AST- 7 Crash Report Case No.

2696363
ALABAMA UNIFORM TRAFFIC CRASH REPORT
REV. 206/ OB
Check if Amendment

Check if Error Correction # Vehicles # Pedestrians # Injured, # Fatalities # Ugitr1 frType Unit 2 Type Local Case No.
202200026133
ig
2f E0 0 O r 3
Sheet 1
ia _.... r,t`, T..,

Time Day of Week County City Rural Local Zone

IL) d
09 ' 07 2022
2 . ° Month Day Year 1655 MT Wed , Jefferson Homewood 23

Hwy Class. On Street, Road, Highway At Intersection of or Between( Node 1) And( Node 2)

5 OXMOOR BLVD BARBER CT

O
Z On) Street! 1 2
From
Q Road/ Hiway
Node 1
5054 Code 10039 Node Code N/ A N/ A
Z
Mile Post Control Access Contrib Circums First Harmful Event First Harmful Event Most Harmful Event
O Primary Primary Contributing
N/ A Loc 1 31 Unit# Unknown 22 Location 1 22
F- Hwy
Lat Coordinate Coordinate Coordinate Type Hwy Side
Q Distance to Fixed Object Roadway Junction/ Manner of Long
N/ A feet Feature 1 Crash 9 NC NC 97 4

School Bus Related Crash

O 1
Severity
O
Distracted Driving
99i',.:,''',,:';
S. - b r. '.. est. _
.* ,.,,,-- 1,'','"•,, , ,
. ,= .. AV_
Driver Full Name Street Address City and State ZIP Telephone

DIMITRIOS- LATSIS 709 RALEIGH CT APT E HOMEWOOD AL 352096045 ( 312) 838- 1516
1
Race Sex DL State Driver License No. DL Class DL Status Restrict CDL Status Endorse
UNIT
06 13' 1984
m0 Violations
NO ° Month Day Year 1 1 AL 10312489 D C 97 97 Violations 97
Place of Employment Residence Less

99 Than 25 Miles Yes

w Insurance Co. No. Insurance
Liability Liability Policy
Bristol West Insurance Group G01159216401 NAIC Number
LEFT O
Driver Condition Alcohol: No Type Alcohol Alcohol Test Type Drug Drug Test Maneuver
Sobriety/
SCENE
1 Officer Opinion Drugs: No Test Given 6 Results N/ A Test Given 4 Results 97 1
Unit
Most Harmful Travel Road Name Road Code Travel Direction Contributing ; 1,7f1,84.;!,40.00s I: , '
Event for MV 22 OXMOOR BLVD 5054 4 Circumstance 99 riUnit .== 0
Sequence Event 1 Event 2 Event 3 Event 4 First Harmful
COM Areas Damaged Are Shaded
of Events 22 97 97 97 Event Location 1
VEH
Veh Year Make Veh Model Body V.I. N. Under Carriage
14
2017 NISS VERSA NOTE 1. 6 SV 1. 2 3N10E2CPOHL381109
I- Owner' s Name License State Year
AL 2023
s
w ~
o Street or R. F. D.
Same

City
Tag Number 1AONUH8
State Zip
12 g?

O 11 1 N/ A
2 Same

Type Usage Emergency Status Placard Status Placard Required Hazardous Cargo Hazardous Cargo
4q
win -
2
z
1 1 97 3 97 97 Released? 97
w
g 3 16
Attachment Oversized Load If Yes, Did Owner Contrib Speed Limit Est Speed Citation Offense( s) Charged
13
Cd
E Have Permit? Defect q °° 4
Totaled

1 N/ A N/ A 1 N/ A N/ A None
w MPH MPH

Damage Severity Towed? Vehicle Towed By Whom: 57? 5

Y
2 3 97
6 15
Towed To Where:
97 Attachment

Point of

Initial Impact 9

4
3
I 3
1y w

Driver Full Name Street Address City and State ZIP Telephone

CARLOS- GONZALEZ 6105 AVENUE M BESSEMER AL 35020 ( 205) 220- 7491

2
Race Sex DL State Driver License No. DL Class DL Status Restrict CDL Status Endorse
UNIT
mm 02 19 1987
Violations
NO
a
Month Day Year 3 1 97 97 97 97 97 97 Violations 97
Place of Employment Residence Less

99 Than 25 Miles Yes

W Insurance Co. No. Insurance
Liability Liability Policy
GMAC Insurance 2009835044 NAIC Number
LEFT p Driver Condition Sobriety/ Alcohol: No Type Alcohol Alcohol Test Type Drug Drug Test Maneuver
SCENE
1 Officer Opinion Drugs: No Test Given 6 Results N/ A Test Given 4 Results 97 1

Most Harmful Travel Road Name Road Code Travel Direction Unit Contributing Total Injuries

1 Event for MV 22 BARBER CT 5037 1 Circumstance 99 , ( frift. g, .-

0'

Sequence Event 1 Event 2 Event 3 Event 4 First Harmful

COM Areas Damaged Are Shaded
of Events 22 97 97 97 Event Location 1
VEH
Veh Year Make Veh Model Body V. I. N. Under Carriage
14
1999 CHEV SILVERADO 1500 EXT 4 2 2GCEC19T2X1106514

Owner' s Name License State Year

R URRABAZOOLIVIA Tag Number 4621AZ3 AL 2021 fi'

442•,,.
97
Street R. F. D. City State Zip
o
or

mT
MI O N/ A
6105 AVENUE M BESSEMER AL 35020
Cargo
w p Type Usage Emergency Status Placard Status Placard Required Hazardous Cargo Hazardous 10
Z
3 1 97 3 97 97 Released? 97
w
Attachment Oversized Load If Yes, Did Owner Contrib Speed Limit Est Speed Citation Offense( s) Charged ph ': © 16
U 13

E
1 N/ A
Have Permit?
N/ A
Defect
1 N/ A MPH N/ A MPH None
0i1 —
Oitiowime
lin Totaled

Damage Severity Towed? Vehicle Towed By Whom:

2 3 97
6 15
Towed To Where:
97 Attachment

Point of

Initial Impact 12
 Seating Position Codes
12 Passenger( Bicycle, Motorcycle, ATV 12- Pedestrian 16- Not In Passenger Compartment
2, 4, or 6 Passenger 9 Passenger( add): add):

13- Rider of Domestic Animal 97- Not Applicable

1 2 3 7 8 9 17 18 19 10 14- Occ. of Non- Motorized Vehicle 98- Other( Explain)

15- Passenger of Bus 99- Unknown

4 5 6 11

1.

UNINJURED OCCUPANTS
Occ. Air- Age Sex Ejec- Birth Date W.'/
A" Unit Seat Occ. Safety Air- Age Sex Ejec- Birth Date
Unit Seat Safety E

No Pos Type Code tion No Pos Type Equip. bag Code tion
Equip. bag

1 1 1 99 2 8 1 1 06/ 13/ 19841 `'

2 1 1 99 2 8 1 1 02/ 19/ 1987 ,

DIAGRAM

I I
BARBER CT

MI \
W
NOT TC3 45" C \ L&-
I

Unit 1
Y

Q i.
I' I

Unit 2

OXMOOR BLVD

IV
NARRATIVE
The lights at the intersection were flashing. Unit 2 had a yellow flashing light. Unit 1 had a red flashing light. Unit 1 stated that traffic stopped for him and he
pulled forward and while doing so was hit by Unit 2. Unit 2 had a yellow light and stated he went thru the intersection and Unit 1 pulled out in front of him.
ROADWAY ENVIRONMENT
Involved Road Workzone Workzone Workers Workzone Law Contributing Contrib
Unit Roadway
No. 1 Road/ 1 Surface 1 Condition 1 Related? 1 Type 97 Present NotApplicable Enforcement „ Circumstances 1 Ma81n 1
Bridge Type 1
Present? 9Environment Roadway

Turn One- Total'# Totai# 1- 66l#

Contrib Rdway Vision Traffic Traffic Opposing Trafficway
Material 97 Curve& 1 Obscur 1 Control 6 Control 2 Lane 4 Lanes 5 Lanes 4 Way No aazzOccupant ' 1 injures 0 Killed i 0 F
Source Grade ed By 1 Functionina Separation Street e^ s in Unit• i. . 1ih, Unit :,.- u,' n Uni I 3
Total Number of Units Light Weather Locale Police Present? DOT Railroad Crossing No.
2 1 1 3 No
N/ A
 ROADWAY ENVIRONMENT
Unit Involved Road . Workzone Workzone Workers Workzone Law Contributing Contrib
Roadway
No. 2 Road/ 1 Surface 1 Condition 1 Related? 1 Type 97 Present NotApplicable Enforcement ,.., Circumstances 1 Mall In 1
Bridce Tvoe Present? Environment Roadway

Vision Traffic Traffic Opposing Trafficway Tum One- Total# Total# Total#
ContribRdway
97
Material Curve 8 1 Obscur 1 Control 6 Control 2 Lane 4 Lanes 5 Lanes 4 Way NO '' Occupant,. 1 Injured Mlled Q i
i;=
Source Grade ed By Functioning Separation Street S in Unit. . _ j inUnt 1::.).-,'lit Unit ,,
Total Number of Units Light Weather Locale Police Present? DOT Railroad Crossing No.
2 1 1 3 No
N/ A

INVESTIGATION
t
Name of Photographer
N/ A
p

Time Police Notified Time Police Arrived Time EMS Arrived EMS Response Run#

1655 MT 1705 MT N/ A N/ A r

Name of Investigating Officer Officer ID Agency ORI

Jonathon R Whisenhunt 488 AL0011000

Name of Investigating Officer Officer ID Agency ORI

g, t 1
The data on this report reflects the best knowledge, opinion, and belief regarding the crash, but no warrant is made as to the factual accuracy thereof.
 LEGEND

Location Code Description Location Category Code Description

Category

Report Header Unit Type 1 Passenger car Driver Phone Number Code 0 Not Set

Unit Type 3 Pick- up Driver Place of Employment 99 Unknown

Report Header

Failed to yield right- of- way from traffic

Circumstance 31 Driver Race 1 White/ Caucasian
Location And Time Contributing signal

Location And Time Unit 0 Unknown Driver Race 3 Hispanic

Contributing

Controlled Access Highway

Location And Time Location 1 Main road Driver Residence Within 25 Miles Yes Yes

NC Driver Travel Direction 1 North

Location And Time Coordinate Status NoCapability

97 Not Driver Travel Direction 4 West

Location And Time Coordinate Type applicable

9 Side impact( 90 degree) Vehicle Attachment 1 None

Location And Time Crash Manner

Location And Time Crash 0 damage only Vehicle Body 2 Four door
Severity Property

Location And Time Distance Node Unit 0 Unknown Vehicle Citation Offense 99 None

Vehicle Damage 2 Minor

Location And Time Distracted Driving 99 Unknown Severity

Harmful Event 22 Collision in traffic Vehicle Defect 1 None

Location And Time with vehicle

Location And Time Classification 5 Municipal Vehicle Emergency Status 97 Not applicable
Highway

Location And Time Side 4 Westbound Vehicle Estimated Speed Code N/ A Not applicable
Highway

Feature 1 No feature Vehicle Hazardous Cargo 97 Not applicable

Location And Time Roadway special

Hazardous Cargo Release

Location And Time School Bus Related 1 No school bus involved Vehicle Type 97 Not applicable

K12 Child Going To Or

Format 20 Vehicle From School 0 Not Set
Location And Time Time Display Military

Alcohol Test Type 6 No Test Given Vehicle Make CHEV Chevrolet

Driver

Commercial Driver License

Status 97 Not Vehicle Make NISS Nissan
Driver applicable/ unlicensed

Circumstance 99 Unknown Vehicle Non- Motorist Action 0 Not Set

Driver Contributing

Driver Driver Address Code 0 Not Set Vehicle Non- Motorist Location 0 Not Set

Vehicle Oversized Load N/ A NotApplicable

Driver Driver Condition 1 Apparently normal

Driver Driver License Class Code 0 Not set Vehicle Oversized Load Permit N/ A NotApplicable

Driver License Class Code 97 Not Vehicle Owner Address Code 0 Not Set
Driver applicable

Driver License
97 Not Vehicle Owner Address Code Same Same
Driver Endorsement applicable

Driver License Number 0 Not Vehicle Owner Name Code Not Set
Driver set

Driver License Number 97 Not Vehicle Owner Name Code Same Same as driver
Driver applicable

Driver Driver License Restriction 97 Not applicable Vehicle Placard Requirement 97 Not applicable

Driver Driver License State Code 0 Not set Vehicle Placard Status 3 Not applicable( placard not required)

Driver Driver License State Code 97 Not license Vehicle Tag Number Not set
applicable, including no

Driver Driver License Status 97 Not applicable/ unlicensed Vehicle Tag State 0 Not set

Driver License C Current/ valid Vehicle Tag Year 0 Not set

Driver Status

Not Set Vehicle Tow Status 3 Not towed

Driver Driver Name Code 0

Test Result 97 Not applicable Vehicle Towed Code 97 Not applicable

Driver Drug

Test Type 4 No test given Vehicle Unit Type 1 Passenger car

Driver Drug

Driver Gender 1 Male Vehicle Unit Type 3 Pick- up

22 in Vehicle Usage 1 Personal vehicle

Driver Harmful Event Collision with vehicle traffic

Ins. Code 0 Not Set Vehicle VIN 0 Not set

Driver Liability Policy

Liability Insurance NAIC

Number Code Not Set Vehicle Year Not set
Driver

Movement essentially Uninjured Occupants Age Code 8 26- 64

Driver Maneuver 1 straight
 LEGEND

Location Category Code Description Location Category Code Description

Uninjured Occupants Airbag 2 Not deployed, no switch

Uninjured Occupants Birth Date Code 0 Not Set

Uninjured Occupants Ejection Status 1 Not ejected or trapped

Uninjured Occupants Gender 1 Male

Uninjured Occupants Occupant Type 1 Driver

Uninjured Occupants Safety Equipment 99 Unknown

Environmental Contributing
Roadway Environment Circumstance 1 None apparent

Roadway Environment Light Condition 1 Daylight

Roadway Environment Locale 3 Shopping or business

Roadway Environment Opposing Lane Separation 4 Broken painted line

Roadway Environment Road Bridge Condition 1 None apparent

Roadway Environment Road Surface Type 1 Asphalt

Roadway Environment Roadway Condtion 1 Dry

Roadway Curvature And

Roadway Environment Grade 1 Straight, level

Roadway Environment Roadway Material 1 None

Roadway Environment Roadway Material Source 97 Not applicable

Roadway Environment Traffic Control 6 Traffic signals

Roadway Environment Traffic Control Status 2 No

Roadway Environment Trafficway Lane Count 5 Five lanes

Roadway Environment Turn Lane Presence 4 Both left and right turn lanes

Roadway Environment Vision Obscuration 1 Not obscured

Roadway Environment Weather Condition 1 Clear

Workzone Law
Roadway Environment Encorcement Presence 97 Not applicable

Roadway Environment Workzone Relationship 1 Not in/ related to workzone

Roadway Environment Workzone Type 97 Not applicable