Crash Information

L O C A T I O N	Date of Accident 8/20/2010	Time of Accident 08:58 AM	County Page - 73	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2010049046
	Literal Description O AVE and Iowa 0002 / IOWA 2 and M063 / O AVE				Legal Intervention? No	Private Property? No
					X-Coordinate: 322765.4
					Y-Coordinate 4512276.

U N I T 1	Driver's Name - Last LINDBURG			First JOHN			Middle R		Suffix
	City ESSEX			State IA - Iowa, US				Zip 516380000
	Driver's Age 58					Citation Charge Code 1		Citation Charge 1
	Gender Male	State IA - Iowa, US	Class A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more	Endorsements	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: NA					Transported by: NA
	Insurance Co. Name
	Year 2003		Make Chevrolet - CHEV		Model SLV		Style PK		Approximate Cost to Repair or Replace 000
	Initial Travel Direction 3 - South	Vehicle Action 11 - Stopped for stop sign/signal	Speed Limit 55	Point of Initial Impact 05 - Rear	Most Damaged Area 05 - Rear	Extent of Damage 1 - None	Underride/Override 1 - None
	Total Occupants 01	Traffic Controls 04 - Stop signs	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 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 RICHARDSON			First ROLLAND			Middle EUGENE		Suffix
	City CLARINDA			State IA - Iowa, US				Zip 516320000
	Driver's Age 60					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 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 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: CLARINDA HOSPITAL					Transported by: PRIVATE TRANSPORTATION
	Insurance Co. Name
	Year 2007		Make Ford - FORD		Model 500		Style 4D		Approximate Cost to Repair or Replace 10000
	Initial Travel Direction 3 - South	Vehicle Action 11 - Stopped for stop sign/signal	Speed Limit 55	Point of Initial Impact 05 - Rear	Most Damaged Area 05 - Rear	Extent of Damage 4 - Disabling damage	Underride/Override 1 - None
	Total Occupants 02	Traffic Controls 04 - Stop signs	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 26 - Other non-fixed object (explain in narrative)	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 3	Driver's Name - Last FRANKS			First GENEVIEVE			Middle CLAIRE		Suffix
	City ESSEX			State IA - Iowa, US				Zip 516380000
	Driver's Age 80					Citation Charge Code 1 321.285		Citation Charge 1 FAILURE TO STOP WITHIN THE ASSURED CLEAR DISTANCE
	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 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 6 - Not applicable	Airbag Switch Status 3 - No ON/OFF switch present		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to: NA					Transported by: NA
	Insurance Co. Name
	Year 1993		Make		Model CHK		Style SW		Approximate Cost to Repair or Replace 10000
	Initial Travel Direction 3 - South	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 01	Traffic Controls 04 - Stop signs	Vehicle Config. 04 - Sport utility vehicle	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) 02 - Partly cloudy	Environment 1 - None apparent	Location	First Harmful Event of Crash (use codes 11-42 only) 26 - Other non-fixed object (explain in narrative)
Manner of Crash/Collision 3 - Rear-end	Weather Conditions (up to two) 02 - Partly cloudy	Roadway 01 - None apparent	Type
Light Conditions 1 - Daylight	Surface Conditions 1	Type of Roadway Junction/Feature 22 - Other intersection	Workers Present?

P
E
R
S
O
N

I
N
J
U
R
E
D

Name- Last
RICHARDSON

First
JANET

Middle
LUCILLE

Suffix

City

State

Zip Code

Age
60

Sex
Female

Unit No.
2

Seating Position
03 - Front: Right Side

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
1 - Not ejected/not applicable

Trapped
1 - Not trapped

Transported to:
CLARINDA HOSPITAL

Transported by:
CLARINDA AMBULACE

NON-MOTORIST

Type

Location

Action

Condition

Safety Equipment

Contributing Circumstances

Unit No. of Vehicle Striking

D
I
A
G
R
A
M

0

NARRATIVE

VEHICLE #1 WAS STOPPED AT STOP SIGN FACING SOUTH ON M-63 WAITING FOR TRAFFIC. VEHICLE #2 WAS STOPPED BEHIND VEHICLE #1 ALSO WAITING TO GO. VEHICLE #3 WAS SOUTH BOUND COMING UP FROM BEHIND BOTH AND FAILED TO GET STOPPED. VEHICLE #3 RAN ITO THE REAR OF VEHICLE #2 WHICH THEN RAN INTO VEHICLE #1. DRIVER OF VEHICLE #3 STATED HER FOOT SLIPPED OFF THE BRAKE AS SHE ATTEMPTED TO STOP. IT SHOULD BE NOTED THAT THERE WAS 2 SETS OF RUMBLE STRIPS, 2 STOP AHEAD SIGNS AND STOP SIGN IN PLACE

Officer MOORE	Badge No. 418	Time Officer Notified of Accident 09:00	Time Officer Arrived At Scene 09:01
Name of Agency P03	Date of Report 8/20/2010	Investigation made at scene?	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