Transit Mode
*
Bus
Streetcar
Date
*
-
Year
-
Month
Day
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
05
10
15
20
25
30
35
40
45
50
55
Minutes
AM
PM
AM/PM Option
Traffic Control
No Control
Stop Sign
Traffic Light
Light Condition
Daylight
Night
Low-light
Weather Condition
Clear
Rain
Snow/Sleet
Overcast
Road Condition
Dry
Wet
Ice
Snow
Direction of Travel
North
South
East
West
Action Being Performed
Driving Forward
Backing
Stopped in Traffic
Parked
Boarding/Alighting
Operating Wheelchair Lift
Other Party
Motorist
Pedestrian
Bicyclist
Other
Other Party Direction of Travel
North
South
East
West
Description of the Close Call
Submit
Should be Empty: