AST-27
REV. 06/08
# Vehicles
Check if Error Correction
# Pedestrians
2
Date
09
16
Month
Hwy Class.
# Unit 1 Type
0
Day
Day of Week
1400 MT
Unit 2 Type
1
Local Case No.
M2220902056
1
4.0
Distance to Fixed Object
N/A
School Bus Related
1
1
DOB
13
DRIVER
Race
Year
2
First Harmful Event
Most Harmful Event
1
22
Location
Coordinate Type
Hwy Side
22
Long Coordinate
99
97
Sex DL State
1
City and State
Driver License No.
AL
ZIP
MOBILE AL
DL Class
5503006
DL Status Restrict
D
CDL Status
Violations
C
Alfa Insurance
Officer Opinion Drugs:
Travel Road Name
Most Harmful
22
Event for MV
Sequence
Event 1
22
of Events
Veh Year
Make
2007
Alcohol Test
6
Test Given
97
2
Event 4
97
First Harmful
Event Location
V.I.N.
97
Veh Model
Body
AVALON LIMITED
Owner's Name
2
License
Tag Number
City
Same
Street or R.F.D.
4
Test Given
Travel Direction
I010
Event 3
TOYT
Type Drug
N/A
Results
Road Code
I-10
Event 2
C
Results 97
Unit Contributing
Circumstance
1
State
VEHICLE
Emergency Status
Usage
1
97
1
Attachment
Oversized Load
1
4
Placard Required
3
If Yes, Did Owner
Have Permit?
N/A
Damage Severity Towed?
Placard Status
2023
97
Contrib
Defect
N/A
97
Speed Limit
1
N/A
Est Speed
N/A
MPH
34
Hazardous Cargo
Released?
Citation Offense(s) Charged
97
1
10
2
13
8
None
MPH
97
11
9
Vehicle Towed By Whom:
7
1
3
16
4
Totaled
6
15
CASHERS TOWING
Attachment
Point of
Initial Impact
Driver Full Name
BLAKE COLTON WAIGHT STANLEY
DOB
UNIT
NO
26
Month
Day
Place of Employment
DRIVER
LEFT
SCENE
05
Race
Year
5
Sex DL State
1
Driver License No.
AL
ZIP
DL Class
9603889
DL Status Restrict
Violations
D
97
000000910755507
2006
Type Alcohol
Test Given
6
Alcohol Test
Results
Road Code
1-10
Event 2
97
First Harmful
Event Location
V.I.N.
97
Body
MUSTANG GT DELUXE
Owner's Name
2
License
Tag Number
City
Same
Street or R.F.D.
4
2
Event 4
Veh Model
FORD
Type Drug
Test Given
Travel Direction
N/A
4311
Event 3
97
Insurance
NAIC Number
Drug Test
Results 97
Unit Contributing
Circumstance
VEHICLE
Emergency Status
Usage
1
Attachment
97
1
Oversized Load
1
N/A
Damage Severity Towed?
4
1
Placard Status
3
If Yes, Did Owner
Contrib
Have Permit?
Defect
N/A
1
Endorse
Violations
State
State
Placard Required
Hazardous Cargo
97
97
Speed Limit
N/A
Est Speed
MPH
Vehicle Towed By Whom:
CASHER'S TOWING
Towed To Where:
N/A
MPH
Yes
Maneuver
1
97
Total Injuries
in Unit
1
Under Carriage
14
1ZVHT82HX65112244
3684BA3
97
Areas Damaged Are Shaded
1
Year
AL
2022
12
Zip
Same
Type
99
Residence Less
Than 25 Miles
Allstate
Sobriety/
Alcohol: No
Officer Opinion Drugs:
No
Travel Road Name
Telephone
CDL Status
C
Liability Policy No.
Driver Condition
12
366956318 (251) 370-3662
97
Most Harmful
22
Event for MV
Sequence
Event 1
22
of Events
Veh Year
Make
NON-MOTORIST
City and State
MOBILE AL
Liability Insurance Co.
1
COM
VEH
VEHICLE or
Street Address
2075 OROURKE DR
2000
N/A
5
CASHERS TOWING
Towed To Where:
2
1
Under Carriage
12
Zip
Hazardous Cargo
2
Total Injuries
in Unit
Year
AL
State
Maneuver
14
4T1BK36B97U201696
2A0C4NW
97
Areas Damaged Are Shaded
Same
Type
Violations
Yes
Insurance
NAIC Number
Drug Test
19001689899
Type Alcohol
No
Endorse
97
Residence Less
Than 25 Miles
Liability Policy No.
Alcohol: No
Telephone
366054764 (251) 699-7214
99
Sobriety/
3
51
Liability Insurance Co.
Driver Condition
From
Node 1
N/A
First Harmful Event
1213 BALTIMORE ST
1969
1
NON-MOTORIST
N/A
Street Address
DARREN ONEAL MOORE
05
18
And (Node 2)
Duval
1 2
<--- --->
4311
Node Code
Primary Contrib Circums Primary Contributing
34
1
Unit #
Manner of
Lat Coordinate
99
Crash 6
Distracted Driving
B
Month
Day
Place of Employment
Local Zone
Rural
Mobile
I-10
Mile Post
COM
VEH
City
Mobile
At Intersection of or Between (Node 1)
(On) Street/
Road/Hiway
<--- Code
Control Access
Hwy Loc
Roadway Junction/
1
feet Feature
Crash Severity
I010
UNIT
NO
County
Fri
Year
On Street, Road, Highway
1
1
VEHICLE or
# Fatalities
2
Time
2022
Driver Full Name
LEFT
SCENE
# Injured
0
2699769
1
LOCATION AND TIME
Sheet
Crash Report Case No.
ALABAMA UNIFORM TRAFFIC CRASH REPORT
Check if Amendment
Hazardous Cargo
Released?
Citation Offense(s) Charged
None
97
97
11
1
10
2
9
N/A
3
16
8
4
Totaled
7
5
13
6
CASHERS TOWING
15
Attachment
Point of
Initial Impact
12
Seating Position Codes
2, 4, or 6 Passenger
1
2
3
4
5
6
9 Passenger (add):
7
8
12 Passenger (add):
9
17
18
19
Bicycle, Motorcycle, ATV
10
11
12 - Pedestrian
13 - Rider of Domestic Animal
14 - Occ. of Non-Motorized Vehicle
15 - Passenger of Bus
16 - Not in Passenger Compartment
97 - Not Applicable
98 - Other (Explain)
99 - Unknown
VICTIMS
N/A
Name
Unit
No
1
DARREN ONEAL MOORE
Seat Occ. Safety
Pos Type Equip.
1
1
1
Airbag
Injury
Type
Age
Sex
Ejec- First
tion Aid By
6
3
8
1
1
1
7
1
1
1
Address
1213 BALTIMORE ST MOBILE AL 366054764
Taken To
SPRNGHILL HOSPITAL
Taken By
MOBILE MEDICAL
Medical Facility
Birth Date
EMS ground
05/13/1969
Name
2
BLAKE COLTON WAIGHT STANLEY N
99
1
1
6
3
Address
2075 OROURKE DR MOBILE AL 366956318
Taken To
N/A
Taken By
N/A
Medical Facility
Birth Date
Not Applicable
05/26/2000
DIAGRAM
NARRATIVE
UNIT 1 STATED AS HE WAS TURNING HE DIDN'T SEE UNIT 2 AND AN ANOTHER VEHICLE WAS IN THE WAY. UNIT 2 STATED THAT HE WAS HE
WAS TRAVEL STRAIGHT WHEN UNIT 1 HIT HIM. UNIT 1 WAS TRANSPORTED DO TO CHEST PAIN AND SCARS.
ROADWAY ENVIRONMENT
Unit
No.
Involved
1 Road/
1
Bridge
Contrib
Rdway
Material 97 Curve &
Source
Grade
Total Number of Units
Road
Roadway
Surface
1 Condition
Type
Vision
Traffic
1 Obscur 1 Control
ed By
Light
2
Unit
No.
Involved
2 Road/
1
Bridge
Contrib
Rdway
Material 97 Curve &
Source
Grade
Total Number of Units
1
1
Workzone
Related?
Traffic
Control
97
Functioning
Weather
1
Road
Roadway
Surface
1 Condition
Type
Vision
Traffic
1 Obscur 1 Control
ed By
Light
2
1
Workzone
Type
97
Opposing
Lane
Separation
1
Workers
Present
NotApplicable
?
Trafficway
Turn
Lanes
Lanes
2
Locale
1
1
1
Workzone
Related?
1
Traffic
Control
97
Functioning
Weather
1
2
Workzone
Type
Opposing
Lane
Separation
97
1
Contributing
Contrib
Circumstances
Matl In
1
Environment
Roadway
Total #
Total #
Total #
Occupant
1 Injured 1 Killed
s In Unit
in Unit
in Unit
DOT Railroad Crossing No.
97
No
Workers
Present
NotApplicable
?
Trafficway
Turn
Lanes
Lanes
2
Locale
1
Workzone Law
Enforcement
Present?
OneWay
4
No
Street
Police Present?
2
Time Police Notified
1433 MT
Contributing
Contrib
Circumstances
Matl In
1
97 Environment
Roadway
Total #
Total #
Total #
Occupant
1 Injured 1 Killed
s In Unit
in Unit
in Unit
DOT Railroad Crossing No.
No
N/A
N/A
Time Police Arrived
Time EMS Arrived
1438 MT
Name of Investigating Officer
1403 MT
EMS Response Run #
1444
Officer ID
Emmanuel L Dillon
Name of Investigating Officer
Agency ORI
18615
Officer ID
0
N/A
Workzone Law
Enforcement
Present?
OneWay
1
No
Street
Police Present?
INVESTIGATION
Name of Photographer
1
AL0020100
Agency ORI
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.
1
0
LEGEND
Location
Category
Code
Description
Location
Category
Code
Description
Report Header
Unit Type
1
Passenger car
Driver
Place of Employment
99
Unknown
Contributing Circumstance
34
Failed to yield right-of-way making left
or U-turn
Driver
Race
2
Black / African-American
Location And Time
Contributing Unit
10
Unit1
Driver
Race
5
American Indian
Location And Time
Controlled Access Highway
Location
1
Main road
Driver
Residence Within 25 Miles
Yes
Yes
Location And Time
Coordinate Status
99
Unknown
Driver
Travel Direction
2
East
Location And Time
Coordinate Type
97
Not applicable
Vehicle
Attachment
1
None
Location And Time
Crash Manner
6
Angle (front-to side), opposite direction
Vehicle
Body
2
Four door
Location And Time
Crash Severity
B
Suspected minor injury
Vehicle
Citation Offense
99
None
Location And Time
Distance Node Unit
0
Unknown
Vehicle
Damage Severity
4
Major, disabled
Location And Time
Distracted Driving
51
Distracted by passenger
Vehicle
Defect
1
None
Location And Time
Harmful Event
22
Collision with vehicle in traffic
Vehicle
Emergency Status
97
Not applicable
Location And Time
Highway Classification
1
Interstate
Vehicle
Estimated Speed Code
N/A
Not applicable
Location And Time
Highway Side
3
Eastbound
Vehicle
Hazardous Cargo
97
Not applicable
Vehicle
Hazardous Cargo Release
Type
97
Not applicable
0
Not Set
Location And Time
Location And Time
Roadway Feature
1
No special feature
Location And Time
School Bus Related
1
No school bus involved
Vehicle
K12 Child Going To Or
From School
Location And Time
Time Display Format
20
Military
Vehicle
Make
FORD
Ford
Driver
Alcohol Test Type
6
No Test Given
Vehicle
Make
TOYT
Toyota
Driver
Commercial Driver License
Status
99
Unknown
Vehicle
Non-Motorist Action
0
Not Set
Driver
Commercial Driver License
Status
C
Current / valid
Vehicle
Non-Motorist Location
0
Not Set
Vehicle
Oversized Load
N/A
NotApplicable
Driver
Contributing Circumstance
34
Failed to yield right-of-way making left
or U-turn
Driver
Contributing Circumstance
97
Not applicable
Vehicle
Oversized Load Permit
N/A
NotApplicable
Driver
Driver Address Code
0
Not Set
Vehicle
Owner Address Code
Same
Same
Driver
Driver Condition
1
Apparently normal
Vehicle
Owner Name Code
Same
Same as driver
Driver
Driver License Class Code
0
Not set
Vehicle
Placard Requirement
97
Not applicable
Driver
Driver License
Endorsement
97
Not applicable
Vehicle
Placard Status
3
Not applicable (placard not required)
Driver
Driver License Number
0
Not set
Vehicle
Tag Number
Driver
Driver License Restriction
97
Not applicable
Vehicle
Tag State
0
Not set
Driver
Driver License State Code
0
Not set
Vehicle
Tag Year
0
Not set
Driver
Driver License Status
C
Current / valid
Vehicle
Tow Status
1
Towed due to disabling damage
Driver
Driver Name Code
0
Not Set
Vehicle
Towed Code
0
Not Set
Driver
Drug Test Result
97
Not applicable
Vehicle
Unit Type
1
Passenger car
Driver
Drug Test Type
4
No test given
Vehicle
Usage
1
Personal vehicle
Driver
Gender
1
Male
Vehicle
VIN
0
Not set
Driver
Harmful Event
22
Collision with vehicle in traffic
Vehicle
Year
Driver
Liability Ins. Policy Code
0
Not Set
Victims
Age Code
7
21 - 25
Driver
Liability Insurance NAIC
Number Code
Not Set
Victims
Age Code
8
26 - 64
Driver
Maneuver
1
Movement essentially straight
Victims
Airbag
6
Deployed front, switch off
Driver
Maneuver
2
Turning left
Victims
Birth Date Code
0
Not Set
Driver
Phone Number Code
0
Not Set
Victims
Ejection Status
1
Not ejected or trapped
Driver
Place of Employment
97
Not applicable
Victims
First Aid Provider
1
Paramedic / EMT
Not set
Not set
LEGEND
Location
Category
Code
Description
Victims
Gender
1
Male
Victims
Injury Type
3
(B) Suspected minor injury
Victims
Medical Facility Transport
2
EMS ground
Victims
Medical Facility Transport
97
Not Applicable
Victims
Occupant Type
1
Driver
Victims
Safety Equipment
1
None used - motor vehicle occupant
Victims
Victim Taken By
Victims
Victim Taken By
Victims
Victim Taken To
Victims
Victim Taken To
Not Set
N/A
Not applicable
Not Set
N/A
Not applicable
Environmental Contributing
Roadway Environment
Circumstance
1
None apparent
Roadway Environment
Light Condition
1
Daylight
Roadway Environment
Locale
2
Residential
Roadway Environment
Opposing Lane Separation
1
None
Roadway Environment
Road Bridge Condition
1
None apparent
Roadway Environment
Road Surface Type
1
Asphalt
Roadway Environment
Roadway Condtion
1
Dry
Roadway Environment
Roadway Curvature And
Grade
1
Straight, level
Roadway Environment
Roadway Material
1
None
Roadway Environment
Roadway Material Source
97
Not applicable
Roadway Environment
Traffic Control
1
No controls present
Roadway Environment
Traffic Control Status
97
Not applicable
Roadway Environment
Trafficway Lane Count
2
Two lanes
Roadway Environment
Turn Lane Presence
1
None
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
Roadway Environment
Workzone Law
Encorcement Presence
97
Not applicable
Roadway Environment
Workzone Relationship
1
Not in / related to workzone
Roadway Environment
Workzone Type
97
Not applicable
Location
Category
Code
Description