Crash Information

L O C A T I O N	Date of Accident 8/22/2010	Time of Accident 05:26 PM	County Scott - 82	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2010049539
	Literal Description 3/4 MILE NORTH OF LECLAIRE ON US HWY 67 / (GREAT RIVER RD BETWEEN 217TH ST PL & 218TH ST)				Legal Intervention? No	Private Property? No
					X-Coordinate: 720928.3
					Y-Coordinate 4611341.

U N I T 1	Driver's Name - Last CLARK			First JEAN			Middle ELLEN		Suffix
	City LECLAIRE			State IA - Iowa, US				Zip 52753
	Driver's Age 45					Citation Charge Code 1 321J.2 (2A)		Citation Charge 1 OPERATING WHILE INTOXICATED 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? 9 - Refused			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 9 - Unknown		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 2005		Make Pontiac - PONT		Model BONNEVILLE		Style 4D		Approximate Cost to Repair or Replace 2500
	Initial Travel Direction 1 - North	Vehicle Action 02 - Turning left	Speed Limit 55	Point of Initial Impact 04 - Right Rear	Most Damaged Area 04 - Right Rear	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 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 CLIFFORD			First JOHN			Middle H		Suffix
	City GALESBURG			State IL - Illinois, US				Zip 61401
	Driver's Age 55					Citation Charge Code 1		Citation Charge 1
	Gender Male	State IL - Illinois, US	Class D - Chauffeur	Endorsements None	Restrictions J - Tem Rest 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 1 - Fatal	Occupant Protection 6 - Helmet used		Airbag Deployment 6 - Not applicable	Airbag Switch Status 3 - No ON/OFF switch present		Ejection 4 - Not applicable (motorcycle, bicycle, etc.)	Ejection Path	Trapped 1 - Not trapped
	Transported to: GENESIS EAST					Transported by: MEDFORCE
	Insurance Co. Name
	Year 2005		Make		Model ROAD KING		Style MC		Approximate Cost to Repair or Replace 2500
	Initial Travel Direction 3 - South	Vehicle Action 01 - Movement essentially straight	Speed Limit 55	Point of Initial Impact 01 - Front	Most Damaged Area 02 - Right Front	Extent of Damage 3 - Functional damage	Underride/Override 1 - None
	Total Occupants 2	Traffic Controls 01 - No controls present	Vehicle Config. 14 - Motorcycle	Cargo Body Type 01 - Not applicable	Vehicle Defect 01 - None	Driver Condition 9 - Unknown	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 3	Driver's Name - Last WHITE			First BRIAN			Middle DAVID		Suffix
	City BETTENDORF			State IA - Iowa, US				Zip 52722
	Driver's Age 24					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	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:					Transported by:
	Insurance Co. Name
	Year 1993		Make		Model 240SX		Style 2D		Approximate Cost to Repair or Replace 500
	Initial Travel Direction 1 - North	Vehicle Action 10 - Slowing/stopping	Speed Limit 55	Point of Initial Impact 01 - Front	Most Damaged Area 01 - Front	Extent of Damage 2 - Minor damage	Underride/Override 1 - None
	Total Occupants 3	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 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 4 - Angle, oncoming left turn	Weather Conditions (up to two) 01 - Clear	Roadway 01 - None apparent	Type
Light Conditions 1 - Daylight	Surface Conditions 1	Type of Roadway Junction/Feature 05 - Farm/residential drive	Workers Present?

P
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N

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J
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Name- Last
CLIFFORD

First
KATHY

Middle
L

Suffix

City

State

Zip Code

Age
53

Sex
Female

Unit No.
2

Seating Position
04 - Center: Left Side / Motorcycle Passenger

Injury Status
2 - Incapacitating

Occupant Protection
6 - Helmet used

Airbag Deployment
6 - Not applicable

Airbag Switch Status
3 - No ON/OFF switch present

Ejection
4 - Not applicable (motorcycle, bicycle, etc.)

Ejection Path
1 - Not ejected/not applicable

Trapped
1 - Not trapped

Transported to:
GENESIS EAST

Transported by:
MEDIC EMS

NON-MOTORIST

Type

Location

Action

Condition

Safety Equipment

Contributing Circumstances

Unit No. of Vehicle Striking

D
I
A
G
R
A
M

0

NARRATIVE

UNIT 1 WAS NORTHBOUND ON HIGHWAY 67 TURNING LEFT INTO A DRIVEWAY AT 21742 HIGHWAY 67, WHICH IS A RESIDENCE ON THE WEST SIDE OF THE HIGHWAY. UNIT 2 WAS SOUTHBOUND ON HIGHWAY 67 APPROACHING THE DRIVEWAY INTERSECTION FROM THE NORTH. UNIT 3 WAS NORTHBOUND BEHIND UNIT 1. UNIT 1 TURNED INTO THE PATH OF UNIT 2, AND UNIT 1 AND UNIT 2 COLLIDED IN THE SOUTHBOUND LANE. UNIT 2 WENT INTO THE NORTHBOUND LANE AFTER THE INITIAL IMPACT AND STRUCK THE FRONT OF UNIT 3, WHICH WAS STOPPED. UNIT 2 CAME TO REST ON ITS SIDE IN THE CENTER OF THE NORTHBOUND LANE IN FRONT OF UNIT 3. UNIT 1 CAME TO REST IN THE DRIVEWAY FACING WEST.

Officer PEDERSEN	Badge No. 173	Time Officer Notified of Accident 17:26	Time Officer Arrived At Scene 17:47
Name of Agency P12	Date of Report 8/23/2010	Investigation made at scene? Yes	T.I. #

Any questions about this report may be directed to the following address:
Iowa State Patrol District 12 Office
22365 20th Ave
Stockton,IA 52769-9612
Phone: (563) 284-9501
Fax: (563) 284-9504