Pilot Motorcycle Crash Causes and Outcomes Study

Pilot Motorcycle Crash Causes and Outcomes Study and Motorcycle Crash Causation Study

CrashMCRider-2010

Pilot Motorcycle Crash Causes and Outcomes Study

OMB: 2125-0619

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This collection of information is voluntary, and will be used to better understand the causes of motorcycle crashes. Public reporting burden is estimated to average 25 minutes per response, including the time for reviewing instructions searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Please note that an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this collection is 2125-0619. This collection expires on 11/31/2013. 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, Federal Highway Administration, 1200 New Jersey Avenue, SE, Washington, DC 20590.



CRASH

Motorcycle Rider Questionnaire


1. Case Number ____________ 2. Motorcycle Rider Number ____

       

BACKGROUND INFORMATION

3. How old are you? ___ ___ A.5.1.1.3

Code actual age in years

(99) unknown

4. Where did you get your current driver's license? _____ A.5.1.1.4

(1) no license

(2) California

(3) other State (list) ________

(4) Canada

(5) Mexico

(6) military

(8) other (describe) ____________

(9) unknown

5. What kind of operator's license is it? ___ ___ A.5.1.1.5.1

(Code up to 4; input "97" in remaining responses) ___ ___ A.5.1.1.5.2

(01) no license held ___ ___ A.5.1.1.5.3

(02) learner's permit, only ___ ___ A.5.1.1.5.4

(03) motorcycle license

(04) automobile license

(05) commercial license

(06) motorcycle driver and competition license

(07) license to transport people

(08) heavy truck license

(97) not applicable

(98) other (describe) ___________

(99) unknown


6. What year was/were the license(s) issued? __ __ __ __A.5.1.1.6.1

(Listed in same order as licenses above) __ __ __ __A.5.1.1.6.2

(9997) not applicable __ __ __ __A.5.1.1.6.3

(9999) unknown __ __ __ __A.5.1.1.6.4


7. How many times have you acquired a motorcycle learner’s permit? ___ ___

(00) never

(01-96) actual number of times

(98) other (specify) _________

(99) unknown


8. How long have you held a motorcyclist license? ___ ___ ___ Months

(000) less than two weeks

(001-995) actual number of months

(996) 996 months or greater

(997) Not applicable, no license held

(998) other (specify) _________

(999) unknown

9. Are you of Hispanic or Latino origin? ____

(0) refused to answer

(1) no

(2) yes

(8) other (describe) __________

(9) unknown

10. What is your race? ___

Please select one or more, code “7” in others ___

(0) refused to answer

(1) white ___

(2) black or African American ___

(3) Asian

(4) Native Hawaiian or other Pacific Islander

(5) American Indian or Alaska native

(9) unknown

11. What is your height? ___ft. ___ ___ in. A.5.1.1.9

(9/99) unknown

12. What is your weight? ___ ___ ___lbs. A.5.1.1.10

(999) unknown

13. Gender ___ A.5.1.1.11

(1) male

(2) female

(9) unknown

14. How much formal education have you had? ___ ___ A.5.1.1.12

(01) no formal schooling

(02) less than high school diploma

(03) high school diploma or GED

(04) partial college/university

(05) college/university graduate

(06) graduate school, advanced degree, professional degree

(07) specialty/technical school

(97) not applicable

(98) other (specify) ___________

(99) unknown

15. What is your current occupation? ___ ___ A.5.1.1.13

(11) management occupations

(13) business and financial

(15) computer and mathematical

(17) architecture and engineering

(19) life, physical, and social science

(21) community and social services

(23) legal

(25) education, training or library

(27) arts, design, entertainment, sports or media

(29) healthcare practitioners and technical jobs

(31) healthcare support

(33) protective services

(35) food preparation and serving related

(37) building and grounds maintenance

(39) personal care and services

(41) sales and related occupations

(43) office and administrative support

(45) farming, fishing or forestry

(47) construction or extraction

(49) installation, maintenance or repair

(53) transportation and material moving

(55) military

(60) full time student

(97) not applicable, not in workforce at present

(98) other (specify) _____________

(99) unknown

16. Are you married? ___ D.5.2.1.1.4

(01) not married

(02) single

(03) married

(04) separated

(05) divorced

(06) widowed

(07) cohabitating

(98) other (specify) _______________________________

(99) unknown

17. How many children do you have? ___ D.5.2.1.1.5

(0) none

(1) one

(2) two

(3) three

(4) four

(5) five

(6) six

(7) more than six

(9) unknown

RIDING/DRIVING EXPERIENCE

18. Are you the owner of this motorcycle? ___

(1) no

(2) yes

(8) other __________________

(9) unknown


19. Where did you purchase this motorcycle? ____

(1) dealership (store front or internet)

(2) family, friend, or neighbor

(3) newspaper want ad or internet ad

(4) motorcycle was a gift

(7) not applicable, rider does not own this motorcycle

(8) other, specify_______________

(9) unknown

20. How long have you owned this motorcycle? ___ ___

(00) less than two weeks

(01) one year or less

(02-96) number of years

(97) not applicable, rider does not own this motorcycle

(98) other (specify) ________

(99) unknown

21. During the most recent period of riding regularly, how many MONTHS have you operated a street motorcycle? ___ ___ ___ A.5.1.1.16

(000) this is the first time

(001) less than or equal to one month

(002-095) actual number of months

(096) 96 months or more

(997) not applicable

(998) other (specify) __________

(999) unknown

22. How many MONTHS have you operated the crash-involved motorcycle? ___ ___ ___

(000) this is the first time A.5.1.1.16

(001) less than or equal to one month

(002-095) actual number of months

(096) 96 months or more

(998) other (specify) __________

(999) unknown

23. What is the average number of days per year you ride motorcycles? ___ ___ ___

(001-365) Actual number of days per year A.5.1.1.18

(997) not applicable, first time

(999) unknown

24. About how many miles per year do you ride motorcycles? ___ ___ ___ ___ ___

(00000) none A.5.1.1.19

(00001-99995) actual miles

(99996) 99996 or greater miles

(99998) other (specify) ____

(99999) unknown


25. What kind of motorcycle training have you had? ___ ___ A.5.1.1.20

(00) none

(01) self taught

(02) taught by family or friends

(03) special voluntary motorcycle training for road riding

(04) special compulsory motorcycle training for road riding

(05) professional training for competition license

(06) advanced training

(07) compulsory motorcycle training ordered by judge/police/etc.

(98) other (specify) __________________

(99) unknown

26. In what years have you taken any formal motorcycle training?

Code up to three ___ ___ ___ ___

(9997) not applicable ___ ___ ___ ___

(9999) unknown ___ ___ ___ ___

27. Please tell me the reason for not taking motorcycle safety training ____

(1) not offered

(2) enrolled for future date

(3) tried unsuccessfully to enroll

(4) not interested/don't need it

(5) cost

(7) not applicable, took training

(8) other (specify) ___________________________

(9) unknown

28. What year was your most recent motorcycle training class? ____ ____ ____ ____

Code actual year

(0000) no training class

(9998) other (specify) _____

(9999) unknown

29. How old were you when you first began to ride a street motorcycle? ____ ____

Code actual age

(00) never rode before, or rarely ever rides

(98) other (specify) _______

(99) unknown

30. Were there years in which you gave up riding a motorcycle before returning to

riding? ____

(1) no

(2) yes

(7) not applicable, never before rode

(8) other (specify) ______

(9) unknown

31. How many years before you started riding again? ____ ____

(00) never stopped riding

(01-96) actual number of years

(97) not applicable, never before rode

(98) other _____________

(99) unknown


32. When you ride a motorcycle, what is the percentage of time you use it for each of these categories? (indicate % of total riding/driving time for each of the three categories)

Recreation ___ ___ ___ % A.5.1.1.21.1

Basic transportation ___ ___ ___ % A.5.1.1.21.2

100%

(000) first time use

(997) not applicable

(999) unknown


33. How many YEARS have you been driving any kind of motor vehicle? ___ ___ years

(00) less than two weeks A.5.1.1.15

(01) one year or less

(02-96) actual number of years

(97) not applicable/no previous experience/first time

(99) unknown


34. How many miles per year do you drive a car or truck? ____ ____ ____ ____ ____

(00000) None, do not drive car or truck

(00001-99995) actual miles

(99996) 99996 or greater miles

(99998) other (specify) ____

(99999) unknown


35. Have you had any car or truck driver training? ___ ___

(01) no training

(02) self taught

(03) taught by friends or family

(03) official driver training class

(04) voluntary drivers education

(05) compulsory drivers education

(06) professional training for commercial license

(07) compulsory motor vehicle training ordered by judge/police/etc.

(98) other (specify) ___________

(99) unknown


36. How many moving traffic convictions have you had in the previous 5 years?

Code the total number of moving traffic convictions – any vehicle ___ ___

(00) none A.5.1.1.24

(99) unknown


37. Of those how many were motorcycle moving violation-related? ___ ___

Code the total number of previous motorcycle moving violations A.5.1.1.25

(00) none

(99) unknown

38. Of those how many were car or truck moving violation-related? ___ ___

Code the total number of previous car or truck moving violations A.5.1.1.26

(00) none

(99) unknown

39. How much experience do you have riding with passengers on a motorcycle? ___

(1) first time carrying passenger(s) A.5.1.1.22

(2) very little experience

(3) moderate experience

(4) extensive experience

(7) not applicable, never carry passengers

(9) unknown

40. How much experience do you have riding with cargo/luggage? ___

(1) first time A.5.1.1.23

(2) seldom carries similar cargo/luggage

(3) frequently carries similar cargo/luggage

(4) always carries similar cargo/luggage

(7) not applicable/no experience with cargo/luggage

(9) unknown

 TRIP INFORMATION

41. At what kind of location did you begin your trip today? ___ ___

(01) home A.5.1.1.27

(02) work, business

(03) recreation/social

(04) school/religious activity

(05) errand, shopping

(06) family personal business/obligations

(07) meals, restaurant, etc.

(08) transport someone

(09) medical/dental

(10) bar, pub

(98) other (specify) _____________

(99) unknown

42. Did you do any safety or maintenance checks on your motorcycle before leaving for this trip? Code up to 4.

(0) none ___

(1) exterior, visual inspection, only ___

(2) checked fluids ___

(3) checked lights ___

(4) checked brakes

(5) checked tire pressure

(8) other, specify: __________________

(9) unknown


43. What was your trip destination? ___ ___ A.5.1.1.28

(01) home

(02) work, business

(03) recreation/social

(04) school/religious activity

(05) errand, shopping

(06) family personal business/obligations

(07) meals, restaurant, etc

(08) transport someone

(09) medical/dental

(10) bar, pub

(11) no destination, joy riding

(98) other (specify) _____________

(99) unknown

44. About how many miles would the trip have been one way? ___ ___ ___ A.5.1.1.29

(001) one mile or less

(002-995) actual number of miles

(996) 996 miles or greater

(997) not applicable

(999) unknown


45. How frequently do you travel this road on/in any vehicle? ___ ___

(01) first time

(02) daily use, i.e., once or more per day

(03) weekly use, i.e., once or more per week

(04) monthly use, i.e., once or more per month

(05) quarterly, i.e., once or more per quarter

(06) annually, i.e., once or more per year

(07) less than annually

(99) unknown

46. How many hours have you been riding today since your departure? ___ ___

(01) one hour or less A..5.1.1.31

(02-95) actual hours

(96) 96 or more

(97) not applicable, had not yet begun trip

(98) other (specify) ___________

(99) unknown


47. How many miles had you ridden before the crash occurred? ___ ___ ___

(001) one mile or less A..5.1.1.31

(002-095) actual hours

(096) 96 or more

(997) not applicable, had not yet begun trip

(998) other (specify) ___________

(999) unknown

SITUATION

48. What was your position on the motorcycle at time of collision?___ ___ A.5.1.1.42

(01) not on motorcycle, separated before collision

(02) normal seating position

(03) standing on footrests, foot pegs

(04) seated, head down

(05) shoulder check, left

(06) shoulder check, right

(07) dismounting, jumping to side

(08) dismounting, jumping upward

(09) dragging feet, foot down

(10) abnormal seating position

(11) standing on seat

(98) other (specify) _____________

(99) unknown

49. Were you distracted by any of the following? ___ ___ A.5.1.1.44

Prior to Recognition Of Critical Event

(01) Attentive or not distracted

(02) Looked but did not see

Distractions

(03) By other occupant(s), (specify):___

(04) By moving object in vehicle (specify): ________

(05) While talking or listening to cellular phone/intercom or short wave radio

(specify location and type of phone):_________

(06) While dialing cellular phone/intercom/short wave radio

(specify location and type of phone): ____________________

(07) While adjusting climate controls

(08) While adjusting radio, cassette, CD (specify): ___________________________________

(09) While using other device/controls integral to vehicle (specify):_____________________

(10) While using or reaching for device/object brought into vehicle (specify): _______________

(11) Sleepy or fell asleep

(12) Distracted by outside person, object, or event (specify): ___________________________

(13) Eating or drinking

(14) Smoking related

(15) While listening or adjusting GPS device

(96) Distracted/inattentive, details unknown

(98) Other, distraction (specify): __________________

(99) Unknown


RIDING HABITS

50. Are you a motorcycle-related club member? ___

(1) no

(2) yes

(9) unknown


51. Were you riding with other motorcyclists? ___

(1) no

(2) yes

(8) other (specify) ________

(9) unknown

52. How many other motorcycles were in the group? ___

(00) none, no group

(01 – 95) code number of motorcycles

(96) 96 motorcycles or more

(98) other (specify) __________

(99) unknown

53. Was the group riding in a specific formation? ___

(1) single file

(2) staggered

(3) side-by-side

(7) not applicable, no group

(8) other (specify)_____________

(9) unknown

54. If in a formation, where was your motorcycle placed in formation? ____

(0) not in formation

(1) front area

(2) middle area

(3) rear area

(7) not applicable, no group

(8) other (specify) _______

(9) unknown

PROTECTIVE CLOTHING/GEAR AT TIME OF CRASH

55. What kind of clothing was on your upper body? ___ A.5.3.1.1

(0) none

(1) light cloth garment, i.e., thin cotton

(2) medium cloth garment, i.e., denim, nylon

(3) heavy cloth garment, i.e., imitation leather

(4) leather garment

(5) Kevlar

(8) other (specify)

(9) unknown

56. Was this upper body clothing motorcycle-oriented? ___ A.5.3.1.2

(1) no

(2) yes

(7) not applicable/no clothing

(8) other (specify) ________

(9) unknown


57. What kind of clothing was on your lower body? ___ A.5.3.1.3

(0) none

(1) light cloth garment, i.e., thin cotton

(2) medium cloth garment, i.e., denim, nylon

(3) heavy cloth garment, i.e., imitation leather

(4) leather garment

(5) Kevlar

(8) other (specify)

(9) unknown

58. Was this lower body clothing motorcycle-oriented? ___ A.5.3.1.4

(1) no

(2) yes

(7) not applicable/no clothing

(8) other (specify) ________

(9) unknown

59. Were you wearing an inflatable safety vest? ____

(1) no

(2) yes

(8) other (specify) ___

(9) unknown

60. What kind of shoes or boots were you wearing? ___ A.5.3.1.5

(1) no shoes or boots, barefoot

(2) light sandal

(3) medium street shoe, loafer

(4) athletic, training shoe

(5) heavy shoe or boot

(6) reinforced work boot or motorcycle boot

(8) other (specify) _______

(9) unknown


61. Did this footwear go up over your ankle? ___

(1) no

(2) yes

(7) not applicable, no footwear worn

(8) other, specify __________________

(9) unknown

62. Was the footwear motorcycle-oriented? ___ A.5.3.1.6

(1) no

(2) yes

(7) not applicable, no footwear worn

(9) unknown

63. What kind of gloves were you wearing? ___ A.5.3.1.7

(0) none

(1) light cloth garment, i.e., thin cotton

(2) medium cloth garment, i.e., denim, nylon

(3) heavy cloth garment, i.e., imitation leather

(4) leather garment

(5) Kevlar

(8) other (specify)

(9) unknown

64. Are the gloves motorcycle-oriented? ___ A.5.3.1.8

(1) no

(2) yes, full fingered

(3) yes-shorties

(7) not applicable, no gloves worn

(8) other (specify) ______

(9) unknown

65. Is any of this clothing retroreflective? _____

Code up to 3 responses _____

(1) no retroreflective clothing or gloves _____

(2) upper body (shirt/jacket/vest)

(3) lower body (pants/ shorts)

(4) gloves

(5) special arm bands, or similar items

(7) not applicable, no clothing or gloves

(8) other (specify) _________

(9) unknown

66. What is the clothing color of the following?

Upper body clothing ___ ___ D.5.3.1.6.1

Lower body clothing ___ ___ D.5.3.1.6.2

Footwear ___ ___ D.5.3.1.6.3

Gloves ___ ___ D.5.3.1.6.4

(01) no dominating color, multi-colored

(02) white

(03) yellow

(04) black

(05) red

(06) blue

(07) green

(08) silver

(09) orange

(10) brown

(11) purple

(12) gold

(13) grey

(97) not applicable/no clothing

(98) other (specify) ________

(99) unknown


67. Do you think any of your clothing helped with your ability to safely operate your motorcycle? A.6.3.1.44 and A.6.3.1.45 combined

Upper body clothing ___ ___

Lower body clothing ___ ___

Footwear ___ ___

Gloves ___ ___

(01) apparel had no effect

(02) apparel protected or helped rider

(03) apparel uncomfortable or distracting

(97) not applicable, no apparel

(98) other, specify ________________

(99) unknown

68. What kind of eye protection were you wearing at the time of the crash? ___ ___

(01) none A.5.1.1.14

(02) non-prescription clear glasses

(03) prescription clear glasses

(04) non-prescription sunglasses

(05) prescription sunglasses

(06) goggles, non-prescription

(07) goggles, prescription

(08) industrial safety glasses

(98) other (specify) ____________

(99) unknown


69. Are you required to wear corrective lenses when riding/driving? ___

(1) no

(2) yes

(8) other specify____________________

(9) unknown

70. What color was the eye coverage lens? ___ A.5.3.1.10

(1) clear

(2) green

(3) grey, smoke

(4) amber, yellow

(5) blue

(6) reflective (any color)

(7) not applicable, not wearing eye coverage

(8) other (specify) __________________________

(9) unknown

HELMET DATA

71. Were you wearing a helmet? ___ A.5.3.1.11

(1) no

(2) yes

(3) helmet available but not used

(8) other (specify) ______

(9) unknown

72. What is your reason for not wearing a helmet? ___ ___ D.5.2.1.1.13

(01) not required by law

(02) no expectation of accident involvement

(03) helmets too expensive

(04) helmets are inconvenient and uncomfortable

(05) helmets reduce traffic awareness, limit hearing and vision

(06) helmets ineffective in reducing head injury

(07) helmets cause neck injury

(08) helmets can not be used, physical or religious reasons

(09) do not own a helmet

(10) forgot to bring helmet today

(97) not applicable, rider always wears a helmet

(98) other (*describe, 80 characters) ________________________

(99) unknown


IF NO HELMET WAS WORN, go to PRECRASH section


73. Was your helmet properly adjusted? ___ A.5.3.1.12

(1) no

(2) yes

(7) not applicable, no helmet

(8) other (specify) ______

(9) unknown

74. Was your helmet securely fastened? ___ A.5.3.1.13

(1) no

(2) yes

(7) not applicable, no helmet

(8) other (specify) ______

(9) unknown

75. What type of helmet is it? ___ A.5.3.1.14

(1) not a motorcycle helmet

(2) half/police motor vehicle, motorcycle helmet

(3) open face motor vehicle, motorcycle helmet

(4) full face motor vehicle, motorcycle helmet

(5) novelty helmet

(7) not applicable, not helmet

(8) other (specify)

(9) unknown

76. What is the type of helmet coverage? ___ ___ A.5.3.1.15

(11) partial coverage

(12) full coverage

(13) full facial, integral chin bar but no face shield

(14) full facial, removable chin bar

(15) full facial, retractable chin bar

(16) full facial coverage, integral chin bar and face shield

(17) wrap around face shield

(18) bubble type face shield

(19) visor/face shield combo

(97) not applicable/no helmet

(98) other (specify)

(99) unknown


77. What is the predominant color of your helmet? ___ ___ A.5.3.1.16

(01) no dominating color, multi-colored

(02) white

(03) yellow

(04) black

(05) red

(06) blue

(07) green

(08) silver, grey

(09) orange

(10) brown, tan

(11) purple

(12) gold

(13) chrome, metallic

(97) not applicable/no helmet

(98) other (specify) ________

(99) unknown

78. What is the color of the face shield? ___ A.5.3.1.17

(1) clear

(2) green

(3) grey, smoke

(4) amber, yellow

(5) blue

(6) reflective (any color)

(7) not applicable/no face shield

(8) other (specify) ________

(9) unknown

79. Do you own this helmet? ___ A.5.3.1.18

(1) no

(2) yes

(7) not applicable, no helmet

(8) other (specify) ______

(9) unknown

80. How well does this helmet fit? ___ A.5.3.1.19

(1) acceptable fit

(2) too large, too loose

(3) too small, too tight

(7) not applicable/no helmet

(8) other (specify) ____________________

(9) unknown

81. What percentage of time do you wear your helmet when riding? ___ ___ ___ %

Code from 001-100 percent A.5.3.1.20

(997) not applicable/no helmet

(999) unknown

82. Under what conditions do you usually wear your helmet? ___ A.5.3.1.21.1

(code up to four; input "0" for remaining responses) ___ A.5.3.1.21.2

(1) never uses helmet ___ A.5.3.1.21.3

(2) long trips ___ A.5.3.1.21.4

(3) highway traffic

(4) in adverse weather

(5) never in hot weather

(6) always

(7) not applicable/no helmet

(8) other (specify) __________

(9) unknown

83. Was the helmet retained in place on your head during crash? ___ A.5.3.1.30

(1) no, helmet ejected from head during pre-crash time period

(2) no, helmet ejected from head during crash

(3) no, helmet ejected from head after collision

(4) yes, helmet retained in place to completion of accident events

(5) yes, helmet moved on head but was retained

(7) not applicable/no helmet

(8) other (specify)

(9) unknown

PRECRASH DATA

84. How were you operating your motorcycle immediately prior to the crash?

(00) Stopped in traffic, speed is zero

(01) Moving in a straight line, constant speed

(02) Moving in a straight line, foot off accelerator

(03) Moving in a straight line, braking

(04) Moving in a straight line, accelerating

(05) Turning right, constant speed

(06) Turning right, foot off accelerator

(07) Turning right, braking

(08) Turning right, accelerating

(09) Turning left, constant speed

(10) Turning left, foot off accelerator

(11) Turning left, braking

(12) Turning left, accelerating

(13) Stopped at roadside, or parked

(14) Backing up, in a straight line

(15) Backing up, steering left

(16) Backing up, steering right

(17) Making U-turn right

(18) Making U-turn left

(19) Making Y-turn right

(20) Making Y-turn left

(21) Changing lanes to left

(22) Changing lanes to right

(23) Merging to left

(24) Merging to right

(25) Entering traffic from right shoulder, median, or parked

(26) Entering traffic from left shoulder, median, or parked

(27) Leaving traffic, turn out to right

(28) Leaving traffic, turn out to left

(29) Passing maneuver, passing on right

(30) Passing maneuver, passing on left

(31) Crossing opposing lanes of traffic

(32) Traveling wrong way, against opposing traffic

(36) Collision avoidance maneuver to avoid a different collision

(37) Negotiating a curve, constant speed

(38) Negotiating a curve, foot off accelerator

(39) Negotiating a curve, braking

(40) Negotiating a curve, accelerating

(97) Not applicable

(98) Other, specify: _________________________

(99) Unknown

85. Where were you looking at the start of the crash sequence? ___

(1) looking straight ahead

(2) looking right

(3) looking left

(4) looking rearward

(5) looking at own motorcycle

(8) other (specify)

(9) unknown


86. Were your motorcycle brakes functioning before the crash? ____ A.4.1.1.35

(1) no

(2) yes

(8) other (specify) ______

(9) unknown


87. Did you have your hands/fingers positioned on the front brake ___ A.6.3.1.17

prior to the crash event?

(1) no

(2) yes

(7) not applicable, no front brake or brake lever

(8) other (specify) ______

(9) unknown

88. In which lane were you traveling just before the precipitating event? ___

(1) lane 1 (right curb lane)

(2) lane two

(3) lane three

(4) lane four

(7) not applicable, not in a travel lane

(8) other (specify) _______

(9) unknown

89. What was your travel speed just before the precipitating event? ___ ___A.4.2.2.a

(00) stopped

(01-95) actual miles per hour

(96) 96 mph or more

(98) other (specify) ______

(99) unknown

90. What were the lateral movements of your motorcycle immediately ___ ___

before impact?

(01) no movement/avoidance maneuver

(02) lane departure-left side

(03) lane return-left side

(04) lane departure right side

(05) lane return-right side

(06) road departure-left side

(07) road return-left side

(08) road departure-right side

(09) road return-right side

(97) not applicable

(98) other (specify) _______

(99) unknown

91. What avoidance actions did you attempt (if any)? ___ ___ A.4.2.5.1

Code up to four ___ ___ A.4.2.5.2

(01) braking ___ ___ A.4.2.5.3

(02) downshifting ___ ___ A.4.2.5.4

(03) releasing brakes

(04) steering left

(05) steering right

(06) accelerating

(07) laid the bike down

(08) use of horn

(09) flashing headlamp

(10) drag feet

(11) jump or bail out

(97) not applicable/no avoidance actions

(98) other (specify) ________

(99) unknown

92. Did you lose control of the motorcycle? ___ ___ A.6.3.1.11

(01) capsized or fell over

(02) braking slide out-low side

(03) braking slide out-high side

(04) cornering slide out-low side

(05) cornering slide out-high side

(06) ran wide on turn, ran off road

(07) lost wheelie

(08) low speed wobble

(09) high speed wobble

(10) weave, no pitch

(11) pitch weave, low speed

(12) pitch weave, high speed cornering

(13) end over, flying W

(14) continuation, no control actions

(15) lost stoppie

(97) not applicable, no loss of control

(98) other (specify) _________

(99) unknown

93. Was there any control loss due to weather, roadway or mechanical

problems? ___

(01) no control loss due to weather, roadway or mechanical problems

(02) yes, control loss due to weather

(03) yes, control loss due to mechanical problems

(04) yes, control loss due to both weather and mechanical

(05) yes, control loss due to roadway

(06) yes, control loss due to roadway and weather

(07) yes, control loss due to roadway and mechanical

(08) yes, control loss due to all three

(98) other (specify) ____________

(99) unknown


RECOGNITION/DECISION

If not multi-vehicle crash,code not applicable to questions __ through __


94. Where was the other vehicle coming from in relation to you? ___ ___

(01) 180 degrees opposed (oncoming)

(02) from left front

(03) from left

(04) from left rear

(05) from right front

(06) from right

(07) from right rear

(08) from behind

(97) not applicable/no other vehicle

(98) other (specify) _______

(99) unknown

95. Was your line of sight to the other vehicle clear? ___ A.4.2.3

(1) yes, clear

(2) no, view obstructed by road curvature

(3) no, view obstructed by roadway grade

(4) no, view obstructed by roadside objects (shrubs, vehicles, buildings)

(5) other vehicle in blind spot of mirror

(7) not applicable, no other vehicle

(8) other (specify) ______

(9) unknown

96. Was your view of the other vehicle obscured? ___ ___

(01) no, not obscured

(02) yes, obscured by sun glare

(03) yes, obscured by headlight glare

(04) yes, obscured by other glare (specify) _____

(05) yes, obscured by darkness

(06) yes, obscured by nighttime and color of vehicle

(07) obscured by dust, smoke, smog, fog

(08) obscured by windscreen or eye wear condition (dirt, condensation, etc)

(97) not applicable

(98) yes, obscured by other (specify) _____

(99) unknown


IMPAIRMENT


97. Do you have any of the following permanent physical conditions?___ ___ A.5.1.1.39.1

(Code up to three; input "01" in remaining responses) ___ ___ A.5.1.1.39.2

(01) no ___ ___ A.5.1.1.39.3

(02) vision reduction or loss

(03) hearing reduction or loss

(04) respiratory, cardiovascular condition

(05) paraplegia

(06) amputee

(07) neurological, epilepsy, stroke

(08) endocrine system, diabetes, digestive system

(09) infirmity, arthritis, senility

(98) other (specify) ____________

(99) unknown

98. At the time of the crash, were you experiencing any of the following?

(Code up to three; input "01" in remaining responses) ___ ___ A.5.1.1.40.1

(01) no ___ ___ A.5.1.1.40.2

(02) fatigue ___ ___ A.5.1.1.40.3

(03) hunger

(04) thirst

(05) elimination urgency

(06) muscle spasm, cramp, itch

(07) headache, minor malaise, fever

(08) siesta syndrome (tired in afternoon)

(98) other (specify) _______________

(99) unknown

99. Were you concerned about any of the following issues on the day of the crash?

(Code up to three; input "01" in remaining responses) ___ ___ A.5.1.1.41.1

(01) no problems ___ ___ A.5.1.1.41.2

(02) conflict with friends, relatives, divorce, separation ___ ___ A.5.1.1.41.3

(03) work related problems

(04) financial distress

(05) school problems

(06) legal, police problems

(07) reward stress

(08) traffic conflict, road rage

(09) death of family, friend

(98) other (specify) ______________

(99) unknown

100. How many hours of sleep did you have in the past 24 hours? ____ ____

(00) no sleep

(01-24) number of hours slept

(98) other (specify) _______________

(99) unknown

101. Did you drink any alcohol or take any drugs or medications today? ___

(1) no A.5.1.1.32

(2) alcohol use, only

(3) drug/medication use, only

(4) combined alcohol and drug/medication use

(8) other, _________________________________

(9) unknown


Independently determine following questions

102. Alcohol/drug impairment? ___ A.5.1.1.33

(1) no impairment

(2) not legally impaired

(3) legally impaired

(8) other (specify) _________

(9) unknown

103. Blood alcohol concentration (BAC)? __ __ __ mg/100ml A.5.1.1.34

Code results

(000) negative BAC

(995) BAC tested, results not known

(996) BAC not tested

(998) other (specify) _______

(999) unknown

104. Source of BAC information? ___ ___ A.5.1.1.35

(01) not tested

(02) tested, results not available

(03) breath testing

(04) blood test

(05) urine test

(06) unknown if tested

(07) tested, results unknown

(98) other (specify) _________

(99) unknown source

105. Time span from crash to BAC collection? ___ ___ hours A.5.1.1.36

(or time of death in fatal cases)

(00) no test done

(01-96) actual hours

(98) other (specify) ______________

(99) unknown

106. Type of drugs other than alcohol? ___ A.5.1.1.37

(1) no drugs other than alcohol

(2) stimulant

(3) depressant

(4) drugs taken, type unknown

(5) multiple drugs taken

(7) not applicable, no drugs or alcohol

(8) other (specify)__________________

(9) unknown

107. Source of drugs other than alcohol? ___ A.5.1.1.38

(1) no drugs other than alcohol

(2) prescription

(3) non-prescription, over the counter

(4) illegal

(7) not applicable, no drugs or alcohol

(9) unknown

45

MC Rider

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleCase Number ____________
AuthorLouise Woodruff
File Modified0000-00-00
File Created2021-01-31

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