Loading...
HomeMy WebLinkAbout2026-00019646 ILLINOIS TRAFFIC CRASH REPORT Sheet 1 of 4 Sheets II III HH II11II UH UU II IlU IflfHH 1101111/ DRAC TRFD TRFC WEAT DRVA VIS VEND LGHT COLL MANV XD04198142' u, 1 U21 3 4 1 u, 2 U2 1 u, 1 u2 1 u, 1 U2 1 1 10 u, 3 U2 1 *P 0119 INVESTIGATING AGENCY DAMAGE TO ANY 0$500 OR LESS TYPE OF REPORT 0 A No Injury 1 Drive Away AGENCY CRASH REPORT NO. TRFW Elgin Police Department ONE PERSON'S ❑$501-$1.500 ®ON SCENE 2 VEHICLE/PROPERTY ®OVER$1,500 El NOT ON SCENE(DESK REPORT) ® B Injury and/or Tow Due To Crash El AMENDED YR 2026I 2026-00019646 VENT ADDRESS NO. HIGHWAY or STREET NAME CITY TOWNSHIP INTERSECTION DATE OF CRASH TIME SECONDARY CRASH 1 —n N RANDALL RD Elgin01:44 ® ❑ RELATED ®Y ❑N 04 10 2026 12,— ❑YES ®NO U1 _ g PRIVATE mo !day/yr ®PM FLOW CONDITION MFTlMI N E S W BIG TIMBER RD COUNTY PROPERTY ❑Y ® N DOORING ❑y #OF MOTOR El SLOW 2 fA ❑ Kane HIT&RUN ❑Y ® N WITH VEHICLES INVLD ❑ STOPPED U2 --I ® AT INTERSECTION WITH (NAME OF INTERSECTION OR ROAD FEATURE) PEDALCYCLIST®N ® FREE FLOW # LNS 0 Q83 DRIVER ❑ PARKED ❑DRIVERLESS 0 PED 0 PEDAL 0 EWES 0 NIA( 0!Cy 0 Dv DATE OF BIRTH MAKE MODEL YEAR CIRCLE NUMBER(S) Y N 2 C) f'rr TOWED U1 0NAME(LAST,FIRST,M) mo Young. Diana.G. Honda Accord 2016 00-NONE © O 0 DUE TOCRASH ® ❑ yr 13-UNDER CARRIAGE I ; FIRE ❑ tz STREET ADDRESS SEX SAFT AIR AUTOMATION LEVEL LEVEL 14-TOTAL(ALL) 10 O THERDISTRACTED 0 0 U2 2 rr1 F 2 5 SYTM❑Y ®SNE❑UNK VEH. 0 AT CRASH 99-UNKNOWN 9 16•TDP 3 *Distraction Value ALGN = r CITY STATE ZIP INJ EJCT EPTH PLATE NO. STATE YEAR POINT OF s, it B �i 4 COM VEH 0 Ea 1 0 I . Elk Grove IL 60007 B 1 0 FIRST CONTACT 1 7 ;- -_5 *IIYes.SeeSidebar U1 Z EN63259 IL 2026 TELEPHONE IL D 0 1 HGCR2F38GA227684 Direct Auto Insurance ❑Y IlN U2 m in EMS AGENCY PEDV PPA PPL VEHICLE OWNER(LAST,FIRST,M) POLICY NUMBER RSUR m 99 9 Same 2030611916 1 r `o HOSPITAL(TAKEN TO) INCIDENT IF'V' OWNER STREET,CITY,STATE,ZIP PHONE NUMBER RESPONDER > Sherman 0 Y El 2 0 p; DRIVER ❑ PARKED 0 DRIVERLESS ❑ PED ❑PEDAL ❑EWES 0 /1 9 6 5 Dodge Ram 1500(pickup) 2013 00-NONE 0. ©' ®DUE TO CRASH rg D 2 x o yr 13-UNDER CARRIAGE 10( i 2 FIRE 0 ® U2 C M 2 5SYSTEM IN 0 ENGAGED 0 15-OTHER 9,16-TOP 3 X 0 Y ®N 0 UNK VEH. AT CRASH 99-UNKNOWN *Oistracton Value U1 0 N CITY STATE ZIP INJ EJCT EPTH PLATE NO. STATE YEAR POINT OF 8-iI�1:,-4 COM VEH ❑ ® co FIRST CONTACT 12 7�_, .5 ••(ryes.See SidebarC I- 60118 0 1 0 1727842B IL 2026 I 0 Si) IL D 0 1 C6RR7VT2DS699335 Progressive ❑Y ®N RDEF Xl EMS AGENCY PEDV PPA PPL VEHICLE OWNER(LAST,FIRST,M) POLICY NUMBER 1 X 99 9 Same 979067538 BAc $ HOSPITAL(TAKEN TO) INCIDENT IF'Y' OWNER STREET,CITY STATE,ZIP 996 < Refused RESPONDER ui = (UNIT) (SEAT) (D08) (SEX) {SAFT) (AIR) (INJI (EJCT) (EPTH) PASSENGERS&WITNESS ONLY (NAME)!(ADDRESS)/(TELEPHONE) (EMS) (HOSPITAL) 4 3 1 1 / F 2 3 0 1 0 m / / #OCCS D / / U1 1 D / / 1 0 EV MOST EVNT LOC DAMAGED PROPERTY OWNER NAME DAMAGED PROPERTY POLICE NOTIFIED TIME Did crash occur ❑Y U2 Z N 1 ® 11 1 04,10 /2026 01 44 ®AM in a Work Zone? ®N DIRP co 1 I PRIMARY CAUSE SECONDARY CAUSE EMS NOTIFIED TIME If YES check one below: 4 T PROPERTY OWNERS ADDRESS:STREET,CITY,STATE,ZIP ❑AM U1 C) Oi 2 0 11 1 2 99 04,10 /2026 01 46 PM ® • ❑Construction * R O ❑ 1 1 1 igI CITATIONS ISSUED 0 PENDING SECTION CITATION NO. EMS ARRIVED TIME 1 3 ❑AM ❑Maintenance U2 o1 ® 11 1 ARREST NAME Young. Diana.G. 11-901-A 1528-000365 04/10/2026 01 49 ®PM SLMT o N ❑CITATIONS ISSUED PENDING SECTION CITATION NO. ROAD CLEARANCE TIME • ❑Utility 0 AM r 2 El ARREST NAME 04/1 0 /2026 02 25 ®PM 0 Unknown work zone type U1 45 2 2 3 El OFFICER ID SIGNATURE BEAT/DIST. SUPERVISOR ID. COURT DATE TIME ❑AM Workers present? ❑Y 45 1528-Rivera. Kevin 502 04 ,27/2026 01 30 ®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. Has a weight rating more than 10,000 pounds(example:truck or truck trailer -< c ` --I -' I I r INDICATE NORTH combination):or —I E BY ARROW 2 Is used or designed to transport more than 15 passengers including the driver C } I I - } (example:shuttle or charter bus):or L I I 3. Is designed to carry 15 or fewer passengers and operated by a contract carrier 0 }----A--- i ` } } } transporting employees in the course of their employment(example:employee rter- enger car):or CD < <.___a____� i. I I i u^ - } } } •4alsuosedordesgnatedto transport betweelly a van type vehicle or n9a d1passengers,includingthedriver, C > unln#< -- for direct compensation(example:large van used fors cific purose):or I�'_:::.I < <--_-a-___. I�•>. - } } } L 5. Is any vehicle used to transport anyhazardous material(HAZMAT)that requires 'D h « placarding(example:placards will be displayed on the vehicle). XI Una'7Jt2 F U- U^� - , , , , , CARRIER NAME 'i By?TimbeaDr ADDRESS D rn CITY/STATE/ZIP 0 0 I MOTOR CARR.ID 0 Interstate 0 Intrastate 1 I r 1 ❑ Not in Comm./Govt. Not in Comm./Other O 1 I I ❑ O ; -- - Not To ScaleUSDOT NO. ILCC NO. m XI Source of above z IDOT PERMIT NO. WIDELOAD'; ❑Yes 0 No = TRAILER VIN 1 m co LOCAL USE ONLY TRAILER VIN 2 m v TRAILER WIDTH(S) 0-96" 97-102" >102' -n TRAILER 1 0 0 0 Z TRAILER 2 ❑ 0 0 O u 1 COLOR U 2 COLOR TRAILER LENGTH(S)1 ft. 2 ft. w Silver Black u 1 TOWED • TOTAL VEHICLE LENGTH ft. NO.OF AXLES_ DUE TO ® DISABLING DAMAGE ❑ NOT DISABLING DAMAGE DAMAGE EXTENT 3 TOWED BY/TO. Arties/Impound Lot Garage . SELECT CODES FROM THE BACK OF CRASH BOOKLET U 2 TOWED DISABLING DAMAGE NOT DISABLING DAMAGE DAMAGE EXTENT: 3 TOWED BY/TO: DUE TO ® Arties/Impound Lot Garage VEHICLE CONFIG._CARGO BODY TYPE_LOAD TYPE