U
N
I
T
1
|
Driver's Name - Last JENSEN |
First GRETCHEN |
Middle RENEE |
Suffix
|
City CRESCENT |
State IA - Iowa, US |
Zip 51526 |
Driver's Age 22 |
Citation Charge Code 1 321J.2(2)(A) |
Citation Charge 1 OWI 1ST OFFENSE |
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
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 2 - Incapacitating |
Occupant Protection 2 - Shoulder and lap belt used |
Airbag Deployment 1 - Deployed front of person |
Airbag Switch Status 3 - No ON/OFF switch present |
Ejection 1 - Not ejected |
Ejection Path
|
Trapped 3 - Extricated by mechanical means |
Transported to: ATLANTIC HOSPITAL |
Transported by: ATLANTIC FIRE/RESCUE |
Insurance Co. Name
|
Year 2002 |
Make Chrysler - CHRY |
Model 300 |
Style 4D |
Approximate Cost to Repair or Replace 10000 |
Initial Travel Direction 2 - East |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 70 |
Point of Initial Impact 01 - Front |
Most Damaged Area 01 - Front |
Extent of Damage 5 - Severe, vehicle totaled |
Underride/Override 2 - Underride, compartment intrusion |
Total Occupants 01 |
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 23 - Parked motor vehicle |
Second Event 06 - Evasive action (swerve, panic braking, etc.) |
Third Event
|
Fourth Event 04 - Crossed centerline/median |
Most Harmful Event (by vehicle) 23 - Parked motor vehicle |
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
|
First
|
Middle
|
Suffix
|
City
|
State
|
Zip
|
Driver's Age
|
Citation Charge Code 1
|
Citation Charge 1
|
Gender
|
State
|
Class
|
Endorsements None |
Restrictions
None |
Citation Charge Code 2
|
Citation Charge 2
|
Alcohol Test Given?
|
Drug Test Given?
|
Citation Charge Code 3
|
Citation Charge 3
|
Citation Charge Code 4
|
Citation Charge 4
|
Seating Position
|
Injury Status
|
Occupant Protection
|
Airbag Deployment
|
Airbag Switch Status
|
Ejection
|
Ejection Path
|
Trapped
|
Transported to:
|
Transported by:
|
Insurance Co. Name
|
Year 1999 |
Make Chevrolet - CHEV |
Model 1500 |
Style SUV |
Approximate Cost to Repair or Replace 20000 |
Initial Travel Direction
|
Vehicle Action 13 - Illegally Parked/unattended |
Speed Limit
|
Point of Initial Impact 07 - Left Side |
Most Damaged Area 07 - Left Side |
Extent of Damage 5 - Severe, vehicle totaled |
Underride/Override 6 - Override, parked/stationary vehicle |
Total Occupants 0 |
Traffic Controls 01 - No controls present |
Vehicle Config. 04 - Sport utility vehicle |
Cargo Body Type 01 - Not applicable |
Vehicle Defect 01 - None |
Driver Condition 1 - Apparently normal |
Vision 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 7 - Previous accident |
Location
|
First Harmful Event of Crash (use codes 11-42 only) 23 - Parked motor vehicle |
Manner of Crash/Collision 5 - Broadside |
Roadway 07 - Obstruction in roadway |
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 |
VEHICLE # 2 WAS EAST BOUND ON I-80, PULLING A LARGE ENCLOSED TRAILER. THE DRIVER LOST CONTROL AND THE TRAILER ROLLED ONTO IT'S TOP. VEHICLE # 2 AND TRAILER STOPPED FACING NORTH BOUND, BLOCKING 1 1/2 LANES. THE TRAILER WAS ON IT'S TOP AND VEHICLE # 2 WAS UPRIGHT BUT THE BACK TIRES WERE OFF THE GROUND SEVERAL FEET DUE TO THE POSITIONING OF THE TRAILER. SEVERAL MINUTES LATER, VEHICLE # 1, WHO WAS EAST BOUND ON I-80 STRUCK THE DRIVER'S SIDE OF VEHICLE # 2. VEHICLE # 1 WENT UNDER VEHICLE # 2., ACROSS THE MEDIAN AND CAME TO REST IN THE LEFT LANE OF I-80 W.B. WHEN VEHICLE # 1 WENT UNDER VEHICLE # 2., IT CAUSED VEHICLE # 2 TO FLIP ONTO IT'S TOP. THE ACCIDENT REPORT NUMBER FOR VEHICLE # 2 IS 2010049402. THE DRIVER OF VEHICLE # 2 (WHO WAS OUT OF THE VEHICLE AT THE TIME OF THIS ACCIDENT) WITNESSED THIS ACCIDENT. AMENDED 1/3/11 TO ADD BLOOD/ALCOHOL TEST RESULTS OF .190, AND A CHARGE OF OWI 1ST TO THE DRIVER OF UNIT #1, GRETCHEN JENSEN. THE LAB RESULTS WERE ALSO SCANNED AND ATTACHED. |
|
Officer
MICHELSEN |
Badge No. 076 |
Time Officer Notified of Accident 22:03 |
Time Officer Arrived At Scene 22:13 |
Name of Agency P03 |
Date of Report 8/21/2010 |
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