FARS Data Entry Form

FARS 2025 Data Entry Form.docx

Fatality Analysis Reporting System (FARS)

FARS Data Entry Form

OMB: 2127-0006

Document [docx]
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Shape1

RBIS FARS 2025









OMB Control No. 2127-0006 Expiration Date 2/28/2026

2025 Fatality Analysis Reporting System CRASH LEVEL

This collection of information is voluntary and will be used for informative purposes only. The collection of information will allow NHTSA to develop and evaluate programs designed to reduce the number of motor vehicle-related injuries and deaths. NHTSA will not collect any personal information that would allow anyone to identify persons involved in the motor vehicle traffic crash. A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current valid OMB Control Number. The OMB Control Number for this information collection is 2127-0006. Public reporting for this collection of information is estimated to be approximately 3 hours per response, including the time for reviewing instructions, completing, and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, National Highway Traffic Safety Administration, W51-316, 1200 New Jersey Ave, S.E., Washington, DC, 20590


State Number Consecutive Number

**Number of Forms Submitted for Persons Not in Motor Vehicles

**Number of Vehicle Submitted


**Number of Motor Vehicle Occupant Forms Submitted

State Case #


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Crash Date

Shape4 Shape5

/ / 2025

 Shape6

Crash Time

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:
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County or Equivalent

City

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0000 - NOT APPLICABLE

9898 - Not Reported 9997 - Other [Specify:] 9999 - Unknown


000 - NOT APPLICABLE (000)

001 - AUTAUGA (1)

003 - BALDWIN (3)

005 - BARBOUR (5)

007 - BIBB (7)

009 - BLOUNT (9)

011 - BULLOCK (11)

013 - BUTLER (13)

015 - CALHOUN (15)

017 - CHAMBERS (17)

019 - CHEROKEE (19)

021 - CHILTON (21)

023 - CHOCTAW (23)

025 - CLARKE (25)

027 - CLAY (27)

029 - CLEBURNE (29)

031 - COFFEE (31)

033 - COLBERT (33)

035 - CONECUH (35)

037 - COOSA (37)

039 - COVINGTON (39)

041 - CRENSHAW (41)

043 - CULLMAN (43)

045 - DALE (45)

047 - DALLAS (47)

049 - DEKALB (49)

051 - ELMORE (51)

053 - ESCAMBIA (53)

055 - ETOWAH (55)

057 - FAYETTE (57)

059 - FRANKLIN (59)

061 - GENEVA (61)

063 - GREENE (63)

065 - HALE (65)

067 - HENRY (67)

069 - HOUSTON (69)

071 - JACKSON (71)

073 - JEFFERSON (73)

075 - LAMAR (75)

077 - LAUDERDALE (77)

079 - LAWRENCE (79)

081 - LEE (81)

083 - LIMESTONE (83)

085 - LOWNDES (85)

087 - MACON (87)

089 - MADISON (89)

091 - MARENGO (91)




093 - MARION (93)


095 - MARSHALL (95)

097 - MOBILE (97)

099 - MONROE (99)

101 - MONTGOMERY (101)

103 - MORGAN (103)

105 - PERRY (105)

107 - PICKENS (107)

109 - PIKE (109)

111 - RANDOLPH (111)

113 - RUSSELL (113)

115 - ST. CLAIR (115)

117 - SHELBY (117)

119 - SUMTER (119)

121 - TALLADEGA (121)

123 - TALLAPOOSA (123)

125 - TUSCALOOSA (125)

127 - WALKER (127)

129 - WASHINGTON (129)

131 - WILCOX (131)

133 - WINSTON (133)

998 - Not Reported

999 - UNKNOWN (999)
Shape10

Relation To Junction: Within Interchange Area

 Shape11

Relation To Junction: Specific Location

  1. - No

  2. - Yes

  1. - Not Reported

  2. - Reported as Unknown

  1. - Non-Junction

  2. - Intersection

  3. - Intersection-Related 04 - Driveway Access

05 - Entrance or Exit Ramp Related 06 - Railway Grade Crossing

07 - Crossover-Related

08 - Driveway Access Related

  1. - Shared-Use Path Crossing

  2. - Acceleration or Deceleration Lane

  3. - Through Roadway

  4. - Other location within interchange area

  5. - Entrance or Exit Ramp

  1. - Not Reported

  2. - Reported as Unknown

Shape12 Type of Intersection


01 - Not an Intersection 02 - Four-Leg Intersection 03 - T-Intersection

  1. - Y-Intersection

07 - Five or More Legs and Not Circular

  1. - L-Intersection

  2. - Other Intersection Type

  3. - Circular Intersection [e.g., roundabout, traffic circle]

  1. - Not Reported

  2. - Reported as Unknown

Location of First Harmful Event Relative to the Trafficway


01 - On Roadway 02 - On Shoulder 03 - On Median 04 - On Roadside

  1. - Non-Trafficway Area

  2. - Off Roadway-Location Unknown 07 - In Parking Lane or Zone

08 - Gore

  1. - Separator

  2. - Continuous Left - Turn Lane

  3. - Pedestrian Refuge Island or Traffic Island

  1. - Not Reported

  2. - Reported as Unknown









Shape13 Light Condition


  1. - Daylight

  2. - Dark - Not Lighted

  3. - Dark - Lighted

  4. - Dawn

  5. - Dusk

  6. - Dark - Unknown Lighting

  1. - Not Reported

  2. - Reported as Unknown


Atmospheric Conditions




01 - Clear

02 - Rain

03 - Sleet or Hail

04 - Snow

06 - Severe Crosswinds

07 - Blowing Sand, Soil, Dirt, or Dust

08 - Other [Specify:]

10 - Cloudy

11 - Blowing Snow

12 - Freezing Rain

13 - Fog or Mist

14 - Smog or Smoke

98 - Not Reported

99 - Reported as Unknown


NHTSA Form 1667







OMB Control No. 2127-0006 Expiration Date 07/31/2022


TRAFFICWAY - CRASH LEVEL


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Trafficway Identifier (1)

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Trafficway Identifier (2)
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Route Signing

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Rural Urban Classification

00 - Not Signed 01 - Interstate

02 - U.S. Highway 03 - State Highway 04 - County

05 - Township

06 - Municipal

  1. - Parkway Marker or Forest Route Marker [Specify:]

  2. - Off-Interstate Business Marker

  3. - Secondary Route

  4. - Bureau of Indian Affairs

  1. - Other

  2. - Trafficway Not in State Inventory 99 - Unknown/Not Reported

  1. - Rural

  2. - Urban

6 - Trafficway Not in State Inventory

8 - Not Reported

9 - Unknown


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Functional System

 Shape19

Ownership

01 - Interstate

02 - Other Freeways and Expressways 03 - Other Principal Arterial

04 - Minor Arterial 05 - Major Collector 06 - Minor Collector 07 - Local

96 - Trafficway Not in State Inventory

98 - Not Reported

99 - Unknown

01 - State Highway Agency 02 - County Highway Agency

03 - Town or Township Highway Agency 04 - City or Municipal Highway Agency

  1. - State Park, Forest, or Reservation Agency

  2. - Local Park, Forest or Reservation Agency 21 - Other State Agency

  1. - Other Local Agency

  2. - Private (Other Than Railroad)

  3. - Railroad

31 - State Toll Road

32 - Local Toll Authority

40 - Other Public Instrumentality (i.e., Airport) 50 - Indian Tribe Nation

60 - Other Federal Agency

62 - Bureau of Indian Affairs

63 - Bureau of Fish and Wildlife

64 - U.S. Forest Service

66 - National Park Service

67 - Tennessee Valley Authority

68 - Bureau of Land Management

69 - Bureau of Reclamation

70 - Corps of Engineers 72 - Air Force

74 - Navy/Marines

80 - Army

95 - Other [Specify:]

96 - Trafficway Not in State Inventory

98 - Not Reported

99 - Unknown


National Highway System

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0 - This Section IS NOT on the NHS

1 - This Section IS ON the NHS

9 - Unknown if This Section Is on the NHS

Special Jurisdiction

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  1. - No Special Jurisdiction

  2. - National Park Service

  3. - Military

  4. - Indian Reservation

  5. - College/University Campus*

  6. - Other Federal Properties*

  1. - Other

  2. - Unknown
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Mile Point

.

Global Position (Latitude, Longitude)

Shape23 Shape24 Shape25

Deg Min Sec


Latitude: Longitude:

OTHER - CRASH LEVEL


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School Bus Related


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Secondary Crash
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Rail Grade Crossing Identifier

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Notification Time EMS

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:
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Arrival Time EMS

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:

 Shape33

EMS Time at Hospital

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:


Crash Related Factors

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Additional State Information (1)




000 - None Noted

001 - Inadequate Warning of Exits, Lanes

Narrowing, Traffic Controls, etc.

002 - Shoulder Design or Condition

003 - Other Maintenance or Construction-Created

Condition

004 - No or Obscured Pavement Marking

005 - Surface Under Water

006 - Inadequate Construction or Poor Design of

Roadway,Bridge, etc.

007 - Surface Collapsed [e.g., washed out, caved-in,

sink hole, road slippage]

010 - Emergency Vehicle Related

012 - Distracted Driver of a Non-Contact Vehicle

014 - Motor Vehicle struck by falling cargo,or something that came loose from or something that

was set in motion by a vehicle

015 - Non-occupant struck by falling cargo, or

something that came loose from, or something that was set in motion by a vehicle

016 - Non-occupant struck vehicle

018 - Date of Crash and Date of EMS Notification

were not the same day

020 - Police Pursuit Involved

021 - Within Designated School Zone

022 - Speed Limit is a Statutory Limit as Recorded

or was determined as this state's 'basic rule'

023 - Indication of a Stalled or Disabled Vehicle

024 - Unstabilized Situation Began and All Harmful

Events Occurred Off of the Roadway

025 - Toll Booth or Plaza-Related

030 - Obstructed Crosswalks

031 - Related to a Bus Stop

102 - Aggressive Driving by Non-Contact Vehicle

Driver

103 - Road Rage by Non-Contact Vehicle Driver

104 - Obstruction in Roadway

105 - Traffic Incident [Other Than a Crash]

106 - Railroad-Related


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Additional State Information (2)


NHTSA Form 1667





2025 Fatality Analysis Reporting System CRASH LEVEL - CRASH EVENTS

Shape37 Click here to open Clock Point Diagrams First Harmful Event

Shape38
Manner of Collision of the First Harmful Event


Shape39 Shape40 Vehicle No. (This)

Area of Impact (AOI) (This) Sequence Of Events (SOE) Vehicle No. (Other)

Area of Impact (AOI) (Other)



Shape41


AOI


00 - Non-Collision




13 - Top

01 - 1 Clock Point

14 - Undercarriage

02 - 2 Clock Point

18 - Cargo or Vehicle Parts Set in Motion

03 - 3 Clock Point

19 - Other Objects or Person Set-In-Motion

04 - 4 Clock Point

20 - Object Set in Motion, Unknown if Cargo or

Vehicle Parts or Other

05 - 5 Clock Point

06 - 6 Clock Point

61 - Left

07 - 7 Clock Point

62 - Left-Front Side

08 - 8 Clock Point

63 - Left-Back Side

09 - 9 Clock Point

81 - Right

10 - 10 Clock Point

82 - Right-Front Side

11 - 11 Clock Point

83 - Right-Back Side

12 - 12 Clock Point

98 - Not Reported

99 - Reported as Unknown

SOE


  1. - Rollover or Overturn (Non-Collision Harmful Events / Harmful)

  2. - Fire or Explosion (Non-Collision Harmful Events / Harmful)

  3. - Immersion, Full or Partial (Non-Collision Harmful Events / Harmful)

46 - Traffic Signal or Support (Collision With Fixed Object / Harmful)

  1. - Snow Bank (Collision With Fixed Object / Harmful)

  2. - Ridden Animal or Animal Drawn Conveyance (Collision With Objects Not Fixed / Harmful)

  3. - Bridge Overhead Structure (Collision With Fixed

05 - Fell or Jumped From Motor Vehicle (Non-CollisionObject / Harmful)

Harmful Events / Harmful)

07 - Other Non-Collision (Non-Collision Harmful Events / Harmful)

  1. - Jackknife (harmful to this vehicle) (Non-Collision Harmful Events / Harmful)

  2. - Guardrail End (Collision With Fixed Object /

  1. - Railroad Vehicle (Collision With Objects Not Fixed Harmful)

/ Harmful)

  1. - Live Animal (Collision With Objects Not Fixed / Harmful)

  2. - Motor Vehicle In-Transport (Collision With Motor Vehicle In-Transport / Harmful)

  1. - Mail Box (Collision With Fixed Object / Harmful)

  2. - Striking or Struck by Object, Cargo, or Person From Other Motor Vehicle In-Transport (Collision With Motor Vehicle In-Transport / Harmful)

  1. - Cable Barrier (Collision With Fixed Object /

14 - Parked Motor Vehicle (Collision With Objects Not Harmful)

Fixed / Harmful)

16 - Thrown or Falling Object (Non-Collision Harmful Events / Harmful)

17 - Boulder (Collision With Fixed Object / Harmful)

18 - Other Object (not fixed) (Collision With Objects Not Fixed / Harmful)

19 - Building (Collision With Fixed Object / Harmful)

20 - Impact Attenuator or Crash Cushion (Collision With Fixed Object / Harmful)

21 - Bridge Pier or Support (Collision With Fixed Object / Harmful)

23 - Bridge Rail (Includes parapet) (Collision With Fixed Object / Harmful)

24 - Guardrail Face (Collision With Fixed Object / Harmful)

25 - Concrete Traffic Barrier (Collision With Fixed Object / Harmful)

  1. - Ground (Collision With Fixed Object / Harmful)

  2. - Traffic Sign or Support (Collision With Fixed Object / Harmful)

  3. - Cargo or Equipment Loss or Shift [Non-Harmful] (Non-Harmful Events / Non-Harmful)

  4. - Equipment Failure (blown tire, brake failure, etc) (Non-Harmful Events / Non-Harmful)

  5. - Separation of Units (Non-Harmful Events / Non- Harmful)

  6. - Ran Off Roadway - Right (Non-Harmful Events / Non-Harmful)

  7. - Ran Off Roadway - Left (Non-Harmful Events / Non-Harmful)

  8. - Cross Median (Non-Harmful Events / Non- Harmful)

  9. - Downhill Runaway (Non-Harmful Events / Non- Harmful)

26 - Other Traffic Barrier (Collision With Fixed Object / 67 - Vehicle Went Airborne (Non-Harmful Events /

Harmful)

30 - Utility Pole or Light Support (Collision With Fixed Object / Harmful)

Non-Harmful)

68 - Cross Centerline (Non-Harmful Events / Non- Harmful)

31 - Post, Pole or Other Supports (Collision With Fixed 69 - Re-entering Roadway (Non-Harmful Events /

Object / Harmful)

32 - Culvert (Collision With Fixed Object / Harmful)

33 - Curb (Collision With Fixed Object / Harmful)

34 - Ditch (Collision With Fixed Object / Harmful)

35 - Embankment (Collision With Fixed Object / Harmful)

  1. - Fence (Collision With Fixed Object / Harmful)

  2. - Wall (Collision With Fixed Object / Harmful)

  3. - Fire Hydrant (Collision With Fixed Object /

Harmful)

Non-Harmful)

  1. - (Non-Harmful, Swaying Trailer or Jackknife) (Non- Harmful Events / Non-Harmful)

  2. - End Departure [T-intersection, dead-end, etc.] (Non-Harmful Events / Non-Harmful)

  3. - Cargo or Equipment Loss, Shift, or Damage [Harmful] (Non-Collision Harmful Events / Harmful)

  4. - Strikes Object at Rest That Had Fallen From Motor Vehicle In-Transport (Collision With Objects Not Fixed

/ Harmful)

  1. - Shrubbery (Collision With Fixed Object / Harmful) 74 - Road Vehicle on Rails (Collision With Objects Not

  2. - Tree (Standing Only) (Collision With Fixed Object /Fixed / Harmful)

Shape42 Harmful)

  1. - Other Fixed Object (Collision With Fixed Object / Harmful)

  2. - Pavement Surface Irregularity (Ruts, Potholes, Grates, etc.) (Non-Collision Harmful Events / Harmful) 45 - Working Motor Vehicle (Collision With Objects Not Fixed / Harmful)

75 - Non-Motorist (Collision With Objects Not Fixed / Harmful)

79 - Ran off Roadway - Direction Unknown (Non- Harmful Events / Non-Harmful)

91 - Unknown Object Not Fixed (Collision With Fixed Object / Harmful)

93 - Unknown Fixed Object (Collision With Fixed Object / Harmful)

  1. - Harmful Event, Details Not Reported (Non- Collision Harmful Events / Harmful)

  2. - Reported as Unknown (Non Reported and Unknown / Harmful)

NHTSA Form 1667







OMB Control No. 2127-0006 Expiration Date 07/31/2022


2025 Fatality Analysis Reporting System PERSON LEVEL (NOT A MV OCCUPANT)

State Number

1

Consecutive Number

5

**Person Number

1


Shape43

Vehicle Number of Motor Vehicle Striking Non-Motorist

 Shape44

Age

Sex

Shape45

  1. - Male

  2. - Female

  1. - Not Reported

  2. - Reported as Unknown

Person Type

Shape46

  1. - Occupant of a Non-Motor Vehicle Transport Device

  2. - Pedestrian Walking, Running, Jogging, Hiking, Sitting, Lying

  3. - Bicyclist

  4. - Other Cyclist

  5. - Pedestrian on a Personal Conveyance 10 - Pedestrian In or On a Building

19 - Unknown Type of Non-Motorist

Non-Motorist Device Type

Shape47

  1. - Not Applicable

  2. - Ridden Animal, Animal Drawn Conveyance, or Trailer

  3. - Railroad Vehicle or Road Vehicle on Rails 03 - Bicycle

  1. - Other Cycle

  2. - Wheelchair or Other Mobility Aid Device 06 - Skates

  1. - Skateboard

  2. - Self-Balancing Board

  3. - Scooter [Standing or Seated]

97 - Personal Conveyance, Other

98 - Personal Conveyance, Unknown Type

99 - Unknown if Non-Motorist Was Operating a Device

Non-Motorist Device Motorization

Shape48

0 - Not Applicable

1 - Not Motorized

2 - Motorized

3 - Unknown/Not Reported if Motorized

9 - Unknown if Non-Motorist Was Operating a Device

Injury Severity

Shape49

  1. - No Apparent Injury (O)

  2. - Possible Injury (C)

  3. - Suspected Minor Injury (B)

  4. - Suspected Serious Injury (A)

  5. - Fatal Injury (K)

  6. - Injured, Severity Unknown

  7. - Died Prior to Crash*

9 - Unknown/Not Reported

Transported to First Medical Facility By

Shape50

  1. - Not Transported for Treatment

  2. - EMS Air

  3. - Law Enforcement

  4. - EMS, Unknown if Air or Ground

  5. - Transported, Unknown Type

  6. - EMS Ground

  7. - Other

  1. - Not Reported

  2. - Reported as Unknown

Special Function


00 - None

01 - Emergency Medical Service [EMS] 02 - Fire and Rescue

03 - Law Enforcement

04 - Towing and Recovery 05 - Safety Service Patrol 06 - Roadway Construction

Non-Motorist Related Factors

07 - Roadway Maintenance 08 - Utility

09 - USPS Mail Carrier

  1. - Other [Specify:]

  2. - Not Reported

  3. - Reported as Unknown


000 - None Noted

008 - Person with an Intellectual, Cognitive, or Developmental Disability

010 - Alcohol and/or Drug Test Refused

018 - Mother of Dead Fetus/Infant Born Post Crash

066 - Parked Vehicle

067 - Splash or Spray of Passing Vehicle 068 - Vehicle’s Exterior Lighting System 069 - Obstructing Angles on this Vehicle 070 - Mirrors

021 - Overloading or Improper Loading of Vehicle with072 - Other Visual Obstruction

Shape51 Passengers or Cargo

026 - Followed Too Closely

031 - Default Code Used for Vehicle Numbering 037 - *Traveling on Prohibited Trafficways

  1. - Passing Through or Around Barrier

  2. - *Failure to Observe Warnings or Instructions on Vehicles Displaying Them

  3. - Failure to Signal Intentions 051 - Operator Inexperience 052 - Unfamiliar with Roadway

  1. - Non-Motorist Previously Used a Motor Vehicle for Motion

  2. - Non-Motorist Attempting to Use a Motor Vehicle for Motion

  3. - Non-Motorist Attempting to Use or Previously Used a Motor Vehicle for Motion, Details Not Reported

  4. - Non-Operator Flees Scene 057 - Improper tire Pressure

060 - Rain, Snow, Fog, Smoke, Sand,or Dust

061 - Reflected Glare, Bright Sunlight,or Headlights 062 - Curve, Hill, or Other Design Features (including traffic signs, embankment)

063 - Building, Billboard,or Other Structures 064 - Trees, Crops,or Vegetation

065 - Motor Vehicle (including load)

073 - Severe Crosswind

074 - Wind From Passing Truck 075 - Slippery or Loose Surface 076 - Tire Blow-out or Flat

077 - Debris or Objects in Road 078 - Ruts, Holes, Bump in Road 080 - Vehicle in Road

081 - Phantom Vehicle

082 - Pedestrian, Pedalcyclist, or Other Non-Motorist 083 - Ice, Snow, Slush, Water, Sand, Dirt, Oil, Wet Leaves on Road

090 - Non-Motorist Pushing a Vehicle 091 - Portable Electronic Devices

093 - Non-Motorist Wearing Motorcycle Helmet

  1. - Using a Shared Micromobility Device

  2. - Obstructed Sidewalk (for this Person)

  3. - Motor Vehicle Occupant in Prior Crash

  4. - Road Rage

NHTSA Form 1667





2025 Fatality Analysis Reporting System

NON-MOTORIST ACTIONS (NOT A MV OCCUPANT)


NM. at Intersection

Shape52

  1. - No

  2. - Yes

  1. - Not Reported

  2. - Reported as Unknown if At Intersection

NM. in Crosswalk

Shape53

  1. - No

  2. - Yes, Marked

  3. - Yes, Unmarked or Unknown if Marked

  1. - Not Reported

  2. - Reported as Unknown if in Crosswalk

NM. Specific Location

Shape54

  1. - On Roadway [Travel Lane] - No Special Lane Use

  2. - In Bus Lane

  3. - In Parking Lane or Zone

  4. - In Painted Cycle Lane [including sharrow markings and painted buffers]

  5. - In Physically Separated Cycle Lane [e.g., curb, pylons]

  6. - On Shoulder 07 - On Median

08 - Pedestrian Refuge Island or Traffic Island 09 - Driveway Access

10 - On Sidewalk

11 - Shared-Use Path or Trail

12 - Non-Trafficway Area

13 - In Cycle Lane – Unknown Type

97 - Other [e.g., gore, separator]

98 - Not Reported

99 - Reported as Unknown

NM. Status Prior to Critical Event




20 - Incident Responder Working

21 - Working [Not Incident Response]

22 - Crossing

23 - Waiting to Cross

24 - Playing

25 - Disabled Vehicle Related [working on, pushing,

leaving, or approaching]

26 - Stationary [Not Moving]

27 - Movement Against Traffic

28 - Movement with Traffic

29 - Movement - Direction Unknown

30 - Entering or Exiting Parked or Stopped Vehicle

31 - Going to or From School [Pre-K-12]

97 - Other [Specify:]

98 - Not Reported

99 - Unknown


NM. Traffic Control Device

Shape55

  1. - None

  2. - Person [e.g., flagger, crossing guard, law enforcement]

  3. - Non-Motorist Crossing Signal

  4. - Non-Motorist Crossing Sign

  5. - Non-Motorist Prohibited Sign

  1. - Other Non-Motorist Sign or Signal

  2. - Not Reported

  3. - Reported as Unknown














NM. Contributing Circumstance(s)





00 - None Noted

02 - Failure to Yield Right-Of-Way

03 - Failure to Obey Traffic Sign[s], Signal[s], or

Officer[s]

04 - In Roadway Improperly (Standing, Lying,

Working, Playing, etc.)

06 - Distracted

07 - Improper Turn or Merge

08 - Improper Passing

12 - Improper Crossing of Roadway or Intersection

["Jaywalking"]

13 - Failing to Have Lights on When Required

14 - Operating Without Required Equipment

15 - Improper or Erratic Lane Changing

16 - Failure to Keep in Proper Lane or Running Off

Road

17 - Making Improper Entry to or Exit From

Trafficway

18 - Operating in other Erratic, Reckless, Careless or

Negligent Manner

19 - Not Visible (Dark clothing, No Lighting, etc.)

20 - Passing with Insufficient Distance or Inadequate

Visibility or Failing to Yield to Overtaking Vehicle

21 - Other (Specify:)

22 - Dart or Dash

23 - Fleeing or Evading Law Enforcement

24 - Traveling Wrong Way

92 - Contributing Circumstance - No Details

99 - Reported as Unknown


NM. Distraction




00 - Not Distracted

01 - Mobile Electronic Device Related

96 - Not Reported

98 - Other Distractions

99 - Reported as Unknown if Distracted


Non-Motorist Safety Equipment


Protective

Helmet

Shape56

  1. - No

  2. - Yes

  1. - Not Reported

  2. - Reported as Unknown

Pads

Shape57

  1. - No

  2. - Yes

  1. - Not Reported

  2. - Reported as Unknown

Other

Shape58

  1. - No

  2. - Yes

  1. - Not Reported

  2. - Reported as Unknown


Preventive

Clothing

Shape59

  1. - No

  2. - Yes

  1. - Not Reported

  2. - Reported as Unknown

Lighting

Shape60

  1. - No

  2. - Yes

  1. - Not Reported

  2. - Reported as Unknown

Other

Shape61

  1. - No

  2. - Yes

  1. - Not Reported

  2. - Reported as Unknown

NHTSA Form 1667





2025 Fatality Analysis Reporting System ALCOHOL (NOT A MV OCCUPANT)


Police Reported Alcohol Involvement

Shape62

  1. - No, Alcohol Not Suspected

  2. - Yes, Alcohol Suspected

8 - Not Reported

9 - Reported as Unknown

Alcohol Test Status

Shape63

0 - Test Not Given 2 - Test Given

8 - Not Reported

9 - Reported as Unknown if Tested

Alcohol Specimen Type

Shape64

00 - Test Not Given 01 - Blood

02 - Evidential Breath 03 - Urine

04 - Vitreous

05 - Blood Plasma/Serum 06 - Blood Clot

07 - Liver

08 - Other Specimen

  1. - Preliminary Breath Test (PBT)

  2. - Breath Test, Unknown Type 95 - Not Reported

  1. - Unknown Specimen

  2. - Reported as Unknown if Tested

 Shape65

Alcohol Test Result


DRUG (NOT A MV OCCUPANT)



Shape66

Police Reported Drug Involvement

 Shape67

Drug Test Status

Drug Toxico

Shape68

Drug Specimen

logy Results

Drug Testing Method



Drug Test Results



Drug Quantity



Shape69

Actual Quantity



Unit of Measure







Shape70

Shape71

Shape72

Shape73


Shape74 Shape75

.

NHTSA Form 1667





2025 Fatality Analysis Reporting System

RACE (NOT A MV OCCUPANT)

Shape76

SUPPLEMENTAL (NOT A MV OCCUPANT)


Died at Scene/En Route

Shape77

0 - Not Applicable

7 - Died at Scene

8 - Died En Route

9 - Unknown

 Shape78

Death Date

Shape79 Shape80

/ /
Shape81

Death Time

Shape82

:


NHTSA Form 1667




OMB Control No. 2127-0006 Expiration Date 07/31/2022


2025 Fatality Analysis Reporting System VEHICLE LEVEL # 1

State Number

1

Consecutive Number

5

**Vehicle Number

1

**Number Of Occupants

1


Shape83

Total Occupants in Motor Vehicle

Motor Vehicle Unit Type

Shape84

  1. - Motor Vehicle In-Transport (Inside or Outside the Trafficway)

  2. - Motor Vehicle Not In-Transport Within the Trafficway

  3. - Motor Vehicle Not In-Transport Outside the Trafficway

  4. - Working Motor Vehicle (Highway Construction, Maintenance, Utility only)

Hit and Run

Shape85

  1. - No

  2. - Yes

 Shape86

Motor Vehicle Registration State or Country

Registered Vehicle Owner

Shape87

  1. - Not Applicable, Vehicle Not Registered

  2. - Driver (in this crash) was Registered Owner

  3. - Driver (in this crash) Not Registered Owner (Other Private Owner Listed)

  4. - Vehicle Registered as Commercial/Business/Company/Government Vehicle

  5. - Vehicle Registered as Rental Vehicle

  6. - Vehicle was Stolen (reported by police)

  7. - Driverless/Motor Vehicle Parked/Stopped Off Roadway

9 - Unknown

 Shape88

Travel Speed

Vehicle Underride or Override

Shape89

1 - Underride

2 - Override

3 - None or Not Applicable

8 - Not Reported

9 - Reported as Unknown

Rollover

Shape90

0 - No Rollover 3 - Rollover

8 - Not Applicable

Shape91



Location of Rollover


  1. - No Rollover

  2. - On Roadway

  3. - On Shoulder

  4. - On Median/Separator

  5. - In Gore

  6. - On Roadside

  7. - Outside of Trafficway

  8. - In Parking Lane/Zone

  9. - Not Applicable

  10. - Unknown

Initial Contact Point


  1. - Non-Collision

  2. - 1 Clock Point

  3. - 2 Clock Point

  4. - 3 Clock Point

  5. - 4 Clock Point

  6. - 5 Clock Point

  7. - 6 Clock Point

  8. - 7 Clock Point

  9. - 8 Clock Point

  10. - 9 Clock Point

  1. - 10 Clock Point

  2. - 11 Clock Point

  3. - 12 Clock Point

  4. - Top

  5. - Undercarriage

  1. - Cargo or Vehicle Parts Set in Motion

  2. - Other Objects or Person Set-In-Motion

  3. - Object Set in Motion, Unknown if Cargo or Vehicle Parts or Other

  1. - Left

  2. - Left-Front Side

  3. - Left-Back Side

  1. - Right

  2. - Right-Front Side

  3. - Right-Back Side

  1. - Not Reported

  2. - Reported as Unknown


Extent of Damage

Shape92

0 - No Damage

2 - Minor Damage

4 - Functional Damage

6 - Disabling Damage

7 - Damage Reported, Extent Unknown

8 - Not Reported

9 - Reported as Unknown






Shape93

NHTSA Form 1667





Shape94 DAMAGED AREAS FOR VEHICLE# 1




Left 12

Top 13

11

1

10

2

9

3

8

4

7

5





VIN INFORMATION FOR VEHICLE# 1


Shape95

Motor Vehicle Model Year

VIN

Shape96

00000000000000000 - No VIN Required, Not a Vehicle for Road Use

88888888888888888 - Not Reported 99999999999999999 - Reported as Unknown
Shape97

vPIC Make

 Shape98

vPIC Model

vPIC Body Class


001 - Convertible/Cabriolet

002 - Minivan



083 - Motorcycle - Three-Wheeled Motorcycle (2 Rear

Wheels)

003 - Coupe

084 - Off-road Vehicle - Dirt Bike / Off-Road

004 - Low Speed Vehicle (LSV) / Neighborhood Electric

Vehicle (NEV)

085 - Motorcycle - Dual Sport / Adventure / Supermoto

/ On/Off-road

005 - Hatchback/Liftback/Notchback

006 - Motorcycle - Standard

086 - Off-road Vehicle - Enduro (Off-road long distance

racing)

007 - Sport Utility Vehicle (SUV)/Multi-Purpose Vehicle

(MPV)

087 - Motorcycle - Small / Minibike

088 - Off-road Vehicle - Go Kart

008 - Crossover Utility Vehicle (CUV)

090 - Motorcycle - Side Car

009 - Van

094 - Motorcycle - Custom

010 - Roadster

095 - Cargo Van

011 - Truck

097 - Off-road Vehicle - Snowmobile

012 - Motorcycle - Scooter

098 - Motorcycle - Street

013 - Sedan/Saloon 100 - Motorcycle - Enclosed Three Wheeled or Enclosed

Shape99

015 - Wagon Autocycle [1 Rear Wheel]

016 - Bus

060 - Pickup

103 - Motorcycle - Unenclosed Three Wheeled or Open

Autocycle [1 Rear Wheel]

062 - Incomplete - Cutaway

104 - Motorcycle - Moped


Shape100

063 - Incomplete - Chassis Cab (Single Cab) 064 - Incomplete - Glider

Shape101

065 - Incomplete

105 - Off-road Vehicle - Multipurpose Off-Highway

Utility Vehicle [MOHUV] or Recreational Off-Highway Vehicle [ROV]

066 - Truck-Tractor

107 - Incomplete - Bus Chassis

067 - Incomplete - Stripped Chassis

108 - Motorhome

068 - Streetcar / Trolley

109 - Motorcycle - Cross Country

069 - Off-road Vehicle - All Terrain Vehicle (ATV)

(Motorcycle-style)

110 - Motorcycle - Underbone

111 - Step Van / Walk-in Van

070 - Incomplete - Chassis Cab (Double Cab)

112 - Incomplete - Commercial Chassis


071 - Incomplete - School Bus Chassis

Shape102

072 - Incomplete - Commercial Bus Chassis

113 - Off-road Vehicle - Motocross (Off-road short

distance, closed track racing)

073 - Bus - School Bus

114 - Motorcycle - Competition

074 - Incomplete - Chassis Cab (Number of Cab

Unknown)

117 - Limousine

119 - Sport Utility Truck (SUT)

075 - Incomplete - Transit Bus Chassis

124 - Off-road Vehicle - Golf Cart

076 - Incomplete - Motor Coach Chassis

125 - Motorcycle - Unknown Body Class

077 - Incomplete - Shuttle Bus Chassis

126 - Off-road Vehicle - Farm Equipment

078 - Incomplete - Motor Home Chassis

127 - Off-road Vehicle - Construction Equipment

080 - Motorcycle - Sport

128 - Ambulance

081 - Motorcycle - Touring / Sport Touring

129 - Street Sweeper

082 - Motorcycle - Cruiser

130 - Fire Apparatus


131 - Motorcycle - Three Wheeled, Unknown Enclosure

or Autocycle, Unknown Enclosure

997 - Other

998 - Not Reported

999 - Unknown



Final Stage Body Class

Shape103

000 - Not Applicable 073 - Bus - School Bus

Shape104

002 - Minivan 095 - Cargo Van

Shape105

004 - Low Speed Vehicle (LSV) / Neighborhood 108 - Motorhome

Shape106

Shape107

Shape108

Electric Vehicle (NEV) 111 - Step Van / Walk-in Van 007 - Sport Utility Vehicle (SUV)/Multi-Purpose 117 - Limousine

Vehicle (MPV) 119 - Sport Utility Truck (SUT)

Shape109

008 - Crossover Utility Vehicle (CUV) 128 - Ambulance

Shape110

009 - Van 129 - Street Sweeper

Shape111

011 - Truck 130 - Fire Apparatus

Shape112

015 - Wagon 997 - Other (Specify:)

Shape113

016 - Bus 998 - Not Reported

Shape114

060 - Pickup 999 - Unknown

Shape115

066 - Truck-Tractor

Shape116

Shape117

068 - Streetcar / Trolley
Shape118

NCSA Make

 Shape119

NCSA Model


NCSA Body Type


01 - Convertible(excludes sun-roof,t-bar)



58 - Other Bus Type

02 - 2-door sedan,hardtop,coupe

59 - Unknown Bus Type

03 - 3-door/2-door hatchback

60 - Step van (GVWR greater than 10,000 lbs.)

04 - 4-door sedan, hardtop 05 - 5-door/4-door hatchback

61 - Single-unit straight truck or Cab-Chassis (GVWR

range 10,001 to 19,500 lbs.)

06 - Station Wagon (excluding van and truck based) 07 - Hatchback, number of doors unknown

62 - Single-unit straight truck or Cab-Chassis (GVWR

range 19,501 to 26,000 lbs.)

08 - Sedan/Hardtop, number of doors unknown 09 - Other or Unknown automobile type

63 - Single-unit straight truck or Cab-Chassis (GVWR

greater than 26,000 lbs.)

10 - Auto-based pickup (includes E1 Camino, Caballero, 64 - Single-unit straight truck or Cab-Chassis (GVWR

Ranchero, SSR, G8-ST, Subaru Brat, Rabbit Pickup) unknown)


11 - Auto-based panel (cargo station wagon, auto-

based ambulance or hearse)

65 - Medium/Heavy Vehicle Based Motor Home

66 - Truck-tractor (Cab only, or with any number of

trailing unit; any weight)

12 - Large Limousine-more than four side doors or

stretched chassis

67 - Medium/heavy Pickup (GVWR greater than 10,000

lbs.)

13 - Three-wheel automobile or automobile derivative

14 - Compact Utility (Utility Vehicle Categories "Small"

and "Midsize")

71 - Unknown if single unit or combination unit

Medium Truck (GVWR range 10,001 lbs. to 26,000 lbs.)

15 - Large utility (ANSI D16.1 Utility Vehicle Categories

and "Full Size" and "Large")

72 - Unknown if single unit or combination unit Heavy

Truck (GVWR greater than 26,000 lbs.)

16 - Utility station wagon (includes suburban

limousines, Suburban, Travellall, Grand Wagoneer)

73 - Camper or Motor Home, unknown GVWR

78 - Unknown medium/heavy truck type

17 - 3-door coupe

79 - Unknown truck type (light/medium/heavy)

19 - Utility Vehicle, Unknown body type

80 - Two Wheel Motorcycle (excluding motor scooters)

20 - Minivan (Chrysler Town and Country, Caravan,

Grand Caravan, Voyager, Voyager, Honda-Odyssey, ...)

81 - Moped

82 - Three-wheel Motorcycle (2 Rear Wheels)

21 - Large Van-Includes van-based buses (B150-B350,

Sportsman, Royal Maxiwagon, Ram, Tradesman,...)

83 - Off-road Motorcycle

84 - Motor Scooter

22 - Step-van or walk-in van (GVWR less than or equal

to 10,000 lbs.)

85 - Unenclosed Three Wheel Motorcycle / Unenclosed

Autocycle (1 Rear Wheel)

28 - Other van type (Hi-Cube Van, Kary)

29 - Unknown van type

86 - Enclosed Three Wheel Motorcycle / Enclosed

Autocycle (1 Rear Wheel)

33 - Convertible pickup

87 - Unknown Three Wheel Motorcycle Type

34 - Light Pickup

Shape120

39 - Unknown (pickup style) light conventional truck

type

88 - Other motored cycle type (mini-bikes, pocket

motorcycles “pocket bikes”)

89 - Unknown motored cycle type

40 - Cab Chassis Based (includes Rescue Vehicle, Light

Stake, Dump, and Tow Truck)

90 - ATV/ATC [All-Terrain Cycle]

91 - Snowmobile

41 - Truck based panel

92 - Farm equipment other than trucks

42 - Light Vehicle Based Motor Home [chassis

mounted]

93 - Construction equipment other than trucks

(includes graders)

45 - Other light conventional truck type 48 - Unknown light truck type

94 - Low Speed Vehicle (LSV) / Neighborhood Electric

Vehicle (NEV)


49 - Unknown light vehicle type (automobile,utility

vehicle, van, or light truck)

95 - Golf Cart

96 - Multipurpose Off-Highway Utility Vehicles

[MOHUV] or Recreational Off-Highway Vehicle [ROV]

50 - School Bus

51 - Cross Country/Intercity Bus

52 - Transit Bus (City Bus)

97 - Other vehicle type (includes go-cart, fork-lift, city

street sweeper dunes/swamp buggy)

55 - Van-Based Bus GVWR greater than 10,000 lbs.

98 - Not Reported


99 - Unknown body type


Shape121

Power Unit GVWR From


12 - Class 2: 6,001 - 10,000 lbs. (2,722 - 4,536 kg)

13 - Class 3: 10,001 - 14,000 lbs. (4,536 - 6,350 kg)

14 - Class 4: 14,001 - 16,000 lbs. (6,350 - 7,258 kg)

15 - Class 5: 16,001 - 19,500 lbs. (7,258 - 8,845 kg)

16 - Class 6: 19,501 - 26,000 lbs. (8,845 - 11,794 kg)




17 - Class 7: 26,001 - 33,000 lbs. (11,794 - 14,969 kg)

Shape122

18 - Class 8: 33,001 lbs. and above (14,969 kg and above)

Shape123

98 - Not Reported

Shape124

Shape125

99 - Reported as Unknown


Shape126

NHTSA Form 1667





DETAILS FOR VEHICLE# 1


US DOT Number

Shape127

000000000 - Not Applicable 888888888 - None

999999999 - Unknown MC or MX (ICC) Number


Shape128

000000000 - Not Applicable 888888888 - None

999999999 - Unknown State or Country Number


Shape129 Shape130

Issuing State or Country

Vehicle Configuration

Shape131

  1. - Not Applicable

  2. - Single-Unit Truck (2- axle and GVWR more than 10,000 lbs)

  3. - Single-Unit Truck (3 or more axles) 04 - Truck Pulling Trailer(s)

05 - Truck Tractor (Bobtail)

06 - Truck Tractor/Semi-Trailer 07 - Truck Tractor/Double

08 - Truck Tractor/Triple

10 - Vehicle 10,000 pounds or less placarded for hazardous materials

19 - Vehicle More Than 10,000 lbs., Other

20 - Bus/Large Van (seats for 9-15 occupants, including driver)

21 - Bus (seats for more than 15 occupants, including driver)

88 - Qualifying Vehicle, Unknown Configuration 99 - Unknown

Cargo Body Type (Power Unit Only)

Shape132

00 - Not Applicable [Motor Vehicle 10,000 lbs. or less, not displaying hazardous materials placard] 01 - Van or Enclosed Box

  1. - Cargo Tank

  2. - Flatbed

  3. - Dump

  4. - Concrete Mixer 06 - Auto Transporter

  1. - Garbage or Refuse

  2. - Grain, Chips, or Gravel 10 - Log

22 - Bus

96 - No Cargo Body [bobtail, fire truck, tow truck, light motor vehicle with hazardous materials placard, etc.]

97 - Other [carrying capability not listed, pickup 10,001 lbs. or more, etc.]

98 - Unknown Cargo Body Type

99 - Unknown

Shape133 HM1: Hazardous Materials Present


  1. - No

  2. - Yes

HM2: Placard


  1. - Not Applicable

  2. - No

  3. - Yes

  1. - Not Reported

  2. - Unknown

HM3: Hazardous Materials ID Number


0000 - Not Applicable 8888 - Not Reported 9999 - Unknown

HM4: Hazardous Materials Class Number


00 - Not Applicable 01 - Explosives

02 - Gases

03 - Flammable and Combustible Liquids 04 - Flammable Materials

05 - Oxidizer and Organic Peroxide 06 - Poisons

  1. - Radioactive

  2. - Corrosive

  3. - Miscellaneous 88 - Not Reported

HM5: Release of Hazardous Materials


0 - Not Applicable

1 - No

2 - Yes

8 - Not Reported NHTSA Form 1667





OTHER INFORMATION FOR VEHICLE# 1


Shape134

Vehicle Trailing

 Shape135

Jackknife

  1. - No Trailers

  2. - One Trailer

  3. - Two Trailers

  4. - Three or More Trailers

  5. - Yes, Number of Trailers Unknown

  6. - Vehicle Towing Another Motor Vehicle - Fixed Linkage

  7. - Vehicle Towing Another Motor Vehicle - Non- Fixed Linkage

  8. - Trailing Unit Other than a Trailer or Another Motor Vehicle

9 - Unknown

0 - Not an Articulated Vehicle

1 - No

2 - Yes - First Event

3 - Yes - Subsequent Event

9 - Unknown if Articulated Vehicle
Shape136

Bus Use

 Shape137

Special Use

00 - Not a Bus 01 - School

  1. - Intercity

  2. - Charter or Tour

  3. - Transit or Commuter 07 - Shuttle

  1. - Personal Use

  2. - Childcare or Daycare

  1. - Bus, Unknown Use

  2. - Not Reported

  3. - Reported as Unknown

00 - No Special Use Noted 01 - Taxi

02 - Vehicle Used for School Transport 04 - Military

05 - Law Enforcement 06 - Ambulance

07 - Fire Truck

08 - Other Emergency Services Vehicle

  1. - Safety Service Patrols – Incident Response

  2. - Other Incident Response

  3. - Towing – Incident Response

  1. - Rental or Care-Share Vehicle

  2. - Motor Vehicle In Service for Electronic Ride- hailing

  3. - USPS Mail Carrier

  1. - Rental Truck over 10,000 lbs.

  2. - Truck Operating with Crash Attenuator Equipment

  3. - Trafficway Construction, Maintenance, or Utility

  4. - Other Package Delivery Vehicle [e.g., UPS, DHL, FedEx, Amazon]

  5. - Vehicle Used for School-Related Activity 99 - Reported as Unknown


Engaged in Emergency Response

Shape138

0 - No

1 - Yes

7 - Not Applicable 9 - Unknown

Emergency Warning Equipment in Use

Shape139

0 - No

1 - Yes

7 - Not Applicable 9 - Unknown

Transporting Non-Emergency Person(s) (e.g., patients, arrestees)


Shape140

0 - No

1 - Yes

7 - Not Applicable 9 - Unknown


Vehicle Related Factors




000 - None Noted

029 - Default Code Used for Vehicle Numbering

030 - Multi-Wheeled Motorcycle Conversion

032 - Vehicle Registration for a Person with a

Disability

033 - Vehicle Being Pushed by Non-Motorist

035 - Reconstructed or Altered Vehicle

037 - Transporting Children To/From Head

Start/Day Care

041 - Police, Fire, or EMS Vehicle Working at the Scene of an Emergency or Performing Other Traffic

Control Activities

042 - Other Working Vehicle (Not Construction,

Maintenance, Utility, Police, Fire, or EMS Vehicle)

044 - Adaptive Equipment

045 - Slide-in Camper

046 - Autonomous or Semi-Autonomous Vehicle

047 - Autonomous or Semi-Autonomous Driving

Engaged

048 - Dolly Attached


Fire Occurrence

Shape141

  1. - No or Not Reported

  2. - Yes

NHTSA Form 1667





TRAILER INFORMATION FOR VEHICLE# 1

Shape142

Shape143 Trailer Body Type (1)


01 - Towed Vehicle

02 - Box or Van Enclosed Trailer 03 - Flatbed or Platform Trailer 04 - Grain, Chip, or Gravel Trailer 05 - Dump Trailer

06 - Tank Trailer 07 - Mixer Trailer

08 - Intermodal Container Chassis or Trailer 09 - Logging Trailer

  1. - Pole Trailer

  2. - Auto Transporter

  3. - House Trailer

  4. - Utility Trailer

  5. - Boat Trailer

  6. - Camping or Travel Trailer

  7. - Live Animal Trailer 77 - No Trailer

95 - Unknown Trailer Body Type 97 - Other Trailer

Trailer GVWR (1)


00 - No Trailer GVWR Required

  1. - Class 1: 6,000 lbs or less (2,722 kg or less)

  2. - Class 2: 6,001 - 10,000 lbs (2,722 - 4,536 kg)

  3. - Class 3: 10,001 - 14,000 lbs (4,536 - 6,350 kg)

  4. - Class 4: 14,001 - 16,000 lbs (6,350 - 7,258 kg)

  5. - Class 5: 16,001 - 19,500 lbs (7,258 - 8,845 kg)

  6. - Class 6: 19,501 - 26,000 lbs (8,845 - 11,794 kg)

  7. - Class 7: 26,001 - 33,000 lbs (11,794 - 14,969 kg)

  8. - Class 8: 33,001 lbs and above (14,969 kg and above) 77 - No Trailing Units

  1. - Not Reported

  2. - Reported as Unknown


Shape144

Trailer VIN (2)


00000000000000000 - No VIN Required, Not a Vehicle for Road Use

77777777777777777 - No Trailing Units 88888888888888888 - Not Reported 99999999999999999 - Reported as Unknown

Shape145

VIN Request

vPIC Make

Shape146

vPIC Body Class

Shape147

Shape148

vPIC Trailer Body Type vPIC Model

Shape149

vPIC Year

Trailer Body Type (2)

Shape150

01 - Towed Vehicle

02 - Box or Van Enclosed Trailer 03 - Flatbed or Platform Trailer 04 - Grain, Chip, or Gravel Trailer 05 - Dump Trailer

06 - Tank Trailer 07 - Mixer Trailer

08 - Intermodal Container Chassis or Trailer 09 - Logging Trailer

  1. - Pole Trailer

  2. - Auto Transporter

  3. - House Trailer

  4. - Utility Trailer

  5. - Boat Trailer

  6. - Camping or Travel Trailer

  7. - Live Animal Trailer 77 - No Trailer

95 - Unknown Trailer Body Type 97 - Other Trailer

Trailer GVWR (2)

Shape151

00 - No Trailer GVWR Required

  1. - Class 1: 6,000 lbs or less (2,722 kg or less)

  2. - Class 2: 6,001 - 10,000 lbs (2,722 - 4,536 kg)

  3. - Class 3: 10,001 - 14,000 lbs (4,536 - 6,350 kg)

  4. - Class 4: 14,001 - 16,000 lbs (6,350 - 7,258 kg)

  5. - Class 5: 16,001 - 19,500 lbs (7,258 - 8,845 kg)

  6. - Class 6: 19,501 - 26,000 lbs (8,845 - 11,794 kg)

  7. - Class 7: 26,001 - 33,000 lbs (11,794 - 14,969 kg)

  8. - Class 8: 33,001 lbs and above (14,969 kg and above) 77 - No Trailing Units

  1. - Not Reported

  2. - Reported as Unknown


Shape152

Trailer VIN (3)


00000000000000000 - No VIN Required, Not a Vehicle for Road Use

77777777777777777 - No Trailing Units 88888888888888888 - Not Reported 99999999999999999 - Reported as Unknown

Shape153

VIN Request

vPIC Make

Shape154

vPIC Body Class

Shape155

Shape156

vPIC Trailer Body Type vPIC Model

Shape157

vPIC Year

Trailer Body Type (3)

Shape158

01 - Towed Vehicle

02 - Box or Van Enclosed Trailer 03 - Flatbed or Platform Trailer 04 - Grain, Chip, or Gravel Trailer 05 - Dump Trailer

06 - Tank Trailer 07 - Mixer Trailer

08 - Intermodal Container Chassis or Trailer 09 - Logging Trailer

  1. - Pole Trailer

  2. - Auto Transporter

  3. - House Trailer

  4. - Utility Trailer

  5. - Boat Trailer

  6. - Camping or Travel Trailer

  7. - Live Animal Trailer 77 - No Trailer

95 - Unknown Trailer Body Type 97 - Other Trailer

Trailer GVWR (3)

Shape159

00 - No Trailer GVWR Required

  1. - Class 1: 6,000 lbs or less (2,722 kg or less)

  2. - Class 2: 6,001 - 10,000 lbs (2,722 - 4,536 kg)

  3. - Class 3: 10,001 - 14,000 lbs (4,536 - 6,350 kg)

  4. - Class 4: 14,001 - 16,000 lbs (6,350 - 7,258 kg)

  5. - Class 5: 16,001 - 19,500 lbs (7,258 - 8,845 kg)

  6. - Class 6: 19,501 - 26,000 lbs (8,845 - 11,794 kg)

  7. - Class 7: 26,001 - 33,000 lbs (11,794 - 14,969 kg)

  8. - Class 8: 33,001 lbs and above (14,969 kg and above) 77 - No Trailing Units

  1. - Not Reported

  2. - Reported as Unknown

NHTSA Form 1667





2025 Fatality Analysis Reporting System PRECRASH LEVEL (VEHICLE/DRIVER) FOR VEHICLE# 1

State Number

1

Consecutive Number

5

**Vehicle Number

1


Contributing Circumstances, Motor Vehicle

Trafficway Flow




Shape160

  1. - Non-Trafficway or Driveway Access

  2. - One-Way

  3. - Two-Way

  4. - Two-Way with a Continuous Left-Turn Lane

  1. - Not Reported

  2. - Reported as Unknown

00 - None Noted

01 - Tires

02 - Brake System

03 - Steering

04 - Suspension

05 - Powertrain

06 - Exhaust System

07 - Headlights

08 - Signal Lights

09 - Other Lights

10 - Wipers

11 - Wheels

12 - Mirrors

13 - Windows or Windshield

14 - Body or Doors

15 - Truck Coupling, Trailer Hitch, or Safety Chains

16 - Safety Systems

17 - Vehicle Contributing Factors - No Details

97 - Other [Specify:]

99 - Reported as Unknown


Median Barrier Presence

Shape161

1 - Not Applicable [no median, e.g., centerline, two-way left-turn lane]

2 - Median Without a Traffic Barrier [e.g., grass, vegetation, painted > 4’, flush, curb]

3 - Median With Traffic Barrier [e.g., guardrail, cable barrier, concrete barrier]

8 - Not Reported

9 - Reported as Unknown

Number of Open Lanes in Vehicle's Environment

Shape162

  1. - Non-Trafficway or Driveway Access

  2. - One lane

  3. - Two lanes

  4. - Three lanes

  5. - Four lanes

  6. - Five lanes

  7. - Six lanes

  8. - Seven or more lanes

  9. - Not Reported

  10. - Reported as Unknown
Shape163

Motor Vehicle Posted or Statutory Speed Limit






Shape164

Roadway Alignment

 Shape165

Roadway Grade

  1. - Non-Trafficway or Driveway Access

  2. - Straight

  3. - Curve Right

  4. - Curve Left

  5. - Curve - Unknown Direction

  1. - Not Reported

  2. - Reported as Unknown

  1. - Non-Trafficway or Driveway Access

  2. - Level

  3. - Grade, Unknown Slope

  4. - Hillcrest

  5. - Sag (Bottom)

  6. - Uphill

  7. - Downhill

  1. - Not Reported

  2. - Reported as Unknown
Shape166

Roadway Surface Type

 Shape167

Roadway Surface Conditions

  1. - Non-Trafficway or Driveway Access

  2. - Concrete

  3. - Blacktop, Bituminous, or Asphalt

  4. - Brick or Block

  5. - Slag, Gravel or Stone

  6. - Dirt

  1. - Other

  2. - Not Reported

  3. - Reported as Unknown

00 - Non-Trafficway or Driveway Access 01 - Dry

  1. - Wet

  2. - Snow

  3. - Ice or Frost 05 - Sand

06 - Water [Standing or Moving] 07 - Oil

08 - Other

  1. - Slush

  2. - Mud, Dirt, or Gravel

  1. - Not Reported

  2. - Reported as Unknown


Shape168


Shape169


Driver's Vision Obscured By


Driver Distraction







00 - No Obstruction Noted

00 - Not Distracted

01 - Rain, Snow, Fog, Smoke, Sand, or Dust

12 - Other Outside Vehicle [e.g., Outside Person,

Object, or Event]

02 - Reflected Glare, Bright Sunlight, or Headlights

03 - Curve, Hill or Other Roadway Design Feature

16 - No Driver Present/Unknown if Driver present

04 - Building, Billboard, or Other Structure

21 - Texting or Manually Operating a Mobile

Electronic Device

05 - Trees, Crops, or Vegetation

06 - In-Transport Motor Vehicle (including load)

22 - Talking or Listening on Hands-Free Mobile

Electronic Device

07 - Not In-Transport Motor Vehicle (parked or

working)

23 - Talking or Listening on Hand-Held Mobile

Electronic Device

08 - Splash or Spray of Passing Vehicle

10 - Vehicle's Exterior Lighting System

24 - Mobile Device Used, Unknown Specifics

11 - Obstruction Interior to the Vehicle

25 - Vehicle-Integrated Device or Controls

12 - External Mirrors

26 - Passenger[s]

13 - Broken or Improperly Cleaned Windshield

27 - Other Inside Vehicle [e.g., Eating, Smoking]

14 - Obstructing Angles on This Vehicle

92 - Distracted, Details Unknown

15 - Frost or Fog on Windshield

96 - Not Reported

95 - No Driver Present or Unknown if Driver Present

99 - Reported as Unknown if Distracted


97 - Vision Obscured - No Details

98 - Other Visual Obstruction

99 - Reported as Unknown


Shape170

Vehicle Status Prior to Critical Event


Shape171

Critical Event - Precrash

 Shape172

Attempted Avoidance Maneuver

101 - This Vehicle Lost Control [This Vehicle Loss of Control]

Shape173

201 - This Vehicle Departed Travel Lane or Road [This Vehicle Traveling]

202 - This Vehicle Turning [This Vehicle Traveling]

203 - This Vehicle Crossed Through Intersection [This Vehicle Traveling]

204 - This Vehicle Moving Slower or Slowing Down [This Vehicle Traveling]

301 - Other Vehicle in Lane, Traveling at Higher Speed [Other Motor Vehicle in Lane]

302 - Other Vehicle in Lane Stopped, Moving Slower, or Slowing Down [Other Motor Vehicle in Lane]

303 - Other Vehicle in Lane Traveling in Opposite Direction [Other Motor Vehicle in Lane]

304 - Other Vehicle in Lane Backing [Other Motor Vehicle in Lane]

401 - Other Vehicle Encroaching into Lane from Same Direction [Other Motor Vehicle Encroaching into Lane]

402 - Other Vehicle Encroaching into Lane from Opposite Direction [Other Motor Vehicle Encroaching into Lane]

403 - Other Vehicle Encroaching into Lane from Crossing Path Turning into Same Direction [Other Motor Vehicle Encroaching into Lane]

404 - Other Vehicle Encroaching into Lane from Crossing Path Turning into Opposite Direction [Other Motor Vehicle Encroaching into Lane] 405 - Other Vehicle Encroaching into Lane from

Crossing Path Going Straight [Other Motor Vehicle Encroaching into Lane]

501 - Non-Motorist in or Crossing Road [Non- Motorist]

502 - Non-Motorist Alongside Road [Non-Motorist] 601 - Animal in, Crossing, or Alongside Road [Object or Animal]

602 - Object in, Approaching, or Alongside Road [Object or Animal]

998 - Other Critical Precrash Event [Specify:] [Other]

999 - Unknown [Unknown]


00 - No Driver Present or Unknown if Driver Present

01 - No Avoidance Maneuver 05 - Releasing brakes

06 - Steering left 07 - Steering right

08 - Braking and steering left 09 - Braking and steering right

  1. - Accelerating

  2. - Accelerating and steering left

  3. - Accelerating and steering right

  1. - Braking and Unknown Steering Direction

  2. - Braking

  3. - Lay Down Motorcycle 96 - Not Reported

  1. - Other actions (specify:)

  2. - Unknown
Shape174

Pre-Impact Stability

 Shape175

Pre-Impact Location

0 - No Driver Present or Unknown if Driver Present

1 - No Traction Loss 6 - Traction Loss

9 - Unknown

00 - No Driver Present or Unknown if Driver Present

04 - Departed Roadway

05 - Remained off Roadway 07 - Entered Roadway

10 - Stayed on Roadway 99 - Unknown

Crash Type


NHTSA Form 1667





2025 Fatality Analysis Reporting System DRIVER LEVEL FOR VEHICLE# 1

State Number

1

Consecutive Number

5

**Vehicle Number

1


Driver Presence

Shape176

0 - No Driver Present or Not Applicable

1 - Yes

9 - Unknown

 Shape177

Drivers License State

Driver Zip Code

Shape178

00000 - Not resident of U.S. or Territories 99998 - Not Reported

99999 - Reported as Unknown

Citations Issued

Speeding Related

Shape179

0 - No

2 - Yes, Racing

3 - Yes, Exceeded Speed Limit

4 - Yes, Too Fast for Conditions

5 - Yes, Specifics Unknown 9 - Reported as Unknown

Shape180 Driver Related Factors

Shape181

000 - None Noted 053 - Unfamiliar with Roadway [Miscellaneous Factors]

004 - Reaction to or Failure to Take Drugs/Medication 054 - Stopped in Roadway (Vehicle Not Abandoned)

[Physical/Mental Condition] [Miscellaneous Factors]

006 - Careless Driving, Inattentive Operation, Improper Driving, or Driving Without Due Care [Physical/Mental

Condition]

055 - Improper Management of Vehicle Controls

(Specify:) [Miscellaneous Factors]

056 - Object Interference with Vehicle Controls

(Specify:) [Miscellaneous Factors]

010 - Looked But Did Not See [Miscellaneous Factors]

012 - Mother of Dead Fetus/ Mother of Infant Born Post057 - Driving with Tire-Related Problems [Miscellaneous

Crash [Physical/Mental Condition] Factors]

013 - Person with an Intellectual, Cognitive, or

Developmental Disability [Physical/Mental Condition]

058 - Overcorrecting [Miscellaneous Factors]

059 - Getting Off/Out of a Vehicle [Miscellaneous

Factors]

015 - Seat Back Not In Normal Upright Position, Seat

Back Reclined [Miscellaneous Factors]

060 - Alcohol and/or Drug Test Refused [Miscellaneous

018 - Traveling on Prohibited Trafficways [Miscellaneous Factors]

Factors]

073 - Driver has not complied with Learner's Permit or Intermediate Driver License Restrictions (GDL

Restrictions) [Special Circumstances]

019 - Legally Driving on Suspended or Revoked License

[Miscellaneous Factors]

020 - Leaving Vehicle Unattended with Engine Running. 074 - Driver Has Not Complied With Physical or Other Leaving Vehicle Unattended in Roadway [Miscellaneous Imposed Restrictions (not including GDL Restrictions)

Factors] [Special Circumstances]

021 - Overloading or Improper Loading of Vehicle with 077 - Severe Crosswind [Skidding, Swerving, Sliding

Passengers or Cargo [Miscellaneous Factors] Due To]

022 - Towing or Pushing Vehicle Improperly 078 - Wind from Passing Truck [Skidding, Swerving,

[Miscellaneous Factors] Sliding Due To]

023 - Failure to Use Vehicle Lights Properly 079 - Slippery or Loose Surface [Skidding, Swerving,

[Miscellaneous Factors] Sliding Due To]

024 - Operating without Required Equipment 080 - Tire Blowout or Flat [Skidding, Swerving, Sliding

[Miscellaneous Factors] Due To]

026 - Followed Too Closely [Miscellaneous Factors] 081 - Debris or Objects in Road [Skidding, Swerving,

027 - Improper or Erratic Lane Changing [Miscellaneous Sliding Due To]

Factors]

082 - Ruts, Holes, Bumps in Road [Skidding, Swerving,

Sliding Due To]

028 - Failed to Keep in Proper Lane [Miscellaneous

Factors] 083 - Live Animals in Road [Skidding, Swerving, Sliding

029 - Illegal Driving on Shoulder, Median, Roadside, etc.Due To]

[Miscellaneous Factors]

084 - Vehicle in Road [Skidding, Swerving, Sliding Due

To]

030 - Making Improper Entry to or Exit from Trafficway

[Miscellaneous Factors]

085 - Phantom Vehicle [Skidding, Swerving, Sliding Due

To]

032 - Opening Door, Trunk, or Hatch into Traffic

[Miscellaneous Factors]

086 - Pedestrian, Pedalcyclist, or Other Non-Motorist

[Skidding, Swerving, Sliding Due To]

033 - Passing where Prohibited by Posted Signs, Pavement Markings or School Bus Displaying Warning

not to Pass [Miscellaneous Factors]

087 - Ice, Snow, Slush, Water, Sand, Dirt, Oil, Wet Leaves

on Road [Skidding, Swerving, Sliding Due To]

034 - Improper Passing Location [Miscellaneous 088 - Trailer Fishtailing or swaying [Skidding, Swerving,

Factors] Sliding Due To]

035 - Passing with Insufficient Distance or Inadequate Visibility or Failing to Yield to Overtaking Vehicle

[Miscellaneous Factors]

089 - Driver Has a Driving Record or Driver's License

From More Than One State [Special Circumstances]

100 - Using a Belt-Positioning Device or Other

[Physical/Mental Condition]

036 - Operating the Vehicle in an Erratic, Reckless or

Negligent Manner. [Miscellaneous Factors]

102 - Aggressive Driving [Physical/Mental Condition]

038 - Failed to Yield Right-of-Way [Miscellaneous

Factors]

103 - Road Rage [Physical/Mental Condition]

104 - Fleeing or Evading Law Enforcement

[Physical/Mental Condition]

039 - Failure to Obey Traffic Control Devices

[Miscellaneous Factors]

105 - Police Officer in Pursuit [Physical/Mental

040 - Passing Through or Around Barrier [Miscellaneous Condition]

Factors]

107 - Driver Required to Use Interlock Device [Special

Circumstances]

041 - Failure to Observe Warnings or Instructions on

Vehicles Displaying Them [Miscellaneous Factors]

108 - Attempted to Move Over or Slow Down as

Required by Move Over Law [Move Over]

042 - Failure to Signal Intentions [Miscellaneous

Factors]

109 - Failed to Move Over or Slow Down as Required by

045 - Driving Less than Posted Minimum [MiscellaneousMove Over Law [Move Over]

Factors]

113 - Drowsy, Asleep, or Fatigued [Physical/Mental

Condition]

047 - Making Right Turn From Left-Turn Lane. Make

Left Turn From Right-Turn Lane [Miscellaneous Factors]

114 - Ill [sick] or Fainted [Physical/Mental Condition]

048 - Making Other Improper Turn [Miscellaneous

Factors]

115 - Physical Impairment [Physical/Mental Condition]

116 - Under the influence of medication, drugs, and/or

alcohol [Physical/Mental Condition]

050 - Driving Wrong Way on One-Way Trafficway

[Miscellaneous Factors]




Shape182

DRIVER LICENSE FOR VEHICLE# 1


Shape183 Non-CDL License Type Non-CDL License Status


  1. - Not Licensed

  2. - Full Driver License

  3. - Intermediate Driver License

  1. - Learner's Permit

  2. - Temporary License

  3. - Unknown License Type

  1. - Not licensed

  2. - Suspended

  3. - Revoked

  4. - Expired

  5. - Canceled or denied 6 - Valid

9 - Unknown License Status








Commercial Motor Vehicle License Status

Shape184

  1. - No (CDL)

  2. - Suspended

  3. - Revoked

  4. - Expired

  5. - Cancelled or Denied 05 - Disqualified

  1. - Valid

  2. - Commercial Learner’s Permit (CLP) 08 - Other Not-Valid

99 - Unknown License Status

Compliance With CDL Endorsements

Shape185

0 - No Endorsements required for this vehicle

1 - Endorsement(s) Required, Complied with

2 - Endorsement(s) Required, Not Complied with

3 - Endorsement(s) Required, Compliance Unknown

9 - Unknown, if required

License Compliance with Class of Vehicle

Shape186

0 - Not licensed

1 - No license required for this class vehicle

2 - No valid license for this class vehicle

3 - Valid license for this class vehicle

8 - Unknown If CDL and/or CDL endorsement required for this vehicle

9 - Unknown

Compliance with license Restrictions

Shape187

0 - No Restrictions or Not Applicable

1 - Restrictions Complied With

2 - Restrictions Not Complied With

3 - Restrictions, Compliance Unknown 9 - Unknown
Shape188

Driver Height(Feet)

 Shape189

Driver Height(Inches)
Shape190

Driver Weight


DRIVER COUNTERS FOR VEHICLE# 1


Shape191

Previous Rec. Crashes

Previous Rec. Susp.,Revoc. and Withdrawals

Previous Underage Admin. Per Se for BAC

Shape192

Previous Admin. Per Se for BAC (Not Underage)

Shape193

Shape194

Previous Recorded Other Susp/Revoc/Withdrawals
Shape195

Previous DWI Convictions

 Shape196

Previous Recorded Speeding Convictions
Shape197

Previous Other Moving Violation Convictions

 Shape198

Date of Oldest Crash, Suspension, Convictions

Shape199

/
Shape200

Date of Most Recent Crash, Susp., Convictions

Shape201

/


NHTSA Form 1667






2025 Fatality Analysis Reporting System

PERSON LEVEL (MV OCCUPANT) FOR VEHICLE# 1 AND PERSON# 1

State Number

1

Consecutive Number

5

**Vehicle Number

1

**Person Number

1


Shape202

Age

Sex

Shape203

  1. - Male

  2. - Female

  1. - Not Reported

  2. - Reported as Unknown

Person Type

Shape204

  1. - Driver of a Motor Vehicle In-Transport

  2. - Passenger of a Motor Vehicle In-Transport

  3. - Occupant of a Motor Vehicle Not In- Transport 09 - Unknown Occupant Type in a Motor Vehicle

In- Transport

Injury Severity

Shape205

  1. - No Apparent Injury (O)

  2. - Possible Injury (C)

  3. - Suspected Minor Injury (B)

  4. - Suspected Serious Injury (A)

  5. - Fatal Injury (K)

  6. - Injured, Severity Unknown

  7. - Died Prior to Crash*

9 - Unknown/Not Reported


Shape206

Seating Position

 Shape207

Transported to First Medical Facility By

  1. - Front Row, Left Side

  2. - Front Row, Middle

  3. - Front Row, Right Side

  1. - Front Row, Other

  2. - Front Row, Unknown

  1. - Second Row, Left Side

  2. - Second Row, Middle

  3. - Second Row, Right Side

  1. - Second Row, Other

  2. - Second Row, Unknown

  1. - Third Row, Left Side

  2. - Third Row, Middle

  3. - Third Row, Right Side

  1. - Third Row, Other

  2. - Third Row, Unknown

  1. - Fourth Row, Left Side

  2. - Fourth Row, Middle

  3. - Fourth Row, Right Side

  1. - Fourth Row, Other

  2. - Fourth Row, Unknown

  3. - Sleeper Section of Cab (Truck)

  4. - Enclosed Passenger or Cargo Area

  5. - Unenclosed Passenger or Cargo Area

  6. - Passenger or Cargo Area, Unknown Whether or Not Enclosed

  7. - Trailing Unit

  8. - Riding on Exterior of Vehicle [Non-Trailing Unit]

  9. - Appended to a Motor Vehicle for Motion

  1. - Not Reported

  2. - Reported as Unknown

  1. - Not Transported for Treatment

  2. - EMS Air

  3. - Law Enforcement

  4. - EMS, Unknown if Air or Ground

  5. - Transported, Unknown Type

  6. - EMS Ground

  7. - Other

  1. - Not Reported

  2. - Reported as Unknown


Shape208

Shape209 Person Related Factors


000 - None Noted

005 - Interfering With Driver

008 - Person with an Intellectual, Cognitive, or Developmental Disability

010 - Alcohol and/or Drug Test Refused

018 - Mother of Dead Fetus/Infant Born Post Crash 021 - Overloading or Improper Loading of Vehicle with Passengers or Cargo

026 - Followed Too Closely

028 - Failed to Keep in Proper Lane

029 - Illegal Driving on Shoulder, Median, Roadside, etc.

032 - Opening Door, Trunk, or Hatch into Traffic 033 - Passing where Prohibited by Posted Signs,

063 - Building, Billboard,or Other Structures 064 - Trees, Crops,or Vegetation

065 - Motor Vehicle (including load) 066 - Parked Vehicle

067 - Splash or Spray of Passing Vehicle 068 - Vehicle’s Exterior Lighting System 069 - Obstructing Angles on this Vehicle 070 - Mirrors

072 - Other Visual Obstruction 073 - Severe Crosswind

074 - Wind From Passing Truck 075 - Slippery or Loose Surface 076 - Tire Blow-out or Flat

077 - Debris or Objects in Road

Pavement Markings or School Bus Displaying Warning078 - Ruts, Holes, Bump in Road

not to Pass

037 - *Traveling on Prohibited Trafficways 040 - Passing Through or Around Barrier

080 - Vehicle in Road 081 - Phantom Vehicle

082 - Pedestrian, Pedalcyclist, or Other Non-Motorist

041 - *Failure to Observe Warnings or Instructions on 083 - Ice, Snow, Slush, Water, Sand, Dirt, Oil, Wet

Vehicles Displaying Them

042 - Failure to Signal Intentions

044 - Driving too Fast for conditions or in Excess of Posted Maximum

045 - Driving Less than Posted Minimum

047 - Making Right Turn from Left Turn Lane or Making Left Turn from Right Turn Lane

051 - Operator Inexperience 052 - Unfamiliar with Roadway 056 - Non-Operator Flees Scene 057 - Improper tire Pressure 059 - Overcorrecting

060 - Rain, Snow, Fog, Smoke, Sand,or Dust

061 - Reflected Glare, Bright Sunlight,or Headlights 062 - Curve, Hill, or Other Design Features (including traffic signs, embankment)

Leaves on Road

088 - Seat Back Not in Normal Upright Position, Seat Back Reclined

089 - Parked Motor Vehicle With Equipment Extending into the Travel Lane

091 - Portable Electronic Devices

092 - Person in Ambulance Treatment Compartment

  1. - Using a Belt-Positioning Device or Other

  2. - Paraplegic or in a Wheelchair

SAFETY DEVICES FOR VEHICLE# 1 AND PERSON# 1


Restraint System Use

Helmet Use
Shape210

Type of Restraint System in Use

 Shape211

Helmet Use

01 - Shoulder Belt Only Used 02 - Lap Belt Only Used

03 - Shoulder and Lap Belt Used 04 - Child Restraint Type Unknown 06 - Racing-Style Harness Used

08 - Restraint Used - Type Unknown

10 - Child Restraint System - Forward Facing

11 - Child Restraint System - Rear Facing

12 - Booster Seat

20 - None Used or Not Applicable

97 - Other

98 - Not Reported

99 - Reported as Unknown

Shape212

Indication of Restraint System Misuse

05 - DOT-Compliant Motorcycle Helmet 16 - Helmet, Other than DOT-Compliant Motorcycle Helmet

17 - No Helmet

19 - Helmet, Unknown if DOT-Compliant

20 - Not Applicable

98 - Not Reported

99 - Reported as Unknown if Helmet Worn Indication of Helmet Misuse


Shape213

0 - No Indication of Misuse

1 - Yes, Indication of Misuse

7 - None Used or Not Applicable

0 - No Indication of Misuse

1 - Yes, Indication of Misuse

7 - None Used or Not Applicable


Shape214

Air Bag Deployed

 Shape215

Ejection


01 - Deployed- Front

02 - Deployed- Side [Door or Seatback] 03 - Deployed- Curtain

07 - Deployed- Other (Knee, air belt, etc.) 08 - Deployed- Combination

09 - Deployment- Unknown Location 20 - Not Deployed

  1. - Not Reported

  2. - Reported as Deployment Unknown

  1. - Not Ejected

  2. - Totally Ejected

  3. - Partially Ejected

  4. - Ejected - Unknown Degree

  1. - Not Reported

  2. - Not Applicable

  3. - Reported as Unknown if Ejected


Shape216

Ejection Path

 Shape217

Extrication

  1. - Ejection Path Not Applicable

  2. - Through Side Door Opening

  3. - Through Side Window

  4. - Through Windshield

  5. - Through Back Window

  6. - Through Back Door/Tailgate Opening

  7. - Through Roof Opening (sun-roof, convertible top down)

  8. - Through roof (convertible top up)

  9. - Other Path (e.g., back of pick-up truck)

  10. - Ejection Path Unknown

0 - Not Extricated or Not Applicable

1 - Extricated

9 - Unknown

NHTSA Form 1667





2025 Fatality Analysis Reporting System ALCOHOL FOR VEHICLE# 1 AND PERSON# 1


Police Reported Alcohol Involvement

Shape218

0 - No,Alcohol Not Suspected

1 - Yes,Alcohol Suspected

7 - Not Applicable

8 - Not Reported

9 - Reported as Unknown

Alcohol Test Status

Shape219

0 - Test Not Given 2 - Test Given

8 - Not Reported

9 - Reported as Unknown if Tested

Alcohol Specimen Type

Shape220

00 - Test Not Given 01 - Blood

02 - Evidential Breath 03 - Urine

04 - Vitreous

05 - Blood Plasma/Serum 06 - Blood Clot

07 - Liver

08 - Other Specimen

  1. - Preliminary Breath Test (PBT)

  2. - Breath Test, Unknown Type 95 - Not Reported

  1. - Unknown Specimen

  2. - Reported as Unknown if Tested

 Shape221

Alcohol Test Result

NHTSA Form 1667





DRUG FOR VEHICLE# 1 AND PERSON# 1


Shape222

Police Reported Drug Involvement

 Shape223

Drug Test Status

0 - No, Drugs Not Suspected

1 - Yes, Drugs Suspected

7 - Not Applicable

8 - Not Reported

9 - Reported as Unknown

0 - Test Not Given 2 - Test Given

8 - Not Reported

9 - Reported as Unknown if Tested


Drug Toxico

Drug Specimen

logy Results

Drug Testing Method



Drug Test Results



Drug Quantity



Shape224

Actual Quantity



Unit of Measure







Shape225




Shape226

  1. - Test Not

  2. - Whole

  3. - Urine

  1. - Blood Pl

  2. - Blood Cl

  3. - Oral Flu

  4. - Vitreous

  5. - Liver

  1. - Not Rep

  2. - Unknow

  3. - Other Sp

  4. - Reporte

Shape227




Given Blood


asma / Serum ot

ids



orted

n Specimen ecimen

d as Unknown if



















Shape228

Tested

Shape229


Shape230 Shape231

.

NHTSA Form 1667





2025 Fatality Analysis Reporting System RACE FOR VEHICLE# 1 AND PERSON# 1


Shape232

Race

 Shape233

Hispanic Origin

00 - Not a Fatality (not applicable) 01 - White

02 - Black or African American

03 - North American Indian or Alaska Native 04 - Chinese

05 - Japanese

06 - Native Hawaiian 07 - Filipino

18 - Asian Indian

19 - Other Indian (includes South and Central America, any others, except North American or Asian Indians)

28 - Korean

38 - Samoan

48 - Vietnamese

58 - Guamanian or Chamorro

68 - Other Asian or Pacific Islander

78 - Asian or Pacific Islander, No Specific (individual) Race

97 - Multiple Races Unspecified

98 - Other Race

99 - Unknown

00 - Not A Fatality (not Applicable) 01 - Mexican

02 - Puerto Rican 03 - Cuban

04 - Central or South American 05 - European Spanish

06 - Hispanic, Origin Not Specified or Other Origin 07 - Non-Hispanic

99 - Unknown

NHTSA Form 1667













SUPPLEMENTAL FOR VEHICLE# 1 AND PERSON# 1


Died at Scene/En Route

Shape234

0 - Not Applicable

7 - Died at Scene

8 - Died En Route

9 - Unknown

 Shape235

Death Date

Shape236 Shape237

/ /
Shape238

Death Time

Shape239

:

 Shape240 Shape241 Shape242

Death Certificate Number
Shape243

Fatal Injury At Work


NHTSA Form 1667

NHTSA Form 1667

Shape2

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