11/22/2016 1:09 PM

Master Record Number

Type Of Crash
Approved By

101365465
Property Damage
858

Tennessee Electronic Traffic Crash Report

Incident Information
Date of Crash
9/20/2016
Time of Crash
14:40
Hit and Run
N
Area
Residential
Block Number
600
Estimated Distance
0.00
Roadway Local Id

Day Of Crash
Local Agency Number
Tuesday
0330100
County
Hamilton
Solved
Police Pursuit
N
Intersection Type
Roadway Number
Distance Type

Reporting Agency Name

Chattanooga Police Dept

Agency Tracking Number

16-099074

City
Chattanooga
School Bus Involved
Work Zone
No
None
Relation To Junction
Non-Junction
Suffix

Roadway Name
SYLVAN DR
Direction
From Highway/Intersection

Suffix

Mile Marker
0.00
Intersect Number

Latitude
Longitude
35.034500
85.235760
Trafficway Type
Trafficway-OPEN
Manner Of Collision
Sideswipe, Opposite Direction

First Harmful Event

Motor Vehicle-In-Transport On Same Roadway
Weather Conditions
Light conditions
Clear
Daylight

Incident Management
Secondary Crash
N
Roadway / Lanes Blocked

Secondary Crash Type

Blockage Occurred
N
Roadway Lanes/ Cleared

Lanes Blocked
Incident Started

Incident Cleared

Investigating Officer Details

Investigation Complete
Y
Badge Number
930

SF - 1481 (Rev 7/15)

Rank
MPO

First Name
MARK
District/Zone
MPO

Car Number
1C2

of

Middle Initial Last Name

H
BENDER
Report Date
09/20/2016

Suffix

RDA 1348

Official copy obtained through BuyCrash.com

Vehicle Number
1

Number of Occupants
1

Driver Presence
Driver Operated

Driver Information
First Name
JOHNTHONY
Address Line 1

Middle Initial
K
Address Line 2

Phone 1

Last Name
WALKER
City
Chattanooga

Phone 2

Drivers License Number

Date Of Birth

Phone 3

Drivers License State

TN

Expiration Date
2024
Airbag
Not Available
Complied With

Safety Equipment
Shoulder And Lap Belt Used
Endorsement 1
Complied With
Endorsement 2
PS
Y
Restriction 1
Complied With
Restriction 2
Corrective Lenses
Y
Except Class A Bus
Ejected
Trapped/Extricated
Injury Code
Not Ejected
Not Trapped
No Injury

Complied With
Y

Age
24
Zip Code
37406

State
TN
Gender
M
Drivers License Class
Drivers License Status
B
Valid
Seat Position
Front Seat-Left Side
Endorsement 3
Complied With
Restriction 3
Other
Medical Transport
Not Transported

Complied With
Y

Driver Conditions and Actions

Hit and Run
Driver/Vehicle Maneuver
No Hit And Run
Negotiating A Curve
Driver's 1st Condition

Distraction
None
Driver's 2nd Condition

Driver's 1st Action

Failure To Yield Right of Way
Driver's 3rd Action

Driver's 3rd Condition

Drivers 2nd Action
Driver's 4th Action

Alcohol and Drugs

Presence of Alcohol
No
Presence of Drugs
No

Alcohol Test Status

Test Not Given
Drug Test Status
Test Not Given

Driver Violations
1st Violation

1st Violation Category

1st Violation Description

1st Violation Statute

2nd Violation

2nd Violation Category

2nd Violation Description

2nd Violation Statute

3rd Violation

3rd Violation Category

3rd Violation Description

3rd Violation Statute

4th Violation

4th Violation Category

4th Violation Description

4th ViolationStatute

5th Violation

5th Violation Category

5th Violation Description

5th ViolationStatute

Vehicle Information
Owner Same as Driver
N
Address Line 1

Owner First Name

DURHAM SCHOOL
Address Line 2

Vehicle Year
2008
VIN

Vehicle Make
Vehicle Model
THO
SCH
License Plate Number
State

Towed

Trailer Description

Owner Middle Name

Owner Last Name

SERVICES LP
State
Zip Code
WI
54956

City
NEENAH
Color
Body Style
Yellow
Cross Country Intercity Bus
Plate Expiration
Unit Type
062017
Motor Vehicle In-Transport
Trailer License Plate Information

Phone 1

Insurance 1
MWTB302662
Insurance 2

Insurance 1 Type
Carrier-Passenger
Insurance 2 Type

Insurance 1 Carrier
OLD REPUBLIC INS CO
Insurance 2 Carrier

Insurance 1 Start Date

11/1/2015
Insurance 2 Start Date

Insurance 1 End Date

11/1/2016
Insurance 2 End Date

Insurance 3

Insurance 3 Type

Insurance 3 Carrier

Insurance 3 Start Date

Insurance 3 End Date

SF - 1481 (Rev 7/15)

of

RDA 1348

Official copy obtained through BuyCrash.com

Vehicle Damage and Roadway Characteristics

Most Harmful Event
Motor Vehicle-In-Transport On Same Roadway
Extent of Damage
Minor Damage
Travel Direction
Traveling On
Traffic Control Devices
No Control
Roadway Surface Conditions
Dry

SF - 1481 (Rev 7/15)

Point of First Impact

Left Side-Center
Officer Damage Estimate
Greater Than 400 Dollars

Traffic Control Device Functioning

No Controls
Roadway Character Alignment
Curve Right

of

Speed Limit
25
Number of Travel Lanes
Two Lanes

RDA 1348

Official copy obtained through BuyCrash.com

Vehicle Number
2

Number of Occupants
1

Driver Presence
Driver Operated

Driver Information
First Name
BELINDA
Address Line 1

Middle Initial
G
Address Line 2

Phone 1

Last Name
HAMILTON
City
RINGGOLD

Age
33
Zip Code
30736

State
GA
Phone 3
Gender
F
Expiration Date
Drivers License Class
Drivers License Status
2018
C
Valid
Airbag
Seat Position
AirBag Available-No Deployment
Front Seat-Left Side
Complied With
Endorsement 3
Complied With

Phone 2

Drivers License Number

Date Of Birth

Drivers License State

GA

Safety Equipment
Shoulder And Lap Belt Used
Endorsement 1
Complied With
Endorsement 2
None
Restriction 1
Complied With
Restriction 2
None
Ejected
Trapped/Extricated
Injury Code
Not Ejected
Not Trapped
No Injury

Complied With

Restriction 3

Complied With

Medical Transport
Not Transported

Driver Conditions and Actions

Hit and Run
Driver/Vehicle Maneuver
No Hit And Run
Negotiating A Curve
Driver's 1st Condition

Distraction
None
Driver's 2nd Condition

Driver's 1st Action

None
Driver's 3rd Action

Driver's 3rd Condition

Drivers 2nd Action
Driver's 4th Action

Alcohol and Drugs

Presence of Alcohol
No
Presence of Drugs
No

Alcohol Test Status

Test Not Given
Drug Test Status
Test Not Given

Driver Violations
1st Violation

1st Violation Category

1st Violation Description

1st Violation Statute

2nd Violation

2nd Violation Category

2nd Violation Description

2nd Violation Statute

3rd Violation

3rd Violation Category

3rd Violation Description

3rd Violation Statute

4th Violation

4th Violation Category

4th Violation Description

4th ViolationStatute

5th Violation

5th Violation Category

5th Violation Description

5th ViolationStatute

Vehicle Information
Owner Same as Driver
Y
Address Line 1

Owner First Name

BELINDA
Address Line 2

Vehicle Year
2016
VIN

Vehicle Make
Vehicle Model
KIA
SOUL
License Plate Number
State

Towed

Trailer Description

Owner Middle Name

Owner Last Name
G
HAMILTON
City
State
Zip Code
RINGGOLD
GA
30736
Color
Body Style
White
Five-Door, 4-Door Hatchback
Plate Expiration
Unit Type
012017
Motor Vehicle In-Transport
Trailer License Plate Information

Phone 1

Insurance 1
4310003142
Insurance 2

Insurance 1 Type
Owner
Insurance 2 Type

Insurance 1 Carrier
GEICO
Insurance 2 Carrier

Insurance 1 Start Date

6/21/2016
Insurance 2 Start Date

Insurance 1 End Date

12/21/2016
Insurance 2 End Date

Insurance 3

Insurance 3 Type

Insurance 3 Carrier

Insurance 3 Start Date

Insurance 3 End Date

SF - 1481 (Rev 7/15)

of

RDA 1348

Official copy obtained through BuyCrash.com

Vehicle Damage and Roadway Characteristics

Most Harmful Event
Motor Vehicle-In-Transport On Same Roadway
Extent of Damage
Minor Damage
Travel Direction
Traveling On
Traffic Control Devices
No Control
Roadway Surface Conditions
Dry

SF - 1481 (Rev 7/15)

Point of First Impact

Rear End
Officer Damage Estimate
Greater Than 400 Dollars

Traffic Control Device Functioning

No Controls
Roadway Character Alignment
Curve Right

of

Speed Limit
25
Number of Travel Lanes
Two Lanes

RDA 1348

Official copy obtained through BuyCrash.com

Narrative
Vehicle #1 was traveling eastbound on Sylvan Drive and entered into a blind curve while vehicle #2 was traveling westbound on Sylvan drive and entered the
curve at the same time. The driver of vehicle #1 crossed over into the oncoming traffic lane to manuever the bus through the curve and struck vehicle #2 in doing
so.
There were no children in the front rows and no reports of any injuries. The damage were minor to both vehicles.
MPO Bender #930

SF - 1481 (Rev 7/15)

of

RDA 1348

Official copy obtained through BuyCrash.com

Official copy obtained through BuyCrash.com