Crash Costs For Highway Safety Analysis

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Crash Costs for Highway Safety AnalysisFHWA Safety Programhttp://safety.fhwa.dot.gov

CRASH COSTS FOR HIGHWAY SAFETY ANALYSISNoticeThis document is disseminated under the sponsorship of the U.S. Department ofTransportation in the interest of information exchange. The U.S. Government assumes noliability for the use of the information contained in this document.The U.S. Government does not endorse products or manufacturers. Trademarks ormanufacturers’ names appear in this report only because they are considered essential to theobjective of the document.Quality Assurance StatementThe Federal Highway Administration (FHWA) provides high-quality information to serveGovernment, industry, and the public in a manner that promotes public understanding.Standards and policies are used to ensure and maximize the quality, objectivity, utility, andintegrity of its information. FHWA periodically reviews quality issues and adjusts its programsand processes to ensure continuous quality improvement.

CRASH COSTS FOR HIGHWAY SAFETY ANALYSISTECHNICAL DOCUMENTATION PAGE1. Report No.FHWA-SA-17-0712. Government Accession No.4. Title and SubtitleCrash Costs for Highway Safety Analysis3. Recipient's Catalog No.5. Report DateJanuary 20186. Performing Organization Code7.Author(s)Tim Harmon, Geni Bahar, and Frank Gross8. Performing Organization Report No.9. Performing Organization Name and AddressVHB8300 Boone Blvd., Suite 700Vienna, VA 22182-262610. Work Unit No.11. Contract or Grant No.DTFH61-16-D-00005 (VHB)12. Sponsoring Agency Name and AddressFederal Highway Administration Office of Safety1200 New Jersey Ave., SEWashington, DC 2059013. Type of Report and PeriodFinal Report, Feb. 2017 – Jan. 201814. Sponsoring Agency CodeFHWA15. Supplementary NotesThe contract manager for this report was Karen Scurry.16. AbstractHighway safety benefit-cost analysis is a critical component of improving safety on our roadways. Highway safety improvementprojects—including those implemented through the Highway Safety Improvement Program (HSIP)—must be economicallyjustified such that their expected benefits exceed the costs. To determine the economic benefits of safety treatments, analystsuse crash costs to quantify the impacts of crashes reduced by the safety improvement project. Additionally, crash costs areoften used as part of network screening to identify the roadway locations with highest potential for safety improvement byquantifying the potential reductions in crash costs to roadway users.This guide documents a literature review and the results of a questionnaire sent to all FHWA Division Offices regarding crashunit costs and their application. Currently, there is no nationally recommended set of crash unit costs for use in highway safetybenefit-cost analysis. States independently select, modify, and update crash unit costs from one or more sources for theirhighway safety analyses.The Crash Costs for Highway Safety Analysis guide describes the various sources of crash costs, current practices and crashcosts used by States, critical considerations when modifying and applying crash unit costs, and an exploration of the feasibility ofestablishing national crash unit cost values. This guide proposes a new set of national crash unit costs for the FHWA HighwaySafety Benefit-Cost Analysis Guide and Tool as well as procedures to (1) update the crash unit costs over time, and (2) adjustthe crash unit costs to States based on State-specific cost of living, injury-to-crash ratios, and vehicle-to-crash ratio.17. Key Words:crash, cost, safety, analysis, benefit, economic,QALY, comprehensive, HSIP18. Distribution StatementNo restrictions.19. Security Classif. (of this report)Unclassified20. Security Classif. (of this page)UnclassifiedForm DOT F 1700.7 (8-72) Reproduction of completed pages authorizedii21. No. of Pages10522. Price

CRASH COSTS FOR HIGHWAY SAFETY ANALYSISiii

CRASH COSTS FOR HIGHWAY SAFETY ANALYSISTABLE OF CONTENTSLIST OF TABLES . VLIST OF FIGURES . VIIILIST OF ABBREVIATIONS . IXEXECUTIVE SUMMARY . 1CHAPTER 1. INTRODUCTION . 3CHAPTER 2. TERMS AND CONCEPTS . 4CHAPTER 3. SYNTHESIS OF LITERATURE . 11CHAPTER 4. SYNTHESIS OF PRACTICE . 28CHAPTER 5. CRASH COST CONSIDERATIONS . 36CHAPTER 6. FHWA SAFETY BCA TOOL CRASH COSTS . 58CHAPTER 7. SUMMARY . 67APPENDIX A: SELECTED CRASH GEOMETRIES . 70APPENDIX B: STATE CRASH COST QUESTIONNAIRE. 71APPENDIX C: STATE CRASH COSTS BY SEVERITY . 75APPENDIX D: PRACTICES IN DEVELOPING AND UPDATINGCRASH COSTS . 78APPENDIX E: QUESTIONNAIRE RESPONSES TO THE FEASIBILITYOF RECOMMENDING NATIONAL CRASH COSTS . 87APPENDIX F: STATE COST OF LIVING ADJUSTMENT FACTORS 91ACKNOWLEDGEMENTS . 94REFERENCES . 95iv

CRASH COSTS FOR HIGHWAY SAFETY ANALYSISList of TablesTable 1. AIS injury codes.(5) . 9Table 2. HSM crash costs for EPDO crash frequency (2001 dollars).(7) . 14Table 3. HSM crash unit costs by severity (2001 dollars).(7) . 14Table 4. HSM crash unit costs by type (2001 dollars).(7) . 15Table 5. Updated HSM crash unit costs (2016 dollars). . 15Table 6. National crash unit costs (2009 dollars).(10) . 16Table 7. National police-reported MAIS person-injury incidence in 2010.(11) . 17Table 8. MAIS economic person-injury unit costs and property damage per-vehicleunit costs, for reported and unreported crashes (2010 dollars).(11). 19Table 9. MAIS comprehensive person-injury unit costs and property damage pervehicle unit costs, for reported and unreported crashes (2010 dollars).(11). 20Table 10. KABCO-based non-fatal person-injury unit costs (2010 dollars).(11) . 20Table 11. Average economic person-injury unit cost by injury severity and pervehicle unit cost for PDO (2015 dollars).(14) . 21Table 12. Comprehensive person-injury unit cost by severity (2015 dollars).(14). 21Table 13. Updated AASHTOWare Safety Analyst crash unit costs (2015 dollars).(15). 22Table 14. Person-injury unit costs based on 2016 VSL (2016 dollars).(12) . 25Table 15. KABCO to MAIS translation factors.(19) . 26Table 16. Literature review summary. 27Table 17. National economic crash cost sources.(7,13) . 30Table 18. National comprehensive crash cost sources.(7,12,13) . 30Table 19. Crash unit cost summary of 33 States. . 31Table 20. Person-injury unit cost summary of seven States. . 31v

CRASH COSTS FOR HIGHWAY SAFETY ANALYSISTable 21. State severity-weighted cost levels. 34Table 22. Common uses for crash cost considerations and calculations. . 36Table 23. Translation factors to translate between KABCO and MAIS.(19) . 40Table 24. Example KABCO person-injury distribution. . 41Table 25. Translating KABCO person-injuries to MAIS person-injuries (using datain Table 23 and Table 24). . 41Table 26. MAIS to KABCO comprehensive person-injury unit cost translation forKABCO level A (2010 dollars). . 42Table 27. Example State-specific KABCO crashes and person-injury distribution. 47Table 28. MAIS person-injury unit costs (2010 dollars).(11) . 58Table 29. National KABCO person-injury unit costs (2010 dollars). . 59Table 30. 2010 MAIS to KABCO incidence translation (GES 2011-2015). . 60Table 31. National injury-to-crash ratios (GES 2011-2015). . 61Table 32. National KABCO crash unit costs (2010 dollars). 62Table 33. National KABCO crash unit costs (2016 dollars). 63Table 34. Recommended national KABCO comprehensive crash unit costs for theFHWA BCA Guide and Tool (2016 dollars). . 63Table 35. Example State-specific KABCO crash unit costs (2010 dollars). . 64Table 36. Example State-specific KABCO crash unit costs (2016 dollars). . 65Table 37. Example KABCO crash unit costs (2016 dollars). . 65Table 38. Example State-adjusted KABCO comprehensive crash unit costs (2016dollars). . 66Table 39. State crash costs. . 75Table 40. Alaska DOT base crash costs. . 78vi

CRASH COSTS FOR HIGHWAY SAFETY ANALYSISTable 41. Alaska DOT HSIP crash costs and EPDO weights for BCA (2016 dollars). 79Table 42. Arizona DOT crash unit costs for BCA (2008 dollars). . 79Table 43. Colorado DOT economic crash unit costs for BCA (2013 dollars). . 80Table 44. Florida DOT crash unit costs for predictive BCA (2013 dollars). . 80Table 45. Georgia DOT comprehensive crash unit costs for BCA (2013 dollars). . 81Table 46. Illinois DOT comprehensive crash unit costs for BCA (2016 dollars). . 81Table 47. Minnesota DOT comprehensive crash unit costs for HSIP BCA (2015dollars). . 82Table 48. North Carolina DOT injury-to-crash ratios. . 83Table 49. North Carolina DOT computation of fatal crash unit cost (2013 dollars). 83Table 50. Oklahoma DOT MAIS to KABCO direct conversion and comprehensivecrash unit costs (2016 dollars). . 84Table 51. Puerto Rico comprehensive crash unit costs. . 84Table 52. Texas DOT comprehensive crash unit costs (2014 dollars). . 85Table 53. Wyoming DOT comprehensive crash unit costs (2013 dollars). . 86Table 54. State crash cost PCI ratio adjustment factors.(20) . 91vii

CRASH COSTS FOR HIGHWAY SAFETY ANALYSISList of FiguresFigure 1. Equation. VSL update equation. . 23Figure 2. Graphic. Map of crash cost questionnaire respondents. . 28Figure 3. Chart. State crash cost sources. . 29Figure 4. Equation. Severity-weighted costs. . 33Figure 5. Chart. Summary of preferences on recommending national crash costs. 35Figure 6. Equation. Converting person-injury unit costs into a fatal crash unit costusing numbers of crashes and injuries. . 48Figure 7. Equation. State-specific crash cost adjustment. . 50Figure 8. Equation. CPI adjustment ratio calculation. . 51Figure 9. Equation. MUWE adjustment ratio calculation. . 51Figure 10. Chart. Process for developing and adjusting national KABCO crash unitcosts. 59Figure 11. Equation. Converting person-injury unit costs into a fatal crash unit costusing injury-to-crash ratio. . 61Figure 12. Equation. Calculation of comprehensive fatal crash unit cost from injuryto-crash ratios and person-injury unit costs. . 61Figure 13. Equation. Example calculation of State-specific comprehensive fatalcrash unit cost using crash and person-injury data from Table 27 in 2010 dollars. . 64viii

CRASH COSTS FOR HIGHWAY SAFETY ANALYSISLIST OF SSNCHRPNHTSANSCPCIPCRPDOQALYSPFTRBUSDOTVSLAmerican Association of State Highway and Transportation OfficialsCost of living index developed by U.S. Chamber of Commerce researchersAbbreviated Injury Scalebenefit-cost analysisbenefit-cost ratioCrashworthiness Data Systemconsumer price indexconsumer price index for all urban consumers, current seriesDepartment of Transportationempirical Bayesemployment cost indexemergency medical servicesequivalent property damage onlyFatality Analysis Reporting SystemFederal Highway Administrationgross domestic productGeneral Estimates SystemHighway Safety Improvement ProgramHighway Safety Manualscale used to represent injury severity in crash reportingMaximum Abbreviated Injury ScaleModel Minimum Uniform Crash CriteriaMedian Usual Weekly EarningsNational Automotive Sampling SystemNational Cooperative Highway Research ProgramNational Highway Traffic Safety AdministrationNational Safety Councilper capita incomepolice crash reportproperty damage onlyquality-adjusted life yearssafety performance functionTransportation Research BoardUnited States Department of Transportationvalue of a statistical lifeix

CRASH COSTS FOR HIGHWAY SAFETY ANALYSISEXECUTIVE SUMMARYSafety practitioners and researchers use crash costs to determine if safety improvementprojects are economically justified and to quantify economic impacts of crashes. Estimating thecost of crashes has been a relevant topic in highway safety for decades. The development of thesecond edition of the American Association of State Highway and Transportation Officials(AASHTO) Highway Safety Manual (HSM) and the variance in the crash costs used by States insafety benefit-cost analysis (BCA) has reignited discussion regarding the crash costs used in theHighway Safety Improvement Program (HSIP), HSM, and highway safety research projects.There are currently no universally recommended national crash costs for highway safetyanalysis, although this guide explores the feasibility of national crash costs. National costs wouldprovide consistency in project decisions and research, while lessening the burden on States toeach adopt and maintain their own crash costs.This guide summarizes literature that reports crash cost estimates, synthesizes current Statepractices to select and update crash costs, and presents the major issues surrounding crashcost estimation and application. A questionnaire sent to Federal Highway Administration(FHWA) Division Offices showed that State procedures in selecting, updating, and applyingcrash costs vary widely. However, the variance in States’ practices has a greater impact oncomparisons between States than on the effectiveness of programs and projects within eachState.The following crash cost considerations are discussed throughout the guide: Differences in crash cost estimation methodologies. Difference in economic and comprehensive crash unit costs. Impact of injury scale on crash unit costs, including the translation between injury scales. Crash unit cost values by type and severity. Weighted crash unit costs. Conservativeness in crash costs. Converting between crashes and injuries or vehicles. Differences in crash costs among jurisdictions and how to account for those differences. Importance of consistent crash costs in application. Feasibility of recommending national crash cost values.1

CRASH COSTS FOR HIGHWAY SAFETY ANALYSISRegarding those considerations, the guide identifies the following recommendations forpractice: In general, it is only practical to use estimated crash unit costs in safety BCA. It is critical to account for the comprehensive costs of crashes. Analysts should strive to estimate the long-term average predicted or expected crashfrequency and apply unweighted crash unit costs, rather than continue to use observedcrash frequency in safety BCA and attempt to fix the results with weighted crash unitcosts (e.g., combining fatal and serious injury costs). Using weighted crash unit costs in safety BCA is acceptable if developed with an actualcrash severity distribution from the jurisdiction to which they will be applied. Regardless of injury scale, analysts should use comparable data from only one injuryscale in safety BCA and translate between the scales if needed. It is important to use accurate estimations, rather than arbitrarily using high or lowcrash unit costs without considering the accuracy of the estimation methodology. Analysts should consider costs of all crash severities and types in safety BCA. Crash unit costs should be applied to the number of crashes, and person-injury unitcosts should be applied to the number of involved-persons in crashes, throughout BCA. Analysts should adjust for differences in crash unit costs from national estimates toState-specific estimates when possible. Analysts should use and apply consistent crash unit costs for all projects.This guide presents the following national crash unit costs for use as default crash unit costvalues in the FHWA Highway Safety BCA Guide and Tool, as well as procedures to adjust thesecosts to States.SeverityComprehensive Crash Unit Cost (2016 dollars)K 11,295,400A 655,000B 198,500C 125,600O 11,9002

CRASH COSTS FOR HIGHWAY SAFETY ANALYSISCHAPTER 1.CHAPTER 1INTRODUCTIONSafety improvement projects are investments that aim to reduce crash frequency or severity atone or more locations. Each project should be economically justified, such that the benefits ofthe project (e.g., predicted crash reduction) outweigh the sum of costs incurred as a result ofthe project (e.g., engineering, construction, maintenance, change in user costs). Crash costs arethe means to monetize the change in crashes (i.e., benefits) for economic comparison to costs.There is no universally standard set of crash costs to use in safety economic analysis. Each Statetypically establishes crash costs for use internally or across their jurisdiction, which has led to agreat disparity in crash costs between States.1.1OBJECTIVESThe objective of this guide is to present the various sources of crash costs, the methods usedto estimate crash costs, current practices at State Departments of Transportation (DOT),considerations when applying crash costs in safety analysis, and the feasibility of establishingnational crash cost values for safety programs and research. The guide does the following toachieve this objective: Summarizes the methodologies used by State agencies to determine crash cost values. Describes the impacts of the different crash cost estimation methodologies and valueson road safety program development and research. Discusses the advantages and disadvantages of a national set of crash cost values. Recommends crash unit costs for the FHWA Highway Safety BCA Guide and Tool.Based on a review of literature and practice, this guide also presents procedures for analysts toadjust national crash unit costs to States as well as information on how analysts could improvethe accuracy and consistency of safety economic analysis.1.2GUIDE ORGANIZATIONThis guide begins by defining terms and concepts used throughout the document such as injuryscales, crash cost types, and crash cost components. The following sections synthesize relevantliterature and practice before discussing various crash cost considerations. This guide concludeswith recommended default crash unit costs for use in the FHWA Highway Safety BCA Guideand Tool as well as suggestions for future practice and research.3

CRASH COSTS FOR HIGHWAY SAFETY ANALYSISCHAPTER 2.CHAPTER 2TERMS AND CONCEPTSThis chapter presents terms and concepts used throughout the guide. The chapter begins witha list of definitions and terminology, followed by crash cost concepts and injury scales used inthe guide.2.1DEFINITIONS AND TERMINOLOGYThis section defines important terminology and conventions used throughout the guide.Crash: An event that may involve multiple vehicles, vehicle occupants, and non-occupants. Eachcrash involves at least one involved person and may include one or more injuries. Themaximum injury severity of the victims in each crash defines the overall severity of the crash.Crash costs: For the purpose of this guide, this term describes some general valuation of theimpacts of crashes in monetary terms. Such valuation may represent the cost of a crash, costper injury, or otherwise.Crash cost components: The individual aspects of crash costs (e.g., medical costs, propertydamage costs).Equivalent Property Damage Only (EPDO): A method of weighting crashes by severityusing the equivalent number of property damage only (PDO) crash costs to develop theweights. For example, given a fatal crash unit cost of 10,000,000 and PDO unit cost of 10,000, the fatal EPDO weight would be 1,000, as a fatal crash unit cost is equivalent to thecost of 1,000 PDO crashes. EPDO is similar to crash costs and is less dependent on annualupdates; however, it cannot be compared to other monetary benefits or costs.Incidence: The frequency of crashes or injuries in a jurisdiction for a given period.Injury: Each person in a crash may sustain several injuries of various severities. The injuredperson is typically classified by their most severe injury. Injury typically refers to the individualinjuries a person sustains. However, most of this guide discusses injuries on a per-person basis.In most cases, the guide uses the term person-injury, discussed below, to clarify this point.Involved person: Someone included in the crash event as a driver, passenger, bicyclist, orpedestrian (i.e., not simply a witness), who may be injured or have no injury from the crash.Person-Injury: Data for an injured person. While a person may sustain multiple injuries in acrash, the term person-injury serves to clarify that each injured person is counted once andthat such costs are on a per-injured-person basis, rather than considering each of a person’s4

CRASH COSTS FOR HIGHWAY SAFETY ANALYSISCHAPTER 2many potential injuries separately. Person-injuries are classified by the most severe injuryincurred by each person.State: For ease of writing, this guide refers to “States” or “State-specific” in many contextsthat could also include District of Columbia, Puerto Rico, and potentially other United Statesterritories.Unit costs: The specific cost values per crash (i.e., crash unit costs) or cost values per injuryor involved person (i.e., person-injury unit costs). Unit costs may be disaggregated by severity,type, or both.Unweighted costs: The estimated costs of crashes by disaggregate severity and type (i.e.,without weighting, as described next).Weighted costs: Estimated crash unit costs or person-injury unit costs that are averaged orblended across two or more crash types or severity levels. For example, a weighted averagefatal and serious injury cost averages the fatality cost and serious injury cost by the proportionof respective crashes to develop one weighted cost for all fatal and serious injuries. Theweighted cost is then applied to both fatal and serious injury crashes. Weighted costs areindicated using notation such as K/A for a fatal and serious injury weighted cost or A/B/C for aweighted non-fatal injury cost (in the KABCO scale, which is defined later). Although mostweighted costs are developed for multiple crash types or severity levels, they could bedeveloped for other combinations of crash characteristics. Weighted costs are discussedfurther in Chapter 5.2.2CRASH COSTSCrashes result in tangible and intangible consequences. The tangible consequences—oreconomic costs—can be directly measured in monetary terms (e.g., medical bills, lost wages).The intangible consequences—such as the physical pain and emotional suffering of peopleinjured in crashes and their families—comprise the other impacts of crashes. The intangibleconsequences can be monetized as quality-adjusted life years (QALY).2.2.1Economic CostsEconomic costs (a.k.a., human capital costs) are the monetary impacts of crashes includinggoods and services related to the crash response, property damage, and medical costs.Economic costs are the direct and indirect costs to individuals and society from a decline ingeneral health of crash victims, including the following components: Emergency services provided by police, emergency medical services (EMS), fire services,and incident management services at the scene of the crash.5

CRASH COSTS FOR HIGHWAY SAFETY ANALYSISCHAPTER 2 Medical services provided in the emergency rooms, in hospitals as inpatients andoutpatients, out of hospital costs (e.g., physical therapy, rehabilitation, prescriptions,prosthetic devices, home modifications), and coroner services in the event of fatalinjuries. Some studies include EMS costs within medical costs. Market productivity loss due to lost wages and fringe benefits over the victim’sremaining life span, expressed in present value. Household productivity loss due to the lost ability to perform one’s normal householdresponsibilities (i.e., related to the injured or killed victims and other family memberscaring for the crash victim), equivalent to the present value of hiring a person toaccomplish the same tasks. Insurance administration to process insurance claims (e.g., medical expenses, liability,disability, worker’s compensation, welfare payments, sick leave, property damage, lifeinsurance) resulting from the crash, and the cost of defense attorneys. Workplace costs due to an employee’s absence (e.g., new employee retraining, overtimeto accomplish work of the injured employee, administration of processing personnelchanges). Legal costs due to operating courts and fees during civil litigation resulting from thecrash. Congestion impacts due to travel delay to those not involved in the crash, added fuelconsumption, and increased pollution. Property damage to vehicles, cargo, roadways, and roadside furniture.2.2.2Quality-Adjusted Life YearsThe lost quality-of-life due to death or injury can be quantified by estimating the value thatpeople put on their lives (i.e., by determining the price they would pay to avoid risk of death orinjury, often based on revealed preferences from marketplace choices such as deciding topurchase safer, more expensive protective gear or equipment) and then quantifying the portionof a full life lost due to the crash. An estimated value based on willingness to pay is referred toas the value of a statistical life (VSL). VSL is the monetary valuation of risk reduction in terms ofthe cost corresponding to the prevention of one fatality. VSL is not a valuation of life (i.e., anaverage actual life); rather it is a valuation of risk reduction. VSL does not include economiccosts.The intangible consequences due to a non-fatal injury are referred to as the lost quality-of-life.The metric to value these losses is the QALY. QALY costs are determined by the duration andseverity of the health problem. A numerical scale for rating health-related quality-of-life ranges6

CRASH COSTS FOR HIGHWAY SAFETY ANALYSISCHAPTER 2from death with a value of 0 to perfect health with a value of 1. The VSL guidance from UnitedStates Department of Transportation (USDOT), described in Chapter 3, establishes relativedisutility factors for non-fatal injury levels using the maximum abbreviated injury scale (MAIS).Relative disutility factors are relative fractions of VSL adopted for a given analysis year.(1)2.2.3Comprehensive CostsComprehensive crash costs (a.k.a., societal crash costs) are the combination of tangible impacts(i.e., economic costs) and the monetized pain and suffering (i.e., QALY). Comprehensive costsare meant to capture all the impa

Safety Benefit-Cost Analysis Guide and Tool as well as procedures to (1) update the crash unit costs over time, and (2) adjust the crash unit costs to States based on State-specific cost of living, injury-to-crash ratios, and vehicle-to-crash ratio.

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