Total Total

ACTIVE Num. Num.

TxDOT
FATAL CMV SCHOOL BUS RAILROAD MAB SUPPLEMENT
SCHOOL ZONE Units 2 Prsns. 2  Crash ID 14684801

Texas Peace Officer's Crash Report (Form CR­3 1/1/2015)
Mail to: Texas Department of Transportation, Crash Data and Analysis, P.O. Box 149349, Austin, TX 78714. Questions? Call 844/274­7457
Refer to Attached Code Sheet for Numbered Fields
*=These fields are required on all additional sheets submitted for this crash (ex.: additional vehicles, occupants, injured, etc.).
Page 1 of 4

*Crash Date *Crash Time Case

Local Use
(MM/DD/YYYY) 10/03/2015 (24HRMM) 1312 ID 150154124 5004712
*County *City Outside
Name HARRIS Name HOUSTON City Limit
IDENTIFICATION & LOCATION

In your opinion, did this crash result in at least Yes Latitude Longitude
$1,000 damage to any one person's property? No (decimal degrees) 29.60703 (decimal degrees)   — 95.37886

ROAD ON WHICH CRASH OCCURRED
*1 Rdwy. *Hwy. 2 Rdwy. Block 3 Street * Street 4 Street
Sys. LR Num. Part 1 Num. 1700 Prefix Name WICHITA Suffix ST

Crash Occurred on a Private Drive or  Toll Road/ Speed Const. Yes Workers Yes Street

Road/Private Property/Parking Lot Toll Lane Limit 35 Zone No Present No Desc.

INTERSECTING ROAD, OR IF CRASH NOT AT INTERSECTION, NEAREST INTERSECTING ROAD OR REFERENCE MARKER
At Yes 1 Rdwy. Hwy. 2. Rdwy. Block 3 Street Street 4 Street
Int. No Sys. LR Num. Part 1 Num. Prefix Name CHENEVERT Suffix ST

Distance from Int. FT 3 Dir. from Int. Reference Street RRX

or Ref. Marker MI or Ref. Marker Marker Desc. Num.

Unit 5 Unit Parked Hit and LP LP

VIN
Num. 1 Desc. 1 Vehicle Run State TX Num. 1143499 1FAHP2M86D115120
Pol., Fire, EMS on
Veh. 6. Veh. Veh. Veh. 7 Body
Emergency (Explain in
Year 2013 Color WHI Make FORD Model TAURUS Style PC
Narrative if checked)

8 DL/ID DL/ID DL/ID 9 DL 10 CDL 11 DL DOB

Type 1 State TX Num. 05301446 Class C End. 96 Rest. A (MM/DD/YYYY) 03/31/1979
Address (Street,
City, State, ZIP) 5290 GRIGGS HOUSTON TX 77021
14 Injury

18 Restr.

Category
17 Eject.
Ethnicity
12 Prsn.
VEHICLE, DRIVER, & PERSONS

23 Drug

24 Drug

25 Drug
Severity
Position
13 Seat

Helmet
Name: Last, First, Middle

21 Sol.

22 Alc.
Person

16 Sex

Airbag

Result

Result
Spec.

Spec.
Num.

Type

Enter Driver or Primary Person for this Unit on first line
Age

Alc.
15

19

20
1 1 1 MILAM JOHANNA S N 36 B 2 1 1 1 97 N 1 .000 96 97 97

Not Applicable ­ Alcohol and
Drug Results are only reported
for Driver/Primary Person for
each Unit.

Owner Owner/Lessee
Lessee Name & Address HARRIS COUNTY 406 CAROLINE, 4TH FLOOR HOUSTON TX 77002
Proof of Yes Expired26 Fin. Fin. Resp. Fin. Resp.
Fin. Resp. No Exempt Resp. Type 7 Name HARRIS COUNTY Num. SELF INSURED
Fin. Resp. 27 Vehicle 27 Vehicle Vehicle Yes
Phone Num. Damage Rating 1 12 ­ FL ­ 1 Damage Rating 2
­ ­
713­755­5000 Inventoried No

Towed Towed
By MILLSTEAD TOWING To 500 TEXAS, HOUSTON, TEXAS

Unit 5 Unit Parked Hit and LP LP

VIN
Num. 2 Desc. 3 Vehicle Run State Num.

Pol., Fire, EMS on
Veh. 6. Veh. Veh. Veh. 7 Body
Emergency (Explain in
Year Color Make Model Style
Narrative if checked)

8 DL/ID DL/ID DL/ID 9 DL 10 CDL 11 DL DOB

Type 1 State TX Num. 25744407 Class C End. 96 Rest. 96 (MM/DD/YYYY) 04/22/1991
Address (Street,
City, State, ZIP) 2602 EAGLE STREET HOUSTON TX 77004
14 Injury

18 Restr.

Category
17 Eject.
Ethnicity
12 Prsn.
VEHICLE, DRIVER, & PERSONS

23 Drug

24 Drug

25 Drug
Severity
Position
13 Seat

Helmet

Name: Last, First, Middle
21 Sol.

22 Alc.
Person

16 Sex

Airbag

Result

Result
Spec.

Spec.
Num.

Type

Enter Driver or Primary Person for this Unit on first line
Age

Alc.
15

19

20

1 3 16 HENDERSON ANDREW A A 24 98 1 97 97 97 1 N 96 96 97 97

Not Applicable ­ Alcohol and
Drug Results are only reported
for Driver/Primary Person for
each Unit.

Owner Owner/Lessee
Lessee Name & Address

Proof of Yes Expired26 Fin. Fin. Resp. Fin. Resp.

Fin. Resp. No Exempt Resp. Type Name Num.

Fin. Resp. 27 Vehicle 27 Vehicle Vehicle Yes

­ ­ ­ ­
Phone Num. Damage Rating 1 Damage Rating 2 Inventoried No

Towed Towed
By To
 Law Enforcement and TxDOT Use ONLY. Case TxDOT
Form CR­3 (Rev. 1/1/2015) ID 150154124 Crash ID Page 2 of 4

Unit Prsn. Date of Death Time of Death

Taken To Taken By
Num. Num. (MM/DD/YYYY) (24HR:MM)

2 1 BEN TAUB GENERAL HOSPITAL HOUSTON FIRE DEPARTMENT
INJURED/KILLED
DISPOSITION OF

Unit Prsn.
Charge Citation/Reference Num.
Num. Num.
CHARGES

Damaged Property Other Than Vehicles Owner's Name Owner's Address

DAMAGE

Unit 10,001 + TRANSPORTING CMV Disabling Yes 28 Veh. 29 Carrier Carrier

9 + CAPACITY
Num. LBS. HAZARDOUS MATERIAL Damage? No Oper. ID Type ID Num.

Carrier's Carrier's 30 Veh.

Corp. Name Primary Addr. Type

RGVW Yes
CMV

31 Bus HazMat 32 HazMat HazMat 32 HazMat HazMat 33 Cargo

Type GVWR Released No Class Num. ID Num. Class Num. ID Num. Body Style

Unit RGVW 34 Trlr. CMV Disabling Yes Unit RGVW 34 Trlr. CMV Disabling Yes
Trailer 1 Num. Type Damage?
Trailer 2 Num. Type Damage?
GVWR No GVWR No

Sequence 35 Seq. 1 35 Seq. 2 35 Seq. 3 35 Seq. 4

Of Events

36 Contributing Factors (Investigator's Opinion) 37 Vehicle Defects (Investigator's Opinion) Environmental and Roadway Conditions

CONDITIONS
FACTORS &

Unit # Contributing May Have Contrib. Contributing May Have Contrib.

38 39 40 41 42 43 44
Weather Light Entering Roadway Roadway Surface Traffic
1 16 22 Cond. Cond. Roads Type Alignment Condition Control

1 1 97 1 1 1 8
Field Diagram ‐ Not to Scale
Investigator's Narrative Opinion of What Happened
﴾Attach Additional Sheets if Necessary﴿

SEE ATTACHED NARRATIVE SEE ATTACHED DRAWING
NARRATIVE AND DIAGRAM

Time Notified How Time Arrived Report Date

INVESTIGATOR

(24HR:MM) 1301 Notified DISPATCHED (24HR:MM) 1347 (MM/DD/YYYY) 10/09/2015

Invest. Yes Investigator ID

Comp. No Name (Printed) HARTLEY MICHAEL Num. C70005
ORI Service/
*Agency
Num. TX1015200 HARRIS COUNTY CONSTABLE PRECINCT 7 Region/DA C7PAT3
 Law Enforcement and TxDOT Use ONLY. Case TxDOT
Form CR‐3 ﴾Rev. 1/1/2015﴿ ID 150154124 Crash ID Page 3 of 4
Unit 1 is traveling eastbound on Wichita Street, straddling the eastbound and westbound lanes of traffic due to lawfully parked motor
vehicles adjacent to the eastbound and westbound concrete curbs. The driver of Unit 1, a Deputy with the Harris County Constable’s Office,
Precinct Seven, is responding to a Priority 2 Call for Service in southern Harris County, Texas.

Unit 2, a Pedacyclist, is traveling southbound on Chenevert Street in the right lane of traffic.

The driver of Unit 1 disregards the facing STOP sign and enters the intersection of the two roadways, failing to properly clear the intersection;
driving without due regard. Unit 2 enters into the intersection at approximately the same time.

Unit 1 strikes Unit 2.

The force of the collision causes the rider of Unit 2 to be abruptly ejected from his seated position. The Pedacyclist body makes contact with
the hood of Unit 1 and his forward momentum causes his body to continue in a southbound direction as Unit 1 continues to travel eastbound.
This causes the clothing worn by the Pedacyclist to leave an impression in the paint, impression transfer, on the hood of Unit 1 in a diagonal
direction from the left front to the right “A” pillar/windshield area on the passenger side of the motor vehicle. The head of the Pedacyclist
makes contact with the lower center right half side of the passenger side windshield of Unit 1, causing the windshield to break. The head of
the Pedacyclist partially enters the interior front right passenger area of Unit 1 ﴾Upper right area of the Windshield/A‐Pillar﴿, depositing
numerous head hair follicles within the windshield glass. The momentum of the Pedacyclist body is still continuing in a southbound direction
as Unit 1 continues to travel eastbound. The center mass of the Pedacyclist body rotates over his head, across the right A‐Pillar/Roof of Unit
1. A small blood spatter was observed on the front right passenger door window. The momentum of the Pedacyclist center mass causes his
head to be extracted from being embedded within the windshield. The continuing momentum of the Pedacyclist body causes the body to be
ejected from Unit 1. The Pedacyclist comes to rest partially in the right grassy area of the easement and partially within the southbound lane
of traffic of Wichita Street, approximately sixty eight feet ﴾68’﴿ from the Point Of Impact, located by blood spatter deposits left on the grass.

Unit 2, the bicycle, is carried in an eastbound direction along with the momentum of Unit 1. At some point Unit 2 becomes dislodged from
Unit 1 and comes to rest approximately ninety seven feet ﴾97’﴿ from the Point Of Impact in the middle of Wichita Street.

Unit 2 continues to travel approximately one hundred feet ﴾100’﴿ from the Point Of Impact, eastbound on Wichita Street before it is brought
to rest by its respective driver in the right lane of traffic. The left front tire of Unit 1 deposited an Erasure Mark ﴾Shadowing﴿ approximately
fifty one point three feet ﴾51.3’﴿ in length to its Point of Rest.
ADDITIONAL NARRATIVE
 Law Enforcement and TxDOT Use ONLY. Case TxDOT
Form CR‐3 ﴾Rev. 1/1/2015﴿ ID 150154124 Crash ID Page 4 of 4
ADDITIONAL DIAGRAM