Form C-25-A Alabama Department of Transportation
Rev. 3/2008
CRASH REPORT
Project Information
Date
Project /Contract ID
Division
Contractor
District
Project Description
County
Location
Crash Information
Date of Crash
Time of Crash
Weather
Condition
Road
Condition
Location of Crash (Use Mile Post Reference if Possible)
Description of Traffic Control in place (lane closures, haul road crossing, etc.) List Typical Application (TA #)
from MUTCD, Part 6 if applicable.
Phase of Sequence of Construction in Use at Time of Crash, if Applicable
Type of Work Being Performed in Crash Area, if Applicable
Injuries or Fatalities
Vehicles (Type), Equipment, etc. Involved
Description of Crash (List names of witnesses, investigating officer, and other pertinent data)
________________________________________________
pc: District Signature of Project Traffic Control Inspector
Division
File
Attachments: Alabama Uniform Traffic Accident Report (AUTAR)
Contractor’s Written Report