CRSS Data Entry Form

3/25/25, 11:09 AM

RBIS CRSS 2025

OMB Control No. 2127-0714
Expiration Date 08/31/2026

2025 Crash Report Sampling System
CRASH LEVEL
Full disclaimer text: 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 2127-0714. Public reporting for this collection of information is estimated to
be approximately 30 minutes 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
Original Strata :

Final Strata :

PSU #

PAR ID

PAR #

**Number of Vehicle Submitted

**Number of Forms Submitted for Persons Not

**Number of Motor Vehicle Occupant Forms

in Motor Vehicles

Submitted

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RBIS CRSS 2025

Crash Date

Crash Time
/

/

2025

:

Relation To Junction: Within Interchange Area

Relation To Junction: Specific Location

0 - No

01 - Non-Junction

1 - Yes

02 - Intersection

8 - Not Reported

03 - Intersection-Related

9 - Reported as Unknown

04 - Driveway Access
05 - Entrance or Exit Ramp Related
06 - Railway Grade Crossing
07 - Crossover-Related
08 - Driveway Access Related
16 - Shared-Use Path Crossing
17 - Acceleration or Deceleration Lane
18 - Through Roadway
19 - Other location within interchange area
20 - Entrance or Exit Ramp
98 - Not Reported
99 - Reported as Unknown

Type of Intersection

Location of First Harmful Event Relative to the
Trafficway

01 - Not an Intersection
02 - Four-Leg Intersection
03 - T-Intersection
04 - Y-Intersection
07 - Five or More Legs and Not Circular
10 - L-Intersection
11 - Other Intersection Type
12 - Circular Intersection [e.g., roundabout, traffic
circle]
98 - Not Reported
99 - Reported as Unknown

01 - On Roadway
02 - On Shoulder
03 - On Median
04 - On Roadside
05 - Non-Trafficway Area
06 - Off Roadway-Location Unknown
07 - In Parking Lane or Zone
08 - Gore
10 - Separator
11 - Continuous Left - Turn Lane
12 - Pedestrian Refuge Island or Traffic Island
98 - Not Reported
99 - Reported as Unknown

Light Condition
1 - Daylight

5 - Dusk

2 - Dark - Not Lighted

6 - Dark - Unknown Lighting

3 - Dark - Lighted

8 - Not Reported

4 - Dawn

9 - Reported as Unknown

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RBIS CRSS 2025

Atmospheric Conditions

School Bus Related

01 - Clear

0 - No

02 - Rain

1 - Yes

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
Secondary Crash
0 - No
1 - Yes
8 - Not Reported

Crash Related Factors
000 - None Noted

023 - Indication of a Stalled or Disabled Vehicle

003 - Other Maintenance or Construction-Created
Condition

024 - Unstabilized Situation Began and All Harmful
Events Occurred Off of the Roadway

005 - Surface Under Water

025 - Toll Booth or Plaza-Related

007 - Surface Collapsed [e.g., washed out, caved-in,
sink hole, road slippage]

030 - Obstructed Crosswalks

010 - Emergency Vehicle Related

102 - Aggressive Driving by Non-Contact Vehicle
Driver

012 - Distracted Driver of a Non-Contact Vehicle

031 - Related to a Bus Stop

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

103 - Road Rage by Non-Contact Vehicle Driver

was set in motion by a vehicle

105 - Traffic Incident [Other Than a Crash]

015 - Non-occupant struck by falling cargo, or
something that came loose from, or something that
was set in motion by a vehicle

106 - Railroad-Related

104 - Obstruction in Roadway

016 - Non-occupant struck vehicle
020 - Police Pursuit Involved
021 - Within Designated School Zone

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RBIS CRSS 2025

Interstate Highway

County or Equivalent

0 - No

051 - JEFFERSON (51)

1 - Yes

071 - ORLEANS (71)

9 - Unknown

075 - PLAQUEMINES (75)
087 - ST. BERNARD (87)
103 - ST. TAMMANY (103)

Global Position (Latitude, Longitude)
Deg

Min

Sec

Latitude:

Longitude:

NHTSA Form 1667

2025 Crash Report Sampling System
CRASH LEVEL - CRASH EVENTS
Click here to open Clock Point Diagrams
First Harmful Event

Manner of Collision of the First Harmful Event

Vehicle No.
(This)

Area of Impact (AOI) (This) Sequence Of Events (SOE)

https://crsscurrent.cdan.dot.gov/42/case/477088/print/blank/0/0

Vehicle No.
(Other)

Area of Impact (AOI) (Other)

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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
05 - 5 Clock Point

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

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

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SOE
01 - Rollover or Overturn (Non-Collision Harmful
46 - Traffic Signal or Support (Collision With Fixed
Events / Harmful)
Object / Harmful)
02 - Fire or Explosion (Non-Collision Harmful Events / 48 - Snow Bank (Collision With Fixed Object / Harmful)
Harmful)
49 - Ridden Animal or Animal Drawn Conveyance
03 - Immersion, Full or Partial (Non-Collision Harmful (Collision With Objects Not Fixed / Harmful)
Events / Harmful)
50 - Bridge Overhead Structure (Collision With Fixed
05 - Fell or Jumped From Motor Vehicle (Non-Collision Object / Harmful)
Harmful Events / Harmful)
51 - Jackknife (harmful to this vehicle) (Non-Collision
07 - Other Non-Collision (Non-Collision Harmful
Harmful Events / Harmful)
Events / Harmful)
52 - Guardrail End (Collision With Fixed Object /
10 - Railroad Vehicle (Collision With Objects Not Fixed Harmful)
/ Harmful)
53 - Mail Box (Collision With Fixed Object / Harmful)
11 - Live Animal (Collision With Objects Not Fixed /
54 - Striking or Struck by Object, Cargo, or Person
Harmful)
From Other Motor Vehicle In-Transport (Collision With
12 - Motor Vehicle In-Transport (Collision With Motor Motor Vehicle In-Transport / Harmful)
Vehicle In-Transport / Harmful)
57 - Cable Barrier (Collision With Fixed Object /
14 - Parked Motor Vehicle (Collision With Objects Not Harmful)
Fixed / Harmful)
58 - Ground (Collision With Fixed Object / Harmful)
16 - Thrown or Falling Object (Non-Collision Harmful 59 - Traffic Sign or Support (Collision With Fixed
Events / Harmful)
Object / Harmful)
17 - Boulder (Collision With Fixed Object / Harmful) 60 - Cargo or Equipment Loss or Shift [Non-Harmful]
18 - Other Object (not fixed) (Collision With Objects (Non-Harmful Events / Non-Harmful)
Not Fixed / Harmful)
61 - Equipment Failure (blown tire, brake failure, etc)
19 - Building (Collision With Fixed Object / Harmful) (Non-Harmful Events / Non-Harmful)
20 - Impact Attenuator or Crash Cushion (Collision
62 - Separation of Units (Non-Harmful Events / NonWith Fixed Object / Harmful)
Harmful)
21 - Bridge Pier or Support (Collision With Fixed
63 - Ran Off Roadway - Right (Non-Harmful Events /
Object / Harmful)
Non-Harmful)
23 - Bridge Rail (Includes parapet) (Collision With
64 - Ran Off Roadway - Left (Non-Harmful Events /
Fixed Object / Harmful)
Non-Harmful)
24 - Guardrail Face (Collision With Fixed Object /
65 - Cross Median (Non-Harmful Events / NonHarmful)
Harmful)
25 - Concrete Traffic Barrier (Collision With Fixed
66 - Downhill Runaway (Non-Harmful Events / NonObject / Harmful)
Harmful)
26 - Other Traffic Barrier (Collision With Fixed Object / 67 - Vehicle Went Airborne (Non-Harmful Events /
Harmful)
Non-Harmful)
30 - Utility Pole or Light Support (Collision With Fixed 68 - Cross Centerline (Non-Harmful Events / NonObject / Harmful)
Harmful)
31 - Post, Pole or Other Supports (Collision With Fixed 69 - Re-entering Roadway (Non-Harmful Events /
Object / Harmful)
Non-Harmful)
32 - Culvert (Collision With Fixed Object / Harmful)
70 - (Non-Harmful, Swaying Trailer or Jackknife) (NonHarmful Events / Non-Harmful)
33 - Curb (Collision With Fixed Object / Harmful)
71 - End Departure [T-intersection, dead-end, etc.]
34 - Ditch (Collision With Fixed Object / Harmful)
(Non-Harmful Events / Non-Harmful)
35 - Embankment (Collision With Fixed Object /
72 - Cargo or Equipment Loss, Shift, or Damage
Harmful)
[Harmful] (Non-Collision Harmful Events / Harmful)
38 - Fence (Collision With Fixed Object / Harmful)
73 - Strikes Object at Rest That Had Fallen From Motor
39 - Wall (Collision With Fixed Object / Harmful)
Vehicle In-Transport (Collision With Objects Not Fixed
40 - Fire Hydrant (Collision With Fixed Object /
/ Harmful)
Harmful)
41 - Shrubbery (Collision With Fixed Object / Harmful) 74 - Road Vehicle on Rails (Collision With Objects Not
42 - Tree (Standing Only) (Collision With Fixed Object / Fixed / Harmful)
75 - Non-Motorist (Collision With Objects Not Fixed /
Harmful)
43 - Other Fixed Object (Collision With Fixed Object / Harmful)
79 - Ran off Roadway - Direction Unknown (NonHarmful)
Harmful Events / Non-Harmful)
44 - Pavement Surface Irregularity (Ruts, Potholes,
Grates, etc.) (Non-Collision Harmful Events / Harmful) 91 - Unknown Object Not Fixed (Collision With Fixed
Object / Harmful)
45 - Working Motor Vehicle (Collision With Objects
93 - Unknown Fixed Object (Collision With Fixed
Not Fixed / Harmful)
Object / Harmful)
98 - Harmful Event, Details Not Reported (NonCollision Harmful Events / Harmful)
99 - Reported as Unknown (Non Reported and
Unknown / Harmful)
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RBIS CRSS 2025

NHTSA Form 1667

OMB Control No. 2127-0714
Expiration Date 12/31/2022

2025 Crash Report Sampling System
PERSON LEVEL (NOT A MV OCCUPANT)
PSU #

PAR ID

https://crsscurrent.cdan.dot.gov/42/case/477088/print/blank/0/0

**Person Number

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Age

Vehicle Number of Motor Vehicle Striking Non-Motorist

Sex

Person Type

1 - Male

04 - Occupant of a Non-Motor Vehicle Transport

2 - Female

Device

8 - Not Reported

05 - Pedestrian Walking, Running, Jogging, Hiking,

9 - Reported as Unknown

Sitting, Lying
06 - Bicyclist
07 - Other Cyclist
08 - Pedestrian on a Personal Conveyance
10 - Pedestrian In or On a Building
19 - Unknown Type of Non-Motorist

Non-Motorist Device Type

Non-Motorist Device Motorization

00 - Not Applicable

0 - Not Applicable

01 - Ridden Animal, Animal Drawn Conveyance, or

1 - Not Motorized

Trailer

2 - Motorized

02 - Railroad Vehicle or Road Vehicle on Rails

3 - Unknown/Not Reported if Motorized

03 - Bicycle

9 - Unknown if Non-Motorist Was Operating a

04 - Other Cycle

Device

05 - Wheelchair or Other Mobility Aid Device
06 - Skates
07 - Skateboard
08 - Self-Balancing Board
09 - Scooter [Standing or Seated]
97 - Personal Conveyance, Other
98 - Personal Conveyance, Unknown Type
99 - Unknown if Non-Motorist Was Operating a
Device
Injury Severity

Transported to First Medical Facility By

0 - No Apparent Injury (O)

0 - Not Transported for Treatment

1 - Possible Injury (C)

1 - EMS Air

2 - Suspected Minor Injury (B)
3 - Suspected Serious Injury (A)

2 - Law Enforcement
3 - EMS, Unknown if Air or Ground

4 - Fatal Injury (K)

4 - Transported, Unknown Type

5 - Injured, Severity Unknown

5 - EMS Ground

6 - Died Prior to Crash*

6 - Other

9 - Unknown/Not Reported

8 - Not Reported
9 - Reported as Unknown

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RBIS CRSS 2025

Special Function
00 - None

07 - Roadway Maintenance

01 - Emergency Medical Service [EMS]

08 - Utility

02 - Fire and Rescue

09 - USPS Mail Carrier

03 - Law Enforcement

97 - Other [Specify:]

04 - Towing and Recovery

98 - Not Reported

05 - Safety Service Patrol

99 - Reported as Unknown

06 - Roadway Construction

Non-Motorist Related Factors
000 - None Noted

090 - Non-Motorist Pushing a Vehicle

010 - Alcohol and/or Drug Test Refused

091 - Portable Electronic Devices

021 - Overloading or Improper Loading of Vehicle with093 - Non-Motorist Wearing Motorcycle Helmet
Passengers or Cargo

100 - Using a Shared Micromobility Device

031 - Default Code Used for Vehicle Numbering

101 - Obstructed Sidewalk (for this Person)

053 - Non-Motorist Previously Used a Motor Vehicle
for Motion

102 - Motor Vehicle Occupant in Prior Crash
103 - Road Rage

054 - Non-Motorist Attempting to Use a Motor
Vehicle for Motion
055 - Non-Motorist Attempting to Use or Previously
Used a Motor Vehicle for Motion, Details Not
Reported
056 - Non-Operator Flees Scene
NHTSA Form 1667

2025 Crash Report Sampling System
PERSON LEVEL (NOT A MV OCCUPANT - BIKE)
PSU #

PAR ID

https://crsscurrent.cdan.dot.gov/42/case/477088/print/blank/0/0

**Vehicle Number

**Person Number

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RBIS CRSS 2025

School Zone

Marked Crosswalk

0 - None Noted
1 - Yes

0 - None Noted
1 - Yes

9 - Unknown

9 - Unknown

Sidewalk Presence
0 - None Noted
1 - Yes
9 - Unknown
Crash Type Number
111 - Motorist Turning Error - Left turn
217 - Motorist Right Turn on Red - Same Direction
112 - Motorist Turning Error - Right turn
218 - Motorist Right Turn on Red - Opposite Direction
113 - Motorist Turning Error - Other
219 - Motorist Turn / Merge - Other / Unknown
114 - Bicyclist Turning Error - Left turn
221 - Bicyclist Left Turn - Same Direction
115 - Bicyclist Turning Error - Right turn
222 - Bicyclist Left Turn - Opposite Direction
116 - Bicyclist Turning Error - Other
223 - Bicyclist Right Turn - Same Direction
121 - Bicyclist Lost Control - Mechanical problems
224 - Bicyclist Right Turn - Opposite Direction
122 - Bicyclist Lost Control - Oversteering, Improper
225 - Bicyclist Ride Out - Parallel Path
Braking, Speed
231 - Motorist Overtaking - Undetected Bicyclist or
123 - Bicyclist Lost Control - Alcohol / Drug Impairment Detected - Too Late to Avoid
124 - Bicyclist Lost Control - Surface Conditions
232 - Motorist Overtaking - Misjudged Space
129 - Bicyclist Lost Control - Other / Unknown
235 - Motorist Overtaking - Bicyclist Swerved
131 - Motorist Lost Control - Mechanical problems
239 - Motorist Overtaking - Other/ Unknown
132 - Motorist Lost Control - Oversteering, Improper
241 - Bicyclist Overtaking - Passing on Right
Braking, Speed
242 - Bicyclist Overtaking - Passing on Left
133 - Motorist Lost Control - Alcohol / Drug
243 - Bicyclist Overtaking - Parked Vehicle
Impairment
244 - Bicyclist Overtaking - Extended Door
134 - Motorist Lost Control - Surface Conditions
249 - Bicyclist Overtaking - Other / Unknown
139 - Motorist Lost Control - Other / Unknown
250 - Wrong-Way / Wrong-Side - Bicyclist
141 - Motorist Drive Out - Sign-Controlled Intersection 255 - Wrong-Way / Wrong-Side - Motorist
142 - Bicyclist Ride Out - Sign-Controlled Intersection 259 - Wrong-Way / Wrong-Side - Unknown
143 - Motorist Drive Through - Sign-Controlled
280 - Parallel Paths - Other / Unknown
Intersection
311 - Bicyclist Ride Out - Residential Driveway
144 - Bicyclist Ride Through - Sign-Controlled
312 - Bicyclist Ride-Out - Commercial Driveway
Intersection
313 - Bicyclist Ride-Out – Driveway, Unknown Type
147 - Multiple Threat - Sign-Controlled Intersection
318 - Bicyclist Ride Out - Other Midblock
148 - Sign-Controlled Intersection - Other / Unknown 319 - Bicyclist Ride Out - Midblock - Unknown
151 - Motorist Drive Out - Right-Turn-on-Red
321 - Motorist Drive Out - Residential Driveway
152 - Motorist Drive Out - Signalized Intersection
322 - Motorist Drive-Out - Commercial Driveway
153 - Bicyclist Ride Out - Signalized Intersection
323 - Motorist Drive-Out – Driveway, Unknown Type
154 - Motorist Drive Through - Signalized Intersection 328 - Motorist Drive Out - Other Midblock
155 - Bicyclist Ride Through - Signalized Intersection
329 - Motorist Drive Out - Midblock - Unknown
156 - Bicyclist Failed to Clear - Trapped
357 - Multiple Threat - Midblock
157 - Bicyclist Failed to Clear - Multiple Threat
380 - Crossing Paths - Midblock - Other / Unknown
158 - Signalized Intersection - Other / Unknown
610 - Backing Vehicle
159 - Bicyclist Failed to Clear - Unknown
700 - Play Vehicle-Related
160 - Crossing Paths - Uncontrolled Intersection
800 - Unusual Circumstances
180 - Crossing Paths - Intersection - Other / Unknown 910 - Non-Roadway
Control
970 - Unknown Approach Paths
211 - Motorist Left Turn- Same Direction
980 - Unknown Location
212 - Motorist Left Turn- Opposite Direction
213 - Motorist Right Turn - Same Direction
214 - Motorist right Turn - Opposite Direction
215 - Motorist Drive-In/Out Parking
216 - Bus / Delivery Vehicle Pullover
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RBIS CRSS 2025

Crash Group Number
110 - Loss of Control / Turning Error

230 - Motorist Overtaking Bicyclist

140 - Motorist Failed to Yield - Sign-Controlled

240 - Bicyclist Overtaking Motor Vehicle

Intersection

258 - Wrong-Way / Wrong-Side

145 - Bicyclist Failed to Yield - Sign-Controlled
Intersection

290 - Parallel Paths - Other Circumstances
310 - Bicyclist Failed to Yield - Midblock

150 - Motorist Failed to Yield - Signalized Intersection 320 - Motorist Failed to Yield - Midblock
158 - Bicyclist Failed to Yield - Signalized Intersection 600 - Backing Vehicle
190 - Crossing Paths - Other Circumstances
850 - Other / Unusual Circumstances
210 - Motorist Left Turn / Merge

910 - Non-Trafficway

215 - Motorist Right Turn / Merge

990 - Other / Unknown - Insufficient Details

219 - Parking / Bus-Related
220 - Bicyclist Left Turn / Merge
225 - Bicyclist Right Turn / Merge
Crash Location

Bicyclist Position

1 - At Intersection

1 - Travel Lane

2 - Intersection-Related
3 - Not At Intersection
4 - Non-Trafficway Location

2 - Bicycle Lane / Paved Shoulder / Parking Lane
3 - Sidewalk / Crosswalk / Driveway Access
4 - Shared-Use Path

9 - Unknown / Insufficient Information

5 - Non-Trafficway - Driveway
6 - Non-Trafficway - Parking Lot/Other
8 - Other
9 - Unknown

Bicyclist Direction

Crash Type Expanded

1 - With Traffic
2 - Facing Traffic
3 - Not applicable
9 - Unknown
NHTSA Form 1667

2025 Crash Report Sampling System
NON-MOTORIST ACTIONS (NOT A MV OCCUPANT)

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NM. at Intersection

NM. in Crosswalk

0 - No

0 - No

1 - Yes

1 - Yes, Marked

8 - Not Reported

2 - Yes, Unmarked or Unknown if Marked

9 - Reported as Unknown if At Intersection

8 - Not Reported
9 - Reported as Unknown if in Crosswalk

NM. Specific Location

NM. Status Prior to Critical Event

01 - On Roadway [Travel Lane] - No Special Lane

20 - Incident Responder Working

Use

21 - Working [Not Incident Response]

02 - In Bus Lane

22 - Crossing

03 - In Parking Lane or Zone
04 - In Painted Cycle Lane [including sharrow
markings and painted buffers]
05 - In Physically Separated Cycle Lane [e.g., curb,
pylons]
06 - 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]

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

98 - Not Reported
99 - Reported as Unknown
NM. Traffic Control Device
0 - None
1 - Person [e.g., flagger, crossing guard, law
enforcement]
2 - Non-Motorist Crossing Signal
3 - Non-Motorist Crossing Sign
4 - Non-Motorist Prohibited Sign
7 - Other Non-Motorist Sign or Signal
8 - Not Reported
9 - Reported as Unknown

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RBIS CRSS 2025

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

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RBIS CRSS 2025

Protective
Helmet

Pads

1 - No

1 - No

2 - Yes
8 - Not Reported

2 - Yes
8 - Not Reported

9 - Reported as Unknown

9 - Reported as Unknown

Other
1 - No
2 - Yes
8 - Not Reported
9 - Reported as Unknown

Preventive
Clothing

Lighting

1 - No

1 - No

2 - Yes
8 - Not Reported

2 - Yes
8 - Not Reported

9 - Reported as Unknown

9 - Reported as Unknown

Other
1 - No
2 - Yes
8 - Not Reported
9 - Reported as Unknown
NHTSA Form 1667

2025 Crash Report Sampling System
ALCOHOL (NOT A MV OCCUPANT)

https://crsscurrent.cdan.dot.gov/42/case/477088/print/blank/0/0

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RBIS CRSS 2025

Police Reported Alcohol Involvement

Alcohol Test Status

0 - No, Alcohol Not Suspected
1 - Yes, Alcohol Suspected

0 - Test Not Given
2 - Test Given

8 - Not Reported
9 - Reported as Unknown

8 - Not Reported
9 - Reported as Unknown if Tested

Alcohol Specimen Type

Alcohol Test Result

00 - Test Not Given
01 - Blood
02 - Evidential Breath
03 - Urine
08 - Other Specimen
10 - Preliminary Breath Test (PBT)
11 - Breath Test, Unknown Type
95 - Not Reported
98 - Unknown Specimen
99 - Reported as Unknown if Tested
Police Reported Drug Involvement
0 - No, Drugs Not Suspected
1 - Yes, Drugs Suspected
8 - Not Reported
9 - Reported as Unknown
NHTSA Form 1667

OMB Control No. 2127-0714
Expiration Date 12/31/2022

2025 Crash Report Sampling System
VEHICLE LEVEL # 1

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PSU #

RBIS CRSS 2025

PAR ID

https://crsscurrent.cdan.dot.gov/42/case/477088/print/blank/0/0

**Vehicle Number

**Number Of Occupants

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Total Occupants in Motor Vehicle

RBIS CRSS 2025

Motor Vehicle Unit Type
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

Motor Vehicle Registration State or Country

0 - No
1 - Yes
Travel Speed

Vehicle Underride or Override
1 - Underride
2 - Override
3 - None or Not Applicable
8 - Not Reported
9 - Reported as Unknown

Rollover

Location of Rollover

0 - No Rollover
3 - Rollover

0 - No Rollover
1 - On Roadway

8 - Not Applicable

2 - On Shoulder
3 - On Median/Separator
4 - In Gore
5 - On Roadside
6 - Outside of Trafficway
7 - In Parking Lane/Zone
8 - Not Applicable
9 - Unknown

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3/25/25, 11:09 AM

RBIS CRSS 2025

Initial Contact Point
00 - Non-Collision
01 - 1 Clock Point
02 - 2 Clock Point
03 - 3 Clock Point
04 - 4 Clock Point
05 - 5 Clock Point
06 - 6 Clock Point
07 - 7 Clock Point
08 - 8 Clock Point
09 - 9 Clock Point
10 - 10 Clock Point
11 - 11 Clock Point
12 - 12 Clock Point
13 - Top
14 - Undercarriage
18 - Cargo or Vehicle Parts Set in Motion
19 - Other Objects or Person Set-In-Motion
20 - Object Set in Motion, Unknown if Cargo or Vehicle Parts or Other
61 - Left
62 - Left-Front Side
63 - Left-Back Side
81 - Right
82 - Right-Front Side
83 - Right-Back Side
98 - Not Reported
99 - Reported as Unknown

Extent of Damage

0 - No Damage
2 - Minor Damage
4 - Functional Damage
6 - Disabling Damage
7 - Damage Reported, Extent Unknown
8 - Not Reported
9 - Reported as Unknown

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3/25/25, 11:09 AM

RBIS CRSS 2025

Most Harmful Event for this Motor Vehicle

Motor Vehicle License Plate Number

NHTSA Form 1667

DAMAGED AREAS FOR VEHICLE# 1

Damaged Areas

01-1 Clock Value

Left

02-2 Clock Value

12

03-3 Clock Value
04-4 Clock Value
05-5 Clock Value
06-6 Clock Value
07-7 Clock Value

Top
13

11

1

10

2

9

3

8

4

7

5

08-8 Clock Value
09-9 Clock Value
10-10 Clock Value
11-11 Clock Value
12-12 Clock Value
13-Top
14-Undercarriage
15-No Damage
99-Damage Areas Unknown

14
Under

6

Right

VIN INFORMATION FOR VEHICLE# 1

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3/25/25, 11:09 AM

Motor Vehicle Model Year

RBIS CRSS 2025

VIN
00000000000000000 - No VIN Required, Not a
Vehicle for Road Use
88888888888888888 - Not Reported
99999999999999999 - Reported as Unknown

vPIC Make

vPIC Model

vPIC Body Class
001 - Convertible/Cabriolet
002 - Minivan
003 - Coupe
004 - Low Speed Vehicle (LSV) / Neighborhood Electric
Vehicle (NEV)
005 - Hatchback/Liftback/Notchback
006 - Motorcycle - Standard
007 - Sport Utility Vehicle (SUV)/Multi-Purpose Vehicle
(MPV)
008 - Crossover Utility Vehicle (CUV)
009 - Van
010 - Roadster
011 - Truck
012 - Motorcycle - Scooter
013 - Sedan/Saloon
015 - Wagon
016 - Bus
060 - Pickup
062 - Incomplete - Cutaway
063 - Incomplete - Chassis Cab (Single Cab)
064 - Incomplete - Glider
065 - Incomplete
066 - Truck-Tractor
067 - Incomplete - Stripped Chassis
068 - Streetcar / Trolley
069 - Off-road Vehicle - All Terrain Vehicle (ATV)
(Motorcycle-style)
070 - Incomplete - Chassis Cab (Double Cab)
071 - Incomplete - School Bus Chassis
072 - Incomplete - Commercial Bus Chassis
073 - Bus - School Bus
074 - Incomplete - Chassis Cab (Number of Cab
Unknown)
075 - Incomplete - Transit Bus Chassis
076 - Incomplete - Motor Coach Chassis
077 - Incomplete - Shuttle Bus Chassis
078 - Incomplete - Motor Home Chassis
080 - Motorcycle - Sport
081 - Motorcycle - Touring / Sport Touring
082 - Motorcycle - Cruiser

https://crsscurrent.cdan.dot.gov/42/case/477088/print/blank/0/0

083 - Motorcycle - Three-Wheeled Motorcycle (2 Rear
Wheels)
084 - Off-road Vehicle - Dirt Bike / Off-Road
085 - Motorcycle - Dual Sport / Adventure / Supermoto
/ On/Off-road
086 - Off-road Vehicle - Enduro (Off-road long distance
racing)
087 - Motorcycle - Small / Minibike
088 - Off-road Vehicle - Go Kart
090 - Motorcycle - Side Car
094 - Motorcycle - Custom
095 - Cargo Van
097 - Off-road Vehicle - Snowmobile
098 - Motorcycle - Street
100 - Motorcycle - Enclosed Three Wheeled or Enclosed
Autocycle [1 Rear Wheel]
103 - Motorcycle - Unenclosed Three Wheeled or Open
Autocycle [1 Rear Wheel]
104 - Motorcycle - Moped
105 - Off-road Vehicle - Multipurpose Off-Highway
Utility Vehicle [MOHUV] or Recreational Off-Highway
Vehicle [ROV]
107 - Incomplete - Bus Chassis
108 - Motorhome
109 - Motorcycle - Cross Country
110 - Motorcycle - Underbone
111 - Step Van / Walk-in Van
112 - Incomplete - Commercial Chassis
113 - Off-road Vehicle - Motocross (Off-road short
distance, closed track racing)
114 - Motorcycle - Competition
117 - Limousine
119 - Sport Utility Truck (SUT)
124 - Off-road Vehicle - Golf Cart
125 - Motorcycle - Unknown Body Class
126 - Off-road Vehicle - Farm Equipment
127 - Off-road Vehicle - Construction Equipment
128 - Ambulance
129 - Street Sweeper
130 - Fire Apparatus
131 - Motorcycle - Three Wheeled, Unknown Enclosure
or Autocycle, Unknown Enclosure
997 - Other
998 - Not Reported
999 - Unknown

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RBIS CRSS 2025

Final Stage Body Class
000 - Not Applicable

073 - Bus - School Bus

002 - Minivan

095 - Cargo Van

004 - Low Speed Vehicle (LSV) / Neighborhood

108 - Motorhome

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)

008 - Crossover Utility Vehicle (CUV)

128 - Ambulance

009 - Van

129 - Street Sweeper

011 - Truck

130 - Fire Apparatus

015 - Wagon

997 - Other (Specify:)

016 - Bus

998 - Not Reported

060 - Pickup

999 - Unknown

066 - Truck-Tractor
068 - Streetcar / Trolley

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NCSA Make

https://crsscurrent.cdan.dot.gov/42/case/477088/print/blank/0/0

RBIS CRSS 2025

NCSA Model

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3/25/25, 11:09 AM

RBIS CRSS 2025

031 - 122
032 - 140/142/144/145 *
033 - 164
034 - 240 series*/DL/GL/GLT
035 - 260 series/GLE
036 - 1800
037 - PV544
038 - 760/780
039 - 740
040 - 940
041 - 960
042 - 850
043 - 70 Series (For XC70 for 2014 on, use model
code 402)
044 - 90 Series
045 - 80 Series
046 - 40 Series
047 - 60 Series
048 - V50
049 - C30
050 - XC60 (For 2008-2018 only. For model years
2019 on, see 51-404.)
051 - V60
052 - V90
053 - S90
398 - Other (automobile)
399 - Unknown (automobile)
401 - XC90
402 - XC70 (For 2014 on. For prior to 2013, use
model code 043)
403 - XC40
404 - XC60 (For 2019 on. For model years 20082018, see 51-050.)
498 - Other (light truck)
499 - Unknown (light truck)
881 - Medium/Heavy – CBE
882 - Medium/Heavy - COE low entry
883 - Medium/Heavy - COE high entry
884 - Medium/Heavy – Unknown engine location
890 - Medium/Heavy – COE entry position
unknown
898 - Other (medium/heavy truck)
981 - Bus**: Conventional (Engine out front)
983 - Bus : Rear engine, Flat front
988 - Other (bus)
989 - Unknown (bus)
998 - Other (Vehicle)
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RBIS CRSS 2025

999 - Unknown (VOLVO)
NCSA Body Type
14 - Compact Utility (Utility Vehicle Categories "Small"
and "Midsize")
Power Unit GVWR From
12 - Class 2: 6,001 - 10,000 lbs. (2,722 - 4,536 kg)

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

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

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

98 - Not Reported

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

99 - Reported as Unknown

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

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

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

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

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

above)

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

98 - Not Reported

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

99 - Reported as Unknown

NHTSA Form 1667

DETAILS FOR VEHICLE# 1

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RBIS CRSS 2025

US DOT Number

Vehicle Configuration

000000000 - Not Applicable
888888888 - None
999999999 - Unknown

00 - Not Applicable
01 - Single-Unit Truck (2- axle and GVWR more than
10,000 lbs)
02 - Single-Unit Truck (3 or more axles)
04 - Truck Pulling Trailer(s)

MC or MX (ICC) Number
000000000 - Not Applicable
888888888 - None
999999999 - Unknown
State or Country Number

Issuing State or Country

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)
00 - Not Applicable [Motor Vehicle 10,000 lbs. or less, not displaying hazardous materials placard]
01 - Van or Enclosed Box
02 - Cargo Tank
03 - Flatbed
04 - Dump
05 - Concrete Mixer
06 - Auto Transporter
07 - Garbage or Refuse
08 - 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

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RBIS CRSS 2025

HM1: Hazardous Materials Present
1 - No
2 - Yes
HM2: Placard
0 - Not Applicable
1 - No
2 - Yes
8 - Not Reported
9 - 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
07 - Radioactive
08 - Corrosive
09 - 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
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RBIS CRSS 2025

Vehicle Trailing

Jackknife

0 - No Trailers

0 - Not an Articulated Vehicle

1 - One Trailer
2 - Two Trailers
3 - Three or More Trailers
4 - Yes, Number of Trailers Unknown

1 - No
2 - Yes - First Event
3 - Yes - Subsequent Event
9 - Unknown if Articulated Vehicle

5 - Vehicle Towing Another Motor Vehicle - Fixed
Linkage
6 - Vehicle Towing Another Motor Vehicle - NonFixed Linkage
7 - Trailing Unit Other than a Trailer or Another
Motor Vehicle
9 - Unknown
Bus Use

Special Use

00 - Not a Bus
01 - School
04 - Intercity
05 - Charter or Tour

00 - No Special Use Noted
01 - Taxi
02 - Vehicle Used for School Transport
04 - Military

06 - Transit or Commuter
07 - Shuttle
10 - Personal Use
11 - Childcare or Daycare

05 - Law Enforcement
06 - Ambulance
07 - Fire Truck
08 - Other Emergency Services Vehicle

97 - Bus, Unknown Use
98 - Not Reported
99 - Reported as Unknown

10 - Safety Service Patrols – Incident Response
11 - Other Incident Response
12 - Towing – Incident Response
19 - Rental or Care-Share Vehicle
20 - Motor Vehicle In Service for Electronic Ridehailing
21 - USPS Mail Carrier
23 - Rental Truck over 10,000 lbs.
24 - Truck Operating with Crash Attenuator
Equipment
25 - Trafficway Construction, Maintenance, or
Utility
26 - Other Package Delivery Vehicle [e.g., UPS,
DHL, FedEx, Amazon]
27 - Vehicle Used for School-Related Activity
99 - Reported as Unknown

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RBIS CRSS 2025

Engaged in Emergency Response

Vehicle Related Factors

0 - No

000 - None Noted

1 - Yes

029 - Default Code Used for Vehicle Numbering

7 - Not Applicable

030 - Multi-Wheeled Motorcycle Conversion

9 - Unknown

033 - Vehicle Being Pushed by Non-Motorist

Emergency Warning Equipment in Use

035 - Reconstructed or Altered Vehicle

0 - No

Scene of an Emergency or Performing Other Traffic
Control Activities

1 - Yes

041 - Police, Fire, or EMS Vehicle Working at the

042 - Other Working Vehicle (Not Construction,

7 - Not Applicable

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

9 - Unknown

044 - Adaptive Equipment

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

045 - Slide-in Camper

patients, arrestees)

046 - Autonomous or Semi-Autonomous Vehicle
047 - Autonomous or Semi-Autonomous Driving
Engaged

0 - No

048 - Dolly Attached

1 - Yes
7 - Not Applicable
9 - Unknown

Fire Occurrence
0 - No or Not Reported
1 - Yes

NHTSA Form 1667

TRAILER INFORMATION FOR VEHICLE# 1
Trailer VIN (1)

vPIC Make
vPIC Body Class

00000000000000000 - No VIN Required, Not a
Vehicle for Road Use
77777777777777777 - No Trailing Units
88888888888888888 - Not Reported

vPIC Trailer Body Type
vPIC Model
vPIC Model Year

99999999999999999 - Reported as Unknown

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RBIS CRSS 2025

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
10 - Pole Trailer
11 - Auto Transporter
12 - House Trailer
13 - Utility Trailer
14 - Boat Trailer
15 - Camping or Travel Trailer
16 - Live Animal Trailer
77 - No Trailer
95 - Unknown Trailer Body Type
97 - Other Trailer
Trailer GVWR (1)
00 - No Trailer GVWR Required
11 - Class 1: 6,000 lbs or less (2,722 kg or less)
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)
18 - Class 8: 33,001 lbs and above (14,969 kg and above)
77 - No Trailing Units
98 - Not Reported
99 - Reported as Unknown

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Trailer VIN (2)

RBIS CRSS 2025

vPIC Make
vPIC Body Class

00000000000000000 - No VIN Required, Not a
Vehicle for Road Use
77777777777777777 - No Trailing Units
88888888888888888 - Not Reported

vPIC Trailer Body Type
vPIC Model
vPIC Year

99999999999999999 - Reported as Unknown
VIN Request
Trailer Body Type (2)
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
10 - Pole Trailer
11 - Auto Transporter
12 - House Trailer
13 - Utility Trailer
14 - Boat Trailer
15 - Camping or Travel Trailer
16 - Live Animal Trailer
77 - No Trailer
95 - Unknown Trailer Body Type
97 - Other Trailer
Trailer GVWR (2)
00 - No Trailer GVWR Required
11 - Class 1: 6,000 lbs or less (2,722 kg or less)
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)
18 - Class 8: 33,001 lbs and above (14,969 kg and above)
77 - No Trailing Units
98 - Not Reported
99 - Reported as Unknown
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Trailer VIN (3)

RBIS CRSS 2025

vPIC Make
vPIC Body Class

00000000000000000 - No VIN Required, Not a

vPIC Trailer Body Type

Vehicle for Road Use

vPIC Model

77777777777777777 - No Trailing Units

vPIC Year

88888888888888888 - Not Reported
99999999999999999 - Reported as Unknown
VIN Request
Trailer Body Type (3)
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
10 - Pole Trailer
11 - Auto Transporter
12 - House Trailer
13 - Utility Trailer
14 - Boat Trailer
15 - Camping or Travel Trailer
16 - Live Animal Trailer
77 - No Trailer
95 - Unknown Trailer Body Type
97 - Other Trailer
Trailer GVWR (3)
00 - No Trailer GVWR Required
11 - Class 1: 6,000 lbs or less (2,722 kg or less)
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)

18 - Class 8: 33,001 lbs and above (14,969 kg and above)
77 - No Trailing Units
98 - Not Reported
99 - Reported as Unknown
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RBIS CRSS 2025

NHTSA Form 1667

2025 Crash Report Sampling System
PRECRASH LEVEL (VEHICLE/DRIVER) FOR VEHICLE# 1
PSU #

PAR ID

https://crsscurrent.cdan.dot.gov/42/case/477088/print/blank/0/0

**Vehicle Number

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RBIS CRSS 2025

Contributing Circumstances, Motor Vehicle

Trafficway Flow

00 - None Noted

0 - Non-Trafficway or Driveway Access

01 - Tires

1 - One-Way

02 - Brake System

2 - Two-Way

03 - Steering
04 - Suspension
05 - Powertrain

3 - Two-Way with a Continuous Left-Turn Lane
8 - Not Reported
9 - Reported as Unknown

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

Number of Open Lanes in Vehicle's Environment

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

0 - Non-Trafficway or Driveway Access

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

2 - Two lanes

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

4 - Four lanes

8 - Not Reported

6 - Six lanes

9 - Reported as Unknown

7 - Seven or more lanes

1 - One lane
3 - Three lanes
5 - Five lanes

8 - Not Reported
9 - Reported as Unknown
Motor Vehicle Posted or Statutory Speed Limit

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RBIS CRSS 2025

Roadway Alignment

Roadway Grade

0 - Non-Trafficway or Driveway Access
1 - Straight
2 - Curve Right
3 - Curve Left

0 - Non-Trafficway or Driveway Access
1 - Level
2 - Grade, Unknown Slope
3 - Hillcrest

4 - Curve - Unknown Direction
8 - Not Reported
9 - Reported as Unknown

4 - Sag (Bottom)
5 - Uphill
6 - Downhill
8 - Not Reported
9 - Reported as Unknown

Roadway Surface Conditions

Traffic Control Device

00 - Non-Trafficway or Driveway Access

00 - No Traffic Controls

01 - Dry
02 - Wet
03 - Snow
04 - Ice or Frost

01 - Traffic Control Signal
04 - Flashing Traffic Control Signal
07 - Lane Use Control Signal
08 - Other Traffic Signal

05 - Sand
06 - Water [Standing or Moving]
07 - Oil
08 - Other

09 - Unknown Traffic Signal
20 - Stop Sign
21 - Yield Sign
23 - School Zone Sign or Device

10 - Slush
11 - Mud, Dirt, or Gravel
98 - Not Reported
99 - Reported as Unknown

28 - Other Regulatory Sign
29 - Regulatory Sign, Type Unknown
40 - Warning Sign [Not Railroad Crossing]
50 - Person [e.g., flagger, crossing guard, law
enforcement]
66 - Railroad Crossing Sign
67 - Railroad Flashing – Light Signal with Gates
68 - Railroad Flashing – Light Signal without Gates
69 - Work Zone Reduced Speed Limit
70 - Cones, Barrels, or Other Channelizing Devices
97 - Not Reported
98 - Other
99 - Reported as Unknown

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RBIS CRSS 2025

Device Functioning
0 - No Controls
3 - Device Functioning Properly
5 - Device Not Functioning, Functioning Improperly, or Missing
8 - Not Reported
9 - Reported as Unknown

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RBIS CRSS 2025

Driver's Vision Obscured By

Driver Distraction

00 - No Obstruction Noted

00 - Not Distracted

01 - Rain, Snow, Fog, Smoke, Sand, or Dust
02 - Reflected Glare, Bright Sunlight, or Headlights

12 - Other Outside Vehicle [e.g., Outside Person,
Object, or Event]

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)
07 - Not In-Transport Motor Vehicle (parked or

22 - Talking or Listening on Hands-Free Mobile
Electronic Device

08 - Splash or Spray of Passing Vehicle

23 - Talking or Listening on Hand-Held Mobile
Electronic Device

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

working)

97 - Vision Obscured - No Details
98 - Other Visual Obstruction
99 - Reported as Unknown
Vehicle Status Prior to Critical Event

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RBIS CRSS 2025

Critical Event - Precrash
101 - This Vehicle Lost Control [This Vehicle Loss of
Control]
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 [NonMotorist]
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]

Attempted Avoidance Maneuver
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
10 - Accelerating
11 - Accelerating and steering left
12 - Accelerating and steering right
15 - Braking and Unknown Steering Direction
16 - Braking
17 - Lay Down Motorcycle
96 - Not Reported
98 - Other actions (specify:)
99 - Unknown

Pre-Impact Stability

Pre-Impact Location

0 - No Driver Present or Unknown if Driver Present
1 - No Traction Loss
6 - Traction Loss

00 - No Driver Present or Unknown if Driver
Present
04 - Departed Roadway

9 - Unknown

05 - Remained off Roadway
07 - Entered Roadway
10 - Stayed on Roadway
99 - Unknown

 Crash Type
13

C-Single Driver-Forward ImpactPedestrian/ Animal

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RBIS CRSS 2025

NHTSA Form 1667

2025 Crash Report Sampling System
DRIVER LEVEL FOR VEHICLE# 1
PSU #

PAR ID

https://crsscurrent.cdan.dot.gov/42/case/477088/print/blank/0/0

**Vehicle Number

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RBIS CRSS 2025

Driver Presence

Driver Zip Code

0 - No Driver Present or Not Applicable

00000 - Not resident of U.S. or Territories

1 - Yes
9 - Unknown

99998 - Not Reported
99999 - Reported as Unknown

 Citations Issued 
00

00-None 

Speeding Related
0 - No
2 - Yes, Racing
3 - Yes, Exceeded Speed Limit
4 - Yes, Too Fast for Conditions
5 - Yes, Specifics Unknown
9 - Reported as Unknown

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RBIS CRSS 2025

Driver Related Factors
000 - None Noted
056 - Object Interference with Vehicle Controls
006 - Careless Driving, Inattentive Operation, Improper (Specify:) [Miscellaneous Factors]
Driving, or Driving Without Due Care [Physical/Mental 057 - Driving with Tire-Related Problems [Miscellaneous
Condition]
Factors]
010 - Looked But Did Not See [Miscellaneous Factors] 058 - Overcorrecting [Miscellaneous Factors]
018 - Traveling on Prohibited Trafficways [Miscellaneous 059 - Getting Off/Out of a Vehicle [Miscellaneous
Factors]
Factors]
020 - Leaving Vehicle Unattended with Engine Running. 060 - Alcohol and/or Drug Test Refused [Miscellaneous
Leaving Vehicle Unattended in Roadway [Miscellaneous Factors]
Factors]
100 - Using a Belt-Positioning Device or Other
021 - Overloading or Improper Loading of Vehicle with [Physical/Mental Condition]
Passengers or Cargo [Miscellaneous Factors]
102 - Aggressive Driving [Physical/Mental Condition]
022 - Towing or Pushing Vehicle Improperly
103 - Road Rage [Physical/Mental Condition]
[Miscellaneous Factors]
104 - Fleeing or Evading Law Enforcement
023 - Failure to Use Vehicle Lights Properly
[Physical/Mental Condition]
[Miscellaneous Factors]
105 - Police Officer in Pursuit [Physical/Mental
024 - Operating without Required Equipment
Condition]
[Miscellaneous Factors]
107 - Driver Required to Use Interlock Device [Special
026 - Followed Too Closely [Miscellaneous Factors]
Circumstances]
028 - Failed to Keep in Proper Lane [Miscellaneous
108 - Attempted to Move Over or Slow Down as
Factors]
Required by Move Over Law [Move Over]
029 - Illegal Driving on Shoulder, Median, Roadside, etc. 109 - Failed to Move Over or Slow Down as Required by
[Miscellaneous Factors]
Move Over Law [Move Over]
032 - Opening Door, Trunk, or Hatch into Traffic
110 - Improper Passing [Miscellaneous Factors]
[Miscellaneous Factors]
111 - Improper Turn [Miscellaneous Factors]
036 - Operating the Vehicle in an Erratic, Reckless or
112 - Swerved or Avoided Due to Wind, Slippery
Negligent Manner. [Miscellaneous Factors]
Surface, Motor Vehicle, Object, Non-Motorist, or Animal
038 - Failed to Yield Right-of-Way [Miscellaneous
in Roadway, etc. [Miscellaneous Factors]
Factors]
113 - Drowsy, Asleep, or Fatigued [Physical/Mental
039 - Failure to Obey Traffic Control Devices
Condition]
[Miscellaneous Factors]
114 - Ill [sick] or Fainted [Physical/Mental Condition]
050 - Driving Wrong Way on One-Way Trafficway
115 - Physical Impairment [Physical/Mental Condition]
[Miscellaneous Factors]
116 - Under the influence of medication, drugs, and/or
051 - Driving on Wrong Side of Two-Way Trafficway
alcohol [Physical/Mental Condition]
[Miscellaneous Factors]
054 - Stopped in Roadway (Vehicle Not Abandoned)
[Miscellaneous Factors]
055 - Improper Management of Vehicle Controls
(Specify:) [Miscellaneous Factors]
NHTSA Form 1667

2025 Crash Report Sampling System
PERSON LEVEL (MV OCCUPANT) FOR VEHICLE# 1 AND PERSON# 1
PSU #

PAR ID

https://crsscurrent.cdan.dot.gov/42/case/477088/print/blank/0/0

**Vehicle Number

**Person Number

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Age

RBIS CRSS 2025

Sex
1 - Male
2 - Female
8 - Not Reported
9 - Reported as Unknown

Person Type

Injury Severity

01 - Driver of a Motor Vehicle In-Transport
02 - Passenger of a Motor Vehicle In-Transport
03 - Occupant of a Motor Vehicle Not In- Transport
09 - Unknown Occupant Type in a Motor Vehicle

0 - No Apparent Injury (O)
1 - Possible Injury (C)
2 - Suspected Minor Injury (B)
3 - Suspected Serious Injury (A)

In- Transport

4 - Fatal Injury (K)
5 - Injured, Severity Unknown
6 - Died Prior to Crash*
9 - Unknown/Not Reported

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RBIS CRSS 2025

Seating Position

Transported to First Medical Facility By

11 - Front Row, Left Side
12 - Front Row, Middle
13 - Front Row, Right Side
18 - Front Row, Other

0 - Not Transported for Treatment
1 - EMS Air
2 - Law Enforcement
3 - EMS, Unknown if Air or Ground

19 - Front Row, Unknown
21 - Second Row, Left Side
22 - Second Row, Middle
23 - Second Row, Right Side

4 - Transported, Unknown Type
5 - EMS Ground
6 - Other
8 - Not Reported

28 - Second Row, Other
29 - Second Row, Unknown
31 - Third Row, Left Side
32 - Third Row, Middle
33 - Third Row, Right Side

9 - Reported as Unknown

38 - Third Row, Other
39 - Third Row, Unknown
41 - Fourth Row, Left Side
42 - Fourth Row, Middle
43 - Fourth Row, Right Side
48 - Fourth Row, Other
49 - Fourth Row, Unknown
50 - Sleeper Section of Cab (Truck)
51 - Enclosed Passenger or Cargo Area
52 - Unenclosed Passenger or Cargo Area
53 - Passenger or Cargo Area, Unknown Whether
or Not Enclosed
54 - Trailing Unit
55 - Riding on Exterior of Vehicle [Non-Trailing
Unit]
56 - Appended to a Motor Vehicle for Motion
98 - Not Reported
99 - Reported as Unknown

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RBIS CRSS 2025

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
07 - Roadway Maintenance
08 - Utility
09 - USPS Mail Carrier
97 - Other [Specify:]
98 - Not Reported
99 - Reported as Unknown

Person Related Factors
000 - None Noted
005 - Interfering With Driver

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

010 - Alcohol and/or Drug Test Refused

091 - Portable Electronic Devices

021 - Overloading or Improper Loading of Vehicle
with Passengers or Cargo

092 - Person in Ambulance Treatment Compartment

032 - Opening Door, Trunk, or Hatch into Traffic

105 - Paraplegic or in a Wheelchair

104 - Using a Belt-Positioning Device or Other

056 - Non-Operator Flees Scene

SAFETY DEVICES FOR VEHICLE# 1 AND PERSON# 1

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RBIS CRSS 2025

Restraint System Use

Helmet Use

Type of Restraint System in Use

Helmet Use

01 - Shoulder Belt Only Used
02 - Lap Belt Only Used
03 - Shoulder and Lap Belt Used
04 - Child Restraint Type Unknown

05 - DOT-Compliant Motorcycle Helmet
16 - Helmet, Other than DOT-Compliant
Motorcycle Helmet
17 - No Helmet

06 - Racing-Style Harness Used
08 - Restraint Used - Type Unknown
10 - Child Restraint System - Forward Facing
11 - Child Restraint System - Rear Facing

19 - Helmet, Unknown if DOT-Compliant
20 - Not Applicable
98 - Not Reported
99 - Reported as Unknown if Helmet Worn

12 - Booster Seat
20 - None Used or Not Applicable
97 - Other
98 - Not Reported
99 - Reported as Unknown
Indication of Restraint System Misuse

Indication of Helmet Misuse
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
Ejection

Air Bag Deployed
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
98 - Not Reported
99 - Reported as Deployment Unknown

0 - Not Ejected
1 - Totally Ejected
2 - Partially Ejected
3 - Ejected - Unknown Degree
7 - Not Reported
8 - Not Applicable
9 - Reported as Unknown if Ejected

NHTSA Form 1667

2025 Crash Report Sampling System
ALCOHOL FOR VEHICLE# 1 AND PERSON# 1

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RBIS CRSS 2025

Police Reported Alcohol Involvement

Alcohol Test Status

0 - No,Alcohol Not Suspected

0 - Test Not Given

1 - Yes,Alcohol Suspected
7 - Not Applicable
8 - Not Reported
9 - Reported as Unknown

2 - Test Given
8 - Not Reported
9 - Reported as Unknown if Tested

Alcohol Specimen Type

Alcohol Test Result

00 - Test Not Given
01 - Blood
02 - Evidential Breath
03 - Urine
08 - Other Specimen
10 - Preliminary Breath Test (PBT)
11 - Breath Test, Unknown Type
95 - Not Reported
98 - Unknown Specimen
99 - Reported as Unknown if Tested
Police Reported Drug Involvement

NHTSA Form 1667

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