11I17l2017 6:00 AM Master Record Number 101099586 Type Of Crash Fatal Approved By [11663 Tennessee Electronic Traffic Crash Report Incident Information Date of Crash Day Of Crash Local Agency Number Reporting Agency Name Agency Tracking Number 2I3l2016 Wednesday 0470000 Knox Co Sheriffs Of?ce 1602030223 Time of Crash Time Noti?ed Time Arrived County City 19:32 19:32 19:32 Knox Total Vehicles Total Occupants Total Non-Occupants Total Killed Total Injured Total Unlnjured 1 2 0 1 1 0 Hit and Run Solved Police Pursuit School Bus Involved Photos Taken By Photographer Name No Police 11 CAMPBELL Area Interchange Related Intersection Type Residential Not at Intersection Block Number Roadway Number Roadway Name Suf?x Mile Marker 7832 BELL RD 0.00 Estimated Distance Distance Type Direction From Highwayilntersection Suf?x Intersect Number 100.00 Feet South MOUNTAIN RISE DR Roadway Local Id Intersect Local Id Relation To Junction Relation to Roadway Route Signing Non-Junction Shoulder County Route Work Zone Construction Zone None Construction Location Workers Present First Harmful Event Trai?cway Type Standing Tree Trafficway-OPEN Weather Conditions Light conditions Latitude Longitude Rail Crossmg Id Clear Dark-Not Lighted 36.108240 43.898680 Manner of Collision Not Collision with Mo tor Vehicle in Transport 1st Collision Factor 2nd Collision Factor 3rd Collision Factor Incident Management Secondary Crash Secondary Crash Type Blockage Occurred Roadway Lanes Blocked Roadway Lanes! Cleared Lanes Blocked Incident Started Incident Cleared Investigating Officer Details Investigation Complete Rank PTL First Name STEVE Middle Initial Last Name LANE Suf?x Badge Number 11520 104 DistricUZone Car Number T-a Report Date 021041201 6 Assisting Of?cers Rank LT First Name DAVID Middle Na Last Name AMBURN ITIB Suf?x Badge Number 0000 District! Zone 1 04 Car Number 300 Report Signed Report Date SF - 1481 (Rev THE) 1 of RDA 1348 Vehicle Number Number oi Occupants Driver Presence 1 2 Driver Operated Driver Information First Name Middle Initial Last Name Suf?x Date Of Birth Age HARLEY MARTIN 515? 937 28 Address Line 1 Address Line 2 City State Zip Code 703 RACCOON VALLEY RD Maynardville TN 37807 Phone 1 Phone 2 Phone 3 Race Ethnicity Gender 0000000000 aiufoasian??dexicanll?uerto RicanlOther No n-Hi sp a ni Drivers License Number Drivers License State Expiration Date Drivers License Class Drivers License Status 101473851 TN 2017 Valid Safety Equipment Airbag Seat Position Unknown Available-Unknown Deployed Front Seat-Left Side Endorsement 1 Complied With Endorsement 2 Complied With Endorsement 3 Complied With None Restriction 1 Complied With Restriction 2 Compiled With Restriction 3 Complied With None Ejected Ejection Path TrappedlExtn'cated Not Elected Not Trapped Injury Code Medical Transport AmbulanceiHospital lncapacltating EMS-Ground UT Driver Conditions and Actions Hit and Run DriverNehicle Maneuver Distraction No Hit And Run Going Straight Unknown Driver's 151 Condition Driver's 2nd Condition Driver's 3rd Condition Unknown Driver's 1st Action Failure To Keep In Proper Lane Drivers 2nd Action Speed Too Fast For Conditions Driver's 3rd Action Reckless Negligent Driving Driver?s 4th Action Alcohol and Drugs Presence of Alcohol Determination Method Alcohol Test Status Yes Evidential Test (Breath, Blood, Urine) Test Given 1st Alcohol Test Type 1st Alcohol Test Result 2nd Alcohol Test Type 2nd Alcohol Test Result Whole Blood .18 Presence of Drugs Determination Method Drug Test Status No Evidential Test (Breath, Blood. Urine) Test Given 151 Drug Test Type 1st Drug Test Result 2nd Drug Test Type 2nd Drug Test Result 3rd Drug Test Type 3rd Drug Test Result Blood Test Unknown Driver Violations 1st Violation 1st Violation Category ist Violation Description 1st Violation Statute Pending 2nd Violation 2nd Violation Category 2nd Violation Description 2nd Violation Statute Pending 3rd Violation 3rd Violation Category 3rd Violation Description 3rd Violation Statute 4th Violation 4th Violation Category 4th Violation Description 4th ViolationStatute 5th Violation 5th Violation Category 5th Violation Description 5th ViolationStatute SF 1481 {Rev 7i15} RDA 1348 Vehicle Information Owner Same as Driver Owner First Name Owner Middle Name Owner Last Name Owner Suf?x SARAH HOWE Address Line 1 Address Line 2 City State Zip Code Phone 1 417 RED BUD CIR Luttrell TN 37779 0000000000 Phone 2 Phone 3 Vehicle Year Vehicle Make Vehicle Model Color 2012 KIA SOUL Green VIN License Plate Number State Plate Expiration Body Style GSB41T Tennessee 102016 Four-Door Sedan Hardtop FMCSA Reportable? Bus Use Unit Type Not Used As School Bus Motor Vehicle ln-Transport Gross Weight Vehicle Con?guration 10000 or Less-No Haz-B Or Less Vehicle Operation Type Cargo Body Type Personally OwnedlUsed 1st Factor 2nd Factor 3rd Factor NONE Vehicle Special Use Emergency Use OverridelUnderride No Special Use Towed Towed Location Towed Due To Vehicle Damage CEDAR BLUFF WRECKER SERVICE 1st Trailer ?Ist Trailer License Plate Information 2nd Trailer 2nd Trailer License Information Insurance 1 Insurance 1 Type Insurance 1 Carrier Insurance Start Date Insurance 1 End Date Unknown Insurance 2 Insurance 2 Type Insurance 2 Carrier Insurance 2 Start Date Insurance 2 End Date Insurance 3 Insurance 3 Type Insurance 3 Carrier Insurance 3 Start Date Insurance 3 End Date Vehicle Damage and Roadway Characteristics Most Harmful Event Fire in Vehicle Standinglree Events 1 Events 2 Events 3 Standing Tree Events 4 Events 5 Events 6 Point of First Impact Extent of Damage Of?cer Damage Estimate All Areas Disabling Damage Greater Than 400 Dollars Areas of Vehicle Damage All Areas Travel Direction Traveling On North BELL RD Trafticway Flow Roadway Surface Type Number of Travel Lanes Two-Way Not Divided Asphalt Two Lanes Traf?cway Hazards None Traf?c Control Devices Traf?c Control Device Functioning Roadway Route Signing No Control No Controls County Route Roadway Surface Conditions Roadway Character Alignment Roadway Character Profile Wet Straight Level Speed Limit Access control 30 No Control SF - 1431 (Rev 7115) RDA 1348 Occupants Person Type Passenger First Name Middle Name Last Name Suf?x Date Of Birth Age SARAH HOWE 32411987 28 Address L-?ne 1 Address Line 2 City State Zip Code 417 RED BUD CIR Luttrell TN 37779 Phone 1 Phone 2 Phone 3 Gender Seating Position 0000000000 Front Seat-Right Side Airbag Safety Equipment Available-Unknown Deployed Unknown Ejected Ejection Path TrappediExtricated Not Elected Not Trapped injury Code Medical Transport AmbulanceiHospital Fatal UT Alcohol and Drugs Presence of Alcohol Determination Method Alcohol Test Status No Test Not Given 1st Alcohol Test Type 1st Alcohol Test Result 2nd Alcohol Test Type 2nd Alcohol Test Result Presence 0f Drugs Determination Method Drug Test Status No Test Not Given 1st Drug Test Type 1st Drug Test Result 2nd Drug Test Type 2nd Drug Test Result 3rd Drug Test Type 3rd Drug Test Result Violations 1st Violation ist Violation Category 1st Violation Description 1st Violation Statute 2nd Violation 2nd Violation Category 2nd Violation Description 2nd Violation Statute 3rd Violation 3rd Violation Category 3rd Violation Description 3rd Violation Statute 4th Violation 4th Violation Category 4th Violation Description 4th Violation Statute 51h Violation 51h Violation Category 5th Violation Description 51h Violation Statute Commercial Carrier Information US DOT Carrier Name Carrier Type ICC MC TN DDS Address Line 1 Address Line 2 City State Zip Code Phone 1st Hazardous Materials HAZMAT Class Placard Placard Released Hazardous Materials Released 2nd Hazardous Materials HAZMAT Class Placard Placard Released Hazardous Materials Released 3rd Hazardous Materials HAZMAT Class Placard Placard Released Hazardous Materials Released SF - 1481 (Rev 7i'15) 4 or 5 RDA 1348 Collision Witnesses First Name Middle Name Last Name Suf?x Date Of Birth DANNY HICKEY Address Line 1 Address Line 2 City State Zip Code 7616 BELL RD Knoxville TN 37838 Phone 1 Phone 2 Phone 3 8652156000 8652565605 Property Owner information Other Property Damages Property Description Private Property-Under 400 MAIL BOX First Name Middle Name Last Name Suf?x SHAWN NICHOLSON Address Line 1 Address Line 2 City State Zip Code 7632 BELL RD Knoxville TN 37838 Phone 1 Phone 2 Phone 3 8656847348 Narrative On 0210312016 at 1932 hours. I of?cer Lane. T6 was called to Bell Rd to investigate an auto accident. After hearing statements from of?cers and a witness on the scene I determined that Driver 1 was traveling at a high rate of speed on Emory Rd. passing other vehicles on the double yellow line. Chief Henderson witnessed driver 1 speeding and passing the other vehicles. Chief Henderson observed vehicle 1 turn right onto Brown Gap Rd. Chief Henderson called Lt Ambum and advised Ambum about driver 1's reckless behavior. Lt Amburn was standing by at Brown Gap and Crippen Rd. Lt Ambum states driver 1 saw him sitting on Brown Gap with his blue lights activated and. without slowing down. driver 1 slid his vehicle sideways and through a ditch. almost hitting Lt Amburn head on. Driver 1 then sped off at a high rate of speed down Brown Gap Rd. then turning onto Bell Rd. traveling east bound. Vehicle 1 crossed Emory Rd and continued onto Bell Rd. While negotiating a curve driver 1 lost control. ran off the road and hit a tree.Vehlcle 1 caught tire.The passenger was found next to the passenger side of the vehicle. The driver was pulled from the vehicle .The passenger was air-lifted to UT Hospital where she later passed away irom her injuries.While in the hospital. driver 1 made a statement to Lt Ambum that he should not have been driving because he was under the in?uence of an intoxicant. SF - 1481 (Rev W15) cut RDA 1348 1?1r2712013 TITAN Viewer Master Record Number/Incident ID2101099586 (2 documents) COLLISION (11/17/2017) DIAGRAM (11/17/2017) @Map Not To Scale Bell Rd 7632 1H