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HomeMy WebLinkAbout2026-00011562 ILLINOIS TRAFFIC CRASH REPORT Sheet 1 of 6 Sheets 01111101111 0011110 01111110111111 DRAC TRFD TRFC WEAT DRVA VIS VEND LGHT COLL MANY X004155439 u, 2 U21 3 4 1 U, 3 U2 1 U, 1 u2 1 U, 1 U2 1 1 11 U1 1 U2 1 *P 0 1 1 9* INVESTIGATING AGENCY DAMAGE TO ANY ❑$500 OR LESS TYPE OF REPORT ❑ A No Injury 1 Drive Away AGENCY CRASH REPORT NO. TRFW Elgin Police Department ONE PERSON'S El$501-$1.500 ®ON SCENE 2 VEHICLE/PROPERTY N OVER$1,500 El NOT ON SCENE(DESK REPORT) N B Injury and/or Tow Due To Crash 0 AMENDED YR 2026I 2026-00011562 VENT ADDRESS NO. HIGHWAY or STREET NAME CITY TOWNSHIP INTERSECTION DATE OF CRASH TIME SECONDARY CRASH 2 mN STATE ST El In03:15 ® ❑ RELATED ❑Y ®N 02 28 2026 ❑AM ❑YES IX]NO U1 _ _ g PRIVATE mo !day/yr ®PM FLOW CONDITION m FT!MI N E S W TOLLGATE RD COUNTY PROPERTY ❑Y N N DOORING Ely #OF MOTOR 0 SLOW 15 u) ❑ Kane HIT&RUN ❑Y ® N WITH VEHICLES INVLD 0 STOPPED U2 --I ® AT INTERSECTION WITH (NAME OF INTERSECTION OR ROAD FEATURE) PEDALCYCLIST N N ® FREE FLOW # LNS 0 Qg3 DRIVER ❑ PARKED ❑DRIVERLESS 0 PED ❑PEDAL 0 EWES 0 uuv 0!CV 0 Dv DATE OF BIRTH MAKE MODEL YEAR CIRCLE NUMBER(S) Y N 3 n FROr'T TOWED U1 O Malan ak.Oleh Dodge Ram 1500(pickup) 2021 00-NONE z , DUE TO CRASH ® ❑ NAME(LAST,FIRST,M) y mo yr 13-UNDER CARRIAGE ©,I ,._Z FIRE 0 IE STREET ADDRESS SEX SAFT AIR AUTOMATION LEVEL LEVEL 14-TOTAL(ALL) DISTRACTED ❑ 0U2 3 <<T1 M 2 4 El ®SNE❑ n 15-OTHER UNK VEH. ATCRASHIN n ENGAGED 99-UNKNOWN 916•TOP 3 `Distraction Value 9 ALGN = r CITY STATE ZIP INJ EJCT EPTH PLATE NO. STATE YEAR POINT OF s iL 6 I, 4 COM VEH 0 N 1 0 f. FIRST CONTACT 11 7_:—__;__5 *II Yes.See Sidebar U1 Z Chicago IL 60634 0 1 0 4009741B IL 2026 REAR TELEPHONE MI Other 7 1C6RRFFGOMN587658 Progressive Insruance ❑Y ®N U2 m in EMS AGENCY PEDV PPA PPL VEHICLE OWNER(LAST,FIRST,M) POLICY NUMBER RSUR — 99 9 Malanyak, Nataliya 862671459 1 r `o HOSPITAL(TAKEN TO) INCIDENT IF'Y' OWNER STREET,CITY.STATE,ZIP PHONE NUMBER RESPONDER D Refused ❑Y N N 2 N DRIVER 0 PARKED 0 DRIVERLESS 0 FED 0 PEDAL 0 EWES 0 Yr!2 0 0 3 Ford Focus 2005 00-NONE „ ` 12' , DUE TO CRASH ❑ 2 0 13-UNDER CARRIAGE FIRE 0 N U2 c M 2 4 SYSTEM IN 0 ENGAGED 0 15-OTHER O9 16-TOP 3 X ❑Y NJ N ❑UNK VEH. AT CRASH 99-UNKNOWN *Oistracton Value 9 U1 9 N CITY STATE ZIP INJ EJCT EPTH PLATE NO. STATE YEAR POINT OF S II 6 4 COM VEH 0 N CO FIRST CONTACT 6 Yamr- _5 •If Yes.See Sidebar C Z Aurora IL 60506 0 1 0 FY22321 IL 2026 iAR0 Si) n IL D 0 1 FAFP34N15W241573 No Insurance ❑y 123J N RDEF EMS AGENCY PEDV PPA PPL VEHICLE OWNER(LAST,FIRST,M) POLICY NUMBER 1 = 99 9 Malanyak, Nataliya No Insurance BAC E HOSPITAL(TAKEN TO) INCIDENT IF'Y' OWNER STREET,CITY.STATE,ZIP 997 < Refused RESPONDER U1 = (UNIT) (SEAT) (DOB) (SEX) {SAFT) (AIR) (INJ) 1(EJCT) (EPTH) PASSENGERS&WITNESS ONLY (NAME))(ADDRESS))TELEPHONE) (EMS) (HOSPITAL) 3 3 01 / LOC DAMAGED PROPERTY OWNER NAME DAMAGED PROPERTY POLICE NOTIFIED TIME Did crash occur ❑Y N 1 ® 11 1 02,28 /2026 03 15 ®AM in a Work Zone? ®N DIRP co 1 F PRIMARY CAUSE SECONDARY CAUSE EMS NOTIFIED TIME If YES check one below: 1 T PROPERTY OWNERS ADDRESS:STREET,CITY,STATE,ZIP ❑AM U1 ✓ 2 0 08 25 02,28 ,2026 03 26 N pM ❑Construction * R O 0 ]$I CITATIONS ISSUED 0 PENDING SECTION CITATION NO. EMS ARRIVED TIME 1 3 ❑AM ❑Maintenance U2 — ®a, ARREST NAME Malanyak.Oleh 11-306 748231 02,28,2026 03 34 N pM o • SLMT U 11 1 N CITATIONS ISSUED 0 PENDING • ❑Utility o N SECTION CITATION NO. ROAD CLEARANCE TIME AM y F 2 El ARREST NAME Malanyak,Oleh 11-708 748832 02,28 ,2026 04 27 N PM 0 Unknown work zone type U1 45 2 2 3 0 OFFICER ID SIGNATURE BEAT/DIST. SUPERVISOR ID. COURT DATE TIME ®AM Workers present? ❑y 45 1544-Solis,Yulissa 501 302-Snow 03 ,01 ,2026 09 00 ❑PM ®N U2 REMEMBER TO USE BLACK INK,PRESS HARD,PRINT LEGIBLY AND COMPLETE ALL REQUIRED FIELDS! A Diagram and Narrative are required on all Type B crashes, LARGE TRUCK, BUS, OR HM VEHICLE even if units have been moved prior to officer's arrival. IF MORE THAN ONE CMV IS INVOLVED,USE SR 1050A ADDITIONAL UNITS FORMS. r ----r••--, , ; A CMV is defined as any motor vehicle used to transport passengers or property and: Z 1) I ' I 1. Has a weight rating more than 10,000 pounds(example:truck or truck trailer -< i- }-- -'-----.l I I I r INDICATE NORTH combination):or -I S/B4N78mte781 BY ARROW 2 Is used or designed to transport more than 15 passengers including the driver C i_ I I I - } (example:shuttle or charter bus):or 0 I , I Alrrbrt?id gcarry passengers and operated by a contract carrier 0 3. Is designed to 15 or fewer I- -----A----1 - } } } transporting employees in the course of their employment(example:employee • transporter-usually a van type vehicle or passenger car):or w L L.___a__ Z'' '� � 4. Is used ordesi natedtotrans transport passengers,including C—• — — — - } } } g po pafc rs,purpose):or the driver, for direct compensation(example:large van used for specific or O L L..._a_ - t l. I I t 5. Is any vehicle used to transport anyhazardous material(HAZMAT)that requires 'D placarding(example:placards will be displayed on the vehicle). XI m �am?Rd I , I , , , , , CARRIER NAME Z Oi ii77/. ADDRESS V) NoMb?scea CITY/STATE/ZIP g I N/67N?smre?St - MOTOR CARR.ID 0 Interstate 0 Intrastate ri I I 0 Not in Comm./Govt. 0 Not in Comm./Other 00 ‘I. - '-1 - USDOT NO. ILCC NO. C m XI Source of above z . Form Number m Xl IDOT PERMIT NO. WIDELOAD-; 0 Yes 0 No 2 TRAILER VIN 1 m co LOCAL USE ONLY TRAILER VIN 2 m a TRAILER WIDTH(S) 0-96" 97-102" >102' -n TRAILER 1 ❑ ❑ 0 Z TRAILER 2 ❑ 0 0 o u 1 COLOR U 2 COLOR TRAILER LENGTH(S)1 ft. 2 ft. w Gray Gray u 1 TOWED • TOTAL VEHICLE LENGTH ft. NO.OF AXLES_ DUE TO ® DISABLING DAMAGE ❑ NOT DISABLING DAMAGE DAMAGE EXTENT- 3 TOWED BY/TO. Redmons/Impound Lot Garage . SELECT CODES FROM THE BACK OF CRASH BOOKLET U 2 TOWED DISABLING DAMAGE NOT DAMAGE EXTENT: 3 TOWED BY/TO: DUE TO ® DISABLING DAMAGE Redmons/Impound Lot Garage VEHICLE CONFIG._CARGO BODY TYPE_LOAD TYPE