J.2 NHTSA Field Crash Investigation Coding and Editing Manual 2023.pdf

DOT HS xxx January 2023

NHTSA Field Crash Investigation 2023 Coding and Editing Manual

DISCLAIMER

This publication is distributed by the U.S. Department of Transportation, National Highway Traffic Safety Administration, in the interest of information exchange. The opinions, findings, and conclusions expressed in this publication are those of the au-thors and not necessarily those of the Department of Transportation or the National Highway Traffic Safety Administration. The United States Government assumes no liability for its contents or use thereof. If trade or manufacturers’ names or products are mentioned, it is because they are considered essential to the object of the publications and should not be construed as an endorsement. The United States Government does not endorse products or manufacturers.

Suggested APA Format Citation:

National Highway Traffic Safety Administration. (2024, Month). NHTSA field crash investigation

2023 coding and editing manual (Report No. DOT HS xxx xxx). National Highway Traffic Safety Administration.

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Technical Report Documentation Page

1. Report No. 2. Government Accession No. 3. Recipient’s Catalog No.

DOT HS xxx xxx

4. Title and Subtitle 5. Report Date NHTSA Field Crash Investigation 2023 Coding and Editing Manual Month 2024

6. Performing Organization Code

7. Author 8. Performing Organization Report No.

National Highway Traffic Safety Administration

9. Performing Organization Name and Address 10. Work Unit No. (TRAIS) National Highway Traffic Safety Administration 1200 New Jersey Avenue SE Washington, DC 20590

11. Contract or Grant No.

12. Sponsoring Agency Name and Address 13. Type of Report and Period Covered National Highway Traffic Safety Administration 1200 New Jersey Avenue SE Washington, DC 20590

Manual, 2022

14. Sponsoring Agency Code

15. Supplementary Notes

16. Abstract NHTSA’s field crash investigation-based data collection programs consist of the Crash Investigation Sampling System (CISS), Special Crash Investigations (SCI), and the Crash Injury Research & Engineering Network (CIREN). The CISS builds on the long running National Automotive Sampling System Crashworthiness Data System (NASS CDS). The NHTSA investigation-based programs collect detailed crash data to help scientists and engineers analyze motor vehicle crashes and injuries. CISS collects data on a representative sample of minor, serious, and fatal crashes involving at least one passenger vehicle – cars, light trucks, SUVs, and vans – towed from the scene. This publication is the coding manual for CISS, SCI, and CIREN for 2023.

17. Key Words 18. Distribution Statement CISS, CIREN, NASS CDS, SCI, coding manual Document is available to the public from the DOT, BTS, National Transportation Library, Repository & Open Science Access Portal, rosap.ntl.bts.gov

19 Security Classif. (of this report) 20. Security Classif. (of this page) 21 No. of Pages 22. Price Unclassified Unclassified xxxx

Form DOT F 1700.7 (8-72) Reproduction of completed page authorized https://rosap.ntl.bts.gov/ ii

Introduction Overview The National Highway Traffic Safety Administration has collected crash data since the early 1970s to support its mission to reduce motor vehicle crashes, injuries, and deaths on our Nation’s highways. NHTSA’s crash data collection program consists of the Crash Investigation Sampling System (CISS), the Fatality Analysis Reporting System (FARS), the Crash Report Sampling Sys-tem (CRSS), Special Crash Investigations (SCI), Non-Traffic Surveillance (NTS), the Crash In-jury Research & Engineering Network (CIREN), and special studies conducted to address vari-ous safety topics. The CISS builds on the retiring, long running National Automotive Sampling System Crashworthiness Data System (NASS CDS). CISS collects detailed crash data to help scientists and engineers analyze motor vehicle crashes and injuries. CISS collects data on a rep-resentative sample of minor, serious, and fatal crashes involving at least one passenger vehicle – cars, light trucks, SUVs, and vans – towed from the scene.

How It Works After a crash has been sampled, trained crash technicians obtain data from crash sites by docu-menting scene evidence such as skid marks, fluid spills, and struck objects. They locate the vehi-cles involved, document the crash damage and identify interior components that were contacted by the occupants. On-site inspections may be followed-up with confidential interviews of the crash victims and a review of medical records for injuries sustained in the crash. CISS uses emerging technologies and methods to acquire quality data.

The crash technicians are interested only in information that will help them understand the nature and outcome of the crashes. Personal information such as names, addresses, license and registra-tion numbers, and even specific crash locations are not included in public CISS files.

Sampling CISS randomly selects thousands of police crash reports at law enforcement agencies in selected areas across the country. The areas reflect the geography, population, miles driven, and crashes in the United States. To be eligible for the CISS sample, a crash must involve at least one towed passenger vehicle.

Cooperation CISS depends on the participation and cooperation of law enforcement agencies, hospitals, phy-sicians, medical examiners, coroners, insurance companies, salvage facilities, tow yard operators, repair shops, and the people involved in crashes. Cooperation from law enforcement agencies en-ables CISS to list and select crashes to be studied. Police crash reports – which provide key in-formation on the location of the crash, the vehicles involved, and where the injured were taken for medical care – are obtained and treated as confidential documents. Law enforcement agencies also permit access to certain roadways and crashed vehicles. NHTSA is recognized by the De-iii partment of Health and Human Services as a Public Health Authority, allowing the medical com-munity to provide access to its records. Medical records are the primary source of data on the na-ture and severity of injuries.

Tow yards, repair facilities, and impound lots provide access to damaged vehicles. CISS crash technicians photograph vehicles at these sites, measure vehicle damage, document safety sys-tems, and record the sources of occupant injury.

Confidential interviews with victims who were involved in crashes provide crash details, insights into how crashes occur, the extent of injuries, treatment received, safety system performance, and work time lost.

Collectively, information from these sources provides a detailed picture of a crash – from just be-fore the crash through medical care received by the injured.

How the Information Is Used The data collected by the CISS field teams is used by NHTSA and others for a variety of pur-poses:

• Identifying existing and emerging highway safety problems;

• Obtaining detailed crash performance data for passenger vehicles, including the vehicle safety systems and designs;

• Learning more about the nature of crash-related injuries and the relationship between the type and severity of a crash and the resulting injuries; and

• Assessing the effectiveness of motor vehicle standards and highway safety programs.

After all personal identifiers are removed, information collected by CISS is made available to other Federal agencies; State and local governments; universities; research institutions; automo-bile, trucking, and insurance industries; and the general public.

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More Information For more information on CISS technical operations and field procedures, contact:

National Highway Traffic Safety Administration National Center for Statistics and Analysis Crash Investigation Division, NSA0110 1200 New Jersey Avenue SE Washington, DC 20590 NHTSACrashInvestigationDivision@dot.gov 800-934-8517 For statistical publications and information, case data, or data files, contact:

National Highway Traffic Safety Administration National Center for Statistics and Analysis Data Reporting and Information Division, NSA0230 1200 New Jersey Avenue SE Washington, DC 20590 800-934-8517 ncsaweb@dot.gov

Auto Safety Hotline Do you need information on auto safety recalls, crash test results, or fuel economy ratings? Do you have a complaint about a possible motor vehicle safety defect?

Call the Auto Safety Hotline, toll-free: 888-327-4236.

mailto:NHTSACrashInvestigationDivision@dot.gov mailto:ncsaweb@dot.gov v

Table of Contents

Introduction .................................................................................................................................... ii Overview .................................................................................................................................... ii How It Works ............................................................................................................................. ii Sampling ..................................................................................................................................... ii Cooperation ................................................................................................................................ ii How the Information Is Used .................................................................................................... iii More Information ...................................................................................................................... iv Auto Safety Hotline ................................................................................................................... iv

Case Form

Case Form Overview Crash

[Case Number] [Domain] [Date of Crash (Month/Day/Year)] [Time of Crash] PCR Number [Police Jurisdiction] Technician Assigned to Case PSU Reviewer Case Reviewer [Case Status] Preliminary Approval [Case Due Date] [Case Identification Number] [Type of Case] Global Position - Latitude Global Position - Longitude

Case Form Structure Overview Structure/Case

Total Number of Vehicles in Crash Number of CISS in Transport Vehicles in Crash Number of CISS Not-in-Transport Vehicles in Crash Vehicles in Crash Total Number of Occupants in CISS Vehicles in Transport Total Number of Medical Records in Case Vehicle Number Transport Status Date of Vehicle Inspection Number of Occupants in This Vehicle Vehicle Number Occupant Number Interview Results vi

Interview Completion Date Interview Results Vehicle Number Occupant Number Medical Record Medical Facility Medical Release Date Medical Record Was Requested Follow-Up Request Date Medical Record Was Received Date Medical Record Was Forwarded to Injury Coding Center Medical Record Obtained or Reason Why Not Notes [Sample Date]

Case Summary Overview

Case Summary ................................................................. Error! Bookmark not defined.

Summary/Vehicles

Vehicle Number Vehicle Year Vehicle Make Vehicle Model Damage Plane Damage Severity Component Malfunction

Summary/Occupants

Vehicle Number ............................................................... Error! Bookmark not defined.

Person Role ...................................................................... Error! Bookmark not defined.

Seat Position ..................................................................... Error! Bookmark not defined.

Restraints Use ................................................................... Error! Bookmark not defined.

AIS Description ................................................................ Error! Bookmark not defined.

Injury Severity .................................................................. Error! Bookmark not defined.

IPC Configuration ............................................................ Error! Bookmark not defined.

IPC Area ........................................................................... Error! Bookmark not defined.

Crash Events Overview

[Event Number] Vehicle Number [Class of Vehicle] General Area of Damage Object Contacted [Class of Vehicle Contacted] General Area of Damage of Vehicle Contacted

Scene vii

Scene Diagram Date Scene Completed (Month/Day/Year) Scene Files

Case Note Edit Checks

General Vehicle Form

General Vehicle Form Overview

Vehicle Number Vehicle Model Year Vehicle Make Vehicle Model Vehicle Body Category Body Type [Class of Vehicle] Vehicle Identification Number (VIN) Vehicle Special Use Transport Status Vehicle Has Trailer Curb Weight Source of Curb Weight Information Cargo Weight Source of Cargo Weight Information Inspection Type Date of Inspection

Specifications

Wheelbase Overall Length Maximum Width Curb Weight Average Track Width Front Overhang Rear Overhang Undeformed End Width Engine Cylinders Engine Displacement Type of Transmission Drive Wheels Multi-Stage or Altered Vehicle Suspected Post Manufacturer Modifications

Official Records

Vehicle Removal Posted Speed Limit Is the Driver Present?

viii

Occupant Number Police-Reported Alcohol Presence Alcohol Test for Driver Alcohol Test Result Source of Alcohol Test Result Other Drugs Overview Police-Reported Other Drug Presence Other Drug Test Result Driver’s ZIP Code Race Ethnicity

Environment

Relation to Interchange or Junction Trafficway Flow Travel Lanes Initial Travel Lane Line Type-Right Line Type-Left Rumble Strip Present-Initial Travel Lane Rumble Strip Present-Road Roadway Alignment Roadway Profile Surface Type Surface Condition Lighting Conditions Atmospheric Conditions Traffic Control Device Traffic Control Device Functioning Shoulder Width Struck Object Length Struck Object Width Struck Object Height Distance From Edge of Road

Precrash Data Overview Distraction

Driver's Distraction/Inattention to Driving Driver's Distractions Pre-First Harmful Event Sequence

Pre-Crash

Pre-Event Movement (Prior to Recognition of Critical Event) Critical Pre-Crash Category Critical Pre-Crash Event Attempted Avoidance Maneuver Pre-Impact Stability ix

Pre-Impact Location Crash Category Crash Type Crash Configuration Crash Type

Rollover

Rollover Data Overview Rollover Type Number of Quarter Turns Interrupted Roll Pre-Rollover Maneuver Rollover Initiation Type Location of Rollover Initiation Rollover Initiation Object Contacted Class Rollover Initiation Object Contacted Location on Vehicle Where Initiating Rollover Force is Applied Direction of Initial Roll Estimated Distance From Trip Point to Final Rest Position

Reconstruction

Type of Impact for Highest Delta V Heading Angle for This Vehicle Heading Angle for Other Vehicle Towed Trailing Unit Documentation of Trajectory Data Post Collision Condition of Tree or Pole

Delta V

Event Number for Highest Severity Impact Basis for Computer Generated Delta V for Highest Severity Impact Total Delta V for Highest Severity Impact Longitudinal Delta V for Highest Severity Impact Lateral Delta V for Highest Severity Impact Energy Absorption for Highest Severity Impact Impact Speed for Highest Severity Impact Moment Arm for Highest Severity Impact Confidence Level for Highest Severity Impact Barrier Equivalent Speed for Highest Severity Impact Estimated Severity for Highest Severity Impact Reason Vehicle Inspection Not Completed PSU Case Review

Exterior Vehicle Form

Tire Overview

[Tire to Inspection Interval] x

Tires General

Total Gross Vehicle Weight Rating Front Gross Axle Weight Rating Rear Gross Axle Weight Rating Manufacturer’s Recommended Front/Rear Tire Size Manufacturer’s Recommended Front/Rear Tire Size Manufacturer Recommended Cold Tire Pressure Front/Rear

Tire/List/Detail

Tire Location Tire Manufacturer Tire Model Tire Type on Vehicle Tire Size on Vehicle Tire Identification Number Minimum Tread Depth Tire Restricted Tire Damage

Crash Avoid

Equipment Type Equipment Available Equipment Activate

Fuel Systems

Fuel System Number Fuel Type Damage to Fuel Cell Fuel System Leakage Location Location of Fuel Cell Type of Fuel Cell Location of Filler Cap Pre-Crash Condition of Fuel Cell

Fire

Fire Occurrence Origin of Fire

Crush Location

[Profile Number] Event Number Direct Damage Location Location of Field L Location of Max Crush .................................................... Error! Bookmark not defined.

Crush Profile

Profile Number ................................................................. Error! Bookmark not defined.

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CDC Number ................................................................... Error! Bookmark not defined.

Field L .............................................................................. Error! Bookmark not defined.

WinSMASH L Field L +/- D ..................................................................... Error! Bookmark not defined.

Direct +/- D ...................................................................... Error! Bookmark not defined.

Width (CDC) .................................................................... Error! Bookmark not defined.

Category ........................................................................... Error! Bookmark not defined.

Vertical Level at Which Crush Measurements Are Taken for a Particular Crush Profile Reference Document for Rollover Crashes Maximum Crush for This Vertical Level of Crush Measurements for This Crush Profile C1, C2, C3, C4, C5, C6 Rollover Documentation

CDC/Summary/Detail

Event Number [Deformation Number] General Area of Damage Object Contacted Category and Object Direction of Force End Shift [Clock] Override/Underride (This Vehicle) Heading Angle Deformation Location Specific Longitudinal or Lateral Location Specific Vertical or Lateral Location Type of Damage Distribution Deformation Extent Guide [CDC- Summary]

Side Impact

Direct Damage to Pillar Vertical Height of Sill Height of Max Door Crush Door Sill Differential (DSD)

WinSMASH Overview

CISSWeb WinSMASH Total Delta V Longitudinal Delta V Lateral Delta V Energy Absorption Impact Speed Moment Arm of Principal Force Barrier Equivalent Speed xii

Estimated Severity Severity Rank Basis for Delta V Entry

EDR Overview

EDR Information obtained Imaging Method Total Number of EDR Events Module Type Ignition Cycle, Download CDR Version Collected CDR Version Reported Vehicle Identification Number CDR Module Name ECU Generation EDR Event Number Event Description CDC Event Maximum Delta V, Longitudinal Time to Maximum Delta V, Longitudinal Ignition Cycle, Crash Frontal Air Bag Warning Lamp Multi-Event, Number of Events Time From Event 1 to 2 Complete File Recorded Maximum Delta V, Lateral Time Maximum Delta V, Lateral Time for Maximum Delta V, Resultant Occupant Role Safety Belt Status Time to Frontal Air Bag Deployment, First Stage Time to Frontal Air Bag Deployment, Second Stage Frontal Air Bag Suppression Switch Status Frontal Air Bag Deployment, Disposal Time to Side Air Bag Deployment Time to Side Curtain/Tube Deployment Time to Pretensioner Deployment (Part 563 Field) Time to Retractor Pretensioner Deployment Time to Buckle Pretensioner Deployment Seat Track Position Switch, Foremost?

Occupant Size Classification Occupant Position Classification Time Series Data Elements Speed, Vehicle Indicated Engine Throttle Accelerator Pedal xiii

Service Brake Engine rpm ABS Activity Stability Control Steering Input Delta V, Longitudinal Delta V, Lateral Acceleration, Longitudinal Acceleration, Lateral Acceleration, Normal Vehicle Roll Angle

Sketches

Instructions for Completion of Vehicle Damage Sketch Vehicle Types Size and Style Side Door Lateral Width Side Glass Lateral Width Roof Lateral Width Side Door Vertical Height Side Glass Vertical Height Roof Vertical Height Original Front Bumper Height Original Rear Bumper Height Original Hood Extent Original Windshield Extent Original Windshield to B Pillar Original Backlight to B Pillar Length Original Backlight Length Original Trunk Length Original Pickup Rear Extent Original Pickup Bed Length Baseline Measurement – Left/Right Side Front Stringline Baseline Measurement – Left/Right Side Front Corner Baseline Measurement – Left/Right Side Wheelbase Baseline Measurement – Left/Right Side Rear Corner Baseline Measurement – Left/Right Side Rear Stringline

Interior Vehicle Form

Integrity

[Is There Passenger Compartment Integrity Loss?] Passenger Compartment Integrity Post-Crash Integrity Loss

Door, Tailgate, or Hatch Opening Overview

[Door, Tailgate, or Hatch Location] xiv

Door, Tailgate, or Hatch Opening Damage/Separation Associated with Door, Tailgate, or Hatch Opening in Collision .. 629

Glazing Type and Damage Overview

Was There A Suspected Ejection or Contact with Any Glazing?

Location of Window/Windshield Glazing Type of Window/Windshield Glazing Window Precrash Status Glazing Damage From Impact Forces Glazing Damage from Occupant Contact

Occupant Area Intrusion Overview

Measurement of Passenger Compartment Intrusion

Row Widths Intrusions/Detail

[Intrusion Number] Row Position [Intrusion Location] Area Intruded Component Comparison Value (of Intrusion) Intruded Value (of Intrusion) Intrusion Magnitude of Intrusion Crush Direction

Intrusion/Sketch

Intrusion Sketch Completion

Adaptive (Assistive) Driving Equipment Steering Column

Steering Column Type Tilt Steering Column Adjustment Telescoping Steering Column Adjustment Location of Rim/Spoke Deformation Steering Rim/Spoke Deformation

Steering/Worksheet

Comparison Value Damage Value Deformation

Steering/Drawing

Instructions for completion of Steering Drawing Diagrams

Contact Overview xv

Contact Contact Area Label Contacted Component Occupant Number Body Region Evidence Confidence Level of Occupant Contact Instructions for Completion of Vehicle Interior Sketches

Ejection Overview Ejection Detail/List

Ejection/List [Ejection Number] Occupant Number Ejection - Type Ejection Area Ejection Medium Ejection Medium Status

Entrapment Overview Entrapment

Safety Systems Form

Safety Systems Form Overview Seat

Seat Definition Seat Type Seat Orientation Seat Track Position Seat Performance Does the Seat Have Integrated Passenger Belts?

Head Restraint Type at This Occupant Position Head Restraint Damage by Occupant at This Occupant Position Active Head Restraint Rollover Protection Belt System Availability Belt System Used in this Crash?

Belt Malfunction Modes During Crash Shoulder Belt Upper Anchorage Adjustment Pretensioner Presence/Actuation Seat Belt Positioning Device Presence Was Safety Belt Routed Through Safety Belt Guides?

Air Bag Overview

Air Bag Types

Air Bag xvi

[Air Bag Number for This Vehicle] Seat Location for Air Bag Data Deployment Location of Air Bag Air Bag Status Type of Air Bag Air Bag Deployment Indications of Air Bag Malfunction Did Air Bag Module Cover Flap/SEAMS Open at Designated Tear Points?

Was the Cover Flap Damaged Was There Damage to the Air Bag?

Source of Air Bag Damage

Air Bag/Sketches/Driver

Sketch 1: Damage and Contact Evidence on Driver Air Bag Sketch 2: Driver Air Bag Module Cover Flap Sketch 1: Damage and Contact Evidence on Passenger Air Bag Sketch 2: Sketch Damage and Contact Evidence on Passenger Air Bag Module Cover Flap Sketch 1: Damage and Contact Evidence on Door Mounted Bag Sketch 2: Sketch Any Other Damage and Contact Evidence Sketch 1: Damage and Contact Evidence on Seat Back Mounted Bag Sketch 1: Damage and Contact Evidence on Side Curtain/Tube Bag Sketch 2: Damage and Contact Evidence on Side Curtain/Tube Bag

Child Restraint Overview Child Seat

[Child Restraint Number] Seat Location for Child Restraint Child Restraint Placement Child Position in Child Restraint Child Restraint Manufacturer Child Restraint Make Child Restraint Model Child Restraint Type Child Restraint How Used Date of Manufacture Model Number Source of Data Child Restraint Usage Orientation Child Restraint Harness/Shield Design Child Restraint Harness/Shield Use Child Restraint Retainer Clip Child Restraint Retainer Clip Use Child Restraint Tether Design Child Restraint Tether Use Child Restraint Lower Anchor Hook Design xvii

Child Restraint Lower Anchor Hook Use Child Restraint Belt Routing/Use Use of Locking Clip on Vehicle Belt Belt Retractor Type Latch Plate Type LATCH Lower Anchor Availability LATCH Tether Availability

Occupant Form

Occupant Form Overview

Occupant Number Occupant's Seat Position Occupant’s Age Occupant’s Height Occupant’s Weight Occupant’s Sex Was There Any Indication That This Pregnant Occupant Lost the Fetus?

Occupant’s Role Race Ethnicity Occupant’s Eye Wear Police Reported Air Bag Availability/Function Police Reported Belt Use Police Injury Severity (Police Rating)

Ejection Overview

Ejection Number Occupant Number Type of Ejection Ejection Area Ejection Medium Ejection Medium Status (Immediately Prior to Impact) Ejection Comments

Entrapment Overview Entrapment Details

Entrapment Occupant Mobility Entrapment/Comment

Seat Definition

Occupant Row Occupant’s Seat Position Occupant’s Posture Occupant’s Role

Seat Attributes xviii

Seat Type Seat Orientation Seat Track Position Seat Performance Does the Seat Have Integrated Passenger Belts?

Head Restraint Type at This Occupant Position Head Restraint Damage by Occupant at This Occupant Position Active Head Restraint Rollover Protection

Air Bag Function

[Air Bag Number for This Vehicle] Location of Air Bag Air Bag Status Type of Air Bag Air Bag Deployment Indications of Air Bag Malfunction Seat Location

Air Bag/Damage

Did Air Bag Module Cover Flap/Seam Open at Designated Tear Points?

Was the Cover Flap Damaged?

Was There Damage to the Air Bag?

Source of Air Bag Damage Seat Location Air Bag Number

Air Bag/Evaluation

Had the Vehicle Been in Previous Crashes?

Had Any Prior Maintenance/Service Been Performed on This Air Bag System?

Air Bag Deployment Event Sequence Number CDC for Air Bag Deployment Impact

Child Restraint Overview Child Seat

[Child Restraint Number] Seat Location for Child Restraint Child Restraint Placement Child Position in Child Restraint Child Restraint Manufacturer Child Restraint Make Child Restraint Model Child Restraint Type Child Restraint How Used Date of Manufacture Source of Data Child Restraint Usage Orientation xix

Child Restraint Harness/Shield Design Child Restraint Harness/Shield Use Child Restraint Retainer Clip Child Restraint Retainer Clip Use Child Restraint Tether Design Child Restraint Tether Use Child Restraint Lower Anchor Hook Design Child Restraint Lower Anchor Hook Use Child Restraint Belt Routing/Use Use of Locking Clip on Vehicle Belt

Vehicle

Belt Retractor Type LATCH Plate Type LATCH Lower Anchor Availability LATCH Tether Availability

Manual Seat Belt

Belt System Availability Belt System Used in This Crash?

Position of Belt/Lap Portion of Belt Position of Shoulder Belt/Shoulder Portion of Belt Positive Indication of Belt Malfunction Shoulder Belt Upper Anchorage Adjustment Source of Technician’s Determination of Belt Use Seat Belt Positioning Device Presence Seat Belt Positioning Device Use Was Safety Belt Routed Through Safety Belt Guides?

Injury/PSU

Mortality Treatment Type of Medical Facility (for Initial Treatment) Hospital Stay Working Days Lost Injured Status Mortality Date Death Time [Time to Death] [Number of Injuries for This Occupant] GCS/Vitals Data Obtained EMS Data Obtained Comorbidity Medically Reported Cause of Death Injury

Hospital Vital Signs/GCS

Hospital Vital Date xx

Hospital Time Vital Sign Taken Hospital Elapsed Time Since Crash of Vital Time Reading Hospital Pulse Hospital Systolic Blood Pressure Hospital Diastolic Blood Pressure Hospital Respiratory Rate Hospital Vitals Source Hospital Glasgow Coma Scale (GCS) Total Score Hospital GCS Eye Score Hospital GCS Verbal Score Hospital GCS Motor Score Hospital GCS Date Hospital Time GCS Sign Taken Hospital Elapsed Time Since GCS Score Obtained Hospital GCS Location

Emergency Medical Service Overview

Vehicle # Occupant # Responding Agency Type Responding Emergency Vehicle Type Transportation Mode EMS Notified Date EMS Notification Time EMS Notified Elapsed Time Since Crash EMS Arrival Time EMS Time of Departure From the Scene EMS Departed Elapsed Time Since Crash EMS Arrived at Medical Facility EMS Arrived Elapsed Time Since Crash Type of EMS Care Administered

EMS Vital Signs/GCS

EMS Vital Date EMS Time Vital Sign Taken EMS Elapsed Time Since Crash of Vital Time Reading EMS Pulse EMS Systolic Blood Pressure EMS Diastolic Blood Pressure EMS Respiratory Rate EMS Vitals Source EMS Glasgow Coma Scale (GCS) Total Score EMS GCS Eye Score EMS GCS Verbal Score EMS GCS Motor Score EMS GCS Modifier xxi

EMS GCS Date EMS Time GCS Sign Taken EMS Elapsed Time Since GCS Score Obtained EMS GCS Location

Injury Causation Coding Biotab Injury Causation Methodology BioTab Process

Long-Form Short-Form

Special Considerations

Coding Multiple ICS BioTab Evidence and Confidence Contributing Factors BioTab Body Regions

BioTab Templates

Long-Form Template Short-Form Template

Examples and Helpful Hints

Completed example templates AIS 2 injuries requiring long-form BioTab BioTab Body Region Mechanisms

Injuries List/Detail

[Injury Number] AIS Code Involved Physical Component Localizer ICS Number IPC Configuration Body Region Injured Source of Energy Body Region Contacted Load Path Contributing Factors ICS Confidence Level IPC Confidence Level

Interview

Appendix A. Make/Model Passenger Vehicles

MAKE: Acura (54) (ACUR) MAKE: Alfa Romeo (31) (ALFA) MAKE: AM General (03) (AMGN) MAKE: American Motors* (01) (AMER) xxii

MAKE: Audi (32) (AUDI) MAKE: Austin/Austin-Healey (33) (AUST)

MAKE: BMW (34) (BMW)