U
N
I
T
2
|
Driver's Name - Last SULLIVAN |
First SHAWN |
Middle JOHN |
Suffix
|
City BETTENDORF |
State IA - Iowa, US |
Zip 52722 |
Driver's Age 28 |
Citation Charge Code 1
|
Citation Charge 1
|
Gender Male |
State IA - Iowa, US |
Class C - Non-commercial vehicle or commercial Veh w/26000 GVWR or less & either 16 Pass Design or Hazmat |
Endorsements None |
Restrictions
None |
Citation Charge Code 2
|
Citation Charge 2
|
Alcohol Test Given? 1 - None |
Drug Test Given? 1 - None |
Citation Charge Code 3
|
Citation Charge 3
|
Citation Charge Code 4
|
Citation Charge 4
|
Seating Position 01 - Front: Left Side / Motorcycle Driver |
Injury Status 2 - Incapacitating |
Occupant Protection 2 - Shoulder and lap belt used |
Airbag Deployment 1 - Deployed front of person |
Airbag Switch Status 3 - No ON/OFF switch present |
Ejection 1 - Not ejected |
Ejection Path
|
Trapped 2 - Freed by non-mechanical means |
Transported to: GENESIS EAST HOSPITAL |
Transported by: MEDIC AMBULANCE |
Insurance Co. Name
|
Year 2007 |
Make Ford - FORD |
Model CVC |
Style 4D |
Approximate Cost to Repair or Replace 10000 |
Initial Travel Direction 2 - East |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 35 |
Point of Initial Impact 08 - Left Front |
Most Damaged Area 01 - Front |
Extent of Damage 5 - Severe, vehicle totaled |
Underride/Override 1 - None |
Total Occupants 01 |
Traffic Controls 02 - Traffic signals |
Vehicle Config. 01 - Passenger car |
Cargo Body Type 01 - Not applicable |
Vehicle Defect 01 - None |
Driver Condition 1 - Apparently normal |
Vision Obscured 01 - Not obscured |
Contributing Circumstances, Driver (up to 2)
|
| SEQUENCE OF EVENTS |
First Event 06 - Evasive action (swerve, panic braking, etc.) |
Second Event 21 - Vehicle in traffic |
Third Event
|
Fourth Event
|
Most Harmful Event (by vehicle) 38 - Poles (utility, light, etc.) |
Emergency Vehicle Type 2 - Police |
Emergency Status 1 - Yes, in emergency |
Carrier Name
|
City
|
State
|
Zip
|
Number of Axles
|
Gross Vehicle Weight Rating
|
Placard #
|
Hazardous Materials Released?
|
U
N
I
T
3
|
Driver's Name - Last PAYNE |
First BRADLEY |
Middle DELMAR |
Suffix
|
City DAVENPORT |
State IA - Iowa, US |
Zip 528030000 |
Driver's Age 52 |
Citation Charge Code 1
|
Citation Charge 1
|
Gender Male |
State IA - Iowa, US |
Class B - Veh w/26001 GVWR or more Towed unit is less than 10001 GVWR |
Endorsements None |
Restrictions
None |
Citation Charge Code 2
|
Citation Charge 2
|
Alcohol Test Given? 1 - None |
Drug Test Given? 1 - None |
Citation Charge Code 3
|
Citation Charge 3
|
Citation Charge Code 4
|
Citation Charge 4
|
Seating Position 01 - Front: Left Side / Motorcycle Driver |
Injury Status 5 - Uninjured |
Occupant Protection 2 - Shoulder and lap belt used |
Airbag Deployment 5 - Not deployed |
Airbag Switch Status 3 - No ON/OFF switch present |
Ejection 1 - Not ejected |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to:
|
Transported by:
|
Insurance Co. Name
|
Year 1995 |
Make Cadillac - CADI |
Model DEV |
Style 4D |
Approximate Cost to Repair or Replace 1500 |
Initial Travel Direction 3 - South |
Vehicle Action 11 - Stopped for stop sign/signal |
Speed Limit 35 |
Point of Initial Impact 01 - Front |
Most Damaged Area 01 - Front |
Extent of Damage 2 - Minor damage |
Underride/Override 1 - None |
Total Occupants 04 |
Traffic Controls 02 - Traffic signals |
Vehicle Config. 01 - Passenger car |
Cargo Body Type 01 - Not applicable |
Vehicle Defect 01 - None |
Driver Condition 1 - Apparently normal |
Vision Obscured 01 - Not obscured |
Contributing Circumstances, Driver (up to 2)
|
| SEQUENCE OF EVENTS |
First Event 21 - Vehicle in traffic |
Second Event
|
Third Event
|
Fourth Event
|
Most Harmful Event (by vehicle) 21 - Vehicle in traffic |
Emergency Vehicle Type 1 - Not applicable |
Emergency Status 3 - Not Applicable |
Carrier Name
|
City
|
State
|
Zip
|
Number of Axles
|
Gross Vehicle Weight Rating
|
Placard #
|
Hazardous Materials Released?
|
|
P
R
O
P
E
R
T
Y
D
A
M
A
G
E
|
If Property other than vehicles damaged explain |
Object Damaged TRAFIC SIGNAL POLE |
Estimate of Damage 1500 |
Owner's Name - Last
|
First
|
Middle
|
Suffix
|
Owner Company Name CITY OF DAVENPORT |
City DAVENPORT |
State IA - Iowa, US |
Zip
|
| ACCIDENT ENVIRONMENT |
ROADWAY CHARACTERISTICS Major Contributing Circumstances: |
WORKZONE RELATED? |
SEQUENCE OF EVENTS |
Location of First Harmful Event 1 - On Roadway |
Weather Conditions (up to two) 03 - Cloudy |
Environment 2 - Weather condition |
Location
|
First Harmful Event of Crash (use codes 11-42 only) 21 - Vehicle in traffic |
Manner of Crash/Collision 6 - Sideswipe, same direction |
Roadway 01 - None apparent |
Type
|
Light Conditions 1 - Daylight |
Surface Conditions 2 |
Type of Roadway Junction/Feature 11 - Four-way intersection |
Workers Present?
|
D I A G R A M
0 |
|
| NARRATIVE |
UNIT 1 AND UNIT 2 WERE BOTH POLICE VEHICLES OPERATING IN AN EMERGENCY STATUS WITH EMERGENCY LIGHTS AND SIRENS ACTIVATED. UNIT 1 AND 2 WERE BOTH EASTBOUND ON WEST LOCUST STREET. UNIT 3 WAS STOPPED FACING NORTH ON GAINES STREET AT THE INTERSECTION OF WEST LOCUST STREET. UNIT 1 ATTEMPTED TO MAKE A RIGHT TURN ONTO GAINES STREET FROM THE LEFT LANE. UNIT 2 WAS TRAVELING STRAIGHT IN THE RIGHT LANE OF WEST LOCUST STREET. UNIT 2 SWERVES TO THE RIGHT IN AN AT ATTEMPT TO AVOID A COLLISION WITH UNIT 1 AS IT BEGAN TO TURN INTO THE PATH OF UNIT 2. THE LEFT SIDE OF UNIT 2 SIDESWIPED THE RIGHT SIDE OF UNIT 1. UNIT 2 THEN SIDESWIPED THE FRONT OF UNIT 3. UNIT 2 THEN STRUCK A TRAFFIC SIGNAL POLE AND THE CONCRETE THAT SURROUNDED IT HEAD ON. UNIT 1 CAME TO REST FACING EAST IN THE RIGHT LANE OF WEST LOCUST ST. UNIT 2 CAME TO REST FACING SOUTH EAST ON WEST LOCUST ST. UNIT 3 CAME TO REST FACING NORTH ON GAINES STREET. |
|
Officer
FITZER |
Badge No. 109 |
Time Officer Notified of Accident 18:45 |
Time Officer Arrived At Scene 19:05 |
Name of Agency P12 |
Date of Report 9/26/2009 |
Investigation made at scene?
|
T.I. #
|
Any questions about this report may be directed to the following address:
Iowa State Patrol District 12 Office
22365 20th Ave
Stockton,IA 52769-9612
Phone: (563) 284-9501
Fax: (563) 284-9504