U
N
I
T
1
|
Driver's Name - Last KUHLMAN |
First TAYLOR |
Middle JAMES |
Suffix
|
City ANKENY |
State IA - Iowa, US |
Zip 500230000 |
Driver's Age 21 |
Citation Charge Code 1 321.366 |
Citation Charge 1 IMPROPER USE OF MEDIAN, CURB, OR ACC FACILITY |
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? 2 - Blood |
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 3 - Deployed both front/side |
Airbag Switch Status 9 - Unknown |
Ejection 1 - Not ejected |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to: MERCY IN DES MOINES |
Transported by: MITCHELLVILLE AMBULANCE |
Insurance Co. Name
|
Year 2002 |
Make Ford - FORD |
Model FOCUS |
Style 4D |
Approximate Cost to Repair or Replace 10000 |
Initial Travel Direction 4 - West |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 70 |
Point of Initial Impact 08 - Left Front |
Most Damaged Area 08 - Left Front |
Extent of Damage 5 - Severe, vehicle totaled |
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 6 - Under the influence of alcohol/drugs/medications |
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?
|
U
N
I
T
2
|
Driver's Name - Last NEWELL |
First PAUL |
Middle S |
Suffix
|
City DAWSON |
State PA - Pennsylvania, US |
Zip 15428 |
Driver's Age 67 |
Citation Charge Code 1
|
Citation Charge 1
|
Gender Male |
State PA - Pennsylvania, US |
Class A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more |
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 6 - Not applicable |
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 2007 |
Make
|
Model TRACTOR |
Style SEMI |
Approximate Cost to Repair or Replace 1000 |
Initial Travel Direction 2 - East |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 70 |
Point of Initial Impact 06 - Left Rear |
Most Damaged Area 06 - Left Rear |
Extent of Damage 2 - Minor damage |
Underride/Override 1 - None |
Total Occupants 2 |
Traffic Controls 01 - No controls present |
Vehicle Config. 09 - Tractor/semi-trailer |
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?
|
| 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 7 - Sideswipe, opposite direction |
Roadway 01 - None apparent |
Type
|
Light Conditions 5 - Dark, roadway not lighted |
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 TRAVELING WESTBOUND IN THE EASTBOUND LANES OF I-80. UNIT 2 WAS TRAVELING EASTBOUND IN THE EASTBOUND LANES BEGINNING A PASS OF THE NON-CONTACT VEHICLE WHEN THE DRIVER OF UNIT 2 DID NOTICE UNIT 1. IN AN ATTEMPT TO AVOID UNIT 1, UNIT 2 BRAKED AND BEGAN MOVING BACK TO THE RIGHT LANE WHEN UNIT 1 ONE DID STRIKE THE LEFT REAR DUEL TIRES OF UNIT 2'S TRAILER. UNIT 1 CAME TO A REST ON THE NORTH SHOULDER AND UNIT 2 SUSTAINED TWO FLAT TIRES AND CAME TO A REST ON THE SOUTH SHOULDER. DRIVER OF UNIT 1 WAS TRANSPORTED TO MERCY BY AMBULANCE WITH MINOR INJURIES. |
|
Officer
KLEIN |
Badge No. 152 |
Time Officer Notified of Accident 04:28 |
Time Officer Arrived At Scene 04:41 |
Name of Agency P02 |
Date of Report 8/22/2010 |
Investigation made at scene? Yes |
T.I. #
|
Any questions about this report may be directed to the following address:
Iowa State Patrol District 02 Office
1619 Truro Pavement
Osceola,IA 50213-8383
Phone: (641) 342-2108
Fax: (641) 342-4653