Master Record Number Type of Crash: Injury-Incapacitating Unofficial Traffic Crash Report Incident Information DateOfCrash 05/27/2012 Day of Crash Sunday Local Agency Number 0470000 Reporting Agency Name Time Arrived Knox Co Sheriffs Office Agency Tracking Number 1205272320 Time of 00:53 Crash Total 1 Vehicles Hit and Run Solved? N Time 0:56 Notified Total 6 Occupants Police N Pursuit 1:07 County Knox Total Injured By City Area Not Applicable Total 0 Non-Occupants School Bus Involved? No Interchange N Related? Total 0 Killed Photos Y Taken? Intersect Type 6 Police Total 0 Un-Injured Photographer Name M. ALLEMAN Not at Intersection Block Number Est Distance 255.00 Feet Roadway Number Distance Type Direction Roadway Name MOURFIELD RD Suffix Intersect Local ID Relation to Roadway Intersect Number Suffix Mile Marker North From Highway Number/Intersection BLUEGRASS RD 0.00 Roadway Local ID Relation to Junction Non-Junction None Roadside-Right Route Signing County Route Work Zone Construction Location First Hamful Event Construction Zone Workers Present Trafficway Type Light Conditions Standing Tree Clear Trafficway-OPEN Latitude Weather Conditions Manner of Collision Dark-Not Lighted 35.872180 Longitude -84.079740 Rail Crossing ID Not Collision with Motor Vehicle in Transport 1st Collision Factor 2nd Collision Factor 3rd Collision Factor Investigating Officer Details Investigation N Complete Badge Number Rank PTL. First Name SCOTT Middle Initial Last Name DEARMOND 05/27/2012 Suffix 11285 District/Zone 400 Car Number TANGO 7 Report Date 1 Vehicle Number 1 No. of Occupants 6 Driver Presence Driver Operated Driver Information First Name MEREDITH 106 BRECHIN LANE 8652476951 Phone 2 Middle Initial C. Last Name DENNING City Race Suffix Date of Birth 05/16/1994 State Age 18 Address Line 1 Phone 1 Address Line 2 Phone 3 Knoxville Ethnicity TN Zip Code 37920 Caucasian White Gender F Air Bag From The Front Safety Equipment Shoulder And Lap Belt Used 116197031 None None License TN State Expiration Date Drivers License Number Endorsements 1 Restrictions 1 Ejected 2014 License Class D License Status Valid Seat Position Complied With? Complied With? Endorsements 3 Restrictions 3 Trapped/Extricated Front Seat-Left Side Complied With? Complied With? Complied With? Complied With? Endorsements 2 Restrictions 2 Not Ejected Non-Incapacitating Evident Ejection Path Medical Transport Not Trapped Injury Code Other Ambulance/Hospital UT Driver Conditions and Actions Hit and Run? No Hit And Run Appeared Normal Driver/Vehicle Maneuver Going Straight Distraction None Driver 's 1st Condition Driver's 1st Action Driver's 2nd Condition Driver's 2nd Action Driver's 4th Action Driver's 3rd Condition Careless Erratic Driving or Due Care Driver's 3rd Action Alcohol and Drugs Presence of Alcohol No Determination Method Behavioral Pending Alcohol Test Status Test Given 1st Alcohol Test Type Whole Blood No 1st Alcohol Test Result Determination Method 2nd Alcohol Test Type Drug Test Status 2nd Alcohol Test Result Presence of Drugs 1st Drug Test Type Behavioral Test Given Blood Test 1st Drug Test Result Pending 2nd Drug Test Type 2nd Drug Test Result 3rd Drug Test Type 3rd Drug Test Result Driver Violations 1st Violation 2nd Violation 3rd Violation 4th Violation 5th Violation 1st Violation Category Pending 2nd Violation Category 3rd Violation Category 4th Violation Category 5th Violation Category 1st Violation Description 2nd Violation Description 3rd Violation Description 4th Violation Description 5th Violation Description 1st Violation Statute 2nd Violation Statute 3rd Violation Statute 4th Violation Statute 5th Violation Statute Vehicle Information Owner Same Y as Driver? Street 1 Owner First Name MEREDITH Owner Middle Name C. Owner Last Name DENNING TN Owner Suffix Phone Number 1 106 BRECHIN LANE Street 2 Vehicle Year City Knoxville State Zip Code 37920 8652476951 Color Phone Number 2 VIN JF1SG636X3H726404 HAZMAT? Phone Number 3 2003 Vehicle Make SUBA Vehicle Model FOR Green-Dark License Plate Number 560YHT State Tennessee Exp Year 062012 Unit Type Body Code Compact Utility FMCSA N Reportable? Gross Weight Vehicle Operation Type 1st Factor N Bus Use Not Used As A Bus Motor Vehicle In-Transport 10000 or Less-No Haz-8 Or Less Personally Owned/Used NONE 2nd Factor Insurance 1 Type Vehicle Configuration Cargo Body Type 3rd Factor Insurance 1 Start Date Insurance 2 Start Date Insurance 3 Start Date Insurance 1 End Date Insurance 2 End Date Insurance 3 End Date Insurance 1 Insurance 2 Insurance 3 AP 0721868 Vehicle Insurance 1 Carrier TENNESSEE FARMERS MUTUAL Insurance 2 Carrier Insurance 3 Carrier Insurance 2 Type Insurance 3 Type 2 Vehicle Damage and Roadway Characteristics Most Harmful Event Standing Tree Standing Tree Emergency Use? N Over Underride No Underride-Override Events 3 Events 6 Officer Damage Estimate Fire in Vehicle? N Events 1 Events 4 Events 2 Events 5 Extent of Damage Fence Point of First Impact Front End Front End Disabling Damage Right Side-Far Front Greater Than 400 Dollars Right Side-Near Front Areas of Vehicle Damage Vehicle Special Use No Special Use Towed? Towed Where? Towed Due To Vehicle Damage CEDAR BLUFF TOWING 2nd Trailer Licence Plate Information Traveling On 1st Trailer 1st Trailer Licence Plate Information 3rd Trailer Licence Plate Information 2nd Trailer Travel Direction 3rd Trailer South MOURFIELD ROAD Roadway Surface Type Trafficway Flow Two-Way Not Divided None Asphalt Number of Travel Lanes Two Lanes Trafficway Hazards Traffic Control Devices No Control Dry Traffic Control Device Functioning No Controls Straight Roadway Route Signing County Route Grade Roadway Surface Conditions Speed Limit Roadway Character Alignment Roadway Character Profile 30 Access Control No Control 3 Person Type First Name Passenger ELLA Middle Name E. Last Name Address Line 2 Phone 3 NELSON City Gender Suffix Date of Birth 11/04/1993 State Age 18 Address Line 1 Phone 1 Air Bag 1314 WOODCREST DRIVE 8656888869 Not Available Not Ejected Incapacitating Phone 2 Knoxville TN Zip Code 37918 8653189016 F Seating Position Second Seat-Middle Safety Equipment None Used MV Occupant Ejection Path Medical Transport Trapped/Extricated Ejected Not Trapped UT Injury Code EMS-Air Ambulance/Hospital Alcohol and Drugs Presence of Alcohol No Determination Method Behavioral Alcohol Test Status Test Not Given 1st Alcohol Test Type Presence of Drugs 1st Alcohol Test Result Determination Method 2nd Alcohol Test Type Drug Test Status 2nd Drug Test Result 2nd Alcohol Test Result No Behavioral Test Not Given 3rd Drug Test Type 3rd Drug Test Result 1st Drug Test Type 1st Drug Test Result 2nd Drug Test Type Non-Motorists Conditions and Actions Vehicle Striking Non-Motorist Non-Motorist Conditions 1 Non-Motorist Conditions 3 Non-Motorist Actions 1 Non-Motorist Actions 3 Non-Motorist Actions 2 Non-Motorist Actinos 4 Non-Motorist Location Non-Motorist Conditions 2 Person Type First Name Passenger ELIZABETH 1604 CHENEY ROAD 8656862708 Not Available Not Ejected Non-Incapacitating Evident Phone 2 Middle Name M Last Name Address Line 2 Phone 3 SHAUGHNESSY City Gender Suffix Date of Birth 11/16/1993 State Age 18 Address Line 1 Phone 1 Air Bag Knoxville TN Zip Code 37922 F Seating Position Other Passenger In Enclosed Passenger Or Cargo Safety Equipment None Used MV Occupant Ejection Path Medical Transport Trapped/Extricated Ejected Not Trapped UT Injury Code EMS-Ground Ambulance/Hospital Alcohol and Drugs Presence of Alcohol No Determination Method Behavioral Alcohol Test Status Test Not Given 1st Alcohol Test Type Presence of Drugs 1st Alcohol Test Result Determination Method 2nd Alcohol Test Type Drug Test Status 2nd Drug Test Result 2nd Alcohol Test Result No Behavioral Test Not Given 3rd Drug Test Type 3rd Drug Test Result 1st Drug Test Type 1st Drug Test Result 2nd Drug Test Type Non-Motorists Conditions and Actions Vehicle Striking Non-Motorist Non-Motorist Conditions 1 Non-Motorist Conditions 3 Non-Motorist Actions 1 Non-Motorist Actions 3 Non-Motorist Actions 2 Non-Motorist Actinos 4 Non-Motorist Location Non-Motorist Conditions 2 4 Person Type First Name Passenger PHILLIP Middle Name R. Last Name Address Line 2 PARDUE City Gender Suffix Date of Birth 05/21/1994 State Age 18 Address Line 1 Phone 1 Air Bag 8204 PIMBROOK LANE 8655394598 Not Available Not Ejected Incapacitating Phone 2 Knoxville TN Zip Code 37923 8656601801 Phone 3 M Seating Position Second Seat-Right Side Safety Equipment Shoulder And Lap Belt Used Ejection Path Medical Transport Trapped/Extricated Ejected Trapped/Extricated UT Injury Code EMS-Air Ambulance/Hospital Alcohol and Drugs Presence of Alcohol No Determination Method Behavioral Alcohol Test Status Test Not Given 1st Alcohol Test Type Presence of Drugs 1st Alcohol Test Result Determination Method 2nd Alcohol Test Type Drug Test Status 2nd Drug Test Result 2nd Alcohol Test Result No Behavioral Test Not Given 3rd Drug Test Type 3rd Drug Test Result 1st Drug Test Type 1st Drug Test Result 2nd Drug Test Type Non-Motorists Conditions and Actions Vehicle Striking Non-Motorist Non-Motorist Conditions 1 Non-Motorist Conditions 3 Non-Motorist Actions 1 Non-Motorist Actions 3 Non-Motorist Actions 2 Non-Motorist Actinos 4 Non-Motorist Location Non-Motorist Conditions 2 Person Type First Name Passenger ZACKARY 1409 MOURFIELD ROAD 8653887211 Not Available Not Ejected Non-Incapacitating Evident Phone 2 Middle Name D. Last Name MAYES Suffix City Gender Date of Birth 11/20/1993 State Age 18 Address Line 1 Phone 1 Air Bag Address Line 2 Phone 3 Knoxville TN Zip Code 37922 M Seating Position Second Seat-Left Side Safety Equipment None Used MV Occupant Ejection Path Medical Transport Trapped/Extricated Ejected Not Trapped UT Injury Code EMS-Ground Ambulance/Hospital Alcohol and Drugs Presence of Alcohol No Determination Method Behavioral Alcohol Test Status Test Not Given 1st Alcohol Test Type Presence of Drugs 1st Alcohol Test Result Determination Method 2nd Alcohol Test Type Drug Test Status 2nd Drug Test Result 2nd Alcohol Test Result No Behavioral Test Not Given 3rd Drug Test Type 3rd Drug Test Result 1st Drug Test Type 1st Drug Test Result 2nd Drug Test Type Non-Motorists Conditions and Actions Vehicle Striking Non-Motorist Non-Motorist Conditions 1 Non-Motorist Conditions 3 Non-Motorist Actions 1 Non-Motorist Actions 3 Non-Motorist Actions 2 Non-Motorist Actinos 4 Non-Motorist Location Non-Motorist Conditions 2 5 Person Type First Name Passenger JOSEPH 824 PLAINFIELD ROAD 8653575756 From The Front Not Ejected Incapacitating Phone 2 Middle Name D. Last Name Address Line 2 Phone 3 STOEHR City Gender Suffix Date of Birth 09/09/1993 State Age 18 Address Line 1 Phone 1 Air Bag Knoxville TN Zip Code 37923 M Seating Position Front Seat-Right Side Safety Equipment Shoulder And Lap Belt Used Ejection Path Medical Transport Trapped/Extricated Ejected Trapped/Extricated UT Injury Code EMS-Air Ambulance/Hospital Alcohol and Drugs Presence of Alcohol No Determination Method Behavioral Alcohol Test Status Test Not Given 1st Alcohol Test Type Presence of Drugs 1st Alcohol Test Result Determination Method 2nd Alcohol Test Type Drug Test Status 2nd Drug Test Result 2nd Alcohol Test Result No Behavioral Test Not Given 3rd Drug Test Type 3rd Drug Test Result 1st Drug Test Type 1st Drug Test Result 2nd Drug Test Type Non-Motorists Conditions and Actions Vehicle Striking Non-Motorist Non-Motorist Conditions 1 Non-Motorist Conditions 3 Non-Motorist Actions 1 Non-Motorist Actions 3 Non-Motorist Actions 2 Non-Motorist Actinos 4 Non-Motorist Location Non-Motorist Conditions 2 Commercial Carrier Information US DOT Address Line 1 1st Hazardous Materials 2nd Hazardous Materials 3rd Hazardous Materials Carrier Name Address Line 2 HAZMAT Class HAZMAT Class HAZMAT Class Placard? Placard? Placard? Carrier Type City Placard # Placard # Placard # Released? Released? Released? ICC MC State Zip Code TN DOS Phone Hazardous Materials Released Hazardous Materials Released Hazardous Materials Released Collision Witnesses First Name JAKE Middle Name Address Line 2 Phone 2 Last Name GOODMAN City Suffix State Date of Birth Zip Address Line 1 9311 LAWHORN LANE Phone 1 Knoxville Phone 3 TN 37922 8656046411 Property Owner Information Other Property Damages Property Description Private Property-Over 400 First Name FENCE Middle Name Address Line 2 Phone 2 Last Name LARRY GREEN City Suffix Address Line 1 1706 MAPLE GREEN LANE Phone 1 Knoxville State TN Zip 37922 8656908138 Phone 3 Narrative Vehicle #1 was traveling south on Mourfield Road. The driver was operating the vehicle in a careless manner when she lost control of the vehicle. The vehicle left the roadway and struck a tree. 6