Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
8/13/2010		 Time of Accident
04:30 PM 		County
Clinton - 23		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010047782
Literal Description
NB/EB US 0061 / US 61 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
701888.0
Y-Coordinate
4635813.
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1 		Driver's Name - Last
BUELOW		 First
MARK		 Middle
A		 Suffix
City
CASSVILLE		 State
WI - Wisconsin, US		 Zip
538060000
Driver's Age
49		 Citation Charge Code 1
321.288		 Citation Charge 1
FAILURE TO MAINTAIN CONTROL
Gender
Male		 State
WI - Wisconsin, US		 Class
D - Chauffeur		 Endorsements
None		 Restrictions

B - Cor Lenses		 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
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
 Transported by:
Insurance Co. Name
Year
2008		 Make
Chevrolet - CHEV		 Model
COLORADO		 Style
TK		 Approximate Cost to Repair or Replace
10000
Initial Travel Direction
1 - North		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
65		 Point of Initial Impact
02 - Right Front		 Most Damaged Area
03 - Right Side		 Extent of Damage
4 - Disabling damage		 Underride/Override
1 - None
Total Occupants
1		 Traffic Controls
01 - No controls present		 Vehicle Config.
02 - Four-tire light truck (pick-up, panel)		 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
01 - Ran off road, right		 Second Event
11 - Overturn/rollover		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
11 - Overturn/rollover
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?
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)
06 - Rain		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
11 - Overturn/rollover
Manner of Crash/Collision
1 - Non-collision		 Roadway
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
2		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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NARRATIVE

UNIT 1 WAS TRAVELING NORTHBOUND ON HWY 61. UNIT 1 LOST CONTROL OF THE VEHICLE AND ENTERED THE EAST DITCH. UNIT 1 ROLLED ONE COMPLETE TIME AND CAME TO REST ON THE PASSENGER SIDE.
Officer
OLIVER 		Badge No.
460		 Time Officer Notified of Accident
16:35		 Time Officer Arrived At Scene
16:40
Name of Agency
P12		 Date of Report
8/13/2010		 Investigation made at scene?
Yes		 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