| Report ID |
Report Version |
Reporting Entity |
Report Type |
Report Month |
Report Year |
Report Submission Date |
VIN |
VIN – Unknown |
Serial Number |
Make |
Model |
Model – Unknown |
Model Year |
Model Year – Unknown |
Same Vehicle ID |
Mileage |
Mileage – Unknown |
Driver / Operator Type |
ADAS/ADS Version |
ADAS/ADS Version – Unknown |
ADAS/ADS Version CBI |
ADS Equipped? |
Automation System Engaged? |
Operating Entity |
Operating Entity – Unknown |
Source – Complaint/Claim |
Source – Telematics |
Source – Law Enforcement |
Source – Field Report |
Source – Testing |
Source – Media |
Source – Other |
Source – Other Text |
Incident Date |
Incident Date – Unknown |
Notice Received Date |
Incident Time (24:00) |
Incident Time – Unknown |
Same Incident ID |
Latitude |
Latitude – Unknown |
Longitude |
Longitude – Unknown |
Address |
Address – Unknown |
City |
City – Unknown |
State |
Zip Code |
Zip Code – Unknown |
Roadway Type |
Roadway Surface |
Roadway Description |
Posted Speed Limit (MPH) |
Posted Speed Limit – Unknown |
Lighting |
Weather – Clear |
Weather – Snow |
Weather – Cloudy |
Weather – Fog/Smoke |
Weather – Rain |
Weather – Severe Wind |
Weather – Unknown |
Weather – Other |
Weather – Other Text |
Crash With |
Highest Injury Severity |
Property Damage? |
CP Pre-Crash Movement |
CP Any Air Bags Deployed? |
CP Was Vehicle Towed? |
CP Contact Area – Rear Left |
CP Contact Area – Left |
CP Contact Area – Front Left |
CP Contact Area – Rear |
CP Contact Area – Top |
CP Contact Area – Front |
CP Contact Area – Rear Right |
CP Contact Area – Right |
CP Contact Area – Front Right |
CP Contact Area – Bottom |
CP Contact Area – Unknown |
SV Pre-Crash Movement |
SV Any Air Bags Deployed? |
SV Was Vehicle Towed? |
SV Were All Passengers Belted? |
SV Precrash Speed (MPH) |
SV Pre-crash Speed – Unknown |
SV Contact Area – Rear Left |
SV Contact Area – Left |
SV Contact Area – Front Left |
SV Contact Area – Rear |
SV Contact Area – Top |
SV Contact Area – Front |
SV Contact Area – Rear Right |
SV Contact Area – Right |
SV Contact Area – Front Right |
SV Contact Area – Bottom |
SV Contact Area – Unknown |
Data Availability – EDR |
Data Availability – Police Rpt |
Data Availability – Telematics |
Data Availability – Complaints |
Data Availability – Video |
Data Availability – Other |
Data Availability – No Data |
Data Availability – Unknown |
Law Enforcement Investigating? |
Investigating Agency |
Investigating Agency – Unknown |
Rep Ent Or Mfr Investigating? |
Investigating Officer Name |
Inv. Officer Name – Unknown |
Investigating Officer Phone |
Inv. Officer Phone – Unknown |
Investigating Officer Email |
Inv. Officer Email – Unknown |
Within ODD? |
Within ODD? – CBI |
Narrative |
Narrative – CBI? |
