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CRASH IDENTIFIERS
COUNTY CODE CITY CODE COUNTY OF CRASH PLACE OR CITY OF CRASH WITHIN CITY LIMITS TIME REPORTED TIME DISPATCHED
TIME ON SCENE TIME CLEARED SCENE COMPLETED REASON (If Investigation NOT Complete) NOTIFIED BY
DIAGRAM
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NARRATIVE
Vehicle 2 was heading east on Collier blvd N, over the Tigertail bridge. Vehicle 1 was pulling out of 625 Collier blvd N and turned left in a right turn only area
because of the divided median. Collier Blvd is a 4 lane divided roadway. When the driver of vehicle 2 saw the oncoming car he came to a complete stop and
vehicle 1 crashed head on into vehicle 2. Driver of vehicle 1 at fault for driving against traffic and violation of traffic control device (right turn only sign).
ROADWAY INFORMATION
ROAD SYSTEM IDENTIFIER AT STREET ADDRESS # CRASH OCCURRED ON STREET, ROAD, HIGHWAY
AT FEET OR MILES Direction AT/FROM INTERSECTION WITH STREET, ROAD,HIGHWAY AT LATITUDE AND LONGITUDE
STREET LIST USED? Locator Used? OR FROM MILEPOST # TYPE OF SHOULDER TYPE OF INTERSECTION
LIGHT CONDITION WEATHER CONDITION ROADWAY SURFACE CONDITION SCHOOL BUS RELATED MANNER OF COLLISION/IMPACT
FIRST HARMFUL EVENT FIRST HARMFUL EVENT LOCATION WITHIN INTERCHANGE FIRST HARMFUL EVENT RELATION TO
NONE
NONE
WORK ZONE RELATED CRASH IN WORK ZONE TYPE OF WORK ZONE WORKERS IN WORK ZONE LAW ENFORCEMENT IN WORK ZONE
NO
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VEHICLE CHECK IF COMMERCIAL
VEHICLE # HIT AND RUN VEHICLE YEAR VEH LICENSE STATE VEHICLE MAKE VEHICLE STYLE VEHICLE COLOR VIN
1 NO 2016 WQM MO TOYOT SUV WHITE - WHI 5TDDKRFHXGS228222
PERM. REG. REG. EXPIRES VEHICLE MODEL VEHICLE STATUS EXTENT OF DAM. EST. DAM. TOWED DUE TO VEHICLE REMOVED BY ROTATION
VEHICLE IN DAMAGE
NO 07/30/2020 HIGHLANDER TRANSPORT Disabling $ 8000 YES TOW SAFE ROTATIO
INSURANCE COMPANY (DRIVER) INSURANCE POLICY NUMBER
TRAILER 2: STATE REG. EXPIRES PERM. REG. VIN YEAR MAKE LENGTH AXLES
LICENSE #
DIRECTION ON STREET, ROAD, HIGHWAY AT EST. SPEED POSTED SPEED TOTAL LANES
COMM/NON-COMM VEHICLE BODY TYPE VEHICLE DEFECTS (1) VEHICLE DEFECTS (2) EMERGENCY VEHICLE USE UNIT # SPECIAL FUNCTION OF MV
PERM. REG. REG. EXPIRES VEHICLE MODEL VEHICLE STATUS EXTENT OF DAM. EST. DAM. TOWED DUE TO VEHICLE REMOVED BY ROTATION
VEHICLE IN DAMAGE
NO 12/31/2019 UPS TRUCK TRANSPORT Functional $ 4000 NO DRIVER DRIVER
INSURANCE COMPANY (DRIVER) INSURANCE POLICY NUMBER
TRAILER 2: STATE REG. EXPIRES PERM. REG. VIN YEAR MAKE LENGTH AXLES
LICENSE #
DIRECTION ON STREET, ROAD, HIGHWAY AT EST. SPEED POSTED SPEED TOTAL LANES
COMM/NON-COMM VEHICLE BODY TYPE VEHICLE DEFECTS (1) VEHICLE DEFECTS (2) EMERGENCY VEHICLE USE UNIT # SPECIAL FUNCTION OF MV
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DRIVER
DRIVER LICENSE NUMBER STATE EXPIRES DL TYPE REQ. END. INJURY SEVERITY EJECTION
NOT
V006294006 MO 7/5/2022 5 - CLASS E/OPERATO NO NONE EJECTED
RESTRAINT SYSTEMS AIR BAG DEPLOYED HELMET USE EYE PROTECTION SEAT ROW OTHER
SHOULDER AND LAP BELT
USED NOT DEPLOYED LEFT FRONT
DRIVERS ACTION AT TIME OF CRASH (FIRST) DRIVERS ACTION AT TIME OF CRASH (SECOND) DRIVER DISTRACTED BY DRIVER VISION OBSTRUCTION
DRIVERS ACTIONS AT TIME OF CRASH (THIRD) DRIVER ACTIONS AT TIME OF CRASH (FOURTH) DRIVERS CONDITION AT TIME OF CRASH
APPARENTLY NORMAL
SUSPECTED ALCOHOL ALCOHOL TEST ALCOHOL TEST BAC SUSPECTED DRUG USE DRUG TESTED DRUG TEST TYPE DRUG TEST
NO NO
POSITIVE DRUG TEST RESULTS TRANSPORT TO MEDICAL FACILITY BY EMS AGENCY NAME OR ID EMS RUN NUMBER MEDICAL FACILITY TRANSPORTED TO
DRIVER
DRIVER LICENSE NUMBER STATE EXPIRES DL TYPE REQ. END. INJURY SEVERITY EJECTION
NOT
B-653-078-76-143-0 FL 4/23/2022 5 - CLASS E/OPERATO NO NONE EJECTED
RESTRAINT SYSTEMS AIR BAG DEPLOYED HELMET USE EYE PROTECTION SEAT ROW OTHER
SHOULDER AND LAP BELT
USED NOT DEPLOYED LEFT FRONT
DRIVERS ACTION AT TIME OF CRASH (FIRST) DRIVERS ACTION AT TIME OF CRASH (SECOND) DRIVER DISTRACTED BY DRIVER VISION OBSTRUCTION
DRIVERS ACTIONS AT TIME OF CRASH (THIRD) DRIVER ACTIONS AT TIME OF CRASH (FOURTH) DRIVERS CONDITION AT TIME OF CRASH
APPARENTLY NORMAL
SUSPECTED ALCOHOL ALCOHOL TEST ALCOHOL TEST BAC SUSPECTED DRUG USE DRUG TESTED DRUG TEST TYPE DRUG TEST
NO NO
POSITIVE DRUG TEST RESULTS TRANSPORT TO MEDICAL FACILITY BY EMS AGENCY NAME OR ID EMS RUN NUMBER MEDICAL FACILITY TRANSPORTED TO
REPORTING OFFICER
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