Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
8/15/2010		 Time of Accident
12:25 PM 		County
Johnson - 52		 Accident occurred within corporate limits of (city)
Tiffin - 7662		 Law Enforcement Case Number:
2010048117
Literal Description
US 0006 / US 6 and HALF MOON AVE 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
609316.4
Y-Coordinate
4618310.
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1 		Driver's Name - Last
HARVEY-STAVELEY		 First
EVE		 Middle
 Suffix
City
IOWA CITY		 State
IA - Iowa, US		 Zip
522450000
Driver's Age
19		 Citation Charge Code 1
321.288		 Citation Charge 1
FAIL TO MAINTAIN CONTROL
Gender
Female		 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

Y - Intermediate License		 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
4 - Possible		 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
2008		 Make
Toyota - TOYT		 Model
COA		 Style
4D		 Approximate Cost to Repair or Replace
3000
Initial Travel Direction
2 - East		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
55		 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
3 - Emotional (e.g., depressed, angry, disturbed)		 Vision Obscured
01 - Not obscured		 Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
21 - Vehicle in traffic		 Second Event
06 - Evasive action (swerve, panic braking, etc.)		 Third Event
 Fourth Event
33 - Ditch/embankment		 Most Harmful Event (by vehicle)
01 - Ran off road, right
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
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
21 - Vehicle in traffic
Manner of Crash/Collision
1 - Non-collision		 Roadway
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
1		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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NARRATIVE

UNIT ONE WAS EASTBOUND ON HWY 6 AT HALF MOON AVE. THE DRIVER OF UNIT ONE CROSSED OVER THE CENTERLINE AND THEN OVERCORRECTED THE VEHICLE. THE VEHICLE THEN GOT OFF ON THE GRAVEL SHOULDER AND THE DRIVER LOST CONTROL. THE VEHICLE THEN SPUN AROUND AND ENTERED THE SOUTH DITCH FACING NORTH.
Officer
HELTON 		Badge No.
118		 Time Officer Notified of Accident
12:31		 Time Officer Arrived At Scene
12:31
Name of Agency
P11		 Date of Report
8/15/2010		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 11 Office
5400 16th Ave SW
Cedar Rapids,IA 52404-2240
Phone: (319) 396-1944
Fax: (319) 396-4327