Sample Form Fr300p - Police Crash Report Page 3
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6Commonwealth of Virginia
Department of Motor Vehicles
FR300P (Rev 1/12)
•
Officer Initials________ Badge # __________
Police Crash Report
Page _______ of _______
Revised Report
CRASH
Crash
MM DD YYYY
MILITARY Time (24 hr clock) County of Crash
Local Case Number
City of
Date
Town of
CRASH INFORMATION
Location of First Harmful
C1
Traffic Control Type
C5
Roadway Description
C9
Intersection Type
C12
Event in Relation to Roadway
1. No Traffic Control
1. Two-Way, Not Divided
1. Not at Intersection
1. On Roadway
2. Officer or Flagger
2. Two-Way, Divided,
2. Two Approaches
2. Shoulder
3. Traffic Signal
Unprotected Median
3. Three Approaches
3. Median
4. Stop Sign
3. Two-Way, Divided, Positive
4. Four Approaches
4. Roadside
5. Slow or Warning Sign
Median Barrier
5. Five-Point, or more
5. Gore
6. Traffic Lanes Marked
4. One-Way, Not Divided
6. Roundabout
6. Separator
7. No Passing Lines
5. Unknown
7. In Parking Lane or Zone
8. Yield Sign
Work Zone
C13
8. Off Roadway, Location Unknown
9. One Way Road or Street
1. Yes
9. Outside Right-of-Way
10. Railroad Crossing With
2. No
Markings and Signs
Roadway Defects
C10
11. Railroad Crossing With
Signals
1. No Defects
C14
Work Zone
12. Railroad Crossing With
2. Holes, Ruts, Bumps
Workers Present
Gate and Signals
3. Soft or Low Shoulder
Weather Condition
C2
1. With Law Enforcement
13. Other
4. Under Repair
2. With No Law Enforcement
1. No Adverse Condition
14. Pedestrian Crosswalk
5. Loose Material
3. No Workers Present
(Clear/Cloudy)
15. Reduced Speed – School Zone
6. Restricted Width
3. Fog
16. Reduced Speed – Work Zone
7. Slick Pavement
4. Mist
17. Highway S afety Corridor
C15
Work Zone Location
8. Roadway Obstructed
5. Rain
9. Other
1. Advance Warning Area
6. Snow
10. Edge Pavement Drop Off
Roadway Alignment
C6
2. Transition Area
7. Sleet/Hail
3. Activity Area
1. Straight – Level
8. Smoke/Dust
4. Termination Area
2. Curve – Level
9. Other
3. Grade – Straight
10. Blowing Sand, Soil,
4. Grade – Curve
Dirt, or Snow
Work Zone Type
C16
Relation to Roadway
C11
5. Hillcrest – Straight
11. Severe Crosswinds
Interchange Area:
1. Lane Closure
6. Hillcrest – Curve
2. Lane Shift/Crossover
1. Main-Line Roadway
7. Dip – Straight
3. Work on Shoulder or Median
2. Acceleration/Deceleration Lanes
8. Dip – Curve
4. Intermittent or Moving Work
3. Gore Area (Between Ramp and
9. Other
5. Other
Highway Edgelines)
10. On/Off Ramp
C3
4. Collector/Distributor Road
Light Conditions
5. On Entrance/Exit Ramp
School Zone
C17
Roadway Surface Condition C7
1. Dawn
6. Intersection at end of Ramp
2. Daylight
1. Yes
1. Dry
7. Other location not listed above
3. Dusk
2. Yes - With School Activity
2. Wet
within an interchange area
4. Darkness –Road Lighted
3. No
3. Snowy
(median, shoulder and roadside)
5. Darkness –Road Not Lighted
4. Icy
6. Darkness –Unknown
5. Muddy
Intersection Area:
Type of Collision
C18
Road Lighting
6. Oil/Other Fluids
8. Non-Intersection
1. Rear End
7. Unknown
7. Other
9. Within Intersection
2. Angle
8. Natural Debris
10. Intersection-Related - Within 150’
3. Head On
9. Water (Standing, Moving)
11. Intersection-Related - Outside 150’
4. Sideswipe – Same Direction
10. Slush
5. Sideswipe – Opposite Direction
11. Sand, Dirt, Gravel
Other Location:
6. Fixed Object in Road
12. Crossover Related
Traffic Control
C4
7. Train
13. Driveway, Alley-Access - Related
Device
Roadway Surface Type
C8
8. Non-Collision
14. Railway Grade Crossing
9. Fixed Object – Off Road
1. Concrete
1. Yes – Working
15. Other Crossing (Crossings for
10. Deer
2. Blacktop, Asphalt,
2. Yes – Working and Obscured
Bikes, School, etc.)
11. Other Animal
Bituminous
3. Yes – Not Working
12. Pedestrian
3. Brick or Block
4. Yes – Not Working and Obscured
13. Bicyclist
4. Slag, Gravel, Stone
5. Yes – Missing
14. Motorcyclist
5. Dirt
6. No Traffic Control Device Present
15. Backed Into
6. Other
16. Other
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