HomeMy WebLinkAbout2026-00061897 ILLINOIS TRAFFIC CRASH REPORT Sheet 1 of 8 Sheets — 01111101111
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DRAC TRFD TRFC WEAT DRVA VIS VEND LGHT COLL MANY X0044-13067i
u, 9 U21 1 1 1 U, 6 U2 1 U, 1 1_12 1 U, 1 U2 1 1 14 U, 12 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 0$501-$1.500 ®ON SCENE 3
VEHICLE/PROPERTY ®OVER$1,500 ❑NOT ON SCENE(DESK REPORT) ® B Injury and/or Tow Due To Crash
0 AMENDED YR 202612026-00061897 VENT
ADDRESS NO. HIGHWAY or STREET NAME CITY TOWNSHIP INTERSECTION DATE OF CRASH TIME SECONDARY CRASH 1 :1
® ❑ RELATED PRIVATE ❑Y ®N 10 11 2026 ❑AM ❑YES ®NO U1
RANDALL RD Elgin mo /day/yr 01:00 ®PM FLOW CONDITION Ill
010Q/MI O E S W Fletcher Dr COUNTY PROPERTY ❑Y ® N DOORING ❑y #OF MOTOR ❑SLOW 1 (n
Kane HIT&RUN ❑V ® N WITH VEHICLES INVLD 0 STOPPED U2 --I
❑ AT INTERSECTION WITH (NAME OF INTERSECTION OR ROAD FEATURE) PEDALCYCLIST®N ® FREE FLOW # LNS 0
g DRIVER ❑ PARKED ❑DRIVERLESS ❑ PED ❑PEDAL ❑EWES ❑NW ❑!CV 0 DV DATE OF BIRTH MAKE MODEL YEAR CIRCLE NUMBER(S) Y N 4 n
FOR DAMAGED AREA(S) FRONT TOWED U1 Q
Runyan. Bradley.W. 0 7 /
yr 13-UNDER CARRIAGE NI
101 . 2 FIRE 0
STREET ADDRESS SEX SAFT AIR AUTOMATION LEVEL LEVEL O4-TOTAL(ALL) DISTRACTED 0 0 U2 4 m
M 2 SYTM 8 ❑Y ®SNE DUNK VEH. 0 AT CRASH 99-UNKNOWN THER9 16•TOP 3 *Distraction Value 9 ALGN X.
r CITY STATE ZIP INJ EJCT EPTH PLATE NO. STATE YEAR POINT OF 6 ij s 4 COM VEH 0 Ea 1 0
1 . ELGIN I N I L 60123 A 1 0 FIRST CONTACT 14 7_; _5 *0 Yes.See Sidebar U1
Z EP28556 IL 2027 REAR
TELEPHONE
IL D 0 1 FMCUODG7AKA13001 STATE FARM ❑v igi N U2 1—
13 EMS AGENCY PEDV PPA PPL VEHICLE OWNER(LAST,FIRST,M) POLICY NUMBER RSUR m
Elgin Fire 99 9 Same 2334732-SFP-13 1 r
o HOSPITAL(TAKEN TO) INCIDENT IF'V' OWNER STREET,CITY,STATE,ZIP PHONE NUMBER
RESPONDER D
Sherman ❑Y ElN 2 73
rg-
g DRIVER ❑ PARKED ❑DRIVERLESS ❑ PED ❑PEDAL 0 EWES ❑row 0 Ncv 0 Dv
yr Q. 12 ,.Q -I
.. 13-UNDER CARRIAGE i FIRE ❑ ® U2
c
M 2 8 SYSTEM IN 0 ENGAGED 0 15-OTHER 9 1,6•TOPO3
❑Y ON DUNK VEH. AT CRASH 99-UNKNOWN O Oistraglon value 9 g
POINT OF 8 i1 4 COM VEH 0 ® U1 CO
N CITY STATE ZIP INJ EJCT EPTH PLATE NO. STATE YEAR A 6
FIRST CONTACT 1 7�� _,:`-�*Ifyes.See Sidebar
Z WEST DUNDEE IL 60118 B 1 0 DY45494 IL 2027 I 0
IL D 0 2T3RWRFVXNW128875 GEICO ❑Y ®N RDEF73
EMS AGENCY PEDV PPA PPL VEHICLE OWNER(LAST,FIRST.M) POLICY NUMBER 1 =
99 9 Same 6126342317 BAG E
HOSPITAL(TAKEN TO) INCIDENT IF'Y' OWNER STREET,CITY,STATE,ZIP 996 <
Refused RESPONDER U1 =
(UNIT) (SEAT) (DOB( (SEX) {SAFT) (AIR) (INJI ,(EJCT) (EPTH) PASSENGERS&WITNESS ONLY (NAME))(ADDRESS),(TELEPHONE) (EMS) (HOSPITAL)
1 4 01 /
LOC DAMAGED PROPERTY OWNER NAME DAMAGED PROPERTY POLICE NOTIFIED TIME Did crash occur 0 Y
N 1 ® 11 1 10,11 /2026 01 00 0 AM in a Work Zone? ®N DIRP co
1 I PRIMARY CAUSE SECONDARY CAUSE EMS NOTIFIED TIME If YES check one below: 5
T PROPERTY OWNERS ADDRESS:STREET,CITY,STATE,ZIP ❑AM U1 C)
v 2 0 20 28 10,11 /2026 01 02 ®PM 0 Construction *
1
R 3 0 xi CITATIONS ISSUED 0 PENDING SECTION CITATION NO. EMS ARRIVED TIME 1
z J ❑AM ❑Maintenance U2
o p 1 ® 11 1 ARREST NAME Runyan. Bradley.W. 11-601 1579000108 10/11 /2026 01 10 ®PM 0Utility SLMT
ISI CITATIONS ISSUED 0 PENDING SECTION CITATION NO. ROAD CLEARANCE TIME ID AM
t 2 El ARREST NAME Runyan. Bradley.W. 11-708 1579000107 10/11 /2026 04 00 0 PM 0 Unknown work zone type U1 50
2 2 3 0 OFFICER ID SIGNATURE BEAT/DIST. SUPERVISOR ID. COURT DATE TIME ®AM Workers present? ❑Y 50
451-Nisivaco. Russell 901 320-Cox 11 , 10/2026 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
..., Ltik, - A CMV is defined as any motor Dvehicle used to transport passengers or property and:NAL UNITS FORMS.
j1. Has a weight rating more than 10,000 pounds(example:truck or truck trailer -<Y- z, ® combination):or —1
} }___.Y___'l }
(� INDICATE NORTH �
'lW° BY ARROW 2 Is used or designed to transport more than 15 passengers including the driver C
} i li - } (example:shuttle or charter bus):or 0
® 3. Is designed to carry 15 or fewer passengers and operated a contract carrier O
- } } } transporting employees in the course of their employment(example:employee
03
L •-----}----; i r iv, - } } } C
•transporter sed or des gnated to transport betweelly a van type vehicle or n 9 and 1 passengers,including the driver,
s i�? for direct compensation(example:large van used fors cific purpose):or
L i.____a-....I z y _ � i iany L 5. Is any vehicle used to transport hazardous material(HAZMAT)that requires m
9 placarding(example:placards will be displayed on the vehicle). ;p
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� CARRIER NAME Z
Ik'3'' _ __ ADDRESS 0
;' Ft khw9ort.rttoovrtvsoru} CITY/STATE/ZIP 0
_ I. MOTOR CARR.ID 0 Interstate ❑ Intrastate
War TO..stall J
I�h�`\ \ 0 Not in Comm./Govt. 0 Not in Comm./Other 00
‘I. - "1 cs, USDOT NO. ILCC NO. m
XI
Source of above z
. MCS ❑Yes 0 No 0 Unknown Out of Service ❑Yes ❑No Z
Form Number 0
m
Xl
IDOT PERMIT NO. WIDELOAD'; ❑Yes 0 No 2
TRAILER VIN 1 m
co
LOCAL USE ONLY TRAILER VIN 2 m
0
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
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.
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