State
County
Accident Date-Month
Accident Date-Day
Accident Date-Year
Time of Accident-Hour
Time of Accident-Minute
Vehicle Forms Submitted
Person Forms Submitted
Vehicles Involved in Accident
Land Use
Class Trafficway
Roadway Function Class
TA-1 Class
Special Jurisdiction
First Harmful Event
Manner of Collision
Relation to Junction
Relation to Roadway
Roadway Flow
Number of Travel Lanes
Speed Limit
Roadway Alignment
Roadway Profile
Roadway Surface Type
Roadway Surface Condition
Traffic Controls
Light Condition
Atmospheric Condition
Hit-and-Run
Construction/Maintenance Zone
Notification Time EMS-Hour
Notification Time EMS-Minute
Arrival Time EMS-Hour
Arrival Time EMS-Minute
School Bus Related
Accident Related Factor 1
Accident Related Factor 2
Accident Related Factor 3
Accident Fatalities
Day of Week
Drinking Drivers
State/Case Number
City
Rail Grade Xing ID