision involving a motor vehicle in transport and an animal, herded or unattended. Includes: Domestic and wild animals, flying animals, such as birds and bats. Excludes: Ridden animals, animal drawing a conveyance. General: Injury to wild animals, such as birds and rabbits, is excluded if there is no injury to any person or damage to the motor vehicle. Injury to domestic animals is treated as property damage, if there is no injury to any person or damage to the motor vehicle. 18 Movable Object* - Any collision involving a motor vehicle in transport and any other object which is movable or moving, but not fixed. Includes: Animal-drawn vehicle (any type) Animal carrying a person Street car Objects dropped from motor vehicle or other vehicles but not in motion Objects set in motion by other motor vehicles Special devices not considered in transport or as fixed objects Fallen tree or stone Landslide or avalanche materials, not in motion Pedalcycle not in transport Railway devices moved by human power Non-motorized devices not set in motion by railway train or railway vehicle. Excludes: Objects set in motion by aircraft, watercraft, or railway. Objects set in motion by cataclysm, lightning, or other natural and environmental factors. 19 Fixed Object* - Any collision involving a motor vehicle in transport and any object, which is fixed (not movable). Specific values for types of fixed objects struck (at the vehicle level) can be found in data elements 52-56. Collision of Two or More Motor Vehicles 20 Parked Motor Vehicle - Any crash involving motor vehicle in transport and a motor vehicle not in transport. Includes: Motor vehicle parked in a place designated for parking, even though the permitted time period may have expired. DMV-349 Instructional Manual 23 Motor vehicle stopped or parked along the roadway where normal usage permits such stopping or parking, including parking adjacent to curbs and parking on trafficway shoulders. Motor vehicle stopped or parked illegally, but otherwise outside the roadway traffic lanes, such as blocking a driveway, beside a fire hydrant, or in a loading zone. Motor vehicle parked or disabled in roadway or off roadway. Load in the process of falling from parked motor vehicle. Excludes: Motor vehicle stopped or parked in traffic lanes where parking is prohibited, such as double parked, on the side of the street where there is no parking at any time along the length of the street, in tunnels or on bridges where parking is prohibited, or in a parking lane during the hours that it is required to be clear for traffic. Stopped or parked self-propelled machinery even though such machinery is considered a motor vehicle when in transport. Load that has fallen from a parked motor vehicle. 21 Rear End, Slow, or Stop - Rear end collision with one vehicle going at a slower speed, slowing down or stopping in traffic. 22 Rear End, Turn - Rear end collision with front vehicle turning. 23 Left Turn, Same Roadway - Collision with both vehicles traveling on same roadway prior to one or both turning left; may occur in passing maneuver or vehicles may be meeting. 24 Left Turn, Different Roadways - Collision of vehicles traveling on different roadways prior to one or both turning left. 25 Right Turn, Same Roadway - Collision with both vehicles traveling on the same roadway prior to one or both turning right (Occurs in passing on right at intersections, meeting of one-way road with two-way road, etc.). If one vehicle was turning left while the other was turning right, then code according to the vehicle, which appeared to cause the collision. 26 Right Turn, Different Roadways - Collision of vehicles traveling on different roadways prior to one or both turning right. If one vehicle was turning left while the other was turning right, then code according to the vehicle, which appeared to cause the collision. 27 Head On - Head on collision of motor vehicles moving in opposite directions in which initial contact is on the fronts of both vehicles. 28 Sideswipe, Same Direction - The collision of motor vehicles, traveling in the same direction, in which contact usually results from attempting to pass too closely, skidding, or other side-to-side initial contact. Damage is generally along entire side of vehicle. DMV-349 Instructional Manual 24 29 Sideswipe, Opposite Direction - The collision of motor vehicles, traveling in opposite directions, in which contact usually results from attempting to pass too closely, skidding, or other side-to-side initial contact. Damage is generally along entire side of vehicle. 30 Angle Collision - Collision most often resulting in the vehicles hitting at or near right angles, with the front of one vehicle striking the side of the other vehicle. Most often occurs at an intersection when two vehicles are going straight on intersecting roads and neither vehicle is turning. 31 Backing Up – Collision in which one vehicle backs into another, generally stopped or parked vehicle. 32 Other Collision With Vehicle 11 Most Harmful Event (Crash Level) Using the code values from the previous data element, (10 First Harmful Event), record the event which produced the greatest property damage or most severe injury in the crash. In a multi-vehicle crash, since each respective vehicle can experience its own unique "most harmful event", this data element is important for classifying and comparing crashes according to the most harmful event in each crash. If several vehicles are involved in a crash, it is important for the officer to identify which harmful event was the most harmful in the crash. 12 Contributing Circumstances, Roadway – First Apparent condition of the road, which contributed to the crash. A maximum of two contributing circumstances may be in the crash. This information is important in determining highway maintenance and possible engineering needs. 0 None (no unusual conditions) 1 Road Surface Condition 2 Debris 3 Rut, Holes, Bumps 4 Work Zone (construction, maintenance, utility) 5 Worn Travel-Polished Surface 6 Obstruction in Roadway 7 Traffic Control Device Inoperative, Not Visible or Missing 8 Shoulders Low, Soft or High 9 No Shoulders 10 Non-Highway Work 11 Other* (write in the narrative) 12 Unknown DMV-349 Instructional Manual 25 13 Contributing Circumstances, Roadway – Second Using the code values from the previous data element (12 Contributing Circumstances, Roadway – First), indicate the second contributing circumstance attributable to the Roadway (if applicable), which may have contributed to the crash. 14 Contributing Circumstances, Driver 1 – First The actions of the driver (maximum of three), which may have contributed to the crash. The importance is to record the cause of the crash, not necessarily the citation issued. Even though the citation issued is for a safe movement violation, it is better to record the specific contributing circumstances, e.g., improper turn or improper lane change, etc. This data is used to evaluate the effect that dangerous driver behavior has on the crash. 0 No contributing circumstances indicated 1 Disregarded yield sign 2 Disregarded stop sign 3 Disregarded other traffic signs 4 Disregarded traffic signals 5 Disregarded road markings 6 Exceeded authorized speed limit 7 Exceeded safe speed for conditions 8 Failure to reduce speed 9 Improper turn 10 Right turn on red 11 Crossed centerline/going wrong way 12 Improper lane change 13 Use of improper lane 14 Overcorrected/oversteered 15 Passed stopped school bus 16 Passed on hill 17 Passed on curve 18 Other improper passing 19 Failed to yield right of way 20 Inattention 21 Improper backing DMV-349 Instructional Manual 26 22 Improper parking 23 Driver distracted 24 Improper or no signal 25 Followed too closely 26 Operated vehicle in erratic, reckless, careless, negligent or aggressive manner 27 Swerved or avoided due to wind, slippery surface, vehicle, object, non-motorist 28 Visibility obstructed 29 Operated defective equipment 30 Alcohol use 31 Drug use 32 Other* (write in the narrative) 33 Unable to determine 34 Unknown 35 Driver distracted by electronic communication device (cell phone, texting, etc.) 36 Driver distracted by other electronic device (navigation device, DVD player, etc.) 37 Driver distracted by other inside the vehicle 38 Driver distracted by external distraction (outside the vehicle) 15 Contributing Circumstances, Driver 1 – Second Using the code values from the previous data element (14 Contributing Circumstances, Driver 1 – First), indicate the second contributing circumstance for Driver #1 (if applicable), which may have contributed to the crash. 16 Contributing Circumstances, Driver 1 – Third Using the code values from data element (14 Contributing Circumstances, Driver 1 – First), indicate the third contributing circumstance for Driver #1 (if applicable), which may have contributed to the crash. 17 Contributing Circumstances, Driver 2 – First Using the code values from data element (14 Contributing Circumstances, Driver 1 – First), indicate the first contributing circumstance for Driver #2 (if applicable), which may have contributed to the crash. 18 Contributing Circumstances, Driver 2 – Second Using the code values from data element (14 Contributing Circumstances, Driver 1 – First), indicate the second contributing circumstance for Driver #2 (if applicable), which may have contributed to the crash. DMV-349 Instructional Manual 27 19 Contributing Circumstances, Driver 2 – Third Using the code values from data element (14 Contributing Circumstances, Driver 1 – First), indicate the third contributing circumstance for Driver #2 (if applicable), which may have contributed to the crash. 20 Commercial Motor Vehicle Details concerning the carrier name, address, etc. are recorded in the shaded box below the Owner Information section on the front of the DMV-349. Additional information regarding trailer information and/or hazardous materials involved is recorded on the back of the DMV-349 above the Diagram area. If the vehicle involved in the crash is a commercial motor vehicle (CMV), according to the definition provided in the glossary, check the 20 Commercial Vehicle box located in the following section. Refer to the Reporting Crashes Involving CMVs section for instructions on how to fill out the following CMV section. DMV-349 Instructional Manual 28 If the CMV was carrying hazardous material, this information is recorded on the back of the DMV-349 form. Refer to Commercial Vehicle: Hazardous Materials Involvement for instructions on how to fill out the following section. NOTE: Trailer information is also recorded on the back of the DMV-349 form. Occupant and Non-Motorist Information Boxes 21 through 32 include age, seating position, safety equipment, injury status and other information for occupants and non-motorists involved in a crash. Each DMV-349 form contains spaces at the bottom of the form to record occupant and non-motorist information for the first two units or vehicles involved in the crash. If additional units are involved in the crash, which will require additional DMV-349 forms, occupant and non-motorist information must be recorded on the respective form for that unit or vehicle. When recording the date of birth or age, name and address of the unit 1 and/or unit 2 driver, pedestrian, etc., these areas are shaded at the bottom of the form, since this information is already captured on the front of the DMV-349 in the unit 1/unit 2 sections of the report. Give the number of the striking or occupied vehicle, person type, seating position, date of birth/age, ethnicity, gender, occupant/non-motorist protection, air bag deployment/switch status, trapped, ejection, and injury status of all occupants and non- motorists. For motorcyclists or non-motorists (i.e., bicyclists), enter helmet usage. Names and addresses are necessary for all persons involved in the crash, DMV-349 Instructional Manual 29 including non-motorists. (It may help later investigations, including identifying persons previously involved in a crash, as well as persons whose injury status is later updated following a crash). 21 Vehicle Number Record the specific vehicle number in the crash (vehicle 1, vehicle 2, etc.) to be able to locate occupants and/or to identify which vehicle struck which non-motorist as well as further identify what happened to each vehicle involved in the crash. 22 Person Type Identify the specific person type according to the following codes. This is important for classification purposes to evaluate countermeasures designed for specific people. Please note it is important that the Unit Type and Person Type are coded the same. For example: Unit Type 23 (pedalcycle) must reflect Person Type 4 (pedalcyclist) 1 Driver 2 Passenger Non-Motorist 3 Pedestrian 4 Pedalcyclist (bicyclist, tricycle, unicycle) 5 Roller skater, Roller blader, etc. 6 Other* (write in the narrative) 7 Unknown 23 Seating Position Record the location for this occupant in, on, or outside of the motor vehicle prior to the crash impact, using the codes that follow. The seating position(s) for motorcyclists are provided as the left most seating positions in the first three rows of seat positions. This information is important, because without known seating positions for each person in the vehicle, it is not possible to fully evaluate the effect of occupant protection programs. Seating positions for vehicles requiring a greater number of spaces to record seating position can be found in the supplemental Multi-Occupant Form, which provides for up to 60 occupants. 1 Front – left (driver/motorcycle driver) 2 Front – middle 3 Front – right (also valid for seating position for driver of U.S. Mail truck) 4 Second seat – left (motorcycle passenger) DMV-349 Instructional Manual 30 5 Second seat – middle 6 Second seat – right 7 Third row – left (motorcycle passenger) 8 Third row – middle 9 Third row – right 10 Sleeper section of cab (truck) 11 Passenger in other enclosed passenger area (refer to supplemental multi- occupant form) 12 Passenger in unenclosed area (pickup) 13 Trailing unit 14 Riding on vehicle exterior 15 Unknown 24 DOB Enter the date of birth (DOB) – mm/dd/yyyy, for each person involved in the crash. If not available, record the approximate age of the person. Enter “0” if the child is less than a year old. Shaded areas represent driver or non-motorist information, which is already listed above on the DMV-349 in the Unit 1/Unit 2 sections of the report. 25 Ethnicity Enter the ethnic affiliation of the person. W White B Black I American Indian H Hispanic A Asian O Other* (write in the narrative) U Unknown 26 Gender Enter the sex of the person. This information is necessary to evaluate gender on occupant protection systems and vehicle design characteristics. M Male F Female DMV-349 Instructional Manual 31 U Unknown 27 Occupant/Non-Motorist Protection The occupant protection, or non-motorist protection, used by person(s) involved in the crash. 0 None used 1 Lap belt only 2 Shoulder and lap belt 3 Shoulder belt only 4 Child restraint 5 Helmet (motorcyclist or non-motorist) Codes 6-8 for non-motorist only 6 Protective pads 7 Reflective clothing 8 Lighting 9 Other* (write in the narrative) 10 Unable to determine 28 Air Bag Deployment Deployment status of an air bag, relative to each specific occupant. This information is necessary to evaluate the effectiveness of air bags and other occupant protection equipment, especially at a time when air bags are rapidly increasing in the vehicle population and when consumers are allowed to have the air bag disconnected under certain conditions. Should be left blank for operators of railway vehicles. 0 No Air Bag(s) 1 Not deployed 2 Deployed – front 3 Deployed – side 4 Deployed – both front and side 5 Unknown 29 Air Bag Switch Status Switch status of air bag switch. Should be left blank for operators of railway vehicles. 0 No ON-OFF switch 1 Switch in ON position DMV-349 Instructional Manual 32 2 Switch in OFF position 3 Unknown if ON-OFF switch present 4 Unknown position in vehicle 30 Trapped Status Persons who are restrained in the vehicle by damaged vehicle components. This information is important to evaluate vehicle integrity, the impact of the need for means to extricate vehicle occupants and the medical outcome for victims who are entrapped. Should be left blank for operators of railway vehicles 1 Yes 2 No 3 Unknown 31 Ejection Status The location of each occupant’s body as being completely or partially thrown from the vehicle as a result of the crash. Should be left blank for operators of railway vehicles 1 Not ejected 2 Totally ejected 3 Partially ejected 4 Unknown 32 Injury Status The most severe injury to a person involved in the crash. This information is necessary for injury outcome analysis and evaluation. This element is also critical in providing linkage between the crash, EMS, and hospital records. 1 Killed – Deaths (which must occur within 12 months after the crash) resulting from injuries sustained in a specific road vehicle crash. IMPORTANT: A fatality occurring during a motor vehicle crash must be reported to the DMV within 24 hours. The completed DMV-349 form should follow within 10 days as required by general statute 20-166.1. When the death resulting from a crash occurs within 12 months after the crash, the investigating agency must submit a supplemental report, including the death, to the DMV. 2 Suspected Serious Injury (A): • A suspected serious injury is any injury other than fatal which results in one or more of the following: • Severe laceration resulting in exposure of underlying tissues/ muscle/ organs or resulting in significant loss of blood. DMV-349 Instructional Manual 33 • Broken or distorted extremity (arm or leg) • Crush injuries • Suspected skull, chest or abdominal injury other than bruises or minor lacerations • Significant burns (second and third degree burns over 10% or more of the body) • Unconsciousness when taken from the crash scene • Paralysis 3 Suspected Minor Injury (B): A minor injury is any injury that is evident at the scene of the crash, other than fatal or serious injuries. Examples include lump on the head, abrasions, bruises, minor lacerations (cuts on the skin surface with minimal bleeding and no exposure of deeper tissue/muscle). 4 Possible Injury (C): A possible injury is any injury reported or claimed which is not a fatal, suspected serious or suspected minor injury. Examples include momentary loss of consciousness, claim of injury, limping, or complaint of pain or nausea. Possible injuries are those which are reported by the person or indicated by his/her behavior, but no wounds or injuries are readily evident. 5 No injury 6 Unknown IMPORTANT: Record the names and addresses of all persons involved in the crash, including non-motorists. Shaded areas represent driver and/or non-motorist information, which is already listed above on the DMV-349 in the Unit 1/Unit 2 sections of the report. Vehicle Towed To/By Enter the appropriate vehicle number, 1, 2, 3, etc., and where the vehicle was towed, followed by the name of the business responsible for the vehicle towing. Emergency Medical Services Two spaces are provided at the bottom of each DMV-349 form to record the name of the Emergency Medical Services (or EMS unit number if available) and the destination (name of treatment facility and city or town) for persons injured in the crash. A letter designation, unique to each person is provided in the first column at the bottom of the DMV-349. This unique identifier must precede both the name of the EMS Unit as well as DMV-349 Instructional Manual 34 the destination information for each injured person that is transported. For example: A - Cumberland County Ambulance, A - Cape Fear Valley Medical Center, Fayetteville. See Emergency Medical Services for additional information regarding fields 46 Name of EMS and 47 Destination of Injured Person. DMV-349 Instructional Manual 35 Front of DMV-349 Reporting and Control Information No. of Units Involved In the No. of Units Involved box, enter the total number of units involved in the crash. A unit is any motor vehicle (mopeds are considered motor vehicles effective July 1, 2015), pedestrian, pedalcyclist, or other road vehicle. Railway vehicles can be shown on the report as UNIT TYPE "other" RR train. Railway vehicles should be counted in the No. of Units Involved box. For purposes of this manual a motor vehicle is any mechanically or electrically powered device, not operated on rails, upon which or by which any person or property may be transported or drawn upon a highway. Any object such as a trailer, coaster, sled or wagon being towed by a motor vehicle is considered a part of the motor vehicle, including such devices when detached while in motion, or set in motion by a motor vehicle, such as during pushing. Also, the load, including occupants, upon or in the motor vehicle, or upon or in the device being towed or pushed, is considered a part of the motor vehicle. Motor vehicle includes, but is not limited to, the following devices: • Automobiles (any type), bus, motorcycle, motorized bicycle or scooter, motorized fire engine, truck, van, trolley bus not operating upon rails. • Construction machinery, farm and industrial machinery, road roller, tractor, army tank, highway grader, or similar devices equipped with wheels or treads, while in transport under own power. • Special motorized devices such as go-carts, midget racers, invalid chairs, snowmobiles, swamp buggies, or similar devices, while in transport under own power. A motor vehicle with a trailer is one unit, a dual trailer(s) is one unit, and one vehicle towing another using a tow bar is one unit. If a rope or chain is used it is two units. Non-Contact Road Vehicles or Non-Motorists Non-contact phantom motor vehicles or non-motorists are units that caused the crash but left the scene. They should not be counted in the number of units in the crash, but should be referred to in the narrative. Non-contact motor vehicles or non-motorists are units that caused the crash and remained at the scene. They should be counted as units with identifying information, and referred to in the narrative. A school bus could be an example of a non-contact vehicle that is related to a crash (refer to data element 68 School Bus – Noncontact Vehicle). DMV-349 Instructional Manual 36 Establishing Motor Vehicle Status The use of the device at the time of the crash is the primary criterion for establishing motor vehicle status. Any determination regarding under own power, or in use on a land way or place, is not difficult. Also, establishing motor vehicle status is not a problem with devices that come within the provisions of motor vehicle registration laws. Problems arise with devices normally not considered to be motor vehicles, with devices normally not used in transport upon trafficways, and with motor vehicles used in an uncommon manner. Motor Vehicle Status The following examples are illustrative of the “use of concept” in determining motor vehicle status of the device or motor vehicle at the time of the crash: • A registered motor vehicle is being drawn by a team of horses upon a city street: It is other road vehicle (animal harnessed to a conveyance). • A registered motor vehicle is being used to draw a breaking plow engaged in breaking ground on a farm: It is machinery (farm) while engaged in plowing. • A registered truck hauling concrete (transit-mix) is engaged in discharging or spreading its load of concrete at a road construction site: It is machinery (road construction) while engaged in discharging or spreading its load of concrete. • A motorized highway grader, under its own power, is moving from one work place to another, upon a public way: It is a motor vehicle in transport. • A road roller, under its own power, is engaged in compacting road materials on a trafficway under construction: It is machinery (road construction) while engaged in compacting road materials or otherwise moving at the construction site. • A farm tractor is engaged in hauling a trailer load of corn on a farm, upon a private place: It is a motor vehicle in transport. • A snowmobile is being driven, under its own power, in a state park for recreational purposes: It is a motor vehicle in transport. • An army tank is being moved, under its own power, from the firing range to the motor pool, upon a land way of a military post: It is a motor vehicle in transport. • A registered truck, with a blade attached for plowing snow, is engaged in plowing snow from a trafficway: It is machinery (road maintenance) while engaged in plowing snow. • A riding, motorized lawn mower, under its own power, is being driven from one home to another, upon a city street: It is a motor vehicle in transport. DMV-349 Instructional Manual 37 Driverless Motor Vehicle A driverless motor vehicle, though previously parked, or a motor vehicle out of control while being towed or pushed, is considered to be a motor vehicle in transport. Also, an abandoned motor vehicle, upon a roadway, is considered to be a motor vehicle in transport. This principle does not apply to such devices as farm or industrial machinery, highway graders, construction machinery, or similar devices which are not in use at the time of the crash for transport. Form ____ of ____ Indicate which page this form represents from the total number of forms comprising this crash report, such as Form1 of 1, Form 1 of 2, etc. The DMV-349 is designed to capture driver/non-motorist and vehicle information for two units in a crash. If a crash involves more than two units, subsequent DMV-349 forms would be required, depending on the number of units. The DMV-349 is designed to only record information for a single commercial motor vehicle (CMV) on the form. For instances where two or more CMVs are involved in the same crash, a second DMV-349 must be submitted with the appropriate information for subsequent CMVs. Supplemental Report Check the Supplemental Report box when writing a supplemental report. Supplemental traffic crash reports must be submitted when: • The original report was incomplete because of lack of information or an incomplete investigation. • A correction on the original report is necessary because of inaccurate information. • A person dies of injuries sustained in a traffic crash within one year of the crash. IMPORTANT: Enter the date of the crash, not the date the Officer filled out the report. When completing a supplemental report: • It is NOT necessary to rewrite all information as listed on the original DMV-349 report. • Supplemental reports MUST be reported on a separate DMV-349 from the original report. • The location MUST be completed and shall include the date, and time. • List ONLY the names of drivers (or owner, if no driver) as shown on the original report. DMV-349 Instructional Manual 38 • List the additional information or correction to be made. • If the original report included a hit & run driver and the driver has been apprehended, the supplement MUST include all information for that respective driver and vehicle on the front and back of the report. • Supplemental reports MUST be forwarded in the same manner as original reports. Non-Reportable Some locals may choose to report crashes which do not meet the State's criteria for a reportable crash. If these are submitted to the State, the Non-Reportable box should be checked. As indicated on page 1 and on the top cover sheet for the DMV-349, a reportable motor vehicle traffic crash must include a fatality, injury, property damage of $1,000.00 or greater, or property damage of any amount to a vehicle seized. A reportable crash must occur on a trafficway or occur after the motor vehicle runs off the roadway but before events are stabilized. For providing copies of reportable crashes, requests will be made, as usual to the DMV. This "non-reportable" check box will be used to direct requests for copies of non- reportable crashes back to the originating agency which investigated the crash. Date, Time and Control Information Section Enter A Enter the number of the month (01 through 12), day of month (01 through 31), and the calendar year (four-digit number) in which the crash occurred. For example, 01/17/2009. B Enter the name of the county in which the crash occurred. C Enter the time that the crash occurred, using the 24 hour clock. Noon is 1200, midnight is 2400. For crashes occurring exactly at midnight use 2359 hours. For example: 8 o’clock in the morning will be 0800 and 8:15 in the evening will be 2015. D The Local Use/Patrol Area box is reserved for any local law enforcement use. An optional use for this box for any locals who may choose to record their local crash report number, would be to provide a link between local and state data. E DO NOT write in this box. DMV reserved space. F DO NOT write in this box. This space is reserved for the date that the crash report is received within DMV. Date mm/dd/ccyy County Time (24 Hour Clock) Local Use/Patrol Area Do not write in these spaces Date Received by DMV A B A C A D A E A F A DMV-349 Instructional Manual 39 Location Coding Examples Urban Intersections Use the instructions in this section for urban crashes which occur at intersections. 33 Relation to Roadway Surface Section Enter A Enter the code which indicates the specific location of the first harmful event (at the crash level): 1 On Roadway (Surface) Off Roadway 2 Shoulder 3 Median 4 Roadside 5 Outside Trafficway 6 Unknown Select In to indicate that the crash occurred inside the corporate limits of a city or town. B Enter the incorporated name of the city or town in which the crash occurred. C Leave blank since the crash occurred inside a corporate city or town limits. D Do not check any of the boxes since the crash occurred inside a corporate city or town limits. E Enter the class and the route number of one of the streets of the intersection. If the street does not have a route number, use the city street name. If ramp or service road, also indicate “ramp” or “service road.” Use the highest classification of the roads at the intersection in accordance with the listing below: I Interstate routes US US numbered routes NC NC numbered routes SR State secondary route Local City street name PVA Public vehicular area PP Private road, property or driveway F Select if the location is on a Ramp or Service Road. G Leave blank. DMV-349 Instructional Manual 40 Section Enter H Enter 0 for distance. I Leave blank. J Strike out “or from” and enter the class and route number (with street name in parenthesis) of one other street of the intersection. K Enter the direction from J to get to L. I & K should be the same direction. L Enter the class and route number (with street name in parenthesis) of any nearby street that intersects with the street named in E. M Latitude: If available, enter the geographical latitude location in decimal degrees. For example, 13.32861. Longitude: If available, enter the geographical longitude location in decimal degrees. For example, 35.159494. Altitude: If available, enter the geographical altitude (elevation) in feet. For example, 2,000. The following is an example of an urban intersection: DMV-349 Instructional Manual 41 Urban Non – Intersections Use the instructions in this section for urban non-intersection crashes. Section Enter A Enter the code which indicates the specific location of the first harmful event (at the crash level): 1 On Roadway (Surface) Off Roadway 2 Shoulder 3 Median 4 Roadside 5 Outside Trafficway 6 Unknown Select In to indicate that the crash occurred inside the corporate limits of a city or town. B Enter the incorporated name of the city or town in which the crash occurred. C Leave blank since the crash occurred inside a corporate city or town limits. D Do not check any of the boxes since the crash occurred inside a corporate city or town limits. E Enter the class and the route number of one of the streets (with the name of the street in parenthesis) of the intersection. If the street does not have a route number, use the city street name. If ramp or service road, also indicate “ramp” or “service road.” Use the highest classification of the roads at the intersection in accordance with the listing below: I Interstate routes US US numbered routes NC NC numbered routes SR State secondary route Local City street name PVA Public vehicular area PP Private road, property or driveway F Select if the location is on a Ramp or Service Road. G If not a rail-highway grade crossing, leave blank. If crash occurred at or near a rail-highway grade crossing, enter the number posted at the site. This number is composed of six digits and a letter, such as 687 422 T. It may be found strapped to a railroad signal post or part of the gate structure, on the cross buck sign, or mounted on a separate post. If the number is missing or illegible, write in the name of the railroad company owning or operating the tracks (such as Southern, SCL, etc.) and strike through “#” on the form. DMV-349 Instructional Manual 42 Section Enter H Enter the distance, in feet, from the nearest intersecting street. I Enter the direction from the nearest intersecting street to the scene of the crash. Two boxes may be checked to indicate an intermediate direction, such as, Northeast. City streets may run in intermediate compass directions and should be listed as such. J Strike out “At or” and enter the name of the nearest intersecting street in the direction given, past the scene of the crash. The scene of the crash should be between the two streets named in J and L, with the direction from J and L being noted in I. K Enter the direction from J to get to L. I & K should be the same direction. L Enter the class and route number (with street name in parenthesis) of any nearby street that borders the street named in E. M Latitude: If available, enter the geographical latitude location in decimal degrees. For example, 13.32861. Longitude: If available, enter the geographical longitude location in decimal degrees. For example, 35.159494. Altitude: If available, enter the geographical altitude (elevation) in feet. For example, 2,000. The following is an example of an urban non-intersection: DMV-349 Instructional Manual 43 Rural Intersections Use the instructions in this section for rural intersection crashes. Section Enter A Enter the code which indicates the specific location of the first harmful event (at the crash level): 1 On Roadway (Surface) Off Roadway 2 Shoulder 3 Median 4 Roadside 5 Outside Trafficway 6 Unknown Select Near since the crash occurred outside a corporate city limits. B Enter the incorporated name of the city or town in which the crash occurred. C Leave blank since the crash occurred inside a corporate city or town limits. D Do not check any of the boxes since the crash occurred inside a corporate city or town limits. E Enter the class and the route number of one of the streets (with the name of the street in parenthesis) of the intersection. If the street does not have a route number, use the city street name. If ramp or service road, also indicate “ramp” or “service road.” Use the highest classification of the roads at the intersection in accordance with the listing below: I Interstate routes US US numbered routes NC NC numbered routes SR State secondary route Local City street name PVA Public vehicular area PP Private road, property or driveway Exception: T Intersections – Enter the road number and class if the crash occurred at a T intersection (Example: On RP1006, 0 ft. at/from US74 (Business) N toward RU1801). For a single vehicle collision where the motor vehicle runs through the T intersection, enter the road number and class of the roadway the vehicle was travelling on before entering the intersection and running off the roadway straight ahead. F Select if the location is on a Ramp or Service Road. DMV-349 Instructional Manual 44 Section Enter G Leave blank. H Enter 0 feet for distance in the “feet” section. I Leave blank. J Strike out or from and enter the name of one other road of the intersection. K Enter the direction from J to get to L. I & K should be the same direction. L For another reference, enter the name of the nearest road, city, county or state line from the intersection where the crash occurred, in the direction identified in K. M Latitude: If available, enter the geographical latitude location in decimal degrees. For example, 13.32861. Longitude: If available, enter the geographical longitude location in decimal degrees. For example, 35.159494. Altitude: If available, enter the geographical altitude (elevation) in feet. For example, 2,000. The following is an example of a rural intersection: DMV-349 Instructional Manual 45 Rural Non – Intersections Use the instructions in this section for rural non-intersection crashes. Section Enter A Enter the code which indicates the specific location of the first harmful event (at the crash level): 1 On Roadway (Surface) Off Roadway 2 Shoulder 3 Median 4 Roadside 5 Outside Trafficway 6 Unknown Select Near since the crash occurred outside a corporate city limits. B Enter the name of the incorporated municipality nearest the scene of the crash. C Enter the road distance measured to the nearest 0.1 mile from the nearest incorporated municipality to the scene of the crash. D Enter the directions from the municipality named in “B” to the scene of the crash. E Enter the class and the route number of the road on which the crash occurred. If a road has more than one classification or number, use the highest class with the lowest number. For example: For US 3, US 14, and NC 19, enter US 3. I Interstate routes US US numbered routes NC NC numbered routes SR State secondary route Local City street name PVA Public vehicular area PP Private road, property or driveway F Select if the location is on a Ramp or Service Road. G If collision occurred at a rail-highway grade crossing, enter number as described in the Urban Non-Intersection crash instructions. Otherwise leave blank. H Enter the distance in feet, if less than 500 feet, from the scene of the crash to the nearest intersecting road, county or state line or milepost marker on interstate roads. If the distance from the scene of the crash is more than 500 feet, enter the distance to the nearest one- hundredth mile. The miles and tenths of miles should be read directly from the odometer, and the hundredth should be estimated (0.01 miles is about 53 feet). If the measured distance is 10.0 miles or more, a closer reference point should be used. DMV-349 Instructional Manual 46 Section Enter I Enter the direction from the nearest intersecting road, county or state line to the scene of the crash. Two boxes may be checked to indicate an intermediate direction such as Southeast. J Strike out “At or” and enter the nearest intersecting road name, county or state line or milepost marker on interstate roads identified as a reference in I. K Enter the direction from J to get to L. I and K should be the same direction. L For a second reference, enter the name of the road, city, county or state which would be encountered by going from the reference named in J in the direction checked in I, past the scene of the crash. (The scene of the crash should be between the entries named in J and L.) M Latitude: If available, enter the geographical latitude location in decimal degrees. For example, 13.32861. Longitude: If available, enter the geographical longitude location in decimal degrees. For example, 35.159494. Altitude: If available, enter the geographical altitude (elevation) in feet. For example, 2,000. The following is an example of a rural non-intersection: DMV-349 Instructional Manual 47 Special Crash Locations Non – Intersection Near Interchange Except as noted, follow general instructions as given in the sections on urban or rural crash locations. • Reference for crashes occurring on interstate roads may be a milepost marker without reference to any other road, county or state line. For example: Mile 143. • Non-Intersection Crashes Near Interchange H, J. Do not use any ramp or service road terminal or intersection as the reference in J. If J is a divided highway, the distance in H should be to the center of the median on the crossing road J. The following is an example of a non-intersection near interchange: DMV-349 Instructional Manual 48 Interchange Ramps Use the instructions in this section for intersection ramp crashes. Follow the general instructions in the sections on urban or rural crash locations, along with the following: Section Enter E If the connection is from a minor roadway to a major roadway, enter the number/name of the major road, followed by the word on-ramp. F Check if the location is on a Ramp or Service Road. H,I Enter the distance in feet from the scene of the crash to the road (I) that the ramp serves. If the distance is more than 500 feet, enter the distance to the nearest one-hundredth mile. Distances should be measured to the center of the other road given. The following is an example of an interchange ramp: DMV-349 Instructional Manual 49 Service Roads Use the instructions in this section for service road crashes. Follow the general instructions in the sections on urban or rural crash locations, along with the following: Section Enter E Enter the class and number of the service road. If the service road is not numbered, enter the class and number of the road it parallels, add the word “service road”, and indicate that the road is unnumbered. For example, I-95 Service Road (Unnumbered). The following is an example of a service road: DMV-349 Instructional Manual 50 Private Property Use the instructions in this section for private property crashes. Follow the general instructions in the sections on urban or rural crash locations, along with the following: Enter Non-Traffic in either the local use or patrol area boxes. Section Enter E Enter P.P. and place in parenthesis a brief description or name of the private drive, or other private area. F If applicable. G If applicable. H, I, J Enter the distance in feet if less than 500 feet or in miles and tenths of miles to the road or street (L) located nearest the crash. K Leave blank unless private drive or road leads to another numbered road or street. L Leave blank unless private drive or road leads to another numbered road or street. The following is an example of private property: DMV-349 Instructional Manual 51 Public Vehicular Areas Use the instructions in this section for public vehicular area crashes. Follow the general instructions in the sections on urban or rural crash locations, along with the following: Section Enter E Enter P.V.A. and place in parenthesis a brief description of where the crash occurred, name of shopping center, business, etc. F If applicable. G If applicable. H, I, J Enter the distance in feet if less than 500 feet or in miles and tenths of miles to the road or street (L) located nearest the crash. K Leave blank unless public drive or road leads to another numbered road or street. L Leave blank unless public drive or road leads to another numbered road or street. The following is an example of a public vehicular area: DMV-349 Instructional Manual 52 Driver Information (For Drivers of Vehicles 1 & 2, items A through R are the same). For Non-Motorists, such as Pedestrians, Pedalcyclists, Scooters, etc., please note the exceptions, following the instructions for code #40 Vehicle Seizure (DWI). Accuracy is of the utmost importance. Section Enter A Indicate unit number, such as unit 1, unit 2, etc. For crashes involving more than two vehicles, indicate the appropriate unit numbers on the additional DMV-349 forms. For crashes involving two or more commercial motor vehicles (CMV), a separate DMV-349 is required for each CMV involved. B Check the appropriate box on each side of the form. Information pertaining to a commercial motor vehicle is recorded in the space for unit 1. Information pertaining to a railway vehicle, which is counted as a unit, is recorded on the right, as "other" RR train. NOTE: See the next section, Pedestrian, Bicyclist, or Other for instructions on how to fill out the rest of the sections when B is not a Vehicle. C Enter the driver’s name exactly as it appears on his/her driver’s license. For Juveniles, list the first, middle and last name. D Enter current address of the driver, giving street address or rural road number, city, state and zip code. Post office box numbers are not acceptable. If the driver is not available, use the address shown on the driver’s license. E Check the appropriate box to indicate if driver’s current address is the same as it appears on the driver’s license. This information is important to DMV. F Enter the driver’s home and work phone numbers; include area code. G Enter the driver’s license number. If a driver has a permit, enter “permit number.” The driver’s license number is used to access individual records, therefore, it is important that this number be written correctly. Do not enter D.L. number for train operators. H Check this box if the license is a commercial driver’s license (CDL). Do not check for train operators. I Enter the driver license class. Do not enter class for train operators. DMV-349 Instructional Manual 53 Section Enter J Enter the state in which the driver license was issued. Do not enter state for train operators. K Enter the driver’s date of birth. Enter the number of the month (01 through 12), day of month (01 through 31), and the calendar year (four digit number). For example, 05/23/1968. L 34 Vision Obstruction Description of what prevented the driver or non-motorist from seeing whether or not such movement(s) could be made in a safe manner. 0 None 1 Vehicle window(s) obscured 2 Trees, crops, brush, etc. 3 Building(s) 4 Embankment 5 Sign(s) 6 Hillcrest 7 Parked vehicle(s) 8 Vehicle(s) in traffic/moving 9 Blinded, headlights 10 Blinded, sunlight 11 Blinded, other lights 12 Other* (write in the narrative) 13 Unknown M 35 Physical Condition The condition of the driver and/or non-motorist at the time of the crash. 1 Apparently normal 2 Illness 3 Fatigue 4 Fell asleep, fainted, loss of consciousness 5 Impairment due to medications/drugs/alcohol 6 Medical condition 7 Other physical impairment 8 Restriction not complied with 9 Other* (write in the narrative) 10 Unknown N 36 D.L. Restrictions Restrictions assigned to an individual’s driver license by the license examiner. Officer is instructed to indicate the restrictions that are shown on the driver license. For out-of-state drivers, the restriction should be written out. If additional space is needed, write in the narrative. DMV-349 Instructional Manual 54 Section Enter O 37 Alcohol/Drugs Suspected Investigating police officer’s assessment of whether alcohol or other drugs were used by the vehicle driver or non-motorist. 0 No 1 Yes – alcohol, impairment suspected 2 Yes – alcohol, no impairment detected 3 Yes – other drugs, impairment suspected 4 Yes – other drugs, no impairment detected 5 Yes – alcohol and other drugs, impairment suspected 6 Yes – alcohol and other drugs, no impairment detected 7 Unknown P 38 Alcohol/Drugs Test Whether or not a test was given, including the type, or whether a test was refused. 0 No test 1 Alcohol test 2 Test for drugs other than alcohol 3 Test for alcohol and other drugs 4 Test refused 5 Unknown Q 39 Test Results (if known) Indication of the degree of presence of alcohol or other drugs through testing. 0 No test 1 No alcohol or other drugs 2 Alcohol (percent BAC or BrAC) 3 Other drugs reported 4 Contaminated sample/unusable 5 Pending 6 Unknown NOTE: If code 2 is used, the BAC or BrAC value must be entered in parenthesis. If code 3 is used, please enter details in the Narrative. If codes 5 or 6 are used, please follow up with the appropriate agency (i.e. SBI Crime Lab, Medical Examiner’s Office, etc.) to obtain test results and report them via supplement to the DMV. R 40 Vehicle Seizure (DWI) Check this box if the crash involves alcohol or other drugs in sufficient amount to constitute a DWI and the vehicle is “seized” in accordance with G.S. 20-28.3. DMV-349 Instructional Manual 55 Pedestrian, Bicyclist, or Other IMPORTANT: If Unit Type (“Other”) Vehicle Style Type must be (18, 22, 23, 26, 27, 30, or 32). If (“Other”) Unit is a (Bicycle) use Vehicle Style Type-23 for (Pedalcycle not 26- Other). Section Enter A Indicate unit number. B Select the appropriate box. C Enter name. D Enter current address. E Leave blank. F If known, enter phone numbers, including area code. G Enter the driver’s license number. H Leave blank. I Enter the driver license class. J Enter the state in which the driver license was issued. K Enter date of birth if determined. Otherwise, enter estimate of age enclosed in parentheses. Example (est. 14) for estimated age 14. DMV-349 Instructional Manual 56 Section Enter L 34 Vision Obstruction Description of what prevented the driver or non-motorist from seeing whether or not such movement(s) could be made in a safe manner. 0 None 1 Vehicle window(s) obscured 2 Trees, crops, brush, etc. 3 Building(s) 4 Embankment 5 Sign(s) 6 Hillcrest 7 Parked vehicle(s) 8 Vehicle(s) in traffic/moving 9 Blinded, headlights 10 Blinded, sunlight 11 Blinded, other lights 12 Other* (write in the narrative) 13 Unknown M 35 Physical Condition The condition of the driver and/or non-motorist at the time of the crash. 1 Apparently normal 2 Illness 3 Fatigue 4 Fell asleep, fainted, loss of consciousness 5 Impairment due to medications/drugs/alcohol 6 Medical condition 7 Other physical impairment 8 Restriction not complied with 9 Other* (write in the narrative) 10 Unknown N 36 D.L. Restrictions Restrictions assigned to an individual’s driver license by the license examiner. Officer is instructed to indicate the restrictions that are shown on the driver license. For out-of-state drivers, the restriction should be written out. If additional space is needed, write in the narrative. O 37 Alcohol/Drugs Suspected Investigating police officer’s assessment of whether alcohol or other drugs were used by the vehicle driver or non-motorist. 0 No 1 Yes – alcohol, impairment suspected 2 Yes – alcohol, no impairment detected 3 Yes – other drugs, impairment suspected 4 Yes – other drugs, no impairment detected 5 Yes – alcohol and other drugs, impairment suspected 6 Yes – alcohol and other drugs, no impairment detected 7 Unknown DMV-349 Instructional Manual 57 Section Enter P 38 Alcohol/Drugs Test Whether or not a test was given, including the type, or whether a test was refused. 0 No test 1 Alcohol test 2 Test for drugs other than alcohol 3 Test for alcohol and other drugs 4 Test refused 5 Unknown Q 39 Results (if known) Indication of the degree of presence of alcohol or other drugs through testing. 0 No test 1 No alcohol or other drugs 2 Alcohol (percent BAC or BrAC) 3 Other drugs reported 4 Contaminated sample/unusable 5 Pending 6 Unknown NOTE: If code 2 is used, the BAC or BrAC value must be entered in parenthesis. If code 3 is used, please enter details in the Narrative. If codes 5 or 6 are used, please follow up with the appropriate agency (i.e. SBI Crime Lab, Medical Examiner’s Office, etc.) to obtain test results and report them via supplement to the DMV. R Leave blank. Owner Information This section contains information on how to successfully fill out the Owner section of the report. DMV-349 Instructional Manual 58 Section Enter A Enter the vehicle owner’s name. Check the box if the owner and driver are the same. Use information from registration laws or other valid document. B Enter the address of the owner, using street or rural road number, city, state and zip code. Check the box if the address is the same as the driver. C Enter license plate number, exactly as displayed on the registration plate or tag affixed to the vehicle. For combination trucks, vehicle plate number is obtained from the power unit or tractor. If no vehicle plate exists, e.g., military or postal vehicles, refer to vehicle registration document, or other forms of identification. Leave blank for railway vehicles. D Enter the state in which license plate was issued. Leave blank for railway vehicles. E Enter the year that the license plate was valid. Leave blank for railway vehicles. F Enter the vehicle identification number (VIN) which may be found on or near the left front door post, or on or near the firewall and on the registration card. To insure accuracy, enter number and check it in reverse order. Leave blank for railway vehicles. G Enter the make of the vehicle (Chevrolet, Ford, etc.). Important for use in identifying vehicle make for evaluation, research and crash comparison purposes. Leave blank for railway vehicles. H Enter the model year of the vehicle. Leave blank for railway vehicles. I 41 Vehicle Style (Type) Enter the vehicle style (type) code. Vehicles in red are Commercial Motor Vehicles. 1 Passenger car 2 Pickup 3 Light truck (mini-van, panel) 4 Sport utility 5 Van 6 Commercial bus 7 School bus 8 Activity bus 9 Other bus 10 Single unit truck (2-axle, 6-tire) 11 Single unit truck (3 or more axles) 12 Truck/trailer 13 Truck/tractor (i.e., bobtail) 14 Tractor/semi-trailer 15 Tractor/doubles 16 Unknown heavy truck 17 Taxicab 18 Farm equipment 19 Farm tractor 20 Motorcycle 21 Moped 22 Motor scooter or motor bike or motor-driven bicycle 23 Pedalcycle (bicycle, tricycle, unicycle, electric assisted bicycle ) 24 Pedestrian 25 Motor home/recreational vehicle 26 Other* (used for railway train, low speed vehicle, etc.) 27 All-terrain vehicle (ATV) 28 Firetruck 29 EMS vehicle, Ambulance, Rescue Squad, etc. DMV-349 Instructional Manual 59 Section Enter 30 Military 31 Police 32 Unknown 33 Autocycle COMMERCIAL VEHICLE CODING ON DMV-349 VEHICLE STYLE (TYPE) CODE IS CMV 6 Commercial bus 7 School bus 11 Single unit truck (3 or more axles) 13 Truck/Tractor (i.e. bobtail) 14 Tractor/semi-trailer 15 Tractor/doubles 16 Unknown heavy truck 28 Fire truck “Vehicle is CMV if weighs > 10,000 lbs. and/or is used commercially” VEHICLE STYLE (TYPE) CODE IS CMV If weighs > 10,000 &/or used commercially 10 Single unit truck (2 axle, 6 tires) 12 Truck/Trailer 29 EMS vehicle, Ambulance, Rescue Squad “Vehicle is CMV if not for personal use and has at least 9 seats including driver.” VEHICLE STYLE (TYPE) CODE IS CMV if not for personal use Bus (9-15 seats, including driver) or Bus (16 or more seats, including driver) 8 Activity bus 9 Other bus J 42 Vehicle Drivable Indicate (by checking the appropriate box) whether the vehicle was disabled by damage severe enough to prevent driving it. For comparison purposes, this data element could be used as a minimum reporting threshold for “property damage only” crashes. DMV-349 Instructional Manual 60 Section Enter K 43 Traffic Damage (TAD) Enter the areas of vehicle that were damaged in the collision. If more than one code is used to indicate primary damage in more than one area, separate the rating with a slash line (/). Cards are available from DMV with these codes. Damaged Areas FC Front Concentrated FD Front Distributed FL Front Left Corner FR Front Right Corner BC Rear Center BD Rear Distributed BL Rear Left Corner BR Rear Right Corner LP Left Side (door) RP Right Side (door) LFQ Left Side Front Quarter RFQ Right Side Front Quarter LBQ Left Side Rear Quarter RBQ Right Side Rear Quarter LD Left Side Distributed RD Right Side Distributed L&T Left Side & Top (rollover) R&T Right Side & Top (rollover) TOP Top UND Underneath ND No Damage UNK Unknown Rate the Severity of Damage on a Scale of “0” being no damage and “7” being the most severe damage. L 44 Estimated Damage Enter a dollar estimate of the cost to restore the vehicle to its condition just prior to the collision or an estimate of the value of the vehicle before the crash – whichever is less. For “totaled” vehicle, enter a dollar estimate of the retail value of the vehicle prior to the crash. Do not enter the word “totaled.” Note that a vehicle being towed by another is part of the towing vehicle and its damage should be included in the “Parts Damaged” and “Amount of Damage” categories. M Enter insurance company for the vehicle involved in the crash. Federal, Military and state- owned vehicles are self-insured and insurance company name should read “Self-Insured” for these types of vehicles. Mopeds require liability insurance effective July 1, 2016. See Appendix A for definition of Self-Insurers. N Enter the policy number. DMV-349 Instructional Manual 61 Reporting Crashes Involving CMVs The DMV-349 is designed to record information for a single CMV involved in a crash. Questions concerning hazardous materials involvement may be found on the reverse side of the DMV-349. All other cargo or commodities should be identified in the narrative. IMPORTANT: In rare instances where two or more CMVs are involved in the same crash, a second DMV-349 must be submitted with the appropriate information for subsequent CMVs. Section Enter A Enter the Unit number. B Enter the name of the motor carrier company from the source (vehicle side, shipping papers, or driver) and check the appropriate box in E. NOTE: If the CMV is rented or leased, the lease agreement is beneficial to help identify the motor carrier name. See the section Rented and Leased CMVs for more information. C Enter the address of the owner, using street or rural road number, city, state and zip code. If the address is the same as the Owner, check the box above. D 45 Cargo Body Type Enter the cargo body type code. 1 Bus (seats for 16 or more, including driver) 2 Bus (seats more than 8, less than 16, including driver) 3 Van/enclosed box 4 Grain/chips/gravel truck 5 Pole truck 6 Cargo tank 7 Flatbed 8 Dump 9 Concrete mixer 10 Auto transporter 11 Garbage/refuse 12 Log truck 1