Iowa State Patrol: Department of Public Safety
Minimal Crash Report:

 Case Number:  2021017156  Type:  Fatality  County:  62
 Crash Date:  07162021  Time:  1630
 Location:  US-63 & 310TH ST
 
 Vehicle 1 Year:  2015  Make:  CAT  Type:  GARBAGE TRUCK
 Towed By:  BILL & RAY'S TOWING
 Driver Name:  MICHAEL ROSS BLOM  Age:  24
 City & State of Residence:  ROSE HILL, IA
 
 Vehicle 2 Year:  2004  Make:  CHEV  Type:  MALIBU
 Towed By:  BILL & RAY'S TOWING
 Driver Name:  RANDOLPH S BEATY  Age:  58
 City & State of Residence:  AMBOY, IN
 
 Vehicle 3 Year:     Make:     Type:   
 Towed By:   
 Driver Name:     Age:   
 City & State of Residence:   
 
 Injury 1 Type:  Fatality
 Name:  RANDOLPH S BEATY  Age:  58
 City & State of Residence:  AMBOY, IN
 Seatbelt Use:  No  Life saved by Seatbelt:   
 Transported To:  MAHASKA HEALTH  Transported By:  MAHASKA HEALTH
 
 Injury 2 Type:  Injured
 Name:  JEFFREY L DAVIS  Age:  56
 City & State of Residence:  FORT WAYNE, IN
 Seatbelt Use:  Yes  Life saved by Seatbelt:   
 Transported To:  OSKALOOSA HOSPITAL  Transported By:  MAHASKA CO EMS
 
 Injury 3 Type:   
 Name:     Age:   
 City & State of Residence:   
 Seatbelt Use:     Life saved by Seatbelt:   
 Transported To:     Transported By:   
 
 Injury 4 Type:   
 Name:     Age:   
 City & State of Residence:   
 Seatbelt Use:     Life saved by Seatbelt:   
 Transported To:     Transported By:   
 
 Injury 5 Type:   
 Name:     Age:   
 City & State of Residence:   
 Seatbelt Use:     Life saved by Seatbelt:   
 Transported To:     Transported By:   
 
 Injury 6 Type:   
 Name:     Age:   
 City & State of Residence:   
 Seatbelt Use:     Life saved by Seatbelt:   
 Transported To:     Transported By:   
 
 Motor Carrier Info (IF Large truck is involved)
 Name of Carrier:  MAXIM TRUCKING AND MATER
 DOT or MCC #:   
 City & State of Carrier:  PELLA, IA  Hazmat Involved?:  No
 
 Summary:  
    UNIT #1 WAS EB ON 310TH ST IN MAHASKA CO/UNIT #2 WAS NB ON HWY 63 IN THE
RIGHT LANE/UNIT #1 FAILED TO YIELD TO UNIT #2 FROM A CROSS OVER ON HWY
63/UNIT #2 STRUCK THE PASSENGER SIDE OF UNIT #1 AND WAS PINNED NEAR THE
REAR AXLES/BOTH VEHICLES CAME TO REST ON 310TH ST ON THE EAST SIDE OF HWY
63 ASSISTING AGENCIES-EDDYVILLE FIRE DEPARTMENT MAHASKA COUNTY DEPUTIES
MAHASKA COUNTY EMT OSKALOOSA FIRE DEPARTMENT THIS ACCIDENT REMAINS UNDER
 
 Officer Name:  ISP 362 TRAIL  Post:  13
 Assisted By:  EDDYVILLE FD, MAHASK


Any questions about this report may be directed to the following address:
Iowa State Patrol District 13 Office
1300 S Grand Ave
Mt Pleasant,IA 52641-1862
Phone: (319) 385-8715
Fax: (319) 385-2743