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9 Cards in this Set

  • Front
  • Back

WHAT ARE THE PRIMARY CONTRIBUTING FACTOR WITHOUT A PREVENTABLE VIOLATION

Driver under the influence of alcoholand/or illegal drugs…………………... +13


Reckless driving………………………….. +13


Hit and run………………………………… +13


Too fast for conditions…………………….. +8


Disregard for stop sign/signal……………. +8


Improper passing of stoppedschool bus.. +8


Failed to yield………………………………. +8


Exceeding speed limit…………………….. +8


Driverless vehicle………………………….. +8


Driver lost control………………………….. +5


Improper backing………………………….. +5


Changed lanes improperly…………………+5


Following too close………………………... +5


Wrong side of road………………………… +5


Improper passing………………………….. +5


Improper turn………………………………. +5


Pedestrian violation…………………………+5


Failure to secure apparatus equipment…. +5


Misjudged clearance………………………. +2


Parked improperly…………………………. +2


No signal/improper signal………………… +2

EXTENUATING CIRCUMSTANCESPERSONNEL / CIVILIAN




what are the three options?

None………………………………………….. 0


In favor of employee……………………….. -4


Not in favor of employee………………….. +4

was seat belt in use?



two options


  • N/A……………………………………………. 0No…………………………………………… +4

GOOD DRIVING RECORD FROM LASTAT FAULT INCIDENT

Less than 1 year……………………………. 0


1 but < 3 years……………………………… -1


3 but < 5 years……………………………… -2


5 but < 7 years……………………………… -3


7 but < 9 years……………………………… -4


9 but < 11 years……………………………. -5


11 but < 13 years……………………………-6


13 but < 15 years……………………………-7


15 but < 17 years……………………………-8


17 but < 19 years……………………………-9


19 years…………………………………….-10

THE MOST SEVERE INJURY AT THEINCIDENT (Apply Once)

None………………………………………….. 0


Treated / released…………………………. +2


Treated / transported……………………… +4


Admitted into the hospital………………… +6


Fatality…………………………………….. +10

DEPARTMENT VEHICLEAND/ORPROPERTY DAMAGE/LOSS

No…………………………………………….. 0Yes………………………………………….. +2

NON-DEPARTMENT VEHICLEAND/ORPROPERTY DAMAGE/LOSS

No…………………………………………….. 0Yes…………………………………………...+2

EMERGENCY RESPONSE

No…………………………………………….. 0Yes…………………………………………… -2

SIREN AND WARNING LIGHTS

N/A……………………………………………. 0


Siren or lights not in use………………….. +2


Both not in use…………………………….. +4