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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 |
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EXTENUATING CIRCUMSTANCESPERSONNEL / CIVILIAN what are the three options? |
None………………………………………….. 0 In favor of employee……………………….. -4 Not in favor of employee………………….. +4 |
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was seat belt in use?
two options |
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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 |
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THE MOST SEVERE INJURY AT THEINCIDENT (Apply Once) |
None………………………………………….. 0 Treated / released…………………………. +2 Treated / transported……………………… +4 Admitted into the hospital………………… +6 Fatality…………………………………….. +10 |
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DEPARTMENT VEHICLEAND/ORPROPERTY DAMAGE/LOSS |
No…………………………………………….. 0Yes………………………………………….. +2 |
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NON-DEPARTMENT VEHICLEAND/ORPROPERTY DAMAGE/LOSS |
No…………………………………………….. 0Yes…………………………………………...+2 |
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EMERGENCY RESPONSE |
No…………………………………………….. 0Yes…………………………………………… -2 |
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SIREN AND WARNING LIGHTS |
N/A……………………………………………. 0 Siren or lights not in use………………….. +2 Both not in use…………………………….. +4 |