a report from Councillor Craig Kelley, Chair of the Public Safety Committee, for a public hearing held on December 18, 2018 to explore the responsibilities and capacities of CPD officers or other officers working in Cambridge under CPD authority, such as out-of-town officers working a construction detail, to respond to bike related collisions

ATTACNMENT A Commonwealth of Massachusetts A massDOT Motor Vehicle Crash Operator Report How To Complete This Form Plose carefully complete all sections of this forn that apply lo your crish, circling the ansiver whcre appropriato. Illegible repons will be returnca to you Section F: Crash Conditions Section A: Crash Location Use the codes provided to indicate the Provide the city/town where the crash occurred, conditions at the time of 1he crash. the date and tine of the crash, and the number of vehicles involved. Complele section Al or A2. Section G: Crash Diagram Use official names of all focations, streets and Draw a diagram of how the crush occurred. landmarks. On the diagram, Vehicle 1 reprosents your • Use street name and route fi, if applicable. vehicle. • Be as precise as possible when describing the location. Section H: Witness Information Provide chough information to locate the crash " List all the people who saw the crash but were to a specific point, not just a street or roadway. not involved. Section B: Vehicle You Were Driving • Provide information on your license and the Section I: Property Damage Information Indicate all non-vehicular property that was vehicie you were driving damaged in the crash. * Use the codes provided to indicate the cause of the crash. Section J: Description of What Happened Describe the crash including events prior to the Section C: You and Your Passengers crash for your vehiclos and all other vehicles. Provide infonnation on you and your passengers at the time of the crash. Section K: Signature * Use the codes provided to indicate occupant Please sign and print your name and indicate the information. date you completed the form. Section D: Other Vehicles Involved in the Where to send completed reports: Crash • Mail or deliver one copy 10 the local police • Provide information on the other vehicle(s) and department or state police in the city or 10w77 operator(s) involved in the crash. where the crash nocurred. • If more than one vehicle involved, please use additional form completing Section D only: • Mail one copy 10 your Insurance Company: Section E: Non-Motorists) Involved • Mail ane copy to the RMV at the following, • Provide information on the non-motorists) address: involved in the crash. Crash Records Registry of Motor Vehicles • If more than one non-motorist involved, plcase P.O. Box 55889 use additional form completing Section E only. Boston, MA 02205 CRA-13 TZ1:78_0512 Page 1

fion A Crasit City/Town Where Crash Occuited Date of Crash Time of Crasi Vehicles _AM_ PM Invofred: Flasa complete Soction Al or A2 inow to indicate the locatios of the crash. If you nad additional space to describe the crash lacation, please use Section 1 en we last pose er this forma SECTION Al: Cumplete this Section if the cris SECTION A2: Complete this Section if the crash did NOT occur at an occurred it an intersection of iwo or more: sirects; inferscction: Sten 1: lease indicato the ronte or roadway where you Sici]: l'icase indicate the route, roudway and oddress where the crash occurred: were traycling waco the crust accurred: The crash occured on Route #: .. at Street or Addrers Number: _ on tic Strcc/Roadway known as: Routet Name of Roadway/Stect Step 2; Please provide as much of the following spocific location information as possible: Siçp. 2: Wunt was is name (or names) of the istersecting strects? feet The crash occurred (estimule number of fect) of (indicate direction as N/S/E/W) Routch Name of Roadway/Street 3) Mile Marker dumber OR: b) Exit Numbes OR: c) Intersecting Strect/Roadway Routal Narue of Roadway/Street Routair Name of Roadway/Street OR: d) Landmark cction B: V Were Driving ¡ Number of accupants in vchicle (including yotrocif): Was vehicle damage above $10907 License Siste Dac of Birt Age Sex Driver's Licoo Mumber _M_F B3nS,C1 T— Doubles/Triples Your Full Name (East, Firs, Midille) Street Allress Stale City/Towa Zip Insurance Company Vehicle Registration # Vehicke Year TVebids Make Roy. Type /Reg. Stre Endicale your type of ychicle l Passenger car 4 Bus (15 or more possengars) 8 Truck/trailer 97 Other 12 Tractor/traples 2, Light truck (van, mini-yan, 5 Bus (7-15 passengers) 9 Truck tracior (babtail) 99 Unisons 13 Usknown heary truck 6 Single-unit truck (Z axles) 10 Tactor/semi-sailer pick-up, sport utility) 14 Moor home/rectentional vohicle 13 Molorcycie 7 Single-unit truct: (3 or more axles) 11 Tractor/doubles Full Name of Velricle Owner (Last, First, Middle) [street Address Zip Stake City/Towa Want Wos Your Vchide Doing Prior 1o the Crash? Vehicle Travel Direction 1 Travelling straight shead 97 Other 4 Tuming left 7 Leaving traffic lase 10 Backing 2 Slowing or stopped 5 Changing lancs Il T'arked 99 Unknown & Making U-turn …N_S_E…W 3 Turning right 6 Entering traffic lane 2. Overtaking/passing Please Indicate be Sequice of Events as they vccurred do YOUR Vehicle by writing the errespoading number (1-52, or 97, 99) in pell 4 baxes decaw. What happened 7° (ir applicable)? What happened first? What happened 3rd (if applicable)? What happeal (applicable)? Non-Collisita Collision with 23 Light pole or other post/suppor Ran oft road right 10 Motor yehicle in traftic 24 Guardrail 41 Ran off road left 2 Parted motor velicie 25 42 Cross medion/centerline Median barrier 3 Pedestrian 43 26 Ditch Overtum/mllover 4 Cyclist 27 Embankment/Stoping shoulder 44 Equipment failur (blows lira, biakes, ctc) • 5 Animal-deer 28 Fire/explosion 45 Fighway traffic signposi 6 Animal-other 45 Immersion 29 Overhead sign support 7 Moped Fence 30 47 Jacktorife § Work zone maintenance equipment Mailbax 31 - 48 Cargo equipment lass or shift 9 Railsay vehicle (rain, engine) Crash cushion impact attenuenr Seperation of units 10 Other movable object 33 Bridge Downhill runaway 11 Unbrosva movable abjccs 34 Bridge overhead structure Other nua-collision 20 Cut 52 Other fixed object (wall, building. lunael) Unitown non-collision 21 Tree 97 Unknown fxed object Other 35 22 Utility pole 99 UnkEown • Nose Vehicle Damaged Area 10 Undercasiage Was your Vehicle Tored Frop Ite Scene Drie to Damage? _Yes No 11 Totaled (circle up to hurt) 5 97 Other 59 Unknown Pagt 2

senge Section caVour mo Your Please proside the full rame, address, and DOB or Age for all passengers in your venelo. Then write the coresponding code in: (yourself and all pascongers). A list of the possible codca is provided at the bossora of thia section. F: - D Sexi Date of Namic of Medical Facility MUF ButbiAns Driver (Set previons pagc) Name of l'asscager 1 (Lasl, First, Middle) -Address City/Town Statc Zip Nane of Passenger 2 (Last, Fist, Middie) Address Stace Cily/Town Zip Name of Passenger 3 (Last, First, Ilisdie) Address City/Taw'D Stale Zin A. Seating Pasition I. Safety System Used It. Air Rag Switch C.Air Ing Statuss 10 Thad row - right site 1 Front scat - ict sile (ur molorcycle driver) I Deployed-front None used Stitch in ON position 10 Sleeper section of cab 2 Front seat-middic 2 2 Deployed-side Shoulder and lap belt Switch in OFF position 3 Front scat-righi side 11 Enclosed possenger crea 5 Deployed both ON-OFF switce nol present Lap bel! only 4 Second sest - lufi side (os notoreycle passengce) 12 Unchalosed picsorget area 4 Shoulder bell Daly front and side Unknown if switch is present 13 Trailing tai! S Second seat-middic 4 4 Notdeployed Child safcty scar Is Riding on reticle caterior 6 Second sest - right side Helmet 15 i5 Norapplicable 47 Other 7 Third sow. left side (or motoscycle passengor) 99 Unknown 199 Unkuowa 8 Third roy - middle D9 Unknowti E. Ejected Froto Felicle? G Injured? E. Trappe R. Transported for Medical Care? Nat ejocied Fatal injury Not trapped 97 Other 1 Not transported Totally ejecled Freel by mechanical means 2 EMS (emergency servica) 99 Unknown 2 Partially ejected 5 No injury Incapacitating, Pread Ly swu-icchanical mems 5 Police 99 Unknown Non-incapacitating 49 Unknown Not applicable 95 Passible Unknown FoR 12 Other Vehide Involved in the Crash Number of nccapacis in flie Vehicle: War Ycbicke Dumage_Yes No Mopral? - Nemaber of injured accupnals: _ _Yes No, Hitand Ran? _Yes _Nr aborg SAIDO? Driver's Timense Numsber Legise Cass Tack vuisdes P... Passenger _F * - Tonk and Haras - Doriales/Triples Uobinown tratasport Street Address State City/Town Zip Full Name of Vehicle Driver (Last, First, Middle) Velsicle hicke mr Vehicie Year Insurance Compasy Roz Stau Reg. Typo Vehicle Registration # Indicato type of vehicle Inickitailer I PassageT car * Bus (15 AT more parsangers) 12 Tractor/tripies 97 Odor 5 Bus (7-15 passengers) 2 Light truck (van, mini-van, 99 Untowa Truck tractor (butrail) 13 Unknowa heary tnck 10 Tractor/semi-miles & Siogle-unir mad: (2 axles) pick-up, sport utility) 14 Motor home/recreatiopal vehicle 7 Siogle-unit truck (3 or more arles) 11 Tractoridmbles 3 Motorcyclo Statc Full Name of Vehicle Üwner (Last, First, Middle) Сі Тон» Streat Address Zig Vchicla Travel What Was the Vehiclu Doing Prior to the Crash? Direction Vehicke Damaged Ares isole up w irone • NonE I Traveling straigtu anerd 97 Other 7 Icaring trafic Jonc 4 Tuming left 10 Bassing 10 Undercarriage 1k Ictalco _N$ 2 I1 Parked 99 Linknows Storing or sopped 5 Changing lanes 3 Turning right 6 Encring traffic In 9 Doctaking/passing Section E on Motorist Tivolved the Crashi 1 Pedestran Indicate the type of non-tautorist invalvert 2 Cyclist 97 Oter 99 Unksows What was the sion-motorist doing prior to the crash? Where was the unz-motorist prior to she crash? 1 Entering or crossing location 1 Maked crossvalk at interestina Working on vehicle & Mediar. (but ant no shoulde 2 Walking, nuning, or cycling 7 Island 7 Standing 2 At intersection bul Do crostralli 97 Other 3 Non-intersection crosswalk 3 Working 8 Shoulder 4 99 Unknown 4 Pushing vehicle La roadway 9 Sidesvalk 5 Approaching or leaving vehicle 5 Not in roadway 10 Sharcituse path as smils 99 Unknown Sux Fall Nate of Non-Motarist (Last, First, Middle) Street Address Date of Birk/Age City Town -Zip _M_F Safety Equipacot? Injured? Transported for afedical Care? 0 Note nsed 1 Falal injury 9 Lighing I Not transported 97 Other 6 Heimet 10 Orizer Non-fall injur 98 Unlaesa 12 EMS (omergency sevice) 13 Police 95 Unknown 7 Protective pads (clbows, krues, eic.) 3 Incapacitating S No injury 8 Reflective clothing Non-incapacitaling 99 Unknow It ransperial, please Inticate Hospitalisedical farity: Possible Page 3

ection BaCast Conditions Light Conditions Traffic Conirol Device Was the traffe: Road Surince Matter Conditinas (up to ha) Realtizy Entersection Typo Clear Daylight control dutice No controls Dry Dawn Cloudy WcE Stop signs nucting it Dusk Rain Tralfic conun! signal Show the time af the Nor al intersecting Snow Dark - lighted roadway Fleshing tallic cauto: nighal crash! Icc Four-way intersection un a Xiaid signs Dark - roadway not lighted Stect bail, frozing main Sand, mud, dirt, oil, grass! T-intensaction 5 Dark - Lnknown roadway Fog, smog, smole Scbool zone sigos Water (standing, moving) ... Yes Y-inletsection lighting Severe crosswinds Shush Warring sigas Од гатр 97 Othor 97 Olher Blowing sand, snow Retread crossing dorica _No 97 Other 99 99 Unknown Unknown 99 Unknowa Trafãc circle 99 Unknown Five-point or more Traffickay Description Wark Zonc School Jus Manner of Coliisito Drivewty Related? Rituted? Two-way, not divided Head oD I Singie vehicle crasla 10 Railway grade crossiog Two-way, divides, naproiecle median Z Rear-cnd 7 Rear to tear 1 99 UalDown Two-way, divided, prupcled medias _ Tes _ Yes Angie 99 Unlinowa Oscoway, nol divided Sideswips, same direction _No - No 99 Uaknown 5 Sideswips, opposite directica Sechon or Grish Diagram Please draw a diagram of thre roadway or streets where the crash occurred, indicating the vehicles Indicale invalved sad direclion of tranel North by ssing che followiag symbols: = Diraction my « Yebisit 1 (Your Vehicle) } = Vehicle 2 - Pedestriau/Non-motorist = North Scloct obe of che following if the crash did not occur on a public way: OF-street parking lo1 Garage Mall/sbopping center Other povate way Section HE Address Witness Name (Last, First, Middle) lection Proper Vehi (Other than yantag. Adóress Phone Owner Name (Last, First, Middle) Property and Damage Description Happened Section K Dato. Prist... "Signal under Pains and Pearlies of Perjury" Fage +