Cruise LLC OMB No. 2127-0754. Expires: 3/31/2026. UNITED STATES DEPARTMENT OF TRANSPORTATION NATIONAL HIGHWAY TRAFFIC SAFETY ADMINISTRATION Standing General Order 2021-01 ‘Appendix C - Incident Report Ss foai2-6175-1 Cruise av 72002 706581 ‘wandersmounencianeatey INST say oreraton TE sos eOURrED? vw 5621 A6POON Rare (Cerri Te ‘a Tenn ie vin AUDUROY OST OE AE TMEO HE sola Cruise LLC ae ‘oan saron OEOWLEOHY NO gonna SiamecrTasnour © LUM INA [sees aliaia = J] ves (specity be [Gener otos, LLC) ¥] sao ear ica fessuossisevensoy luv os waspomsremnuroune yy een) ants anssormurevengoy inn Eee [REDACTED CONFIDENTIAL BUSIN! son [REDACTED CONFIDENTIAL BUSINE [REDACTED CONFIDENTIAL BUSI] “TRE scoTeD CONFIDENTIAL BUSY SOURCE ronearosTE UK eerie Atay) UK ‘cree an eweterceret ate: v262028 ona Twente sera NoTCERECENED OME 26/2028 Pou net eas uve LONGTIDE yy Loca anorESs/ unk or uM six zecooe _UNK (ean Desonno ‘San Francisco ow DESCRIPTION SPEEDUMT MDH) No Unusual Conations 25 uy Fog/ Ske ote Dark - LightedNon-Motorist: Pedestiar M LAW BORCENENT VESTIOATNG? RESTORING AGBLCY uae tei re (NOE ‘San Francisco Police Departmer | "FSS? TS one TERE |esnaaron | UNK WESTIOATOR fy UN INVESIOATOR fr) UN (EEE (000 100.0001 S wa vacLE wants O00 ATTHETME OF THE INDENT? Publ verse}. |REDACTED CONFIDENTIAL BUSING Pri awtten desrplon othe pre-ash ash and pos rash celal oudng he deco ol av Fino, Povo eentn or ay reoponseeineag se rai. ist SIABAS ar ASS eaurecenannt por he rat, chennoe ary ADAG o ADS tenure Gaengeqmonte aang pe mason an pe eins ta aorgapenars tow Indetethie ean pnts ross stemiesrapar an, poise proausapont BEPOAT IO Hyoseaaed Neda ar nue he lnedet armabon colar, pode ‘SOURL orleans Powe ay her masbliomstion NARRATIVE abo Weson) ‘ACiuee auzenomous vehicle (AV), operating in crveress autonomous made, we at complete sop in respcnee to red ight on scuthbou" HI te interaoction wit ‘Apedeatian was standing on he comer adjacont to tho AV while the AV was copped. Tho AV bogan Drecosding forward air tha Lght ted gree. Afar he AV bogan proceeding fonwars, he pacestian stepped off the curb nt he crossualkin ron of he [Tho AV swerved ang then braked, bu the pedastian made contact withthe AV wile ho AV was Yaveling axproximataly 14 mph This cased no ‘damage fo he AV Paice and Emergency Macal Senices (EMS) were called tothe scene, The pedestian was ansporad by EMIS. [REDACTED (CONFIDENTIAL BUSINESS INFORMATION) 2 charac eng PAPERWORK REDUCTION ACT STATEMENT Aer ein mayo cart sonso and aac loge espana ner sala perc be tel oa ay Tale wean ih solace titration subject oe ‘eaeret Be Paper Aeon At wena thal ace roman play acre valé OME Canal ‘imbar hiiokestiate ht conpcing a uring hs or wl iakabtucon torus ane 9 ave Te Ca Cael Neverthe wrest lection 21270768 pees 4612026 Theintrmson slater and Stang Gonrl aa 2021. mya manfnlss and oper of wees amp ah ADS er Level? DAS oper cto ‘cashes DNMIGA Then ill eager ardent Ihe elt tonrch non sepatsnaly arose Galois lang whaber man dactrre a oa eropinoydealgn tar sme atod ono oeeacte sss