Iowa State Patrol: Department of Public Safety

Crash Information

L
O
C
A
T
I
O
N 		Date of Accident
8/16/2010		 Time of Accident
01:42 PM 		County
Adair - 01		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010048315
Literal Description
WB INTERSTATE 80 (MILEPOST 75) 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
360709.4
Y-Coordinate
4594850.
U
N
I
T

1 		Driver's Name - Last
HAMILTON		 First
GARY		 Middle
EDWIN		 Suffix
City
EL PASO		 State
TX - Texas, US		 Zip
799300000
Driver's Age
64		 Citation Charge Code 1
 Citation Charge 1
Gender
Male		 State
TX - Texas, US		 Class
C - Non-commercial vehicle or commercial Veh w/26000 GVWR or less & either 16 Pass Design or Hazmat		 Endorsements
None		 Restrictions

 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:
N/A		 Transported by:
Insurance Co. Name
Year
2009		 Make
Honda - HOND		 Model
FIT		 Style
4DR		 Approximate Cost to Repair or Replace
1500
Initial Travel Direction
4 - West		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
70		 Point of Initial Impact
01 - Front		 Most Damaged Area
01 - Front		 Extent of Damage
4 - Disabling damage		 Underride/Override
1 - None
Total Occupants
1		 Traffic Controls
01 - No controls present		 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
13 - Other non-collision		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
13 - Other non-collision
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)
01 - Clear		 Environment
8 - Other (explain in narrative)		 Location
 First Harmful Event of Crash (use codes 11-42 only)
13 - Other non-collision
Manner of Crash/Collision
1 - Non-collision		 Roadway
03 - Debris		 Type
Light Conditions
1 - Daylight		 Surface Conditions
1		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
D
I
A
G
R
A
M

0
NARRATIVE

UNIT 1 WAS WESTBOUND IN RIGHT LANE ON I-80 AT THE 75 MILE MARKER. UNIT 1 STRUCK DEBRIS IN THE ROADWAY DAMAGING THE FRONT OF UNIT 1.
Officer
KINSER 		Badge No.
425		 Time Officer Notified of Accident
13:47		 Time Officer Arrived At Scene
14:20
Name of Agency
P03		 Date of Report
8/16/2010		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 03 Office
2025 Hunt Ave
Council Bluffs,IA 51503-4254
Phone: (712) 328-8001
Fax: (712) 328-1504