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Crash Risk Analysis Form

Record the details of a road crash (location, time, impact type, and severity) so transportation professionals can analyze high-risk points on the road network.

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Crash ID

Point Name

Location

Urban Rural Highway Intersection

Time of Day

Morning Afternoon Evening Night

Day of the Week

Weekday Weekend

Crash Time

Time of Week

Peak hours Off-peak

Road Class

Arterial Collector Local Freeway

Special Road Location

Bridge Tunnel Roundabout School Zone

Road Impact Area

Shoulder Lane Median Off-road

Impact Type

Head-on Rear-end Side-impact Rollover

Victim

Driver Passenger Pedestrian Cyclist

Victim's Gender

Male Female Unknown

Crash Severity

Fatal Serious injury Minor injury Property damage only

Number of Casualties

None One 2–5 More than 5

Road User Involved

Driver Pedestrian Cyclist Motorcyclist

Road Grade

Flat Uphill Downhill

Junction Control

Traffic signal Stop sign Roundabout Uncontrolled

Land Use at Roadside

Residential Commercial Industrial Rural

Weather

Clear Rain Fog Snow/Ice

Additional Information

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